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: firstname.lastname@example.org
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
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: 9-10. Health First. (1994). A Very Tense Debate: Medics Demand Their Own Scheme. Health First. 7: 12-13. (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.