At 21:00 10/12/2009, you wrote:
>Your health details *are* confidential: clinical governance, best=20
>practice and occupational health standards require that you take actions=20
>to provide protection to your patients (if there is a risk of infection=20
>from you or your staff) and to your staff who might be at risk of=20
>infection.
>
>Surely the requirement is for a statement that all relevant at risk=20
>staff have been offered appropriate protection: x have completed the=20
>course and immunity identified: y have completed the course but not=20
>developed immunity: z refused immunisation after counselling.
>
>Risk assessment to:-
>a. patients
>b. staff
>
>Further action contemplated.
>
>**WHY** do they need the names?
>(Don't suppose anyone is interested in the risks involved....
Someone should be interested in the risks involved, have completed a
COSHH assessment, and take responsibility for Health & Safety at Work issues.
From the point of view of protection of the patient there is a list
of Exposure Prone Procedures, EPPs, at:
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/Browsable/DH_5368137
If I am reading that correctly normal general practice doesn't really
seem to include any EPPs, however GPs themselves should be immunized
/ immune, and I'd presume in most practices all staff who have
contact with intimate body fluids (including spillage events) would
be treated in the same way.
Each practice's INTERNAL records should demonstrate all that Mary
suggests, including because of COSHH regulations a written statement
of the risk assessment and the staff, patients AND PCT should be able
to have confidence in this.
More broadly thanks for all the feedback on this. From the point of
view of those most deeply involved (and not on this list) it's
perhaps fair to say that the matter has been "put to bed".
Julian
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