I do not feel well, can I still attend for my vaccination?
Yes if you just have a mild infection e.g. a cold. Please do not attend if you feel very unwell, have a temperature or are being treated with any antibiotics. To change or cancel an appointment, please contact Occupational Health on 0141 201 0600.
What do I do if I have had a needlestick or similar injury?
You should carry out first aid immediately and report the injury to whoever is in charge of your clinical area. Further guidance is available at our Needlestick & Similar Injury page. All incidents should be reported to Occupational Health as soon as possible after they occur on 0141 201 0595.
Can I self-refer to Occupational Health?
Yes, you can self-refer for a number of services including advice, physiotherapy, counselling and the alcohol & substance nurse clinic. Go to our Self-Referral & Counselling page for further information on what is available & how to arrange an appointment. Please note we do not provide written reports back to managers from these appointments.
Are counselling services available to employees?
Yes all employees can access free & confidential counselling from fully trained counsellors via the Occupational Health Service. To make an appointment call, 0141 201 0600.
Can I get physiotherapy?
There is an Occupational Health Physiotherapy service which employees can access by completing a self-referral form. Priority will be given to those employees who are absent from work, those who have suffered a musculoskeletal injury whilst at work and those who are about to go off work. Further details on this service can be found on our Occupational Health Physiotherapy Service page.
What are Exposure Prone Procedures (EPP)?
Exposure Prone Procedures (EPP) include procedures where the health workers’ gloved hand may be in contact with sharp instruments, needle tips or sharp tissues inside a patients body cavity, wound or confined anatomical space where the hands or fingertips may be not be completely visible at all times. Taking bloods and inserting cannula’s are not EPP procedures
I have been referred by my manager, what does this involve?
You need to request this in writing, please send a letter with your full name, Date of Birth, Address and signature to: Occupational Health Service, 6th Floor, West Glasgow ACH, Dalnair Street, Glasgow, G3 8SJ.
How can I access my records?
NHS Greater Glasgow & Clyde (NHSGGC) is a public organisation created in Scotland under section 1 of the National Health Service (Scotland) Act 1978 (the 1978 Act). It is one of the organisations which form part of NHS Scotland (NHSS).
NHSGGC is the data controller of the personal data it processes for the purpose of the Data Protection Act 2018 along with the General Data Protection Regulation (GDPR) and is registered as a data controller with the Information Commissioner under Notification No Z8522787.
You have the right to access your own personal information.
This right includes making you aware of what information we hold along with the opportunity to satisfy you that we are using your information fairly and legally.
You have the right to obtain:
Confirmation that your personal information is being held or used by us
Access to your personal information
Additional information about how we use your personal information
Although we must provide this information free of charge, if your request is considered unfounded or excessive, or if you request the same information more than once, we may charge a reasonable fee.
Can Occupational Health fast track any treatment I require?
The Occupational Health Service is unable to fast track any NHS referral or fund any private referrals.
I think I need a car parking permit due to health reasons, how do I apply for one?
At present, the car parking permit on health grounds policy is under review and the Occupational Health Service is only able to issue supportive letters for permits on a 4 month basis. You need to complete an application form. Please contact the nursing team on 0141 201 0600 for further advice.
I don’t think I can attend my appointment, what do I do?
Please contact our appointments line on 0141 201 0600 to make, change or cancel an appointment
Our winter flu vaccination programme for staff will be starting again soon!
Look out for info coming out through Core Brief.
As a healthcare employer who provides high quality patient care we need to ensure that those who provide that care are fit and well, and part of that means looking after our skin.
Work related skin problems are common within the health and social care sector as employees have to carry out hand hygiene on a frequent basis and their skin can also regularly be exposed to chemicals or other materials used in the manufacture of personal protective equipment (PPE) such as gloves.
NHS Greater Glasgow and Clyde cannot eliminate all known risks to staff skin health, therefore it is essential that measures are implemented to detect any health problem that might arise through an effective skin health surveillance programme, this allows for preventative action to be taken in order to safeguard the health of the employee. Skin health surveillance will also review existing risk assessments and control measures and provide assurance that workplace controls are adequate.
If you require any advice regarding Skin Health Surveillance, please contact Occupational Health on 0141 201 0594
Please be aware in response to the pandemic, routine Occupational health activity has been modified. We continue to provide support & advice to staff in relation to their skin health although this may be carried out in a different way using telephone consultations or the Attend Anywhere video consultation service.
Temporary changes to Skin Health Surveillance process
Dry/red skin – We recommend that managers try the steps outlined in our skincare information sheet and the Hand Dermatitis Guide from National Education Scotland in the first instance however, if your staff member’s skin does not improve following this then please submit a skin health surveillance questionnaire to Occupational Health. Please provide details of any steps you have taken in the workplace e.g. increased use of moisturisers.
If your staff member has broken, cracked or bleeding skin – We recommend that you submit a skin health surveillance questionnaire and an attend anywhere consultation will be arranged.
Irritation from FRSM/Surgical Masks
Please do not submit a skin health surveillance questionnaire or a management referral form if a staff member is experiencing irritation from wearing a surgical or FRSM mask. Further Guidance on prevention and management of skin irritation can be found here
If the irritation continues please contact the nursing team on 0141 201 0594.
The Learnpro modules “Managing Skin Care at Work for Managers” and “Managing Skin Care at Work for Responsible Persons” can be found within the CPD section.
The NES module Hand Hygiene is part of The Scottish Infection Prevention & Control Education Pathway Foundation level and this can also be accessed via Learnpro.
The Occupational Health Long Covid Service provides support, advice and rehabilitation for NHS Greater Glasgow & Clyde employees who continue to be affected by ongoing symptoms related to Covid-19 infection that have lasted more than 12 weeks and impacts on their performance or attendance at work.
Off work for at least 12 weeks with Covid 19
Sick line with covid as a diagnosis
Support for staff members presenting with emotional, cognitive, and physical issues that influences their ability to engage in everyday activities including work as a result of their long covid symptoms.
The Long Covid service is made up of: a specialist Physiotherapist, two Occupational therapists, an Occupational Health Nurse and a Psychologist with access to support from the wider Occupational Health team. The aim of the service is to support employees to improve their health, functional capabilities and quality of life, leading wherever possible to a return to work.
This may be through supporting employees to access self – management tools to assist in their understanding of their condition and aid their recovery, return to work advice and access to a rehabilitation treatment programme for those with more complex symptoms if they meet our inclusion criteria. Access to the service is currently through management referral.
We are based within the Occupational Health Service on the 6th Floor, West Glasgow ACH, Dalnair Street, Glasgow, G3 8SJ and can be contacted on 0141 201 0600.
How to Access the Service
In line with the Long Covid HR support Process and as part of the Attendance Management discussions with the employee consideration should be given to submitting a management referral to Occupational Health (OH) where there has not been sufficient improvement in the employees Long Covid-19 symptoms to facilitate a return to work and they have been absent for more than 12 weeks. Please note that not every employee who is absent will require a referral to OH and this should be considered on a case by case basis.
Where a referral is required, this should be discussed with the employee prior to a management referral being submitted. At this point the Manager should also advise the employee that an assessment questionnaire will need completed by the employee and returned directly to Occupational Health before they can be accepted into the rehabilitation programme. The questionnaire helps the Long Covid multidisciplinary team to make decisions about how best to address each individual’s needs.
Management referrals should include all relevant information with regards to the employee’s Covid related absence and details of the following:
Confirmation of absence related to ongoing Covid-19 symptoms (even if provisional diagnosis) by GP/Hospital/specialist.
As much factual background information as known regarding history, symptoms reported
and advice/treatment received to date (if known).
Any other relevant health matters which be impacting on recovery/return to work.
Details of any adjustments or support measures which have been considered prior to
The assessment questionnaire is available here and can either be sent to the employee by their manager with instructions to complete and return directly by the employee or manager to email@example.com
If the manager has further questions prior to submitting a referral they can contact Occupational Health on 0141 201 0594 or via HR.Support@ggc.scot.nhs.uk for further advice.
Occupational Health Process
The Occupational Health Service will consider an appointment with the Long Covid Team for further assessment, advice or treatment when a Management referral has been received that meets the service criteria.
An assessment questionnaire will be sent to the manager to share with their employee for completion and return to the Long Covid Service prior to an appointment being issued. This questionnaire will assist the team to make decisions about how best to address each individual’s needs.
Returned questionnaires are then triaged and employees may be offered: a management referral meeting, placed on waiting list for the long Covid group programme, or placed on waiting list for one to one input with therapists. Staff member and manager are advised of outcome of the triage. For those who indicate a potential return to work in 6-8 weeks a management referral is offered in the first instance.
Once the employee has had their initial assessment further referrals to other member of the team for rehabilitation can proceed (if applicable). Initial assessment appointments are likely to be carried out by Telephone or remotely through Attend Anywhere at this time.
At the end of engagement with the Long Covid Team the management referral form will be updated and shared with the employee, manager and HR advisor regarding the outcome of the assessment the employee’s fitness to work, any reasonable adjustments to be considered and a timescale for review (if applicable).
Should any referrals under 12 weeks be submitted in error, the manager will be advised the staff member does not meet the Long Covid Team criteria and advised that there is further information for managers and staff on the Long Covid Team website. This covers self- management information to support the employee with their recovery and some return to work considerations.
Long Covid Team Services
Long Covid Group
This is an 8 week programme. The group meets once a week for 90 minutes via teams. Each week is a different topic. Topics include: introduction to long Covid and recovery, fatigue management sessions (2), thinking skills, breathlessness, dysautomonia, nutrition, adjustment and managing emotional response, return to work planning.
Occupational Health Nurse
Triage and provide information / signpost for symptoms not included in the Occupational Health (OH) Long Covid rehabilitation
Will be the first point of contact, may highlight potential Red Flag conditions and liaise with others in OH team
Manage own caseload of staff members who have no particular rehabilitation need
Assess and identify changes in activities of daily living.
Assess and treat fatigue and its impact on daily activity.
Assess and treat cognitive changes
Offer guided self-help for emotional change
Assess and treat respiratory conditions
Assess and treat musculoskeletal symptoms
Assess and treat fatigue symptoms
Assess and support staff to adjust to living with and managing Long Covid.
Assess and support staff to overcome any barriers to engaging in the Long Covid group programme.
Assess and support staff to address any additional severe and enduring mental health difficulties
Information for Managers
Long Covid involves a continuation of a broad range of debilitating physical, cognitive, and psychological symptoms that persists beyond 12 weeks. Initial “Mild” symptoms are not reflective of long term outcomes for many. For many people, it will be a combination of physical and psychological symptoms; and an exacerbation of pre-existing symptoms may further complicate their presentation.
Possible features of Long Covid in the workplace
Difficulty in standing for long periods, or in sustaining normal work due to fatigue
Reduced ability with physical tasks, e.g. lifting or walking longer distances
Increased breathlessness with activity which can lead to poor tolerance with wearing face masks.
Trouble concentrating with tasks, takes longer to complete tasks and employee may worry about making mistakes.
Need for more frequent trips to toilet, more frequent rest breaks for recovery of energy.
Attempt by staff to “push on” and “overcome” despite increasing symptoms can result in further absence periods i.e. Sick leave, following by return, followed by relapse and further leave.
Example of recommendations for a staff member returning to work following an extended Covid absence
The individual plan should be tailored to each staff member based on the severity of symptoms and their role / tasks at work.
Phased return to work with shorter days and non-consecutive days initially. Due to the nature of fatigue the staff member may require an extended phased return more than the standard 4 weeks – may require up to 8 or 12 weeks. Advising starting with 1 short shift (may be as short as 3-4 hours) then gradually building up the amount of shifts per week before considering increasing the shift length for a more gentle phased return as this complements the fatigue management advice. It may be that the staff member is not always able to increase their hours in a linear way – may be that on some weeks they have a flare in their symptoms and any planned increases are paused or take a step back to a previous level which they were coping with. The staff member should be able to determine this based on their symptoms by that stage and liaise with their manager when further support required.
Consider some temporary adjustment to workload, opportunity to work alongside a colleague for the first few weeks for support if needed / supernumerary. Explore options for additional support/assistance with the more physical aspects of the role e.g. working with lower risk individuals.
Consideration of temporary alternative work if they are unable to resume to the more physical aspects of the role e.g. Learn pro / non clinical work (this may be helpful or it may be that based on what impacts on their symptoms, it is unhelpful or not required).Some people may need to limit the amount of time doing physical or PC tasks depending on symptoms
Keep shift patterns routine e.g. same start time each day and avoiding mix of early / late /night shifts until they have managed to build up their hours and duties.
There may also be role specific adjustments such as; being kept on own ward / smaller geographical area, not being responsible for emergency page, reducing clinical caseload initial supervision for clinical decision making (e.g. drug rounds), avoiding interruptions through day and avoiding on-call / nights etc.
Long Covid involves a continuation of a broad range of debilitating physical, cognitive, and psychological symptoms that persists beyond 12 weeks. The National Wellbeing Hub has developed some resources to assist those coping with the prolonged aftereffects of Covid. This is aimed at supporting people working in health and social care with living with the uncertainty that this condition can bring and their anxieties about returning to work.
In addition to the written materials, they’ve produced a series of three short videos. For these, they’ve spoken to two professionals who have both experienced Long Covid. In one, we hear about Janine’s path to recovery, while the other charts Grace’s return to work and how she is managing the ongoing challenges associated with this.
They’ve also spoken to Dr John Harden, Deputy National Clinical Director at the Scottish Government, who talks through what Long Covid is, what to do if you’re experiencing Long Covid, and how to manage some of the more common symptoms.
The following links also provide useful information and self-management advice.
NHS Inform Self Help Guides on line tools and PDF’s self- help guides that can be down loaded on various Mental Health & Wellbeing topics including: Sleep problems, anxiety, depression, problem solving, chronic pain, PTSD, bereavement and self esteem.
Mental Health & Wellbeing Audio Guides on line tools and audio guides on various topics including – low mood, anxiety, sleep problems, self-confidence, unhelpful thinking and breathing exercises for stress.
All NHS Greater Glasgow and Clyde employees can self-refer to the Occupational Health Service to access a wide range of support services. For further information on what’s available, please select from the options below.
All employees can self-refer to Occupational Health for confidential advice & support with one of the nursing team. Appointments are available by telephone only currently. All appointments are confidential.
Please call 0141 201 0600 to make an appointment or alternatively you may find the information you are looking for on HR Connect.
Counselling services are available to all NHS Greater Glasgow and Clyde employees within the Occupational Health Department at the West Glasgow ACH. We offer telephone consultations only at present due to the ongoing pandemic. All appointments are confidential.
Please contact 0141 201 0600 to arrange an appointment with one of the counselling team.
Where possible we ask you to consider making use of on-line resources or accessing alternative community supports. Links to a range of resources are available below. If you are experiencing a crisis please contact your GP or out of hours services
The Occupational Health Psychological Therapies Service (OHPTS)
This service is available to staff who wish to access psychological support. The service provides:
Psychological first aid
30 minute telephone or ‘Attend Anywhere’ video sessions
Sessions are delivered by a member of the Occupational Health Psychological Therapies Service (OHPTS)
To access call 0141 277 7623, Monday to Friday, 8am – 5pm
Please note this service will not be able to provide an immediate response. If you need immediate support with your mental health please contact a trusted member of your community such as your GP, or NHS 24 on ‘111’ or if you are in imminent danger please dial ‘999’.
Mental Health & Wellbeing is just as important as physical health and many factors and life events can have an impact on how we feel. This hub provides links to further information and services available that can help you to improve your mental health & wellbeing.
If you are feeling very distressed, require emotional support or are suicidal then please click here where you can find details of organisations who can help.
To speak in confidence to one of the Occupational Health nurses or to arrange a counselling appointment, please phone 0141 201 0600. This line is available Monday to Friday, 8am-5pm.
The way managers will submit referrals to Occupational Health has changed from the 21st of March 2022 due to a new occupational health system that will allow referrals to be submitted electronically directly in the system. The new system is called OPAS G2 and you will be able to login into the system to submit a referral via the link below or via the link on edge: NHSGGC Favourites → Admin → OPAS G2 Occ Health System.
The management referral form has been simplified to make it easier to submit a referral, you will also be able to view reports and track the progress of a referral via your managers dashboard giving you complete visibility throughout the whole referral process. A simple guide to submitting a referral using the new system can be found here.
Appointments will be carried out by telephone or using the Attend Anywhere video consultation service.
Using the OPAS G2 system
Do not submit the referral until you have fully completed this as they cannot be amended after submission. Please ensure to add any additional questions you wish answered. These can be added by clicking on the ‘Add Additional Questions’ link. each question should be added as a new entry. Please do not add these all into one box as the referral can’t then be processed.
Please note there are two mandatory questions and these are defaulted to Yes, do not change these.
Manager and employee details can be updated if required e.g. to update address or phone number by clicking on the ‘Update’ button.
If you have not received a login or are unable to login by the end of March, please contact our admin team at firstname.lastname@example.org who will set up a login for you.
Further guidance on completing a referral is available here
Employees now require to give consent via G2 before a report is released, this can take up to 5 days before you receive a report after a consultation has taken place.
Please note there is no change to the criteria put in place for the pandemic and we continue to work to the criteria below for referrals.
Printing & Saving a Referral
To print or save a copy of a referral as a PDF – click on the ‘Print Referral’ icon on the top right hand screen of the employee record. Either print as required or change the print option to ‘save as a pdf’
You can also print just the report itself by clicking on the completed referral to Open> Click on Communications under additional Information > Click on ‘new email, letter or text’ > select ‘NHSGGC Management Referral Response Report’>click on ‘Download’ save or print report.
Management Referral Advice for Managers
Due to the pandemic we have had to modify the way we deliver the management referral aspect of our service. As we now move into our recovery phase we will be gradually increasing our management referral capacity again however, we do need to ensure priority is given to the most essential and appropriate referrals. We will continue to offer appointments via telephone or Attend Anywhere although face to face assessments may now also be offered where appropriate.
General Criteria for Referrals
Urgent referrals for cases such as terminal illness or other serious illness.
Consideration of ill health retirement or redeployment. Please ensure that you have discussed this with the employee and HR prior to referral. Ill health retirement is only applicable if the employee has been superannuated for a minimum of 2 years, they are permanently unfit for work, all options for reasonable adjustments have been considered, and they have exhausted all treatment options and are under their normal pension age.
Long term absences – 29 days or more for advice on likely return to work and rehabilitation. It is important to note that not all long term absences require referral to Occupational Health at 29 days for example routine surgery where an expected recovery of 6+ weeks has been identified (please also see work related stress guidance and access to counselling service information).
In some (but not all) cases of frequent, short-term sickness absence where there are patterns of absence or there is an underlying health condition adversely affecting health or work is adversely affecting health.
significant underlying health issues impacting on workplace health
significant mental health issues e.g. severe anxiety, depression. (Please note staff members who are anxious or stressed regarding Covid-19 should be directed to the dedicated Covid staff support services)
To seek advice and support for employees who are on Stage 3 of the Attendance Policy
Long Covid referrals where absence has reached 12 weeks – please see HR Process for Long Covid.
If your referral does not fall into the general criteria please see further guidance
Return to Work/Phased Returns
If the case is in relation to an imminent return to work then you as line manager should explore the details of this with your member of staff in the first instance. If there is any concern regarding potential residual symptoms that may impact on their ability to deliver their normal role you may wish to consider whether modified duties may be feasible E.g. a temporary adjustment or restriction duties that the employee would find difficult.
A phased return may also enable a more successful transition back to work. The new NHS Scotland wide policy enables a 4 week phased return on full pay NOT requiring the use of accrued leave. It is also useful to look at breaking up working weeks to reduce the impact of fatigue on return to work e.g. working non-consecutive days and gradually phasing the staff members hours back up to their contracted hours. In some cases a longer phased return may be beneficial in supporting a return to work and consideration could also be given to utilising any accrued annual leave to further extend a period of reduced hours following the initial 4 week period. Any phased return should be discussed with the employee prior to their return to work and should take into account any modification required to duties.
Work related Stress
If an employee reports work related stress, the expectation is that the Manager should meet with them to identify the cause of the work-related stress and explore the potential options for addressing or resolving the stressors locally. If the stressors are as a result of relationship difficulties in the workplace, Mediation may be explored as an option via HR. A referral to Occupational Health is only indicated, if a health condition is declared or the work-related stress is exacerbating a pre-existing health condition. If an OHS referral is required, it is important that the manager notes any interventions that have been attempted to date and includes a copy of the stress risk assessment. Managers should refer to the Stress in the Workplace guidance.
Access to Occupational Health Physiotherapy and Counselling Services
If the employee only requires physiotherapy or counselling and there are no other issues impacting on their health & wellbeing in the workplace, then a management referral is not required.
Employees can self-refer to arrange a counselling appointment on 0141 201 0594
The self-referral form for Physiotherapy can be accessed here
A number of services are available to support staff in response to Covid -19 including occupational health counselling, more details of national resources are available here
If an employee is reporting a skin problem which may be caused by or made worse by work (including skin problems affecting the hands) please refer via the usual Skin Health Surveillance process. If urgent advice is required regarding a skin problem please direct the employee to contact Occupational Health by phoning 0141 201 0594 or email the enquiry.
Underlying health conditions in relation to Covid-19
General advice and information relating to Covid including shielding and Covid age risk assessments can be accessed via HR Connect if you have an urgent enquiry, please phone the nursing team on 0141 201 0594 or email email@example.com
We suggest using the link a few minutes before your appointment time. Please note that you must use Google Chrome or Apple Safari internet browser.
The Occupational Health service provides access to a dedicated alcohol & drug/substance clinic for all NHS Greater Glasgow and Clyde employees.
A specialist nurse is available to provide a comprehensive assessment of alcohol or substance use & suggest suitable support options if required, including signposting and referral to specialist services. Interventions such as motivational work, alcohol brief interventions and relapse prevention are also provided.
The Occupational Health Practitioner involved in your care can arrange an appointment if required or you can self-refer yourself to this service. Your manager can also refer you to this service.
This service is available to any NHS Greater Glasgow and Clyde employee that is concerned about their alcohol or drug/substance use.
To make an appointment, contact us on 0141 201 0600.