Presentation on theme: "Fleet Headquarters MEDICALLY ASSESSING THE ROYAL FLEET AUXILIARY SEAFARER GRAEME NICHOLSON Cons OM Navy Command HQ SHARON KITWOOD Occupational Health Nurse."— Presentation transcript:
Fleet Headquarters MEDICALLY ASSESSING THE ROYAL FLEET AUXILIARY SEAFARER GRAEME NICHOLSON Cons OM Navy Command HQ SHARON KITWOOD Occupational Health Nurse RFA
Fleet Headquarters This presentation expresses the views of the speakers and not necessarily the policy or views of the MoD
Who are we? 16 ships (11 post SDSR) –From 10,000 to 41,000 tonnes 2,300 personnel Medical Technicians on all ships RN MOs when deployed or on long passages –RFA ARGUS (dormant hospital) – RN MO plus RN Medical Assistant
Fleet Headquarters Personnel MOD civilians 2300 unionised employees –Deck, supply, engineers, communicators, force protection Average age 42 (officers) 39 (ratings) 107 females (4.6%) Average length service 10 years Home base worldwide
Fleet Headquarters What do we do? Keep the RN at sea by supplying fuel, spares, food, equipment e.t.c Vert-rep and helicopter operations Counter-piracy operations Disaster relief Boarding operations (drug-busting) Support Mine-counter measures vessels & submarines Land Royal Marines to a hostile beach Self-defence and damage control
Why are we different? Deploy to conflict areas and disaster zones Fire-fighting roles and training Damage control and CBRN Aviation operations Must be able to operate like the RN as well as with the RN
Fleet Headquarters Fitness for Sea Fitness standards based on holding an in-date, unrestricted ENG1 medical certificate Restricted certificates can be tolerated for limited periods. May use any appropriate AD. In house ADs post illness / injury and for problematic cases Primary care from civilian GPs Emergency and urgent care as well as OH from RFA and RN
Fleet Headquarters Fitness for Sea If landed then can be medically evacuated back to UK via RAF system Med Techs produce letters for GP Plans to produce end of tour GP note RFA OH Nurse follows up those landed or reporting illness with GP / Specialist
Fleet Headquarters Working Patterns 4 months at sea, 2 months leave Then either back to sea or courses Shift patterns at sea are different for different ranks and trades
Joining OH Screen Every time seafarer joins a ship. Height, weight, bp, urinalysis, ENG1, PMH, medications', allergies and lifestyle. If considered unfit after medical advice, landed from the ship Total medical discharges in 2009 – 132 –Aero-medivac 32 –Own way passage 90
Fleet Headquarters Joining OH Screen Failures at OH screen reported to RFA OHN and Navy Command Medical HQ Problems with ENG1 also reported Discrepancies between ENG1 and seafarers medical state reported to MCA.
Fleet Headquarters Common Problems Reported Untreated hypertension Urinalysis – blood, protein and sugar Unresolved illnesses / injuries Obesity (and unfitness) Inadequate medication supplies
Fleet Headquarters Fitness Testing The RN fitness test: –Timed 1½ mile run (age & gender related pass times) –Shuttle run (Multi-stage fitness test) –1 mile walk with time, weight and heart rate changes fed into a VO2 max calculation Consideration given to whether RFA should introduce these test.
Fleet Headquarters Healthy Living Campaign Introduction on 1 Jan 11. Menus marked with fat, sugar and calorie content Encouragement to exercise and lose weight (ship-board gyms and PT)
Fleet Headquarters Healthy Living Campaign BMI and waist circumference at OH screen. Cardiac risk calculated against NICE guidance Those at v high risk considered for landing by CO (until lose weight)