1. Health & Safety in the Healthcare Sector Cheryl Rogers Head of Health & Safety Services Lindsey Kimber Health & Safety Manager

2. North Bristol NHS Trust Over 10,000 staff Our Hospitals & Services – Southmead – Frenchay – Cossham – Riverside Unit – Westgate Centre Yate – Bristol Centre for Enablement Regional and Specialist Care – neurosciences/orthopaedics/major trauma/plastic surgery/renal & transplant/children’s community health

3. Sirona Care & Health Sirona is a social enterprise and was formed in October 2011 as a result of restructuring of the NHS and council services Sirona provides integrated health and social care services to residents in Bath & North East Somerset, South Gloucestershire and some services stretch into Wiltshire Sirona provide both adult and children's services in the community and residential/impatient settings Sirona employs 2160 staff

4. Sirona Care & Health Adult Services Specialist Services Corporate Health Improvement Children's Services Learning Disabilities

5. NHS hitting the headlines in the last month…..

6. Summary of Risk Management Structure – Acute Trust

7. Summary of Risk Management Structure - Community BOARD Quality Committee Health and Safety Group Moving and Handling Group Lone Workers Group Divisional Leads meetings Falls Operational Group Escalation of risk

8. Health & Safety Management

9. Incident Reporting & Management Electronic Reporting Form – 1 form – accessible to all staff – mapped to database – external reporting – investigation report by managers Incident investigation tools – Root Cause Analysis Templates & Tools Being Open / legal duty of candour

10. Incident Reporting & Management External reporting requirements to: – HSE (RIDDOR) – CQC – CCG(s) – Safeguarding – MHRA – Professional Bodies e.g. NMC – Information Commissioner

11. What are the main health and safety risks? Violence & Aggression Manual Handling Slips, Trips & Falls (staff and patient) Contact with Hazardous Substances – Chemicals – Biohazards (including sharps injuries) Work Related Stress Lone Working Equipment safety Pressure Ulcers Medication errors Infection Control Driving

12. Reducing the risk of violence and aggression – NHS Protect – Secure by design – CCTV cameras – centrally monitored 24/7 – Pin-point & panic alarms – Swipe card access systems – 24/7 Security presence – Training including clinical intervention and breakaway – Individual patient assessments – Behavioural contracts / Red & Yellow cards – Communication systems for community and lone workers

13. Reducing the risks from Manual Handling Patient Handling – Use of Handling Aids/Equipment – Patient Handling Assessments – Patient Handling Training Non-patient Handling – Handling Aids/Equipment – Manual Handling Assessments – Non-patient Handling Training

14. Reducing the risks from Slips, Trips & Falls Flooring / Design Inspections / Maintenance Cleaning Regime Assessments Training Monitoring Specialist Equipment Response Team

15. Reducing the risks from Hazardous Substances - Chemicals Substitution – Nitrile / Latex Automated Enclosed & LEV Reduced Exposure Assessments & Safe Systems of Work Hygiene & Welfare Emergency Procedures Information & Training PPE Exposure Monitoring Health Surveillance

16. Reducing the risks from Hazardous Substances - Biohazards Sharps Safety – Avoid – needleless systems – Safer Devices – Safe Disposal – Information & Training – Arrangements for Incidents Micro-organisms & Infection Control – Hand Hygiene – Equipment & Environment - Cleaning & Decontamination – Water Hygiene Controls – Good Clinical Practice – Safe Disposal of Waste – PPE

17. Reducing the risks from Work-Related Stress Assessments – National Staff Survey – HSE Stress Management Standards – Risk Assessments Occupational Health / Staff Counsellors Staff Well Being Lead Training Staff Engagement

18. Reducing the risks from Lone Working in the community Teams produce local procedures for lone working which could include: – White boards in/out – Safety assessments for community visits – Mobile telephones (?) – Moving the location of the visit – Buddy systems – Code words – Tracking systems /electronic alerting – ‘doubling up’ on visits Suzy Lamplugh accredited training

19. Reducing the risks from driving for work Majority of drivers are in their own cars – Checking licence/insurance at PDP – 4x4 for rural areas in the winter – Mobile telephone policy – Time to travel Delivery / transport of equipment

20. Formal Reviews of Performance in an Acute Trust Departmental Audits/Checklists Specialist Team Audits/Inspections Monitoring by Specialist Working Groups & Committees Trust Level Self-Assessments Internal / Regional Audit External Audits – Enforcing Bodies – HSE / EA / Fire / CQC – Accreditation – CQC/CPA (Pathology)/NHS Protect – Specialists – British Safety Council / ROSPA – Suppliers – Glove Use / Sharps Bins Use

21. What will the future bring? Following the Francis Report the HSE has prosecuted Mid-Staffordshire NHS Foundation Trust over the death of a diabetic patient Fined £200K + £27K costs –Failures by nursing staff to administer Insulin –Failures in record keeping –Training & communication failures –Failure in the monitoring & management of these issues by the Trust –Staffing Levels

22. Questions ?? Thank you