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Occupational Health Services – An Introduction

Occupational Health Services – An Introduction. Dr James Preston MFOM Accredited Specialist in Occupational Medicine. Areas to Cover. Occupational Health Introduction Basic functions Referrals and case management Stress definition and consequences Occupational health and stress

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Occupational Health Services – An Introduction

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  1. Occupational Health Services – An Introduction Dr James Preston MFOM Accredited Specialist in Occupational Medicine

  2. Areas to Cover • Occupational Health • Introduction • Basic functions • Referrals and case management • Stress definition and consequences • Occupational health and stress • Breakout groups – discussion and summing up

  3. What is occupational health • Industrial medicine • Work on health • Health on work • Independent • Proactive and reactive elements

  4. Work on health Work-related issues • Occupational asthma and dermatitis • Hand arm vibration syndrome • Musculoskeletal symptoms • Stress!

  5. Work on Health Preventing and reducing (negative) impact of work on health • Health promotion • Risk assessment contribution • Ergonomics/DSE • Health surveillance (noise/skin/resp/HAVS) • Fitness for work • Health and safety policy/steering groups

  6. Health on Work • Pre-employment assessment • Fitness for specific tasks (eg safety critical) • Management referral

  7. Ethical and Good Practice • Independent • Confidential • Report writing - GMC • Consent

  8. Management referral - interaction • Informal discussion (business partner +/- OH) • Take time over referral form completion • Report • Background • Current Position • Specific Questions • Summary and Recommendations

  9. Recommendations • Advice not compulsory • DDA • (Reasonable) adjustments • Fitness for work • Measures for early return and/or rehabilitation

  10. Definition of Stress • "The adverse reaction people have to excessive pressures or other types of demand placed on them at work."

  11. It is not • A medical condition

  12. Manifestations • Feeling of being overwhelmed • Loss of productivity • Pre-occupation • Loss of confidence • Concern • Irritability • Distress

  13. Stress and productivity/performance

  14. Distress leading to health issues • Hazard in the workplace • Anxiety • Mild to moderate depression • Compound other mental health conditions • Blamed rightly or wrongly for physical conditions (onset or worsening) • Alcohol intake • Drug use • Other compulsive behaviours

  15. Addressing Stress • Match resources to requirements • Regard stress as a hazard to health • Risk assess • Control risk • Review • Education and training • Record what you have done

  16. Management Standards areas • Demands • Control • Support • Relationships • Role • Change

  17. Outcomes • Targeted policies (performance management and goal setting; bullying harassment; reporting concerns; drug and alcohol…) • Review existing policies • Policy awareness • Line manager training • Job analysis/design • Risk assessments • Communication and training

  18. Individual case management • Occupational health function • Avoiding medicalisation • Solutions not always medical • Usually fit to attend OH/management meeting/hearings/tribunals • Balance lies with resolution as the priority • Consider mediation • Counselling

  19. Case studies • Break out groups and discussion

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