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Found 29 results
  1. Event
    until
    Impartiality is central to the role of an investigator working to understand how a health event occurred. Achieving impartiality is a difficult task as the psychological research demonstrates how experts' perceptions and cognitions are affected by context, motivation, expectation, and experience. A growing body of research has revealed the many sources of bias that affect experts' judgments as they perform their work. These sources of bias extend beyond the characteristics of the individuals who were involved in the event being investigated and include such things as the features of the information being considered, the reference materials, the investigative environment, and an individual’s base-rate expectations. Professionals in fields such as forensic science, intelligence analysis, criminal investigation, and judicial decision-making are at an inflection point where they are considering both their current practices and new approaches. The investigation of health-related events is a professional domain that is in many ways analogous to the aforementioned decision-making environments. Yet, this investigation environment is also unique, as the sources, magnitude, and direction of bias are specific to the workplace setting. This presentation will explore the broad issue of cognitive bias in investigative decision making, discussion sources of investigative bias, and offer suggestions to mitigate the effect of bias in an occupational health investigation. Register
  2. Content Article
    The occupational therapy (OT) workforce is under huge pressure. Increased demand coupled with workforce shortages is challenging OTs’ capacity to provide essential support to people whose lives are impacted by long term health conditions and disability. In November 2022, the Royal College of Occupational Therapists surveyed OT practitioners across the UK about the workplace issues they’re facing now, and how these affect the services they deliver to the public. They also asked how practitioners are impacted personally, including whether they intend to continue working as OTs. The challenges shared by over 2,600 respondents have significant implications for the resilience of the current and future OT workforce, and the people who use OT services. Key findings 86% reported an increased demand for OT services within the previous 12 months. 79% stated that people were presenting more complex needs due to delayed interventions. 78% said that their team wasn’t large enough to meet the demand. 63% felt they were too busy to provide the level of care they’d like. 59% rated their work-related stress as 7 or above on a scale of 1 to 10, with 10 being the highest level of stress. Key recommendations Governments must recognise that investment in the NHS and social care is critical to a healthy population and therefore economic growth. Investment in the OT workforce must be matched to service and demographic need, not just in the NHS but in social care as well. Capacity should be built within primary and community health and social care services, to ensure people receive advice and help early on, rather than when in acute need or with increased complexity due to delayed intervention. "We’re churning patients out faster and faster, older, frailer and more complex, but given no time to rehab or improve them, knowing that they will likely get readmitted again in a few days. That is disheartening when there is so much we could do if we were given a day or two, or there were more services in the community."
  3. Content Article
    The Covid-19 pandemic continues to impact heavily on all our lives and one of the long-lasting, but unanticipated, impacts is the emergence of Long Covid. Whilst many people infected by Covid-19 may fully recover, significant numbers will experience varied, ongoing and debilitating symptoms that last weeks, months or years following the initial infection. This prolonged condition has been given the umbrella term Long Covid. Recognition of Long Covid was accelerated by people-led advocacy groups such Long Covid Support. The Office of National Statistics (ONS) reported that, as of 1 August 2021, 970,000 people in the UK were experiencing self-reported Long Covid. The most recent data from 2 January 2023, shows that this has increased to 2 million people This report summarises the findings of a self-selecting survey of 3,097 people with Long Covid in September and October 2022 on their experiences of work. The TUC and Long Covid Support Employment Group are calling for the government to urgently introduce a range of measures including: Ensure everyone with Long Covid is recognised as disabled under the Equality Act. Many people with Long Covid will already get the protections under the Act but extending Equality Act 2010 protections would ensure everyone is protected by law and entitled to reasonable adjustments that remove, reduce or prevent any disadvantages workers with Long Covid face. This would be decisive action from government to protect those facing the long-term health consequences of the pandemic. Recognising Covid-19 as an occupational disease. This would entitle employees and their dependents to protection and compensation if they contracted the virus while working. Greater flexibility in all jobs. There should be a duty on employers to list the possible flexible working options for each job when it is advertised. And all workers should have a day one right to work flexibly – not just the right to ask – unless the employer can properly justify why this is not possible. Workers should have the right to appeal any rejections. And there shouldn’t be a limit on how many times a worker can ask for flexible working arrangements in a single year. Guidance for employers. The Equality and Human Rights Commission should urgently produce detailed guidance for employers on Long Covid and the types of reasonable adjustments people may need.
  4. Event
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    Musculoskeletal (MSK) problems are a leading cause of disability and sick leave in the working population. The purpose of this meeting is to assist participants in developing and implementing effective strategies in their practice to address these issues. A panel of experts from various disciplines, including occupational health, orthopaedics, psychology, and policy steering groups, will provide comprehensive and practical information on the prevention, treatment, and rehabilitation of MSK problems. By attending, you will: Learn about the latest innovations in ergonomic settings at workplace. Understand supportive psychological factors for management of MSK pain. Learn about the state of art therapeutic interventions in some MSK conditions affecting workers. Gain insights into national policies/strategies for prevention and rehabilitation of the MSK problems. Register
  5. Event
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    The 4th #EndPJparalysis Global Summit will bring people from health and social care around the world together to share best practice, to explore the research, case studies and lived experience around the impact of deconditioning. The Summit will include a wide range of clinical presentations as well as leadership discussions and perspectives on looking after those in the caring professions. Like previous years, there will be an eclectic mix of speakers, panel discussions and the opportunity to ask questions and build up your peer network. The Summit will run online for 36hrs. Sessions will be recorded and available to those registered after the event. The Summit is free to all people in health and social care. Register
  6. Content Article
    The precautionary principle is important in high risk, high harm, safety critical work. Risks to workers, customers, or service users are substantial, and so the precautionary principle in which precautions are taken until safety is proven, often apply. However, in healthcare it’s different. Healthcare takes the approach that the status quo applies until something is proven dangerous and harmful. The burden of proof is often high and often falls to the workforce to “prove.”  Alison Leary, Professor of healthcare and workforce modelling at London South Bank University, in this BMJ article discusses the reasons healthcare fails to heed the precautionary principle and why potentially the cost of doing so is high and ultimately catastrophic. 
  7. Content Article
    It has become imperative that we discuss the issue of mental health in doctors and other healthcare staff. The mental wellbeing of a healthcare staff forms the bedrock of patient safety. It takes a safe and supported person to deliver safe healthcare and we must give this attention as we try to find ways to improve the quality of care within our healthcare systems. Ehi Iden, hub topic lead for Occupational Health and Safety, OSHAfrica, reflects on the increasing workload and pressure healthcare professionals face, the impact this has on patient safety and why we need to start 're-humanising' the workplace. In March 2017 in Nigeria, we had two very shocking incidents which left everyone saddened and disturbed. The first case was Emmanuel Ogah, a medical doctor, who stabbed his 62-year-old mother to death in Lagos. Then, whilst we were all trying to come to terms with that incident, on the 19 March 2017 Allwell Orji, another medical doctor, asked his driver to stop in the middle of the popular ‘The Third Mainland Bridge’, got out of his car and jumped into the lagoon where he drowned before help could come. The loss of these two medical professionals happened within a space of one week. As an occupational health consultant and a patient safety advocate, this got me thinking about how it further increases the risk exposure to the patients. These were both doctors who were trained to care for patients. Could they have been overworked? Were there issues surrounding their personal lives, their family lives and other very personal issues that were responsible for these acts? Nigerians were not known to commit suicide, but we cannot boast that any more, we are fast losing our resilience and coping capabilities. The World Health Organization (WHO) 2016 report revealed that Nigeria had the highest suicide rate among African countries, ranking sixth globally. This is concerning and needs urgent actions to stem the tide. Let’s look at healthcare professionals being overworked as a key example. According to the Premium Times Report published in November 2015, the population of Nigeria was 173 million people in 2013. Going by that report, Nigeria needed a minimum of 237,000 medical doctors to care for the Nigerian population, in line with the WHO ratio of 1 doctor to 600 people within a population group. But from all reports available at that time, there was only 35,000 doctors actively working as medical doctors in Nigeria. According to this ratio there is no way that doctors will not be overworked. Using these figure, this meant 1 doctor to 4,960 people. Although, the Nigeria Medical College train more than this number of doctors, many move into other professions. Using these figures, we might conclude that workload could be a strong contributing factor to suicide or death amongst doctors and other healthcare workers in Nigeria. So the question is, how does this impact on patient safety? It is sad that mental health was not included amongst the list of occupational health diseases or illness in the International Labour Organisation list of occupational diseases until much later when the toll of mental health issues became so obvious. Psychosocial hazard has become a huge issue within the healthcare work environment leading to burnout, fatigue, exhaustion, stress, tiredness and sleep deprivation amongst healthcare workers, and these outcomes impact negatively on the safety and quality of care when treating patients. The need to keep healthcare workers safe and look after their mental health is something that needs our collective actions and commitment. It takes a safe healthcare worker to deliver safe healthcare to patients. We should be looking at the workload – the duration and frequency of duty shifts within the healthcare sector – which has long changed over the years, making healthcare professionals work longer hours per shift, dealing with a workload that is beyond their coping capacity. We all agree that in healthcare we deal with lives and any mistake within healthcare delivery is always a costly one which innocent people pay for with their precious lives. Work overload is a critical issue surrounding daily patient harm in the hospital. It hurts the patient as much as it hurts the healthcare workers. This workload, if allowed to persist for too long, alters the mental wellbeing of the healthcare worker leading to avoidable mistakes, irrational behaviour, lack of co-ordination and a disrespect to the right and dignity of patients. This is never in anyone’s best interest. There are many doctors, nurses and other healthcare staff who love their jobs and keep giving all they have, giving mutual support to colleagues when they perceive them to be overwhelmed with work, which sometimes leads to collective burnout within a team. which leads to patient harm. Such healthcare staff are seen as trusted by everyone and tagged 'MR FIX IT' because of their willingness and availability to always show up to help or assist. They become a victim of patients' and colleagues' continuous demands; they never say NO but instead are always there to help, but over time they become emotionally overdrawn and this can lead to patient harm. The mental health of doctors and other healthcare professionals should be taken seriously owing to new and emerging conditions and disruptive behaviour noticeable amongst healthcare workers. The two doctors cited at the beginning of this write-up were managing patients entrusted to their care. Any doctor that has suicidal thoughts is a risk within the healthcare environment, no matter the department or unit he or she works in. I really think this is where we must look more closely at human resources, management and leadership in the healthcare environment. These are not roles that should be assigned to a newcomer, but a role carried out by very experienced professionals with a strong analytical background in human psychology and a big heart for employees’ wellbeing. We cannot rule out the fact that the two doctors cited earlier never displayed violent or suicidal behaviours that would have attracted the attention of co-workers, or even the human resources managers who would have been expected to have a meeting with such an employee with obvious suggestive indicators. We need to start engaging our colleagues, we need to start setting up Employees Assistance Programs (EAP) and we need to start looking beyond work – taking an interest and asking what happens in the home of our employees and colleagues. Are there issues? Are there smart ways we can help out? This should be our thinking. It will save both the patient entrusted into the care of the healthcare workers and the healthcare workers themselves and maintain a good reputation for the healthcare facilities. We must understand that healthcare workers are human beings just like us all; they are not super men and women, and they are fallible like every one of us. We need to start re-humanising our workplaces. Let’s start reviewing the workloads, timelines and deadlines, let’s once again treat healthcare professionals the way we would want them to treat our patients. Let’s bring dignity of labour back to healthcare, let’s again work like one big family where we all continuously watch each other’s backs, let’s rebuild the lost confidence while having the patient at the centre of these thoughts. Losing more doctors from healthcare, seeing others behind bars due to homicide, and seeing others incapacitated and feeling invalid when we know the work pressure and work environment contributed to these conditions and states is no good to any of us. We can change it. It takes a HEALTHY doctor to offer a SAFE healthcare.
  8. Content Article
    This guide, published by the Faculty of Occupational Medicine, aims to help healthcare workers understand how to approach the return to work process for patients with Long COVID.
  9. Content Article
    The prolonged illness experienced by many patients following acute COVID-19 has been termed ‘Long Covid’ by the self-organised patient groups formed on platforms like Facebook. Some of these patients have now been symptomatic for over a year. Long Covid impacts on ability to work, which has implications for employers, occupational health (OH) services and the wider economy. Clare Rayner and Richard Campbell discuss this in an article in Occupational Medicine.
  10. News Article
    Health officials are calling for urgent intervention from the government to meet the steep surge in demand for occupational therapy in the wake of the Covid-19 pandemic. According to healthcare professionals from both the NHS and the private care system, demand for occupational-therapy-led rehabilitation services in Britain has increased by a staggering 82 per cent over the past six months alone. Swelling pressure on already “overloaded” rehabilitation services has stirred up stark warnings from members of the Royal College of Occupational Therapists (RCOT), who say the level of demand for the service they provide “isn’t sustainable” as there isn’t a large enough workforce to meet the need. A revealing survey carried out by the college has raised grave questions about the prospect of providing timely rehabilitation for people recovering from short and long-term illnesses who need urgent support to enable them to carry out their daily activities. The survey of of 550 occupational therapists working in the UK found that 84 per cent are now supporting people whose needs have become more complex because of delays in treatment brought about by the pandemic. As a result of this, coupled with a wider increase in the number of people requiring help, 71 per cent of the RCOT’s respondents felt there were not enough occupational therapists to meet the demand. Read full story (paywalled) Source: The Independent, 22 May 2022
  11. Content Article
    This document, developed by McMaster University's School of Rehabilitation Science in Canada, provides a guide for rehabilitation practice during the COVID-19 crisis. Informed by the best available evidence, including consultation with the clinical community, this living document consolidates findings from resources for front line rehabilitation professionals.
  12. Content Article
    All health workers require knowledge and skills to protect themselves and others from the occupational risks they encounter, so that they can work safely and effectively. This course consists of five sections in response to these needs: Introduction Module 1: Infectious risks to health and safety Module 2: Physical risks to health and safety Module 3: Psychosocial risks to health and safety Module 4: Basic occupational health and safety in health services. The target audience for this course is health workers, incident managers, supervisors and administrators who make policies and protocols for their health facilities.
  13. Content Article
    This checklist is the first step in identifying and prioritizing areas of action for improving the protection of health and safety of health workers in line with WHO–ILO Global Framework for National Occupational Health Programmes for Health Workers. It is designed to be filled out in discussion with management, responsible officers for occupational health, environmental health, infection prevention and control, human resources and representatives of workers in the health facility. This participatory approach will provide a variety of perspectives and a more comprehensive basis for identifying the existing preventive measures, possible problems and solutions for continuous improvement. Using this checklist to begin this process will give you an overview of areas where you can propose to take action and help you determine what to prioritize. These priorities guide you in planning for improvements.
  14. Content Article
    Health is a universal human right and a main contributor to well-being, economic development, growth, wealth and prosperity for all. Health systems play a key role in protecting, restoring and maintaining the health of patients and populations. A well-trained, motivated and supported health workforce is the backbone of every health system and without them, there would be no healthcare. Health workers around the world are at the front line of the daily battle to contain diseases and to save lives while often risking their own health and lives. Poor and unsafe working conditions increase the risk of occupational diseases and injuries among health workers and jeopardize patient safety, quality of care and the overall resilience of health systems. The coronavirus disease (COVID-19) pandemic has drawn attention to significant gaps in the protection of health workers, emphasising the need to ensure that the occupational safety and health of health workers is a priority. This is fundamental if they are to be enabled to do their jobs and to protect the health of patients and populations. The development and implementation of national programmes for protecting the health and safety of all health workers is an effective way to ensure the application of national occupational safety and health legislation and policies tailored to the needs of the health sector. This World Health Organization (WHO) policy brief is intended to provide a short overview on the issues and recommendations for policy decision-makers in ministries of health and ministries of employment and labour; local authorities; managers of health facilities; professional associations of the various groups of health workers; and organizations of workers and employers in the health sector.
  15. Content Article
    The theme of this year’s International Long Covid Awareness Day is ‘Confront Long Covid: Recognise, prevent, act’. In this interview, we speak to retired occupational physician Dr Clare Rayner about her work in understanding Long Covid and its impact on individuals, the health service and the wider economy. She talks about recent guidance she has developed on people with Long Covid returning to work and outlines the impact Long Covid has on the workforce. She calls on healthcare leaders and the Government to invest in treatment-related research as well as highlighting the significant health risks associated with Covid reinfection.
  16. Content Article
    This paper provides a summary of a webinar entitled “Long Covid and return to work support - what works?” held in March 2022. The webinar was organised because of the multiple different approaches being taken to the management of Long Covid across the UK and elsewhere. The paper aims to provide guidance to occupational health providers, employers, workers, people with Long Covid, HR personnel, managers, healthcare professionals and unions about the identification and management of Long Covid, particularly relating to return to work. It argues that a multi-disciplinary approach is essential to help retain and support people affected by Long Covid to return to work. It includes information on: Universal first-line screening assessment in Long Covid Red flags and specialist referral Treatment which can help function and recovery Rehabilitation Specific Fitness for Work considerations after Covid-19 infection Examples of workplace adjustments for Long Covid Prevention of infection: risk management in the workplace Workplace public health messages
  17. Content Article
    In this episode Dr Paul Grime, Chairman of the Safer Healthcare Biosafety Network, speaks to Dr Shriti Pattani, an accredited specialist in Occupational Health working for London North West University Hospitals NHS Trust as their Clinical Director. She also works as a GP and was recently awarded an OBE for her outstanding work in occupational health. Her particular interests include the mental health of Doctors, education of GPs and other physicians on the importance of work on health and how best to use the ‘fit note’ and opportunities for fast tracking NHS staff to promote their health and wellbeing. Safety Talks is a podcast series as part of the Safety for All Campaign, launched to shine a light on the symbiotic relationship and benefits of integrating the approach to deliver healthcare worker safety and patient safety.
  18. Content Article
    #EndPJparalysis has become a global movement embraced by nurses, therapists and medical colleagues. Its aim: to value patients’ time and help more people to live the richest, fullest lives possible by reducing immobility, muscle deconditioning, and dependency at the same time as protecting cognitive function, social interaction and dignity. Many of the people we care for are in their last 1000 days and they are the very people who do not have time to waste. Yet they are the people who are most likely to get stuck in our hospital systems due to their complex health and social needs. There is plenty of evidence that immobility in hospital leads to deconditioning, loss of functional ability and cognitive impairment, all of which have the potential to increase a patient’s length of stay, using up their valuable time. One of the major impacts of the #EndPJparalysis campaign has been the focus on both the individual and the organisational impact of ‘staying in bed’.
  19. Content Article
    ISO 45001, Occupational health and safety management systems – Requirements with guidance for use, is the world’s first International Standard for occupational health and safety (OH&S). It provides a framework to increase safety, reduce workplace risks and enhance health and well-being at work, enabling an organisation to proactively improve its OH&S performance
  20. News Article
    UK ministers should act to ensure Long Covid sufferers receive the support they need from employers, with as many as two-thirds claiming they have been unfairly treated at work, a report argues. The report, from the TUC and the charity Long Covid Support, warns that failing to accommodate the 2m people who, according to ONS data, may be suffering from long Covid in the UK will create, “new, long-lasting inequalities”. The analysis is based on responses from more than 3,000 long Covid sufferers who agreed to share their experiences. Two-thirds said they had experienced some form of unfair treatment at work, ranging from harassment to being disbelieved about their symptoms or threatened with disciplinary action. One in seven said they had lost their job. The report makes a series of recommendations, including urging the government to designate Long Covid as a disability for the purposes of the 2010 Equality Act, to make clear sufferers are entitled to “reasonable adjustments” at work; and to classify Covid-19 as an occupational disease to allow people who contracted it through their job to seek compensation. Read full story Source: The Guardian, 27 March 2023
  21. Content Article
    The Industrial Injuries Advisory Council (IIAC) is an independent scientific advisory body that looks at industrial injuries benefit and how it is administered. Since the start of the Covid-19 pandemic in 2020, the IIAC has been reviewing and assessing the increasing scientific evidence on the occupational risks of Covid-19. This report builds on an IIAC interim Position Paper published in February 2021 and considers more recent data on the occupational impacts of Covid-19, particularly around the longer term health problems and disability caused by the virus. IIAC found the most convincing and consistent evidence was for health and social care workers in certain occupational settings, who present with five serious pathological complications following Covid-19 that have been shown to cause persistent impairment and loss of function in some workers. The IIAC recommends the following prescription should be added to the list of prescribed diseases for which benefit is payable. This applies to workers in hospitals and other healthcare settings and care home/home care workers working in proximity to patients in the two weeks prior to infection: Persisting pneumonitis or lung fibrosis following acute Covid-19 pneumonitis. Persisting pulmonary hypertension caused by a pulmonary embolism developing between 3 days before and 90 days after a diagnosis of Covid-19. Ischaemic stroke developing within 28 days of a Covid-19 diagnosis. Myocardial infarction developing within 28 days of a Covid-19 diagnosis. Symptoms of Post Intensive Care Syndrome following ventilatory support treatment for Covid-19.
  22. Content Article
    This article in the Nursing Times Long Covid series discusses how nurses are at high occupational risk of Long Covid and how best to support them.
  23. Content Article
    Safety at design is giving due consideration to safety at the conceptual stage of your design. We mostly do not look at this and what we end up completing the design of a product with high ergonomics risks to the end users. What should we consider and how should we go about this? These and many more are will looked at in this presentation from Ehi Iden, chief executive of Occupational Health and Safety Managers.
  24. Content Article
    This report examines the impact of the Covid-19 pandemic on people living with long-term conditions and highlights that many have deteriorated faster than usual due to being unable to access rehabilitation services. It makes recommendations to the government aimed at restoring rehabilitation support services. The report was produced collaboratively by The Alzheimer's Society, The Stroke Association, Macmillan Cancer Support, The Centre for Mental Health, Age UK, The College of Podiatry, The Royal College of Speech and Language Therapists, The Royal College of Occupational Therapists, The Chartered Society of Physiotherapy and The British Dietetic Association. Recommendations The government should: fully fund a national two-year rehabilitation strategy that ensures people with significantly deteriorated long-term conditions get the therapeutic support they need appoint a national clinical lead to implement this rehabilitation strategy ensure local partners–such as local authorities and Integrated Care Systems (ICS)–develop and deliver their own localised rehabilitation strategy, and that each ICS has a regional rehabilitation lead.
  25. Content Article
    Collectively, allied health professionals (AHPs) are the third largest clinical workforce in the NHS: there are 185,000 AHPs working in 14 professions across the spectrum of health and care, education, academia, research, the criminal justice system and the voluntary and private sectors. This NHS England strategy is for the whole AHP community, including support workers, assistant practitioners, registered professionals, pre-registration apprentices and students. It aims to reflect how AHPs work in multidisciplinary teams, so that the AHP community working in a variety of health and care sectors can use it to continually improve and redesign services. The strategy outlines four foundations on which the AHP community should base practice: AHPs champion diverse and inclusive leadership AHPs in the right place, at the right time, with the right skills AHPs research, innovate and evaluate AHPs can further harness digital technology and innovate with data It also describes five areas of focus for the AHP community: People first Optimising care Social justice: addressing health and care inequalities Environmental sustainability Strengthening and promoting the AHP community
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