ࡱ> i 6bjbj =jj. %%%%%9998q d94zzq;(ccc " yyyyyyy}dty% ^[ @ y%%ccy### F%c%cy# y##JmwcĬG!R_sByz04zs؀i!H؀ww؀%/x # yy" 4z ؀ Y :  Corporate Health & Manual  3.21 HEALTH SURVEILLANCE Guidance and Procedures  Summary Managers must assess health and safety risks under their control, identify persons at risk and consider whether health surveillance is necessary. Employees must co-operate with their employer on matters of health and safety, including health surveillance, and attend their health surveillance appointments. Employees must inform their manager immediately if they have a concern about any ill health which they think has been caused by work. Managers must remind their employees of their scheduled appointment and the importance of attending. Where an employee reports ill health, which they believe is related to their work, the manager must refer them to Occupational Health. The Occupational Health Team will explain the results on completion of the surveillance to the employee giving advice and provide a report to the employees manager. Legal Requirements Health and safety law requires health surveillance when employees remain exposed to health risks even after controls have been put in place. This is because control measures may not always be reliable, despite appropriate checking, training and maintenance. Health risks which require health surveillance include HYPERLINK "https://www.hse.gov.uk/noise/healthsurveillance.htm"noise,HYPERLINK "https://www.hse.gov.uk/vibration/hav/advicetoemployers/healthsurveillance.htm"vibrationandHYPERLINK "https://www.hse.gov.uk/coshh/basics/surveillance.htm"substances hazardous to health. Important Definitions Health surveillance is a programme of systematic, regular and appropriate procedures to detect early signs of work related ill health and to act on the results. Procedures It is the aim of the Occupational Health Team to provide a suitable health surveillance screening programme to ensure protection of employees health during their period of employment. Health Surveillance is required for the assessment of employees who may be affected by exposure to hazards in the workplace to ensure, as far as possible, that the necessary protection is afforded. Health Surveillance aims to: Help protect the health of an employee and detect any adverse effects at an early stage. Assist in the evaluation of control measures. Provide data to detect and evaluate health risks. Provide a baseline assessment at pre-employment and prior to job changes. Health surveillance is carried out when: There is an identifiable disease or other ill health effect associated with work. There is a likelihood that a disease or ill health effect may occur at work. There is a valid technique for detecting the disease or ill health effect. It is likely to benefit employees. Health surveillance is performed in the Occupational Health Team (OHT) by appropriately trained Occupational Health Advisors (OHA) who are professionally registered nurses. Health Surveillance carried out by the Occupational Health Team: Audiometry test (hearing assessment) for employees who are exposed to high levels of noise hazard at work, in compliance with the Control of Noise at Work Regulations 2005. Hand Arm Vibration Syndrome assessment for employees who are exposed to high Levels of hand transmitted vibration at work, in compliance with the Control of Vibration Regulations 2005. Spirometry test (lung function assessment) for employees working with substances that could be harmful if inhaled, in compliance with the Control of Substances Hazardous to Health Regulations 2002. Skin assessment for employees working with substances that could cause damage to skin, in compliance with the Control of Substances Hazardous to Health Regulations 2002. Health Surveillance Results On completion of the surveillance, the Occupational Health Advisor explains the results to the employee, and gives advice, including: The state of their health and relevant health guidance. To consult their GP, with a copy of their test results, if further assessment, treatment or monitoring may be required. Whether a referral to an Occupational Health Physician is required for further assessment. Any advisory work restrictions. Arrangements for future surveillance. A report on Health Surveillance, giving non-clinical information, is sent to the line manager, containing: A fitness for work statement. Any work restriction recommendations based on the test results. Future surveillance dates. Advice to discontinue particular health surveillance if the employees exposure to a hazard has not, or is not, expected to produce adverse health effects because the exposure is sufficiently low in relationship to time, frequency, or other data. An Occupational Health Physician assessment is arranged and performed if further medical assessment is required. Pre-employment At the point of pre-employment if required the employee will attend for base line health surveillance as part of their pre-placement health check with Occupational Health. Please note, that it is the responsibility of the appointing manager to appropriately identify what health surveillance the prospective employee will require based on their specific role risk assessments. Managers are required to select which, if any, health surveillance is required to ensure appropriate baseline health surveillance is undertaken at the point of pre-placement by the occupational health team. Formal health surveillance feedback regarding baseline pre-placement health surveillance will not be provided to the manager at this stage unless additional recommendations are required. However, the prospective employee will be entered into the occupational health, health surveillance recall system so that they can be recalled as appropriate. If for any reason the employee does not commence employment following baseline health surveillance assessment, or if they withdraw from the post prior to occupational health assessments then the manager should promptly inform the occupational health department. Future Surveillance Health surveillance is carried out at intervals determined by legislation, council Policy, risk assessment and advice from Occupational Health. Occupational Health will recall employees for health surveillance as required. However, if there are significant changes in working procedures or practices before the repeat surveillance is planned, the line manager should carry out further risk assessment to determine any change in hazard exposure and inform the OHT accordingly. Manager/Supervisor Responsibilities To assess health and safety risks under their control, identify persons at risk, and consider whether health surveillance is necessary. If an employee reports ill health, which they believe is related to their work, the manager must refer them to Occupational Health. Managers must: Become familiar with the content of this document and inform employees of their responsibilities. Undertake risk assessments to identify hazards in the workplace and implement control measures to reduce risks. Seek advice from the Occupational Health and Team and Occupational Health Team if unsure whether there is a need for health surveillance. Review risk assessments where health surveillance programme results show adverse effects are occurring. If health surveillance is required managers must also: Explain to employees, and ensure they understand: the purpose and the legal requirement for the health surveillance; any possible risks to which they are exposed; and how to identify health problems at an early stage. Allow health surveillance appointments to be attended during employees work time. Must remind their employees of their scheduled appointment and the importance of attending. Must make Occupational Health aware if they identify an employee requiring health surveillance who is not on the current recall programme. Act on results and recommendations from health surveillance which suggest that adverse health effects are occurring. Ensure that employees requiring repeat surveillance have appointments at the appropriate interval. Keep all health surveillance reports as long as employees are under health surveillance. Employee Responsibilities and Information Employees must: Co-operate with their employer on matters of health and safety, including health surveillance, and attend their health surveillance appointments. Inform their manager immediately if they have a concern about any ill health which they think has been caused by work. Inform Occupational Health and their manager as soon as possible if they are unable attend their scheduled health surveillance appointment. Attend the Occupational Health Department with clean hands and arms, and change soiled work wear, including footwear, prior to attendance in the department. Failure to attend scheduled Health Surveillance Appointments Managers must inform Occupational Health as soon as possible if the employee is not able to attend their scheduled appointment via the following email address: HYPERLINK "mailto:Occupational.Healthreferrals@southtyneside.gov.uk"Occupational.Healthreferrals@southtyneside.gov.uk or contact 0191 4246370 or 0191 4246371 providing details of their availability so that an alternative appointment can be arranged and the appointment time which was scheduled can be allocated to another employee. Occupational Health will provide Senior Managers with a quarterly breakdown of none attendance across individual teams. Health surveillance reports and records Occupational Health will Following health surveillance appointments, issue a report to the employees manager outlining the employees fitness to continue to perform the related work and any recommended work restrictions. The report does not contain confidential medical information. Clinical health surveillance records are confidential and stored within the OHU in compliance with General Data Protection Regulation 2018 and GDPR May 2018 No medical details relating to employees occupational health records are released to anyone outside the OHU without individual employees written consent. Employees may request a copy of their health surveillance records. Links to Guidance Health & Executive - HYPERLINK "https://www.hse.gov.uk/health-surveillance/"https://www.hse.gov.uk/health-surveillance/ Health & Executive Noise - HYPERLINK "https://www.hse.gov.uk/noise/index.htm"https://www.hse.gov.uk/noise/index.htm Health & Executive Vibration - HYPERLINK "https://www.hse.gov.uk/vibration/index.htm"https://www.hse.gov.uk/vibration/index.htm Health & Executive COSHH - HYPERLINK "https://www.hse.gov.uk/coshh/index.htm"https://www.hse.gov.uk/coshh/index.htm COSHH Procedures - HYPERLINK "https://intranet.southtyneside.gov.uk/article/20663/Control-of-Substances-Hazardous-to-Health-COSHH"https://intranet.southtyneside.gov.uk/article/20663/Control-of-Substances-Hazardous-to-Health-COSHH HAVs Procedures - HYPERLINK "https://intranet.southtyneside.gov.uk/article/20666/Health-and-safety-Hand-arm-vibration"https://intranet.southtyneside.gov.uk/article/20666/Health-and-safety-Hand-arm-vibration Noise Procedures - HYPERLINK "https://intranet.southtyneside.gov.uk/article/20697/Noise-at-work"https://intranet.southtyneside.gov.uk/article/20697/Noise-at-work Review These guidance and procedures will be reviewed on an annual basis. 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