NON-CLINICAL MANDATORYTRAINING

2014 - 2015

HEALTH &

SAFETY

GWhy Follow Your Training?

Workplace Culture Of H&S

Keep You SafeProtect Our Patient’s

Funny Work Place Accidents

UPDATEOR

TRAINING?

STATIS

TICS

April ‘12 – March ‘13Killed at work 148 (2012 = 172) Broken down into sub-groupsFarming 29 (36)Mines/quarries 2 ( 6)Manufacturing 20 (28)Recycling 10 ( 6)Construction 39 (53)Services 48 (50)423 members of PUBLIC killed in work related incidents310 related to the railways.

Prime role is to protect the workforce. Patients, visitors, customers, clients, and even members of the public are not put at risk by anything the company does, produces, sells, hires out, builds, constructs, etc etc. If they do this job well and no one is injured then by default they will have also protected the patients,.

• In short its every employers duty to make sure health and safety protocols are met, its every employees duty to tell the employer if they are not. Its a two way street where communication is just as important as a book of rules. if you see a bare live wire you just don’t leave it, you tell your manager/supervisor.

WHY Health&Safety

Legislatio

nH.A.S.A.W.A 1974

The Health and Safety (Sharp Instruments in Healthcare) Regulations 2013

INTRANET – DOCUMENT LIBRARY

• Control Of Substances hazardous To Health 2002

• Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995

• Lifting Operations and Lifting Equipment Regulations 1998

• Safety Representatives and Safety Committees Regulations 1977

• The Work at Height Regulations 2005• RIDDOR Who reports?

The "six pack" regulationsManagement of Health and Safety at Work Regulations 1999• Provision

and Use of Work Equipment Regulations 1998• Manual Handling Operations Regulations 1992• Workplace (Health, Safety and Welfare) Regul

ations 1992• Personal Protective Equipment

at Work Regulations 1992• Health and Safety (Display Screen Equipment)

Regulations 1992

Regulations made under the Health and Safety at Work etc. Act 1974Breach of the regulations is a crime throughout the UK. In England and Wales it is punishable on summary conviction with a fine of up to £20,000 or, if convicted on indictment in the Crown Court, an offender can be sentenced to an unlimited fine. Either an individual or a corporation can be punished and sentencing practice is published by the Sentencing Guidelines Council.In England and Wales, where a person suffers damage caused by a breach of the regulations, they have a cause of action in tort against the offender, except where the regulations state otherwise.

All workers have a right to work in places where risks to their health and safety are properly controlled. Health and safety is about stopping you getting hurt at work or ill through work. Your employer is responsible for health and safety, but you must help.What employers must do for you1 Decide what could harm you in your job and the precautions to stop it. This is part of risk assessment. 2 In a way you can understand, explain how risks will be controlled and tell you who is responsible for this.3 Consult and work with you and your health and safety representatives in protecting everyone from harm in the workplace.4 Free of charge, give you the health and safety training you need to do your job.5 Free of charge, provide you with any equipment and protective clothing you need, and ensure it is properly looked after.6 Provide toilets, washing facilities and drinking water.7 Provide adequate first-aid facilities.8 Report major injuries and fatalities at work to our Incident Contact Centre: 0845 300 9923. Report other injuries, diseases and dangerous incidents online at www.hse.gov.uk.9 Have insurance that covers you in case you get hurt at work or ill through work. Display a hard copy or electronic copy of the current insurance certificate where you can easily read it.10 Work with any other employers or contractors sharing the workplace or providing employees (such as agency workers), so that everyone’s health and safety is protected.

What you must do1 Follow the training you have received when using any work items your employer has given you.2 Take reasonable care of your own and other people’s health and safety.3 Co-operate with your employer on health and safety.4 Tell someone (your employer, supervisor, or health and safety representative) if you think the work or inadequate precautions are putting anyone’s health and safety at serious risk. HSE 2009 crown copyright

Health and Safety LawWhat you need to know

DATIX What is Datix used for?

AccidentsNear MissesIncidentsHarassmentBullyingSafeguarding IssuesHealth Issues (Dermatitis)??????????

Who?

YouManager

SupervisorPerson In Charge Of Area RIDDOR

Risk A

ssess

ment

A NEAR MISS

Is A Free Lesson In Health and Safety

A THOUGHT!

Health & Safety At Work Act 1974 asks us to think of self and others as part of our duty of care

For us to do that, we have to think of others Not just our selves.

DO WE?

We keep a picture of Auntie GraceOn the shelf above the fire placeHealth and safety is our only desireAs it keeps the kids away from the fire

Just because you always did it that way, doesn’t make it right

It’s better to correct an unsafe friend than to bury one

How Good Are You At

Risk

Assessment?

Boy is 10 yrs oldLadder Too ShortPPE

£200 finePlus 80hrs community service

The Daft Things We Do

At Work And The Way

We Work

Then Of Course There Is…………………

What Can You Do To Help Prevent

Slips/Trips/Falls?In The Workplace

Good HousekeepingAwarenessCommunication(If You See It, Report It)

PROHIBITION

Why Is The Circle Red ?

What’s Wrong?

Trip Hazard(self/others)No Warning SignsHalf at a time(time of day)

Don’t Walk On By

What’s wrong?

Must Be CleanGood ConditionStep up/Step DownWhen Using Both heel and toe in contactShoulders/Hips/Knees In LineFace ObjectCorrect Distance From Object

List The Do’s and Don'ts Of Using A Step/Kick Stool

xx

xx xxx

x

x

x

x

xx

xx

x

xxx

x

Video Work Place SafetyA Lot To Lose

Safeguarding Vulnerable Adults Level One

Mandatory update

Aims

The learner will be able to demonstrate their understanding of:

• The categories of abuse

• The indicators of different types of abuse

• The process to follow when abuse is suspected

Definition of Abuse

‘A violation of an individual’s human and civil rights by an act, or a failure to act, on the part of another person or persons.

Abuse may consist of a single or repeated act of neglect or failure to act or it may occur when a vulnerable person is persuaded. 4.4

Definition of a vulnerable adult

A “vulnerable adult”, is a person 18 years of age or older. Who is or may be in need of

community care services by reason of mental or other disability, age or illness

ANDWho is or may be unable to take care of him

or herself

ORIs unable to protect him or herself against

significant harm or exploitation

Safeguarding of Vulnerable Adults Policy and Procedures 4.1

DVD CORNWALL

The Confidential inquiry into premature deaths of people with learning disabilities (CIPOLD) (March 2013) found that those with learning disabilities are more likely to have a premature death compared with individuals in the general population.

Men with learning disabilities died, on average, 13 years sooner than men in the general population.

Women with learning disabilities died, on average, 20 years sooner than women in the general population.

Overall, 22 per cent of the people with learning disabilities were under the age of 50 when they died, compared with just nine per cent of people in the general population

Cornwall Safeguarding Adults Statistics (18/09.14) 2013/14 2584 new safeguarding adults referrals

Safeguarding adults referrals is growing by 20-30% per year.

Alleged victims of abuse?Groups experiencing the highest reported number of alleged incidents of abuse were

people over 65 years (60%),

people with a learning disability (20%)

people with mental health issues (12%).

New cases included 29% of people over 85 years old, (represents 3.7% of population)

Examples of Acts of Omission• Inadequate assessment & planning of an

individuals needs

• The neglect of an individual's personal care needs

• Failure to give pain relief

• Not communicating with and ignoring patients & / or their relatives/carers

• Too hasty discharge from hospital

A Key Act of Omission

Failure to take action in your role when you suspect a person in your care has been or is being abused

• Recognise abuse• Respond• Record • Report

Safeguarding is everyone's responsibility

43

Responding to a Disclosure

Don’t:

– Do not be judgmental (eg ‘Why didn’t you try to stop them?)

– Do not break confidentiality agreed between the person disclosing the information, yourself and your line manager

– Do not gossip with other staff members or service users about the information shared with you (ie: ‘It’s awful, you’ll never guess what I’ve just been told.)

44

RCHT Internal processEnsure the person is not in danger and

protect from harm

Make a factual report in the patients medical record

Simultaneously inform your line manager and document that you have done so

Discuss with manager before any decision to make a formal alert

If your line manager is the abuser or is otherwise uncontactable contact the clinical site co-ordinator on bleep 2634

When it is decided that a formal safeguarding alert is needed phone the access team on 03001234131 to make verbal alert.

ALSO

Complete a Datix web incident report

45

Raising a concern (Whistle blowing) procedure

If you raise a genuine concern under this policy, you will:

• not be at risk of dismissal• demotion• pay reduction• failure to renew a contract• failure to gain potential promotion or

other detrimental action.

Provided you are acting in good faith, it does not matter if you aremistaken.

Lead Safeguarding Nurse Zoe Mclean 0782789752 Bleep 3095

All patients with a Learning Disability or Autism must be referred to the

Acute Liaison Nurses for Learning DisabilitiesEducation Corridor, Treliske.

Lead Daniella Rubio-Mayer 07827903729 Bleep 3054Email. Learning.disabilities@cornwall.nhs.uk

For Out of hours leave referrals on answer phone site co-ordinator.

Specialist Nurse for Mental Health and Wellbeing Lerryn Hogg Via: Ext 2446 or Mobile 07789 876247 Lerryn.hogg@rcht.cornwall.nhs.uk

Independent Domestic Violence AdvocatesSusie Brown & Anna Onslow Can be contacted via switch board

Looked After Children(Children In Care)

• Looked after children are particularly vulnerable.

• It needs to be clear as to who has parental consent.

• The child may be in foster care or with extended family.

• Please ensure Children in Care team are informed if a Child in Care is admitted to hospital, attends

ED,or fails to attend clinic appointments.

http://www.rcht.nhs.uk/DocumentsLibrary/RoyalCornwallHospitalsTrust/Websites/Internet/OurServices/AZServices/F/FormsReviewGroup/FormsToPrint/CHA3122SafeguardingVulnerableAdultInternalAlertPreparationAndReferral.pdf

Questions?

CHA3122 Safeguarding Vulnerable Adult Internal Alert Preparation and Referral

Introduction to Information Governance (IG)

Mark Scallan – Head of IG/Data Protection OfficerAngela Kaye – IG Officer

Key Learning Points

What is Information Governance? What do YOU need To Do to make this work?

Follow the Caldicott GuidelinesProvide a confidential serviceComply with the Law

Understand the Data Protection Act Principles Recognise a Freedom of Information Act request

Follow the Records Management NHS CodeKeep Information SecureInput Quality Information

Information means:

E.g. Name, Date of Birth, Home address, IP Address, a photo, email addressPersonal –

anything that can be used to directly, or indirectly identify a person

Access to Staff and Guest Wi-Fi

Mark Scallan who was attending the meeting on behalf of the Director of Health Informatics. www.rcht.nhs.uk/DocumentsLibrary/RoyalCornwallHospitalsTrust/ChiefExecutive/Minutes/... · PDF file

Mark Scallan - Email, Address, Phone numbers, everything! www ... Everything you need to know about Mark Scallan Email addresses, Phone numbers, Biography,

Transaction, Mazda

Mark Scallan - UK address and phone number - 192.comWe have found 6 people in the UK with the name Mark Scallan. Click here to find personal data

about Mark Scallan including phone numbers, addresses, directorships, electoral ...

Mark Scallan | Inmate Arrest Record | Miami-Dade County, Florida ...Mark Scallan was arrested in Miami, FL on 12/02/2011 for Cocaine/possession

Remove This Mugshot Information:Name: Mark ScallanLocation: Miami, Florida

Conditions for processing personal data

• The individual who the personal data is about has consented to the processing. • The processing is necessary:

- in relation to a contract which the individual has entered into; or- because the individual has asked for something to be done so they can enter into a contract.

• The processing is necessary because of a legal obligation that applies to you (except an obligation imposed by a contract).

• The processing is necessary to protect the individual’s “vital interests”. This condition only applies in cases of life or death, such as where an individual’s medical history is disclosed to a hospital’s A&E department treating them after a serious road accident.

• The processing is necessary for administering justice, or for exercising statutory, governmental, or other public functions.

• The processing is in accordance with the “legitimate interests” condition.

Information means:

E.g. Name, Date of Birth, Home address, Photo, IP address

E.g. ethnicity, disease, medical condition, sexual life

Personal

Sensitive

Conditions to process sensitive data

• The individual who the sensitive personal data is about has given explicit consent to the processing. • The processing is necessary so that you can comply with employment law. • The processing is necessary to protect the vital interests of: • - the individual (in a case where the individual’s consent cannot be given or reasonably obtained), or• - another person (in a case where the individual’s consent has been unreasonably withheld).• The processing is carried out by a not-for-profit organisation and does not involve disclosing personal data

to a third party, unless the individual consents. Extra limitations apply to this condition. • The individual has deliberately made the information public. • The processing is necessary in relation to legal proceedings; for obtaining legal advice; or otherwise for

establishing, exercising or defending legal rights. • The processing is necessary for administering justice, or for exercising statutory or governmental

functions. • The processing is necessary for medical purposes, and is undertaken by a health professional or by

someone who is subject to an equivalent duty of confidentiality. • The processing is necessary for monitoring equality of opportunity, and is carried out with appropriate

safeguards for the rights of individuals.

Public opinion

According to a survey of 1,001 patients across the UK,

97 percent say NHS managers should have a legal and ethical duty to protect their data;

87 per cent felt that managers should be sacked or fined if they were aware of risks but failed to act upon them, leading to a serious breach;

Handling information means

Holding it securely and confidentially

Obtaining it fairly and efficiently

Recording it accurately and reliably

Using it effectively and ethically

Sharing it appropriately and lawfully

DPA Principles

• Personal data shall be processed fairly and lawfully

• Personal data shall be obtained only for one or more specified and lawful purposes

• Personal data shall be adequate, relevant and not excessive

• Personal data shall be accurate and, where necessary, kept up to date.

• Personal data shall must be destroyed once its specific purpose expires

• Personal data shall be processed in accordance with the rights of data subjects

• Appropriate technical and organisational measures shall be taken to protect data

• Personal data shall not be transferred to a country outside the UK

Core elements of IG

Data Protection Act 1998 Freedom of Information Act 2000 Information Security Standards The NHS Confidentiality Code of Practice The Records Management NHS Code of

Practice Information Quality Assurance

What is IG?

Information Governance provides a framework to bring together all the legal rules, guidance and best practice that apply to the handling of information

Information Governance ensures necessary safeguards for, and appropriate use of, patient and personal information.

Follow the Confidentiality Caldicott Guidelines

1. Justify the purpose of using confidential information

2. Only use it when absolutely necessary3. Use the minimum required4. Allow access on a strict need-to-know basis5. Understand your responsibility6. Understand and comply with the law7. The duty to share information is as important

as patient confidentiality

Caldicott 2 Report - ??

The limits of sharing for direct care.

Only relevant information about a patient should be shared between professionals in support of their care…..

A penalty, of £100,000, was issued to Hertfordshire County Council for two serious incidents where council employees faxed highly sensitive personal information to the wrong recipients. The first case, involving child sexual abuse, was before the courts, and the second involved details of care proceedings.

Central London Community Healthcare (CLCH) NHS Trust has been fined £90,000 following a serious breach of the Data Protection Act. This following the wrongful transmission of faxes on a number of occasions.

The Information Commissioner’s Office (ICO) served Surrey County Council with a monetary penalty of £120,000 for a serious breach of the Data Protection Act after sensitive personal information was emailed to the wrong recipients on three separate occasions

Croydon Council has been handed a penalty of £100,000 after a bag containing papers relating to the care of a child sex abuse victim was stolen from a London pub.

The Nursing and Midwifery Council was issued a £150,000 civil monetary penalty for losing three DVDs related to a nurse’s misconduct hearing, which contained confidential personal information and evidence from two vulnerable children. An ICO investigation found the information was not encrypted.

Leeds City Council was served a monetary penalty of £95,000, Plymouth City Council £60,000 and Devon County Council £90,000 after separate incidents saw details of child care cases sent to the wrong recipients, while the London Borough of Lewisham was issued a penalty of £70,000 after social work papers were left on a train

Freedom of Information Act 2000

What information does it cover?

What you need to know about FOIGives the public the right to access/view all non-personal public authority

information upon request

Requests must be in writing

All staff must know who their FOI Lead is and be able to access/refer to their contact details.

The requester may not and need not quote the FOI Act

The organisation must respond within 20 working days

Exemptions may apply for non disclosure – FOI Lead will determine this.

Follow the Records Management NHS Code of Practice

Best Practice guidance states:

All Staff have a legal and professional obligation to be responsible for any records which they create or use in the performance of their duties.

Any record created by an individual, up to the end of its retention period, is a public record and subject to Information requests (FOI and Subject Access).

Subject Access Request?

Record Quality Information

Keep all types of information:

Accurate

Up to date

Complete – Including NHS Number

Quick and easy to find

Free from duplication

Free from fragmentation

}Better

Healthcare

Keep Information Secure

Follow Organisation Policies Acceptable Use Policy, E-mail Policy, Data Protection Policy, Safe Haven Policy, Health Records Policy, Medical Photography Policy

Protect Information Physically Transfer Information Securely Report Breaches of Security to Management

It is your responsibility to keep all personal and sensitive information secure

INFE

CTION C

ONTROL

VideoInfection ControlBreak The Chain

WHEN/HOW?

G

Toilet

Cleaning

Raw Food

Waste

After Break

Before Break

Using Tissue

Coughing

Sneezing

Touching Head

Entering Patient Areas

Leaving Patient Areas

HANDWASHING(WHEN)

Other risk factors include stress; exposure to low humidity and cold weather, which can dry hands;

and conversely, exposure to humid and hot weather, which can encourage excessive

perspiration.

Work related dermatitis can be caused by a lot of contact with water, soaps and cleaning products. Even contact with some foods. (Fruit & Veg Juices, proteins in fish, meat, shellfish and flour)

AVOID direct contact with cleaning products, water and food where possible and sensible.

PROTECT the skin. Where avoiding contact is not possible where non-latex gloves .Moisturise hands with hand cream, (appropriate creams that do not contaminate foode.g. nut oil free, fragrance free.

CHECK hands regularly for the first signs, itchy, dry or red skin

Work related dermatitis skin disease caused by work and often called eczema

Contains public sector information licensed under the Open Government Licence v1.0

G

How good are you?

VideoWash Your Hands It Just

Makes Sense

Do You ThinkThis Is True

?

If It Is What Can Be Done?

Infection Prevention and Control….

• 5000 people die every year from hospital acquired infections.

• This is roughly the amount of 11 Boeing 747’s.

• Nearly one every month.• About a 3rd of these infections are

preventable.