Hello Sue
I would be interested in reading more about your particular worries and
those of the practitioners you have met at conferences.
I see the "Black Report" as not being perfect, there is an emphasis on the
NHS, my experience of the NHS as a provider of health care recently has been
extremely disappointing - can they take this on?
As a starting point for OH, there were lots of things I would have liked to
have seen included which were not eg there was no recommendation to make
access to an OHS a statutory requirement.
Fit notes - this is a better emphasis than a sick note culture. I would like
to see OH being included in the education of all nurses and medics and
particularly so in the education of GPs.
Perhaps the threat to OHNs is the emphasis on Case Management - We could
find our role eroded if we don't watch out. For several years I have been
advocating that OHNs ensure that they are extremely skilled in vocational
rehab.
I don't think the Black report will be the end of OH practice as we know it.
NMC requirements on the content and delivery on OH programmes will have a
greater influence on the focus of OHN practice.
Looking forward to hearing from you, and anyone else who would like to share
their views.
Best
Anne
On 10/4/08 19:25, "Susan Clarke" <[log in to unmask]> wrote:
> Some more pontifications from Sue.......... i am really not happy with
> what I am hearing. Tuesday, I spent an excellent day in London at Imperial
> College for Asthma study day and it was excellent. But much other talk was
> the Black Report and the future of OH. It is not only the OHA's who are
> not happy, the OHP's are not either. Surely, we need to take some radical
> action, before our choices are made for us?
>
>
> It seems to me that RCN is now disowning OH and concentrating on the NHS.
> There are two possibilities moving forward: building new alliances and
> adapting, or sit back and watch OH die away as a profession. Putting aside
> the distinct possibility that Gordon Brown's government will be replaced
> in 2009, the main partner for OH could be the BMA. Although both groups
> might question this, there are good reasons for closer collaboration. In
> particular, the Government is again meeting resistance from the BMA about
> implementing vascular screening :
>
> ** Health screening for the over-40s **
> People aged 40 to 74 will be given key health checks under government
> plans which aim to save 2,000 lives a year.
> < http://news.bbc.co.uk/go/em/fr/-/1/hi/health/7323072.stm >
>
>
> . A partnership between the BMA and OH (which now needs a home, IOSH?)
> could create a much better response to rehabilitation etc. (perhaps the
> Australian model?). At present, the doctor's are neither willing nor
> qualified to properly implement the well note / tick box strategy and it
> will fail. Take this example, overheard on a cross country bus service.
> The driver is talking to his colleague whom he is taking to the depot.
> They are irritated by the unfairness of work changes in the company. About
> regional differences in pay, the state of the buses, their suitability for
> cross-country work and so on. Then the case of a co-worker who has been
> long term sick comes up. He's back, but is on 'light duties'. They scoff:
> what does 'light duties' mean? Should he drive or not? If so, how far?
> What should he drive? What shifts should he work? Does he need cover? Is
> it safe? Who is going to assess all that? The GP - in 3 minutes? I think
> not.
>
>
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