Presentation on theme: "Debate: Fitness for Work statements - whose job is it anywhere? Presented by: Violet Chidombwe - Occupational Health Advisor Prison Service Setting Also."— Presentation transcript:
Debate: Fitness for Work statements - whose job is it anywhere? Presented by: Violet Chidombwe - Occupational Health Advisor Prison Service Setting Also Part-time locum Practice Nurse in an inner City Surgery Contact:
Hold your horses! Facts about Occupational Health Nursing Practice: Contributed to sickness absence control up to now Distinct discipline applying relevant multi-skills & knowledge Evidence suggests good models of practice exist Other ways to prevent sick absence have been suggested
Shifting the balance or the workload? ?
History repeating itself? Lack of committed effort to support the growth of OH Services nationally Statistics on sickness absence remain a headache and costly OH input discounted in mainstream health improvement & regeneration programmes What is Occupational Health Nursing to many?
Therefore, ‘To do or not to do’? Implications for OHNs: Increased administrative procedures (forms, Access & Communications) Prescribing medicines & referral for investigations Fast tracking to treatments & NHS waiting lists would still be a challenge Perceived conflict of interest from staff representatives & employees
Focus on Legalities: See AOHNP (UK) Website: Jan Maw on Nurse Prescribing (See AOHNP (UK) Website The 9th Ruth Alston Memorial Lecture given by Diana Kloss ‘The legal liability of the occupational health practitioner: benefit or burden?’ (16/10/03)
Focus on pathway to the sick note: Alternative Solutions Improve working practices & accountabilities for safety National Access to affordable OH support services & Training for OH personnel More innovative preventive health promoting initiatives including e.g. chronic self-health management programmes (e.g. Expert Patient Programme) Public education
When all is not said & not done: Should OHN’s be drawn into all this? Practical implications of such an extensive task: Funding/Resources? Crossing boundaries & legal & professional implications? Is time over-ripe for more support for workplace health promotion? Should access OH provision be legal requirement for businesses to trade?
References - Slide 2 DOH. (1998). Occupational Health Nursing: Contributing To Healthier Workplaces. ENB. (Launch by T. Jowell, MP, Minister of State and Public Health. DOH, AOHNP (UK) & RCN (2003). Taking a Public Health Approach in the Workplace. DOH. Dorman, P. (2000). SafeWork - The Economics of Safety, Health, and Well-Being At Work: An Overview. ILO Publications. Charley, I (1954). The Birth of Industrial Nursing. London: Balliere Tindall.
References - Slide 3 O.Donnell, M. (Dr). (2004). Occupational Health Professionals Cannot Resolve Sickness Certification Problems. Occupational Health Review. 109: Health First. (1994). A Very Tense Debate: Medics Demand Their Own Scheme. Health First. 7: (Health First commentary on the 1994 BMA conference report: Environmental and Occupational Risks of Health Care–Available from BMA House, Tavistock Square, London). Griffin, N. (1992). Occupational Health Advice As Part of Primary Health Care Nursing. London: HSE.
References - slide 4 Pickvance, S. (1998). Inequalities in Occupational Health. Occupational Health Review. 73: 16.)
References - slide 7 Williams, S. et al. (1998). Improving the health of the NHS Workforce. London: Policy Studies Institute. HSC et al (2000). Securing Health Together: Healthy Work, Healthy at Work, Healthy for Life – A Long Term Occupational Health Strategy for England, Scotland and Wales ‘. HSC.