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Subject:

Health Screening

From:

"Richard Brown (ADMA SEPD)" <[log in to unmask]>

Reply-To:

Richard Brown (ADMA SEPD)

Date:

Sat, 27 Apr 2002 08:23:41 +0400

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (1675 lines)

Most of the comments to date have related the need for pre-employment health
screening to the COSHH Regulations, i.e. chemical exposure.  The mere fact
of chemical exposure in a job does not necessarily require pre-employment
screening or routine health surveillance.  There has to be some clinical or
sub-clinical measurement that can be made of the effects of a chemical on
health before such surveillance is warranted  The guidance on COSHH Health
Surveillance gives three criteria needed before health surveillance is
undertaken:

1.      exposure to a hazardous substance may lead to a disease or adverse
health effect;
2.      there is a reasonable likelihood that the disease or effect will
occur under the conditions of work;
3.      there are techniques for detecting indications of the disease or
effect.

As an example, you would conduct health surveillance of wood machinists for
asthma (meets all three conditions above), but not for nasal cancer as there
is no method for detecting indications of the disease or effect (so I have
been informed when I last asked).

Although only an Occupational Hygienist I have taken this guidance to cover
substances that are lung or skin sensitisers and skin carcinogens, and some
of the heavy metals that have BEI's, but not just chemicals in general.
Essentially this means that health surveillance and screening, like
everything else conducted under the COSHH Regulations should be risk based.
I.e. a risk assessment database for the various tasks and jobs should be
available to the OH Practitioner to enable a decision to be made on the
health screening requirements for any applicant for any post.  No complaints
please everyone has had 14 years to do this.

However there a number of other circumstances in which health screening
would be required.  The Management of Health and Safety at Work Regulations
also requires risk assessment and where required health surveillance, so
this would cover noise, vibration, WRULD and other ergonomic issues and
eyesight (Display Screen Users, welders).  Again the decision to conduct the
health surveillance/screening should be based on risk assessment.

Personnel working in remote areas (offshore oil workers for example) would
also require health screening because of the difficulty in getting emergency
medical treatment.

And finally, health screening is required to protect an organisation from
false claims i.e. it creates a health baseline of the individual on entry to
the organisation for comparison with later health status.

Regards

Richard Brown
Occupational Hygienist
Health, Safety & Environment Division

Abu Dhabi Marine Operating Company
PO Box 303, Abu Dhabi, United Arab Emirates

Tel:            +971-260-65325
Fax:    +971-260-64997


        -----Original Message-----
        From:   Automatic digest processor [SMTP:[log in to unmask]]
        Sent:   27 April 2002 03:29
        To:     Recipients of OCC-HEALTH digests
        Subject:        OCC-HEALTH Digest - 22 Apr 2002 to 26 Apr 2002
(#2002-64)

        There are 22 messages totalling 1348 lines in this issue.

        Topics of the day:

          1. Occupational Deafness (2)
          2. journals (6)
          3. Health Screening (11)
          4. FW: Occupational Deafness
          5. occ health for teachers - a mystery to me! (2)


----------------------------------------------------------------------

        Date:    Fri, 26 Apr 2002 08:47:46 +0100
        From:    [log in to unmask]
        Subject: Occupational Deafness

        Hi folks.

        This one is purely out of curiosity.

        A guy from the shop floor (hearing conservation area) applied for
Industrial
        Injuries Disablement Benefit for Occupational Deafness, which was
not
        upheld.

        He brought the report in and asked me to have a look at it and by
their
        criteria he does not qualify.

        The criteria in their report states that the threshold had to be an
average
        of 50dB in the 1,2 & 3kHz.

        This surprised as everything I have about noise induced hearing loss
says
        that it is the higher frequencies, 3,4 & 6kHz ,(usually) that are
affected
        and the lower frequency are usually affected as it deteriorates and
spreads,
        the 4kHz dip.

        Now I'm left wondering if I have missed something or misinterpreted
the info
        I have? Anyone on the list who has been involved with these medical
        assessments for the benefits agency  that can enlighten me as to why
this is
        the criteria and what evidence supports it?

        Regrads

        Craig Graham
        Occupational Health Advisor



**********************************************************************
        The statements and opinions expressed in this message are those of
the author
        and do not necessarily reflect those of the company. The company
does not take
        any responsibility for the views of the author.

        This email and any files transmitted with it are confidential and
        intended solely for the use of the individual or entity to whom they
        are addressed. If you have received this email in error please
notify
        the system manager.

        This footnote also confirms that this email message has been swept
        for the presence of computer viruses.


**********************************************************************

        ------------------------------

        Date:    Fri, 26 Apr 2002 09:52:59 +0100
        From:    Fehmidah Munir <[log in to unmask]>
        Subject: journals

        Dear all

        As a researcher/lecturer rather than a practitioner I would like to
        know which journals/magazines are widely read by all, particularly
those
        working in the field of Workplace Health promotion.  I am aware of
        Occupational Health, but I am not sure whether it is widely read.

        Any help would be grateful

        Dr Fehmidah Munir
        www.i-who.org


        Dr Fehmidah Munir
        Institute of Work, Health and Organisations
        Science and Technology Park
        William Lee Buildings
        University of Nottingham
        Castle Boulevard
        Nottingham NG7 2RQ
        UK
        Tel: +44 11584 66639
        Email: [log in to unmask]

        ------------------------------

        Date:    Fri, 26 Apr 2002 11:11:56 +0200
        From:    Kelley Phil AD GB <[log in to unmask]>
        Subject: Re: journals

        Hi,
        The journals I use are

        Practice Nurse
        Nusing Times
        Occupational Health.

        I also subscribe to Croner Management of Health Risks. The other
        professional body journals I subscribe to are
        Safety and Health Practitioner (IOSH)
        Health and Hygiene (RIPH).

        I also have access to
        Occupational and Environmental Medicine
        Occupational Health Review.

        Sometimes I do some work!

        Regs

        Phil Kelley


        -----Original Message-----
        From: Fehmidah Munir [mailto:[log in to unmask]]
        Sent: 26 April 2002 09:53
        To: [log in to unmask]
        Subject: journals


        Dear all

        As a researcher/lecturer rather than a practitioner I would like to
        know which journals/magazines are widely read by all, particularly
those
        working in the field of Workplace Health promotion.  I am aware of
        Occupational Health, but I am not sure whether it is widely read.

        Any help would be grateful

        Dr Fehmidah Munir
        www.i-who.org


        Dr Fehmidah Munir
        Institute of Work, Health and Organisations
        Science and Technology Park
        William Lee Buildings
        University of Nottingham
        Castle Boulevard
        Nottingham NG7 2RQ
        UK
        Tel: +44 11584 66639
        Email: [log in to unmask]

        ------------------------------

        Date:    Fri, 26 Apr 2002 10:29:12 +0100
        From:    Stuart Cooper <[log in to unmask]>
        Subject: Re: journals

        Dear Fehmidah,

        For widely read occupational health journals I would suggest -

        'Occupational Medicine' (published by the Faculty of Occupational
Medicine)
        and 'OH Review' (published by the Industrial Relations Society).
The
        journal that you mention 'Occupational Health' is good for general
reading
        but a little weak on research.

        I am not aware of any journal that particularly focuses on workplace
health
        promotion, but the above will clearly carry some relevant material.
The
        general health education journals which are reasonably good for
research
        are, 'Health Promotion International' (Oxford Journals), 'Health
Education
        Journal' (Manchester University), 'International Journal of Health
Promotion
        and Education (Institute of Health Promotion & Education).

        I hope that this helps.

        Best wishes,

        Stuart.

        ----- Original Message -----
        From: "Fehmidah Munir" <[log in to unmask]>
        To: <[log in to unmask]>
        Sent: Friday, April 26, 2002 9:52 AM
        Subject: journals


        > Dear all
        >
        > As a researcher/lecturer rather than a practitioner I would like
to
        > know which journals/magazines are widely read by all, particularly
those
        > working in the field of Workplace Health promotion.  I am aware of
        > Occupational Health, but I am not sure whether it is widely read.
        >
        > Any help would be grateful
        >
        > Dr Fehmidah Munir
        > www.i-who.org
        >
        >
        > Dr Fehmidah Munir
        > Institute of Work, Health and Organisations
        > Science and Technology Park
        > William Lee Buildings
        > University of Nottingham
        > Castle Boulevard
        > Nottingham NG7 2RQ
        > UK
        > Tel: +44 11584 66639
        > Email: [log in to unmask]

        ------------------------------

        Date:    Fri, 26 Apr 2002 11:11:26 +0100
        From:    Stuart Cooper <[log in to unmask]>
        Subject: Re: Occupational Deafness

        Hi Craig,

        Sorry I can't give you a direct answer - I know that there criteria
states
        that the loss must be 50 decibels in each ear and that in at least
one ear
        this should have been caused by noise at work.  You will find an
applicant
        advice leaflet, if you haven't seen one at:

        http://www.dwp.gov.uk/publications/dwp/2001/sd6.pdf

        There are also several position papers published by the Industrial
Injuries
        Advisory Council that might help.  You will find info on these and
their
        other publications on their website - www.iiac.org.uk

        Best wishes,

        Stuart.

        ----- Original Message -----
        From: <[log in to unmask]>
        To: <[log in to unmask]>
        Sent: Friday, April 26, 2002 8:47 AM
        Subject: Occupational Deafness


        > Hi folks.
        >
        > This one is purely out of curiosity.
        >
        > A guy from the shop floor (hearing conservation area) applied for
        Industrial
        > Injuries Disablement Benefit for Occupational Deafness, which was
not
        > upheld.
        >
        > He brought the report in and asked me to have a look at it and by
their
        > criteria he does not qualify.
        >
        > The criteria in their report states that the threshold had to be
an
        average
        > of 50dB in the 1,2 & 3kHz.
        >
        > This surprised as everything I have about noise induced hearing
loss says
        > that it is the higher frequencies, 3,4 & 6kHz ,(usually) that are
affected
        > and the lower frequency are usually affected as it deteriorates
and
        spreads,
        > the 4kHz dip.
        >
        > Now I'm left wondering if I have missed something or
misinterpreted the
        info
        > I have? Anyone on the list who has been involved with these
medical
        > assessments for the benefits agency  that can enlighten me as to
why this
        is
        > the criteria and what evidence supports it?
        >
        > Regrads
        >
        > Craig Graham
        > Occupational Health Advisor
        >
        >
        >
**********************************************************************
        > The statements and opinions expressed in this message are those of
the
        author
        > and do not necessarily reflect those of the company. The company
does not
        take
        > any responsibility for the views of the author.
        >
        > This email and any files transmitted with it are confidential and
        > intended solely for the use of the individual or entity to whom
they
        > are addressed. If you have received this email in error please
notify
        > the system manager.
        >
        > This footnote also confirms that this email message has been swept
        > for the presence of computer viruses.
        >
        >
**********************************************************************

        ------------------------------

        Date:    Fri, 26 Apr 2002 11:53:13 +0100
        From:    Cynthia Atwell <[log in to unmask]>
        Subject: Re: journals

        I take Occupational Health and OH Review These I think are the most
widely
        read, but I may be wrong!??

        I subscribe to the Annals of Occupational Hygiene, as a member of
the BOHS.
        I also have access to Occupational Medicine

        Cynthia Atwell


        ----- Original Message -----
        From: "Fehmidah Munir" <[log in to unmask]>
        To: <[log in to unmask]>
        Sent: Friday, April 26, 2002 9:52 AM
        Subject: journals


        > Dear all
        >
        > As a researcher/lecturer rather than a practitioner I would like
to
        > know which journals/magazines are widely read by all, particularly
those
        > working in the field of Workplace Health promotion.  I am aware of
        > Occupational Health, but I am not sure whether it is widely read.
        >
        > Any help would be grateful
        >
        > Dr Fehmidah Munir
        > www.i-who.org
        >
        >
        > Dr Fehmidah Munir
        > Institute of Work, Health and Organisations
        > Science and Technology Park
        > William Lee Buildings
        > University of Nottingham
        > Castle Boulevard
        > Nottingham NG7 2RQ
        > UK
        > Tel: +44 11584 66639
        > Email: [log in to unmask]

        ------------------------------

        Date:    Fri, 26 Apr 2002 12:31:00 +0100
        From:    Jean Piernicki <[log in to unmask]>
        Subject: Health Screening

        I am based at a university. Last year aparently a number of
lecturers
        objected to completing a pre-employment health screening when they
were
        perhaps only visitng for 5 or 6 lectures but were technically
employees at
        that time. Personnel contacted other universities and none
apparently did
        this and felt it was "over the top" on the part of our uni. to do
this. I
        would be interested to know what other places do? Do you do a full
screen
        or a modified one or none?
        Thank you for your time

        ------------------------------

        Date:    Fri, 26 Apr 2002 12:28:23 +0100
        From:    Rory O'Neill <[log in to unmask]>
        Subject: Re: journals

        This is a multi-part message in MIME format.

        ------=_NextPart_000_01EF_01C1ED1D.DB9B3120
        Content-Type: text/plain;
                charset="iso-8859-1"
        Content-Transfer-Encoding: quoted-printable

        Hazards magazine. I must declare an interest here - I'm the editor.
But =
        it is the magazine used in the TUC health and safety training =
        programmes, which means, I think it is used more in an occupational
=
        health education setting than any other UK magazine.=20

        www.hazards.org

        ----- Original Message -----=20
        From: Kelley Phil AD GB=20
        To: [log in to unmask]
        Sent: Friday, April 26, 2002 10:11 AM
        Subject: Re: journals


        Hi,
        The journals I use are

        Practice Nurse
        Nusing Times
        Occupational Health.

        I also subscribe to Croner Management of Health Risks. The other
        professional body journals I subscribe to are
        Safety and Health Practitioner (IOSH)
        Health and Hygiene (RIPH).

        I also have access to
        Occupational and Environmental Medicine
        Occupational Health Review.

        Sometimes I do some work!

        Regs

        Phil Kelley


        -----Original Message-----
        From: Fehmidah Munir [mailto:[log in to unmask]]
        Sent: 26 April 2002 09:53
        To: [log in to unmask]
        Subject: journals


        Dear all

        As a researcher/lecturer rather than a practitioner I would like to
        know which journals/magazines are widely read by all, particularly
those
        working in the field of Workplace Health promotion.  I am aware of
        Occupational Health, but I am not sure whether it is widely read.

        Any help would be grateful

        Dr Fehmidah Munir
        www.i-who.org


        Dr Fehmidah Munir
        Institute of Work, Health and Organisations
        Science and Technology Park
        William Lee Buildings
        University of Nottingham
        Castle Boulevard
        Nottingham NG7 2RQ
        UK
        Tel: +44 11584 66639
        Email: [log in to unmask]


        ------=_NextPart_000_01EF_01C1ED1D.DB9B3120
        Content-Type: text/html;
                charset="iso-8859-1"
        Content-Transfer-Encoding: quoted-printable

        <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
        <HTML><HEAD>
        <META content=3D"text/html; charset=3Diso-8859-1" =
        http-equiv=3DContent-Type>
        <META content=3D"MSHTML 5.00.2614.3500" name=3DGENERATOR>
        <STYLE></STYLE>
        </HEAD>
        <BODY bgColor=3D#ffffff>
        <DIV><FONT size=3D2>Hazards magazine. I must declare an interest =
        here&nbsp;- I'm=20
        the editor. But it is the magazine used in the TUC health and safety
=
        training=20
        programmes, which means, I think it is used more in an occupational
=
        health=20
        education setting than any other UK magazine. </FONT></DIV>
        <DIV>&nbsp;</DIV>
        <DIV><FONT size=3D2><A=20
        href=3D"http://www.hazards.org">www.hazards.org</A></FONT></DIV>
        <DIV>&nbsp;</DIV>
        <DIV style=3D"FONT: 10pt arial">----- Original Message -----=20
        <DIV style=3D"BACKGROUND: #e4e4e4; font-color: black"><B>From:</B>
<A=20
        href=3D"mailto:[log in to unmask]" =
        [log in to unmask]>Kelley Phil AD=20
        GB</A> </DIV>
        <DIV><B>To:</B> <A href=3D"mailto:[log in to unmask]"=20
        [log in to unmask]>[log in to unmask]</A>
</DIV>
        <DIV><B>Sent:</B> Friday, April 26, 2002 10:11 AM</DIV>
        <DIV><B>Subject:</B> Re: journals</DIV></DIV>
        <DIV><BR></DIV>Hi,<BR>The journals I use are<BR><BR>Practice =
        Nurse<BR>Nusing=20
        Times<BR>Occupational Health.<BR><BR>I also subscribe to Croner =
        Management of=20
        Health Risks. The other<BR>professional body journals I subscribe
to=20
        are<BR>Safety and Health Practitioner (IOSH)<BR>Health and
Hygiene=20
        (RIPH).<BR><BR>I also have access to<BR>Occupational and
Environmental=20
        Medicine<BR>Occupational Health Review.<BR><BR>Sometimes I do
some=20
        work!<BR><BR>Regs<BR><BR>Phil Kelley<BR><BR><BR>-----Original=20
        Message-----<BR>From: Fehmidah Munir [<A=20

href=3D"mailto:[log in to unmask]">mailto:Fehmidah.Munir@NOT=
        TINGHAM.AC.UK</A>]<BR>Sent:=20
        26 April 2002 09:53<BR>To: <A=20

href=3D"mailto:[log in to unmask]">[log in to unmask]</A><B=
        R>Subject:=20
        journals<BR><BR><BR>Dear all<BR><BR>As a researcher/lecturer rather
than =
        a=20
        practitioner I would like to<BR>know which journals/magazines are
widely =
        read by=20
        all, particularly those<BR>working in the field of Workplace
Health=20
        promotion.&nbsp; I am aware of<BR>Occupational Health, but I am not
sure =
        whether=20
        it is widely read.<BR><BR>Any help would be grateful<BR><BR>Dr
Fehmidah=20
        Munir<BR><A =
        href=3D"http://www.i-who.org">www.i-who.org</A><BR><BR><BR>Dr
Fehmidah=20
        Munir<BR>Institute of Work, Health and Organisations<BR>Science and
=
        Technology=20
        Park<BR>William Lee Buildings<BR>University of
Nottingham<BR>Castle=20
        Boulevard<BR>Nottingham NG7 2RQ<BR>UK<BR>Tel: +44 11584
66639<BR>Email: =
        <A=20

href=3D"mailto:[log in to unmask]">fehmidah.munir@nottingham=
        .ac.uk</A><BR></BODY></HTML>

        ------=_NextPart_000_01EF_01C1ED1D.DB9B3120--

        ------------------------------

        Date:    Fri, 26 Apr 2002 12:41:44 +0100
        From:    Greta Thornbory <[log in to unmask]>
        Subject: Re: Health Screening

        As some one who is on a temporary short term contract at Uni I too
refused
        to fill in a health declaration form - why because I couldn't see
any reason
        to do so. I was not entitled to sick pay, nor pension etc. plus I
cannot
        think what special health needs a lecturer would need to have to do
the
        job - other than to be 'fit to work'. I agree that this is a bit OTT
and
        that it is a waste of valuable and expensive resources, in
professional time
        etc.

        Greta Thornbory
        Education & Health Care Consultant
        WWW.gtenterprises-uk.com
        01235 770156 phone
        01235 765797 fax
        07778 518 027 mobile

        ----- Original Message -----
        From: Jean Piernicki <[log in to unmask]>
        To: <[log in to unmask]>
        Sent: Friday, April 26, 2002 12:31 PM
        Subject: Health Screening


        > I am based at a university. Last year aparently a number of
lecturers
        > objected to completing a pre-employment health screening when they
were
        > perhaps only visitng for 5 or 6 lectures but were technically
employees at
        > that time. Personnel contacted other universities and none
apparently did
        > this and felt it was "over the top" on the part of our uni. to do
this. I
        > would be interested to know what other places do? Do you do a full
screen
        > or a modified one or none?
        > Thank you for your time

        ------------------------------

        Date:    Fri, 26 Apr 2002 13:01:20 +0100
        From:    Stuart Cooper <[log in to unmask]>
        Subject: Re: Health Screening

        Generally I would agree with Greta but I would suggest that the
question you need to ask yourself is for what purpose are you undertaking a
health screen?

        One possible reason for screening for instance could be to meet your
obligations under COSHH, if the lecturer is exposed to a risk activity.

        Best wishes,

        Stuart.

        >  from:    Jean Piernicki <[log in to unmask]>
        >  date:    Fri, 26 Apr 2002 12:31:00
        >  to:      [log in to unmask]
        >  subject: Re: Health Screening
        >
        > I am based at a university. Last year aparently a number of
lecturers
        > objected to completing a pre-employment health screening when they
were
        > perhaps only visitng for 5 or 6 lectures but were technically
employees at
        > that time. Personnel contacted other universities and none
apparently did
        > this and felt it was "over the top" on the part of our uni. to do
this. I
        > would be interested to know what other places do? Do you do a full
screen
        > or a modified one or none?
        > Thank you for your time

        ------------------------------

        Date:    Fri, 26 Apr 2002 13:56:46 +0100
        From:    Amanda Dowson <[log in to unmask]>
        Subject: Re: Health Screening

        We screen everyone who is employed by us. There are however
"visiting"
        lecturers who are "self-employed" that are not screened.

        There needs to be a balance between applying the same standards to
all to
        ensure equity and parity of organisational practices; and a sensible
        approach to a problem. When does a short term employee become a long
term
        employee ?

        Have you seen the "Fitness to Teach" guidance ? available on wired
for
        health website and pertinent to education sector, although strictly
only
        applies to FE/primary and secondary schools.

        Hope this helps

        Amanda Dowson
        Health Services Manager
        Bradford College


        > ----------
        > From:         Jean Piernicki[SMTP:[log in to unmask]]
        > Reply To:     Jean Piernicki
        > Sent:         Friday, April 26, 2002 12:31 PM
        > To:   [log in to unmask]
        > Subject:      Health Screening
        >
        > I am based at a university. Last year aparently a number of
lecturers
        > objected to completing a pre-employment health screening when they
were
        > perhaps only visitng for 5 or 6 lectures but were technically
employees at
        > that time. Personnel contacted other universities and none
apparently did
        > this and felt it was "over the top" on the part of our uni. to do
this. I
        > would be interested to know what other places do? Do you do a full
screen
        > or a modified one or none?
        > Thank you for your time
        >

        ------------------------------

        Date:    Fri, 26 Apr 2002 14:23:13 +0100
        From:    Greta Thornbory <[log in to unmask]>
        Subject: Re: Health Screening

        Yes, I agree with Stuart - after I had sent my e mail I remembered
that
        there are some lecturers who are at risk under COSHH - but that
would be
        specific to certain areas only........

        Greta

        ----- Original Message -----
        From: Stuart Cooper <[log in to unmask]>
        To: <[log in to unmask]>
        Sent: Friday, April 26, 2002 1:01 PM
        Subject: Re: Health Screening


        > Generally I would agree with Greta but I would suggest that the
question
        you need to ask yourself is for what purpose are you undertaking a
health
        screen?
        >
        > One possible reason for screening for instance could be to meet
your
        obligations under COSHH, if the lecturer is exposed to a risk
activity.
        >
        > Best wishes,
        >
        > Stuart.
        >
        > >  from:    Jean Piernicki <[log in to unmask]>
        > >  date:    Fri, 26 Apr 2002 12:31:00
        > >  to:      [log in to unmask]
        > >  subject: Re: Health Screening
        > >
        > > I am based at a university. Last year aparently a number of
lecturers
        > > objected to completing a pre-employment health screening when
they were
        > > perhaps only visitng for 5 or 6 lectures but were technically
employees
        at
        > > that time. Personnel contacted other universities and none
apparently
        did
        > > this and felt it was "over the top" on the part of our uni. to
do this.
        I
        > > would be interested to know what other places do? Do you do a
full
        screen
        > > or a modified one or none?
        > > Thank you for your time

        ------------------------------

        Date:    Fri, 26 Apr 2002 14:28:44 +0100
        From:    Greta Thornbory <[log in to unmask]>
        Subject: Re: Health Screening

        Hi Amanda
        I am very interested to hear about 'Fitness to teach' as I am a
governor of
        a primary school. I have asked many times about OH facilitates for
staff and
        even tried to find it on the local county councils website etc.
without much
        luck. I understand from one of my students that there is an OH nurse
for the
        county (Oxfordshire - in case the OH nurse concerned reads this) and
that
        their singleton post if for all county council employees. I wonder
how they
        cope with it all!!!!! especially as the schools don't seem to know
he/she is
        there! Have you got the webaddress?

        Cheers,

        Greta Thornbory
        Education & Health Care Consultant
        WWW.gtenterprises-uk.com
        01235 770156 phone
        01235 765797 fax
        07778 518 027 mobile

        ----- Original Message -----
        From: Amanda Dowson <[log in to unmask]>
        To: <[log in to unmask]>
        Sent: Friday, April 26, 2002 1:56 PM
        Subject: Re: Health Screening


        > We screen everyone who is employed by us. There are however
"visiting"
        > lecturers who are "self-employed" that are not screened.
        >
        > There needs to be a balance between applying the same standards to
all to
        > ensure equity and parity of organisational practices; and a
sensible
        > approach to a problem. When does a short term employee become a
long term
        > employee ?
        >
        > Have you seen the "Fitness to Teach" guidance ? available on wired
for
        > health website and pertinent to education sector, although
strictly only
        > applies to FE/primary and secondary schools.
        >
        > Hope this helps
        >
        > Amanda Dowson
        > Health Services Manager
        > Bradford College
        >
        >
        > > ----------
        > > From:         Jean Piernicki[SMTP:[log in to unmask]]
        > > Reply To:     Jean Piernicki
        > > Sent:         Friday, April 26, 2002 12:31 PM
        > > To:   [log in to unmask]
        > > Subject:      Health Screening
        > >
        > > I am based at a university. Last year aparently a number of
lecturers
        > > objected to completing a pre-employment health screening when
they were
        > > perhaps only visitng for 5 or 6 lectures but were technically
employees
        at
        > > that time. Personnel contacted other universities and none
apparently
        did
        > > this and felt it was "over the top" on the part of our uni. to
do this.
        I
        > > would be interested to know what other places do? Do you do a
full
        screen
        > > or a modified one or none?
        > > Thank you for your time
        > >

        ------------------------------

        Date:    Fri, 26 Apr 2002 14:41:34 +0100
        From:    "a.beckerton" <[log in to unmask]>
        Subject: Re: Health Screening

        I would only screen anyone if there was a hazard associated with the
post,
        as Stuart said - a COSSH implication.  This would be few and far
between
        with lectures I suspect.  Likewise I have been asked about visitors
to areas
        with potential risks i.e. animal houses and I always devise a very
short
        questionnaire which says something like ' the area you will be
visiting is
        potentially hazardous for some people, please check this list and
sign at
        the bottom if you can answer 'no' to all the questions'  Then list
the
        health problems appropriate (asthma, atopy) and if they can sign
this it is
        kept by the person organising the visit. Note this is not
confidential
        medical information as they are only saying they do not have any of
these
        conditions.  Anyone who is unable to sign gets a more comprehensive
        investigation by us.  Have used similar for agency staff.
        Sorry I cannot forward copies to people as I usually do them on
request,
        about 5 minutes work, and am busy cleaning my data prior to imminent
        departure.
        Anne
        ----- Original Message -----
        From: "Jean Piernicki" <[log in to unmask]>
        To: <[log in to unmask]>
        Sent: Friday, April 26, 2002 12:31 PM
        Subject: Health Screening


        > I am based at a university. Last year aparently a number of
lecturers
        > objected to completing a pre-employment health screening when they
were
        > perhaps only visitng for 5 or 6 lectures but were technically
employees at
        > that time. Personnel contacted other universities and none
apparently did
        > this and felt it was "over the top" on the part of our uni. to do
this. I
        > would be interested to know what other places do? Do you do a full
screen
        > or a modified one or none?
        > Thank you for your time
        >

        ------------------------------

        Date:    Fri, 26 Apr 2002 14:48:55 +0100
        From:    Amanda Dowson <[log in to unmask]>
        Subject: FW: Occupational Deafness

        Comments from Dr Stewart Lloyd, Consultant Specialist in Occ Med and
ex ENT
        guy which actually make sense !! :

        IIB is a strange, hybrid beast. The eligibility for benefit is, by &
large,
        governed by disability/handicap, not "impairment". Also, one has to
be at
        least
        14% disabled (!) before one gets a bean. Thus, the criteria for NIHL
IIB
        cover
        the speech frequencies, which is where (obviously) handicap would be
most
        pronounced, not the higher frequencies that are affected first by
noise. To
        reach the "14%" threshold (in the absence of any other qualifying
injury),
        one
        is required, as the poster says, to have an average loss of 50dBHL
over
        those 3
        frequencies. This is, in fact, very deaf indeed and also quite
difficult to
        achieve purely by noise exposure alone.



        > ----------
        > From:         Stuart Cooper[SMTP:[log in to unmask]]
        > Reply To:     Stuart Cooper
        > Sent:         Friday, April 26, 2002 11:11 AM
        > To:   [log in to unmask]
        > Subject:      Re: Occupational Deafness
        >
        > Hi Craig,
        >
        > Sorry I can't give you a direct answer - I know that there
criteria states
        > that the loss must be 50 decibels in each ear and that in at least
one ear
        > this should have been caused by noise at work.  You will find an
applicant
        > advice leaflet, if you haven't seen one at:
        >
        > http://www.dwp.gov.uk/publications/dwp/2001/sd6.pdf
        >
        > There are also several position papers published by the Industrial
        > Injuries
        > Advisory Council that might help.  You will find info on these and
their
        > other publications on their website - www.iiac.org.uk
        >
        > Best wishes,
        >
        > Stuart.
        >
        > ----- Original Message -----
        > From: <[log in to unmask]>
        > To: <[log in to unmask]>
        > Sent: Friday, April 26, 2002 8:47 AM
        > Subject: Occupational Deafness
        >
        >
        > > Hi folks.
        > >
        > > This one is purely out of curiosity.
        > >
        > > A guy from the shop floor (hearing conservation area) applied
for
        > Industrial
        > > Injuries Disablement Benefit for Occupational Deafness, which
was not
        > > upheld.
        > >
        > > He brought the report in and asked me to have a look at it and
by their
        > > criteria he does not qualify.
        > >
        > > The criteria in their report states that the threshold had to be
an
        > average
        > > of 50dB in the 1,2 & 3kHz.
        > >
        > > This surprised as everything I have about noise induced hearing
loss
        > says
        > > that it is the higher frequencies, 3,4 & 6kHz ,(usually) that
are
        > affected
        > > and the lower frequency are usually affected as it deteriorates
and
        > spreads,
        > > the 4kHz dip.
        > >
        > > Now I'm left wondering if I have missed something or
misinterpreted the
        > info
        > > I have? Anyone on the list who has been involved with these
medical
        > > assessments for the benefits agency  that can enlighten me as to
why
        > this
        > is
        > > the criteria and what evidence supports it?
        > >
        > > Regrads
        > >
        > > Craig Graham
        > > Occupational Health Advisor
        > >
        > >
        > >
**********************************************************************
        > > The statements and opinions expressed in this message are those
of the
        > author
        > > and do not necessarily reflect those of the company. The company
does
        > not
        > take
        > > any responsibility for the views of the author.
        > >
        > > This email and any files transmitted with it are confidential
and
        > > intended solely for the use of the individual or entity to whom
they
        > > are addressed. If you have received this email in error please
notify
        > > the system manager.
        > >
        > > This footnote also confirms that this email message has been
swept
        > > for the presence of computer viruses.
        > >
        > >
**********************************************************************
        >

        ------------------------------

        Date:    Fri, 26 Apr 2002 15:53:38 +0200
        From:    Kelley Phil AD GB <[log in to unmask]>
        Subject: Re: Health Screening

        Hi,
        As well as the health implications (CoSHH) you may need to consider
safety
        aspects- means of escape  A bit OTT I agree.

        Regs

        Phil

        -----Original Message-----
        From: Jean Piernicki [mailto:[log in to unmask]]
        Sent: 26 April 2002 12:31
        To: [log in to unmask]
        Subject: Health Screening


        I am based at a university. Last year aparently a number of
lecturers
        objected to completing a pre-employment health screening when they
were
        perhaps only visitng for 5 or 6 lectures but were technically
employees at
        that time. Personnel contacted other universities and none
apparently did
        this and felt it was "over the top" on the part of our uni. to do
this. I
        would be interested to know what other places do? Do you do a full
screen
        or a modified one or none?
        Thank you for your time

        ------------------------------

        Date:    Fri, 26 Apr 2002 14:57:11 +0100
        From:    Amanda Dowson <[log in to unmask]>
        Subject: Re: Health Screening

        Web site address :

        http://www.wiredforhealth.gov.uk/healthy/healgov.html

        This guidance notes for managers and OH professionals are based on
circular
        4/99 from the then DFEE now DFES and are an interpretation / ACOP of
the
        Teachers Regs.

        As a matter of interest to you (Greta) as a school governor, the
devolvement
        legislation in the education sector means that the chair of
governors has
        the responsibility of chief exec for the school for health and
safety,
        employment law issues etc.

        This gets round the fact that you need equity and parity across the
LEA.
        Each school should be able to purchase either time from the LA OHN
or
        purchase advice from an independant OHN (for 1p perhaps if you know
of a
        willing OHN !)

        You can as a board of governors manage your own OH&S problems as you
see fit
        without reference to the LEA as long as you can justify your actions
in a
        court of law.

        Hope this helps.

        Amanda D


        > ----------
        > From:         Greta Thornbory[SMTP:[log in to unmask]]
        > Sent:         Friday, April 26, 2002 2:28 PM
        > To:   Amanda Dowson; [log in to unmask]
        > Subject:      Re:      Re: Health Screening
        >
        > Hi Amanda
        > I am very interested to hear about 'Fitness to teach' as I am a
governor
        > of
        > a primary school. I have asked many times about OH facilitates for
staff
        > and
        > even tried to find it on the local county councils website etc.
without
        > much
        > luck. I understand from one of my students that there is an OH
nurse for
        > the
        > county (Oxfordshire - in case the OH nurse concerned reads this)
and that
        > their singleton post if for all county council employees. I wonder
how
        > they
        > cope with it all!!!!! especially as the schools don't seem to know
he/she
        > is
        > there! Have you got the webaddress?
        >
        > Cheers,
        >
        > Greta Thornbory
        > Education & Health Care Consultant
        > WWW.gtenterprises-uk.com
        > 01235 770156 phone
        > 01235 765797 fax
        > 07778 518 027 mobile
        >
        > ----- Original Message -----
        > From: Amanda Dowson <[log in to unmask]>
        > To: <[log in to unmask]>
        > Sent: Friday, April 26, 2002 1:56 PM
        > Subject: Re: Health Screening
        >
        >
        > > We screen everyone who is employed by us. There are however
"visiting"
        > > lecturers who are "self-employed" that are not screened.
        > >
        > > There needs to be a balance between applying the same standards
to all
        > to
        > > ensure equity and parity of organisational practices; and a
sensible
        > > approach to a problem. When does a short term employee become a
long
        > term
        > > employee ?
        > >
        > > Have you seen the "Fitness to Teach" guidance ? available on
wired for
        > > health website and pertinent to education sector, although
strictly only
        > > applies to FE/primary and secondary schools.
        > >
        > > Hope this helps
        > >
        > > Amanda Dowson
        > > Health Services Manager
        > > Bradford College
        > >
        > >
        > > > ----------
        > > > From:         Jean Piernicki[SMTP:[log in to unmask]]
        > > > Reply To:     Jean Piernicki
        > > > Sent:         Friday, April 26, 2002 12:31 PM
        > > > To:   [log in to unmask]
        > > > Subject:      Health Screening
        > > >
        > > > I am based at a university. Last year aparently a number of
lecturers
        > > > objected to completing a pre-employment health screening when
they
        > were
        > > > perhaps only visitng for 5 or 6 lectures but were technically
        > employees
        > at
        > > > that time. Personnel contacted other universities and none
apparently
        > did
        > > > this and felt it was "over the top" on the part of our uni. to
do
        > this.
        > I
        > > > would be interested to know what other places do? Do you do a
full
        > screen
        > > > or a modified one or none?
        > > > Thank you for your time
        > > >
        >

        ------------------------------

        Date:    Fri, 26 Apr 2002 15:19:13 +0100
        From:    Greta Thornbory <[log in to unmask]>
        Subject: Re: journals

        This is a multi-part message in MIME format.

        ------=_NextPart_000_001B_01C1ED35.B8EEEC80
        Content-Type: text/plain;
                charset="iso-8859-1"
        Content-Transfer-Encoding: quoted-printable

        New one on line - I think! Occupational and Environmental Medicine
from =
        the BMJ group - you will find it at www.occenvmed.com this gives you
=
        access to other BMJ journals including 'Evidence based medicine' and
=
        'Evidence based nursing'.

        Also Nursing Standard is on line and you can search - for RCN
members =
        you can register through the RCN website to search BNI free and to =
        access certain Blackwell nursing journals including Journal of
Advanced =
        Nursing; International Journal of Nursing Practice and Journal of =
        Nursing Management. Not OH, or even health promotion, specific but =
        certainly worth a look or keeping an eye on when needing up-to-date
=
        info.

        Greta Thornbory
        Education & Health Care Consultant
        WWW.gtenterprises-uk.com
        01235 770156 phone
        01235 765797 fax
        07778 518 027 mobile

        ----- Original Message -----=20
        From: Fehmidah Munir <[log in to unmask]>
        To: <[log in to unmask]>
        Sent: Friday, April 26, 2002 9:52 AM
        Subject: journals


        > Dear all
        >=20
        > As a researcher/lecturer rather than a practitioner I would like
to
        > know which journals/magazines are widely read by all, particularly
=
        those
        > working in the field of Workplace Health promotion.  I am aware of
        > Occupational Health, but I am not sure whether it is widely read.
        >=20
        > Any help would be grateful
        >=20
        > Dr Fehmidah Munir
        > www.i-who.org
        >=20
        >=20
        > Dr Fehmidah Munir
        > Institute of Work, Health and Organisations
        > Science and Technology Park
        > William Lee Buildings
        > University of Nottingham
        > Castle Boulevard
        > Nottingham NG7 2RQ
        > UK
        > Tel: +44 11584 66639
        > Email: [log in to unmask]

        ------=_NextPart_000_001B_01C1ED35.B8EEEC80
        Content-Type: text/html;
                charset="iso-8859-1"
        Content-Transfer-Encoding: quoted-printable

        <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
        <HTML><HEAD>
        <META content=3D"text/html; charset=3Diso-8859-1" =
        http-equiv=3DContent-Type>
        <META content=3D"MSHTML 5.00.2614.3500" name=3DGENERATOR>
        <STYLE></STYLE>
        </HEAD>
        <BODY>
        <DIV><FONT color=3D#000080 face=3DArial size=3D2>New one on line - I
=
        think!=20
        <STRONG>Occupational and Environmental Medicine&nbsp; </STRONG>from
the =
        BMJ=20
        group - you will find it at <A=20
        href=3D"http://www.occenvmed.com">www.occenvmed.com</A> this gives
you =
        access to=20
        other BMJ journals including 'Evidence based medicine' and 'Evidence
=
        based=20
        nursing'.</FONT></DIV>
        <DIV>&nbsp;</DIV>
        <DIV><FONT color=3D#000080 face=3DArial size=3D2>Also Nursing
Standard =
        is on line and=20
        you can search - for RCN members you can register through the RCN =
        website to=20
        search BNI free and to access certain Blackwell nursing journals =
        including=20
        Journal of Advanced Nursing; International Journal of Nursing
Practice =
        and=20
        Journal of Nursing Management. Not OH, or even health promotion, =
        specific but=20
        certainly worth a look or keeping an eye on when needing
up-to-date=20
        info.</FONT></DIV>
        <DIV>&nbsp;</DIV>
        <DIV><FONT color=3D#000080 face=3DArial size=3D2>Greta =
        Thornbory<BR>Education &amp;=20
        Health Care Consultant<BR><A=20

href=3D"http://www.gtenterprises-uk.com">WWW.gtenterprises-uk.com</A><BR>=
        01235=20
        770156 phone<BR>01235 765797 fax<BR>07778 518 027 =
        mobile<BR></FONT></DIV>
        <DIV><FONT color=3D#000080 face=3DArial size=3D2>----- Original
Message =
        ----- </FONT>
        <DIV><FONT color=3D#000080 face=3DArial size=3D2>From: Fehmidah
Munir =
        &lt;<A=20

href=3D"mailto:[log in to unmask]">Fehmidah.Munir@NOTTINGHAM=
        .AC.UK</A>&gt;</FONT></DIV>
        <DIV><FONT color=3D#000080 face=3DArial size=3D2>To: &lt;<A=20

href=3D"mailto:[log in to unmask]">[log in to unmask]</A>&g=
        t;</FONT></DIV>
        <DIV><FONT color=3D#000080 face=3DArial size=3D2>Sent: Friday, April
26, =
        2002 9:52=20
        AM</FONT></DIV>
        <DIV><FONT color=3D#000080 face=3DArial size=3D2>Subject: =
        journals</FONT></DIV></DIV>
        <DIV><BR></DIV><FONT color=3D#000080><FONT size=3D2><FONT =
        face=3DArial>&gt; Dear=20
        all<BR>&gt; <BR>&gt; As a researcher/lecturer rather than a
practitioner =
        I would=20
        like to<BR>&gt; know which journals/magazines are widely read by
all,=20
        particularly those<BR>&gt; working in the field of Workplace
Health=20
        promotion.&nbsp; I am aware of<BR>&gt; Occupational Health, but I am
not =
        sure=20
        whether it is widely read.<BR>&gt; <BR>&gt; Any help would be =
        grateful<BR>&gt;=20
        <BR>&gt; Dr Fehmidah Munir<BR>&gt; <A=20
        href=3D"http://www.i-who.org">www.i-who.org</A><BR>&gt; <BR>&gt; =
        <BR>&gt; Dr=20
        Fehmidah Munir<BR>&gt; Institute of Work, Health and =
        Organisations<BR>&gt;=20
        Science and Technology Park<BR>&gt; William Lee Buildings<BR>&gt; =
        University of=20
        Nottingham<BR>&gt; Castle Boulevard<BR>&gt; Nottingham NG7
2RQ<BR>&gt;=20
        UK<BR>&gt; Tel: +44 11584 66639<BR>&gt; Email: <A=20

href=3D"mailto:[log in to unmask]">fehmidah.munir@nottingham=
        .ac.uk</A></FONT></FONT></FONT></BODY></HTML>

        ------=_NextPart_000_001B_01C1ED35.B8EEEC80--

        ------------------------------

        Date:    Fri, 26 Apr 2002 15:33:51 +0100
        From:    Cynthia Atwell <[log in to unmask]>
        Subject: Re: Health Screening

        I agree with Greta & Stuart, why is it being done? what are the
benefits to
        the Uni and the lecturer? are there implications for COSHH etc?
        Otherwise why bother?

        Cynthia

        ----- Original Message -----
        From: "Stuart Cooper" <[log in to unmask]>
        To: <[log in to unmask]>
        Sent: Friday, April 26, 2002 1:01 PM
        Subject: Re: Health Screening


        > Generally I would agree with Greta but I would suggest that the
question
        you need to ask yourself is for what purpose are you undertaking a
health
        screen?
        >
        > One possible reason for screening for instance could be to meet
your
        obligations under COSHH, if the lecturer is exposed to a risk
activity.
        >
        > Best wishes,
        >
        > Stuart.
        >
        > >  from:    Jean Piernicki <[log in to unmask]>
        > >  date:    Fri, 26 Apr 2002 12:31:00
        > >  to:      [log in to unmask]
        > >  subject: Re: Health Screening
        > >
        > > I am based at a university. Last year aparently a number of
lecturers
        > > objected to completing a pre-employment health screening when
they were
        > > perhaps only visitng for 5 or 6 lectures but were technically
employees
        at
        > > that time. Personnel contacted other universities and none
apparently
        did
        > > this and felt it was "over the top" on the part of our uni. to
do this.
        I
        > > would be interested to know what other places do? Do you do a
full
        screen
        > > or a modified one or none?
        > > Thank you for your time

        ------------------------------

        Date:    Fri, 26 Apr 2002 16:20:25 +0100
        From:    Dawn Knight <[log in to unmask]>
        Subject: Re: occ health for teachers - a mystery to me!

        I can't get to the bottom of teachers and OH. I, too, am a parent
governor at a local primary school- foundation (previously grant maintained
as opposed to LEA). We had two cases of long term ill health last year and
when I mentioned early referral to OH to get the matter moving, I was told
that teachers had it written in their contracts which meant they couldn't be
referred for the first six months - I thought it was aload of rubbish, but
the head and chair seemed to agree on this point. I assume it is different
for foundation schools as opposed to LEA? Was I just being fobbed off?
        Dawn (Knight)

        ------------------------------

        Date:    Fri, 26 Apr 2002 16:51:51 +0100
        From:    Greta Thornbory <[log in to unmask]>
        Subject: Re: occ health for teachers - a mystery to me!

        I'm glad its not just me! I believe the whole of local government OH
is a
        mystery to the likes of school governors. Not only am I a school
governor
        but I am also an elected local town councillor. Once you get into it
you
        discover what a can of worms local gov is and just how many layers (
town,
        district and county) you have to go thru to get anything done. Then
you
        discover that actually it is all down to central gov who lay down
the law
        and no one has any say anyway!

        We had a teacher who had the white board fall off the wall onto her
head.
        When we asked the county to check all the white boards installed in
other
        schools at the same time we were told that someone must have been
fiddling
        with it so that it fell off the wall. This in a school with children
aged
        4-11!!!!!!!

        OH is wonderful - but is it really there for all workers???????

        Cheers and have a nice w/e folks

        Greta Thornbory
        Education & Health Care Consultant
        WWW.gtenterprises-uk.com
        01235 770156 phone
        01235 765797 fax
        07778 518 027 mobile


        ----- Original Message -----
        From: Dawn Knight <[log in to unmask]>
        To: <[log in to unmask]>
        Sent: Friday, April 26, 2002 4:20 PM
        Subject: Re: occ health for teachers - a mystery to me!


        > I can't get to the bottom of teachers and OH. I, too, am a parent
governor
        at a local primary school- foundation (previously grant maintained
as
        opposed to LEA). We had two cases of long term ill health last year
and when
        I mentioned early referral to OH to get the matter moving, I was
told that
        teachers had it written in their contracts which meant they couldn't
be
        referred for the first six months - I thought it was aload of
rubbish, but
        the head and chair seemed to agree on this point. I assume it is
different
        for foundation schools as opposed to LEA? Was I just being fobbed
off?
        > Dawn (Knight)

        ------------------------------

        Date:    Fri, 26 Apr 2002 19:20:00 +0100
        From:    Dennis Macwilliam <[log in to unmask]>
        Subject: Re: Health Screening

        I agree with Cynthia - the question to be asked is what is hte
purpose of
        health screening in this particular context?   COSHH would, at first
sight,
        not to be an appropriate set of regs - but it all depends what job
the
        lecturer was appling for.

        Too often I come across firms with health screenng policies firmly
in place
        but, when questioned as to why, I get some some puzzled looks.  Far
too
        often it is done because "we've always done it and it's in our
contracts of
        employment - even though they can't point to any job-specific risk.

        I suspect that in many cases pre-employment health screening has
been put
        in place because their insurers ave insisted upon it in order to
limit
        their financial liabilities, and it has later become fashionable to
hang
        a "COSHH" label on the process.

        Dennis M

        ------------------------------

        End of OCC-HEALTH Digest - 22 Apr 2002 to 26 Apr 2002 (#2002-64)
        ****************************************************************

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