Presentation on theme: "MEDICALLY ASSESSING THE ROYAL FLEET AUXILIARY SEAFARER"— Presentation transcript:
1MEDICALLY ASSESSING THE ROYAL FLEET AUXILIARY SEAFARER 3/28/2017MEDICALLY ASSESSING THE ROYAL FLEET AUXILIARY SEAFARERGRAEME NICHOLSONCons OM Navy Command HQSHARON KITWOODOccupational Health Nurse RFASharon intro
23/28/2017This presentation expresses the views of the speakers and not necessarily the policy or views of the MoDAnd we must say this
33/28/2017Sharon structure and who the 2 ‘idiots’ in bold are
4Who are we? 16 ships (11 post SDSR) 2,300 personnel 3/28/2017Who are we?16 ships (11 post SDSR)From 10,000 to 41,000 tonnes2,300 personnelMedical Technicians on all shipsRN MOs when deployed or on long passagesRFA ARGUS (dormant hospital) – RN MO plus RN Medical AssistantSharon on who we areStress that post SDSR there will still be a very large requirement for RFA to support a potentially even more widely dispersed RNMedical Technicians allow us to cover for emergency medicine, Occ health and the military aspects of the role - damage control, fire-fighting and casualty handlingBackground of the medical technicians – mix of military and civilian personnel
5Personnel MOD civilians 2300 unionised employees 3/28/2017PersonnelMOD civilians2300 unionised employeesDeck, supply, engineers, communicators, force protectionAverage age 42 (officers) 39 (ratings)107 females (4.6%)Average length service 10 yearsHome base worldwideSharon on numbersStill have comms personnel due to the requirements of military signal trafficThey need to have their eyesight standards assessed on the same basis as engineers (discussion with Dr Carter for the summer MCA newsletter in 2009)Force protection teams go onto ships deployed into certain areas e.g. Gulf and Somali basin to provide close in weapons support for self defence. Mostly drawn from RNRPersonnel with mixed civilian and service backgroundsSome of our seafarers live in Thailand, Australia, America, You can be assured that when something catastrophic happens, the individual will reside thousands of miles away.
63/28/2017What do we do?Keep the RN at sea by supplying fuel, spares, food, equipment e.t.cVert-rep and helicopter operationsCounter-piracy operationsDisaster reliefBoarding operations (drug-busting)Support Mine-counter measures vessels & submarinesLand Royal Marines to a hostile beachSelf-defence and damage controlGraeme on what and how
10Why are we different? Deploy to conflict areas and disaster zones 3/28/2017Why are we different?Deploy to conflict areas and disaster zonesFire-fighting roles and trainingDamage control and CBRNAviation operationsMust be able to operate like the RN as well as with the RNGraeme
113/28/2017Fitness for SeaFitness standards based on holding an in-date, unrestricted ENG1 medical certificateRestricted certificates can be tolerated for limited periods.May use any appropriate AD.In house ADs post illness / injury and for problematic casesPrimary care from civilian GPsEmergency and urgent care as well as OH from RFA and RNSharonCan you discuss how limited ENGs cause personnel difficultiesAlso where our in house Ads are and when / why we would use them instead of a seafarer returning to their previous AD.Raise GPs and medication supply problems and see if we can get any good ideas from the floor on how others resolve this problem
123/28/2017Fitness for SeaIf landed then can be medically evacuated back to UK via RAF systemMed Techs produce letters for GPPlans to produce end of tour GP noteRFA OH Nurse follows up those landed or reporting illness with GP / SpecialistSharon
13Working Patterns 4 months at sea, 2 months leave 3/28/2017Working Patterns4 months at sea, 2 months leaveThen either back to sea or coursesShift patterns at sea are different for different ranks and tradesSharonCan you stress that we effectively lose medical control of the seafarers for the 2 months away and that they may have health problems, operations e.t.c. without our knowledge and often without teling us.Can you give some examples of courses and of the shift patterns at sea, indicating that there are some evolutions that may need off shift personnel stood to.
15Joining OH Screen Every time seafarer joins a ship. 3/28/2017Joining OH ScreenEvery time seafarer joins a ship.Height, weight, bp, urinalysis, ENG1, PMH, medications', allergies and lifestyle.If considered unfit after medical advice, landed from the shipTotal medical discharges in 2009 – 132Aero-medivac 32Own way passage 90Graeme
163/28/2017Joining OH ScreenFailures at OH screen reported to RFA OHN and Navy Command Medical HQProblems with ENG1 also reportedDiscrepancies between ENG1 and seafarer’s medical state reported to MCA.Graeme
17Common Problems Reported 3/28/2017Common Problems ReportedUntreated hypertensionUrinalysis – blood, protein and sugarUnresolved illnesses / injuriesObesity (and unfitness)Inadequate medication suppliesGraeme
18Fitness Testing The RN fitness test: 3/28/2017Fitness TestingThe 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 calculationConsideration given to whether RFA should introduce these test.Graeme to lead into Sharon
19Healthy Living Campaign 3/28/2017Healthy Living CampaignIntroduction on 1 Jan 11.Menus marked with fat, sugar and calorie contentEncouragement to exercise and lose weight (ship-board gyms and PT)Sharon – background to Campaign the details of planShip-board provision of exercise equipment
20Healthy Living Campaign 3/28/2017Healthy Living CampaignBMI and waist circumference at OH screen.Cardiac risk calculated against NICE guidanceThose at v high risk considered for landing by CO (until lose weight)Sharon continuedCan you say something about the support we might be able to offer for personnel who are landed?