Hi
, please find information re taxable benefit attached.
Cheers.
Brian Webster
----- Original Message -----
From: "Hawkes, Lynda" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, February 03, 2004 8:42 AM
Subject: Re: TREATMENT SERVICE from Kaaren


> At a recent, excellent Abbottburke Study Day in Bristol we learnt that a
> treatment service is regarded by the Inland Revenue as a taxable benefit
for
> employees - what a minefield that will create!!!!!!!!!! Far better to
> install a Paracetamol machine methinks!
>
> Lynda
>
> -----Original Message-----
> From: Car Barnes [mailto:[log in to unmask]]
> Sent: Friday, January 30, 2004 9:28 AM
> To: [log in to unmask]
> Subject: Re: TREATMENT SERVICE from Kaaren
>
>
> I used to work in a large retail store where walk-in treatment was
> paramount and I must admit it turned me off for life! One of my concerns
> was being asked to back up first aiders in areas I had no experience (my
> background was ITU/recovery) which often delayed the call for an
> ambulance unnecessarily. Another problem was that Managers often came
> close to crossing the line in "forcing" staff to stay in work by
> insisting they came over to us to lie down before considering letting
> them go home if unwell. I also found that explaining to 18 year olds
> that the reason they felt dizzy at 10am on a Sat morning was likely to
> be due to their hangover not hypotension a waste of my time. I'm
> strictly of the opinion that I'm not, not do I ever want to be, a
> practice nurse and if an employer wishes to run a treatment service - go
> for it but not out of the OH department - keep the two separate as they
> should be.
>
> Car
>
> -----Original Message-----
> From: Christine Leek [mailto:[log in to unmask]]
> Sent: 30 January 2004 08:19
> To: [log in to unmask]
> Subject: Re: TREATMENT SERVICE from Kaaren
>
> I agree with everything you say, Ieven teach all my First Aiders my self
> as
> I have my own First Aid licence, we even to 6 monthly First Aid up date
> sessions . The First Aiders agree this is good for them. Giving
> medication
> keeps the work force happy & at work .
>
> -----Original Message-----
> From: Harrop, Chris [mailto:[log in to unmask]]
> Sent: 29 January 2004 15:23
> To: [log in to unmask]
> Subject: Re: TREATMENT SERVICE from Kaaren
>
>
> Dear Elaine
>
> I must say, despite being a reasonably young nurse in Occ Health, but of
> 8
> years experience and with prevention as a main aim, I agree with
> Margaret in
> that there is a definite benefit to a treatment service, providing it is
> managed well.   The guidelines as clearly stated in Securing Health
> Together
> (HSE 2000/1) and subsequently Taking a Public Health Approach (2003), we
> must reduce sickness absence.   In my experience Margaret is quite
> correct
> in saying employees who are used to having an hour lie down if genuinely
> unwell and then going back to work once better (if they are fit to do
> so) is
> better than them going home.   In these circumstances you are most
> likely to
> have the ones who get cross and just leave or the tuffies, who stay at
> work
> but become a safety risk as ill health may cause lack of attention.   So
> treatment in these cases are, in my mind, prevention.   Prevention of a
> worse scenario.
>
> I too agree with the empowerment of first aiders, but not to the extent
> that
> the nurse is unavailable should further medical attention be required as
> this then may prevent unnecessary hospital referrals when the first
> aider
> would need back up.
>
> Furthermore providing it is coupled with good preventative health
> screenings
> and proactive health promotion I have, by listening to employees who
> come
> for paracetamol found in fact in many cases their trouble is not simply
> the
> headache.   There is often another issue, such as work related stress,
> working conditions, stress at home, sickness in the family, or in some
> cases
> severe illness that the GP ignored but we knew the employee better and
> could
> put a case forward for them as we new they were not usually the
> malingering
> type.    By referral up to Occ Health Doctor they were referred back to
> the
> GP and successful diagnosis of a serious illness was made for which the
> employee now receives treatment.   So again in this case prevention of
> death.
>
> On a final note although I can understand your desire to change the 'old
> fashioned approach' I found it sad to hear your undertoned comments.
> The
> Company must have been happy with the nurse to have employed her/him for
> so
> long.   Whilst I support underpinning practice with the best possible
> research based evidence,  I have no doubts in my mind that a good
> Enrolled
> Nurse with 20 years Occ Health experience (who may also have some
> evidence
> for what she does - we don't know) would be preferable, to a young
> inexperienced, Degree Registered Nurse with no knowledge of the Company
> in
> which she works as there is evidence to suggest it is essential to 'know
> your company'.   Keeping on that note, it is said in a number of health
> promotion books including one by Ewles and Simnett (1999) it is better
> not
> to try to change the internal politics in these situations but to learn
> it
> and work around it.
>
> So in summary, I agree a compromise would be sensible, with a good sound
> knowledge of the company, to avoid conflict and anarchy in the ranks.
> A
> gentle shift towards prevention with introduction to how to help
> yourself,
> health promotion including work related things, but also when to ask OH
> and
> when to see the GP etc etc.  and some health screenings etc and work
> place
> monitoring, but with the employees knowing they are still cared for, may
> be
> the way forwards.
>
> Regards
>
> Kaaren
>
>
>
> -----Original Message-----
> From: Reddoch, Margaret [mailto:[log in to unmask]]
> Sent: 29 January 2004 13:21
> To: [log in to unmask]
> Subject: Re: TREATMENT SERVICE
>
>
> Dear Elaine
>
> What about suggesting compromises? If the staff are used to this
> 'nursing'
> service, they are not only going to miss it if it is discontinued at a
> stroke, but are likely to feel resentful which could be
> counterproductive to
> overall OccHealth service. What's wrong with having a rest room where
> women
> with dysmen. can lie down with or without a hot water bottle? the OH
> nurse
> doesn't necessarily have to minister to them, or even be around.Ditto
> people
> with migraine, post epileptic fit etc etc.most of these people will go
> back
> to work after half an hour or so whereas otherwise they would more than
> likely have gone home. I've found giving people a chance to discuss
> their
> general health concerns reaps benefits both in their view of the overall
> OH
> service and in keeping them productive at work and it doesn't have to
> take
> up much time. A paracetamol machine will solve most peoples OTC
> medication
> needs. I agree about empowering first aiders
>
> Allthe best
> Margaret
>
>
>
>  From: Elaine Dobson [mailto:[log in to unmask]]
> Sent: 29 January 2004 11:37
> To: [log in to unmask]
> Subject: TREATMENT SERVICE
>
>
>
> Dear All
>
>
>
> I have prepared a presentation for a company who has asked for an
> assessment
> and recommendations for the future of their OH service.  I am happy with
> it
> so far but would like some more "ammunition" as to why the present
> treatment
> service should be discontinued.
>
>
>
> Current service
>
> SEN who has been in post for 20 years and is retiring - wears uniform!
>
> Rest room with two hospital beds, she gives hot water bottles to women
> with
> dysmenorrhoea!
>
> Not surprisingly I was shown a cupboard full of OTC medicines!
>
>
>
> I was hoping to be able to quote some legislation as to why the OHN
> should
> not be administering OTC medication to back up my arguments. None of
> this
> medication is specifically related to hazards on site. It appears that
> if
> the Dr is willing to produce a standing order for this stuff then why
> shouldn't the OHN continue to administer it.  I can not find any
> evidence to
> back up my recommendation to remove this service.
>
>
>
> I have covered cost effectiveness in use Of OH time
>
> Safety issues keeping people at work who are ill and who work on
> production
> line
>
> Promoted pro active rather than reactive service
>
> Empowerment of First Aiders as she still sticks the plasters on
>
>
>
> This is a good time to reshape the service.  Your comments would be
> appreciated.
>
>
>
> Many thanks
>
>
>
> Elaine
>
>
>
>
>
>
>
>
>
> ~~~~~~~~~~~~~~~ Please remove this footer before replying. Visit
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
>
>
> "This transmission is strictly confidential and intended solely for the
> addressee. It may contain information which is covered by legal,
> professional or other privilege. If you are not the intended addressee,
> you
> must not disclose, copy or take any action in reliance on this
> transmission.
> If you have received this transmission in error, please notify us as
> soon as
> possible."
>
> ~~~~~~~~~~~~~~~ Please remove this footer before replying. Visit
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
> Visit http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> ------------------------------------------------
>
> This Email together with any attachments is confidential and intended
> solely for the person to whom it is addressed. The unauthorised use,
> distribution, copying or alteration of the e-mail is forbidden and may
> be unlawful. If you have received the same in error, please advise the
> sender immediately by returning the e-mail and then delete it from your
> system.
>
> As Internet communications are not secure, Martin-Baker Aircraft Company
> Limited does not accept legal responsibility for the contents of this
> e-mail or attachments. Furthermore, you should carry out such virus and
> other checks as considered appropriate to ensure that the opening and/or
> use of this e-mail and any attachments does not adversely affect other
> systems or data, for which Martin-Baker Aircraft Company Limited can
> accept no legal responsibility.
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
> Visit http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
> Visit http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
> Visit http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

~~~~~~~~~~~~~~~
Please remove this footer before replying.
Visit http://www.jiscmail.ac.uk/lists/occ-health.html for list archives