Print

Print



Hello Jacqui
Sounds as if the company you work for need a bit of education on consent and data protection.
I cannot understand why employees need to fill out such a detailed consent form.  Yes I can understand when writing a report back to managers, but it is unnecessary to have NI and GP details.  Do you get a copy of this consent form and what happens if someone wants to self refer to you?  I would assume it would be down to you to decide if you need to write to their GP, but why cannot you write to them do managers or personnel do this directly?
What does your own employer say?  Was it something highlighted in a needs analysis?
Sorry Jacqui, I don't think this really helps you does it?

Regards        Cate

========================================
Message date : Jul 13 2004, 11:55 PM
From : "Jacqui Waddell"

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 14 Jul 2004 16:14:01 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Richardson <[log in to unmask]>
Subject:      =?iso-8859-1?Q?New_Page?=
Content-Type: text/plain; charset="iso-8859-1"
Mime-Version: 1.0
Content-Transfer-Encoding: 8bit

Hi all,
Just another pesky email I'm afraid.  Alas just one response on my
previous requests on donating OH stuff to a repository on my site.  I
know you guys are busy, or feel that you may not have anything suitable
to donate, so not a problem.  I thought I would let you guys know that
I have a new page on the site(www.ohadvisor.com) which I thought might
be of interest, in particular those in the NHS.  It's just a look at
the draft OH Guideline proposals for LAP 3 (London Agency Project).  It
has the immunity requirements and I have transformed the algorithms
into a interactive page rather than the straight forward flow charts.
The pages are not yet finished but work all the same.  Applogies in
advance for any errors or typo's.  I will reply to any queries on my
return from an extended risk assessment of sunbeds in the
Caribbean(?spelling).  If something like this is useful, then a small
windows applet could be produced, any comments will be appreciated.
Best Regards
Paul
--
Paul G Richardson BA RGN OND

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 14 Jul 2004 17:58:49 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         OccHealth <[log in to unmask]>
Subject:      Health Surveillance with Soldering Fumes
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_001E_01C469CC.3733C100"

This is a multi-part message in MIME format.

------=_NextPart_000_001E_01C469CC.3733C100
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hello all

I have been asked to look at monitoring employees who are in continual =
contact with soldering fumes.
Having not met this one before I thought I would ask for assistance from =
anyone who has knowledge/experience of this type of Health Surveillance. =

Like is there any mandatory surveillance with regard to soldering fumes; =
if so what?
 best practice surveillance do others carry out?
How frequently is this done? etc etc

Many thanks in anticipation.
Helen

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_001E_01C469CC.3733C100
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1264" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>Hello all</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>I have been asked&nbsp;to look =
at&nbsp;monitoring=20
employees who are in continual contact with soldering =
fumes.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Having not met this one before I =
thought I would=20
ask for assistance from anyone who has knowledge/experience of this type =
of=20
Health Surveillance. </FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Like is there any&nbsp;mandatory =
surveillance with=20
regard to soldering fumes; if so what?</FONT></DIV>
<DIV><FONT face=3DArial size=3D2> best practice surveillance do others =
carry=20
out?</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>How frequently is this done? etc =
etc</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Many thanks in =
anticipation.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Helen</FONT></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001E_01C469CC.3733C100--
=========================================================================
Date:         Wed, 14 Jul 2004 17:58:28 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chris Packham <[log in to unmask]>
Subject:      Re: Health Surveillance with Soldering Fumes
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0079_01C469CC.2AFEE810"

This is a multi-part message in MIME format.

------=_NextPart_000_0079_01C469CC.2AFEE810
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

You state that your workers are in continual contact with soldering =
fumes. Soldering fume is known to be a sensitiser and exposure should be =
eliminated. Otherwise you are not in compliance with COSHH! Health =
monitoring will not help you except to prove that you are damaging =
workers health and prove that your organisation is not COSHH compliant.

Usually adequate control is quite easy to achieve. Depending upon the =
situation there are various options, such as soldering irons with =
inbuilt extraction, downdraft benches etc. If you have any problems with =
this give me a call/e-mail off the forum and I will try to help.

Regards
Chris Packham
EnviroDerm Services
Tel: 01386 832 311

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_0079_01C469CC.2AFEE810
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3D"Times New Roman" color=3D#000080 size=3D4>You state =
that your=20
workers are in continual contact with soldering fumes.&nbsp;</FONT><FONT =

face=3D"Times New Roman" color=3D#000080 size=3D4>Soldering fume is =
known to be a=20
sensitiser and exposure should be eliminated. Otherwise you are not in=20
compliance with COSHH! Health monitoring will not help you except to =
prove that=20
you are damaging workers health and prove that your organisation is not =
COSHH=20
compliant.</FONT></DIV>
<DIV><FONT face=3D"Times New Roman" color=3D#000080 =
size=3D4></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Times New Roman" color=3D#000080 size=3D4>Usually =
adequate control=20
is quite easy to achieve. Depending upon the situation there are various =

options, such as soldering irons with inbuilt extraction, downdraft =
benches etc.=20
If you have any problems with this give me a call/e-mail off the forum =
and I=20
will try to help.</FONT></DIV>
<DIV><FONT face=3D"Times New Roman" color=3D#000080 =
size=3D4></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Times New Roman" color=3D#000080 =
size=3D4>Regards</FONT></DIV>
<DIV><FONT face=3D"Times New Roman" color=3D#000080 size=3D4>Chris=20
Packham</FONT></DIV>
<DIV><FONT face=3D"Times New Roman" color=3D#000080 size=3D4>EnviroDerm=20
Services</FONT></DIV>
<DIV><FONT face=3D"Times New Roman" color=3D#000080 size=3D4>Tel: 01386 =
832=20
311</FONT></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0079_01C469CC.2AFEE810--
=========================================================================
Date:         Wed, 14 Jul 2004 18:17:13 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Swann, Alan B" <[log in to unmask]>
Subject:      Re: Health Surveillance with Soldering Fumes
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C469C6.6780C600"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C469C6.6780C600
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

If they are exposed to fumes of colophony (rosin) based solder then yes, =
HSurv is required. However a last resort. Substitution with other types =
of solder should be considered (often, though not always possible) & =
ventilation protection (soldering irons fitted with tip-mounted suction =
devices are most effective. )
I think there is info on the HSE website
If Hsurv is requires, then it as for other respiratory sensitisers: =
questionnaire survey on symptoms of asthma, backed up with lung function =
tests if necessary. Your OccPhysician support should be involved
=20
Dr. Alan Swann, BM, AFOM
Director of Occupational Health
Occupational Health Service
Imperial College London
Southside building
South Kensington Campus
London
SW7 2AZ
Tel:       +44 (20) 7594 9385
Fax:      +44 (20) 7594 9407
http://www.imperial.ac.uk/hq/occhealth/
https://www.imperial.ac.uk/spectrum/occhealth (Intranet)
=20
-----Original Message-----
From: OccHealth [mailto:[log in to unmask]]
Sent: 14 July 2004 17:59=20
To: [log in to unmask]
Subject: Health Surveillance with Soldering Fumes
=20
Hello all
=20
I have been asked to look at monitoring employees who are in continual =
contact with soldering fumes.
Having not met this one before I thought I would ask for assistance from =
anyone who has knowledge/experience of this type of Health Surveillance. =

Like is there any mandatory surveillance with regard to soldering fumes; =
if so what?
best practice surveillance do others carry out?
How frequently is this done? etc etc
=20
Many thanks in anticipation.
Helen
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C469C6.6780C600
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<html xmlns:v=3D"urn:schemas-microsoft-com:vml" =
xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 9">
<meta name=3DOriginator content=3D"Microsoft Word 9">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C469CE.C92633C0">
<!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:Zoom>0</w:Zoom>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
 </w:WordDocument>
</xml><![endif]-->
<style>
<!--
 /* Font Definitions */
@font-face
        {font-family:"Arial Narrow";
        panose-1:2 11 5 6 2 2 2 3 2 4;
        mso-font-charset:0;
        mso-generic-font-family:swiss;
        mso-font-pitch:variable;
        mso-font-signature:647 0 0 0 159 0;}
@font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;
        mso-font-charset:0;
        mso-generic-font-family:swiss;
        mso-font-pitch:variable;
        mso-font-signature:553679495 -2147483648 8 0 66047 0;}
 /* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
p.MsoAutoSig, li.MsoAutoSig, div.MsoAutoSig
        {margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
span.EmailStyle15
        {mso-style-type:personal-reply;
        mso-ansi-font-size:10.0pt;
        mso-ascii-font-family:Arial;
        mso-hansi-font-family:Arial;
        mso-bidi-font-family:Arial;
        color:navy;}
p.bullhigh, li.bullhigh, div.bullhigh
        {mso-style-name:bullhigh;
        mso-style-update:auto;
        margin:0cm;
        margin-bottom:.0001pt;
        text-indent:0cm;
        mso-pagination:widow-orphan;
        tab-stops:list 18.0pt;
        text-autospace:none;
        font-size:10.0pt;
        font-family:"Arial Narrow";
        mso-fareast-font-family:"Times New Roman";
        mso-bidi-font-family:"Times New Roman";}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;
        mso-header-margin:35.4pt;
        mso-footer-margin:35.4pt;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
 /* List Definitions */
ol
        {margin-bottom:0cm;}
ul
        {margin-bottom:0cm;}
-->
</style>
<!--[if gte mso 9]><xml>
 <o:shapedefaults v:ext=3D"edit" spidmax=3D"1027"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <o:shapelayout v:ext=3D"edit">
  <o:idmap v:ext=3D"edit" data=3D"1"/>
 </o:shapelayout></xml><![endif]-->
</head>

<body bgcolor=3Dwhite lang=3DEN-GB style=3D'tab-interval:36.0pt'>

<div class=3DSection1>

<p class=3DMsoNormal><span class=3DEmailStyle15><font size=3D2 =
color=3Dnavy face=3DArial><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>If=
 they
are exposed to fumes of colophony (rosin) based solder then yes, HSurv =
is
required. However a last resort. Substitution with other types of solder =
should
be considered (often, though not always possible) &amp; ventilation =
protection
(soldering irons fitted with tip-mounted suction devices are most =
effective. )<o:p></o:p></span></font></span></p>

<p class=3DMsoNormal><span class=3DEmailStyle15><font size=3D2 =
color=3Dnavy face=3DArial><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>I =
think there
is info on the HSE website<o:p></o:p></span></font></span></p>

<p class=3DMsoNormal><span class=3DEmailStyle15><font size=3D2 =
color=3Dnavy face=3DArial><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>If=
 Hsurv is
requires, then it as for other respiratory sensitisers: questionnaire =
survey on
symptoms of asthma, backed up with lung function tests if necessary. =
Your
OccPhysician support should be =
involved<o:p></o:p></span></font></span></p>

<p class=3DMsoNormal><span class=3DEmailStyle15><font size=3D2 =
color=3Dnavy face=3DArial><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><!=
[if =
!supportEmptyParas]>&nbsp;<![endif]><o:p></o:p></span></font></span></p>

<p class=3DMsoAutoSig><!--[if supportFields]><span =
class=3DEmailStyle15><font=20
size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:10.0pt;mso-bidi-font-size:
12.0pt;font-family:Arial'><span =
style=3D'mso-element:field-begin'></span><span=20
style=3D"mso-spacerun: yes">&nbsp;</span>AUTOTEXTLIST \s &quot;E-mail=20
Signature&quot; <span =
style=3D'mso-element:field-separator'></span></span></font></span><![endi=
f]--><!--[if supportFields]><font=20
color=3Dblack><span style=3D'color:black'><span =
style=3D'mso-element:field-begin'></span><span=20
style=3D"mso-spacerun: yes">&nbsp;</span>AUTOTEXTLIST \s &quot;E-mail=20
Signature&quot; <span =
style=3D'mso-element:field-separator'></span></span></font><![endif]--><f=
ont
color=3Dnavy face=3D"Arial Narrow"><span style=3D'font-family:"Arial =
Narrow";
color:navy'>Dr. Alan Swann, BM, AFOM</span></font><font color=3Dnavy
face=3D"Arial Narrow"><span style=3D'font-family:"Arial =
Narrow";color:navy;
mso-color-alt:windowtext'><o:p></o:p></span></font></p>

<p class=3DMsoAutoSig><b><font size=3D3 color=3Dnavy face=3D"Arial =
Narrow"><span
style=3D'font-size:12.0pt;font-family:"Arial =
Narrow";color:navy;font-weight:bold'>Director
of Occupational Health</span></font></b><b><font color=3Dnavy =
face=3D"Arial Narrow"><span
style=3D'font-family:"Arial Narrow";color:navy;mso-color-alt:windowtext;
font-weight:bold'><o:p></o:p></span></font></b></p>

<p class=3DMsoAutoSig><font size=3D3 color=3Dnavy face=3D"Arial =
Narrow"><span
style=3D'font-size:12.0pt;font-family:"Arial =
Narrow";color:navy'>Occupational
Health Service</span></font><font color=3Dnavy face=3D"Arial =
Narrow"><span
style=3D'font-family:"Arial =
Narrow";color:navy;mso-color-alt:windowtext'><o:p></o:p></span></font></p=
>

<p class=3DMsoAutoSig><font size=3D3 color=3Dnavy face=3D"Arial =
Narrow"><span
style=3D'font-size:12.0pt;font-family:"Arial =
Narrow";color:navy'>Imperial College
London</span></font><font color=3Dnavy face=3D"Arial Narrow"><span
style=3D'font-family:"Arial =
Narrow";color:navy;mso-color-alt:windowtext'><o:p></o:p></span></font></p=
>

<p class=3DMsoAutoSig><font size=3D3 color=3Dnavy face=3D"Arial =
Narrow"><span
style=3D'font-size:12.0pt;font-family:"Arial =
Narrow";color:navy'>Southside
building</span></font><font color=3Dnavy face=3D"Arial Narrow"><span
style=3D'font-family:"Arial =
Narrow";color:navy;mso-color-alt:windowtext'><o:p></o:p></span></font></p=
>

<p class=3DMsoAutoSig><font size=3D3 color=3Dnavy face=3D"Arial =
Narrow"><span
style=3D'font-size:12.0pt;font-family:"Arial Narrow";color:navy'>South =
Kensington
Campus</span></font><font color=3Dnavy face=3D"Arial Narrow"><span
style=3D'font-family:"Arial =
Narrow";color:navy;mso-color-alt:windowtext'><o:p></o:p></span></font></p=
>

<p class=3DMsoAutoSig><font size=3D3 color=3Dnavy face=3D"Arial =
Narrow"><span
style=3D'font-size:12.0pt;font-family:"Arial =
Narrow";color:navy'>London</span></font><font
color=3Dnavy face=3D"Arial Narrow"><span style=3D'font-family:"Arial =
Narrow";
color:navy;mso-color-alt:windowtext'><o:p></o:p></span></font></p>

<p class=3DMsoAutoSig><font size=3D3 color=3Dnavy face=3D"Arial =
Narrow"><span
style=3D'font-size:12.0pt;font-family:"Arial Narrow";color:navy'>SW7 =
2AZ</span></font><font
color=3Dnavy face=3D"Arial Narrow"><span style=3D'font-family:"Arial =
Narrow";
color:navy;mso-color-alt:windowtext'><o:p></o:p></span></font></p>

<p class=3DMsoAutoSig><font size=3D3 color=3Dnavy face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt;color:navy'>Tel: <span =
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>+44
(20) 7594 9385</span></font><font color=3Dnavy><span =
style=3D'color:navy;
mso-color-alt:windowtext'><o:p></o:p></span></font></p>

<p class=3DMsoAutoSig><font size=3D3 color=3Dnavy face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt;color:navy'>Fax: <span =
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp; </span>+44
(20) 7594 9407</span></font><font color=3Dnavy><span =
style=3D'color:navy;
mso-color-alt:windowtext'><o:p></o:p></span></font></p>

<p class=3DMsoAutoSig><font size=3D3 color=3Dnavy face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt;color:navy'>http://www.imperial.ac.uk/hq/occhea=
lth/</span></font><font
color=3Dnavy><span =
style=3D'color:navy;mso-color-alt:windowtext'><o:p></o:p></span></font></=
p>

<p class=3DMsoAutoSig><font size=3D3 color=3Dnavy face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt;color:navy'>https://www.imperial.ac.uk/spectrum=
/occhealth
(Intranet)</span></font><font color=3Dnavy><span =
style=3D'color:navy;mso-color-alt:
windowtext'><o:p></o:p></span></font></p>

<p class=3DMsoNormal><!--[if supportFields]><font color=3Dblack><span=20
style=3D'color:black'><span =
style=3D'mso-element:field-end'></span></span></font><![endif]--><!--[if =
supportFields]><span=20
class=3DEmailStyle15><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><span =
style=3D'mso-element:
field-end'></span></span></font></span><![endif]--><span =
class=3DEmailStyle15><font
size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:10.0pt;mso-bidi-font-size:
12.0pt;font-family:Arial'><![if =
!supportEmptyParas]>&nbsp;<![endif]><o:p></o:p></span></font></span></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblack
face=3DTahoma><span =
style=3D'font-size:10.0pt;font-family:Tahoma;color:black'>-----Original
Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> OccHealth
[mailto:[log in to unmask]]<br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 14 July 2004 17:59 =
<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Health =
Surveillance with
Soldering Fumes</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span style=3D'font-size:12.0pt'><![if =
!supportEmptyParas]>&nbsp;<![endif]><o:p></o:p></span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblack
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:black'>Hello
all</span></font><font color=3Dblack><span =
style=3D'color:black;mso-color-alt:windowtext'><o:p></o:p></span></font><=
/p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
color=3Dblack
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;color:black'>&nbsp;</span></font><font
color=3Dblack><span =
style=3D'color:black;mso-color-alt:windowtext'><o:p></o:p></span></font><=
/p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblack
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:black'>I have
been asked&nbsp;to look at&nbsp;monitoring employees who are in =
continual
contact with soldering fumes.</span></font><font color=3Dblack><span
style=3D'color:black;mso-color-alt:windowtext'><o:p></o:p></span></font><=
/p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblack
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:black'>Having
not met this one before I thought I would ask for assistance from anyone =
who
has knowledge/experience of this type of Health Surveillance. =
</span></font><font
color=3Dblack><span =
style=3D'color:black;mso-color-alt:windowtext'><o:p></o:p></span></font><=
/p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblack
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:black'>Like is
there any&nbsp;mandatory surveillance with regard to soldering fumes; if =
so
what?</span></font><font color=3Dblack><span =
style=3D'color:black;mso-color-alt:
windowtext'><o:p></o:p></span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblack
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:black'>best
practice surveillance do others carry out?</span></font><font =
color=3Dblack><span
style=3D'color:black;mso-color-alt:windowtext'><o:p></o:p></span></font><=
/p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblack
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:black'>How
frequently is this done? etc etc</span></font><font color=3Dblack><span
style=3D'color:black;mso-color-alt:windowtext'><o:p></o:p></span></font><=
/p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
color=3Dblack
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;color:black'>&nbsp;</span></font><font
color=3Dblack><span =
style=3D'color:black;mso-color-alt:windowtext'><o:p></o:p></span></font><=
/p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblack
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:black'>Many
thanks in anticipation.</span></font><font color=3Dblack><span =
style=3D'color:black;
mso-color-alt:windowtext'><o:p></o:p></span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblack
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:black'>Helen</span></fo=
nt><font
color=3Dblack><span =
style=3D'color:black;mso-color-alt:windowtext'><o:p></o:p></span></font><=
/p>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C469C6.6780C600--
=========================================================================
Date:         Wed, 14 Jul 2004 21:21:10 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Stuart Cooper <[log in to unmask]>
Subject:      Re: consent forms
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Hi Jacqui,

It is a while since I answered any queries here so I thought I better start
again!

There is no requirement whatsoever for you to have a consent form signed by
the employee to enable you to provide a report to a referrer following an OH
consultation, as long as you are purely acting in an OH capacity and not as
a treating practitioner.  Where you are involved in the treatment of an
individual then the Access to Medical Reports Act would apply.

Also, in respect of OH advice, you are not providing confidential medical
information, purely functional capability advice.  Where medical
confidential information is being given, this should indeed only be with the
individual's informed consent, in line with the Access to Medical Reports
Act.

It is of course good practice for the employee to be advised by the referrer
at the time of referral to OH, what the purpose of the consultation is.
Ideally they will have had sight of the referral form.  On your part, it is
of course important at the start of the consultation you explain it's
purpose, the role of OH and confirm medical confidentiality.

I hope that this helps.

With best wishes,

Stuart.
----- Original Message -----
From: "Jacqui Waddell" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, July 13, 2004 11:45 PM
Subject: consent forms


> I am an Occupational Health Nursing Advisor and have been told by my
> employer that I must get managers to sign a consent form before they come
> to see me (they are consenting to say they are happy to come and see me
> and are happy for me to povide a written report back to management if
> required)
>
> I dont have a problem with this in theory but I am concerned about the
> validity of the consent form and whether it is suitable for purpose.  I
> have been told that I must use the consent form that is used throughout
> the whole business.  This has information such as National Insurance
> number (which I thought was not supposed to be used any more), GP and
> specialist details. Within my current contract I am not in a position to
> request a report from a GP and therefore I do not feel this is a suitable
> consent form.
>
> Most importantly the consent form states that the individual is consenting
> to a face to face consultation with a doctor.  Since I am an Occuaptional
> Health Nurse I do not feel that this consent is valid.  I would be
> greatful to hear other peoples views.
>
> Many Thanks
>
> Jacqui Waddell
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 15 Jul 2004 11:46:38 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Smith Eileen (RLN) City Hospitals Sunderland - Occupational
              Health" <[log in to unmask]>
Subject:      Re: Health Surveillance with Soldering Fumes
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C46A59.01733EA0"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C46A59.01733EA0
Content-Type: text/plain;
        charset="iso-8859-1"

Helen, I know that colophony is one of the main target areas of the HSE in
relation to health surveillance/main causes of occupational asthma.
We provide HS to anyone using rosin based solder, at start date, 6 weeks and
12 weeks, then yearly.
Hope this helps.
Eileen

-----Original Message-----
From: OccHealth [mailto:[log in to unmask]]
Sent: 14 July 2004 17:59
To: [log in to unmask]
Subject: Health Surveillance with Soldering Fumes


Hello all

I have been asked to look at monitoring employees who are in continual
contact with soldering fumes.
Having not met this one before I thought I would ask for assistance from
anyone who has knowledge/experience of this type of Health Surveillance.
Like is there any mandatory surveillance with regard to soldering fumes; if
so what?
best practice surveillance do others carry out?
How frequently is this done? etc etc

Many thanks in anticipation.
Helen
~~~~~~~~~~~~~~~


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C46A59.01733EA0
Content-Type: text/html;
        charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 6.00.2800.1400" name=GENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=#ffffff>
<DIV><SPAN class=968363610-15072004><FONT face=Arial color=#0000ff size=2>Helen,
I know that colophony is one of the main&nbsp;target areas of the HSE in
relation to health surveillance/main causes of occupational
asthma.</FONT></SPAN></DIV>
<DIV><SPAN class=968363610-15072004><FONT face=Arial color=#0000ff
size=2>We&nbsp;provide HS to anyone using rosin based solder, at start date, 6
weeks and 12 weeks, then yearly.</FONT></SPAN></DIV>
<DIV><SPAN class=968363610-15072004><FONT face=Arial color=#0000ff size=2>Hope
this helps.</FONT></SPAN></DIV>
<DIV><SPAN class=968363610-15072004><FONT face=Arial color=#0000ff
size=2>Eileen</FONT></SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> OccHealth
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 14 July 2004
  17:59<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Health
  Surveillance with Soldering Fumes<BR><BR></FONT></DIV>
  <DIV><FONT face=Arial size=2>Hello all</FONT></DIV>
  <DIV><FONT face=Arial size=2></FONT>&nbsp;</DIV>
  <DIV><FONT face=Arial size=2>I have been asked&nbsp;to look at&nbsp;monitoring
  employees who are in continual contact with soldering fumes.</FONT></DIV>
  <DIV><FONT face=Arial size=2>Having not met this one before I thought I would
  ask for assistance from anyone who has knowledge/experience of this type of
  Health Surveillance. </FONT></DIV>
  <DIV><FONT face=Arial size=2>Like is there any&nbsp;mandatory surveillance
  with regard to soldering fumes; if so what?</FONT></DIV>
  <DIV><FONT face=Arial size=2>best practice surveillance do others carry
  out?</FONT></DIV>
  <DIV><FONT face=Arial size=2>How frequently is this done? etc etc</FONT></DIV>
  <DIV><FONT face=Arial size=2></FONT>&nbsp;</DIV>
  <DIV><FONT face=Arial size=2>Many thanks in anticipation.</FONT></DIV>
  <DIV><FONT face=Arial size=2>Helen</FONT></DIV>~~~~~~~~~~~~~~~<SPAN
  class=968363610-15072004><FONT face=Arial color=#0000ff
  size=2>&nbsp;&nbsp;</FONT></SPAN></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C46A59.01733EA0--
=========================================================================
Date:         Thu, 15 Jul 2004 13:29:44 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Trevor Ogden <[log in to unmask]>
Subject:      Re: Health Surveillance with Soldering Fumes
In-Reply-To:  <002101c469c3$effb9cc0$37d0403e@mesh>
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="=====================_27618890==_.ALT"

--=====================_27618890==_.ALT
Content-Type: text/plain; charset="us-ascii"; format=flowed

If you haven't found it by now, you can download the HSE booklet 'Solder
fume and you' at http://www.hse.gov.uk/pubns/indg248.pdf

Trevor Ogden

>Hello all
>
>I have been asked to look at monitoring employees who are in continual
>contact with soldering fumes.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--=====================_27618890==_.ALT
Content-Type: text/html; charset="us-ascii"

<html>
If you haven't found it by now, you can download the HSE booklet 'Solder
fume and you' at
<a href="http://www.hse.gov.uk/pubns/indg248.pdf" eudora="autourl">http://www.hse.gov.uk/pubns/indg248.pdf</a><br><br>
Trevor Ogden<br><br>
<blockquote type=cite class=cite cite><font face="arial" size=2>Hello
all</font><br>
&nbsp;<br>
<font face="arial" size=2>I have been asked to look at monitoring
employees who are in continual contact with soldering
fumes.</font></blockquote></html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--=====================_27618890==_.ALT--
=========================================================================
Date:         Thu, 15 Jul 2004 18:46:50 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Helen Hannar <[log in to unmask]>
Subject:      Paint Fumes

Dear List,
I have a rather strange case at the momement.
An employee has complained of a reaction to an exernal paint product that
is used for painting the safety lines outside of her workplace. She has no
respiratory symptoms, no rhinnitis, no watering eyes etc.

Her reaction is that she feels tired when the paint is in use and has
fainted on 3 occaisions when the paint was in use outside and she was in
the building, 3 well ventilated rooms away. There was minimal paint smell,
in fact colleagues did not even realise any painting was being done.

Her employer has removed her from any area within contactable range of
external painting work and has offered to redeploy her to another unit.

The company has ordered environmental sampling when the paint is in use,
by roller as there is no spray painting. They are a little cynical of her
reaction and a recent GP report failed to mention any stated reaction to
the fumes that she was supposed to have attended her GP for. They now wish
to test for any allergies and reaction.
Would allergy testing indicate such a reaction to any components of a
paint product?? The data sheets indicate low hazard and the manufacturers
have not heard of such a reaction before, given the distances from the
actual painting being performed.

Grateful for any response,
Many thanks, Helen

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 15 Jul 2004 19:13:59 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Nazmiye Bury <[log in to unmask]>
Subject:      Re: Paint Fumes
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit

Dear Helen,
Certainly sounds unusual to me, though I sure am no expert when it comes to
these matters, I would have thought respiratory symptoms would have been the
most likely, or a skin reaction, but it sounds like it is not an allergic
reaction as she clearly has no allergic-type symptoms such as rhinitis,
urticaria, etc. Have you tried an OH physician regarding an opinion?
Otherwise what about an OH dept within the paint industry, such as dulux,
they may be able to help? Sorry can't be of any more help!
Naz

-----Original Message-----
From: Helen Hannar [mailto:[log in to unmask]]
Sent: 15 July 2004 18:47
To: [log in to unmask]
Subject: Paint Fumes

Dear List,
I have a rather strange case at the momement.
An employee has complained of a reaction to an exernal paint product that
is used for painting the safety lines outside of her workplace. She has no
respiratory symptoms, no rhinnitis, no watering eyes etc.

Her reaction is that she feels tired when the paint is in use and has
fainted on 3 occaisions when the paint was in use outside and she was in
the building, 3 well ventilated rooms away. There was minimal paint smell,
in fact colleagues did not even realise any painting was being done.

Her employer has removed her from any area within contactable range of
external painting work and has offered to redeploy her to another unit.

The company has ordered environmental sampling when the paint is in use,
by roller as there is no spray painting. They are a little cynical of her
reaction and a recent GP report failed to mention any stated reaction to
the fumes that she was supposed to have attended her GP for. They now wish
to test for any allergies and reaction.
Would allergy testing indicate such a reaction to any components of a
paint product?? The data sheets indicate low hazard and the manufacturers
have not heard of such a reaction before, given the distances from the
actual painting being performed.

Grateful for any response,
Many thanks, Helen

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 15 Jul 2004 19:27:26 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Swann, Alan B" <[log in to unmask]>
Subject:      Re: Paint Fumes
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Fainting is not a recognised allergic reaction. Neither is tiredness. =
You've already checked for, and found no symptoms of allergic responses =
to airborne allergic substances.=20
Some paints containing isocyanates can cause allergic sensitisation with =
subsequent development of asthma, but this would be mentioned on the =
data sheet or talking with the suppliers TechSupport.
From your description of circumstance, the only possible exposure will =
be to some volatile component of the paint. Wet paint is hardly dusty & =
application by roller will create far less aerosol than spray. I think =
that you have reasonable evidence on symptom history to exclude an =
allergy explanation & I'd have the courage of your conviction to say so. =

You might just want to check (if not already done) that there isn't a =
ventilation intake on the room adjacent to the paint area.=20
Allergy testing is not a route to pursue without good early evidence of =
an allergic response. You need to know your putative allergen, there may =
not be a specific test, or testing could take ages to organise & false =
negatives & positives are possible.


Dr. Alan Swann, BM, AFOM
Director of Occupational Health
Occupational Health Service
Imperial College London
Southside building
South Kensington Campus
London
SW7 2AZ
Tel:    +44 (20) 7594 9385
Fax:    +44 (20) 7594 9407
http://www.imperial.ac.uk/hq/occhealth/
https://www.imperial.ac.uk/spectrum/occhealth (Intranet)

 -----Original Message-----
From:   Helen Hannar [mailto:[log in to unmask]]=20
Sent:   15 July 2004 18:47=20
To:     [log in to unmask]
Subject:        Paint Fumes

Dear List,
I have a rather strange case at the momement.
An employee has complained of a reaction to an exernal paint product =
that
is used for painting the safety lines outside of her workplace. She has =
no
respiratory symptoms, no rhinnitis, no watering eyes etc.

Her reaction is that she feels tired when the paint is in use and has
fainted on 3 occaisions when the paint was in use outside and she was in
the building, 3 well ventilated rooms away. There was minimal paint =
smell,
in fact colleagues did not even realise any painting was being done.

Her employer has removed her from any area within contactable range of
external painting work and has offered to redeploy her to another unit.

The company has ordered environmental sampling when the paint is in use,
by roller as there is no spray painting. They are a little cynical of =
her
reaction and a recent GP report failed to mention any stated reaction to
the fumes that she was supposed to have attended her GP for. They now =
wish
to test for any allergies and reaction.
Would allergy testing indicate such a reaction to any components of a
paint product?? The data sheets indicate low hazard and the =
manufacturers
have not heard of such a reaction before, given the distances from the
actual painting being performed.

Grateful for any response,
Many thanks, Helen

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 15 Jul 2004 20:17:48 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chris Packham <[log in to unmask]>
Subject:      Re: Paint Fumes
MIME-Version: 1.0
Content-Type: text/plain; charset="Windows-1252"
Content-Transfer-Encoding: 7bit

Helen

Do you have a list of constituents of the paint. For me this would be a
starting point to see if there is anything in the paint that might trigger a
reaction of some sort or possibly explain what is happening. As the painting
is outside and she is inside any exposure is likely to be minimal, since any
volatile substance would almost certainly dissipate in the ambient air and
what could get into the room would be at an extremely low concentration
unless, as has been suggested, there was some sort of ventilation intake
that was drawing in a vapour.

I agree that the symptoms do not suggest an allergy and I would be very
surprised if testing for this would reveal anything at all. If you care to
let me have a list of constituents I will see if I can shed any further
light on this.

Regards
Chris Packham
EnviroDerm Services
[log in to unmask]
Tel: 01386 832 311
-----

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 16 Jul 2004 07:05:13 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      unusual reaction to paints
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

This may or may not help, but i get quite severe nausea, anxiety and a
general sense of being unwell when my husband uses 2 part epoxy glues or
isopon filler. (and he's not that bad at DIY!)

This can travel quite a distance and is debilitating. I have put it down to
some effect on the CNS, as opposed to an allergic reaction..

Best wishes
Diane R-W

_________________________________________________________________
Want to block unwanted pop-ups? Download the free MSN Toolbar now!
http://toolbar.msn.co.uk/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 16 Jul 2004 07:16:49 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      health surveillance with soldein fumes
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

I would suggest that the frequency of surveillance needs to be incresed for
anyone with pre existing asthma or who develops rhinitis while usng the
solder(if indeed it does contain colophony). Perhaps 6 monthly?

Best wishes,
Diane R-W

_________________________________________________________________
Stay in touch with absent friends - get MSN Messenger
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 16 Jul 2004 09:27:42 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Maguire, Kevin" <[log in to unmask]>
Subject:      Re: Paint Fumes
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

If having explored all the physical avenues, you still draw a blank,
presumably you have thought about other referrals: it sounds classic -
but I am not a clinician.

Kevin MAGUIRE BSc BA MSc CPsychol MCIEH, Senior Lecturer, Environmental
Health and Safety Management, The School of Property and Construction,
The Nottingham Trent University, Burton Street, Nottingham NG1 4BU,
United Kingdom.  Telephone ++44 (0)115 848 2603
=20

This e-mail is intended solely for the addressee. It may contain private
or confidential information. If you are not the intended addressee, you
must take no action on it nor show a copy to anyone. Please reply to
this e-mail to highlight the error.

Opinions and information in this e-mail which do not relate to the
business of The Nottingham Trent University shall be understood as
neither given nor endorsed by the university.

=20
=20

-----Original Message-----
From: Helen Hannar [mailto:[log in to unmask]]=20
Sent: 15 July 2004 18:47
To: [log in to unmask]
Subject: Paint Fumes

Dear List,
I have a rather strange case at the momement.
An employee has complained of a reaction to an exernal paint product
that
is used for painting the safety lines outside of her workplace. She has
no
respiratory symptoms, no rhinnitis, no watering eyes etc.

Her reaction is that she feels tired when the paint is in use and has
fainted on 3 occaisions when the paint was in use outside and she was in
the building, 3 well ventilated rooms away. There was minimal paint
smell,
in fact colleagues did not even realise any painting was being done.

Her employer has removed her from any area within contactable range of
external painting work and has offered to redeploy her to another unit.

The company has ordered environmental sampling when the paint is in use,
by roller as there is no spray painting. They are a little cynical of
her
reaction and a recent GP report failed to mention any stated reaction to
the fumes that she was supposed to have attended her GP for. They now
wish
to test for any allergies and reaction.
Would allergy testing indicate such a reaction to any components of a
paint product?? The data sheets indicate low hazard and the
manufacturers
have not heard of such a reaction before, given the distances from the
actual painting being performed.

Grateful for any response,
Many thanks, Helen

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 16 Jul 2004 20:46:08 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         heather bearpark <[log in to unmask]>
Subject:      Re: Allergic Rhinitis
Mime-Version: 1.0
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<html><div style=3D'background-color:'><P><BR><BR></P>Not come across thi=
s specific issue in car repair outfits where engines were run for periods=
 of time indoors although I have come across respiratory symptoms which m=
ay or may not have been attibuted to diesel fume.&nbsp; As someone else h=
as said, health surveillance is a good starting point along with diary of=
 symptoms, workplace and holidays etc.&nbsp;&nbsp;I would add OH Physicia=
n opinion.&nbsp; It is good practice&nbsp;in these areas to have extracti=
on venting systems which attach to the exhaust of vehicles when engine is=
 being run.<BR><BR><BR>
<DIV>
<DIV>Regards </DIV>Heather Bearpark </DIV></div><br clear=3Dall><hr>Sign =
up to the MSN Premium service in June and receive a FREE webcam worth =A3=
39.99!  <a href=3D"http://g.msn.com/8HMAENUK/2749??PS=3D47575">More detai=
ls here.</a> </html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sat, 17 Jul 2004 20:42:25 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Nazmiye Bury <[log in to unmask]>
Subject:      Re: removal from list
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0004_01C46C3E.919AA5E0"

This is a multi-part message in MIME format.

------=_NextPart_000_0004_01C46C3E.919AA5E0
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: 7bit

Hi Bashyr,

Can you please remove me from list asap as I'm going abroad for 6 months,
will re-subscribe on my return to UK

Cheers

Naz



  _____

From: Aziz, Bashyr [mailto:[log in to unmask]]
Sent: 01 July 2004 09:31
To: [log in to unmask]
Subject: New Website



Hello

Here's something that I'm sure you'll all want to subscribe to:

+++++++++++++++++++++++++++++++++++++++++++

Check out our new website at:  http://tutb.etuc.org

and subscribe to  TUTBmail

to be regularly updated on TUTB activities and European occupational health
and safety news.


Janine Delahaut
Information officer

TUTB - European Trade Union Technical Bureau for Health and Safety
Bd du Roi Albert II, 5
B 1210 Brussels
Tel. 32 2 224 05 52
Fax 32 2 224 05 61
E-mail: [log in to unmask]

+++++++++++++++++++++++++++++++++++++++++++



Bashyr Aziz

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0004_01C46C3E.919AA5E0
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<html xmlns:v=3D"urn:schemas-microsoft-com:vml" =
xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns:st1=3D"urn:schemas-microsoft-com:office:smarttags" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">
<meta name=3DGenerator content=3D"Microsoft Word 11 (filtered medium)">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]-->
<title>New Website</title>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"country-region"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"City"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"place"/>
<!--[if !mso]>
<style>
st1\:*{behavior:url(#default#ieooui) }
</style>
<![endif]-->
<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {margin:0cm;
        margin-bottom:.0001pt;
        font-size:12.0pt;
        font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
        {color:blue;
        text-decoration:underline;}
p
        {mso-margin-top-alt:auto;
        margin-right:0cm;
        mso-margin-bottom-alt:auto;
        margin-left:0cm;
        font-size:12.0pt;
        font-family:"Times New Roman";}
span.EmailStyle18
        {mso-style-type:personal-reply;
        font-family:Arial;
        color:navy;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;}
div.Section1
        {page:Section1;}
-->
</style>

</head>

<body lang=3DEN-GB link=3Dblue vlink=3Dblue>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Hi =
Bashyr,<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Can you please remove me from list =
asap as
I&#8217;m going abroad for 6 months, will re-subscribe on my return to =
<st1:country-region
w:st=3D"on"><st1:place =
w:st=3D"on">UK</st1:place></st1:country-region><o:p></o:p></span></font><=
/p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Cheers<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Naz <o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<div>

<div class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><font =
size=3D3
face=3D"Times New Roman"><span lang=3DEN-US style=3D'font-size:12.0pt'>

<hr size=3D2 width=3D"100%" align=3Dcenter tabindex=3D-1>

</span></font></div>

<p class=3DMsoNormal><b><font size=3D2 face=3DTahoma><span lang=3DEN-US
style=3D'font-size:10.0pt;font-family:Tahoma;font-weight:bold'>From:</spa=
n></font></b><font
size=3D2 face=3DTahoma><span lang=3DEN-US =
style=3D'font-size:10.0pt;font-family:Tahoma'>
Aziz, Bashyr [mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 01 July 2004 =
09:31<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> New =
Website</span></font><span
lang=3DEN-US><o:p></o:p></span></p>

</div>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:10.0pt;font-family:
"Courier New"'>Hello</span></font> <o:p></o:p></p>

<p><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:10.0pt;font-family:
"Courier New"'>Here's something that I'm sure you'll all want to =
subscribe to:</span></font>
<o:p></o:p></p>

<p><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:10.0pt;font-family:
"Courier New"'>+++++++++++++++++++++++++++++++++++++++++++</span></font> =
<o:p></o:p></p>

<p><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:10.0pt;font-family:
"Courier New"'>Check out our new website at:&nbsp; <a
href=3D"http://tutb.etuc.org">http://tutb.etuc.org</a> =
</span></font><o:p></o:p></p>

<p><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:10.0pt;font-family:
"Courier New"'>and subscribe to&nbsp; TUTBmail</span></font> =
<o:p></o:p></p>

<p><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:10.0pt;font-family:
"Courier New"'>to be regularly updated on TUTB activities and European
occupational health and safety news.</span></font> <o:p></o:p></p>

<p><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:10.0pt;font-family:
"Courier New"'>&nbsp;</span></font> <br>
<font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:10.0pt;font-family:"Courier New"'>Janine
Delahaut</span></font> <br>
<font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:10.0pt;font-family:"Courier New"'>Information
officer </span></font><o:p></o:p></p>

<p><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:10.0pt;font-family:
"Courier New"'>TUTB - European Trade Union Technical Bureau for Health =
and
Safety</span></font> <br>
<font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:10.0pt;font-family:"Courier New"'>Bd
du Roi Albert II, =
5&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></font><br>
<font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:10.0pt;font-family:"Courier New"'>B
1210 <st1:City w:st=3D"on"><st1:place =
w:st=3D"on">Brussels</st1:place></st1:City></span></font>
<br>
<font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:10.0pt;font-family:"Courier New"'>Tel.
32 2 224 05
52&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span></font><br>
<font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:10.0pt;font-family:"Courier New"'>Fax
32 2 224 05 61</span></font> <br>
<font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:10.0pt;font-family:"Courier New"'>E-mail:
[log in to unmask] </span></font><o:p></o:p></p>

<p><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:10.0pt;font-family:
"Courier New"'>+++++++++++++++++++++++++++++++++++++++++++</span></font> =
<o:p></o:p></p>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p><b><font size=3D3 color=3Dblue face=3DArial><span =
style=3D'font-size:12.0pt;
font-family:Arial;color:blue;font-weight:bold'>Bashyr
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;</span></font></b>&nbsp;<font
color=3Dblue face=3DArial><span style=3D'font-family:Arial;color:blue'> =
</span></font><o:p></o:p></p>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_0004_01C46C3E.919AA5E0--
=========================================================================
Date:         Sun, 18 Jul 2004 18:55:42 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Anne Harriss <[log in to unmask]>
Subject:      Re: Paint Fumes
In-Reply-To:  <[log in to unmask]>
Mime-version: 1.0
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

on 15/7/04 6:46 pm, Helen Hannar at [log in to unmask] wrote:

> Dear List,
> I have a rather strange case at the momement.
> An employee has complained of a reaction to an exernal paint product that
> is used for painting the safety lines outside of her workplace. She has no
> respiratory symptoms, no rhinnitis, no watering eyes etc.
>
> Her reaction is that she feels tired when the paint is in use and has
> fainted on 3 occaisions when the paint was in use outside and she was in
> the building, 3 well ventilated rooms away. There was minimal paint smell,
> in fact colleagues did not even realise any painting was being done.
>
> Her employer has removed her from any area within contactable range of
> external painting work and has offered to redeploy her to another unit.
>
> The company has ordered environmental sampling when the paint is in use,
> by roller as there is no spray painting. They are a little cynical of her
> reaction and a recent GP report failed to mention any stated reaction to
> the fumes that she was supposed to have attended her GP for. They now wish
> to test for any allergies and reaction.
> Would allergy testing indicate such a reaction to any components of a
> paint product?? The data sheets indicate low hazard and the manufacturers
> have not heard of such a reaction before, given the distances from the
> actual painting being performed.
>
> Grateful for any response,
> Many thanks, Helen
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
How interesting .... just a thought and playing devil's advocate but .... If
the possible exposure to this paint is going to be just a "one off" and her
exposure is not likely to be repeated is there any point in going down the
route of checking for sensitivities? Allergy testing is not a particularly
pleasant procedure not is it without risk in itself. There is also the costs
of referral to consider.

Anne

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 19 Jul 2004 04:01:11 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jo Jenkins <[log in to unmask]>
Subject:      Jo Jenkins/UK/CAMPSOUP/CSC is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

I will be out of the office starting  19/07/2004 and will not return until
02/08/2004.

Please forward your message to Rachel Sturman who may be able to help you.



**********************************************************************
This e-mail and any files transmitted with it may contain
confidential information and is intended solely for use by
the individual to whom it is addressed.  If you received
this e-mail in error, please notify the sender, do not
disclose its contents to others and delete it from your
system.

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

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 19 Jul 2004 09:33:01 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Factory visits
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Hi Folks

I have been asked by a catering manager in a larger NHS trust if I could
arrange for her to visit a canning factory and a factory dealing with
dehydrated foods as she is very interested in understanding the processes
involved. If anyone can help please would they contact me direct. Many
thanks in anticipation.......

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.709 / Virus Database: 465 - Release Date: 22/06/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 19 Jul 2004 09:54:28 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         June Carrington <[log in to unmask]>
Subject:      car headrests

I have a chap who has health issues re a neck problem and spends 60% of his
working time on the road (driving). The headrest in his car is offering him
no support and is not adjustable. Does any know of or used any companies
which offer advise re adjustable car headrests for this type of issue??

many thanks

June

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 19 Jul 2004 11:08:37 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Duncan Abbott <[log in to unmask]>
Subject:      Re: car headrests
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

June

Try a local mobility centre or the disability living foundation, details are
in the latest edition of EZ-1 ergonomics. This edition also deals with
making reasonable adjustments for drivers with disabling conditions and the
importance of driving assessments.  The edition also gives a full listing of
disability organisations who might also be able to offer you help. A full
supplier list will feature in the September issue.

For chair seats try Recaro as they provide ergonomic seating and may be able
to make a spefiic chair for you. To fund it you can always ask Access to
Work to make a financial contribution.

If you have not subscribed to EZ-1 send a blank email to
[log in to unmask] with subscribe in the subject line.


Best regards

Duncan Abbott
ergonomist at enricoSmog


----- Original Message -----
From: "June Carrington" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, July 19, 2004 9:54 AM
Subject: car headrests


> I have a chap who has health issues re a neck problem and spends 60% of
his
> working time on the road (driving). The headrest in his car is offering
him
> no support and is not adjustable. Does any know of or used any companies
> which offer advise re adjustable car headrests for this type of issue??
>
> many thanks
>
> June
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 19 Jul 2004 15:45:06 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         =?iso-8859-1?q?becky=20parker?= <[log in to unmask]>
Subject:      Re: car headrests
In-Reply-To:  <016501c46d78$5ccbf4f0$e7917ad5@Teddyboy>
MIME-Version: 1.0
Content-Type: multipart/alternative; boundary="0-412941546-1090248306=:98420"
Content-Transfer-Encoding: 8bit

--0-412941546-1090248306=:98420
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

June

It is important to be aware that a 'head rest' is not in fact somewhere to rest your head/or for support - it is there to stop someone getting whip lash in the event of an accident - called a 'head restraint'  However, these should be adjustable to fit all, does your chap drive a really old car?  I was under the impression that all new cars had singing and dancing ones.

Becky

Duncan Abbott <[log in to unmask]> wrote:
June

Try a local mobility centre or the disability living foundation, details are
in the latest edition of EZ-1 ergonomics. This edition also deals with
making reasonable adjustments for drivers with disabling conditions and the
importance of driving assessments. The edition also gives a full listing of
disability organisations who might also be able to offer you help. A full
supplier list will feature in the September issue.

For chair seats try Recaro as they provide ergonomic seating and may be able
to make a spefiic chair for you. To fund it you can always ask Access to
Work to make a financial contribution.

If you have not subscribed to EZ-1 send a blank email to
[log in to unmask] with subscribe in the subject line.


Best regards

Duncan Abbott
ergonomist at enricoSmog


----- Original Message -----
From: "June Carrington"
To:
Sent: Monday, July 19, 2004 9:54 AM
Subject: car headrests


> I have a chap who has health issues re a neck problem and spends 60% of
his
> working time on the road (driving). The headrest in his car is offering
him
> no support and is not adjustable. Does any know of or used any companies
> which offer advise re adjustable car headrests for this type of issue??
>
> many thanks
>
> June
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/







---------------------------------
 ALL-NEW Yahoo! Messenger - sooooo many all-new ways to express yourself

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-412941546-1090248306=:98420
Content-Type: text/html; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

<DIV>June</DIV>
<DIV>&nbsp;</DIV>
<DIV>It is important to be aware that a 'head rest' is not in fact somewhere to rest your head/or for support - it is there to stop someone getting whip lash in the event of an accident - called a 'head restraint' &nbsp;However, these should be adjustable to fit all, does your chap drive a really old car?&nbsp; I was under the impression that all new cars had singing and dancing ones.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Becky<BR><BR><B><I>Duncan Abbott &lt;[log in to unmask]&gt;</I></B> wrote:</DIV>
<BLOCKQUOTE class=replbq style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #1010ff 2px solid">June<BR><BR>Try a local mobility centre or the disability living foundation, details are<BR>in the latest edition of EZ-1 ergonomics. This edition also deals with<BR>making reasonable adjustments for drivers with disabling conditions and the<BR>importance of driving assessments. The edition also gives a full listing of<BR>disability organisations who might also be able to offer you help. A full<BR>supplier list will feature in the September issue.<BR><BR>For chair seats try Recaro as they provide ergonomic seating and may be able<BR>to make a spefiic chair for you. To fund it you can always ask Access to<BR>Work to make a financial contribution.<BR><BR>If you have not subscribed to EZ-1 send a blank email to<BR>[log in to unmask] with subscribe in the subject line.<BR><BR><BR>Best regards<BR><BR>Duncan Abbott<BR>ergonomist at enricoSmog<BR><BR><BR>----- Original Message
 -----<BR>From: "June Carrington" <[log in to unmask]><BR>To: <[log in to unmask]><BR>Sent: Monday, July 19, 2004 9:54 AM<BR>Subject: car headrests<BR><BR><BR>&gt; I have a chap who has health issues re a neck problem and spends 60% of<BR>his<BR>&gt; working time on the road (driving). The headrest in his car is offering<BR>him<BR>&gt; no support and is not adjustable. Does any know of or used any companies<BR>&gt; which offer advise re adjustable car headrests for this type of issue??<BR>&gt;<BR>&gt; many thanks<BR>&gt;<BR>&gt; June<BR>&gt;<BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove this footer before replying.<BR>&gt;<BR>&gt; For list archives and documents, go to<BR>&gt; http://www.jiscmail.ac.uk/lists/occ-health.html for list archives<BR>&gt;<BR>&gt; For jobs in Occupational Health, go to<BR>&gt; http://uk.groups.yahoo.com/group/OHJobs/<BR>&gt;<BR>&gt;<BR><BR>~~~~~~~~~~~~~~~<BR>Please remove this footer before replying.<BR><BR>For list archives and
 documents, go to<BR>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives<BR><BR>For jobs in Occupational Health, go to<BR>http://uk.groups.yahoo.com/group/OHJobs/<BR></BLOCKQUOTE><BR><BR><DIV>
<DIV>
<DIV><EM><FONT face="comic sans ms" color=#bf00bf size=3></FONT></EM>&nbsp;</DIV></DIV></DIV><p>
                <hr size=1> <font size="2" face="Verdana, Arial, Helvetica, sans-serif"><a href="http://uk.rd.yahoo.com/evt=21626/*http://uk.messenger.yahoo.com"><strong>ALL-NEW
Yahoo! Messenger</strong></a><strong> - <font color="#FF9900"><em>sooooo many
all-new ways to express yourself</em></font></strong></font>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-412941546-1090248306=:98420--
=========================================================================
Date:         Mon, 19 Jul 2004 08:09:08 -0700
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         ILISE Feitshans <[log in to unmask]>
Subject:      Fwd: PREPRINT of OEM article RE ASLME/ CDC PHLA meeting 2004
Comments: To: sara estes <[log in to unmask]>,
          Academy Health <[log in to unmask]>,
          Vietnam Association of Occupational Health <[log in to unmask]>,
          [log in to unmask], Sarah Keitt
          <[log in to unmask]>,
          viviana simon <[log in to unmask]>,
          Gloria Szollosi <[log in to unmask]>
Comments: cc: Carolyn Chavis <[log in to unmask]>,
          Madelaina D'Anella-Mercanti <[log in to unmask]>,
          Dhara Ramana <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative; boundary="0-1264512349-1090249748=:61640"

--0-1264512349-1090249748=:61640
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: quoted-printable
X-MIME-Autoconverted: from 8bit to quoted-printable by fili.jiscmail.ac.uk id i6JF9JQl027778



ILISE Feitshans <[log in to unmask]> wrote:Date: Wed, 14 Jul 2004 13:01:11=
 -0700 (PDT)
From: ILISE Feitshans=20
Subject: PREPRINT of OEM article RE ASLME/ CDC PHLA meeting 2004

Re-Inventing Public Health for the 21st Century: ASLME and CDC Bring Doct=
ors and Lawyers Together to Redefine the Role of Public Health.=20

Reported to OEM Report by Ilise L. Feitshans, JD and ScM

=20

Author, DESIGNING AN EFFECTIVE OSHA COMPLIANCE PROGRAM (Westlaw.com, upda=
ted annually)

Author BRINGING HEALTH TO WORK  and other books

Adjunct Associate Professor of Occupational and Environmental Health, GWU=
 SPHHS and Guest Lecturer at Yale University School of Medicine

120 Warwick Rd Haddonfield NJ USA 08033

856 428 0605    [log in to unmask]

=20

I. Taming the Wilds of   Uncontrolled Disease and Illness

The American Society of Law Medicine and Ethics convened its third public=
 health law conference, entitled, =93The Public's Health and the Law in t=
he 21st Century: A Partnership conference in Public Health Law=94 planned=
 in conjunction with the Centers for Disease Control and Prevention (CDC)=
 and the Public Health Law Association (PHLA) in Atlanta Georgia June 14-=
16 2004.  Physicians from state and county health offices across the nati=
on, law school faculty, public officials from Departments of Health, stat=
e and federal offices of the Attorney General, state legislatures, judges=
, lawyers and occupational health experts joined to create the projects d=
iscussed in workshops at this conference.=20

=20

II. New Directions  in Public Health Law

Despite the pervasive prominence of doctors in the shaping and implementa=
tion of public health policy, law provides the superstructure for the exi=
sting loosely defined public health  infrastructure. The inextricable lin=
k between an understanding of the superstructure of the legal system and =
the best practices in medicine that are necessary for the implementation =
of legal goals by the infrastructure was brought to the fore very clearly=
 in this conference, perhaps for the first time since the founding of joi=
nt programs in law and public health nearly two decades ago. This confere=
nce therefore represented a landmark in contemporary jurisprudence, becau=
se it represents the first series of conferences that clearly recognize t=
he centrality of law in the development of public health practice as an e=
ssential tool to promote and protect public health. Topics discussed incl=
uded new partners in community preparedness; lawyers as advocates in publ=
ic health practice; commercial speech and public
 health: regulating advertisements in tobacco, alcohol, high fat foods an=
d hazardous products; legal approaches to regulating internet tobacco sal=
es; legal frameworks for chronic disease prevention; whether quarantine i=
s voluntary or not, and implications of interdisciplinary communication a=
cross professions and its influence on law school curricula.=20

Several sessions addressed legal preparedness during emergencies, which r=
efers to the actual procedures involved in quarantine. Do judges need to =
see the defendant in person in times of  public health crisis such as an =
outbreak of a airborne agent  for bioterrorism? If not, can trials be hel=
d from a remote location without the defendant present? Plans were discus=
sed for "mass quarantine" to be managed much like the class actions in to=
xic torts, with only one set of facts studied in detail by the court and =
then applied to a large population of people. The courts might conduct tr=
ials of people who violated the quarantine from remote locations in such =
contexts, and also might have pleadings or administrative orders prepared=
 in advance of the outbreak.=20

As mentioned in the opening session, which sought public comment from the=
 assembled audience, there is a need to prepare =93benchbooks=94 which ar=
e loose leaf notebooks that provide guidance to judges informally, withou=
t the official imprimateur of a government agency or oversight authority.=
 Such benchbooks might contain sample pleadings for the arrest, search or=
 detention of individuals who are suspected of having come in contact wit=
h a biohazardous agent, such as anthrax or any other lethal virus. Questi=
ons were raised about the process for emergency credentialing of physicia=
ns and health professionals in times of crisis, when they may be handling=
 patients whose symptoms or actual diseases are outside the practicioner=92=
s area of specialization and expertise. This in turn raises issues about =
quality of care and whether the usual customary standards of care change =
during a public health  emergency. Does the profession relax standards of=
 care during an emergency, or in the alternative,
 require some emergency preparedness training of all practiconers such th=
at they can be equipped with the analytical tools to ask the right questi=
ons when confronted with a new or novel public health situation?=20

Existing laws already address many of the session topics, regardless whet=
her they do so in too much detail (to the point of becoming unconstitutio=
nally burdensome) or inadequately (so that they are unconstitutionally va=
gue). But, there was extensive discussion about the inadequacies of these=
 laws and their need  to reflect new public health data and methodologies=
. There was discussion in several sessions about new approaches to outdat=
ed laws using the Turning Point Model  State Public Health Act  and also =
the Model Emergency Health Powers Act.  Both laws have been copied by doz=
ens of states in response to 9/11.  The conference organizers in this reg=
ard deliberately attempted to build a long-overdue analytical bridge betw=
een medical professionals and the law that could bring the  public health=
 perspective to the teaching of law.=20

This embryonic concept was illustrated by a student from a joint degree p=
rogram in law and public health in Georgia, in which she described the tr=
ibulations of professors who neither understood epidemiology and biostati=
stics and also failed to grasp the public health underpinnings of major a=
reas of the law such as torts, civil rights and civil liberties, property=
 issues involving public nuisances and sanitation,  and constitutional la=
w.  There was lively interaction between three law teachers, as they disc=
ussed the changing role of  public health law courses in light of recent =
pandemics and other current events. Several panelists entertained the not=
ion of  using a perspective of public health as a standard component of a=
ll law schools=92 coursework. Under this construct, even when course name=
s are unchanged, greater attention could be paid to the public health rol=
e of the law and the way in which public health policy problems are a pla=
yer in shaping the evidence and outcome of major
 litigation.  This embryonic concept was illustrated by a student from a =
joint-degree (public health  and law) program in Georgia The conference w=
orkshops also underscored the disconnect that separates local public heal=
th authorities from private sector providers including occupational healt=
h services and occupational medicine physicians. At the conference, a new=
 award was presented, honoring people who work in both medicine and publi=
c health. The presence of such professionals and the recent founding of t=
he Public Health Law Association, which includes many doctors and  health=
  professionals is in itself a milestone, marking  an emerging collective=
 discipline. =20

=20

III. Emergency Planning: New Approaches or An Old Refrain?=20

Another new beachhead in public health jurisprudence is the merging conce=
pt of Legal Preparedness for national public health emergencies, which wo=
uld have lawyers, judges and physicians on call in the event of a public =
health emergency in order to control the movement of populations in the e=
vent of a known outbreak of illness or disease, or in the wake of a biote=
rrorist event that releases a harmful biological agent. According to the =
writings of Moulton, Legal preparedness has four core elements: 1 laws; 2=
 competencies of those whop make, implement  and interpret laws; 3 inform=
ation across disciplines and 4 co-ordination across disciplines and juris=
dictions.  Renewed concern for the old areas of disaster relief, now focu=
sed on emergency episodes such as a possible bioterrorism event, calls in=
to question the possible impact of emergencies on hospitals and ordinary =
health care providers. Would they serve voluntarily: who covers the poten=
tial liability when they are not working on
 behalf of the hospital or their regular practice; if serving as a volunt=
eer do good Samaritan rules apply, and if not, what is the standard of ca=
re; are they required to have specialized training outside of their usual=
 realm of expertise?  In order to develop guidelines, procedures that wou=
ld be implemented during emergencies and a chain of command, legal adviso=
rs have already been integrated into the planning stages of disaster prot=
ection and containment.=20

It is important to note that all these discussions revolved around the us=
e of pre-existing, albeit dormant powers within the public health codes o=
f contemporary legal systems in the states and upheld by the US Supreme C=
ourt. Since the turn of the twentieth century, several efforts have been =
made to codify  public health police powers and to solidify into one cohe=
rent analytical framework the loosely configured and interrelated notions=
 of public health police powers found in the various state and local publ=
ic health laws in the USA.  One new model discussed extensively at this c=
onference, the State Emergency Home Powers Act, calls into action the con=
vening of an advisory group to advise the governor, and then provides he =
governor with broad powers to draft  renewable executive orders of thirty=
 days duration. Such orders include but are not limited to the authority =
to suspend pharmacy rules or licensing rules in order to allow  doctors a=
nd health professionals from other states to
 enter to administer care in times of a disaster or national emergency.  =
While it is not yet clear whether the Model acts will fill the existing v=
oids in local laws even after they have been widely adopted, the completi=
on of the model act project in itself is a significant jurisprudential ac=
complishment, reflecting a new maturity in the field of public health law=
. It has become common since the mid-twentieth century to convene expert =
panels of lawyers and law teachers to focus on specialized topics under l=
aw and prepare so-called "model" acts, which are designed to provide a fl=
exible framework for creating new legislation in complex areas of the law=
, ranging from toxic torts, international trade contracts involving sever=
al nations or multinational corporations, and areas on the frontiers of s=
cience. Although a "Model" act is not designed to  dictate the precise la=
nguage that the legislature should use when writing a law, it is viewed a=
s a consensus document that reflects refined
 thinking and best practices in a given area of the law. So too, with the=
 Turning Point Model act and the other model laws that have been discusse=
d at this conference.

=20

IV. The "Crisis Du Jour" Syndrome in Public Health Legislation and Fundin=
g

Discussion of emergency preparedness, legal planning as well as emergency=
 medical services brought the conference discussion to an old refrain in =
public health:  A sustained investment in public health research, rather =
than merely funding the =93crisis du jour,=94 is necessary to ensure new =
and better public health practices. Dr. Georges Benjamin, Executive Direc=
tor of the American Public Health Association (APHA)  who spoke at a plen=
ary session,  decried the endemic topic-of-the-month approach to funding =
an public awareness of public health problems, noting that chronic illnes=
s and the public's need for the medical work of the public health infrast=
ructure does not end when the funding goes away. He recognized the need t=
o engage the public as an active force in national public health efforts.=
 Benjamin cited surveys showing that even in the post-September 11 United=
 States, a large percentage of the public still believes they have never =
been touched by a public health service. Fear that
 the perpetual, if not inevitable, discontinuity in public health funding=
 for all types of epidemiological studies and health care can ruin even t=
he best of plans to promote health and prevent injury, disease and illnes=
s  was a theme common to several speakers. The national scope of public h=
ealth efforts needs to be adapted to fit the global nature of health chal=
lenges, said Benjamin, who supports a plan to increase CDC=92=92s budget =
by $1 billion over the next five years. This theme was echoed by  Edward =
Richards, in the paper he prepared for a session regarding obesity, which=
 is a legislative public health policy topic "du jour". According to Rich=
ards, " Unless the constituents or a powerful citizen or industry lobby c=
are about an issue, there is little time and few resources to address it=85=
 Programs which might be effective in the long run will see their funding=
 cut because they make little short-term difference, and other issues wil=
l capture the public imagination".=20

Dr. Howard Markel, who also addressed the full conference, echoed  Dr. Be=
njamin's comments about a sustained investment in public health, referrin=
g to the =93tragic refrain=94 of epidemics and public health crises that =
are quickly forgotten by the public as the next issue surfaces. Howard Ma=
rkel, MD, PhD,  is George E. Wantz Professor of the History of Medicine, =
University of Michigan, a physician-historian who has chronicled the hist=
ory of the public health enterprise in the U.S., commenting on the =93tra=
gic refrain=94 of public health crises that are quickly forgotten by the =
public as the next problem emerges. His new book, "When Germs Travel", wh=
ich was available autographed by the author,   illustrates this point by =
describing the impact of six different pandemics from the twentieth centu=
ry in the USA. A mentality that ignores a disease like SARS today because=
 it was important "last year"  belies the fact that public health issues =
persist even after public attention wanes. Markel  also
 attempted to debunk the myth that immigration waves brought disease. Thi=
s theme, sounded during the waves of  immigration at the time of the TB p=
andemic, black plague, cholera, has been echoed at the time of HIV/AIDS a=
nd SARS. Dr Markel discussed his book's evidence that immigrants were and=
 still are the scapegoats of disease. Popular fear is focused, however, o=
n the sudden events and not the chronic diseases. Chronic disease is a mo=
re widespread problem, but it takes a long time and people don't see it h=
appening, so they stop funding the research once the public health commun=
ity has stemmed the tide of increased incidence.  Markel discussed use of=
 14th amendment due process clause to reverse a 1920's  order that preven=
ted US citizens of Chinese ancestry to move freely in the USA. He emphasi=
zed the need to exploring less restrictive alternatives before declaring =
a quarantine: management of illness through emergency services, and incre=
ased screenings.=20

V. Conclusions: Old Wine in New Bottles? New Views of Old Public Health P=
olicy

The  cornerstone of  the legal basis for implementing public health measu=
res has always been the police power which grants states the inherent aut=
hority to protect the health welfare and safety of all citizens.  The rhe=
toric of public health law, although offered by fewer voices from fewer t=
ypes of professions in past centuries, sounds after this conference to be=
 very much the same. It may well be that the rhetoric is unchanged since =
the nineteenth century US Supreme Court cases that discussed mass vaccina=
tion. But the meaning of the terms and conditions embedded in that rhetor=
ic has dramatically changed in millennial leap to the twenty first centur=
y, compared with the twentieth century context. The rhetoric is unchanged=
; yet one major problem remains: sound public health law and its practice=
 are like water; too few droplets in the desert and people die of thirst,=
 too much water flooding the lowlands and people drown; for best practice=
s in public health under law are  invisible yet
 essential to life when it is available in the appropriate measure.  Yet =
 water all the same. Thus the use of public health police power must be a=
pplied appropriately in each different context, in order to be effective =
and valid. =20

In conclusion, the most complex question raised by this important new par=
tnership, therefore, is not whether the disciplines should be merged, for=
 their link is inextricable, but whether any of the topics addressed toge=
ther are truly new in the area of public health policy. Unchanged with th=
e new vision of public health law in the 21st century is the traditional =
 model of public health intervention using the police power inherent in g=
overnance. The conference reflected not merely the emergence of a new uni=
fied collective discipline of public health law, but also a renewed under=
standing that the linchpin of the ability to exercise such powers remains=
: funding for implementation. In this sense, the collective view of publi=
c health law that has begun to evolve in the decades since the passage of=
 the Toxic Substances Control Act (TSCA) and the Occupational Safety and =
Health Act (OSH Act) of  1970 uses the long-standing language of public h=
ealth police powers to address old issues that
 were never given sustained attention or adequate funding in the twentiet=
h century.

=20

Ilise L Feitshans  JD and ScM.   Barnard College, Columbia University BA =
Cum laude 1979; Georgetown University Law Center JD  1983;  ScM Johns Hop=
kins University  1996.  She is a former Member of the Faculty from Columb=
ia University School of Law, and the author of  five books, including WAL=
KING BACKWARDS TO UNDO PREJUDICE and over 100 articles.  Feitshans is the=
 author of DESIGNING AN EFFECTIVE OSHA COMPLIANCE PROGRAM, a treatise for=
 lawyers on Westlaw.com updated annually, and BRINGING HEALTH TO WORK.  I=
n addition to al Guest Lectures at Yale University School of Medicine and=
 many colleges and universities, she has organized three conferences abou=
t inclusion and special education, most recently the "Right to Learn" con=
ference. She  presented seminars at the United Nations Fourth World Confe=
rence on Women , China (1995). She is a Member of the Womens' Committee o=
f the State of  NJ Council on Developmental Disabilities. She is Adjunct =
Associate Professor of Occupational and
 Environmental Health at GWU  SPHHS.=20

=20



~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--0-1264512349-1090249748=:61640
Content-Type: text/html; charset=us-ascii
Content-Transfer-Encoding: quoted-printable
X-MIME-Autoconverted: from 8bit to quoted-printable by fili.jiscmail.ac.uk id i6JF9JQl027778

<DIV><BR><BR><B><I>ILISE Feitshans &lt;[log in to unmask]&gt;</I></B> wrot=
e:
<BLOCKQUOTE class=3Dreplbq style=3D"PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #1010ff 2px solid">Date: Wed, 14 Jul 2004 13:01:11 -0700 (PD=
T)<BR>From: ILISE Feitshans <[log in to unmask]><BR>Subject: PREPRINT of O=
EM article RE ASLME/ CDC PHLA meeting 2004<BR>
<DIV>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt"><B><I><SPAN style=3D"F=
ONT-SIZE: 14pt; mso-bidi-font-size: 12.0pt"><FONT face=3D"Times New Roman=
">Re-Inventing Public Health for the 21<SUP>st</SUP> Century: ASLME and C=
DC Bring Doctors and Lawyers Together to Redefine the Role of Public Heal=
th. <?xml:namespace prefix =3D o ns =3D "urn:schemas-microsoft-com:office=
:office" /><o:p></o:p></FONT></SPAN></I></B></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt"><B><FONT size=3D3><FON=
T face=3D"Times New Roman">Reported to OEM Report by Ilise L. Feitshans, =
JD and ScM<o:p></o:p></FONT></FONT></B></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt"><B><FONT size=3D3><FON=
T face=3D"Times New Roman">&nbsp;<o:p></o:p></FONT></FONT></B></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt"><B><FONT size=3D3><FON=
T face=3D"Times New Roman">Author, DESIGNING AN EFFECTIVE OSHA COMPLIANCE=
 PROGRAM (Westlaw.com, updated annually)<o:p></o:p></FONT></FONT></B></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt"><B><FONT size=3D3><FON=
T face=3D"Times New Roman">Author BRINGING HEALTH TO WORK<SPAN style=3D"m=
so-spacerun: yes">&nbsp; </SPAN>and other books<o:p></o:p></FONT></FONT><=
/B></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt"><B><FONT size=3D3><FON=
T face=3D"Times New Roman">Adjunct Associate Professor of Occupational an=
d Environmental Health, GWU SPHHS and Guest Lecturer at Yale University S=
chool of Medicine<o:p></o:p></FONT></FONT></B></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt"><B><FONT size=3D3><FON=
T face=3D"Times New Roman">120 Warwick Rd Haddonfield NJ USA 08033<o:p></=
o:p></FONT></FONT></B></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt"><B><FONT size=3D3><FON=
T face=3D"Times New Roman">856 428 0605<SPAN style=3D"mso-spacerun: yes">=
&nbsp;&nbsp;&nbsp; </SPAN>[log in to unmask] <o:p></o:p></FONT></FONT></B>=
</P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt"><FONT size=3D3><FONT f=
ace=3D"Times New Roman">&nbsp;<o:p></o:p></FONT></FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt"><B><FONT size=3D3><FON=
T face=3D"Times New Roman">I. Taming the Wilds of<SPAN style=3D"mso-space=
run: yes">&nbsp;&nbsp; </SPAN>Uncontrolled Disease and Illness<o:p></o:p>=
</FONT></FONT></B></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; TE=
XT-ALIGN: justify"><FONT face=3D"Times New Roman" size=3D3>The American S=
ociety of Law Medicine and Ethics convened its third public health law co=
nference, entitled, =93The Public's Health and the Law in the 21<SUP>st</=
SUP> Century: A Partnership conference in Public Health Law=94 planned in=
 conjunction with the Centers for Disease Control and Prevention (CDC) an=
d the Public Health Law Association (PHLA) in Atlanta Georgia June 14-16 =
2004.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>Physicians from stat=
e and county health offices across the nation, law school faculty, public=
 officials from Departments of Health, state and federal offices of the A=
ttorney General, state legislatures, judges, lawyers and occupational hea=
lth experts joined to create the projects discussed in workshops at this =
conference. </FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt"><B><FONT size=3D3><FON=
T face=3D"Times New Roman">&nbsp;<o:p></o:p></FONT></FONT></B></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt"><B><FONT size=3D3><FON=
T face=3D"Times New Roman">II. New Directions<SPAN style=3D"mso-spacerun:=
 yes">&nbsp; </SPAN>in Public Health Law<o:p></o:p></FONT></FONT></B></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"><F=
ONT face=3D"Times New Roman" size=3D3>Despite the pervasive prominence of=
 doctors in the shaping and implementation of public health policy, law p=
rovides the superstructure for the existing loosely defined public health=
<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>infrastructure. The inext=
ricable link between an understanding of the superstructure of the legal =
system and the best practices in medicine that are necessary for the impl=
ementation of legal goals by the infrastructure was brought to the fore v=
ery clearly in this conference, perhaps for the first time since the foun=
ding of joint programs in law and public health nearly two decades ago. T=
his conference therefore represented a landmark in contemporary jurisprud=
ence, because it represents the first series of conferences that clearly =
recognize the centrality of law in the development of public health pract=
ice as an essential tool to promote and protect public
 health. Topics discussed included new partners in community preparedness=
; lawyers as advocates in public health practice; commercial speech and p=
ublic health: regulating advertisements in tobacco, alcohol, high fat foo=
ds and hazardous products; legal approaches to regulating internet tobacc=
o sales; legal frameworks for chronic disease prevention; whether quarant=
ine is voluntary or not, and implications of interdisciplinary communicat=
ion across professions and its influence on law school curricula. </FONT>=
</P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"><F=
ONT face=3D"Times New Roman" size=3D3>Several sessions addressed legal pr=
eparedness during emergencies, which refers to the actual procedures invo=
lved in quarantine. Do judges need to see the defendant in person in time=
s of<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>public health crisis =
such as an outbreak of a airborne agent<SPAN style=3D"mso-spacerun: yes">=
&nbsp; </SPAN>for bioterrorism? If not, can trials be held from a remote =
location without the defendant present? Plans were discussed for "mass qu=
arantine" to be managed much like the class actions in toxic torts, with =
only one set of facts studied in detail by the court and then applied to =
a large population of people. The courts might conduct trials of people w=
ho violated the quarantine from remote locations in such contexts, and al=
so might have pleadings or administrative orders prepared in advance of t=
he outbreak. </FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 4.95pt 0in 0pt; TEXT-INDENT: 0.5in"=
><FONT face=3D"Times New Roman" size=3D3>As mentioned in the opening sess=
ion, which sought public comment from the assembled audience, there is a =
need to prepare =93benchbooks=94 which are loose leaf notebooks that prov=
ide guidance to judges informally, without the official imprimateur of a =
government agency or oversight authority. Such benchbooks might contain s=
ample pleadings for the arrest, search or detention of individuals who ar=
e suspected of having come in contact with a biohazardous agent, such as =
anthrax or any other lethal virus. Questions were raised about the proces=
s for emergency credentialing of physicians and health professionals in t=
imes of crisis, when they may be handling patients whose symptoms or actu=
al diseases are outside the practicioner=92s area of specialization and e=
xpertise. This in turn raises issues about quality of care and whether th=
e usual customary standards of care change during a public
 health<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>emergency. Does th=
e profession relax standards of care during an emergency, or in the alter=
native, require some emergency preparedness training of all practiconers =
such that they can be equipped with the analytical tools to ask the right=
 questions when confronted with a new or novel public health situation? <=
/FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"><F=
ONT face=3D"Times New Roman" size=3D3>Existing laws already address many =
of the session topics, regardless whether they do so in too much detail (=
to the point of becoming unconstitutionally burdensome) or inadequately (=
so that they are unconstitutionally vague). But, there was extensive disc=
ussion about the inadequacies of these laws and their need<SPAN style=3D"=
mso-spacerun: yes">&nbsp; </SPAN>to reflect new public health data and me=
thodologies. There was discussion in several sessions about new approache=
s to outdated laws using the Turning Point Model<SPAN style=3D"mso-spacer=
un: yes">&nbsp; </SPAN>State Public Health Act<SPAN style=3D"mso-spacerun=
: yes">&nbsp; </SPAN>and also the Model Emergency Health Powers Act.<SPAN=
 style=3D"mso-spacerun: yes">&nbsp; </SPAN>Both laws have been copied by =
dozens of states in response to 9/11.<SPAN style=3D"mso-spacerun: yes">&n=
bsp; </SPAN>The conference organizers in this regard deliberately
 attempted to build a long-overdue analytical bridge between medical prof=
essionals and the law that could bring the<SPAN style=3D"mso-spacerun: ye=
s">&nbsp; </SPAN>public health perspective to the teaching of law. </FONT=
></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"><F=
ONT size=3D3><FONT face=3D"Times New Roman">This embryonic concept was il=
lustrated by a student from a joint degree program in law and public heal=
th in Georgia, in which she described the tribulations of professors who =
neither understood epidemiology and biostatistics and also failed to gras=
p the public health underpinnings of major areas of the law such as torts=
, civil rights and civil liberties, property issues involving public nuis=
ances and sanitation,<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>and =
constitutional law.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>There =
was lively interaction between three law teachers, as they discussed the =
changing role of<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>public he=
alth law courses in light of recent pandemics and other current events. S=
everal panelists entertained the notion of<SPAN style=3D"mso-spacerun: ye=
s">&nbsp; </SPAN>using a perspective of public health <SPAN
 style=3D"mso-bidi-font-weight: bold">as a standard component of all law =
schools=92 coursework. Under this construct, even when course names are u=
nchanged, greater attention could be paid to the public health role of th=
e law and the way in which public health policy problems are a player in =
shaping the evidence and outcome of major litigation.</SPAN><B style=3D"m=
so-bidi-font-weight: normal"> </B><SPAN style=3D"mso-spacerun: yes">&nbsp=
;</SPAN>This embryonic concept was illustrated by a student from a joint-=
degree <SPAN style=3D"mso-bidi-font-weight: bold">(public health<SPAN sty=
le=3D"mso-spacerun: yes">&nbsp; </SPAN>and law)</SPAN> program in Georgia=
 The conference workshops also underscored the disconnect that separates =
local public health authorities from private sector providers including o=
ccupational health services and occupational medicine physicians. At the =
conference, a new award was presented, honoring people who work in both m=
edicine and public health. The presence of such professionals
 and the recent founding of the Public Health Law Association, which incl=
udes many doctors and<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>heal=
th<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>professionals is in its=
elf a milestone, marking<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>a=
n emerging collective discipline.<SPAN style=3D"mso-spacerun: yes">&nbsp;=
 </SPAN></FONT></FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt"><FONT size=3D3><FONT f=
ace=3D"Times New Roman">&nbsp;<o:p></o:p></FONT></FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt"><B><FONT size=3D3><FON=
T face=3D"Times New Roman">III. Emergency Planning: New Approaches or An =
Old Refrain? <o:p></o:p></FONT></FONT></B></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"><F=
ONT face=3D"Times New Roman" size=3D3>Another new beachhead in public hea=
lth jurisprudence is the merging concept of Legal Preparedness for nation=
al public health emergencies, which would have lawyers, judges and physic=
ians on call in the event of a public health emergency in order to contro=
l the movement of populations in the event of a known outbreak of illness=
 or disease, or in the wake of a bioterrorist event that releases a harmf=
ul biological agent. According to the writings of Moulton, Legal prepared=
ness has four core elements: 1 laws; 2 competencies of those whop make, i=
mplement<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>and interpret law=
s; 3 information across disciplines and 4 co-ordination across discipline=
s and jurisdictions.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>Renew=
ed concern for the old areas of disaster relief, now focused on emergency=
 episodes such as a possible bioterrorism event, calls into
 question the possible impact of emergencies on hospitals and ordinary he=
alth care providers. Would they serve voluntarily: who covers the potenti=
al liability when they are not working on behalf of the hospital or their=
 regular practice; if serving as a volunteer do good Samaritan rules appl=
y, and if not, what is the standard of care; are they required to have sp=
ecialized training outside of their usual realm of expertise?<SPAN style=3D=
"mso-spacerun: yes">&nbsp; </SPAN>In order to develop guidelines, procedu=
res that would be implemented during emergencies and a chain of command, =
legal advisors have already been integrated into the planning stages of d=
isaster protection and containment. </FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"><F=
ONT face=3D"Times New Roman" size=3D3>It is important to note that all th=
ese discussions revolved around the use of pre-existing, albeit dormant p=
owers within the public health codes of contemporary legal systems in the=
 states and upheld by the US Supreme Court. Since the turn of the twentie=
th century, several efforts have been made to codify<SPAN style=3D"mso-sp=
acerun: yes">&nbsp; </SPAN>public health police powers and to solidify in=
to one coherent analytical framework the loosely configured and interrela=
ted notions of public health police powers found in the various state and=
 local public health laws in the USA.<SPAN style=3D"mso-spacerun: yes">&n=
bsp; </SPAN>One new model discussed extensively at this conference, the S=
tate Emergency Home Powers Act, calls into action the convening of an adv=
isory group to advise the governor, and then provides he governor with br=
oad powers to draft<SPAN style=3D"mso-spacerun: yes">&nbsp;
 </SPAN>renewable executive orders of thirty days duration. Such orders i=
nclude but are not limited to the authority to suspend pharmacy rules or =
licensing rules in order to allow<SPAN style=3D"mso-spacerun: yes">&nbsp;=
 </SPAN>doctors and health professionals from other states to enter to ad=
minister care in times of a disaster or national emergency.<SPAN style=3D=
"mso-spacerun: yes">&nbsp; </SPAN>While it is not yet clear whether the M=
odel acts will fill the existing voids in local laws even after they have=
 been widely adopted, the completion of the model act project in itself i=
s a significant jurisprudential accomplishment, reflecting a new maturity=
 in the field of public health law. It has become common since the mid-tw=
entieth century to convene expert panels of lawyers and law teachers to f=
ocus on specialized topics under law and prepare so-called "model" acts, =
which are designed to provide a flexible framework for creating new legis=
lation in complex areas of the law, ranging from
 toxic torts, international trade contracts involving several nations or =
multinational corporations, and areas on the frontiers of science. Althou=
gh a "Model" act is not designed to<SPAN style=3D"mso-spacerun: yes">&nbs=
p; </SPAN>dictate the precise language that the legislature should use wh=
en writing a law, it is viewed as a consensus document that reflects refi=
ned thinking and best practices in a given area of the law. So too, with =
the Turning Point Model act and the other model laws that have been discu=
ssed at this conference.</FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"><F=
ONT size=3D3><FONT face=3D"Times New Roman">&nbsp;<o:p></o:p></FONT></FON=
T></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt"><B><FONT size=3D3><FON=
T face=3D"Times New Roman">IV. The "Crisis Du Jour" Syndrome in Public He=
alth Legislation and Funding<o:p></o:p></FONT></FONT></B></P>
<P class=3DMsoNormal style=3D"MARGIN: 4.95pt 0in 0pt; TEXT-INDENT: 0.5in"=
><FONT face=3D"Times New Roman" size=3D3>Discussion of emergency prepared=
ness, legal planning as well as emergency medical services brought the co=
nference discussion to an old refrain in public health:<SPAN style=3D"mso=
-spacerun: yes">&nbsp; </SPAN>A sustained investment in public health res=
earch, rather than merely funding the =93crisis du jour,=94 is necessary =
to ensure new and better public health practices. Dr. Georges Benjamin, E=
xecutive Director of the American Public Health Association (APHA)<SPAN s=
tyle=3D"mso-spacerun: yes">&nbsp; </SPAN>who spoke at a plenary session,<=
SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>decried the endemic topic-=
of-the-month approach to funding an public awareness of public health pro=
blems, noting that chronic illness and the public's need for the medical =
work of the public health infrastructure does not end when the funding go=
es away. He recognized the need to engage the public as an active
 force in national public health efforts. Benjamin cited surveys showing =
that even in the post-September 11 United States, a large percentage of t=
he public still believes they have never been touched by a public health =
service. Fear that the perpetual, if not inevitable, discontinuity in pub=
lic health funding for all types of epidemiological studies and health ca=
re can ruin even the best of plans to promote health and prevent injury, =
disease and illness<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>was a =
theme common to several speakers. The national scope of public health eff=
orts needs to be adapted to fit the global nature of health challenges, s=
aid Benjamin, who supports a plan to increase CDC=92=92s budget by $1 bil=
lion over the next five years. This theme was echoed by<SPAN style=3D"mso=
-spacerun: yes">&nbsp; </SPAN>Edward Richards, in the paper he prepared f=
or a session regarding obesity, which is a legislative public health poli=
cy topic "du jour". According to Richards, " Unless the
 constituents or a powerful citizen or industry lobby care about an issue=
, there is little time and few resources to address it=85 Programs which =
might be effective in the long run will see their funding cut because the=
y make little short-term difference, and other issues will capture the pu=
blic imagination". </FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 4.95pt 0in 0pt; TEXT-INDENT: 0.5in"=
><FONT face=3D"Times New Roman" size=3D3>Dr. Howard Markel, who also addr=
essed the full conference, echoed<SPAN style=3D"mso-spacerun: yes">&nbsp;=
 </SPAN>Dr. Benjamin's comments about a sustained investment in public he=
alth, referring to the =93tragic refrain=94 of epidemics and public healt=
h crises that are quickly forgotten by the public as the next issue surfa=
ces. Howard Markel, MD, PhD,<SPAN style=3D"mso-spacerun: yes">&nbsp; </SP=
AN>is George E. Wantz Professor of the History of Medicine, University of=
 Michigan, a physician-historian who has chronicled the history of the pu=
blic health enterprise in the U.S., commenting on the =93tragic refrain=94=
 of public health crises that are quickly forgotten by the public as the =
next problem emerges. His new book, "When Germs Travel", which was availa=
ble autographed by the author,<SPAN style=3D"mso-spacerun: yes">&nbsp;&nb=
sp; </SPAN>illustrates this point by describing the impact of six
 different pandemics from the twentieth century in the USA. A mentality t=
hat ignores a disease like SARS today because it was important "last year=
"<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>belies the fact that pub=
lic health issues persist even after public attention wanes. Markel<SPAN =
style=3D"mso-spacerun: yes">&nbsp; </SPAN>also attempted to debunk the my=
th that immigration waves brought disease. This theme, sounded during the=
 waves of<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>immigration at t=
he time of the TB pandemic, black plague, cholera, has been echoed at the=
 time of HIV/AIDS and SARS. Dr Markel discussed his book's evidence that =
immigrants were and still are the scapegoats of disease. Popular fear is =
focused, however, on the sudden events and not the chronic diseases. Chro=
nic disease is a more widespread problem, but it takes a long time and pe=
ople don't see it happening, so they stop funding the research once the p=
ublic health community has stemmed the tide of
 increased incidence.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>Mark=
el discussed use of 14th amendment due process clause to reverse a 1920's=
<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>order that prevented US c=
itizens of Chinese ancestry to move freely in the USA. He emphasized the =
need to exploring less restrictive alternatives before declaring a quaran=
tine: management of illness through emergency services, and increased scr=
eenings. </FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 4.95pt 0in 0pt"><B><FONT size=3D3><=
FONT face=3D"Times New Roman">V. Conclusions: Old Wine in New Bottles? Ne=
w Views of Old Public Health Policy<o:p></o:p></FONT></FONT></B></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"><F=
ONT size=3D3><FONT face=3D"Times New Roman">The<SPAN style=3D"mso-spaceru=
n: yes">&nbsp; </SPAN>cornerstone of<SPAN style=3D"mso-spacerun: yes">&nb=
sp; </SPAN>the legal basis for implementing public health measures has al=
ways been the police power which grants states the inherent authority to =
protect the health welfare and safety of all citizens.<SPAN style=3D"mso-=
spacerun: yes">&nbsp; </SPAN>The rhetoric of public health law, although =
offered by fewer voices from fewer types of professions in past centuries=
, sounds after this conference to be very much the same. It may well be t=
hat the rhetoric is unchanged since the nineteenth century US Supreme Cou=
rt cases that discussed mass vaccination. But the meaning of the terms an=
d conditions embedded in that rhetoric has dramatically changed in millen=
nial leap to the twenty first century, compared with the twentieth centur=
y context. The rhetoric is unchanged; yet one major problem
 remains: sound public health law and its practice are like water; too fe=
w droplets in the desert and people die of thirst, too much water floodin=
g the lowlands and people drown; for best practices in public health unde=
r law are<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>invisible yet es=
sential to life when it is available in the appropriate measure.<SPAN sty=
le=3D"mso-spacerun: yes">&nbsp; </SPAN>Yet<SPAN style=3D"mso-spacerun: ye=
s">&nbsp; </SPAN>water all the same. Thus the use of public health police=
 power must be applied appropriately in each different context, in order =
to be effective and valid.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN=
></FONT></FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"><F=
ONT face=3D"Times New Roman" size=3D3>In conclusion, the most complex que=
stion raised by this important new partnership, therefore, is not whether=
 the disciplines should be merged, for their link is inextricable, but wh=
ether any of the topics addressed together are truly new in the area of p=
ublic health policy. Unchanged with the new vision of public health law i=
n the 21st century is the traditional<SPAN style=3D"mso-spacerun: yes">&n=
bsp; </SPAN>model of public health intervention using the police power in=
herent in governance. The conference reflected not merely the emergence o=
f a new unified collective discipline of public health law, but also a re=
newed understanding that the linchpin of the ability to exercise such pow=
ers remains: funding for implementation. In this sense, the collective vi=
ew of public health law that has begun to evolve in the decades since the=
 passage of the Toxic Substances Control Act (TSCA) and the
 Occupational Safety and Health Act (OSH Act) of<SPAN style=3D"mso-spacer=
un: yes">&nbsp; </SPAN>1970 uses the long-standing language of public hea=
lth police powers to address old issues that were never given sustained a=
ttention or adequate funding in the twentieth century.</FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"><F=
ONT size=3D3><FONT face=3D"Times New Roman">&nbsp;<o:p></o:p></FONT></FON=
T></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt"><SPAN style=3D"mso-bid=
i-font-weight: bold"><FONT size=3D3><FONT face=3D"Times New Roman">Ilise =
L Feitshans<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>JD and ScM.<SP=
AN style=3D"mso-spacerun: yes">&nbsp;&nbsp; </SPAN>Barnard College, Colum=
bia University BA Cum laude 1979; Georgetown University Law Center JD<SPA=
N style=3D"mso-spacerun: yes">&nbsp; </SPAN>1983;<SPAN style=3D"mso-space=
run: yes">&nbsp; </SPAN>ScM Johns Hopkins University<SPAN style=3D"mso-sp=
acerun: yes">&nbsp; </SPAN>1996.<SPAN style=3D"mso-spacerun: yes">&nbsp; =
</SPAN>She is a former Member of the Faculty from Columbia University Sch=
ool of Law, and the author of<SPAN style=3D"mso-spacerun: yes">&nbsp; </S=
PAN>five books, including WALKING BACKWARDS TO UNDO PREJUDICE and over 10=
0 articles.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>Feitshans is t=
he author of DESIGNING AN EFFECTIVE OSHA COMPLIANCE PROGRAM, a treatise f=
or lawyers on Westlaw.com updated annually, and BRINGING HEALTH TO
 WORK.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>In addition to al G=
uest Lectures at Yale University School of Medicine and many colleges and=
 universities, she has organized three conferences about inclusion and sp=
ecial education, most recently the "Right to Learn" conference. She<SPAN =
style=3D"mso-spacerun: yes">&nbsp; </SPAN>presented seminars at the Unite=
d Nations Fourth World Conference on Women , China (1995). She is a Membe=
r of the Womens' Committee of the State of<SPAN style=3D"mso-spacerun: ye=
s">&nbsp; </SPAN>NJ Council on Developmental Disabilities. She is Adjunct=
 Associate Professor of Occupational and Environmental Health at GWU<SPAN=
 style=3D"mso-spacerun: yes">&nbsp; </SPAN>SPHHS. <o:p></o:p></FONT></FON=
T></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt"><FONT size=3D3><FONT f=
ace=3D"Times New Roman">&nbsp;<o:p></o:p></FONT></FONT></P></DIV></BLOCKQ=
UOTE></DIV>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-1264512349-1090249748=:61640--
=========================================================================
Date:         Mon, 19 Jul 2004 18:17:10 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jane Fairburn <[log in to unmask]>
Subject:      Re: Paint Fumes
Mime-Version: 1.0
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<html><div style=3D'background-color:'><DIV class=3DRTE>
<P>Hi Anne,</P>
<P>I think the paint fumes may be incidental and would get her a neuro op=
inion. I once had a guy with a similar-ish issue when redoing some wareho=
use painting with Hammerite paint. An ENT spec said it was an allergic pr=
oblem but to me symptoms reported to me didn't add up and in the end it w=
as neuro and nil to do with paint at all.</P>
<P>Unless she is pregnant?? Only joking!!</P>
<P>Jane.<BR><BR></P></DIV></div><br clear=3Dall><hr>Sign up to the MSN Pr=
emium service in June and receive a FREE webcam worth =A339.99!  <a href=3D=
"http://g.msn.com/8HMBENUK/2740??PS=3D47575">More details here.</a> </htm=
l>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 19 Jul 2004 18:42:55 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         OHNet <[log in to unmask]>
Subject:      Re: car headrests
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0116_01C46DC0.34610B20"

This is a multi-part message in MIME format.

------=_NextPart_000_0116_01C46DC0.34610B20
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

June

You could try contacting Loughborough University. They have done a lot =
of work in driver ergonomics etc. Some of it is on the web. Sorry, don't =
have the link to hand

Regards


Craig
  ----- Original Message -----=20
  From: becky parker=20
  To: [log in to unmask]
  Sent: Monday, July 19, 2004 3:45 PM
  Subject: Re: car headrests


  June

  It is important to be aware that a 'head rest' is not in fact =
somewhere to rest your head/or for support - it is there to stop someone =
getting whip lash in the event of an accident - called a 'head =
restraint'  However, these should be adjustable to fit all, does your =
chap drive a really old car?  I was under the impression that all new =
cars had singing and dancing ones.

  Becky

  Duncan Abbott <[log in to unmask]> wrote:
    June

    Try a local mobility centre or the disability living foundation, =
details are
    in the latest edition of EZ-1 ergonomics. This edition also deals =
with
    making reasonable adjustments for drivers with disabling conditions =
and the
    importance of driving assessments. The edition also gives a full =
listing of
    disability organisations who might also be able to offer you help. A =
full
    supplier list will feature in the September issue.

    For chair seats try Recaro as they provide ergonomic seating and may =
be able
    to make a spefiic chair for you. To fund it you can always ask =
Access to
    Work to make a financial contribution.

    If you have not subscribed to EZ-1 send a blank email to
    [log in to unmask] with subscribe in the subject line.


    Best regards

    Duncan Abbott
    ergonomist at enricoSmog


    ----- Original Message -----
    From: "June Carrington"=20
    To:=20
    Sent: Monday, July 19, 2004 9:54 AM
    Subject: car headrests


    > I have a chap who has health issues re a neck problem and spends =
60% of
    his
    > working time on the road (driving). The headrest in his car is =
offering
    him
    > no support and is not adjustable. Does any know of or used any =
companies
    > which offer advise re adjustable car headrests for this type of =
issue??
    >
    > many thanks
    >
    > June
    >
    > ~~~~~~~~~~~~~~~
    > Please remove this footer before replying.
    >
    > For list archives and documents, go to
    > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
    >
    > For jobs in Occupational Health, go to
    > http://uk.groups.yahoo.com/group/OHJobs/
    >
    >

    ~~~~~~~~~~~~~~~
    Please remove this footer before replying.

    For list archives and documents, go to
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

    For jobs in Occupational Health, go to
    http://uk.groups.yahoo.com/group/OHJobs/







-------------------------------------------------------------------------=
-----
  ALL-NEW Yahoo! Messenger - sooooo many all-new ways to express =
yourself ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0116_01C46DC0.34610B20
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>June</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>You could try contacting Loughborough =
University.=20
They have done a lot of work in driver ergonomics etc. Some of it is on =
the web.=20
Sorry, don't have the link to hand</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Regards</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Craig</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask] =
href=3D"mailto:[log in to unmask]">becky=20
  parker</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, July 19, 2004 =
3:45 PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: car =
headrests</DIV>
  <DIV><BR></DIV>
  <DIV>June</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>It is important to be aware that a 'head rest' is not in fact =
somewhere=20
  to rest your head/or for support - it is there to stop someone getting =
whip=20
  lash in the event of an accident - called a 'head restraint' =
&nbsp;However,=20
  these should be adjustable to fit all, does your chap drive a really =
old=20
  car?&nbsp; I was under the impression that all new cars had singing =
and=20
  dancing ones.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Becky<BR><BR><B><I>Duncan Abbott =
&lt;[log in to unmask]&gt;</I></B>=20
  wrote:</DIV>
  <BLOCKQUOTE class=3Dreplbq=20
  style=3D"PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #1010ff 2px =
solid">June<BR><BR>Try=20
    a local mobility centre or the disability living foundation, details =

    are<BR>in the latest edition of EZ-1 ergonomics. This edition also =
deals=20
    with<BR>making reasonable adjustments for drivers with disabling =
conditions=20
    and the<BR>importance of driving assessments. The edition also gives =
a full=20
    listing of<BR>disability organisations who might also be able to =
offer you=20
    help. A full<BR>supplier list will feature in the September=20
    issue.<BR><BR>For chair seats try Recaro as they provide ergonomic =
seating=20
    and may be able<BR>to make a spefiic chair for you. To fund it you =
can=20
    always ask Access to<BR>Work to make a financial =
contribution.<BR><BR>If you=20
    have not subscribed to EZ-1 send a blank email =
to<BR>[log in to unmask]
    with subscribe in the subject line.<BR><BR><BR>Best =
regards<BR><BR>Duncan=20
    Abbott<BR>ergonomist at enricoSmog<BR><BR><BR>----- Original Message =

    -----<BR>From: "June Carrington" =
<[log in to unmask]><BR>To:=20
    <[log in to unmask]><BR>Sent: Monday, July 19, 2004 9:54=20
    AM<BR>Subject: car headrests<BR><BR><BR>&gt; I have a chap who has =
health=20
    issues re a neck problem and spends 60% of<BR>his<BR>&gt; working =
time on=20
    the road (driving). The headrest in his car is =
offering<BR>him<BR>&gt; no=20
    support and is not adjustable. Does any know of or used any=20
    companies<BR>&gt; which offer advise re adjustable car headrests for =
this=20
    type of issue??<BR>&gt;<BR>&gt; many thanks<BR>&gt;<BR>&gt;=20
    June<BR>&gt;<BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove this =
footer=20
    before replying.<BR>&gt;<BR>&gt; For list archives and documents, go =

    to<BR>&gt; http://www.jiscmail.ac.uk/lists/occ-health.html for list=20
    archives<BR>&gt;<BR>&gt; For jobs in Occupational Health, go =
to<BR>&gt;=20
    =
http://uk.groups.yahoo.com/group/OHJobs/<BR>&gt;<BR>&gt;<BR><BR>~~~~~~~~~=
~~~~~~<BR>Please=20
    remove this footer before replying.<BR><BR>For list archives and =
documents,=20
    go to<BR>http://www.jiscmail.ac.uk/lists/occ-health.html for list=20
    archives<BR><BR>For jobs in Occupational Health, go=20
    =
to<BR>http://uk.groups.yahoo.com/group/OHJobs/<BR></BLOCKQUOTE><BR><BR>
  <DIV>
  <DIV>
  <DIV><EM><FONT face=3D"comic sans ms" color=3D#bf00bf=20
  size=3D3></FONT></EM>&nbsp;</DIV></DIV></DIV>
  <P>
  <HR SIZE=3D1>
  <FONT face=3D"Verdana, Arial, Helvetica, sans-serif" size=3D2><A=20
  =
href=3D"http://uk.rd.yahoo.com/evt=3D21626/*http://uk.messenger.yahoo.com=
"><STRONG>ALL-NEW=20
  Yahoo! Messenger</STRONG></A><STRONG> - <FONT =
color=3D#ff9900><EM>sooooo many=20
  all-new ways to express yourself</EM></FONT></STRONG></FONT> =
~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0116_01C46DC0.34610B20--
=========================================================================
Date:         Mon, 19 Jul 2004 19:07:11 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Stuart Cooper <[log in to unmask]>
Subject:      Re: car headrests
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Hi June,

I always believed that 'head rests' in cars are actually head restraints
i.e. to support the neck in the event of accident.  They are not designed as
'head rests' i.e. an ergonomic tool for supporting the neck and shoulders.

If you do need some kind of tool for ergonomic support in the car, I agree
with Craig that the Health & Safety Ergo Unit at Loughborough is a good
place to start, although I don't think that they have ever done any projects
on car seat design.  They might be able to point you in the right direction
though.

Professor Roger Haslam heads up the unit.  Their webpage is:

http://www.lboro.ac.uk/departments/hu/groups/hseu/

Best wishes,

Stu.
----- Original Message -----
From: "June Carrington" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, July 19, 2004 9:54 AM
Subject: car headrests


> I have a chap who has health issues re a neck problem and spends 60% of
his
> working time on the road (driving). The headrest in his car is offering
him
> no support and is not adjustable. Does any know of or used any companies
> which offer advise re adjustable car headrests for this type of issue??
>
> many thanks
>
> June
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 19 Jul 2004 19:50:03 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: car headrests
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

or www.drivingergonomics.com

Greta


----- Original Message -----
From: "Stuart Cooper" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, July 19, 2004 7:07 PM
Subject: Re: car headrests


> Hi June,
>
> I always believed that 'head rests' in cars are actually head restraints
> i.e. to support the neck in the event of accident.  They are not designed
as
> 'head rests' i.e. an ergonomic tool for supporting the neck and shoulders.
>
> If you do need some kind of tool for ergonomic support in the car, I agree
> with Craig that the Health & Safety Ergo Unit at Loughborough is a good
> place to start, although I don't think that they have ever done any
projects
> on car seat design.  They might be able to point you in the right
direction
> though.
>
> Professor Roger Haslam heads up the unit.  Their webpage is:
>
> http://www.lboro.ac.uk/departments/hu/groups/hseu/
>
> Best wishes,
>
> Stu.
> ----- Original Message -----
> From: "June Carrington" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Monday, July 19, 2004 9:54 AM
> Subject: car headrests
>
>
> > I have a chap who has health issues re a neck problem and spends 60% of
> his
> > working time on the road (driving). The headrest in his car is offering
> him
> > no support and is not adjustable. Does any know of or used any companies
> > which offer advise re adjustable car headrests for this type of issue??
> >
> > many thanks
> >
> > June
> >
> > ~~~~~~~~~~~~~~~
> > Please remove this footer before replying.
> >
> > For list archives and documents, go to
> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> > For jobs in Occupational Health, go to
> > http://uk.groups.yahoo.com/group/OHJobs/
> >
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.709 / Virus Database: 465 - Release Date: 22/06/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 19 Jul 2004 20:51:07 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Helen Hannar <[log in to unmask]>
Subject:      Re: Paint Fumes
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_52213_17205537.1090263067679"

------=_Part_52213_17205537.1090263067679
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: quoted-printable

Thank you for all your replies so far. All are extremely helpfull.
I would be interested Jane, if you referred the employee with the neuro pro=
blems directly to a neurologist or through the OH Physician first. The comp=
any the employee works for are concerned a) that the lady has a definate re=
action to the paint and how can they assist given that the paint is in use =
to all the external areas of the building. She works inside in a well venti=
lated large area. b) that she is 'pulling their leg' as she does not have t=
o be in the vicinity of the painting to have an 'attack' and only faints in=
 front of an audiance (their words not mine!). She was recently been diagno=
sed with Raynauds and has been moved from the previous colder working area =
to an ambient working area. The symptoms increased dramatically after this,=
 with greater frequency whenever she heard that painting was underway.
Her employers are considering redeploying her to a different unit, but are =
concerned taht if she has a reaction to a chemical in the paint she could c=
ome into contact with this in other products and have a similar or worse re=
action.





> Message date : Jul 19 2004, 06:17 PM
> From : "Jane Fairburn"=20
> To : [log in to unmask]
> Copy to :=20
> Subject : Re: Paint Fumes
>=20
> Hi Anne,
> I think the paint fumes may be incidental and would get her a neuro opini=
on. I once had a guy with a similar-ish issue when redoing some warehouse p=
ainting with Hammerite paint. An ENT spec said it was an allergic problem b=
ut to me symptoms reported to me didn't add up and in the end it was neuro =
and nil to do with paint at all.
> Unless she is pregnant?? Only joking!!
> Jane.
>=20
>=20



Sign up to the MSN Premium service in June and receive a FREE webcam worth =
=A339.99! More details here. ~~~~~~~~~~~~~~~ Please remove this footer befo=
re replying.=20
> For list archives and documents, go to http://www.jiscmail.ac.uk/lists/oc=
c-health.html for list archives=20
> For jobs in Occupational Health, go to http://uk.groups.yahoo.com/group/O=
HJobs/=20



Helen Hannar=20
OH Advisor=20

OHServices (NE).=20
Tel:- 01388 777962=20
Mob:- 07950 154541=20
Fax:- 01388 777962

--=20

Whatever you Wanadoo:
http://www.wanadoo.co.uk/time/

This email has been checked for most known viruses - find out more at: http=
://www.wanadoo.co.uk/help/id/7098.htm

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_52213_17205537.1090263067679
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<P>Thank you for all your replies so far. All are extremely helpfull.</P>
<P>I would be interested Jane, if you referred the employee with the neuro =
problems directly to a neurologist or through the OH Physician first. The c=
ompany the employee works for are concerned a) that the lady has a definate=
 reaction to the paint and how can they assist given that the paint is in u=
se to all the external areas of the building. She works inside in a well ve=
ntilated large area. b) that she is 'pulling their leg' as she does not hav=
e to be in the vicinity of the painting to have an 'attack' and only faints=
 in front of an audiance (their words not mine!). She was recently been dia=
gnosed with Raynauds and has been moved from the previous colder working ar=
ea to an ambient working area. The symptoms increased dramatically after th=
is, with greater frequency whenever she heard that painting was underway.</=
P>
<P>Her employers are considering redeploying her to a different unit, but a=
re concerned taht if she has a reaction to a chemical in the paint she coul=
d come into contact with this in other products and have a similar or worse=
 reaction.<BR><BR><BR><BR><BR></P>
<BLOCKQUOTE style=3D"PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #ff0=
000 2px solid">&gt; Message date : Jul 19 2004, 06:17 PM<BR>&gt; From : "Ja=
ne Fairburn" <[log in to unmask]><BR>&gt; To : [log in to unmask]
C.UK<BR>&gt; Copy to : <BR>&gt; Subject : Re: Paint Fumes<BR>&gt;=20
<DIV>
<DIV class=3DRTE>
<P>&gt; Hi Anne,</P>
<P>&gt; I think the paint fumes may be incidental and would get her a neuro=
 opinion. I once had a guy with a similar-ish issue when redoing some wareh=
ouse painting with Hammerite paint. An ENT spec said it was an allergic pro=
blem but to me symptoms reported to me didn't add up and in the end it was =
neuro and nil to do with paint at all.</P>
<P>&gt; Unless she is pregnant?? Only joking!!</P>
<P>&gt; Jane.<BR>&gt; <BR>&gt; </P></DIV></DIV><BR clear=3Dall>
<HR>
Sign up to the MSN Premium service in June and receive a FREE webcam worth =
=A339.99! <A href=3D"http://g.msn.com/8HMBENUK/2740??PS=3D47575">More detai=
ls here.</A> ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
<P>&gt; For list archives and documents, go to http://www.jiscmail.ac.uk/li=
sts/occ-health.html for list archives=20
<P>&gt; For jobs in Occupational Health, go to http://uk.groups.yahoo.com/g=
roup/OHJobs/ </P></BLOCKQUOTE>
<P><BR><BR></P>
<P><STRONG>Helen Hannar <BR>OH Advisor <BR><BR>OHServices (NE). <BR>Tel:- 0=
1388 777962 <BR>Mob:- 07950 154541 <BR>Fax:- 01388 777962</STRONG></P><BR><=
BR><hr size=3D"1">Whatever you <a href=3D"http://www.wanadoo.co.uk/time/" t=
arget=3D"_blank">Wanadoo</a><br><br>This email has been checked for most kn=
own viruses - find out more <a href=3D"http://www.wanadoo.co.uk/help/id/709=
8.htm" target=3D"_blank">here</a>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_52213_17205537.1090263067679--
=========================================================================
Date:         Tue, 20 Jul 2004 08:49:09 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Kinselley, Gillian E" <[log in to unmask]>
Subject:      Re: car headrests
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C46E2E.0A9B5700"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C46E2E.0A9B5700
Content-Type: text/plain; charset="iso-8859-1"



-----Original Message-----
From: OHNet [mailto:[log in to unmask]]
Sent: 19 July 2004 18:43
To: [log in to unmask]
Subject: Re: car headrests


June

You could try contacting Loughborough University. They have done a lot of
work in driver ergonomics etc. Some of it is on the web. Sorry, don't have
the link to hand

Regards


Craig

----- Original Message -----
From: becky  <mailto:[log in to unmask]> parker
To: [log in to unmask] <mailto:[log in to unmask]>
Sent: Monday, July 19, 2004 3:45 PM
Subject: Re: car headrests

June

It is important to be aware that a 'head rest' is not in fact somewhere to
rest your head/or for support - it is there to stop someone getting whip
lash in the event of an accident - called a 'head restraint'  However, these
should be adjustable to fit all, does your chap drive a really old car?  I
was under the impression that all new cars had singing and dancing ones.

Becky

Duncan Abbott <[log in to unmask]> wrote:

June

Try a local mobility centre or the disability living foundation, details are
in the latest edition of EZ-1 ergonomics. This edition also deals with
making reasonable adjustments for drivers with disabling conditions and the
importance of driving assessments. The edition also gives a full listing of
disability organisations who might also be able to offer you help. A full
supplier list will feature in the September issue.

For chair seats try Recaro as they provide ergonomic seating and may be able
to make a spefiic chair for you. To fund it you can always ask Access to
Work to make a financial contribution.

If you have not subscribed to EZ-1 send a blank email to
[log in to unmask] with subscribe in the subject line.


Best regards

Duncan Abbott
ergonomist at enricoSmog


----- Original Message -----
From: "June Carrington"
To:
Sent: Monday, July 19, 2004 9:54 AM
Subject: car headrests


> I have a chap who has health issues re a neck problem and spends 60% of
his
> working time on the road (driving). The headrest in his car is offering
him
> no support and is not adjustable. Does any know of or used any companies
> which offer advise re adjustable car headrests for this type of issue??
>
> many thanks
>
> June
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/








  _____

 <http://uk.rd.yahoo.com/evt=21626/*http://uk.messenger.yahoo.com> ALL-NEW
Yahoo! Messenger - sooooo many all-new ways to express yourself
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



.sophos.3.83.07.19.
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C46E2E.0A9B5700
Content-Type: text/html; charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 6.00.2800.1106" name=GENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=#ffffff>
<DIV>&nbsp;</DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> OHNet
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 19 July 2004
  18:43<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: car
  headrests<BR><BR></FONT></DIV>
  <DIV><FONT face=Arial size=2>June</FONT></DIV>
  <DIV><FONT face=Arial size=2></FONT>&nbsp;</DIV>
  <DIV><FONT face=Arial size=2>You could try contacting Loughborough University.
  They have done a lot of work in driver ergonomics etc. Some of it is on the
  web. Sorry, don't have the link to hand</FONT></DIV>
  <DIV><FONT face=Arial size=2></FONT>&nbsp;</DIV>
  <DIV><FONT face=Arial size=2>Regards</FONT></DIV>
  <DIV><FONT face=Arial size=2></FONT>&nbsp;</DIV>
  <DIV><FONT face=Arial size=2></FONT>&nbsp;</DIV>
  <DIV><FONT face=Arial size=2>Craig</FONT></DIV>
  <BLOCKQUOTE dir=ltr
  style="PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
    <DIV style="FONT: 10pt arial">----- Original Message ----- </DIV>
    <DIV
    style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: black"><B>From:</B>
    <A [log in to unmask] href="mailto:[log in to unmask]">becky
    parker</A> </DIV>
    <DIV style="FONT: 10pt arial"><B>To:</B> <A [log in to unmask]
    href="mailto:[log in to unmask]">[log in to unmask]</A> </DIV>
    <DIV style="FONT: 10pt arial"><B>Sent:</B> Monday, July 19, 2004 3:45
    PM</DIV>
    <DIV style="FONT: 10pt arial"><B>Subject:</B> Re: car headrests</DIV>
    <DIV><BR></DIV>
    <DIV>June</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>It is important to be aware that a 'head rest' is not in fact somewhere
    to rest your head/or for support - it is there to stop someone getting whip
    lash in the event of an accident - called a 'head restraint' &nbsp;However,
    these should be adjustable to fit all, does your chap drive a really old
    car?&nbsp; I was under the impression that all new cars had singing and
    dancing ones.</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>Becky<BR><BR><B><I>Duncan Abbott &lt;[log in to unmask]&gt;</I></B>
    wrote:</DIV>
    <BLOCKQUOTE class=replbq
    style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #1010ff 2px solid">June<BR><BR>Try
      a local mobility centre or the disability living foundation, details
      are<BR>in the latest edition of EZ-1 ergonomics. This edition also deals
      with<BR>making reasonable adjustments for drivers with disabling
      conditions and the<BR>importance of driving assessments. The edition also
      gives a full listing of<BR>disability organisations who might also be able
      to offer you help. A full<BR>supplier list will feature in the September
      issue.<BR><BR>For chair seats try Recaro as they provide ergonomic seating
      and may be able<BR>to make a spefiic chair for you. To fund it you can
      always ask Access to<BR>Work to make a financial contribution.<BR><BR>If
      you have not subscribed to EZ-1 send a blank email
      to<BR>[log in to unmask] with subscribe in the subject
      line.<BR><BR><BR>Best regards<BR><BR>Duncan Abbott<BR>ergonomist at
      enricoSmog<BR><BR><BR>----- Original Message -----<BR>From: "June
      Carrington" <[log in to unmask]><BR>To:
      <[log in to unmask]><BR>Sent: Monday, July 19, 2004 9:54
      AM<BR>Subject: car headrests<BR><BR><BR>&gt; I have a chap who has health
      issues re a neck problem and spends 60% of<BR>his<BR>&gt; working time on
      the road (driving). The headrest in his car is offering<BR>him<BR>&gt; no
      support and is not adjustable. Does any know of or used any
      companies<BR>&gt; which offer advise re adjustable car headrests for this
      type of issue??<BR>&gt;<BR>&gt; many thanks<BR>&gt;<BR>&gt;
      June<BR>&gt;<BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove this footer
      before replying.<BR>&gt;<BR>&gt; For list archives and documents, go
      to<BR>&gt; http://www.jiscmail.ac.uk/lists/occ-health.html for list
      archives<BR>&gt;<BR>&gt; For jobs in Occupational Health, go to<BR>&gt;
      http://uk.groups.yahoo.com/group/OHJobs/<BR>&gt;<BR>&gt;<BR><BR>~~~~~~~~~~~~~~~<BR>Please
      remove this footer before replying.<BR><BR>For list archives and
      documents, go to<BR>http://www.jiscmail.ac.uk/lists/occ-health.html for
      list archives<BR><BR>For jobs in Occupational Health, go
      to<BR>http://uk.groups.yahoo.com/group/OHJobs/<BR></BLOCKQUOTE><BR><BR>
    <DIV>
    <DIV>
    <DIV><EM><FONT face="comic sans ms" color=#bf00bf
    size=3></FONT></EM>&nbsp;</DIV></DIV></DIV>
    <P>
    <HR SIZE=1>
    <FONT face="Verdana, Arial, Helvetica, sans-serif" size=2><A
    href="http://uk.rd.yahoo.com/evt=21626/*http://uk.messenger.yahoo.com"><STRONG>ALL-NEW
    Yahoo! Messenger</STRONG></A><STRONG> - <FONT color=#ff9900><EM>sooooo many
    all-new ways to express yourself</EM></FONT></STRONG></FONT> ~~~~~~~~~~~~~~~
    Please remove this footer before replying.
    <P>For list archives and documents, go to
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
    <P>For jobs in Occupational Health, go to
    http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE><CODE><FONT
  size=3><BR><BR>.sophos.3.83.07.19.<BR></FONT></CODE>~~~~~~~~~~~~~~~ Please
  remove this footer before replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE><CODE><FONT SIZE=3><BR>
<BR>
Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.<BR>
<BR>
This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.<BR>
<BR>
If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.<BR>
<BR>
Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.<BR>
<BR>
Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc. <BR>
</FONT></CODE>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C46E2E.0A9B5700--
=========================================================================
Date:         Tue, 20 Jul 2004 09:04:36 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Kinselley, Gillian E" <[log in to unmask]>
Subject:      Re: car headrests
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C46E30.32DF3130"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C46E30.32DF3130
Content-Type: text/plain; charset="iso-8859-1"

The web site information we used (quite old) is www.drback.com.
<http://www.drback.com.>  we also undertake a car assessment similar to
seating assessment looking at how many hours spent in the car- breaks - job
tasks- work activities - out side work driving hours - seat adjustment and
head rest adjustment etc.
I would agree with Becky that the head restraint is for use in an accident
rather than to rest the head while driving.  I would also suggest you
contact car companies such as Vauxhall or VW - they were a couple of years
ago quite help full when we were initially looking at car assessment and
associated queries.

Gill

-----Original Message-----
From: OHNet [mailto:[log in to unmask]]
Sent: 19 July 2004 18:43
To: [log in to unmask]
Subject: Re: car headrests


June

You could try contacting Loughborough University. They have done a lot of
work in driver ergonomics etc. Some of it is on the web. Sorry, don't have
the link to hand

Regards


Craig

----- Original Message -----
From: becky  <mailto:[log in to unmask]> parker
To: [log in to unmask] <mailto:[log in to unmask]>
Sent: Monday, July 19, 2004 3:45 PM
Subject: Re: car headrests

June

It is important to be aware that a 'head rest' is not in fact somewhere to
rest your head/or for support - it is there to stop someone getting whip
lash in the event of an accident - called a 'head restraint'  However, these
should be adjustable to fit all, does your chap drive a really old car?  I
was under the impression that all new cars had singing and dancing ones.

Becky

Duncan Abbott <[log in to unmask]> wrote:

June

Try a local mobility centre or the disability living foundation, details are
in the latest edition of EZ-1 ergonomics. This edition also deals with
making reasonable adjustments for drivers with disabling conditions and the
importance of driving assessments. The edition also gives a full listing of
disability organisations who might also be able to offer you help. A full
supplier list will feature in the September issue.

For chair seats try Recaro as they provide ergonomic seating and may be able
to make a spefiic chair for you. To fund it you can always ask Access to
Work to make a financial contribution.

If you have not subscribed to EZ-1 send a blank email to
[log in to unmask] with subscribe in the subject line.


Best regards

Duncan Abbott
ergonomist at enricoSmog


----- Original Message -----
From: "June Carrington"
To:
Sent: Monday, July 19, 2004 9:54 AM
Subject: car headrests


> I have a chap who has health issues re a neck problem and spends 60% of
his
> working time on the road (driving). The headrest in his car is offering
him
> no support and is not adjustable. Does any know of or used any companies
> which offer advise re adjustable car headrests for this type of issue??
>
> many thanks
>
> June
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/








  _____

 <http://uk.rd.yahoo.com/evt=21626/*http://uk.messenger.yahoo.com> ALL-NEW
Yahoo! Messenger - sooooo many all-new ways to express yourself
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



.sophos.3.83.07.19.
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C46E30.32DF3130
Content-Type: text/html; charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 6.00.2800.1106" name=GENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=#ffffff>
<DIV><SPAN class=968145207-20072004><FONT face=Arial color=#0000ff size=2>The
web site information we used (quite old) is <A
href="http://www.drback.com.">www.drback.com.</A>&nbsp;we also undertake a car
assessment similar to seating assessment looking at how many hours spent in the
car- breaks - job tasks- work activities - out side work driving hours - seat
adjustment and head rest adjustment etc.</FONT></SPAN></DIV>
<DIV><SPAN class=968145207-20072004><FONT face=Arial color=#0000ff size=2>I
would agree with Becky that the head restraint is for use in an accident rather
than to rest the head while driving.&nbsp; I would also suggest you contact car
companies such as Vauxhall or VW -</FONT>&nbsp;<FONT face=Arial color=#0000ff
size=2>they were a couple of years ago quite help full when we were initially
looking at car assessment and associated queries.</FONT></SPAN></DIV>
<DIV><SPAN class=968145207-20072004><FONT face=Arial color=#0000ff
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=968145207-20072004><FONT face=Arial color=#0000ff
size=2>Gill</FONT></SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> OHNet
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 19 July 2004
  18:43<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: car
  headrests<BR><BR></FONT></DIV>
  <DIV><FONT face=Arial size=2>June</FONT></DIV>
  <DIV><FONT face=Arial size=2></FONT>&nbsp;</DIV>
  <DIV><FONT face=Arial size=2>You could try contacting Loughborough University.
  They have done a lot of work in driver ergonomics etc. Some of it is on the
  web. Sorry, don't have the link to hand</FONT></DIV>
  <DIV><FONT face=Arial size=2></FONT>&nbsp;</DIV>
  <DIV><FONT face=Arial size=2>Regards</FONT></DIV>
  <DIV><FONT face=Arial size=2></FONT>&nbsp;</DIV>
  <DIV><FONT face=Arial size=2></FONT>&nbsp;</DIV>
  <DIV><FONT face=Arial size=2>Craig</FONT></DIV>
  <BLOCKQUOTE dir=ltr
  style="PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
    <DIV style="FONT: 10pt arial">----- Original Message ----- </DIV>
    <DIV
    style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: black"><B>From:</B>
    <A [log in to unmask] href="mailto:[log in to unmask]">becky
    parker</A> </DIV>
    <DIV style="FONT: 10pt arial"><B>To:</B> <A [log in to unmask]
    href="mailto:[log in to unmask]">[log in to unmask]</A> </DIV>
    <DIV style="FONT: 10pt arial"><B>Sent:</B> Monday, July 19, 2004 3:45
    PM</DIV>
    <DIV style="FONT: 10pt arial"><B>Subject:</B> Re: car headrests</DIV>
    <DIV><BR></DIV>
    <DIV>June</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>It is important to be aware that a 'head rest' is not in fact somewhere
    to rest your head/or for support - it is there to stop someone getting whip
    lash in the event of an accident - called a 'head restraint' &nbsp;However,
    these should be adjustable to fit all, does your chap drive a really old
    car?&nbsp; I was under the impression that all new cars had singing and
    dancing ones.</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>Becky<BR><BR><B><I>Duncan Abbott &lt;[log in to unmask]&gt;</I></B>
    wrote:</DIV>
    <BLOCKQUOTE class=replbq
    style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #1010ff 2px solid">June<BR><BR>Try
      a local mobility centre or the disability living foundation, details
      are<BR>in the latest edition of EZ-1 ergonomics. This edition also deals
      with<BR>making reasonable adjustments for drivers with disabling
      conditions and the<BR>importance of driving assessments. The edition also
      gives a full listing of<BR>disability organisations who might also be able
      to offer you help. A full<BR>supplier list will feature in the September
      issue.<BR><BR>For chair seats try Recaro as they provide ergonomic seating
      and may be able<BR>to make a spefiic chair for you. To fund it you can
      always ask Access to<BR>Work to make a financial contribution.<BR><BR>If
      you have not subscribed to EZ-1 send a blank email
      to<BR>[log in to unmask] with subscribe in the subject
      line.<BR><BR><BR>Best regards<BR><BR>Duncan Abbott<BR>ergonomist at
      enricoSmog<BR><BR><BR>----- Original Message -----<BR>From: "June
      Carrington" <[log in to unmask]><BR>To:
      <[log in to unmask]><BR>Sent: Monday, July 19, 2004 9:54
      AM<BR>Subject: car headrests<BR><BR><BR>&gt; I have a chap who has health
      issues re a neck problem and spends 60% of<BR>his<BR>&gt; working time on
      the road (driving). The headrest in his car is offering<BR>him<BR>&gt; no
      support and is not adjustable. Does any know of or used any
      companies<BR>&gt; which offer advise re adjustable car headrests for this
      type of issue??<BR>&gt;<BR>&gt; many thanks<BR>&gt;<BR>&gt;
      June<BR>&gt;<BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove this footer
      before replying.<BR>&gt;<BR>&gt; For list archives and documents, go
      to<BR>&gt; http://www.jiscmail.ac.uk/lists/occ-health.html for list
      archives<BR>&gt;<BR>&gt; For jobs in Occupational Health, go to<BR>&gt;
      http://uk.groups.yahoo.com/group/OHJobs/<BR>&gt;<BR>&gt;<BR><BR>~~~~~~~~~~~~~~~<BR>Please
      remove this footer before replying.<BR><BR>For list archives and
      documents, go to<BR>http://www.jiscmail.ac.uk/lists/occ-health.html for
      list archives<BR><BR>For jobs in Occupational Health, go
      to<BR>http://uk.groups.yahoo.com/group/OHJobs/<BR></BLOCKQUOTE><BR><BR>
    <DIV>
    <DIV>
    <DIV><EM><FONT face="comic sans ms" color=#bf00bf
    size=3></FONT></EM>&nbsp;</DIV></DIV></DIV>
    <P>
    <HR SIZE=1>
    <FONT face="Verdana, Arial, Helvetica, sans-serif" size=2><A
    href="http://uk.rd.yahoo.com/evt=21626/*http://uk.messenger.yahoo.com"><STRONG>ALL-NEW
    Yahoo! Messenger</STRONG></A><STRONG> - <FONT color=#ff9900><EM>sooooo many
    all-new ways to express yourself</EM></FONT></STRONG></FONT> ~~~~~~~~~~~~~~~
    Please remove this footer before replying.
    <P>For list archives and documents, go to
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
    <P>For jobs in Occupational Health, go to
    http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE><CODE><FONT
  size=3><BR><BR>.sophos.3.83.07.19.<BR></FONT></CODE>~~~~~~~~~~~~~~~ Please
  remove this footer before replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE><CODE><FONT SIZE=3><BR>
<BR>
Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.<BR>
<BR>
This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.<BR>
<BR>
If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.<BR>
<BR>
Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.<BR>
<BR>
Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc. <BR>
</FONT></CODE>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C46E30.32DF3130--
=========================================================================
Date:         Tue, 20 Jul 2004 10:28:18 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jane Fairburn <[log in to unmask]>
Subject:      Re: Paint Fumes
Mime-Version: 1.0
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<html><div style=3D'background-color:'><DIV class=3DRTE>
<P>Apologies to the OHP's on the list but we are a nurse-led service and =
cut out the middle man wherever possible! &nbsp;I refer direct.</P>
<P>This would be in addition to the expertise eg measurements and monitor=
ing etc that the safety team were getting on with. </P>
<P>It helps cut to the chase and usually only costs circa =A3100. </P>
<P>Jane<BR><BR></P></DIV></div><br clear=3Dall><hr>Want to block unwanted=
 pop-ups? Download the free  <a href=3D"http://g.msn.com/8HMBENUK/2743??P=
S=3D47575">MSN Toolbar </a> now!</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 20 Jul 2004 14:17:58 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Cawley Therese <[log in to unmask]>
Subject:      Re: A4C
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="--=_NextPart_ST_14_26_23_Tuesday_July_20_2004_20862"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

----=_NextPart_ST_14_26_23_Tuesday_July_20_2004_20862
Content-Type: text/plain;
        charset="iso-8859-1"

Has anyone heard any further news on this and is it accessible yet?

Therese Cawley


-----Original Message-----
From: MASLEN-JONES David, Cinical Nurse Mgr
[mailto:[log in to unmask]]
Sent: 26 April 2004 09:25
To: [log in to unmask]
Subject: Re: A4C


Dear All,

As regards The NHS, A4C competency standards/ Career and competency
framework for Occupational Health are currently being developed by Jan Maw
and Carol Bannister at the RCN and are expected to be published in July.
 They are now in 2nd draft but not available electronically they will
integrate with the DOH job evaluation guidelines and I would advise waiting
for these before wasting time on developing your own

regards

DavidDavid R Maslen-Jones RGN BA Spohn MIOSH

Clinical Nurse Manager, Occupational Health
Plymouth Hospitals NHS Trust
Derriford
Plymouth
PL6 8DH
Tel: 01752 517592      int:57592
[log in to unmask]


-----Original Message-----
From: Audrey Du'Mont [mailto:[log in to unmask]]
Sent: 25 April 2004 06:13
To: [log in to unmask]
Subject: Re: A4C


I wrote to the RCN as I hadn't seen any job profiles for OH Nurses on
their website.  The advice that came from their Employment Relations
Department was that the majority of OH posts will have to be job evaluated
locally with the resulting profiles produced.  This was because there were
such big variations in OH roles at Hospital Trust level across the
country.  They reckoned the banding could be between 6-8 depending on the
results of that local job evaluation.

We shall see!

Regards
Audrey Du'Mont

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

--
This email has been electronically scanned using
DynaComm i:mail filtering software.

If you have any questions please email
[log in to unmask]

Tony Daniel
Sam Shayer
Information Security Team

~~~~~~~~~~~~~~~
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.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

----=_NextPart_ST_14_26_23_Tuesday_July_20_2004_20862
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; charset=3Diso-8859-=
1">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version 5.5.2657.73"=
>
<TITLE>RE: A4C</TITLE>
</HEAD>
<BODY>

<P><FONT SIZE=3D2>Has anyone heard any further news on this and is it acces=
sible yet?</FONT>
</P>

<P><FONT SIZE=3D2>Therese Cawley</FONT>
</P>
<BR>

<P><FONT SIZE=3D2>-----Original Message-----</FONT>
<BR><FONT SIZE=3D2>From: MASLEN-JONES David, Cinical Nurse Mgr</FONT>
<BR><FONT SIZE=3D2>[<A HREF=3D"mailto:[log in to unmask]"=
>mailto:[log in to unmask]</A>]</FONT>
<BR><FONT SIZE=3D2>Sent: 26 April 2004 09:25</FONT>
<BR><FONT SIZE=3D2>To: [log in to unmask]</FONT>
<BR><FONT SIZE=3D2>Subject: Re: A4C</FONT>
</P>
<BR>

<P><FONT SIZE=3D2>Dear All,</FONT>
</P>

<P><FONT SIZE=3D2>As regards The NHS, A4C competency standards/ Career and =
competency framework for Occupational Health are currently being developed =
by Jan Maw and Carol Bannister at the RCN and are expected to be published =
in July.</FONT></P>

<P><FONT SIZE=3D2>&nbsp;They are now in 2nd draft but not available electro=
nically they will integrate with the DOH job evaluation guidelines and I wo=
uld advise waiting for these before wasting time on developing your own</FO=
NT></P>

<P><FONT SIZE=3D2>regards</FONT>
</P>

<P><FONT SIZE=3D2>DavidDavid R Maslen-Jones RGN BA Spohn MIOSH</FONT>
</P>

<P><FONT SIZE=3D2>Clinical Nurse Manager, Occupational Health</FONT>
<BR><FONT SIZE=3D2>Plymouth Hospitals NHS Trust</FONT>
<BR><FONT SIZE=3D2>Derriford</FONT>
<BR><FONT SIZE=3D2>Plymouth</FONT>
<BR><FONT SIZE=3D2>PL6 8DH</FONT>
<BR><FONT SIZE=3D2>Tel: 01752 517592&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; int:5759=
2 </FONT>
<BR><FONT SIZE=3D2>[log in to unmask]</FONT>
</P>
<BR>

<P><FONT SIZE=3D2>-----Original Message-----</FONT>
<BR><FONT SIZE=3D2>From: Audrey Du'Mont [<A HREF=3D"mailto:adumont@BLUEYOND=
ER.CO.UK">mailto:[log in to unmask]</A>]</FONT>
<BR><FONT SIZE=3D2>Sent: 25 April 2004 06:13</FONT>
<BR><FONT SIZE=3D2>To: [log in to unmask]</FONT>
<BR><FONT SIZE=3D2>Subject: Re: A4C</FONT>
</P>
<BR>

<P><FONT SIZE=3D2>I wrote to the RCN as I hadn't seen any job profiles for =
OH Nurses on</FONT>
<BR><FONT SIZE=3D2>their website.&nbsp; The advice that came from their Emp=
loyment Relations</FONT>
<BR><FONT SIZE=3D2>Department was that the majority of OH posts will have t=
o be job evaluated</FONT>
<BR><FONT SIZE=3D2>locally with the resulting profiles produced.&nbsp; This=
 was because there were</FONT>
<BR><FONT SIZE=3D2>such big variations in OH roles at Hospital Trust level =
across the</FONT>
<BR><FONT SIZE=3D2>country.&nbsp; They reckoned the banding could be betwee=
n 6-8 depending on the</FONT>
<BR><FONT SIZE=3D2>results of that local job evaluation.</FONT>
</P>

<P><FONT SIZE=3D2>We shall see!</FONT>
</P>

<P><FONT SIZE=3D2>Regards</FONT>
<BR><FONT SIZE=3D2>Audrey Du'Mont</FONT>
</P>

<P><FONT SIZE=3D2>~~~~~~~~~~~~~~~</FONT>
<BR><FONT SIZE=3D2>Please remove this footer before replying.</FONT>
<BR><FONT SIZE=3D2>Visit <A HREF=3D"http://www.jiscmail.ac.uk/lists/occ-hea=
lth.html" TARGET=3D"_blank">http://www.jiscmail.ac.uk/lists/occ-health.html=
</A> for list archives</FONT>
</P>

<P><FONT SIZE=3D2>-- </FONT>
<BR><FONT SIZE=3D2>This email has been electronically scanned using </FONT>
<BR><FONT SIZE=3D2>DynaComm i:mail filtering software.</FONT>
</P>

<P><FONT SIZE=3D2>If you have any questions please email </FONT>
<BR><FONT SIZE=3D2>[log in to unmask]</FONT>
</P>

<P><FONT SIZE=3D2>Tony Daniel </FONT>
<BR><FONT SIZE=3D2>Sam Shayer</FONT>
<BR><FONT SIZE=3D2>Information Security Team</FONT>
</P>

<P><FONT SIZE=3D2>~~~~~~~~~~~~~~~</FONT>
<BR><FONT SIZE=3D2>Please remove this footer before replying.</FONT>
<BR><FONT SIZE=3D2>Visit <A HREF=3D"http://www.jiscmail.ac.uk/lists/occ-hea=
lth.html" TARGET=3D"_blank">http://www.jiscmail.ac.uk/lists/occ-health.html=
</A> for list archives</FONT>
</P>

</BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
----=_NextPart_ST_14_26_23_Tuesday_July_20_2004_20862--
=========================================================================
Date:         Tue, 20 Jul 2004 14:54:18 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: A4C
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_01A4_01C46E69.6F2343A0"

This is a multi-part message in MIME format.

------=_NextPart_000_01A4_01C46E69.6F2343A0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

RE: A4CWhy not email [log in to unmask]  or [log in to unmask] =
and ask?

Greta
  ----- Original Message -----=20
  From: Cawley Therese=20
  To: [log in to unmask]
  Sent: Tuesday, July 20, 2004 2:17 PM
  Subject: Re: A4C


  Has anyone heard any further news on this and is it accessible yet?=20

  Therese Cawley=20



  -----Original Message-----=20
  From: MASLEN-JONES David, Cinical Nurse Mgr=20
  [mailto:[log in to unmask]]=20
  Sent: 26 April 2004 09:25=20
  To: [log in to unmask]
  Subject: Re: A4C=20



  Dear All,=20

  As regards The NHS, A4C competency standards/ Career and competency =
framework for Occupational Health are currently being developed by Jan =
Maw and Carol Bannister at the RCN and are expected to be published in =
July.

   They are now in 2nd draft but not available electronically they will =
integrate with the DOH job evaluation guidelines and I would advise =
waiting for these before wasting time on developing your own

  regards=20

  DavidDavid R Maslen-Jones RGN BA Spohn MIOSH=20

  Clinical Nurse Manager, Occupational Health=20
  Plymouth Hospitals NHS Trust=20
  Derriford=20
  Plymouth=20
  PL6 8DH=20
  Tel: 01752 517592      int:57592=20
  [log in to unmask]



  -----Original Message-----=20
  From: Audrey Du'Mont [mailto:[log in to unmask]]=20
  Sent: 25 April 2004 06:13=20
  To: [log in to unmask]
  Subject: Re: A4C=20



  I wrote to the RCN as I hadn't seen any job profiles for OH Nurses on=20
  their website.  The advice that came from their Employment Relations=20
  Department was that the majority of OH posts will have to be job =
evaluated=20
  locally with the resulting profiles produced.  This was because there =
were=20
  such big variations in OH roles at Hospital Trust level across the=20
  country.  They reckoned the banding could be between 6-8 depending on =
the=20
  results of that local job evaluation.=20

  We shall see!=20

  Regards=20
  Audrey Du'Mont=20

  ~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  Visit http://www.jiscmail.ac.uk/lists/occ-health.html for list =
archives=20

  --=20
  This email has been electronically scanned using=20
  DynaComm i:mail filtering software.=20

  If you have any questions please email=20
  [log in to unmask]

  Tony Daniel=20
  Sam Shayer=20
  Information Security Team=20

  ~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  Visit http://www.jiscmail.ac.uk/lists/occ-health.html for list =
archives=20

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/


  ---
  Outgoing mail is certified Virus Free.
  Checked by AVG anti-virus system (http://www.grisoft.com).
  Version: 6.0.709 / Virus Database: 465 - Release Date: 22/06/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_01A4_01C46E69.6F2343A0
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><TITLE>RE: A4C</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT size=3D2>Why not email <A=20
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> &nbsp;or <A=20
href=3D"mailto:[log in to unmask]">[log in to unmask]</A>=
 and=20
ask?</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Cawley Therese</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Tuesday, July 20, 2004 =
2:17=20
PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: A4C</DIV>
  <DIV><BR></DIV>
  <P><FONT size=3D2>Has anyone heard any further news on this and is it =
accessible=20
  yet?</FONT> </P>
  <P><FONT size=3D2>Therese Cawley</FONT> </P><BR>
  <P><FONT size=3D2>-----Original Message-----</FONT> <BR><FONT =
size=3D2>From:=20
  MASLEN-JONES David, Cinical Nurse Mgr</FONT> <BR><FONT size=3D2>[<A=20
  =
href=3D"mailto:[log in to unmask]">mailto:David.Maslen-=
[log in to unmask]</A>]</FONT>=20
  <BR><FONT size=3D2>Sent: 26 April 2004 09:25</FONT> <BR><FONT =
size=3D2>To: <A=20
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A></=
FONT>=20
  <BR><FONT size=3D2>Subject: Re: A4C</FONT> </P><BR>
  <P><FONT size=3D2>Dear All,</FONT> </P>
  <P><FONT size=3D2>As regards The NHS, A4C competency standards/ Career =
and=20
  competency framework for Occupational Health are currently being =
developed by=20
  Jan Maw and Carol Bannister at the RCN and are expected to be =
published in=20
  July.</FONT></P>
  <P><FONT size=3D2>&nbsp;They are now in 2nd draft but not available=20
  electronically they will integrate with the DOH job evaluation =
guidelines and=20
  I would advise waiting for these before wasting time on developing =
your=20
  own</FONT></P>
  <P><FONT size=3D2>regards</FONT> </P>
  <P><FONT size=3D2>DavidDavid R Maslen-Jones RGN BA Spohn MIOSH</FONT> =
</P>
  <P><FONT size=3D2>Clinical Nurse Manager, Occupational Health</FONT> =
<BR><FONT=20
  size=3D2>Plymouth Hospitals NHS Trust</FONT> <BR><FONT =
size=3D2>Derriford</FONT>=20
  <BR><FONT size=3D2>Plymouth</FONT> <BR><FONT size=3D2>PL6 8DH</FONT> =
<BR><FONT=20
  size=3D2>Tel: 01752 517592&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; int:57592=20
  </FONT><BR><FONT size=3D2>[log in to unmask]</FONT> =
</P><BR>
  <P><FONT size=3D2>-----Original Message-----</FONT> <BR><FONT =
size=3D2>From:=20
  Audrey Du'Mont [<A=20
  =
href=3D"mailto:[log in to unmask]">mailto:[log in to unmask]<=
/A>]</FONT>=20
  <BR><FONT size=3D2>Sent: 25 April 2004 06:13</FONT> <BR><FONT =
size=3D2>To:=20
  [log in to unmask]</FONT> <BR><FONT size=3D2>Subject: Re: =
A4C</FONT>=20
  </P><BR>
  <P><FONT size=3D2>I wrote to the RCN as I hadn't seen any job profiles =
for OH=20
  Nurses on</FONT> <BR><FONT size=3D2>their website.&nbsp; The advice =
that came=20
  from their Employment Relations</FONT> <BR><FONT size=3D2>Department =
was that=20
  the majority of OH posts will have to be job evaluated</FONT> =
<BR><FONT=20
  size=3D2>locally with the resulting profiles produced.&nbsp; This was =
because=20
  there were</FONT> <BR><FONT size=3D2>such big variations in OH roles =
at Hospital=20
  Trust level across the</FONT> <BR><FONT size=3D2>country.&nbsp; They =
reckoned=20
  the banding could be between 6-8 depending on the</FONT> <BR><FONT=20
  size=3D2>results of that local job evaluation.</FONT> </P>
  <P><FONT size=3D2>We shall see!</FONT> </P>
  <P><FONT size=3D2>Regards</FONT> <BR><FONT size=3D2>Audrey =
Du'Mont</FONT> </P>
  <P><FONT size=3D2>~~~~~~~~~~~~~~~</FONT> <BR><FONT size=3D2>Please =
remove this=20
  footer before replying.</FONT> <BR><FONT size=3D2>Visit <A=20
  href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"=20
  target=3D_blank>http://www.jiscmail.ac.uk/lists/occ-health.html</A> =
for list=20
  archives</FONT> </P>
  <P><FONT size=3D2>-- </FONT><BR><FONT size=3D2>This email has been =
electronically=20
  scanned using </FONT><BR><FONT size=3D2>DynaComm i:mail filtering=20
  software.</FONT> </P>
  <P><FONT size=3D2>If you have any questions please email =
</FONT><BR><FONT=20
  size=3D2>[log in to unmask]</FONT> </P>
  <P><FONT size=3D2>Tony Daniel </FONT><BR><FONT size=3D2>Sam =
Shayer</FONT>=20
  <BR><FONT size=3D2>Information Security Team</FONT> </P>
  <P><FONT size=3D2>~~~~~~~~~~~~~~~</FONT> <BR><FONT size=3D2>Please =
remove this=20
  footer before replying.</FONT> <BR><FONT size=3D2>Visit <A=20
  href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"=20
  target=3D_blank>http://www.jiscmail.ac.uk/lists/occ-health.html</A> =
for list=20
  archives</FONT> </P>~~~~~~~~~~~~~~~ Please remove this footer before =
replying.=20

  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to <A=20
  =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/">http://uk.groups.yahoo.=
com/group/OHJobs/</A>
  <P><BR>---<BR>Outgoing mail is certified Virus Free.<BR>Checked by AVG =

  anti-virus system (<A=20
  =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.709=20
  / Virus Database: 465 - Release Date: =
22/06/2004</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_01A4_01C46E69.6F2343A0--
=========================================================================
Date:         Wed, 21 Jul 2004 13:07:59 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chloe Coleridge <[log in to unmask]>
Subject:      cold storage workers
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_79194_3351775.1090408079829"

------=_Part_79194_3351775.1090408079829
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

Hi
those of you who work in areas where there is cold storage (e.g fruit distribution)do you have any specific pre-emp screening forms/questions on pre-employment
would be interested to hear from you
thanks
Chloe

--

Whatever you Wanadoo:
http://www.wanadoo.co.uk/time/

This email has been checked for most known viruses - find out more at: http://www.wanadoo.co.uk/help/id/7098.htm

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_79194_3351775.1090408079829
Content-Type: text/html
Content-Transfer-Encoding: 7bit

<P>Hi</P>
<P>those of you who work in areas where there is cold storage (e.g fruit distribution)do you have any specific pre-emp screening forms/questions on pre-employment</P>
<P>would be interested to hear from you</P>
<P>thanks</P>
<P>Chloe</P><BR><BR><hr size="1">Whatever you <a href="http://www.wanadoo.co.uk/time/" target="_blank">Wanadoo</a><br><br>This email has been checked for most known viruses - find out more <a href="http://www.wanadoo.co.uk/help/id/7098.htm" target="_blank">here</a>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_79194_3351775.1090408079829--
=========================================================================
Date:         Wed, 21 Jul 2004 16:13:54 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "MASLEN-JONES David, Cinical Nurse Mgr"
              <[log in to unmask]>
Subject:      Re: A4C
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C46F35.568420EA"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C46F35.568420EA
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

THE OH Competency framework is now in its third and final draft and open =
for consultation, Carol Woodward at the RCN is dealing with this. I =
would anticipate publication of the framework shortly.
=20
Of other interest The Royal Free in London were early implementers of =
agenda for change and produced some very good job descriptions for OH =
grades from G to I, they may be willing to share.
=20
regards
=20
David
=20
=20

 -----Original Message-----
From: Cawley Therese [mailto:[log in to unmask]]
Sent: 20 July 2004 14:18
To: [log in to unmask]
Subject: Re: A4C



Has anyone heard any further news on this and is it accessible yet?=20

Therese Cawley=20


-----Original Message-----=20
From: MASLEN-JONES David, Cinical Nurse Mgr=20
[ mailto:[log in to unmask]]=20
Sent: 26 April 2004 09:25=20
To: [log in to unmask]
Subject: Re: A4C=20


Dear All,=20

As regards The NHS, A4C competency standards/ Career and competency =
framework for Occupational Health are currently being developed by Jan =
Maw and Carol Bannister at the RCN and are expected to be published in =
July.

 They are now in 2nd draft but not available electronically they will =
integrate with the DOH job evaluation guidelines and I would advise =
waiting for these before wasting time on developing your own

regards=20

DavidDavid R Maslen-Jones RGN BA Spohn MIOSH=20

Clinical Nurse Manager, Occupational Health=20
Plymouth Hospitals NHS Trust=20
Derriford=20
Plymouth=20
PL6 8DH=20
Tel: 01752 517592      int:57592=20
[log in to unmask]


-----Original Message-----=20
From: Audrey Du'Mont [ mailto:[log in to unmask]]=20
Sent: 25 April 2004 06:13=20
To: [log in to unmask]
Subject: Re: A4C=20


I wrote to the RCN as I hadn't seen any job profiles for OH Nurses on=20
their website.  The advice that came from their Employment Relations=20
Department was that the majority of OH posts will have to be job =
evaluated=20
locally with the resulting profiles produced.  This was because there =
were=20
such big variations in OH roles at Hospital Trust level across the=20
country.  They reckoned the banding could be between 6-8 depending on =
the=20
results of that local job evaluation.=20

We shall see!=20

Regards=20
Audrey Du'Mont=20

~~~~~~~~~~~~~~~=20
Please remove this footer before replying.=20
Visit http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

--=20
This email has been electronically scanned using=20
DynaComm i:mail filtering software.=20

If you have any questions please email=20
[log in to unmask]

Tony Daniel=20
Sam Shayer=20
Information Security Team=20

~~~~~~~~~~~~~~~=20
Please remove this footer before replying.=20
Visit http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


-- This email has been electronically scanned using DynaComm i:mail =
filtering software. If you have any questions please email =
[log in to unmask] Tony Daniel Sam Shayer =
Information Security Team=20
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C46F35.568420EA
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<TITLE>RE: A4C</TITLE>

<META content=3D"MSHTML 6.00.2600.0" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D695360515-21072004><FONT face=3DArial color=3D#0000ff =
size=3D2>THE OH=20
Competency framework is now in its third and final draft and open for=20
consultation, Carol Woodward at the RCN is dealing with this. I would =
anticipate=20
publication of the framework shortly.</FONT></SPAN></DIV>
<DIV><SPAN class=3D695360515-21072004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D695360515-21072004><FONT face=3DArial color=3D#0000ff =
size=3D2>Of=20
other interest The Royal Free in London were early implementers of =
agenda for=20
change and produced some very good job descriptions for OH grades from G =
to I,=20
they may be willing to share.</FONT></SPAN></DIV>
<DIV><SPAN class=3D695360515-21072004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D695360515-21072004><FONT face=3DArial color=3D#0000ff =

size=3D2>regards</FONT></SPAN></DIV>
<DIV><SPAN class=3D695360515-21072004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D695360515-21072004><FONT face=3DArial color=3D#0000ff =

size=3D2>David</FONT></SPAN></DIV>
<DIV><SPAN class=3D695360515-21072004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D695360515-21072004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV><SPAN =
class=3D695360515-21072004></SPAN><FONT=20
face=3DTahoma>
<DIV><BR><FONT size=3D2><SPAN =
class=3D695360515-21072004>&nbsp;</SPAN>-----Original=20
Message-----<BR><B>From:</B> Cawley Therese=20
[mailto:[log in to unmask]]<BR><B>Sent:</B> 20 July 2004=20
14:18<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re:=20
A4C<BR><BR></DIV></FONT></FONT>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <P><FONT size=3D2>Has anyone heard any further news on this and is it =
accessible=20
  yet?</FONT> </P>
  <P><FONT size=3D2>Therese Cawley</FONT> </P><BR>
  <P><FONT size=3D2>-----Original Message-----</FONT> <BR><FONT =
size=3D2>From:=20
  MASLEN-JONES David, Cinical Nurse Mgr</FONT> <BR><FONT size=3D2>[<A=20
  =
href=3D"mailto:[log in to unmask]">mailto:David.Maslen-=
[log in to unmask]</A>]</FONT>=20
  <BR><FONT size=3D2>Sent: 26 April 2004 09:25</FONT> <BR><FONT =
size=3D2>To:=20
  [log in to unmask]</FONT> <BR><FONT size=3D2>Subject: Re: =
A4C</FONT>=20
  </P><BR>
  <P><FONT size=3D2>Dear All,</FONT> </P>
  <P><FONT size=3D2>As regards The NHS, A4C competency standards/ Career =
and=20
  competency framework for Occupational Health are currently being =
developed by=20
  Jan Maw and Carol Bannister at the RCN and are expected to be =
published in=20
  July.</FONT></P>
  <P><FONT size=3D2>&nbsp;They are now in 2nd draft but not available=20
  electronically they will integrate with the DOH job evaluation =
guidelines and=20
  I would advise waiting for these before wasting time on developing =
your=20
  own</FONT></P>
  <P><FONT size=3D2>regards</FONT> </P>
  <P><FONT size=3D2>DavidDavid R Maslen-Jones RGN BA Spohn MIOSH</FONT> =
</P>
  <P><FONT size=3D2>Clinical Nurse Manager, Occupational Health</FONT> =
<BR><FONT=20
  size=3D2>Plymouth Hospitals NHS Trust</FONT> <BR><FONT =
size=3D2>Derriford</FONT>=20
  <BR><FONT size=3D2>Plymouth</FONT> <BR><FONT size=3D2>PL6 8DH</FONT> =
<BR><FONT=20
  size=3D2>Tel: 01752 517592&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; int:57592=20
  </FONT><BR><FONT size=3D2>[log in to unmask]</FONT> =
</P><BR>
  <P><FONT size=3D2>-----Original Message-----</FONT> <BR><FONT =
size=3D2>From:=20
  Audrey Du'Mont [<A=20
  =
href=3D"mailto:[log in to unmask]">mailto:[log in to unmask]<=
/A>]</FONT>=20
  <BR><FONT size=3D2>Sent: 25 April 2004 06:13</FONT> <BR><FONT =
size=3D2>To:=20
  [log in to unmask]</FONT> <BR><FONT size=3D2>Subject: Re: =
A4C</FONT>=20
  </P><BR>
  <P><FONT size=3D2>I wrote to the RCN as I hadn't seen any job profiles =
for OH=20
  Nurses on</FONT> <BR><FONT size=3D2>their website.&nbsp; The advice =
that came=20
  from their Employment Relations</FONT> <BR><FONT size=3D2>Department =
was that=20
  the majority of OH posts will have to be job evaluated</FONT> =
<BR><FONT=20
  size=3D2>locally with the resulting profiles produced.&nbsp; This was =
because=20
  there were</FONT> <BR><FONT size=3D2>such big variations in OH roles =
at Hospital=20
  Trust level across the</FONT> <BR><FONT size=3D2>country.&nbsp; They =
reckoned=20
  the banding could be between 6-8 depending on the</FONT> <BR><FONT=20
  size=3D2>results of that local job evaluation.</FONT> </P>
  <P><FONT size=3D2>We shall see!</FONT> </P>
  <P><FONT size=3D2>Regards</FONT> <BR><FONT size=3D2>Audrey =
Du'Mont</FONT> </P>
  <P><FONT size=3D2>~~~~~~~~~~~~~~~</FONT> <BR><FONT size=3D2>Please =
remove this=20
  footer before replying.</FONT> <BR><FONT size=3D2>Visit <A=20
  href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"=20
  target=3D_blank>http://www.jiscmail.ac.uk/lists/occ-health.html</A> =
for list=20
  archives</FONT> </P>
  <P><FONT size=3D2>-- </FONT><BR><FONT size=3D2>This email has been =
electronically=20
  scanned using </FONT><BR><FONT size=3D2>DynaComm i:mail filtering=20
  software.</FONT> </P>
  <P><FONT size=3D2>If you have any questions please email =
</FONT><BR><FONT=20
  size=3D2>[log in to unmask]</FONT> </P>
  <P><FONT size=3D2>Tony Daniel </FONT><BR><FONT size=3D2>Sam =
Shayer</FONT>=20
  <BR><FONT size=3D2>Information Security Team</FONT> </P>
  <P><FONT size=3D2>~~~~~~~~~~~~~~~</FONT> <BR><FONT size=3D2>Please =
remove this=20
  footer before replying.</FONT> <BR><FONT size=3D2>Visit <A=20
  href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"=20
  target=3D_blank>http://www.jiscmail.ac.uk/lists/occ-health.html</A> =
for list=20
  archives</FONT> </P><BR>-- This email has been electronically scanned =
using=20
  DynaComm i:mail filtering software. If you have any questions please =
email=20
  [log in to unmask] Tony Daniel Sam Shayer =
Information=20
  Security Team <BR>~~~~~~~~~~~~~~~ Please remove this footer before =
replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C46F35.568420EA--
=========================================================================
Date:         Wed, 21 Jul 2004 17:12:36 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandra Edwards <[log in to unmask]>
Subject:      Does any body know?
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Dear all

This is the first time I've actually posted on this site, however I do read
it regularly and find the information valuable. I work for local government
and we are now part of the Human Resources Department.

My question is this: Does any one know of any legislation that can be used
to quote from to Senior Human Resources, as they are now demanding that they
have sight of any letters written by our OHP's before they are dispatched to
employees management to ensure that the contents contain no contentious
remarks or statements ?
We would be very grateful for any help with this matter.

Best Regards,
Sandra Elizabeth Edwards
Occupational Health Nurse Advisor

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 21 Jul 2004 18:20:09 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      paint fumes and PH Physicians
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

I am a little anxious about not including OH physicians in problems fo fumes
e.g. paints. I am under the impression that the HSE expects health
surveillance programmes to be "supervised " by an OH Physician. This may be
simply  to rubberstamp pocedures and to referal of people with symptoms, but
they should be there to give us assistance nnd the benefit of their
expertise(which is differrent expertise from ours as nurses working in
OH).This particularly true of repiratory surveillance under COSHH.

By OH Physician I do not mean a GP with a diploma, I mean a "proper"
specialist AFOM MFOM or FFOM.
You can usually train them to do what is expected of them.... this works
well with Nurse led services....

Best wishes all
Diane R-W

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 21 Jul 2004 21:56:00 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         david mills <[log in to unmask]>
Subject:      Re: Does any body know?
In-Reply-To:  <7DB0918939ACD511BA0100065B19E3D5023F9332@X_METROCHANGE2>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Sandra
Majority of big firms I know, these things go through HR anyway.
Not sure what legislation you could us effectively, Data Protection Act??,
probably would depend on how your system is registered.
Why do you want to stop them? They probably have a legitimate interest,
being HR etc. This assumes that OHPs are writing to managers in the usual
terms and their letters don't contain confidential medical information i.e.
just fit/unfit/IHR +/- adjustments or restrictions. Assumes also that
employees come to see OHP when sent an appointment (as it's a condition of
their terms of employment probably)- assumed consent - and are aware of the
procedures etc.

Cant imagine OHPs writing contentious statements :-)

Perhaps a bit of dialog is required to see what they are worried about.

Dr David MJ Mills
[log in to unmask]

-----Original Message-----
From: Sandra Edwards [mailto:[log in to unmask]]
Sent: 21 July 2004 17:13
To: [log in to unmask]
Subject: Does any body know?
Importance: High
Sensitivity: Confidential

Dear all

This is the first time I've actually posted on this site, however I do read
it regularly and find the information valuable. I work for local government
and we are now part of the Human Resources Department.

My question is this: Does any one know of any legislation that can be used
to quote from to Senior Human Resources, as they are now demanding that they
have sight of any letters written by our OHP's before they are dispatched to
employees management to ensure that the contents contain no contentious
remarks or statements ?
We would be very grateful for any help with this matter.

Best Regards,
Sandra Elizabeth Edwards
Occupational Health Nurse Advisor

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 22 Jul 2004 08:59:46 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Aziz, Bashyr" <[log in to unmask]>
Subject:      Re: Does any body know?
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Sandra Edwards wrote:
Does any one know of any legislation that can be used
to quote from to Senior Human Resources, as they are now demanding that =
they
have sight of any letters written by our OHP's before they are =
dispatched to
employees management to ensure that the contents contain no contentious
remarks or statements ?

If Management are happy about this, then you probably cannot do anything =
to prevent it.  The Data Protection Act does state that personal =
information that is processed (which includes things like OHP reports), =
should only be made available to people for whom it is produced, but HR =
could argue that as their role is 'personnel', that they have right of =
access.  However, if HR did ask the OHP to alter a report because there =
was something contentious in it, the OHP could argue that that was =
interfering with the independence and impartiality of the OH service.=20

Bashyr Aziz                Telephone: 01902 518632
Senior Lecturer=20
School of Health - MH113=20
University of Wolverhampton
Molineux Street
Wolverhampton=20
WV1 1SB

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 22 Jul 2004 09:00:33 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Baldwin Chris (RFF) Occupational Health Nurse Advisor"
              <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain;charset="iso-8859-1"

Good morning everyone

Our Keystone Vision Screener has just been condemned and we are looking at
replacement. Your recommendations, suppliers and viewpoints on your current
systems would be appreciated
This e-mail is confidential and privileged.  If you are not the intended recipient please accept our apologies; please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful.  Please inform us that this message has gone astray before deleting it.  Thank you for your co-operation.



Unless expressly stated otherwise, the contents of this e-mail represent only the views of the sender as expressed only to the intended recipient, do not commit Barnsley District General Hospital NHS Trust to any course of action and, in particular, are not intended to impose any legal obligation upon the Trust.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 22 Jul 2004 13:34:55 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Kinselley, Gillian E" <[log in to unmask]>
Subject:      Re: Does any body know?
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

I am not sure about any exact legislation with out searching but I would
initially look at competency and professionalism of your team (which they
will have as they are professionals) and if HR are actually competent to
make judgement on documents (which I doubt they are)
Confidentially, DP ...will lead you to make a suitable case that you are the
professional to make judgement and advice on individuals capabilities. I
would never suggest agreeing to change documents to suit HR.

Gill

-----Original Message-----
From: Sandra Edwards [mailto:[log in to unmask]]
Sent: 21 July 2004 17:13
To: [log in to unmask]
Subject: Does any body know?
Importance: High
Sensitivity: Confidential


Dear all

This is the first time I've actually posted on this site, however I do read
it regularly and find the information valuable. I work for local government
and we are now part of the Human Resources Department.

My question is this: Does any one know of any legislation that can be used
to quote from to Senior Human Resources, as they are now demanding that they
have sight of any letters written by our OHP's before they are dispatched to
employees management to ensure that the contents contain no contentious
remarks or statements ?
We would be very grateful for any help with this matter.

Best Regards,
Sandra Elizabeth Edwards
Occupational Health Nurse Advisor

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


.sophos.3.83.07.21.


Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 22 Jul 2004 13:36:16 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Darcy <[log in to unmask]>
Subject:      Re: Does any body know? (Away)
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

I will be away from my office on 22/23 July 2004 although you can
contact me via reception on extension 33063 (020 8383 3063 if calling
externally).

Many thanks









>>> OCC-HEALTH 07/22/04 13:34 >>>

I am not sure about any exact legislation with out searching but I would
initially look at competency and professionalism of your team (which
they
will have as they are professionals) and if HR are actually competent to
make judgement on documents (which I doubt they are)
Confidentially, DP ...will lead you to make a suitable case that you are
the
professional to make judgement and advice on individuals capabilities. I
would never suggest agreeing to change documents to suit HR.

Gill

-----Original Message-----
From: Sandra Edwards [mailto:[log in to unmask]]
Sent: 21 July 2004 17:13
To: [log in to unmask]
Subject: Does any body know?
Importance: High
Sensitivity: Confidential


Dear all

This is the first time I've actually posted on this site, however I do
read
it regularly and find the information valuable. I work for local
government
and we are now part of the Human Resources Department.

My question is this: Does any one know of any legislation that can be
used
to quote from to Senior Human Resources, as they are now demanding that
they
have sight of any letters written by our OHP's before they are
dispatched to
employees management to ensure that the contents contain no contentious
remarks or statements ?
We would be very grateful for any help with this matter.

Best Regards,
Sandra Elizabeth Edwards
Occupational Health Nurse Advisor

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


.sophos.3.83.07.21.


Emails aren't always secure, and they may be intercepted or changed
after they've been sent. Abbey doesn't accept liability if this happens.
If you think someone may have interfered with this email, please get in
touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept
responsibility for damage caused by any viruses contained in this email
or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at
once that it's gone to the wrong person and then destroy it without
copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg.
No. 3839455 are registered in England and have their Registered Offices
at Abbey National House, 2 Triton Square, Regent's Place, London, NW1
3AN.

Abbey National plc and Inscape Investments Limited are authorised and
regulated by the Financial Services Authority. Abbey National plc only
advises on its own life assurance, pension and collective investment
scheme products. Inscape Investments Limited is a member of the Abbey
Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are
registered trademarks of Abbey National plc.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Hammersmith Hospitals NHS Trust IT department on 020 8746 5555. Please also delete the message from your computer.

**
*

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 22 Jul 2004 15:41:09 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Porter Suzanne <[log in to unmask]>
Subject:      Technician Role
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C46FF9.EDA19FCE"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C46FF9.EDA19FCE
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hi Group

Some time ago someone very kindly sent me a JD for an OH Technician. =
Does anyone have a copy of the protocol for using technician with regard =
to scope of practice and referral to qualified OH etc? If so could you =
e-mail me a copy please as I would like to proceed with the creation of =
such a role.

Many thanks for your help.

Su

Su Porter
Senior Occupational Health Nurse Advisor (Healthcare)
Isle of Wight Healthcare NHS Trust
01983 534209 / 4884
[log in to unmask]



~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C46FF9.EDA19FCE
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version =
6.0.6487.1">
<TITLE>Technician Role</TITLE>
</HEAD>
<BODY>
<!-- Converted from text/rtf format -->

<P><FONT SIZE=3D2 FACE=3D"Arial">Hi Group</FONT>
</P>

<P><FONT SIZE=3D2 FACE=3D"Arial">Some time ago someone very kindly sent =
me a JD for an OH Technician. Does anyone have a copy of the protocol =
for using technician with regard to scope of practice and referral to =
qualified OH etc? If so could you e-mail me a copy please as I would =
like to proceed with the creation of such a role.</FONT></P>

<P><FONT SIZE=3D2 FACE=3D"Arial">Many thanks for your help.</FONT>
</P>

<P><FONT SIZE=3D2 FACE=3D"Arial">Su</FONT>
</P>

<P><SPAN LANG=3D"en-gb"><B><FONT COLOR=3D"#FF00FF" SIZE=3D4 =
FACE=3D"Arial">Su Porter</FONT></B></SPAN>

<BR><SPAN LANG=3D"en-gb"><I><FONT COLOR=3D"#00FF00" SIZE=3D2 =
FACE=3D"Arial">Senior Occupational Health Nurse Advisor =
(Healthcare)</FONT></I></SPAN>

<BR><SPAN LANG=3D"en-gb"><FONT COLOR=3D"#00FF00" SIZE=3D2 =
FACE=3D"Arial">Isle of Wight Healthcare NHS Trust</FONT></SPAN>

<BR><SPAN LANG=3D"en-gb"><FONT COLOR=3D"#0000FF" SIZE=3D2 =
FACE=3D"Arial">01983 534209 / 4884</FONT></SPAN>

<BR><SPAN LANG=3D"en-gb"><B><FONT COLOR=3D"#FF0000" SIZE=3D2 =
FACE=3D"Arial">[log in to unmask]</FONT></B></SPAN>
</P>
<BR>

</BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C46FF9.EDA19FCE--
=========================================================================
Date:         Thu, 22 Jul 2004 18:33:15 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         =?iso-8859-1?q?jacqui=20livock?= <[log in to unmask]>
Subject:      Re: Does any body know?
In-Reply-To:  <7DB0918939ACD511BA0100065B19E3D5023F9332@X_METROCHANGE2>
MIME-Version: 1.0
Content-Type: multipart/alternative; boundary="0-894944796-1090517595=:32393"
Content-Transfer-Encoding: 8bit

--0-894944796-1090517595=:32393
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

hi sandra
all my oh reports go through HR this is actually a very useful intervention as they are able to offer the managers the advice they need to implement any recommendations i put forward and they 'push' managers to look 'outside their box'.
my referrals also come via HR as they do a good job at sending the inappropriate one back to managers, it also identifies areas where managers are 'passing the buck'.

when obtaining consent to release medical information i explain that the report goes to HR first who pick out any 'employment' issues such as restriction on hours etc the report is then passed to the manager and the consent form i use states that the indiviudal consents to release of info to HR and the manager. i have not had anyone challenge the need for HR to be aware of my recommendations.
i find that this works really well for all concerned as managers and HR talk to each other.
jacqui




---------------------------------
 ALL-NEW Yahoo! Messenger - sooooo many all-new ways to express yourself

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-894944796-1090517595=:32393
Content-Type: text/html; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

<DIV>hi sandra</DIV>
<DIV>all my oh reports go through HR this is actually a very useful intervention as they are able to offer the managers the advice they need to implement any recommendations i put forward and they 'push' managers to look 'outside their box'. </DIV>
<DIV>my referrals also come via HR as they do a good job at sending the inappropriate one back to managers, it also identifies areas where managers are 'passing the buck'.</DIV>
<DIV>&nbsp;</DIV>
<DIV>when obtaining consent to release medical information i explain that the report goes to HR first who pick out any&nbsp;'employment' issues such as&nbsp;restriction on hours etc&nbsp;the report is then passed to the manager and the consent form i use states that the indiviudal&nbsp;consents to release of info to HR and the manager. i have not had anyone challenge the need for HR to be aware of my recommendations.</DIV>
<DIV>i find that this works really well for all concerned as managers and HR talk to each other.</DIV>
<DIV>jacqui<BR><BR></DIV><p>
                <hr size=1> <font size="2" face="Verdana, Arial, Helvetica, sans-serif"><a href="http://uk.rd.yahoo.com/evt=21626/*http://uk.messenger.yahoo.com"><strong>ALL-NEW
Yahoo! Messenger</strong></a><strong> - <font color="#FF9900"><em>sooooo many
all-new ways to express yourself</em></font></strong></font>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-894944796-1090517595=:32393--
=========================================================================
Date:         Thu, 22 Jul 2004 18:57:49 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Trevor Maze <[log in to unmask]>
Subject:      Re: Does any body know?
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Sandra,

I agree with the other postings on this subject, but I also wonder =
whether there is something else behind this. By contentious, I assume =
you mean statements that might imply employer liability in the event of =
any legal action.

What is the background of your OHP? Many inexperienced doctors/nurses =
assume that everything they're told by the employee is truthful and then =
reflect this in the response to management. All of us get caught with =
this from time to time, but if it's a regular habit I wouldn't be =
surprised if they wanted the opportunity to filter responses before they =
are issued.

One answer is to work with HR and management to educate them on what =
they can AND what they cannot expect us to do. It also allows them to =
inform us about other circumstances and agendas relating to the case. =
Often management are at fault for providing minimal or nil information =
on the referral form. They need to understand that if they tell us =
nothing, by default any report cannot avoid reflecting the employee's =
viewpoint as that is the only one we have. If they can't be bothered to =
give us the background, why do they expect us to bother finding out?

Regards,

Trevor

Dr Trevor Maze
Occupational Physician

Premier Occupational Healthcare  http://www.premierohc.co.uk
3, Folkestone Enterprise Centre, Shearway Business Park
Shearway Road, Folkestone, Kent, CT19 4RH
T: 0870 444 1399   F: 0870 444 2908   M: 07985 2777 99


-----Original Message-----
From: Sandra Edwards [mailto:[log in to unmask]]
Sent: 21 July 2004 17:13
To: [log in to unmask]
Subject: Does any body know?
Importance: High
Sensitivity: Confidential


Dear all

This is the first time I've actually posted on this site, however I do =
read
it regularly and find the information valuable. I work for local =
government
and we are now part of the Human Resources Department.

My question is this: Does any one know of any legislation that can be =
used
to quote from to Senior Human Resources, as they are now demanding that =
they
have sight of any letters written by our OHP's before they are =
dispatched to
employees management to ensure that the contents contain no contentious
remarks or statements ?
We would be very grateful for any help with this matter.

Best Regards,
Sandra Elizabeth Edwards
Occupational Health Nurse Advisor

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 22 Jul 2004 21:10:32 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Helen Hannar <[log in to unmask]>
Subject:      Re: Vision Screener
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_70215_29941312.1090523432150"

------=_Part_70215_29941312.1090523432150
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

We have just replaced our Keystone with a Titmus Vision Screener. We got a very good price from SKScientifics as well as discounts on training sessions etc from them. Dr. Karmy was so helpful we are considering purchasing a new audio from them as well. They also do reconditioned models for thsoe of us with budget contstraints.
After using the Keystone (and knowing it off by heart it must be said) the Titmus has taken some getting used to but is far better. You need to insert a seperate lens for intermediate testing (very simple), but can alter the distance according to the persons standard DSE Screen placing as opposed to just pushing the plunger for 1 setting on the Keystone we had. Also the Titmus is still under developement for further screening tests.
We did look at other models and types of screening type things but came back to the Titmus on price and ease of use. Its also easy to explain to the user.
Hope this helps,
Helen Hannar




> Message date : Jul 22 2004, 09:02 AM
> From : "Baldwin Chris (RFF) Occupational Health Nurse Advisor"
> To : [log in to unmask]
> Copy to :
> Subject : (no subject)
> Good morning everyone
>
> Our Keystone Vision Screener has just been condemned and we are looking at
> replacement. Your recommendations, suppliers and viewpoints on your current
> systems would be appreciated
> This e-mail is confidential and privileged. If you are not the intended recipient please accept our apologies; please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful. Please inform us that this message has gone astray before deleting it. Thank you for your co-operation.
>
>
>
> Unless expressly stated otherwise, the contents of this e-mail represent only the views of the sender as expressed only to the intended recipient, do not commit Barnsley District General Hospital NHS Trust to any course of action and, in particular, are not intended to impose any legal obligation upon the Trust.
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>



Helen Hannar
OH Advisor

OHServices (NE).
Tel:- 01388 777962
Mob:- 07950 154541
Fax:- 01388 777962

--

Whatever you Wanadoo:
http://www.wanadoo.co.uk/time/

This email has been checked for most known viruses - find out more at: http://www.wanadoo.co.uk/help/id/7098.htm

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_70215_29941312.1090523432150
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<P>We have just replaced our Keystone with a Titmus Vision Screener. We got=
 a very good price from SKScientifics as well as discounts on training sess=
ions etc from them. Dr. Karmy was so helpful we are considering purchasing =
a new audio from them as well. They also do reconditioned models for thsoe =
of us with budget contstraints.</P>
<P>After using the Keystone (and knowing it off by heart it must be said) t=
he Titmus has taken some getting used to but is far better. You need to ins=
ert a seperate lens for intermediate testing (very simple), but can alter t=
he distance according to the persons standard DSE Screen placing as opposed=
 to just pushing the plunger for 1 setting on the Keystone we had. Also the=
 Titmus is still under developement for further screening tests.</P>
<P>We did look at other models and types of screening type things but came =
back to the Titmus on price and ease of use. Its also easy to explain to th=
e user. </P>
<P>Hope this helps,</P>
<P>Helen Hannar<BR><BR><BR><BR></P>
<BLOCKQUOTE style=3D"PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #ff0=
000 2px solid">&gt; Message date : Jul 22 2004, 09:02 AM<BR>&gt; From : "Ba=
ldwin Chris (RFF) Occupational Health Nurse Advisor" <CHRIS.BALDWIN@BDGH-TR=
.TRENT.NHS.UK><BR>&gt; To : [log in to unmask]<BR>&gt; Copy to : <BR=
>&gt; Subject : (no subject)<BR>&gt; Good morning everyone<BR>&gt; <BR>&gt;=
 Our Keystone Vision Screener has just been condemned and we are looking at=
<BR>&gt; replacement. Your recommendations, suppliers and viewpoints on you=
r current<BR>&gt; systems would be appreciated<BR>&gt; This e-mail is confi=
dential and privileged. If you are not the intended recipient please accept=
 our apologies; please do not disclose, copy or distribute information in t=
his e-mail or take any action in reliance on its contents: to do so is stri=
ctly prohibited and may be unlawful. Please inform us that this message has=
 gone astray before deleting it. Thank you for your co-operation.<BR>&gt; <=
BR>&gt; <BR>&gt; <BR>&gt; Unless expressly stated otherwise, the contents o=
f this e-mail represent only the views of the sender as expressed only to t=
he intended recipient, do not commit Barnsley District General Hospital NHS=
 Trust to any course of action and, in particular, are not intended to impo=
se any legal obligation upon the Trust.<BR>&gt; <BR>&gt; ~~~~~~~~~~~~~~~<BR=
>&gt; Please remove this footer before replying.<BR>&gt; <BR>&gt; For list =
archives and documents, go to<BR>&gt; http://www.jiscmail.ac.uk/lists/occ-h=
ealth.html for list archives<BR>&gt; <BR>&gt; For jobs in Occupational Heal=
th, go to<BR>&gt; http://uk.groups.yahoo.com/group/OHJobs/<BR>&gt; </BLOCKQ=
UOTE>
<P><BR><BR></P>
<P><STRONG>Helen Hannar <BR>OH Advisor <BR><BR>OHServices (NE). <BR>Tel:- 0=
1388 777962 <BR>Mob:- 07950 154541 <BR>Fax:- 01388 777962</STRONG></P><BR><=
BR><hr size=3D"1">Whatever you <a href=3D"http://www.wanadoo.co.uk/time/" t=
arget=3D"_blank">Wanadoo</a><br><br>This email has been checked for most kn=
own viruses - find out more <a href=3D"http://www.wanadoo.co.uk/help/id/709=
8.htm" target=3D"_blank">here</a>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_70215_29941312.1090523432150--
=========================================================================
Date:         Thu, 22 Jul 2004 22:28:46 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         shelley cook <[log in to unmask]>
Subject:      Re: Health Surveillance with Soldering Fumes
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_008B_01C4703B.40D1F720"

This is a multi-part message in MIME format.

------=_NextPart_000_008B_01C4703B.40D1F720
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Helen,
we follow the guidelines for Isocyanates - questionnaires and lung =
functions at 6/52 after start, 3/12 after start, 6/12 after start and =
then annual surveillance. We also are very clear in reinforcing employee =
responsibility to report any adverse symptoms promptly - through our =
referral system. It seems to work well - so far.
The questionnaires we based around HSE  ones - there is also a lot of =
info on Colophony from the HSE.

kind regards
  ----- Original Message -----=20
  From: Smith Eileen (RLN) City Hospitals Sunderland - Occupational =
Health=20
  To: [log in to unmask]
  Sent: Thursday, July 15, 2004 11:46 AM
  Subject: Re: Health Surveillance with Soldering Fumes


  Helen, I know that colophony is one of the main target areas of the =
HSE in relation to health surveillance/main causes of occupational =
asthma.
  We provide HS to anyone using rosin based solder, at start date, 6 =
weeks and 12 weeks, then yearly.
  Hope this helps.
  Eileen
    -----Original Message-----
    From: OccHealth [mailto:[log in to unmask]]
    Sent: 14 July 2004 17:59
    To: [log in to unmask]
    Subject: Health Surveillance with Soldering Fumes


    Hello all

    I have been asked to look at monitoring employees who are in =
continual contact with soldering fumes.
    Having not met this one before I thought I would ask for assistance =
from anyone who has knowledge/experience of this type of Health =
Surveillance.=20
    Like is there any mandatory surveillance with regard to soldering =
fumes; if so what?
    best practice surveillance do others carry out?
    How frequently is this done? etc etc

    Many thanks in anticipation.
    Helen
    ~~~~~~~~~~~~~~~ =20
  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_008B_01C4703B.40D1F720
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 5.50.4134.600" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>Helen,</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>we follow the guidelines for =
Isocyanates -=20
questionnaires and lung functions at 6/52 after start, 3/12 after start, =
6/12=20
after start and then annual surveillance. We also are very clear in =
reinforcing=20
employee responsibility to report any adverse symptoms promptly - =
through our=20
referral system. It seems to work well - so far.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>The questionnaires we based around =
HSE&nbsp; ones -=20
there is also a lot of info on Colophony from the HSE.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>kind regards</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Smith Eileen (RLN) City =
Hospitals=20
  Sunderland - Occupational Health</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Thursday, July 15, 2004 =
11:46=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Health =
Surveillance with=20
  Soldering Fumes</DIV>
  <DIV><BR></DIV>
  <DIV><SPAN class=3D968363610-15072004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>Helen, I know that colophony is one of the main&nbsp;target =
areas of=20
  the HSE in relation to health surveillance/main causes of occupational =

  asthma.</FONT></SPAN></DIV>
  <DIV><SPAN class=3D968363610-15072004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>We&nbsp;provide HS to anyone using rosin based solder, at =
start date, 6=20
  weeks and 12 weeks, then yearly.</FONT></SPAN></DIV>
  <DIV><SPAN class=3D968363610-15072004><FONT face=3DArial =
color=3D#0000ff size=3D2>Hope=20
  this helps.</FONT></SPAN></DIV>
  <DIV><SPAN class=3D968363610-15072004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>Eileen</FONT></SPAN></DIV>
  <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
    <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
    size=3D2>-----Original Message-----<BR><B>From:</B> OccHealth=20
    [mailto:[log in to unmask]]<BR><B>Sent:</B> 14 July 2004=20
    17:59<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Health=20
    Surveillance with Soldering Fumes<BR><BR></FONT></DIV>
    <DIV><FONT face=3DArial size=3D2>Hello all</FONT></DIV>
    <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT face=3DArial size=3D2>I have been asked&nbsp;to look=20
    at&nbsp;monitoring employees who are in continual contact with =
soldering=20
    fumes.</FONT></DIV>
    <DIV><FONT face=3DArial size=3D2>Having not met this one before I =
thought I=20
    would ask for assistance from anyone who has knowledge/experience of =
this=20
    type of Health Surveillance. </FONT></DIV>
    <DIV><FONT face=3DArial size=3D2>Like is there any&nbsp;mandatory =
surveillance=20
    with regard to soldering fumes; if so what?</FONT></DIV>
    <DIV><FONT face=3DArial size=3D2>best practice surveillance do =
others carry=20
    out?</FONT></DIV>
    <DIV><FONT face=3DArial size=3D2>How frequently is this done? etc=20
    etc</FONT></DIV>
    <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT face=3DArial size=3D2>Many thanks in =
anticipation.</FONT></DIV>
    <DIV><FONT face=3DArial =
size=3D2>Helen</FONT></DIV>~~~~~~~~~~~~~~~<SPAN=20
    class=3D968363610-15072004><FONT face=3DArial color=3D#0000ff=20
    size=3D2>&nbsp;&nbsp;</FONT></SPAN></BLOCKQUOTE>~~~~~~~~~~~~~~~ =
Please remove=20
  this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_008B_01C4703B.40D1F720--

=========================================================================
Date:         Fri, 23 Jul 2004 10:34:32 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Janet Peace <[log in to unmask]>
Subject:      Biological monitoring
Comments: To: [log in to unmask]
MIME-Version: 1.0
Content-Type: text/html; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version =
6.0.6249.1">
<TITLE>Biological monitoring</TITLE>
</HEAD>
<BODY>
<!-- Converted from text/rtf format -->

<P><FONT FACE=3D"Arial">Dear List</FONT>
</P>

<P><FONT FACE=3D"Arial">Can anyone help please.&nbsp; </FONT>
</P>

<P><FONT FACE=3D"Arial">I have just had a query about biological =
monitoring for employees who are exposed to Dichloromethane.</FONT>
</P>

<P><FONT FACE=3D"Arial">Has anyone&nbsp; done any monitoring of =
employees who are exposed to high levels this chemical, I believe that =
they have regular Lung&nbsp; Function Testing.</FONT></P>

<P><FONT FACE=3D"Arial">Thanks</FONT>
</P>

<P><FONT SIZE=3D5 FACE=3D"Lucida Handwriting">Janet</FONT>
</P>

<P><FONT FACE=3D"Arial">Janet Peace</FONT>

<BR><FONT FACE=3D"Arial">Occupational Health Advisor</FONT>

<BR><FONT FACE=3D"Arial">Textile Centre of Excellence</FONT>

<BR><FONT FACE=3D"Arial">Tel. 01484 346500</FONT>

<BR><FONT FACE=3D"Arial">Fax. 01484 346501</FONT>
</P>

</BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 23 Jul 2004 11:03:30 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         catrina baker <[log in to unmask]>
Subject:      Re: Biological monitoring
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4709C.4E5F94F4"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4709C.4E5F94F4
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

Can anyone advise,

I have a query regarding the use of cab fans which are situated in the
upper right corner of bus cabs in front of the driver, they can then
oscillate to ventilate the bus drivers cab.

There is some query that this may cause Bells Palsy and the drivers are
not keen to use.

If there is anyone who is knowledgeable in the field of Bells Palsy that
can help l would appreciate it.

=20

Catrina Baker

Occupational Health Advisor

=20

________________________________

From: Janet Peace [mailto:[log in to unmask]]=20
Sent: 23 July 2004 09:35
To: [log in to unmask]
Subject: Biological monitoring

=20

Dear List=20

Can anyone help please. =20

I have just had a query about biological monitoring for employees who
are exposed to Dichloromethane.=20

Has anyone  done any monitoring of employees who are exposed to high
levels this chemical, I believe that they have regular Lung  Function
Testing.

Thanks=20

Janet=20

Janet Peace=20
Occupational Health Advisor=20
Textile Centre of Excellence=20
Tel. 01484 346500=20
Fax. 01484 346501=20

~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4709C.4E5F94F4
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<html xmlns:v=3D"urn:schemas-microsoft-com:vml" =
xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">
<meta name=3DGenerator content=3D"Microsoft Word 11 (filtered medium)">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]-->
<title>Biological monitoring</title>
<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;}
@font-face
        {font-family:"Lucida Handwriting";
        panose-1:3 1 1 1 1 1 1 1 1 1;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {margin:0cm;
        margin-bottom:.0001pt;
        font-size:12.0pt;
        font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;}
p
        {mso-margin-top-alt:auto;
        margin-right:0cm;
        mso-margin-bottom-alt:auto;
        margin-left:0cm;
        font-size:12.0pt;
        font-family:"Times New Roman";}
span.EmailStyle18
        {mso-style-type:personal-reply;
        font-family:Arial;
        color:navy;}
@page Section1
        {size:612.0pt 792.0pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;}
div.Section1
        {page:Section1;}
-->
</style>

</head>

<body lang=3DEN-US link=3Dblue vlink=3Dpurple>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Can anyone =
advise,<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>I have a query regarding the use of =
cab
fans which are situated in the upper right corner of bus cabs in front =
of the
driver, they can then oscillate to ventilate the bus drivers =
cab.<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>There is some query that this may =
cause
Bells Palsy and the drivers are not keen to =
use.<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>If there is anyone who is =
knowledgeable in
the field of Bells Palsy that can help l would appreciate =
it.<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Catrina =
Baker<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Occupational Health =
Advisor<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<div>

<div class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><font =
size=3D3
face=3D"Times New Roman"><span style=3D'font-size:12.0pt'>

<hr size=3D2 width=3D"100%" align=3Dcenter tabindex=3D-1>

</span></font></div>

<p class=3DMsoNormal><b><font size=3D2 face=3DTahoma><span =
style=3D'font-size:10.0pt;
font-family:Tahoma;font-weight:bold'>From:</span></font></b><font =
size=3D2
face=3DTahoma><span style=3D'font-size:10.0pt;font-family:Tahoma'> Janet =
Peace
[mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 23 July 2004 =
09:35<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Biological =
monitoring</span></font><o:p></o:p></p>

</div>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p><font size=3D3 face=3DArial><span =
style=3D'font-size:12.0pt;font-family:Arial'>Dear
List</span></font> <o:p></o:p></p>

<p><font size=3D3 face=3DArial><span =
style=3D'font-size:12.0pt;font-family:Arial'>Can
anyone help please.&nbsp; </span></font><o:p></o:p></p>

<p><font size=3D3 face=3DArial><span =
style=3D'font-size:12.0pt;font-family:Arial'>I
have just had a query about biological monitoring for employees who are =
exposed
to Dichloromethane.</span></font> <o:p></o:p></p>

<p><font size=3D3 face=3DArial><span =
style=3D'font-size:12.0pt;font-family:Arial'>Has
anyone&nbsp; done any monitoring of employees who are exposed to high =
levels
this chemical, I believe that they have regular Lung&nbsp; Function =
Testing.</span></font><o:p></o:p></p>

<p><font size=3D3 face=3DArial><span =
style=3D'font-size:12.0pt;font-family:Arial'>Thanks</span></font>
<o:p></o:p></p>

<p><font size=3D5 face=3D"Lucida Handwriting"><span =
style=3D'font-size:18.0pt;
font-family:"Lucida Handwriting"'>Janet</span></font> <o:p></o:p></p>

<p><font size=3D3 face=3DArial><span =
style=3D'font-size:12.0pt;font-family:Arial'>Janet
Peace</span></font> <br>
<font face=3DArial><span style=3D'font-family:Arial'>Occupational Health =
Advisor</span></font>
<br>
<font face=3DArial><span style=3D'font-family:Arial'>Textile Centre of =
Excellence</span></font>
<br>
<font face=3DArial><span style=3D'font-family:Arial'>Tel. 01484 =
346500</span></font>
<br>
<font face=3DArial><span style=3D'font-family:Arial'>Fax. 01484 =
346501</span></font>
<o:p></o:p></p>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4709C.4E5F94F4--
=========================================================================
Date:         Fri, 23 Jul 2004 11:17:43 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chris Packham <[log in to unmask]>
Subject:      Re: Biological monitoring
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_001B_01C470A6.AC9897A0"

This is a multi-part message in MIME format.

------=_NextPart_000_001B_01C470A6.AC9897A0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Biological monitoringJanet

Are you talking about airborne exposure, dermal exposure or both?

You say that they are exposed to high levels of Dichloromethane. If this =
is the case, then rather than biological monitoring to identify the =
damage that you have caused you should be looking at controls to =
eliminate or significantly reduce exposure. Biological monitoring will =
not get your organisation out of trouble on COSHH compliance.

Regards
Chris Packham
EnviroDerm Services

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001B_01C470A6.AC9897A0
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><TITLE>Biological monitoring</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3D"Times New Roman" color=3D#000080 =
size=3D4>Janet</FONT></DIV>
<DIV><FONT face=3D"Times New Roman" color=3D#000080 =
size=3D4></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Times New Roman" color=3D#000080 size=3D4>Are you =
talking about=20
airborne exposure, dermal exposure or both?</FONT></DIV>
<DIV><FONT face=3D"Times New Roman" color=3D#000080 =
size=3D4></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Times New Roman" color=3D#000080 size=3D4>You say =
that they are=20
exposed to high levels of Dichloromethane. If this is the case, then =
rather than=20
biological monitoring to identify the damage that you have caused you =
should be=20
looking at controls to eliminate or significantly reduce exposure. =
Biological=20
monitoring will not get your organisation out of trouble on COSHH=20
compliance.</FONT></DIV>
<DIV><FONT face=3D"Times New Roman" color=3D#000080 =
size=3D4></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Times New Roman" color=3D#000080 =
size=3D4>Regards</FONT></DIV>
<DIV><FONT face=3D"Times New Roman" color=3D#000080 size=3D4>Chris=20
Packham</FONT></DIV>
<DIV><FONT face=3D"Times New Roman" color=3D#000080 size=3D4>EnviroDerm=20
Services</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000080 2px solid; MARGIN-RIGHT: =
0px">&nbsp;</BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001B_01C470A6.AC9897A0--
=========================================================================
Date:         Fri, 23 Jul 2004 11:34:59 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Janet Yap <[log in to unmask]>
Subject:      Re: Water Contamination
MIME-Version: 1.0
Content-type: text/plain; charset=us-ascii

Good morning all,

Routine sampling of our water supply recently has found to contain the
micro-organism - Pseudomonas aeuroginosa.  The water supply comes from the
mains direct and the water is filtered through filters attached to taps.

Prior to the testing, staffs have complained about the water tasting funny
and water appearing cloudy.

Can anyone tell me what effect this could have on human health and pregnant
women.

Replies will be greatfully received.

Thank you.

Kind regards.

Janet
Occupational Health.



______________________________________________________________________

+ + + + + + + + + + + + + + + + + + + + + + + + + + + +
                        Visit BPL's new website
                         http://www.bpl.co.uk
+ + + + + + + + + + + + + + + + + + + + + + + + + + + +


This e-mail is confidential to the intended recipient. If you have received
it in error you must not copy, disclose, distribute or rely on its contents
but delete it immediately from your computer and notify BPL please by
telephoning +44 (0) 20 8258 2589.

BPL is not responsible and cannot be held liable
-for any reason to anyone who has received this e-mail in error
-for the contents of personal or private messages sent by members of staff
-for the security of information sent by e-mail at your request

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 23 Jul 2004 12:02:38 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Janet Peace <[log in to unmask]>
Subject:      Re: Biological monitoring
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C470A4.91636818"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C470A4.91636818
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Thanks for your reply Chris
=20
The enquiry is not relating to my  organisation, but a query from a =
colleague who has conducted air sampling at a company who uses=20
Dichloromethane.
=20
I will pass your reply onto him.
=20
Janet

-----Original Message-----
From: Chris Packham [mailto:[log in to unmask]]
Sent: 23 July 2004 11:18
To: [log in to unmask]
Subject: Re: Biological monitoring


Janet
=20
Are you talking about airborne exposure, dermal exposure or both?
=20
You say that they are exposed to high levels of Dichloromethane. If this =
is the case, then rather than biological monitoring to identify the =
damage that you have caused you should be looking at controls to =
eliminate or significantly reduce exposure. Biological monitoring will =
not get your organisation out of trouble on COSHH compliance.
=20
Regards
Chris Packham
EnviroDerm Services

=20

~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C470A4.91636818
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<TITLE>Biological monitoring</TITLE>

<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><SPAN class=3D910211311-23072004><FONT face=3DArial =
color=3D#0000ff>Thanks for=20
your reply Chris</FONT></SPAN></DIV>
<DIV><SPAN class=3D910211311-23072004><FONT face=3DArial=20
color=3D#0000ff></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D910211311-23072004><FONT face=3DArial =
color=3D#0000ff>The enquiry=20
is not relating to my&nbsp; organisation, but a query from a colleague =
who has=20
conducted air sampling at a company who uses </FONT></SPAN></DIV>
<DIV><SPAN class=3D910211311-23072004><FONT face=3DArial=20
color=3D#0000ff>Dichloromethane.</FONT></SPAN></DIV>
<DIV><SPAN class=3D910211311-23072004><FONT face=3DArial=20
color=3D#0000ff></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D910211311-23072004><FONT face=3DArial =
color=3D#0000ff>I will pass=20
your reply onto him.</FONT></SPAN></DIV>
<DIV><SPAN class=3D910211311-23072004><FONT face=3DArial=20
color=3D#0000ff></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D910211311-23072004><FONT face=3DArial=20
color=3D#0000ff>Janet</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> Chris Packham=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 23 July 2004=20
  11:18<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re:=20
  Biological monitoring<BR><BR></FONT></DIV>
  <DIV><FONT face=3D"Times New Roman" color=3D#000080 =
size=3D4>Janet</FONT></DIV>
  <DIV><FONT face=3D"Times New Roman" color=3D#000080 =
size=3D4></FONT>&nbsp;</DIV>
  <DIV><FONT face=3D"Times New Roman" color=3D#000080 size=3D4>Are you =
talking about=20
  airborne exposure, dermal exposure or both?</FONT></DIV>
  <DIV><FONT face=3D"Times New Roman" color=3D#000080 =
size=3D4></FONT>&nbsp;</DIV>
  <DIV><FONT face=3D"Times New Roman" color=3D#000080 size=3D4>You say =
that they are=20
  exposed to high levels of Dichloromethane. If this is the case, then =
rather=20
  than biological monitoring to identify the damage that you have caused =
you=20
  should be looking at controls to eliminate or significantly reduce =
exposure.=20
  Biological monitoring will not get your organisation out of trouble on =
COSHH=20
  compliance.</FONT></DIV>
  <DIV><FONT face=3D"Times New Roman" color=3D#000080 =
size=3D4></FONT>&nbsp;</DIV>
  <DIV><FONT face=3D"Times New Roman" color=3D#000080 =
size=3D4>Regards</FONT></DIV>
  <DIV><FONT face=3D"Times New Roman" color=3D#000080 size=3D4>Chris=20
  Packham</FONT></DIV>
  <DIV><FONT face=3D"Times New Roman" color=3D#000080 =
size=3D4>EnviroDerm=20
  Services</FONT></DIV>
  <BLOCKQUOTE dir=3Dltr=20
  style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000080 2px solid; MARGIN-RIGHT: =
0px">&nbsp;</BLOCKQUOTE>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C470A4.91636818--
=========================================================================
Date:         Fri, 23 Jul 2004 16:25:19 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sweeney Mary <[log in to unmask]>
Subject:      Re: Water Contamination
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

From Anglian Water

Hi Janet
I have spoken with our micro biologists and they advise that it is known fo=
r Pseudomonas aeuriginosa to be detected in water supplies, particularly wh=
ere filtration is used. Hospitals are known to sample frequently for it. It=
 is not considered a health risk unless individuals are immunocompromised. =
It is not considered a risk to pregnant women either.
Your taste  issues could be associated with chlorination or water turn over=
 if held in storage tanks somewhere. Cloudiness is often a result of air in=
 the system so your plumbing could probably do with an overhaul. It could a=
lso be the result of mineral deposits, something we experience here in the =
Anglian region as our water comes from boreholes in the ground. If you are =
still concerned, it may be worth while talking to your local water company'=
s' water quality department.=20

Best wishes
Mary


-----Original Message-----
From: Janet Yap [mailto:[log in to unmask]]
Sent: 23 July 2004 11:35
To: [log in to unmask]
Subject: Re: Water Contamination


TREAT THIS MESSAGE WITH CAUTION - it has passed through one or more externa=
l networks
*****

Good morning all,

Routine sampling of our water supply recently has found to contain the
micro-organism - Pseudomonas aeuroginosa.  The water supply comes from the
mains direct and the water is filtered through filters attached to taps.

Prior to the testing, staffs have complained about the water tasting funny
and water appearing cloudy.

Can anyone tell me what effect this could have on human health and pregnant
women.

Replies will be greatfully received.

Thank you.

Kind regards.

Janet
Occupational Health.



______________________________________________________________________

+ + + + + + + + + + + + + + + + + + + + + + + + + + + +
                        Visit BPL's new website
                         http://www.bpl.co.uk
+ + + + + + + + + + + + + + + + + + + + + + + + + + + +


This e-mail is confidential to the intended recipient. If you have received
it in error you must not copy, disclose, distribute or rely on its contents
but delete it immediately from your computer and notify BPL please by
telephoning +44 (0) 20 8258 2589.

BPL is not responsible and cannot be held liable
-for any reason to anyone who has received this e-mail in error
-for the contents of personal or private messages sent by members of staff
-for the security of information sent by e-mail at your request

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


--*----*----*----*----*----*----*----*----*----*----*----*----*----*--
The information contained in this message is likely to be confidential
and may be legally privileged. The dissemination, distribution, copying
or disclosure of this message, or its contents, is strictly prohibited
unless authorised by Anglian Water. It is intended only for the person
named as addressee.

Anglian Water cannot accept any responsibility for the accuracy
or completeness of this message, and does not authorise any contract
to be made using the Internet.

If you have received this message in error, please immediately
return it to the sender at the above address and delete it from your comput=
er.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
-
=========================================================================
Date:         Mon, 26 Jul 2004 01:00:25 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Donna Dixon <[log in to unmask]>
Subject:      Donna Dixon/National Britannia is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=iso-8859-1
Content-transfer-encoding: quoted-printable

I will be out of the office starting  23/07/2004 and will not return un=
til
02/08/2004.

I am on leave now until Monday 2nd August.  If your email is a client
querie, please call 02920 852 852.  Otherwise, I will respond to your e=
mail
upon my return.  Many thanks

This transmission has been issued for the  information of the addressee=

only and contains information which is  confidential.=A0 Accordingly, i=
t
should not be altered in any way or copied  or otherwise reproduced in =
any
form, nor should its existence or contents be  disclosed to any other
person.=A0 If you are not the  intended recipient of this transmission =
or any
attachment, please reply  immediately.
=

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 28 Jul 2004 10:56:25 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandra Edwards <[log in to unmask]>
Subject:      Does any body know ?
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Many thanks to those who replied to my posting. I'd just like to ask
something further on the subject.

For those whose OHP's letters are "vetted" by HR, and I use the word
loosely, if HR raise objections to what is written because they don't like
what is said, do you then change it to suite HR?

This would then infer that if OH advisors were to write to management and
they objected to the advice and recommendations given would we were then be
expected to change what is written to suite management? There would be no
point in referring to occupational health in the first place if management
did not wish our opinion. Am I incorrect in thinking our position is
supposed to be objective and arbitrary?

Our role is that of advisor and if management choose not to take our advice
that is their choice, that surely equally goes for advice from the OHP?

Best Regards,
Sandra

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 28 Jul 2004 11:22:39 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Clayton.Mary" <[log in to unmask]>
Subject:      Re: Does any body know ?
MIME-Version: 1.0
Content-Type: text/plain

Sandra,

While I might change the wording I will not change the meaning e.g. HR may
consider that a manger would be more amenable if different phraseology were
used. However I would not change the essence of my advice just to suit HR &
management whims/hidden agendas etc. I've always found that establishing a
mutually respectful relationship with HR teams has helped me do the best for
my clients (which of course includes the organization too).

Mary


-----Original Message-----
From: Sandra Edwards [mailto:[log in to unmask]]
Sent: 28 July 2004 10:56
To: [log in to unmask]
Subject: Does any body know ?
Importance: High
Sensitivity: Confidential

Many thanks to those who replied to my posting. I'd just like to ask
something further on the subject.

For those whose OHP's letters are "vetted" by HR, and I use the word
loosely, if HR raise objections to what is written because they don't like
what is said, do you then change it to suite HR?

This would then infer that if OH advisors were to write to management and
they objected to the advice and recommendations given would we were then be
expected to change what is written to suite management? There would be no
point in referring to occupational health in the first place if management
did not wish our opinion. Am I incorrect in thinking our position is
supposed to be objective and arbitrary?

Our role is that of advisor and if management choose not to take our advice
that is their choice, that surely equally goes for advice from the OHP?

Best Regards,
Sandra

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 28 Jul 2004 17:22:11 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Kath Griffiths <[log in to unmask]>
Subject:      Re: Does any body know ?
MIME-Version: 1.0
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: quoted-printable

Worth finding out why HR want to do this.  I have received reports from OHP=
s=
 in the past which are  highly subjective (taking the employees word as =
gospel and reporting as fact, criticising management without full facts etc=
.=
 ) and poorly worded and this can cause great problems

Kath Griffiths
Occupational Health Manager
=46reshfields Bruckhaus Deringer
65 Fleet Street
EC4Y 1HS
[log in to unmask] <mailto:[log in to unmask]>=20
0207  716 4024
07966 961 821

This email and any attachments is strictly confidential. Accordingly this =
email and its attachments should not be forwarded, reproduced or made =
available to any third party under any circumstances without prior consent =
=66rom Occupational Health .  If you are not the intended recipient  please=
 =
advise the sender immediately by reply email and delete the message and any=
 =
attachments without reading, distributing or copying.



-----Original Message-----
=46rom: Sandra Edwards [mailto:[log in to unmask]]
Sent: 28 July 2004 10:56
To: [log in to unmask]
Subject: Does any body know =3F
Importance: High
Sensitivity: Confidential


Many thanks to those who replied to my posting. I'd just like to ask
something further on the subject.

=46or those whose OHP's letters are "vetted" by HR, and I use the word
loosely, if HR raise objections to what is written because they don't like
what is said, do you then change it to suite HR=3F

This would then infer that if OH advisors were to write to management and
they objected to the advice and recommendations given would we were then be
expected to change what is written to suite management=3F There would be no
point in referring to occupational health in the first place if management
did not wish our opinion. Am I incorrect in thinking our position is
supposed to be objective and arbitrary=3F

Our role is that of advisor and if management choose not to take our advice
that is their choice, that surely equally goes for advice from the OHP=3F

Best Regards,
Sandra

~~~~~~~~~~~~~~~
Please remove this footer before replying.

=46or list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

=46or jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


This e-mail is confidential and may well also be legally privileged. If you=
 =
have received it in error, you are on notice of its status.  Please notify =
us immediately by reply e-mail and then delete this message from your =
system.  Please do not copy it or use it for any purposes, or disclose its =
contents to any other person:  to do so could be a breach of confidence.  =
Thank you for your co-operation.  Please contact our IT Helpdesk on +44 (0)=
 =
20 7936 4000 Ext.2000 or email [log in to unmask] if you need =
assistance.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 28 Jul 2004 17:52:14 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Martin Tohill <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_000C_01C474CB.9EBD5D90"

This is a multi-part message in MIME format.

------=_NextPart_000_000C_01C474CB.9EBD5D90
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: 7bit

I am sure this question has arisen before!
This is for NHS colleagues.

Are any Trusts screening for MRSA in staff entering Maternity or neonatology
- particularly junior doctors who change around every 6 months.
I will explain pending replies.
Martin.


Dr Martin Tohill
MB BCH BAO MRCGP AFOM DOccMed
 <mailto:[log in to unmask]>
[log in to unmask]


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_000C_01C474CB.9EBD5D90
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<html xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">
<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 11">
<meta name=3DOriginator content=3D"Microsoft Word 11">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C474CB.9D40CFB0">
<!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:DontDisplayPageBoundaries/>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:PunctuationKerning/>
  <w:ValidateAgainstSchemas/>
  <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
  <w:IgnoreMixedContent>false</w:IgnoreMixedContent>
  <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
  <w:Compatibility>
   <w:BreakWrappedTables/>
   <w:SnapToGridInCell/>
   <w:WrapTextWithPunct/>
   <w:UseAsianBreakRules/>
   <w:DontGrowAutofit/>
  </w:Compatibility>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:LatentStyles DefLockedState=3D"false" LatentStyleCount=3D"156">
 </w:LatentStyles>
</xml><![endif]-->
<style>
<!--
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;
        text-underline:single;}
p.MsoAutoSig, li.MsoAutoSig, div.MsoAutoSig
        {margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
span.EmailStyle17
        {mso-style-type:personal-compose;
        mso-style-noshow:yes;
        mso-ansi-font-size:10.0pt;
        mso-bidi-font-size:10.0pt;
        font-family:Arial;
        mso-ascii-font-family:Arial;
        mso-hansi-font-family:Arial;
        mso-bidi-font-family:Arial;
        color:windowtext;
        font-weight:bold;
        font-style:normal;
        text-decoration:none;
        text-underline:none;
        text-decoration:none;
        text-line-through:none;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;
        mso-header-margin:35.4pt;
        mso-footer-margin:35.4pt;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";
        mso-ansi-language:#0400;
        mso-fareast-language:#0400;
        mso-bidi-language:#0400;}
</style>
<![endif]-->
</head>

<body lang=3DEN-GB link=3Dblue vlink=3Dpurple =
style=3D'tab-interval:36.0pt'>

<div class=3DSection1>

<p class=3DMsoNormal =
style=3D'mso-layout-grid-align:none;text-autospace:none'><b><font
size=3D2 face=3D"Courier New"><span =
style=3D'font-size:11.0pt;font-family:"Courier New";
font-weight:bold'>I am sure this question has arisen =
before!<o:p></o:p></span></font></b></p>

<p class=3DMsoNormal =
style=3D'mso-layout-grid-align:none;text-autospace:none'><b><font
size=3D2 face=3D"Courier New"><span =
style=3D'font-size:11.0pt;font-family:"Courier New";
font-weight:bold'>This is for NHS =
colleagues.<o:p></o:p></span></font></b></p>

<p class=3DMsoNormal =
style=3D'mso-layout-grid-align:none;text-autospace:none'><b><font
size=3D2 face=3D"Courier New"><span =
style=3D'font-size:11.0pt;font-family:"Courier New";
font-weight:bold'><o:p>&nbsp;</o:p></span></font></b></p>

<p class=3DMsoNormal =
style=3D'mso-layout-grid-align:none;text-autospace:none'><b><font
size=3D2 face=3D"Courier New"><span =
style=3D'font-size:11.0pt;font-family:"Courier New";
font-weight:bold'>Are any Trusts screening for MRSA in staff entering =
Maternity
or neonatology - particularly junior doctors who change around every 6 =
months.<o:p></o:p></span></font></b></p>

<p class=3DMsoNormal =
style=3D'mso-layout-grid-align:none;text-autospace:none'><b><font
size=3D2 face=3D"Courier New"><span =
style=3D'font-size:11.0pt;font-family:"Courier New";
font-weight:bold'>I will explain pending =
replies.<o:p></o:p></span></font></b></p>

<p class=3DMsoNormal =
style=3D'mso-layout-grid-align:none;text-autospace:none'><b><font
size=3D2 face=3D"Courier New"><span =
style=3D'font-size:11.0pt;font-family:"Courier New";
font-weight:bold'>Martin.<o:p></o:p></span></font></b></p>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'><o:p>&nbsp;</o:p></span></font></b></=
p>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'><o:p>&nbsp;</o:p></span></font></b></=
p>

<p class=3DMsoAutoSig><strong><b><font size=3D2 face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;mso-no-proof:yes'>Dr Martin =
Tohill</span></font></b></strong><font
size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;mso-no-proof:
yes'> </span></font><span =
style=3D'mso-no-proof:yes'><o:p></o:p></span></p>

<p class=3DMsoAutoSig><font size=3D1 face=3DArial><span =
style=3D'font-size:7.5pt;
font-family:Arial;mso-no-proof:yes'>MB BCH BAO MRCGP AFOM =
DOccMed</span></font><span
style=3D'mso-no-proof:yes'><o:p></o:p></span></p>

<p class=3DMsoAutoSig><strong><b><font size=3D2 face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;mso-no-proof:yes'><a
href=3D"mailto:[log in to unmask]"><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;font-family:"Times New =
Roman"'>[log in to unmask]</span></font></a></span></font=
></b></strong><span
style=3D'mso-no-proof:yes'><o:p></o:p></span></p>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'><o:p>&nbsp;</o:p></span></font></p>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_000C_01C474CB.9EBD5D90--
=========================================================================
Date:         Wed, 28 Jul 2004 16:47:38 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="part1_9a.1058d21c.2e396aea_boundary"

--part1_9a.1058d21c.2e396aea_boundary
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Hi Martin,

we do not routinely screen any staff for MRSA. We did a while ago following
an episode in one area which caused concern, so all new staff going there were
screened, not sure why as it was only a one off, ie they weren't routinely
screened again once in post!

It has now stopped thankfully. I must admit the recent idea of screening all
staff and sending those +ve home made me smile. The NHS would shut overnight.

Regards,

Glenn

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--part1_9a.1058d21c.2e396aea_boundary
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<HTML><FONT FACE=3Darial,helvetica><HTML><FONT  COLOR=3D"#0000ff" SIZE=3D4 P=
TSIZE=3D14 FAMILY=3D"SERIF" FACE=3D"Calisto MT" LANG=3D"0">Hi Martin,<BR>
<BR>
we do not routinely screen any staff for MRSA. We did a while ago following=20=
an episode in one area which caused concern, so all new staff going there we=
re screened, not sure why as it was only a one off, ie they weren't routinel=
y screened again once in post!<BR>
<BR>
It has now stopped thankfully. I must admit the recent idea of screening all=
 staff and sending those +ve home made me smile. The NHS would shut overnigh=
t.<BR>
<BR>
Regards,<BR>
<BR>
Glenn</FONT></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--part1_9a.1058d21c.2e396aea_boundary--
=========================================================================
Date:         Thu, 29 Jul 2004 10:39:56 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Alison Brewster <[log in to unmask]>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

No we don't screen in Southampton

Alison Brewster
Occupational Health Sister

>>> [log in to unmask] 07/28/04 05:52pm >>>
I am sure this question has arisen before!
This is for NHS colleagues.

Are any Trusts screening for MRSA in staff entering Maternity or
neonatology
- particularly junior doctors who change around every 6 months.
I will explain pending replies.
Martin.


Dr Martin Tohill
MB BCH BAO MRCGP AFOM DOccMed
 <mailto:[log in to unmask]>
[log in to unmask]


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


D I S C L A I M E R
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. Any views or opinions presented are solely those of
the author and do not necessarily represent those of the
Trust unless explicitly stated otherwise.  If you have received this
e-mail in error please delete the e-mail and contact the
Southampton University Hospitals NHS Trust Helpdesk on:-
023 80796000
This footnote also confirms that this email message has been swept
by MIMEsweeper for the presence of computer viruses.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 29 Jul 2004 13:32:19 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
Subject:      Valid date for keeping PEHS

Hello all,

can I ask what peoples views are on what a valid time would be to keep pre-
employment health questionnaires?

When a form is received a letter is sent to attend an open clinic. If no
response is made or non-attendance at the clinic what is a reasonable time
to keep the form? After all the information is only valid until the date it
is signed and dated by the individual, similar I suppose to an MOT
certificate. Am I being reasonable to say that if after a period of 3
months no response has been received I can shred the form??

What's your views? Are there any legalities to this?

Thanks,

Glenn

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 29 Jul 2004 13:52:52 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Cawley Therese <[log in to unmask]>
Subject:      Re: MRSA
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="--=_NextPart_ST_14_01_51_Thursday_July_29_2004_32234"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

----=_NextPart_ST_14_01_51_Thursday_July_29_2004_32234
Content-Type: text/plain;
        charset="iso-8859-1"

I feel this is a decision to be made by your infection control team.
Our team request that we screen staff starting work in areas where MRSA
might pose a higher risk to patients, e.g. surgery, maternity, paediatrics.
We do not do any routine repeat screening. If positive we offer them a
prescription for local treatment and once they have started treatment there
are no restrictions on work unless they have an infected wound (although we
might keep someone out of a high risk area such as SCBU)otherwise we would
not have any staff in the hospital as you suggest. We also might offer
someone screening if they had a chronic skin condition such as psoriosis,
but we don't insist.

Therese Cawley
Kettering General Hospital

-----Original Message-----
From: Alison Brewster [mailto:[log in to unmask]]
Sent: 29 July 2004 10:40
To: [log in to unmask]
Subject:


No we don't screen in Southampton

Alison Brewster
Occupational Health Sister

>>> [log in to unmask] 07/28/04 05:52pm >>>
I am sure this question has arisen before!
This is for NHS colleagues.

Are any Trusts screening for MRSA in staff entering Maternity or
neonatology
- particularly junior doctors who change around every 6 months.
I will explain pending replies.
Martin.


Dr Martin Tohill
MB BCH BAO MRCGP AFOM DOccMed
 <mailto:[log in to unmask]>
[log in to unmask]


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


D I S C L A I M E R
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. Any views or opinions presented are solely those of
the author and do not necessarily represent those of the
Trust unless explicitly stated otherwise.  If you have received this
e-mail in error please delete the e-mail and contact the
Southampton University Hospitals NHS Trust Helpdesk on:-
023 80796000
This footnote also confirms that this email message has been swept
by MIMEsweeper for the presence of computer viruses.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

----=_NextPart_ST_14_01_51_Thursday_July_29_2004_32234
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; charset=3Diso-8859-=
1">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version 5.5.2657.73"=
>
<TITLE>RE: MRSA</TITLE>
</HEAD>
<BODY>

<P><FONT SIZE=3D2>I feel this is a decision to be made by your infection co=
ntrol team.</FONT>
<BR><FONT SIZE=3D2>Our team request that we screen staff starting work in a=
reas where MRSA might pose a higher risk to patients, e.g. surgery, materni=
ty, paediatrics. We do not do any routine repeat screening. If positive we =
offer them a prescription for local treatment and once they have started tr=
eatment there are no restrictions on work unless they have an infected woun=
d (although we might keep someone out of a high risk area such as SCBU)othe=
rwise we would not have any staff in the hospital as you suggest. We also m=
ight offer someone screening if they had a chronic skin condition such as p=
soriosis, but we don't insist.</FONT></P>

<P><FONT SIZE=3D2>Therese Cawley</FONT>
<BR><FONT SIZE=3D2>Kettering General Hospital</FONT>
</P>

<P><FONT SIZE=3D2>-----Original Message-----</FONT>
<BR><FONT SIZE=3D2>From: Alison Brewster [<A HREF=3D"mailto:Alison.Brewster=
@SUHT.SWEST.NHS.UK">mailto:[log in to unmask]</A>]</FONT>
<BR><FONT SIZE=3D2>Sent: 29 July 2004 10:40</FONT>
<BR><FONT SIZE=3D2>To: [log in to unmask]</FONT>
<BR><FONT SIZE=3D2>Subject: </FONT>
</P>
<BR>

<P><FONT SIZE=3D2>No we don't screen in Southampton</FONT>
</P>

<P><FONT SIZE=3D2>Alison Brewster</FONT>
<BR><FONT SIZE=3D2>Occupational Health Sister</FONT>
</P>

<P><FONT SIZE=3D2>&gt;&gt;&gt; [log in to unmask] 07/28/04 =
05:52pm &gt;&gt;&gt;</FONT>
<BR><FONT SIZE=3D2>I am sure this question has arisen before!</FONT>
<BR><FONT SIZE=3D2>This is for NHS colleagues.</FONT>
</P>

<P><FONT SIZE=3D2>Are any Trusts screening for MRSA in staff entering Mater=
nity or</FONT>
<BR><FONT SIZE=3D2>neonatology</FONT>
<BR><FONT SIZE=3D2>- particularly junior doctors who change around every 6 =
months.</FONT>
<BR><FONT SIZE=3D2>I will explain pending replies.</FONT>
<BR><FONT SIZE=3D2>Martin.</FONT>
</P>
<BR>

<P><FONT SIZE=3D2>Dr Martin Tohill</FONT>
<BR><FONT SIZE=3D2>MB BCH BAO MRCGP AFOM DOccMed</FONT>
<BR><FONT SIZE=3D2>&nbsp;&lt;<A HREF=3D"mailto:occupationalhealth@btopenwor=
ld.com">mailto:[log in to unmask]</A>&gt;</FONT>
<BR><FONT SIZE=3D2>[log in to unmask]</FONT>
</P>
<BR>

<P><FONT SIZE=3D2>~~~~~~~~~~~~~~~</FONT>
<BR><FONT SIZE=3D2>Please remove this footer before replying.</FONT>
</P>

<P><FONT SIZE=3D2>For list archives and documents, go to</FONT>
<BR><FONT SIZE=3D2><A HREF=3D"http://www.jiscmail.ac.uk/lists/occ-health.ht=
ml" TARGET=3D"_blank">http://www.jiscmail.ac.uk/lists/occ-health.html</A> f=
or list archives</FONT>
</P>

<P><FONT SIZE=3D2>For jobs in Occupational Health, go to</FONT>
<BR><FONT SIZE=3D2><A HREF=3D"http://uk.groups.yahoo.com/group/OHJobs/" TAR=
GET=3D"_blank">http://uk.groups.yahoo.com/group/OHJobs/</A></FONT>
</P>
<BR>

<P><FONT SIZE=3D2>D I S C L A I M E R</FONT>
<BR><FONT SIZE=3D2>This email and any files transmitted with it are confide=
ntial and</FONT>
<BR><FONT SIZE=3D2>intended solely for the use of the individual or entity =
to whom they</FONT>
<BR><FONT SIZE=3D2>are addressed. Any views or opinions presented are solel=
y those of</FONT>
<BR><FONT SIZE=3D2>the author and do not necessarily represent those of the=
</FONT>
<BR><FONT SIZE=3D2>Trust unless explicitly stated otherwise.&nbsp; If you h=
ave received this</FONT>
<BR><FONT SIZE=3D2>e-mail in error please delete the e-mail and contact the=
</FONT>
<BR><FONT SIZE=3D2>Southampton University Hospitals NHS Trust Helpdesk on:-=
</FONT>
<BR><FONT SIZE=3D2>023 80796000</FONT>
<BR><FONT SIZE=3D2>This footnote also confirms that this email message has =
been swept</FONT>
<BR><FONT SIZE=3D2>by MIMEsweeper for the presence of computer viruses.</FO=
NT>
</P>

<P><FONT SIZE=3D2>~~~~~~~~~~~~~~~</FONT>
<BR><FONT SIZE=3D2>Please remove this footer before replying.</FONT>
</P>

<P><FONT SIZE=3D2>For list archives and documents, go to</FONT>
<BR><FONT SIZE=3D2><A HREF=3D"http://www.jiscmail.ac.uk/lists/occ-health.ht=
ml" TARGET=3D"_blank">http://www.jiscmail.ac.uk/lists/occ-health.html</A> f=
or list archives</FONT>
</P>

<P><FONT SIZE=3D2>For jobs in Occupational Health, go to</FONT>
<BR><FONT SIZE=3D2><A HREF=3D"http://uk.groups.yahoo.com/group/OHJobs/" TAR=
GET=3D"_blank">http://uk.groups.yahoo.com/group/OHJobs/</A></FONT>
</P>

</BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
----=_NextPart_ST_14_01_51_Thursday_July_29_2004_32234--
=========================================================================
Date:         Thu, 29 Jul 2004 14:11:27 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         =?iso-8859-1?q?Martin=20Chatterton?= <[log in to unmask]>
Subject:      Advice re UK nurses working in OH USA
MIME-Version: 1.0
Content-Type: multipart/alternative; boundary="0-1735552993-1091106687=:80580"

--0-1735552993-1091106687=:80580
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: quoted-printable
X-MIME-Autoconverted: from 8bit to quoted-printable by kili.jiscmail.ac.uk id i6TDBXRK003732

Dear list

I have been reading from the list for almost a year now & I find it very =
informative & helpful. This is my first subscription (all be it a little =
selfish one for me!!) and hope that somebody might be able to point me in=
 the right direction.

Please does anybody out there have any advice about working in OH in the =
USA, if possible more specifically Vermont.

I have asked a few people & OH Agencies here in the UK with no luck as ye=
t. I=92m trying to organise myself so that I will be able to practice the=
re in 5 years time.

Any advice/ suggestions are appreciated.

Many thanks in anticipation

Jackie Chatterton (diploma OH & General Practice Nursing).


        =09
---------------------------------
 ALL-NEW Yahoo! Messenger - all new features - even more fun! =20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-1735552993-1091106687=:80580
Content-Type: text/html; charset=iso-8859-1
Content-Transfer-Encoding: quoted-printable
X-MIME-Autoconverted: from 8bit to quoted-printable by kili.jiscmail.ac.uk id i6TDBXRK003732

<DIV>Dear list</DIV>
<DIV>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN lang=3DEN-GB sty=
le=3D"mso-ansi-language: EN-GB"><FONT size=3D3><FONT face=3D"Times New Ro=
man">I have been reading from the list for almost a year now &amp; I find=
 it very informative &amp; helpful. This is my first subscription (all be=
 it a little selfish one for me!!) and hope that somebody might be able t=
o point me in the right direction.<?xml:namespace prefix =3D o ns =3D "ur=
n:schemas-microsoft-com:office:office" /><o:p></o:p></FONT></FONT></SPAN>=
</P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT size=3D3><FONT f=
ace=3D"Times New Roman"><SPAN lang=3DEN-GB style=3D"mso-ansi-language: EN=
-GB">Please does anybody out there have any advice about working in OH in=
 the </SPAN><?xml:namespace prefix =3D st1 ns =3D "urn:schemas-microsoft-=
com:office:smarttags" /><st1:country-region><st1:place><SPAN lang=3DEN-GB=
 style=3D"mso-ansi-language: EN-GB">USA</SPAN></st1:place></st1:country-r=
egion><SPAN lang=3DEN-GB style=3D"mso-ansi-language: EN-GB">, if possible=
 more specifically </SPAN><st1:State><st1:place><SPAN lang=3DEN-GB style=3D=
"mso-ansi-language: EN-GB">Vermont</SPAN></st1:place></st1:State><SPAN la=
ng=3DEN-GB style=3D"mso-ansi-language: EN-GB">.<o:p></o:p></SPAN></FONT><=
/FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT size=3D3><FONT f=
ace=3D"Times New Roman"><SPAN lang=3DEN-GB style=3D"mso-ansi-language: EN=
-GB">I have asked a few people &amp; OH Agencies here in the </SPAN><st1:=
country-region><st1:place><SPAN lang=3DEN-GB style=3D"mso-ansi-language: =
EN-GB">UK</SPAN></st1:place></st1:country-region><SPAN lang=3DEN-GB style=
=3D"mso-ansi-language: EN-GB"> with no luck as yet. I=92m trying to organ=
ise myself so that I will be able to practice there in 5 years time.</SPA=
N></FONT></FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT size=3D3><FONT f=
ace=3D"Times New Roman"><SPAN lang=3DEN-GB style=3D"mso-ansi-language: EN=
-GB">Any advice/ suggestions are appreciated.</SPAN></FONT></FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT size=3D3><FONT f=
ace=3D"Times New Roman"><SPAN lang=3DEN-GB style=3D"mso-ansi-language: EN=
-GB">Many thanks in anticipation</SPAN></FONT></FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT size=3D3><FONT f=
ace=3D"Times New Roman"><SPAN lang=3DEN-GB style=3D"mso-ansi-language: EN=
-GB">Jackie Chatterton (diploma OH &amp; General Practice Nursing).</SPAN=
></FONT></FONT></P></DIV><p>
                <hr size=3D1> <font size=3D"2" face=3D"Verdana, Arial, Helvetica, sans-=
serif"><a href=3D"http://uk.rd.yahoo.com/evt=3D21626/*http://uk.messenger=
.yahoo.com"><strong><font face=3D"Arial, Helvetica, sans-serif">ALL-NEW=20
Yahoo! Messenger</font></strong></a><font face=3D"Arial, Helvetica, sans-=
serif"><strong>=20
- all new features - even more fun!</strong></font><strong><font color=3D=
"#FF9900">=20
</font></strong></font>=20
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-1735552993-1091106687=:80580--
=========================================================================
Date:         Thu, 29 Jul 2004 15:00:52 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Denovan Marianne <[log in to unmask]>
Subject:      Re: Advice re UK nurses working in OH USA
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C47574.757BF2D0"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C47574.757BF2D0
Content-Type: text/plain;
        charset="iso-8859-1"

Hi
You will have to become registered in Vermont State and may have to sit
something called the NYCLEX exam first. Suggest look up the Vermont State
Board for Nursing on the website and take it from there. A general overseas
nursing agency (such as the ones that advertise in NT jobs section may be
able to help). From past experience many years ago  (so it may be out of
date) you are unlikely to be able to sit or gain  RN license in any USA
state without having doen obstetrics and psychiatry during your 3 year RGN
training. There is an American Association of OH Nurses/Nursing somewhere on
the web. US OH nurses take  a qualification  called COHN  - I think. Also if
you search for  Vermont hospitals or nursing agencies Vermont - on the
internet you will get an idea of what's out there in the way of jobs. Good
luck
Marianne


-----Original Message-----
From: Martin Chatterton [mailto:[log in to unmask]]
Sent: Thursday, July 29, 2004 2:11 PM
To: [log in to unmask]
Subject: Advice re UK nurses working in OH USA

Dear list
I have been reading from the list for almost a year now & I find it very
informative & helpful. This is my first subscription (all be it a little
selfish one for me!!) and hope that somebody might be able to point me in
the right direction.
Please does anybody out there have any advice about working in OH in the
USA, if possible more specifically Vermont.
I have asked a few people & OH Agencies here in the UK with no luck as yet.
I'm trying to organise myself so that I will be able to practice there in 5
years time.
Any advice/ suggestions are appreciated.
Many thanks in anticipation
Jackie Chatterton (diploma OH & General Practice Nursing).
  _____

 <http://uk.rd.yahoo.com/evt=21626/*http:/uk.messenger.yahoo.com> ALL-NEW
Yahoo! Messenger - all new features - even more fun! ~~~~~~~~~~~~~~~ Please
remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C47574.757BF2D0
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<html xmlns:v=3D"urn:schemas-microsoft-com:vml" =
xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns:st1=3D"urn:schemas-microsoft-com:office:smarttags" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 10">
<meta name=3DOriginator content=3D"Microsoft Word 10">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C4757D.9446B480">
<link rel=3DEdit-Time-Data href=3D"cid:editdata.mso@01C4757D.9446B480">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><o:SmartTagType
 namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags" =
name=3D"State"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"country-region"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"PlaceName"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"PlaceType"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"place"/>
<!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if !mso]>
<style>
st1\:*{behavior:url(#default#ieooui) }
</style>
<![endif]-->
<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;
        mso-font-charset:0;
        mso-generic-font-family:swiss;
        mso-font-pitch:variable;
        mso-font-signature:553679495 -2147483648 8 0 66047 0;}
@font-face
        {font-family:Verdana;
        panose-1:2 11 6 4 3 5 4 4 2 4;
        mso-font-charset:0;
        mso-generic-font-family:swiss;
        mso-font-pitch:variable;
        mso-font-signature:536871559 0 0 0 415 0;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0in;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
p
        {mso-margin-top-alt:auto;
        margin-right:0in;
        mso-margin-bottom-alt:auto;
        margin-left:0in;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
span.EmailStyle19
        {mso-style-type:personal-reply;
        mso-style-noshow:yes;
        mso-ansi-font-size:10.0pt;
        mso-bidi-font-size:10.0pt;
        font-family:Arial;
        mso-ascii-font-family:Arial;
        mso-hansi-font-family:Arial;
        mso-bidi-font-family:Arial;
        color:navy;}
span.SpellE
        {mso-style-name:"";
        mso-spl-e:yes;}
span.GramE
        {mso-style-name:"";
        mso-gram-e:yes;}
@page Section1
        {size:8.5in 11.0in;
        margin:1.0in 1.25in 1.0in 1.25in;
        mso-header-margin:.5in;
        mso-footer-margin:.5in;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0in 5.4pt 0in 5.4pt;
        mso-para-margin:0in;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]-->
</head>

<body lang=3DEN-US link=3Dblue vlink=3Dblue =
style=3D'tab-interval:.5in'>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Hi<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>You will have to become registered =
in </span></font><st1:place><st1:PlaceName><font
  size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
  color:navy'>Vermont</span></font></st1:PlaceName><font size=3D2 =
color=3Dnavy
 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:navy'> =
</span></font><st1:PlaceType><font
  size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
  color:navy'>State</span></font></st1:PlaceType></st1:place><font =
size=3D2
color=3Dnavy face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
color:navy'> and may have to sit something called the NYCLEX exam =
first. Suggest
look up the Vermont State Board for Nursing on the website and take it =
from
there. A general overseas nursing agency (such as the ones that =
advertise in NT
jobs section may be able to help). From past experience many years =
<span
class=3DGramE>ago<span style=3D'mso-spacerun:yes'>=A0 </span>(</span>so =
it may be out
of date) you are unlikely to be able to sit or gain <span
style=3D'mso-spacerun:yes'>=A0</span>RN license in any =
</span></font><st1:country-region><st1:place><font
  size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
  color:navy'>USA</span></font></st1:place></st1:country-region><font =
size=3D2
color=3Dnavy face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
color:navy'> state without having <span class=3DSpellE>doen</span> =
obstetrics and
psychiatry during your 3 year RGN training. There is an American =
Association of
OH Nurses/Nursing somewhere on the web. US OH nurses <span =
class=3DGramE>take <span
style=3D'mso-spacerun:yes'>=A0</span>a</span> qualification <span
style=3D'mso-spacerun:yes'>=A0</span>called COHN <span
style=3D'mso-spacerun:yes'>=A0</span>- I think. Also if you search =
<span
class=3DGramE>for <span =
style=3D'mso-spacerun:yes'>=A0</span></span></span></font><st1:State><st=
1:place><span
  class=3DGramE><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:10.0pt;
  =
font-family:Arial;color:navy'>Vermont</span></font></span></st1:place></=
st1:State><font
size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
color:navy'> hospitals or nursing agencies =
</span></font><st1:State><st1:place><font
  size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
  color:navy'>Vermont</span></font></st1:place></st1:State><font =
size=3D2
color=3Dnavy face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
color:navy'> - on the internet you will get an idea of what's out there
in the way of jobs. Good luck<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Marianne<o:p></o:p></span></font></=
p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>=


<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>=


<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D2 =
face=3DTahoma><span
style=3D'font-size:10.0pt;font-family:Tahoma'>-----Original =
Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Martin Chatterton
[mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> Thursday, July 29, =
2004 2:11
PM<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Advice re UK =
nurses
working in OH USA</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D3 =
face=3D"Times New Roman"><span
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<div>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D3 =
face=3D"Times New Roman"><span
style=3D'font-size:12.0pt'>Dear list<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D3 =
face=3D"Times New Roman"><span
lang=3DEN-GB style=3D'font-size:12.0pt;mso-ansi-language:EN-GB'>I have =
been reading
from the list for almost a year now &amp; I find it very informative =
&amp; helpful.
This is my first subscription (all be it a little selfish one for me!!) =
and
hope that somebody might be able to point me in the right =
direction.<o:p></o:p></span></font></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D3 =
face=3D"Times New Roman"><span
lang=3DEN-GB style=3D'font-size:12.0pt;mso-ansi-language:EN-GB'>Please =
does anybody
out there have any advice about working in OH in the =
<st1:country-region><st1:place>USA</st1:place></st1:country-region>,
if possible more specifically =
<st1:State><st1:place>Vermont</st1:place></st1:State>.<o:p></o:p></span>=
</font></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D3 =
face=3D"Times New Roman"><span
lang=3DEN-GB style=3D'font-size:12.0pt;mso-ansi-language:EN-GB'>I have =
asked a few
people &amp; OH Agencies here in the =
<st1:country-region><st1:place>UK</st1:place></st1:country-region>
with no luck as yet. I'm trying to organise myself so that I will be =
able
to practice there in 5 years time.</span><o:p></o:p></font></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D3 =
face=3D"Times New Roman"><span
lang=3DEN-GB style=3D'font-size:12.0pt;mso-ansi-language:EN-GB'>Any =
advice/
suggestions are appreciated.</span><o:p></o:p></font></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D3 =
face=3D"Times New Roman"><span
lang=3DEN-GB style=3D'font-size:12.0pt;mso-ansi-language:EN-GB'>Many =
thanks in
anticipation</span><o:p></o:p></font></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D3 =
face=3D"Times New Roman"><span
lang=3DEN-GB style=3D'font-size:12.0pt;mso-ansi-language:EN-GB'>Jackie =
Chatterton
(diploma OH &amp; General Practice =
Nursing).</span><o:p></o:p></font></p>

</div>

<div class=3DMsoNormal align=3Dcenter =
style=3D'margin-left:.5in;text-align:center'><font
size=3D3 face=3D"Times New Roman"><span style=3D'font-size:12.0pt'>

<hr size=3D1 width=3D"100%" align=3Dcenter>

</span></font></div>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D2 =
face=3DVerdana><span
style=3D'font-size:10.0pt;font-family:Verdana'><a
href=3D"http://uk.rd.yahoo.com/evt=3D21626/*http:/uk.messenger.yahoo.com=
"><strong><b><font
face=3DArial><span style=3D'font-family:Arial'>ALL-NEW Yahoo! =
Messenger</span></font></b></strong></a></span></font><strong><b><font
size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'> - all new
features - even more fun!</span></font></b></strong><strong><b><font =
size=3D2
color=3D"#ff9900" face=3DVerdana><span =
style=3D'font-size:10.0pt;font-family:Verdana;
color:#FF9900'> </span></font></b></strong>~~~~~~~~~~~~~~~ Please =
remove this
footer before replying. <o:p></o:p></p>

<p style=3D'margin-left:.5in'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives =
<o:p></o:p></span></font></p>

<p style=3D'margin-left:.5in'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/<o:p></o:p></span></font></p>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C47574.757BF2D0--
=========================================================================
Date:         Thu, 29 Jul 2004 17:39:27 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Bacons <[log in to unmask]>
Subject:      Re: MRSA screenings
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_001E_01C47592.FEE34A00"

This is a multi-part message in MIME format.

------=_NextPart_000_001E_01C47592.FEE34A00
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

We do not routinely screen for MRSA with any staff - we always ask if =
they have a history of MRSA and, if they have, we will then screen them. =
Hope that helps.=20
Anna Bacon
----- Original Message -----=20
  From: Martin Tohill=20
  To: [log in to unmask]
  Sent: Wednesday, July 28, 2004 5:52 PM


  I am sure this question has arisen before!

  This is for NHS colleagues.

  =20

  Are any Trusts screening for MRSA in staff entering Maternity or =
neonatology - particularly junior doctors who change around every 6 =
months.

  I will explain pending replies.

  Martin.

  =20

  =20

  Dr Martin Tohill=20

  MB BCH BAO MRCGP AFOM DOccMed

  [log in to unmask]

  =20

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001E_01C47592.FEE34A00
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns=3D"http://www.w3.org/TR/REC-html40" xmlns:o =3D=20
"urn:schemas-microsoft-com:office:office" xmlns:w =3D=20
"urn:schemas-microsoft-com:office:word"><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3DWord.Document name=3DProgId>
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<META content=3D"Microsoft Word 11" name=3DOriginator><LINK=20
href=3D"cid:filelist.xml@01C474CB.9D40CFB0" rel=3DFile-List><!--[if gte =
mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:DontDisplayPageBoundaries/>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:PunctuationKerning/>
  <w:ValidateAgainstSchemas/>
  <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
  <w:IgnoreMixedContent>false</w:IgnoreMixedContent>
  <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
  <w:Compatibility>
   <w:BreakWrappedTables/>
   <w:SnapToGridInCell/>
   <w:WrapTextWithPunct/>
   <w:UseAsianBreakRules/>
   <w:DontGrowAutofit/>
  </w:Compatibility>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:LatentStyles DefLockedState=3D"false" LatentStyleCount=3D"156">
 </w:LatentStyles>
</xml><![endif]-->
<STYLE>@page Section1 {size: 595.3pt 841.9pt; margin: 72.0pt 90.0pt =
72.0pt 90.0pt; mso-header-margin: 35.4pt; mso-footer-margin: 35.4pt; =
mso-paper-source: 0; }
P.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
LI.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
DIV.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
A:link {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
SPAN.MsoHyperlink {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
A:visited {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
SPAN.MsoHyperlinkFollowed {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
P.MsoAutoSig {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-pagination: widow-orphan; mso-fareast-font-family: "Times New Roman"
}
LI.MsoAutoSig {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-pagination: widow-orphan; mso-fareast-font-family: "Times New Roman"
}
DIV.MsoAutoSig {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-pagination: widow-orphan; mso-fareast-font-family: "Times New Roman"
}
SPAN.EmailStyle17 {
        FONT-WEIGHT: bold; COLOR: windowtext; FONT-STYLE: normal; FONT-FAMILY: =
Arial; TEXT-DECORATION: none; text-underline: none; mso-style-type: =
personal-compose; mso-style-noshow: yes; mso-ansi-font-size: 10.0pt; =
mso-bidi-font-size: 10.0pt; mso-ascii-font-family: Arial; =
mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; =
text-line-through: none
}
DIV.Section1 {
        page: Section1
}
</STYLE>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";
        mso-ansi-language:#0400;
        mso-fareast-language:#0400;
        mso-bidi-language:#0400;}
</style>
<![endif]--></HEAD>
<BODY lang=3DEN-GB style=3D"tab-interval: 36.0pt" vLink=3Dpurple =
link=3Dblue=20
bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>We do not routinely screen for MRSA =
with any staff=20
- we always ask if they have a history of MRSA and, if they have, we =
will then=20
screen them. Hope that helps. </FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Anna Bacon</FONT></DIV>
<DIV>----- Original Message ----- </DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Martin Tohill</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, July 28, 2004 =
5:52=20
  PM</DIV>
  <DIV><BR></DIV>
  <DIV class=3DSection1>
  <P class=3DMsoNormal style=3D"mso-layout-grid-align: none"><B><FONT=20
  face=3D"Courier New" size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 11pt; FONT-FAMILY: 'Courier =
New'">I am=20
  sure this question has arisen before!<o:p></o:p></SPAN></FONT></B></P>
  <P class=3DMsoNormal style=3D"mso-layout-grid-align: none"><B><FONT=20
  face=3D"Courier New" size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 11pt; FONT-FAMILY: 'Courier =
New'">This is=20
  for NHS colleagues.<o:p></o:p></SPAN></FONT></B></P>
  <P class=3DMsoNormal style=3D"mso-layout-grid-align: none"><B><FONT=20
  face=3D"Courier New" size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 11pt; FONT-FAMILY: 'Courier =
New'"><o:p>&nbsp;</o:p></SPAN></FONT></B></P>
  <P class=3DMsoNormal style=3D"mso-layout-grid-align: none"><B><FONT=20
  face=3D"Courier New" size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 11pt; FONT-FAMILY: 'Courier =
New'">Are any=20
  Trusts screening for MRSA in staff entering Maternity or neonatology - =

  particularly junior doctors who change around every 6=20
  months.<o:p></o:p></SPAN></FONT></B></P>
  <P class=3DMsoNormal style=3D"mso-layout-grid-align: none"><B><FONT=20
  face=3D"Courier New" size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 11pt; FONT-FAMILY: 'Courier =
New'">I will=20
  explain pending replies.<o:p></o:p></SPAN></FONT></B></P>
  <P class=3DMsoNormal style=3D"mso-layout-grid-align: none"><B><FONT=20
  face=3D"Courier New" size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 11pt; FONT-FAMILY: 'Courier =
New'">Martin.<o:p></o:p></SPAN></FONT></B></P>
  <P class=3DMsoNormal><B><FONT face=3DArial size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></B></P>
  <P class=3DMsoNormal><B><FONT face=3DArial size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></B></P>
  <P class=3DMsoAutoSig><STRONG><B><FONT face=3DArial size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-no-proof: yes">Dr =
Martin=20
  Tohill</SPAN></FONT></B></STRONG><FONT face=3DArial size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-no-proof: yes">=20
  </SPAN></FONT><SPAN style=3D"mso-no-proof: yes"><o:p></o:p></SPAN></P>
  <P class=3DMsoAutoSig><FONT face=3DArial size=3D1><SPAN=20
  style=3D"FONT-SIZE: 7.5pt; FONT-FAMILY: Arial; mso-no-proof: yes">MB =
BCH BAO=20
  MRCGP AFOM DOccMed</SPAN></FONT><SPAN=20
  style=3D"mso-no-proof: yes"><o:p></o:p></SPAN></P>
  <P class=3DMsoAutoSig><STRONG><B><FONT face=3DArial size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-no-proof: yes"><A=20
  href=3D"mailto:[log in to unmask]"><FONT face=3D"Times =
New Roman"=20
  size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Times New =
Roman'">[log in to unmask]</SPAN></FONT></A></SPAN></FONT=
></B></STRONG><SPAN=20
  style=3D"mso-no-proof: yes"><o:p></o:p></SPAN></P>
  <P class=3DMsoNormal><FONT face=3D"Times New Roman" size=3D3><SPAN=20
  style=3D"FONT-SIZE: =
12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P></DIV>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001E_01C47592.FEE34A00--
=========================================================================
Date:         Fri, 30 Jul 2004 01:00:54 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         June Richards <[log in to unmask]>
Subject:      June Richards/CGH/WHT is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=us-ascii

I will be out of the office starting  29/07/2004 and will not return until
09/08/2004.

I will respond to your message when I return.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 30 Jul 2004 09:41:25 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Angie Miles <[log in to unmask]>
Subject:      Angie Miles/National Britannia is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=iso-8859-1
Content-transfer-encoding: quoted-printable

I will be out of the office starting  30/07/2004 and will not return un=
til
16/08/2004.

I will be out of the office between these dates but will respond to you=
r
message when I return. If you have an URGENT query then please contact
Donna Dixon on 0771 866 1614. Thank you.


This transmission has been issued for the  information of the addressee=

only and contains information which is  confidential.=A0 Accordingly, i=
t
should not be altered in any way or copied  or otherwise reproduced in =
any
form, nor should its existence or contents be  disclosed to any other
person.=A0 If you are not the  intended recipient of this transmission =
or any
attachment, please reply  immediately.
=

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 30 Jul 2004 11:21:55 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Scott Lindy <[log in to unmask]>
Subject:      Re: MRSA
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4761F.09EA853D"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4761F.09EA853D
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

We screen everyone for MRSA who sets foot in either adult or paediatric =
intensive care.  If positive we keep them away from work until they have =
been treated and had negative swabs. =20
=20
We will re-test anyone who has been treated for MRSA in another job, but =
not had post treatment swabs to check they are clear.
=20
We always liase with Infection Control if we find a positive and take =
their advice.
=20
Hope this is of use!

-----Original Message-----
From: Cawley Therese [mailto:[log in to unmask]]
Sent: 29 July 2004 13:53
To: [log in to unmask]
Subject: Re: MRSA



I feel this is a decision to be made by your infection control team.=20
Our team request that we screen staff starting work in areas where MRSA =
might pose a higher risk to patients, e.g. surgery, maternity, =
paediatrics. We do not do any routine repeat screening. If positive we =
offer them a prescription for local treatment and once they have started =
treatment there are no restrictions on work unless they have an infected =
wound (although we might keep someone out of a high risk area such as =
SCBU)otherwise we would not have any staff in the hospital as you =
suggest. We also might offer someone screening if they had a chronic =
skin condition such as psoriosis, but we don't insist.

Therese Cawley=20
Kettering General Hospital=20

-----Original Message-----=20
From: Alison Brewster [ mailto:[log in to unmask]]=20
Sent: 29 July 2004 10:40=20
To: [log in to unmask]
Subject:=20


No we don't screen in Southampton=20

Alison Brewster=20
Occupational Health Sister=20

>>> [log in to unmask] 07/28/04 05:52pm >>>=20
I am sure this question has arisen before!=20
This is for NHS colleagues.=20

Are any Trusts screening for MRSA in staff entering Maternity or=20
neonatology=20
- particularly junior doctors who change around every 6 months.=20
I will explain pending replies.=20
Martin.=20


Dr Martin Tohill=20
MB BCH BAO MRCGP AFOM DOccMed=20
 < mailto:[log in to unmask]>=20
[log in to unmask]


~~~~~~~~~~~~~~~=20
Please remove this footer before replying.=20

For list archives and documents, go to=20
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to=20
http://uk.groups.yahoo.com/group/OHJobs/=20


D I S C L A I M E R=20
This email and any files transmitted with it are confidential and=20
intended solely for the use of the individual or entity to whom they=20
are addressed. Any views or opinions presented are solely those of=20
the author and do not necessarily represent those of the=20
Trust unless explicitly stated otherwise.  If you have received this=20
e-mail in error please delete the e-mail and contact the=20
Southampton University Hospitals NHS Trust Helpdesk on:-=20
023 80796000=20
This footnote also confirms that this email message has been swept=20
by MIMEsweeper for the presence of computer viruses.=20

~~~~~~~~~~~~~~~=20
Please remove this footer before replying.=20

For list archives and documents, go to=20
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to=20
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4761F.09EA853D
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<TITLE>RE: MRSA</TITLE>

<META content=3D"MSHTML 6.00.2716.2200" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D669141510-30072004><FONT face=3DArial color=3D#0000ff =
size=3D2>We=20
screen everyone for MRSA who sets foot in either adult or paediatric =
intensive=20
care.&nbsp; If positive we keep them away from work until they have been =
treated=20
and&nbsp;had negative swabs.&nbsp; </FONT></SPAN></DIV>
<DIV><SPAN class=3D669141510-30072004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D669141510-30072004><FONT face=3DArial color=3D#0000ff =
size=3D2>We=20
will re-test anyone who has been treated for MRSA in another job, but =
not had=20
post treatment swabs to check they are clear.</FONT></SPAN></DIV>
<DIV><SPAN class=3D669141510-30072004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D669141510-30072004><FONT face=3DArial color=3D#0000ff =
size=3D2>We=20
always liase with Infection Control if we find a positive and take their =

advice.</FONT></SPAN></DIV>
<DIV><SPAN class=3D669141510-30072004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D669141510-30072004><FONT face=3DArial color=3D#0000ff =
size=3D2>Hope=20
this is of use!</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> Cawley Therese=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 29 July 2004=20
  13:53<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re:=20
  MRSA<BR><BR></FONT></DIV>
  <P><FONT size=3D2>I feel this is a decision to be made by your =
infection control=20
  team.</FONT> <BR><FONT size=3D2>Our team request that we screen staff =
starting=20
  work in areas where MRSA might pose a higher risk to patients, e.g. =
surgery,=20
  maternity, paediatrics. We do not do any routine repeat screening. If =
positive=20
  we offer them a prescription for local treatment and once they have =
started=20
  treatment there are no restrictions on work unless they have an =
infected wound=20
  (although we might keep someone out of a high risk area such as =
SCBU)otherwise=20
  we would not have any staff in the hospital as you suggest. We also =
might=20
  offer someone screening if they had a chronic skin condition such as=20
  psoriosis, but we don't insist.</FONT></P>
  <P><FONT size=3D2>Therese Cawley</FONT> <BR><FONT size=3D2>Kettering =
General=20
  Hospital</FONT> </P>
  <P><FONT size=3D2>-----Original Message-----</FONT> <BR><FONT =
size=3D2>From:=20
  Alison Brewster [<A=20
  =
href=3D"mailto:[log in to unmask]">mailto:Alison.Brewster@=
SUHT.SWEST.NHS.UK</A>]</FONT>=20
  <BR><FONT size=3D2>Sent: 29 July 2004 10:40</FONT> <BR><FONT =
size=3D2>To:=20
  [log in to unmask]</FONT> <BR><FONT size=3D2>Subject: =
</FONT></P><BR>
  <P><FONT size=3D2>No we don't screen in Southampton</FONT> </P>
  <P><FONT size=3D2>Alison Brewster</FONT> <BR><FONT =
size=3D2>Occupational Health=20
  Sister</FONT> </P>
  <P><FONT size=3D2>&gt;&gt;&gt; [log in to unmask] =
07/28/04=20
  05:52pm &gt;&gt;&gt;</FONT> <BR><FONT size=3D2>I am sure this question =
has=20
  arisen before!</FONT> <BR><FONT size=3D2>This is for NHS =
colleagues.</FONT> </P>
  <P><FONT size=3D2>Are any Trusts screening for MRSA in staff entering =
Maternity=20
  or</FONT> <BR><FONT size=3D2>neonatology</FONT> <BR><FONT size=3D2>- =
particularly=20
  junior doctors who change around every 6 months.</FONT> <BR><FONT =
size=3D2>I=20
  will explain pending replies.</FONT> <BR><FONT size=3D2>Martin.</FONT> =
</P><BR>
  <P><FONT size=3D2>Dr Martin Tohill</FONT> <BR><FONT size=3D2>MB BCH =
BAO MRCGP AFOM=20
  DOccMed</FONT> <BR><FONT size=3D2>&nbsp;&lt;<A=20
  =
href=3D"mailto:[log in to unmask]">mailto:occupationalhea=
[log in to unmask]</A>&gt;</FONT>=20
  <BR><FONT size=3D2>[log in to unmask]</FONT> </P><BR>
  <P><FONT size=3D2>~~~~~~~~~~~~~~~</FONT> <BR><FONT size=3D2>Please =
remove this=20
  footer before replying.</FONT> </P>
  <P><FONT size=3D2>For list archives and documents, go to</FONT> =
<BR><FONT=20
  size=3D2><A href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"=20
  target=3D_blank>http://www.jiscmail.ac.uk/lists/occ-health.html</A> =
for list=20
  archives</FONT> </P>
  <P><FONT size=3D2>For jobs in Occupational Health, go to</FONT> =
<BR><FONT=20
  size=3D2><A href=3D"http://uk.groups.yahoo.com/group/OHJobs/"=20
  target=3D_blank>http://uk.groups.yahoo.com/group/OHJobs/</A></FONT> =
</P><BR>
  <P><FONT size=3D2>D I S C L A I M E R</FONT> <BR><FONT size=3D2>This =
email and any=20
  files transmitted with it are confidential and</FONT> <BR><FONT=20
  size=3D2>intended solely for the use of the individual or entity to =
whom=20
  they</FONT> <BR><FONT size=3D2>are addressed. Any views or opinions =
presented=20
  are solely those of</FONT> <BR><FONT size=3D2>the author and do not =
necessarily=20
  represent those of the</FONT> <BR><FONT size=3D2>Trust unless =
explicitly stated=20
  otherwise.&nbsp; If you have received this</FONT> <BR><FONT =
size=3D2>e-mail in=20
  error please delete the e-mail and contact the</FONT> <BR><FONT=20
  size=3D2>Southampton University Hospitals NHS Trust Helpdesk =
on:-</FONT>=20
  <BR><FONT size=3D2>023 80796000</FONT> <BR><FONT size=3D2>This =
footnote also=20
  confirms that this email message has been swept</FONT> <BR><FONT =
size=3D2>by=20
  MIMEsweeper for the presence of computer viruses.</FONT> </P>
  <P><FONT size=3D2>~~~~~~~~~~~~~~~</FONT> <BR><FONT size=3D2>Please =
remove this=20
  footer before replying.</FONT> </P>
  <P><FONT size=3D2>For list archives and documents, go to</FONT> =
<BR><FONT=20
  size=3D2><A href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"=20
  target=3D_blank>http://www.jiscmail.ac.uk/lists/occ-health.html</A> =
for list=20
  archives</FONT> </P>
  <P><FONT size=3D2>For jobs in Occupational Health, go to</FONT> =
<BR><FONT=20
  size=3D2><A href=3D"http://uk.groups.yahoo.com/group/OHJobs/"=20
  target=3D_blank>http://uk.groups.yahoo.com/group/OHJobs/</A></FONT>=20
  </P>~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4761F.09EA853D--
=========================================================================
Date:         Mon, 2 Aug 2004 00:25:56 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         =?iso-8859-1?Q?Samantha_=A0Chapman?= <[log in to unmask]>
Subject:      Pre-employment
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_36979_32055476.1091399156957"

------=_Part_36979_32055476.1091399156957
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

Does anyone have an electronic pre-employment form they would be willing to share?
Thanks in advance!!
Sam Chapman

--

Whatever you Wanadoo:
http://www.wanadoo.co.uk/time/

This email has been checked for most known viruses - find out more at: http://www.wanadoo.co.uk/help/id/7098.htm

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_36979_32055476.1091399156957
Content-Type: text/html
Content-Transfer-Encoding: 7bit

<P><FONT face=arial>Does anyone have an electronic pre-employment form they would be willing to share?</FONT></P>
<P>Thanks in advance!!</P>
<P>Sam Chapman</P><BR><BR><hr size="1">Whatever you <a href="http://www.wanadoo.co.uk/time/" target="_blank">Wanadoo</a><br><br>This email has been checked for most known viruses - find out more <a href="http://www.wanadoo.co.uk/help/id/7098.htm" target="_blank">here</a>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_36979_32055476.1091399156957--
=========================================================================
Date:         Mon, 2 Aug 2004 08:16:20 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         heather bearpark <[log in to unmask]>
Subject:      Counselling services
Mime-Version: 1.0
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<html><div style=3D'background-color:'><P>I am interested to know whether=
 those of you who offer counselling services can advise on the following:=
</P>
<P>How many further appointments are offered to the employee who does not=
 attend on the first, agreed time / date?&nbsp; </P>
<P>Are there any recommended / documented standards for this?&nbsp; If so=
 please can you advise on the reference.</P>
<P>For the number of hours availability, how many should be spent on deli=
very of counselling and what breakdown of other activities are&nbsp;expec=
ted?<BR><BR><BR></P>
<DIV>
<DIV>Regards </DIV>Heather Bearpark </DIV></div><br clear=3Dall><hr>MSN P=
remium gives you PC protection, junk-mail filters, advanced communication=
 tools and great software like MSN Encarta=AE Premium.   <a href=3D"http:=
//g.msn.com/8HMBENUK/2752??PS=3D47575">Click here for a FREE trial!</a> <=
/html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 2 Aug 2004 17:49:14 +1000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         PJFrench <[log in to unmask]>
Subject:      Re: Counselling services
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_009C_01C478B9.065FEFD0"

This is a multi-part message in MIME format.

------=_NextPart_000_009C_01C478B9.065FEFD0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable
X-MIME-Autoconverted: from 8bit to quoted-printable by kili.jiscmail.ac.uk id i727mlRK016488

In short NONE, unless there are truly extenuating circumstances, in which
case I would have expected at least a phone call before the due date/time
making an adequate plausible explanation.

Maybe we are different in the Antipodes, but ...

Sincerely

Peter J French
Director
Carlyle Education
[ABN 30 878 104 631]
Education,Training & Career Consultants
P O Box 7
Watsonia, Victoria, Australia 3087
Mobile 0413 126 728
  -----Original Message-----
  From: heather bearpark [mailto:[log in to unmask]]
  Sent: Monday, 2 August 2004 5:16 PM
  To: [log in to unmask]
  Subject: Counselling services


  I am interested to know whether those of you who offer counselling
services can advise on the following:

  How many further appointments are offered to the employee who does not
attend on the first, agreed time / date?

  Are there any recommended / documented standards for this?  If so pleas=
e
can you advise on the reference.

  For the number of hours availability, how many should be spent on deliv=
ery
of counselling and what breakdown of other activities are expected?




  Regards
  Heather Bearpark


-------------------------------------------------------------------------=
---
--
  MSN Premium gives you PC protection, junk-mail filters, advanced
communication tools and great software like MSN Encarta=AE Premium. Click=
 here
for a FREE trial! ~~~~~~~~~~~~~~~ Please remove this footer before replyi=
ng.
  For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

  For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_009C_01C478B9.065FEFD0
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D014194307-02082004><FONT face=3DArial color=3D#0000ff =

size=3D2><STRONG><EM>In short NONE, unless there are truly extenuating=20
circumstances, in which case I would have expected at least a phone call =
before=20
the due date/time making an adequate plausible=20
explanation.</EM></STRONG></FONT></SPAN></DIV>
<DIV><SPAN class=3D014194307-02082004><STRONG><EM><FONT face=3DArial =
color=3D#0000ff=20
size=3D2></FONT></EM></STRONG></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D014194307-02082004><STRONG><EM><FONT face=3DArial =
color=3D#0000ff=20
size=3D2>Maybe we are different in the Antipodes, but=20
...</FONT></EM></STRONG></SPAN></DIV>
<DIV><SPAN class=3D014194307-02082004><STRONG><EM><FONT face=3DArial =
color=3D#0000ff=20
size=3D2></FONT></EM></STRONG></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D014194307-02082004><STRONG><EM><FONT face=3DArial =
color=3D#0000ff=20
size=3D2>Sincerely</FONT></EM></STRONG></SPAN></DIV>
<DIV>&nbsp;</DIV>
<DIV><FONT size=3D6><FONT face=3D"Baskerville Old Face"><STRONG>Peter J=20
French</STRONG> </FONT></FONT></DIV>
<DIV><FONT face=3D"Baskerville Old Face"=20
size=3D2><STRONG><EM>Director</EM></STRONG></FONT></DIV>
<DIV><FONT face=3D"Baskerville Old Face" color=3D#008000 =
size=3D5><STRONG>Carlyle=20
Education</STRONG></FONT></DIV>
<DIV><FONT face=3D"Baskerville Old Face" size=3D1><EM>[</EM>ABN 30 878 =
104=20
631]</FONT></DIV>
<DIV><STRONG><FONT face=3D"Baskerville Old Face" =
size=3D4><EM>Education,Training=20
&amp; Career Consultants</EM></FONT></STRONG></DIV>
<DIV><FONT face=3D"Baskerville Old Face" size=3D2><EM>P O Box =
7</EM></FONT></DIV>
<DIV><FONT face=3D"Baskerville Old Face" size=3D2><EM>Watsonia, =
Victoria,=20
Australia&nbsp;3087</EM></FONT></DIV>
<DIV><FONT face=3D"Baskerville Old Face" size=3D2><EM>Mobile 0413 126=20
728</EM></FONT></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> heather bearpark=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> Monday, 2 August =
2004 5:16=20
  PM<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Counselling=20
  services<BR><BR></FONT></DIV>
  <DIV>
  <P>I am interested to know whether those of you who offer counselling =
services=20
  can advise on the following:</P>
  <P>How many further appointments are offered to the employee who does =
not=20
  attend on the first, agreed time / date?&nbsp; </P>
  <P>Are there any recommended / documented standards for this?&nbsp; If =
so=20
  please can you advise on the reference.</P>
  <P>For the number of hours availability, how many should be spent on =
delivery=20
  of counselling and what breakdown of other activities=20
  are&nbsp;expected?<BR><BR><BR></P>
  <DIV>
  <DIV>Regards </DIV>Heather Bearpark </DIV></DIV><BR clear=3Dall>
  <HR>
  MSN Premium gives you PC protection, junk-mail filters, advanced =
communication=20
  tools and great software like MSN Encarta=AE Premium. <A=20
  href=3D"http://g.msn.com/8HMBENUK/2752??PS=3D47575">Click here for a =
FREE=20
  trial!</A> ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_009C_01C478B9.065FEFD0--
=========================================================================
Date:         Mon, 2 Aug 2004 09:06:09 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tristi Brownett <[log in to unmask]>
Subject:      Re: Pre-employment
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C47867.91E181BA"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C47867.91E181BA
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

HI Sam
=20
Premier is about to launch an Internet based form in the very very near =
future. If you would like to see an advance version, please contact me =
off list
=20
Tristi Brownett=20
Client and OH Services Manager=20
Premier Occupational Healthcare=20
Unit 3 Folkestone Enterprise Centre=20
Shearway Business Park=20
Shearway Rd=20
Folkestone=20
Kent CT19 4RH=20
Tel: 0870 444 1399=20
Fax: 0870 444 2908=20
Mob: 07985 277796=20

www.premierohc.co.uk=20

The information in this e-mail is confidential and intended for the =
addressee only. The contents may not be disclosed, copied or used by =
anyone other than the addressee. If you are not the intended recipient, =
please notify us immediately at the above address and delete this e-mail =
from your computer. Premier Occupational Healthcare Limited does not =
accept any responsibility, legal or otherwise,  for any action taken or =
not taken in consequence of, or in reliance on the contents of this =
document where the actual recipient is not the addressee.=20

-----Original Message-----
From: Samantha  Chapman [mailto:[log in to unmask]]
Sent: 01 August 2004 23:26
To: [log in to unmask]
Subject: Pre-employment



Does anyone have an electronic pre-employment form they would be willing =
to share?

Thanks in advance!!

Sam Chapman



  _____ =20

Whatever you Wanadoo <http://www.wanadoo.co.uk/time/>=20

This email has been checked for most known viruses - find out more here =
<http://www.wanadoo.co.uk/help/id/7098.htm>  ~~~~~~~~~~~~~~~ Please =
remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C47867.91E181BA
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<META content=3D"MSHTML 6.00.2715.400" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D198380708-02082004><FONT face=3DArial size=3D2>HI=20
Sam</FONT></SPAN></DIV>
<DIV><SPAN class=3D198380708-02082004><FONT face=3DArial=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D198380708-02082004><FONT face=3DArial =
size=3D2>Premier is about to=20
launch an Internet based form in the very very near future. If you would =
like to=20
see an advance version, please contact me off list</FONT></SPAN></DIV>
<DIV><SPAN class=3D198380708-02082004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D198380708-02082004></SPAN><SPAN =
class=3D198380708-02082004><FONT=20
face=3DArial size=3D2>Tristi Brownett</FONT> <BR><FONT face=3DArial =
size=3D2>Client and=20
OH Services Manager</FONT> <BR><FONT face=3DArial size=3D2>Premier =
Occupational=20
Healthcare</FONT> <BR><FONT face=3DArial size=3D2>Unit 3 Folkestone =
Enterprise=20
Centre</FONT> <BR><FONT face=3DArial size=3D2>Shearway Business =
Park</FONT>=20
<BR><FONT face=3DArial size=3D2>Shearway Rd</FONT> <BR><FONT =
face=3DArial=20
size=3D2>Folkestone</FONT> <BR><FONT face=3DArial size=3D2>Kent CT19 =
4RH</FONT>=20
<BR><FONT face=3DArial size=3D2>Tel: 0870 444 1399</FONT> <BR><FONT =
face=3DArial=20
size=3D2>Fax: 0870 444 2908</FONT> <BR><FONT face=3DArial size=3D2>Mob: =
07985=20
277796</FONT><FONT face=3DArial color=3D#800080 size=3D2> </FONT></DIV>
<DIV>
<P><FONT face=3DArial color=3D#0000ff =
size=3D2>www.premierohc.co.uk</FONT> </P>
<P><I><FONT face=3DArial size=3D2>The information in this e-mail is =
confidential and=20
intended for the addressee only. The contents may not be disclosed, =
copied or=20
used by anyone other than the addressee. If you are not the intended =
recipient,=20
please notify us immediately at the above address and delete this e-mail =
from=20
your computer. Premier Occupational Healthcare Limited does not accept =
any=20
responsibility, legal or otherwise,&nbsp; for any action taken or not =
taken in=20
consequence of, or in reliance on the contents of this document where =
the actual=20
recipient is not the addressee.</FONT></I> </P></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> Samantha =
&nbsp;Chapman=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 01 August 2004=20
  23:26<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B>=20
  Pre-employment<BR><BR></FONT></DIV>
  <P><FONT face=3Darial>Does anyone have an electronic pre-employment =
form they=20
  would be willing to share?</FONT></P>
  <P>Thanks in advance!!</P>
  <P>Sam Chapman</P><BR><BR>
  <HR SIZE=3D1>
  Whatever you <A href=3D"http://www.wanadoo.co.uk/time/"=20
  target=3D_blank>Wanadoo</A><BR><BR>This email has been checked for =
most known=20
  viruses - find out more <A =
href=3D"http://www.wanadoo.co.uk/help/id/7098.htm"=20
  target=3D_blank>here</A> ~~~~~~~~~~~~~~~ Please remove this footer =
before=20
  replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C47867.91E181BA--
=========================================================================
Date:         Mon, 2 Aug 2004 16:43:42 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Susan Harrison-Stone <[log in to unmask]>
Subject:      Re: Counselling services
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0008_01C478AF.DEFCB5D0"

This is a multi-part message in MIME format.

------=_NextPart_000_0008_01C478AF.DEFCB5D0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

The county council that I work for do not refer employees for =
counselling. =20
The employee contacts  the counsellor and the appt is made between them. =
It is considered that counselling will only work if the employee is =
happy to try it not if the employer does the referring.  If someone =
fails to keep an appt. it is up to the counsellor to decide if she =
wishes to offer another appt.  It would depend on the reason for the =
failure to keep the appt.=20
The system seems to work best when everything is kept at a fairly =
relaxed level. There certainly does not seem to be a lack of clients.  I =
do find that folk seem to like me to suggest going for counselling, =
almost like giving them permission I suppose.
The service is totally confidential and the employee never has to let a =
manager know they are seeing a counsellor.  Nor are reports given by the =
counsellor on clients she sees.
The council will pay for a 6 session period but this can be extended if =
need be OR the counsellor will refer onwards if she thinks some needs =
specialist counselling.
Regards
Sue
  ----- Original Message -----=20
  From: heather bearpark=20
  To: [log in to unmask]
  Sent: Monday, August 02, 2004 8:16 AM
  Subject: Counselling services


  I am interested to know whether those of you who offer counselling =
services can advise on the following:

  How many further appointments are offered to the employee who does not =
attend on the first, agreed time / date? =20

  Are there any recommended / documented standards for this?  If so =
please can you advise on the reference.

  For the number of hours availability, how many should be spent on =
delivery of counselling and what breakdown of other activities are =
expected?




  Regards=20
  Heather Bearpark=20


-------------------------------------------------------------------------=
-----
  MSN Premium gives you PC protection, junk-mail filters, advanced =
communication tools and great software like MSN Encarta=AE Premium. =
Click here for a FREE trial! ~~~~~~~~~~~~~~~ Please remove this footer =
before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0008_01C478AF.DEFCB5D0
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>The county council that I work for do =
not refer=20
employees for counselling.&nbsp; </FONT></DIV>
<DIV><FONT face=3DArial size=3D2>The employee contacts&nbsp;&nbsp;the =
counsellor and=20
the appt is made between them.&nbsp;It is considered that counselling =
will only=20
work if the employee is happy to try it not if the employer does the=20
referring.&nbsp; If someone fails to keep an appt. it is up to the =
counsellor to=20
decide if she wishes to offer another appt.&nbsp; It would depend on the =
reason=20
for the failure to keep the appt. </FONT></DIV>
<DIV><FONT face=3DArial size=3D2>The system seems to work best when =
everything is=20
kept at a fairly relaxed level. There certainly does not seem to be a =
lack of=20
clients.&nbsp; I do find that folk seem to like me to suggest going for=20
counselling, almost like giving them permission I suppose.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>The service is totally confidential and =
the=20
employee never has to let a manager know they are seeing a =
counsellor.&nbsp; Nor=20
are reports given by the counsellor on clients she sees.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>The council will pay for a 6 session =
period but=20
this can be extended if need be OR the counsellor will refer onwards if =
she=20
thinks some needs specialist counselling.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Regards</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Sue</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">heather bearpark</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, August 02, 2004 =
8:16=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Counselling =
services</DIV>
  <DIV><BR></DIV>
  <DIV>
  <P>I am interested to know whether those of you who offer counselling =
services=20
  can advise on the following:</P>
  <P>How many further appointments are offered to the employee who does =
not=20
  attend on the first, agreed time / date?&nbsp; </P>
  <P>Are there any recommended / documented standards for this?&nbsp; If =
so=20
  please can you advise on the reference.</P>
  <P>For the number of hours availability, how many should be spent on =
delivery=20
  of counselling and what breakdown of other activities=20
  are&nbsp;expected?<BR><BR><BR></P>
  <DIV>
  <DIV>Regards </DIV>Heather Bearpark </DIV></DIV><BR clear=3Dall>
  <HR>
  MSN Premium gives you PC protection, junk-mail filters, advanced =
communication=20
  tools and great software like MSN Encarta=AE Premium. <A=20
  href=3D"http://g.msn.com/8HMBENUK/2752??PS=3D47575">Click here for a =
FREE=20
  trial!</A> ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0008_01C478AF.DEFCB5D0--
=========================================================================
Date:         Tue, 3 Aug 2004 09:24:40 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Kinselley, Gillian E" <[log in to unmask]>
Subject:      Re: Counselling services
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C47933.524C94A0"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C47933.524C94A0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

I have had a quick internet look and I cannot identify where it gives advice
on how many further apts. =20
We give encourage apts depending on the situation and the agreement with the
counselling service/HR policy. However the individual has to instigate the
apt. Have a read of the HSE stress information  as they advise on the need
for a confidential advice line.
=20
Gill

-----Original Message-----
From: heather bearpark [mailto:[log in to unmask]]
Sent: 02 August 2004 08:16
To: [log in to unmask]
Subject: Counselling services



I am interested to know whether those of you who offer counselling services
can advise on the following:

How many further appointments are offered to the employee who does not
attend on the first, agreed time / date? =20

Are there any recommended / documented standards for this?  If so please can
you advise on the reference.

For the number of hours availability, how many should be spent on delivery
of counselling and what breakdown of other activities are expected?




Regards=20
Heather Bearpark=20

  _____ =20

MSN Premium gives you PC protection, junk-mail filters, advanced
communication tools and great software like MSN Encarta=AE Premium. Click h=
ere
for a FREE  <http://g.msn.com/8HMBENUK/2752??PS=3D47575> trial!=20

.sophos.3.83.08.02.
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



Emails aren't always secure, and they may be intercepted or changed after t=
hey've been sent. Abbey doesn't accept liability if this happens. If you th=
ink someone may have interfered with this email, please get in touch with t=
he sender another way.

This message doesn't create or change any contract. Abbey doesn't accept re=
sponsibility for damage caused by any viruses contained in this email or it=
s attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at onc=
e that it's gone to the wrong person and then destroy it without copying, u=
sing, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No=
. 3839455 are registered in England and have their Registered Offices at Ab=
bey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regul=
ated by the Financial Services Authority. Abbey National plc only advises o=
n its own life assurance, pension and collective investment scheme products=
. Inscape Investments Limited is a member of the Abbey Marketing Group and =
provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks =
of Abbey National plc.=20


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C47933.524C94A0
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; charset=3Diso-8859-=
1">


<META content=3D"MSHTML 6.00.2800.1106" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D206121808-03082004><FONT face=3DArial color=3D#0000ff si=
ze=3D2>I have=20
had a quick internet look and I cannot identify where it gives advice on ho=
w=20
many further apts.&nbsp;&nbsp;</FONT></SPAN></DIV>
<DIV><SPAN class=3D206121808-03082004><FONT face=3DArial color=3D#0000ff si=
ze=3D2>We=20
give encourage apts depending on the situation and the agreement with the=
 counselling service/HR policy. However the individual has to instigate the=
 apt.=20
Have a read of the HSE stress information &nbsp;as they advise on the need =
for=20
</FONT><FONT face=3DArial color=3D#0000ff size=3D2>a confidential advice=20
line.</FONT></SPAN></DIV>
<DIV><SPAN class=3D206121808-03082004><FONT face=3DArial color=3D#0000ff=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D206121808-03082004><FONT face=3DArial color=3D#0000ff=20
size=3D2>Gill</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT face=3DTah=
oma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> heather bearpark=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 02 August 2004=20
  08:16<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Counsell=
ing=20
  services<BR><BR></FONT></DIV>
  <DIV>
  <P>I am interested to know whether those of you who offer counselling ser=
vices=20
  can advise on the following:</P>
  <P>How many further appointments are offered to the employee who does not=
   attend on the first, agreed time / date?&nbsp; </P>
  <P>Are there any recommended / documented standards for this?&nbsp; If so=
   please can you advise on the reference.</P>
  <P>For the number of hours availability, how many should be spent on deli=
very=20
  of counselling and what breakdown of other activities=20
  are&nbsp;expected?<BR><BR><BR></P>
  <DIV>
  <DIV>Regards </DIV>Heather Bearpark </DIV></DIV><BR clear=3Dall>
  <HR>
  MSN Premium gives you PC protection, junk-mail filters, advanced communic=
ation=20
  tools and great software like MSN Encarta=AE Premium. <A=20
  href=3D"http://g.msn.com/8HMBENUK/2752??PS=3D47575">Click here for a FREE=
   trial!</A> <CODE><FONT=20
  size=3D3><BR><BR>.sophos.3.83.08.02.<BR></FONT></CODE>~~~~~~~~~~~~~~~ Ple=
ase=20
  remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE><CODE><FONT SIZE=
=3D3><BR>
<BR>
Emails aren't always secure, and they may be intercepted or changed after t=
hey've been sent. Abbey doesn't accept liability if this happens. If you th=
ink someone may have interfered with this email, please get in touch with t=
he sender another way.<BR>
<BR>
This message doesn't create or change any contract. Abbey doesn't accept re=
sponsibility for damage caused by any viruses contained in this email or it=
s attachments. Emails may be monitored.<BR>
<BR>
If you've received this email by mistake, please let the sender know at onc=
e that it's gone to the wrong person and then destroy it without copying, u=
sing, or telling anyone about its contents.<BR>
<BR>
Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No=
. 3839455 are registered in England and have their Registered Offices at Ab=
bey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.<BR>
<BR>
Abbey National plc and Inscape Investments Limited are authorised and regul=
ated by the Financial Services Authority. Abbey National plc only advises o=
n its own life assurance, pension and collective investment scheme products=
. Inscape Investments Limited is a member of the Abbey Marketing Group and =
provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks =
of Abbey National plc. <BR>
</FONT></CODE>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C47933.524C94A0--
=========================================================================
Date:         Tue, 3 Aug 2004 13:58:08 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Deirdre Gallagher <[log in to unmask]>
Subject:      NHS Rehab policy

This is to all NHS colleagues out there
Does anybody have a Rehab policy that I could have a look at,as there is
currently nothing in place and I would like to make a start.
I in turn will happily share such a policy once it has been approved and
agreed.
many thanks
Deirdre
OH Manager
QMS OH Dept
02083022678 ext 4543

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 4 Aug 2004 15:10:04 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Catherine Cross <[log in to unmask]>
Subject:      Infection Control
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_87305_14277009.1091625004007"

------=_Part_87305_14277009.1091625004007
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

Dear All
Do any of you out there work in the hotel/accommodation area.
I'm after some guidance, advice or policies re infection control in cleaning rooms that have been contaminated with diarrhoea and vomit.  Also, is it wise to accordingly vaccinate the employees exposed to  these risks?
Any help greatfully received.

Cate

--

Whatever you Wanadoo:
http://www.wanadoo.co.uk/time/

This email has been checked for most known viruses - find out more at: http://www.wanadoo.co.uk/help/id/7098.htm

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_87305_14277009.1091625004007
Content-Type: text/html
Content-Transfer-Encoding: 7bit

<P>Dear All</P>
<P>Do any of you out there work in the hotel/accommodation area.</P>
<P>I'm after some guidance, advice&nbsp;or policies re infection control in cleaning rooms that have been contaminated with diarrhoea and vomit.&nbsp; Also, is it wise to accordingly vaccinate the employees exposed to&nbsp; these risks?</P>
<P>Any help greatfully received.<BR><BR><STRONG>Cate</STRONG></P><BR><BR><hr size="1">Whatever you <a href="http://www.wanadoo.co.uk/time/" target="_blank">Wanadoo</a><br><br>This email has been checked for most known viruses - find out more <a href="http://www.wanadoo.co.uk/help/id/7098.htm" target="_blank">here</a>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_87305_14277009.1091625004007--
=========================================================================
Date:         Wed, 4 Aug 2004 15:43:30 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Clayton.Mary" <[log in to unmask]>
Subject:      Re: Infection Control
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C47A31.68C08490"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C47A31.68C08490
Content-Type: text/plain

Top of the head reply:

1.                   Risk Assessment should highlight need for personal
protective equipment e.g. plastic aprons & gloves
2.                   Vaccination - dependant upon exposure- if frequent
suggest treat like sewerage workers i.e. Hep. A & B, tetanus, typhoid,
polio.
3.                   If vaccinating, ensure robust follow - up (Hep B
titres) and recall mechanism.
4.                   If vaccinating drive it home tha vaccination does not
negate the eed for good working practice, personal hygiene, wahs hands
before eating/drinking/smoking. Report contaminated cuts etc.

Hope this helps.

Mary

-----Original Message-----
From: Catherine Cross [mailto:[log in to unmask]]
Sent: 04 August 2004 14:10
To: [log in to unmask]
Subject: Infection Control

Dear All
Do any of you out there work in the hotel/accommodation area.
I'm after some guidance, advice or policies re infection control in cleaning
rooms that have been contaminated with diarrhoea and vomit.  Also, is it
wise to accordingly vaccinate the employees exposed to  these risks?
Any help greatfully received.

Cate

  _____

Whatever you Wanadoo <http://www.wanadoo.co.uk/time/>

This email has been checked for most known viruses - find out more here
<http://www.wanadoo.co.uk/help/id/7098.htm>  ~~~~~~~~~~~~~~~ Please remove
this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C47A31.68C08490
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<html xmlns:v=3D"urn:schemas-microsoft-com:vml" =
xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">


<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 10">
<meta name=3DOriginator content=3D"Microsoft Word 10">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C47A39.6560BE20">
<link rel=3DEdit-Time-Data href=3D"cid:editdata.mso@01C47A39.6560BE20">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]-->
<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;
        mso-font-charset:0;
        mso-generic-font-family:swiss;
        mso-font-pitch:variable;
        mso-font-signature:1627421319 -2147483648 8 0 66047 0;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
p
        {mso-margin-top-alt:auto;
        margin-right:0cm;
        mso-margin-bottom-alt:auto;
        margin-left:0cm;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
span.EmailStyle19
        {mso-style-type:personal-reply;
        mso-style-noshow:yes;
        mso-ansi-font-size:10.0pt;
        mso-bidi-font-size:10.0pt;
        font-family:Arial;
        mso-ascii-font-family:Arial;
        mso-hansi-font-family:Arial;
        mso-bidi-font-family:Arial;
        color:navy;}
span.SpellE
        {mso-style-name:"";
        mso-spl-e:yes;}
span.GramE
        {mso-style-name:"";
        mso-gram-e:yes;}
@page Section1
        {size:612.0pt 792.0pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;
        mso-header-margin:35.4pt;
        mso-footer-margin:35.4pt;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
 /* List Definitions */
 @list l0
        {mso-list-id:738405074;
        mso-list-type:hybrid;
        mso-list-template-ids:2130745248 -1726052262 67698713 67698715 =
67698703 67698713 67698715 67698703 67698713 67698715;}
@list l0:level1
        {mso-level-tab-stop:54.0pt;
        mso-level-number-position:left;
        margin-left:54.0pt;
        text-indent:-36.0pt;}
ol
        {margin-bottom:0cm;}
ul
        {margin-bottom:0cm;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]-->
</head>

<body lang=3DEN-US link=3Dblue vlink=3Dblue =
style=3D'tab-interval:36.0pt'>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Top of the head =
reply:<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>=


<p class=3DMsoNormal =
style=3D'margin-left:54.0pt;text-indent:-36.0pt;mso-list:l0 level1 =
lfo1;
tab-stops:list 54.0pt'><![if !supportLists]><font size=3D2 color=3Dnavy =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;mso-fareast-font-family:Aria=
l;
color:navy'><span style=3D'mso-list:Ignore'>1.<font size=3D1 =
face=3D"Times New Roman"><span
style=3D'font:7.0pt "Times New =
Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></font></span></span></font><![endif]><font size=3D2 =
color=3Dnavy
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:navy'>Risk
Assessment should highlight need for personal protective equipment e.g. =
plastic
aprons &amp; gloves<o:p></o:p></span></font></p>

<p class=3DMsoNormal =
style=3D'margin-left:54.0pt;text-indent:-36.0pt;mso-list:l0 level1 =
lfo1;
tab-stops:list 54.0pt'><![if !supportLists]><font size=3D2 color=3Dnavy =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;mso-fareast-font-family:Aria=
l;
color:navy'><span style=3D'mso-list:Ignore'>2.<font size=3D1 =
face=3D"Times New Roman"><span
style=3D'font:7.0pt "Times New =
Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></font></span></span></font><![endif]><font size=3D2 =
color=3Dnavy
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:navy'>Vaccination
- dependant upon exposure- if frequent suggest treat like sewerage
workers i.e. Hep. A &amp; B, tetanus, typhoid, =
polio.<o:p></o:p></span></font></p>

<p class=3DMsoNormal =
style=3D'margin-left:54.0pt;text-indent:-36.0pt;mso-list:l0 level1 =
lfo1;
tab-stops:list 54.0pt'><![if !supportLists]><font size=3D2 color=3Dnavy =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;mso-fareast-font-family:Aria=
l;
color:navy'><span style=3D'mso-list:Ignore'>3.<font size=3D1 =
face=3D"Times New Roman"><span
style=3D'font:7.0pt "Times New =
Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></font></span></span></font><![endif]><font size=3D2 =
color=3Dnavy
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:navy'>If vaccinating,
ensure robust follow - up (Hep B <span class=3DSpellE>titres</span>) =
and recall
mechanism.<o:p></o:p></span></font></p>

<p class=3DMsoNormal =
style=3D'margin-left:54.0pt;text-indent:-36.0pt;mso-list:l0 level1 =
lfo1;
tab-stops:list 54.0pt'><![if !supportLists]><font size=3D2 color=3Dnavy =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;mso-fareast-font-family:Aria=
l;
color:navy'><span style=3D'mso-list:Ignore'>4.<font size=3D1 =
face=3D"Times New Roman"><span
style=3D'font:7.0pt "Times New =
Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></font></span></span></font><![endif]><font size=3D2 =
color=3Dnavy
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:navy'>If
vaccinating <span class=3DGramE>drive</span> it home <span =
class=3DSpellE>tha</span>
vaccination does not negate the <span class=3DSpellE>eed</span> for =
good working
practice, personal hygiene, <span class=3DSpellE>wahs</span> hands =
before
eating/drinking/smoking. Report contaminated cuts =
etc.<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>=


<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Hope this =
helps.<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>=


<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Mary<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>=


<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DTahoma><span
style=3D'font-size:10.0pt;font-family:Tahoma'>-----Original =
Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Catherine Cross
[mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 04 August 2004 =
14:10<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Infection =
Control</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>Dear All<o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>Do any of you out there work in the
hotel/accommodation area.<o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>I'm after some guidance, advice&nbsp;or =
policies re
infection control in cleaning rooms that have been contaminated with =
diarrhoea
and vomit.&nbsp; Also, is it wise to accordingly vaccinate the =
employees
exposed to&nbsp; these risks?<o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>Any help greatfully received.<br>
<br>
<strong><b><font face=3D"Times New =
Roman">Cate</font></b></strong><o:p></o:p></span></font></p>

<p class=3DMsoNormal =
style=3D'mso-margin-top-alt:0cm;margin-right:0cm;margin-bottom:
12.0pt;margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<div class=3DMsoNormal align=3Dcenter =
style=3D'margin-left:36.0pt;text-align:center'><font
size=3D3 face=3D"Times New Roman"><span style=3D'font-size:12.0pt'>

<hr size=3D1 width=3D"100%" align=3Dcenter>

</span></font></div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span style=3D'font-size:12.0pt'>Whatever you =
<a
href=3D"http://www.wanadoo.co.uk/time/" =
target=3D"_blank">Wanadoo</a><br>
<br>
This email has been checked for most known viruses - find out more <a
href=3D"http://www.wanadoo.co.uk/help/id/7098.htm" =
target=3D"_blank">here</a>
~~~~~~~~~~~~~~~ Please remove this footer before replying. =
<o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives =
<o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/<o:p></o:p></span></font></p>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C47A31.68C08490--
=========================================================================
Date:         Wed, 4 Aug 2004 15:49:16 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Darcy <[log in to unmask]>
Subject:      Re: Infection Control
Mime-Version: 1.0
Content-Type: multipart/alternative; boundary="=__PartB292EE7C.0__="

This is a MIME message. If you are reading this text, you may want to
consider changing to a mail reader or gateway that understands how to
properly handle MIME multipart messages.

--=__PartB292EE7C.0__=
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit

Dear Cate,

I do not come from a hotel background but basic infection control
principles apply across industries.

You cannot immunise someone against diarrhoea and vomiting as the list
of causative pathogens is too large (and most do not have a vaccine).

As a guide, PPE should be worn to avoid direct contamination of exposed
skin eg gloves/ aprons.

More importantly, staff should be trained in good hygiene practices eg
hand washing, correct use of mops/ cloths and cleaning of work
equipment.

I do not know if local authorities publish guidance but a search on
google may throw some interesting things up for you.

Good luck


Paul D'Arcy,
Occupational Health Manager (Acting)

Occupational Health
Hammersmith Hospital

Developing And Supporting People To Make Healthcare Better

Direct Line  020 8383 1024
Internal Ext 31024


>>> [log in to unmask] 04/08/2004 >>>

Dear All
Do any of you out there work in the hotel/accommodation area.
I'm after some guidance, advice or policies re infection control in
cleaning rooms that have been contaminated with diarrhoea and vomit.
Also, is it wise to accordingly vaccinate the employees exposed to
these risks?
Any help greatfully received.

Cate




Whatever you Wanadoo

This email has been checked for most known viruses - find out more here
~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Hammersmith Hospitals NHS Trust IT department on 020 8746 5555. Please also delete the message from your computer.

**
*


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--=__PartB292EE7C.0__=
Content-Type: text/html; charset=ISO-8859-1
Content-Transfer-Encoding: 8bit
Content-Description: HTML

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=Content-Type content="text/html; charset=iso-8859-1">
<META content="MSHTML 5.50.4919.2200" name=GENERATOR></HEAD>
<BODY style="MARGIN-TOP: 2px; FONT: 8pt MS Sans Serif; MARGIN-LEFT: 2px">
<DIV>Dear Cate,</DIV>
<DIV>&nbsp;</DIV>
<DIV>I do not come from a hotel background but basic infection control
principles apply across industries.</DIV>
<DIV>&nbsp;</DIV>
<DIV>You cannot immunise someone against diarrhoea and vomiting as the list of
causative pathogens is too large (and most do not have a vaccine).<BR></DIV>
<DIV>As a guide, PPE should be worn to avoid direct contamination of exposed
skin eg gloves/ aprons.</DIV>
<DIV>&nbsp;</DIV>
<DIV>More importantly, staff should be trained in good hygiene practices eg hand
washing, correct use of mops/ cloths and cleaning of work equipment.</DIV>
<DIV>&nbsp;</DIV>
<DIV>I do not know if local authorities publish guidance but a search on google
may throw some interesting things up for you.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Good luck</DIV>
<DIV>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV>Paul D'Arcy, <BR>Occupational Health Manager (Acting)</DIV>
<DIV>&nbsp;</DIV>
<DIV>Occupational Health<BR>Hammersmith Hospital</DIV>
<DIV>&nbsp;</DIV>
<DIV>Developing And Supporting People To Make Healthcare Better</DIV>
<DIV>&nbsp;</DIV>
<DIV>Direct Line&nbsp; 020 8383 1024<BR>Internal Ext 31024<BR></DIV>
<DIV><BR>&gt;&gt;&gt; [log in to unmask] 04/08/2004 &gt;&gt;&gt;<BR></DIV>
<P>Dear All</P>
<P>Do any of you out there work in the hotel/accommodation area.</P>
<P>I'm after some guidance, advice&nbsp;or policies re infection control in
cleaning rooms that have been contaminated with diarrhoea and vomit.&nbsp; Also,
is it wise to accordingly vaccinate the employees exposed to&nbsp; these
risks?</P>
<P>Any help greatfully received.<BR><BR><STRONG>Cate</STRONG></P><BR><BR>
<HR SIZE=1>
Whatever you <A target=_blank
href="http://www.wanadoo.co.uk/time/">Wanadoo</A><BR><BR>This email has been
checked for most known viruses - find out more <A target=_blank
href="http://www.wanadoo.co.uk/help/id/7098.htm">here</A> ~~~~~~~~~~~~~~~ Please
remove this footer before replying.
<P>For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<P>For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/</P><FONT SIZE=3><BR>
<BR>
*<BR>
**<BR>
<BR>
Confidentiality Notice<BR>
<BR>
The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Hammersmith Hospitals NHS Trust IT department on 020 8746 5555. Please also delete the message from your computer.<BR>
<BR>
**<BR>
*<BR>
</FONT>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--=__PartB292EE7C.0__=--
=========================================================================
Date:         Wed, 4 Aug 2004 16:12:06 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chris Packham <[log in to unmask]>
Subject:      Re: Infection Control
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0052_01C47A3D.C987CB10"

This is a multi-part message in MIME format.

------=_NextPart_000_0052_01C47A3D.C987CB10
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Cate
For there to be infection there must be contact between the infective =
material and the worker. You certainly need to carry out a risk =
assessment (COSHH!). I suggest that this should be done on each =
occasion, as conditions may vary.=20

Cleaning methods should be selected that minimise the potential for =
contact. Again, different situations may require different methods and =
equipment. You should consult someone with an appropriate qualification =
and experience in this field. The British Institute of Cleaning Science =
(www.bics.org.uk) may be able to help in this respect by putting you in =
touch with such a person (assuming you don't have anyone appropriately =
qualified within your organisation).

Personal protective equipment will be essential. This will probably =
include long, heavy duty, rubber gauntlets, rubber boots, aprons or full =
PVC/Tyvek suit, face shield (if there is danger of splashing). The exact =
conditions will dictate what will be needed.

If all of this suggests that there is no one answer that covers all =
situations, then, in my view, this is correct.

Hope this is of some help.
Regards
Chris Packham
EnviroDerm Services

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0052_01C47A3D.C987CB10
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3D"Times New Roman" color=3D#000080 =
size=3D4>Cate</FONT></DIV>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3D"Times =
New Roman">For=20
there to be infection there must be contact between the infective =
material and=20
the worker. You certainly need to carry out a risk assessment (COSHH!). =
I=20
suggest that this should be done on each occasion, as conditions may =
vary.=20
</FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT=20
face=3D"Times New Roman">Cleaning methods should be selected that =
minimise the=20
potential for contact. Again, different situations may require different =
methods=20
and equipment. You should consult someone with an appropriate =
qualification and=20
experience in this field. The British Institute of Cleaning Science (<A=20
href=3D"http://www.bics.org.uk">www.bics.org.uk</A>) may be able to help =
in this=20
respect by putting you in touch with such a person (assuming you don't =
have=20
anyone appropriately qualified within your organisation).</FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT=20
face=3D"Times New Roman">Personal protective equipment will be =
essential. This=20
will probably include long, heavy duty, rubber gauntlets, rubber boots, =
aprons=20
or full PVC/Tyvek suit, face shield (if there is danger of splashing). =
The exact=20
conditions will dictate what will be needed.</FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3D"Times =
New Roman">If=20
all of this suggests that there is no one answer that covers all =
situations,=20
then, in my view, this is correct.</FONT></P>
<DIV><SPAN=20
style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Times New Roman'; =
mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB; =
mso-fareast-language: EN-US; mso-bidi-language: AR-SA">Hope=20
this is of some help.</SPAN></DIV>
<DIV><SPAN=20
style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Times New Roman'; =
mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB; =
mso-fareast-language: EN-US; mso-bidi-language: =
AR-SA">Regards</SPAN></DIV>
<DIV><SPAN=20
style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Times New Roman'; =
mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB; =
mso-fareast-language: EN-US; mso-bidi-language: AR-SA">Chris=20
Packham</SPAN></DIV>
<DIV><SPAN=20
style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Times New Roman'; =
mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB; =
mso-fareast-language: EN-US; mso-bidi-language: AR-SA">EnviroDerm=20
Services</SPAN></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000080 2px solid; MARGIN-RIGHT: 0px"><FONT=20
  size=3D2></FONT>&nbsp;</BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0052_01C47A3D.C987CB10--
=========================================================================
Date:         Wed, 4 Aug 2004 16:12:30 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Susan Harrison-Stone <[log in to unmask]>
Subject:      MRSA
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_00B6_01C47A3D.D79F94D0"

This is a multi-part message in MIME format.

------=_NextPart_000_00B6_01C47A3D.D79F94D0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

To all my colleagues in the NHS or infection control

Can you tell me what level of risk a domicillary care asst. would be at =
if she had a needle stick injury from a client who is MRSA pos. please? =
She has seen her GP but I am not sure what he did except to say tell OH! =
=20

There are certainly issues round a used needle being left by someone =
else and round Hep B but I am not sure about MRSA.

Thank you
Sue

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_00B6_01C47A3D.D79F94D0
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>To all my colleagues in the NHS or =
infection=20
control</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Can you tell me what level of risk a =
domicillary=20
care asst. would be at if she had a needle stick injury from a client =
who is=20
MRSA pos. please? She has seen her GP but I am not sure what he did =
except to=20
say tell OH!&nbsp; </FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>There are certainly issues round a used =
needle=20
being left by someone else and round Hep B but I am not sure about=20
MRSA.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Thank you</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Sue</FONT></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_00B6_01C47A3D.D79F94D0--
=========================================================================
Date:         Wed, 4 Aug 2004 16:33:04 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Darcy <[log in to unmask]>
Subject:      Re: MRSA
Mime-Version: 1.0
Content-Type: multipart/alternative; boundary="=__Part99B9C4A0.0__="

This is a MIME message. If you are reading this text, you may want to
consider changing to a mail reader or gateway that understands how to
properly handle MIME multipart messages.

--=__Part99B9C4A0.0__=
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit

Dear Sue,

In similar circumstances, my infection control team have advised not to
worry about MRSA unless the person is unfortunate to develop a
septicaemia.  It is unlikely that infection would be transmitted this
way.  The only detection method would be by blood culture which is
something only a medical practitioner would perform, and only if there
was a clear clinical case for doing so.

Prophylaxis is unnecessary as it would be far more likely to cause
significant health problems compared to MRSA risk.

It would be more likely for the person to acquire MRSA by everyday
contact.

I'd also consider hepatitis C risk and the risk of other general
localised infections.

Best wishes




Paul D'Arcy,
Occupational Health Manager (Acting)

Occupational Health
Hammersmith Hospital

Developing And Supporting People To Make Healthcare Better

Direct Line  020 8383 1024
Internal Ext 31024


>>> [log in to unmask] 04/08/2004 >>>

To all my colleagues in the NHS or infection control

Can you tell me what level of risk a domicillary care asst. would be at
if she had a needle stick injury from a client who is MRSA pos. please?
She has seen her GP but I am not sure what he did except to say tell OH!


There are certainly issues round a used needle being left by someone
else and round Hep B but I am not sure about MRSA.

Thank you
Sue
~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Hammersmith Hospitals NHS Trust IT department on 020 8746 5555. Please also delete the message from your computer.

**
*


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--=__Part99B9C4A0.0__=
Content-Type: text/html; charset=ISO-8859-1
Content-Transfer-Encoding: 8bit
Content-Description: HTML

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=Content-Type content="text/html; charset=iso-8859-1">
<META content="MSHTML 5.50.4919.2200" name=GENERATOR></HEAD>
<BODY style="MARGIN-TOP: 2px; FONT: 8pt MS Sans Serif; MARGIN-LEFT: 2px">
<DIV><FONT size=1>Dear Sue,</FONT></DIV>
<DIV><FONT size=1></FONT>&nbsp;</DIV>
<DIV><FONT size=1>In similar circumstances, my infection control team have
advised not to worry about MRSA unless the person is unfortunate to develop a
septicaemia.&nbsp; It is unlikely that infection would be transmitted this
way.&nbsp; The only detection method would be by blood culture which is
something only a medical practitioner would perform, and only if there was a
clear clinical case for doing so.</FONT></DIV>
<DIV><FONT size=1></FONT>&nbsp;</DIV>
<DIV><FONT size=1>Prophylaxis is unnecessary as it would be far more likely to
cause significant health problems compared to MRSA risk.</FONT></DIV>
<DIV><FONT size=1></FONT>&nbsp;</DIV>
<DIV><FONT size=1>It would be more likely for the person to acquire MRSA by
everyday contact.</FONT></DIV>
<DIV><FONT size=1></FONT>&nbsp;</DIV>
<DIV><FONT size=1>I'd also consider hepatitis C risk and the risk of other
general localised infections.</FONT></DIV>
<DIV><FONT size=1></FONT>&nbsp;</DIV>
<DIV><FONT size=1>Best wishes</FONT></DIV>
<DIV><FONT size=1></FONT>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV>Paul D'Arcy, <BR>Occupational Health Manager (Acting)</DIV>
<DIV>&nbsp;</DIV>
<DIV>Occupational Health<BR>Hammersmith Hospital</DIV>
<DIV>&nbsp;</DIV>
<DIV>Developing And Supporting People To Make Healthcare Better</DIV>
<DIV>&nbsp;</DIV>
<DIV>Direct Line&nbsp; 020 8383 1024<BR>Internal Ext
31024<BR><BR><BR>&gt;&gt;&gt; [log in to unmask] 04/08/2004
&gt;&gt;&gt;<BR></DIV>
<DIV><FONT face=Arial size=2>To all my colleagues in the NHS or infection
control</FONT></DIV>
<DIV><FONT face=Arial size=2></FONT>&nbsp;</DIV>
<DIV><FONT face=Arial size=2>Can you tell me what level of risk a domicillary
care asst. would be at if she had a needle stick injury from a client who is
MRSA pos. please? She has seen her GP but I am not sure what he did except to
say tell OH!&nbsp; </FONT></DIV>
<DIV><FONT face=Arial size=2></FONT>&nbsp;</DIV>
<DIV><FONT face=Arial size=2>There are certainly issues round a used needle
being left by someone else and round Hep B but I am not sure about
MRSA.</FONT></DIV>
<DIV><FONT face=Arial size=2></FONT>&nbsp;</DIV>
<DIV><FONT face=Arial size=2>Thank you</FONT></DIV>
<DIV><FONT face=Arial size=2>Sue</FONT></DIV>~~~~~~~~~~~~~~~ Please remove this
footer before replying.
<P>For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<P>For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/ </P><FONT SIZE=3><BR>
<BR>
*<BR>
**<BR>
<BR>
Confidentiality Notice<BR>
<BR>
The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Hammersmith Hospitals NHS Trust IT department on 020 8746 5555. Please also delete the message from your computer.<BR>
<BR>
**<BR>
*<BR>
</FONT>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--=__Part99B9C4A0.0__=--
=========================================================================
Date:         Wed, 4 Aug 2004 16:51:45 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Martin Tohill <[log in to unmask]>
Subject:      psoriasis and fitness for work
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_001D_01C47A43.53BED7B0"

This is a multi-part message in MIME format.

------=_NextPart_000_001D_01C47A43.53BED7B0
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: 7bit

Does anyone have any evidence base on fitness to work in someone with
severe, scaling, generalised psoriasis affecting the scalp, face, arms,
hands in the following: -

1.      Food handling
2.      Health care worker allied to medicine
3.      nurse

Many thanks.

Martin


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001D_01C47A43.53BED7B0
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<html xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">
<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 11">
<meta name=3DOriginator content=3D"Microsoft Word 11">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C47A43.53046150">
<!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:DontDisplayPageBoundaries/>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:PunctuationKerning/>
  <w:ValidateAgainstSchemas/>
  <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
  <w:IgnoreMixedContent>false</w:IgnoreMixedContent>
  <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
  <w:Compatibility>
   <w:BreakWrappedTables/>
   <w:SnapToGridInCell/>
   <w:WrapTextWithPunct/>
   <w:UseAsianBreakRules/>
   <w:DontGrowAutofit/>
  </w:Compatibility>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:LatentStyles DefLockedState=3D"false" LatentStyleCount=3D"156">
 </w:LatentStyles>
</xml><![endif]-->
<style>
<!--
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;
        text-underline:single;}
p.MsoAutoSig, li.MsoAutoSig, div.MsoAutoSig
        {margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
span.EmailStyle17
        {mso-style-type:personal-compose;
        mso-style-noshow:yes;
        mso-ansi-font-size:10.0pt;
        mso-bidi-font-size:10.0pt;
        font-family:Arial;
        mso-ascii-font-family:Arial;
        mso-hansi-font-family:Arial;
        mso-bidi-font-family:Arial;
        color:windowtext;
        font-weight:bold;
        font-style:normal;
        text-decoration:none;
        text-underline:none;
        text-decoration:none;
        text-line-through:none;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;
        mso-header-margin:35.4pt;
        mso-footer-margin:35.4pt;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
 /* List Definitions */
 @list l0
        {mso-list-id:1493567058;
        mso-list-type:hybrid;
        mso-list-template-ids:1288324212 134807567 134807577 134807579 =
134807567 134807577 134807579 134807567 134807577 134807579;}
@list l0:level1
        {mso-level-tab-stop:36.0pt;
        mso-level-number-position:left;
        text-indent:-18.0pt;}
ol
        {margin-bottom:0cm;}
ul
        {margin-bottom:0cm;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";
        mso-ansi-language:#0400;
        mso-fareast-language:#0400;
        mso-bidi-language:#0400;}
</style>
<![endif]-->
</head>

<body lang=3DEN-GB link=3Dblue vlink=3Dpurple =
style=3D'tab-interval:36.0pt'>

<div class=3DSection1>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'>Does anyone have any evidence base =
on
fitness to work in someone with severe, scaling, generalised psoriasis
affecting the scalp, face, arms, hands in the following: =
-<o:p></o:p></span></font></b></p>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'><o:p>&nbsp;</o:p></span></font></b></=
p>

<ol style=3D'margin-top:0cm' start=3D1 type=3D1>
 <li class=3DMsoNormal style=3D'mso-list:l0 level1 lfo1;tab-stops:list =
36.0pt'><b><font
     size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
     font-weight:bold'>Food handling<o:p></o:p></span></font></b></li>
 <li class=3DMsoNormal style=3D'mso-list:l0 level1 lfo1;tab-stops:list =
36.0pt'><b><font
     size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
     font-weight:bold'>Health care worker allied to =
medicine<o:p></o:p></span></font></b></li>
 <li class=3DMsoNormal style=3D'mso-list:l0 level1 lfo1;tab-stops:list =
36.0pt'><b><font
     size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
     font-weight:bold'>nurse<o:p></o:p></span></font></b></li>
</ol>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'><o:p>&nbsp;</o:p></span></font></b></=
p>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'>Many =
thanks.<o:p></o:p></span></font></b></p>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'><o:p>&nbsp;</o:p></span></font></b></=
p>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'>Martin</span></font></b><span
style=3D'mso-no-proof:yes'><o:p></o:p></span></p>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'><o:p>&nbsp;</o:p></span></font></p>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001D_01C47A43.53BED7B0--
=========================================================================
Date:         Wed, 4 Aug 2004 16:53:39 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Darcy <[log in to unmask]>
Subject:      Re: psoriasis and fitness for work (Away)
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

I will be away from my office on 5 August 2004 although you can contact
me via reception on extension 33063 (020 8383 3063 if calling
externally).

Many thanks









>>> OCC-HEALTH 08/04/04 16:51 >>>

Does anyone have any evidence base on fitness to work in someone with
severe, scaling, generalised psoriasis affecting the scalp, face, arms,
hands in the following: -

1.      Food handling
2.      Health care worker allied to medicine
3.      nurse

Many thanks.

Martin


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Hammersmith Hospitals NHS Trust IT department on 020 8746 5555. Please also delete the message from your computer.

**
*

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 4 Aug 2004 19:17:21 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Carole Wallace <[log in to unmask]>
Subject:      Re: psoriasis and fitness for work
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0005_01C47A57.AA4D42B0"

This is a multi-part message in MIME format.

------=_NextPart_000_0005_01C47A57.AA4D42B0
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: 7bit

Martin,

I quote from Fitness for Work the Medical Aspects 1997 Ed F.C Edwards, R.I
McCallum. Oxford Medical Publications.

"If psoriasis involves the exposed skin of the hands and forearms or the
scalp, it's tendency to shed scales capable of bearing pathogenic
staphylococci may be a contraindication in catering and hospital staff."

Carol
  -----Original Message-----
  From: Martin Tohill [mailto:[log in to unmask]]
  Sent: 04 August 2004 16:52
  To: Carol Wallace
  Subject: psoriasis and fitness for work


  Does anyone have any evidence base on fitness to work in someone with
severe, scaling, generalised psoriasis affecting the scalp, face, arms,
hands in the following: -



    1.. Food handling
    2.. Health care worker allied to medicine
    3.. nurse


  Many thanks.



  Martin



  ~~~~~~~~~~~~~~~ Please remove this footer before replying.
  For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

  For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.727 / Virus Database: 482 - Release Date: 26/07/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0005_01C47A57.AA4D42B0
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns=3D"http://www.w3.org/TR/REC-html40" xmlns:o =3D=20
"urn:schemas-microsoft-com:office:office" xmlns:w =3D=20
"urn:schemas-microsoft-com:office:word"><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dwindows-1252">
<META content=3DWord.Document name=3DProgId>
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<META content=3D"Microsoft Word 11" name=3DOriginator><LINK=20
href=3D"cid:filelist.xml@01C47A43.53046150" rel=3DFile-List><!--[if gte =
mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:DontDisplayPageBoundaries/>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:PunctuationKerning/>
  <w:ValidateAgainstSchemas/>
  <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
  <w:IgnoreMixedContent>false</w:IgnoreMixedContent>
  <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
  <w:Compatibility>
   <w:BreakWrappedTables/>
   <w:SnapToGridInCell/>
   <w:WrapTextWithPunct/>
   <w:UseAsianBreakRules/>
   <w:DontGrowAutofit/>
  </w:Compatibility>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:LatentStyles DefLockedState=3D"false" LatentStyleCount=3D"156">
 </w:LatentStyles>
</xml><![endif]-->
<STYLE>@page Section1 {size: 595.3pt 841.9pt; margin: 72.0pt 90.0pt =
72.0pt 90.0pt; mso-header-margin: 35.4pt; mso-footer-margin: 35.4pt; =
mso-paper-source: 0; }
P.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
LI.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
DIV.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
A:link {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
SPAN.MsoHyperlink {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
A:visited {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
SPAN.MsoHyperlinkFollowed {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
P.MsoAutoSig {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-pagination: widow-orphan; mso-fareast-font-family: "Times New Roman"
}
LI.MsoAutoSig {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-pagination: widow-orphan; mso-fareast-font-family: "Times New Roman"
}
DIV.MsoAutoSig {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-pagination: widow-orphan; mso-fareast-font-family: "Times New Roman"
}
SPAN.EmailStyle17 {
        FONT-WEIGHT: bold; COLOR: windowtext; FONT-STYLE: normal; FONT-FAMILY: =
Arial; TEXT-DECORATION: none; text-underline: none; mso-style-type: =
personal-compose; mso-style-noshow: yes; mso-ansi-font-size: 10.0pt; =
mso-bidi-font-size: 10.0pt; mso-ascii-font-family: Arial; =
mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; =
text-line-through: none
}
DIV.Section1 {
        page: Section1
}
OL {
        MARGIN-BOTTOM: 0cm
}
UL {
        MARGIN-BOTTOM: 0cm
}
</STYLE>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";
        mso-ansi-language:#0400;
        mso-fareast-language:#0400;
        mso-bidi-language:#0400;}
</style>
<![endif]--></HEAD>
<BODY lang=3DEN-GB style=3D"tab-interval: 36.0pt" vLink=3Dpurple =
link=3Dblue>
<DIV><SPAN class=3D805190318-04082004><FONT face=3DArial color=3D#0000ff =

size=3D2>Martin,</FONT></SPAN></DIV>
<DIV><SPAN class=3D805190318-04082004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D805190318-04082004><FONT face=3DArial color=3D#0000ff =
size=3D2>I=20
quote from Fitness&nbsp;for Work the Medical Aspects 1997 Ed F.C =
Edwards, R.I=20
McCallum. Oxford Medical Publications.</FONT></SPAN></DIV>
<DIV><SPAN class=3D805190318-04082004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D805190318-04082004><FONT face=3DArial color=3D#0000ff =
size=3D2>"If=20
psoriasis involves the exposed skin of the hands and forearms or the =
scalp, it's=20
tendency to shed scales capable of bearing pathogenic staphylococci may =
be a=20
contraindication in catering and hospital staff."</FONT></SPAN></DIV>
<DIV><SPAN class=3D805190318-04082004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D805190318-04082004><FONT face=3DArial color=3D#0000ff =

size=3D2>Carol</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> Martin Tohill=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 04 August =
2004=20
  16:52<BR><B>To:</B> Carol Wallace<BR><B>Subject:</B> psoriasis and =
fitness for=20
  work<BR><BR></FONT></DIV>
  <DIV class=3DSection1>
  <P class=3DMsoNormal><B><FONT face=3DArial size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">Does =
anyone=20
  have any evidence base on fitness to work in someone with severe, =
scaling,=20
  generalised psoriasis affecting the scalp, face, arms, hands in the =
following:=20
  -<o:p></o:p></SPAN></FONT></B></P>
  <P class=3DMsoNormal><B><FONT face=3DArial size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></B></P>
  <OL style=3D"MARGIN-TOP: 0cm" type=3D1>
    <LI class=3DMsoNormal=20
    style=3D"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt"><B><FONT =
face=3DArial=20
    size=3D2><SPAN=20
    style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">Food=20
    handling<o:p></o:p></SPAN></FONT></B>=20
    <LI class=3DMsoNormal=20
    style=3D"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt"><B><FONT =
face=3DArial=20
    size=3D2><SPAN=20
    style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">Health care=20
    worker allied to medicine<o:p></o:p></SPAN></FONT></B>=20
    <LI class=3DMsoNormal=20
    style=3D"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt"><B><FONT =
face=3DArial=20
    size=3D2><SPAN=20
    style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">nurse<o:p></o:p></SPAN></FONT></B>=20
    </LI></OL>
  <P class=3DMsoNormal><B><FONT face=3DArial size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></B></P>
  <P class=3DMsoNormal><B><FONT face=3DArial size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">Many=20
  thanks.<o:p></o:p></SPAN></FONT></B></P>
  <P class=3DMsoNormal><B><FONT face=3DArial size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></B></P>
  <P class=3DMsoNormal><B><FONT face=3DArial size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">Martin</SPAN></FONT></B><SPAN=20
  style=3D"mso-no-proof: yes"><o:p></o:p></SPAN></P>
  <P class=3DMsoNormal><FONT face=3D"Times New Roman" size=3D3><SPAN=20
  style=3D"FONT-SIZE: =
12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P></DIV>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0005_01C47A57.AA4D42B0--
=========================================================================
Date:         Wed, 4 Aug 2004 21:28:38 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         MARTIN TOHILL <[log in to unmask]>
Subject:      Re: psoriasis and fitness for work
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0010_01C47A6A.02972B40"

This is a multi-part message in MIME format.

------=_NextPart_000_0010_01C47A6A.02972B40
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: 7bit

Carole

Many thanks for this.  I am aware of this statement in fitness for work and
that a lot of people base decisions on both the contents of the fitness for
work book and the 1996 draft guidelines from ANHOPS on fitness for work in
the NHS.

I was interested in whether there is a research evidence base on this
subject which I have not found.

Martin

  _____

From: Carole Wallace [mailto:[log in to unmask]]
Sent: 04 August 2004 19:17
To: [log in to unmask]
Subject: Re: psoriasis and fitness for work

Martin,

I quote from Fitness for Work the Medical Aspects 1997 Ed F.C Edwards, R.I
McCallum. Oxford Medical Publications.

"If psoriasis involves the exposed skin of the hands and forearms or the
scalp, it's tendency to shed scales capable of bearing pathogenic
staphylococci may be a contraindication in catering and hospital staff."

Carol
-----Original Message-----
From: Martin Tohill [mailto:[log in to unmask]]
Sent: 04 August 2004 16:52
To: Carol Wallace
Subject: psoriasis and fitness for work
Does anyone have any evidence base on fitness to work in someone with
severe, scaling, generalised psoriasis affecting the scalp, face, arms,
hands in the following: -

1.      Food handling
2.      Health care worker allied to medicine
3.      nurse

Many thanks.

Martin

~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0010_01C47A6A.02972B40
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<html xmlns:v=3D"urn:schemas-microsoft-com:vml" =
xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns:st1=3D"urn:schemas-microsoft-com:office:smarttags" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<meta http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dus-ascii">
<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 11">
<meta name=3DOriginator content=3D"Microsoft Word 11">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C47A6A.00F477C0">
<link rel=3DEdit-Time-Data href=3D"cid:editdata.mso">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><o:SmartTagType
 namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags" =
name=3D"City"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"place"/>
<!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:DontDisplayPageBoundaries/>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:PunctuationKerning/>
  <w:ValidateAgainstSchemas/>
  <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
  <w:IgnoreMixedContent>false</w:IgnoreMixedContent>
  <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
  <w:Compatibility>
   <w:BreakWrappedTables/>
   <w:SnapToGridInCell/>
   <w:WrapTextWithPunct/>
   <w:UseAsianBreakRules/>
   <w:DontGrowAutofit/>
  </w:Compatibility>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:LatentStyles DefLockedState=3D"false" LatentStyleCount=3D"156">
 </w:LatentStyles>
</xml><![endif]--><!--[if !mso]>
<style>
st1\:*{behavior:url(#default#ieooui) }
</style>
<![endif]-->
<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;
        mso-font-charset:0;
        mso-generic-font-family:swiss;
        mso-font-pitch:variable;
        mso-font-signature:1627421319 -2147483648 8 0 66047 0;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;
        text-underline:single;}
p.MsoAutoSig, li.MsoAutoSig, div.MsoAutoSig
        {margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
p
        {mso-margin-top-alt:auto;
        margin-right:0cm;
        mso-margin-bottom-alt:auto;
        margin-left:0cm;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
span.EmailStyle19
        {mso-style-type:personal;
        mso-style-noshow:yes;
        mso-ansi-font-size:10.0pt;
        mso-bidi-font-size:10.0pt;
        font-family:Arial;
        mso-ascii-font-family:Arial;
        mso-hansi-font-family:Arial;
        mso-bidi-font-family:Arial;
        color:windowtext;
        mso-text-animation:none;
        font-weight:bold;
        font-style:normal;
        text-decoration:none;
        text-underline:none;
        text-decoration:none;
        text-line-through:none;}
span.EmailStyle20
        {mso-style-type:personal-reply;
        mso-style-noshow:yes;
        mso-ansi-font-size:10.0pt;
        mso-bidi-font-size:10.0pt;
        font-family:Arial;
        mso-ascii-font-family:Arial;
        mso-hansi-font-family:Arial;
        mso-bidi-font-family:Arial;
        color:blue;
        mso-text-animation:none;
        font-weight:normal;
        font-style:normal;
        text-decoration:none;
        text-underline:none;
        text-decoration:none;
        text-line-through:none;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;
        mso-header-margin:35.4pt;
        mso-footer-margin:35.4pt;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
 /* List Definitions */
 @list l0
        {mso-list-id:211774159;
        mso-list-template-ids:-1550518130;}
@list l1
        {mso-list-id:836503564;
        mso-list-template-ids:-590447552;}
@list l1:level1
        {mso-level-tab-stop:36.0pt;
        mso-level-number-position:left;
        text-indent:-18.0pt;}
@list l1:level2
        {mso-level-tab-stop:72.0pt;
        mso-level-number-position:left;
        text-indent:-18.0pt;}
@list l1:level3
        {mso-level-tab-stop:108.0pt;
        mso-level-number-position:left;
        text-indent:-18.0pt;}
@list l1:level4
        {mso-level-tab-stop:144.0pt;
        mso-level-number-position:left;
        text-indent:-18.0pt;}
@list l1:level5
        {mso-level-tab-stop:180.0pt;
        mso-level-number-position:left;
        text-indent:-18.0pt;}
@list l1:level6
        {mso-level-tab-stop:216.0pt;
        mso-level-number-position:left;
        text-indent:-18.0pt;}
@list l1:level7
        {mso-level-tab-stop:252.0pt;
        mso-level-number-position:left;
        text-indent:-18.0pt;}
@list l1:level8
        {mso-level-tab-stop:288.0pt;
        mso-level-number-position:left;
        text-indent:-18.0pt;}
@list l1:level9
        {mso-level-tab-stop:324.0pt;
        mso-level-number-position:left;
        text-indent:-18.0pt;}
ol
        {margin-bottom:0cm;}
ul
        {margin-bottom:0cm;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";
        mso-ansi-language:#0400;
        mso-fareast-language:#0400;
        mso-bidi-language:#0400;}
</style>
<![endif]-->
</head>

<body lang=3DEN-GB link=3Dblue vlink=3Dpurple =
style=3D'tab-interval:36.0pt'>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'>Carole<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'>Many thanks for this.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>I am aware of this statement in =
fitness
for work and that a lot of people base decisions on both the contents of =
the
fitness for work book and the 1996 draft guidelines from ANHOPS on =
fitness for
work in the NHS.<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'>I was interested in whether there =
is a
research evidence base on this subject which I have not =
found.<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'>Martin<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'><o:p>&nbsp;</o:p></span></font></p>

<div>

<div class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><font =
size=3D3
face=3D"Times New Roman"><span lang=3DEN-US =
style=3D'font-size:12.0pt;mso-ansi-language:
EN-US'>

<hr size=3D2 width=3D"100%" align=3Dcenter tabindex=3D-1>

</span></font></div>

<p class=3DMsoNormal><b><font size=3D2 face=3DTahoma><span lang=3DEN-US
style=3D'font-size:10.0pt;font-family:Tahoma;mso-ansi-language:EN-US;font=
-weight:
bold'>From:</span></font></b><font size=3D2 face=3DTahoma><span =
lang=3DEN-US
style=3D'font-size:10.0pt;font-family:Tahoma;mso-ansi-language:EN-US'> =
Carole
Wallace [mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 04 August 2004 =
19:17<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Re: psoriasis =
and fitness
for work</span></font><span lang=3DEN-US =
style=3D'mso-ansi-language:EN-US'><o:p></o:p></span></p>

</div>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<div>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'>Martin,</span></font><o:p></o:p></p>=


</div>

<div>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'>I quote from Fitness&nbsp;for Work =
the
Medical Aspects 1997 Ed F.C Edwards, R.I McCallum. <st1:City =
w:st=3D"on"><st1:place
 w:st=3D"on">Oxford</st1:place></st1:City> Medical =
Publications.</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'>&quot;If psoriasis involves the =
exposed
skin of the hands and forearms or the scalp, it's tendency to shed =
scales
capable of bearing pathogenic staphylococci may be a contraindication in
catering and hospital staff.&quot;</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'>Carol</span></font><o:p></o:p></p>

</div>

<blockquote =
style=3D'margin-top:5.0pt;margin-right:0cm;margin-bottom:5.0pt'>

<p class=3DMsoNormal style=3D'margin-bottom:12.0pt'><font size=3D2 =
face=3DTahoma><span
style=3D'font-size:10.0pt;font-family:Tahoma'>-----Original =
Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Martin Tohill
[mailto:[log in to unmask]]<br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 04 August 2004 =
16:52<br>
<b><span style=3D'font-weight:bold'>To:</span></b> Carol Wallace<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> psoriasis and =
fitness for
work</span></font><o:p></o:p></p>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'>Does anyone have any evidence base =
on
fitness to work in someone with severe, scaling, generalised psoriasis
affecting the scalp, face, arms, hands in the following: =
-<o:p></o:p></span></font></b></p>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'><o:p>&nbsp;</o:p></span></font></b></=
p>

<ol style=3D'margin-top:0cm' start=3D1 type=3D1>
 <li class=3DMsoNormal style=3D'mso-list:l1 level1 lfo3;tab-stops:list =
36.0pt'><b><font
     size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
     font-weight:bold'>Food handling</span></font></b> <b><font size=3D2
     face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;font-weight:
     bold'><o:p></o:p></span></font></b></li>
 <li class=3DMsoNormal style=3D'mso-list:l1 level1 lfo3;tab-stops:list =
36.0pt'><b><font
     size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
     font-weight:bold'>Health care worker allied to =
medicine</span></font></b> <b><font
     size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
     font-weight:bold'><o:p></o:p></span></font></b></li>
 <li class=3DMsoNormal style=3D'mso-list:l1 level1 lfo3;tab-stops:list =
36.0pt'><b><font
     size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
     font-weight:bold'>nurse</span></font></b> <b><font size=3D2 =
face=3DArial><span
     =
style=3D'font-size:10.0pt;font-family:Arial;font-weight:bold'><o:p></o:p>=
</span></font></b></li>
</ol>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'><o:p>&nbsp;</o:p></span></font></b></=
p>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'>Many =
thanks.<o:p></o:p></span></font></b></p>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'><o:p>&nbsp;</o:p></span></font></b></=
p>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'>Martin</span></font></b><span
style=3D'mso-no-proof:yes'><o:p></o:p></span></p>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'>~~~~~~~~~~~~~~~ Please remove this footer before replying. =
<o:p></o:p></span></font></p>

<p><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>For list
archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html
for list archives <o:p></o:p></span></font></p>

<p><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>For jobs in
Occupational Health, go to http://uk.groups.yahoo.com/group/OHJobs/ =
<o:p></o:p></span></font></p>

</blockquote>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_0010_01C47A6A.02972B40--
=========================================================================
Date:         Thu, 5 Aug 2004 10:21:00 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Regan, Frances" <[log in to unmask]>
Subject:      Re: Infection Control
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C47ACD.859782C0"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C47ACD.859782C0
Content-Type: text/plain; charset="iso-8859-1"

*** Before reading or acting on this e-mail, or opening any attachment, please read Derby City Council's disclaimer and confidentiality statement at the end of this e-mail ***

Cate

The need for vaccination is something that you will need risk assess
separately.

Amongst other things I advise for many residential units i.e.. nursing
homes, children's homes etc. on infection control when contaminated with
diarrhoea and vomiting. Hotel rooms would need to be treated in the same
way.

The most likely causative factor for diarrhoea and vomiting is Norovirus
(previously called SRSV or Norwalk-like Virus). If some one vomits within a
room they will contaminate an area 10m around them. This in effect
contaminates a whole room, or rooms if then trailed into an ensuite
bathroom. The following is advice I would give, the wording is very
prescriptive but in experience I have found it needs to be!

1.      It is essential that the correct cleaning product be used.
Effective disinfection will only occur with NaDCC granules (Sodium
dichloroisocyanurate - we use a product called Actichlor) COSHH regulations
and manufactures guidelines must be followed to the letter.
2.      Each member of staff must wear protective aprons and gloves
3.      Ensure all work areas are well ventilated
4.      Clean areas using disposable wipes or mops soaked in solution
5.      ALL hard surface areas from door casings down are to be cleaned -
this includes light switches, doors, door handles, work surfaces, desks,
tables, chairs, windows, and any other surface able to withstand cleaning.
6.      ALL floors to be cleaned using the solution. Bare floors need to be
thoroughly mopped. Carpeted floors should be steam cleaned if they are able
to withstand heat.
7.      Particular attention must be paid in all toilet/bathroom areas;
every surface should be cleaned including toilets (cistern, pan, handles)
walls, sinks, floors, mirrors and all other areas.
8.      Soft furnishings and especially linens should be washed separately
at no less than a 60 degree Celsius wash.

The simplest and most effective way to prevent further spread of infection
is HAND WASHING by staff and residents/guests! But then if everyone did that
I would probably be out of a job!!

One last point: I am in the middle of conducting some , as yet unpublished,
research. We are undertaking environmental swabbing to ascertain if
Norovirus is present once contamination has occurred and cleaning has,
allegedly, taken place. Some of initial results have found viable viral
particles one month after contamination occurred. The turn over of residents
in hotel rooms within a month would contribute to further spread of illness
into the community if thorough cleaning did not take place.

If you would like any further information on this please do contact me off
list.

Regards
Frances Regan
Communicable Disease Control Officer
Derby City Council

Tel: 01332 715218





-----Original Message-----
From: Catherine Cross [mailto:[log in to unmask]]
Sent: 04 August 2004 14:10
To: [log in to unmask]
Subject: Infection Control



Dear All

Do any of you out there work in the hotel/accommodation area.

I'm after some guidance, advice or policies re infection control in cleaning
rooms that have been contaminated with diarrhoea and vomit.  Also, is it
wise to accordingly vaccinate the employees exposed to  these risks?

Any help greatfully received.

Cate



  _____

Whatever you Wanadoo <http://www.wanadoo.co.uk/time/>

This email has been checked for most known viruses - find out more here
<http://www.wanadoo.co.uk/help/id/7098.htm>  ~~~~~~~~~~~~~~~ Please remove
this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



**********************************************************************
The views expressed in this email are personal and may not
necessarily reflect those of Derby City Council, unless explicitly
stated otherwise

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 me immediately.

If you are not the intended recipient of this email, you should not
copy it for any purpose, or disclose its contents to any other
person.

Senders and recipients of e-mail should be aware that under the Data Protection Act 1998 and Freedom of Information Act 2000, the contents may have to be disclosed.

This footnote also confirms that this email message has been
swept by MIMEsweeper for the presence of computer viruses.
However, we cannot accept liability for viruses that may be in
this e-mail. We recommend that you check all e-mails with an
appropriate virus scanner.

www.mimesweeper.com
**********************************************************************


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C47ACD.859782C0
Content-Type: text/html; charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 5.00.3523.1700" name=GENERATOR></HEAD>
<BODY><FONT SIZE=3>*** Before reading or acting on this e-mail, or opening any attachment, please read Derby City Council's disclaimer and confidentiality statement at the end of this e-mail ***<BR>
<BR>
</FONT>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN
class=197504008-05082004>Cate</SPAN></FONT></DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN
class=197504008-05082004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN class=197504008-05082004>The
need for vaccination is something that you will need risk assess
separately.</SPAN></FONT></DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN
class=197504008-05082004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN
class=197504008-05082004>Amongst other things I advise for many residential
units i.e.. nursing homes, children's homes etc. on infection control when
contaminated with diarrhoea and vomiting. Hotel rooms would need to be treated
in the same way.</SPAN></FONT></DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN
class=197504008-05082004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN class=197504008-05082004>The
most likely causative factor for diarrhoea and vomiting is Norovirus (previously
called SRSV or Norwalk-like Virus). If some one vomits within a room they will
contaminate an area 10m around them. This in effect contaminates a whole room,
or rooms if then trailed into an ensuite bathroom. The follow</SPAN></FONT><FONT
color=#0000ff face=Arial size=2><SPAN class=197504008-05082004>ing is advice I
would give, the wording is very prescriptive but in experience I have found it
needs to be!</SPAN></FONT></DIV>
<OL>
  <LI><FONT color=#0000ff face=Arial size=2><SPAN
  class=197504008-05082004><STRONG>It is essential that the correct cleaning
  product be used.</STRONG>&nbsp; Effective disinfection will only occur with
  NaDCC granules (Sodium dichloroisocyanurate - we use a product called
  Actichlor) COSHH regulations and manufactures guidelines must be followed to
  the letter. </SPAN></FONT></LI>
  <LI><FONT color=#0000ff face=Arial size=2><SPAN class=197504008-05082004>Each
  member of staff must wear protective aprons and gloves</SPAN></FONT></LI>
  <LI><FONT color=#0000ff face=Arial size=2><SPAN
  class=197504008-05082004>Ensure all work areas are well
  ventilated</SPAN></FONT></LI>
  <LI><FONT color=#0000ff face=Arial size=2><SPAN class=197504008-05082004>Clean
  areas using disposable wipes or mops soaked in solution</SPAN></FONT></LI>
  <LI><FONT color=#0000ff face=Arial size=2><SPAN
  class=197504008-05082004><STRONG>ALL </STRONG>hard surface areas from door
  casings down are to be cleaned - this includes light switches, doors, door
  handles, work surfaces, desks, tables, chairs, windows, and any other surface
  able to withstand cleaning.</SPAN></FONT></LI>
  <LI><FONT color=#0000ff face=Arial size=2><SPAN class=197504008-05082004>ALL
  floors to be cleaned using the solution. Bare floors need to be thoroughly
  mopped. Carpeted floors should be steam cleaned if they are able to withstand
  heat.</SPAN></FONT></LI>
  <LI><FONT color=#0000ff face=Arial size=2><SPAN
  class=197504008-05082004>Particular attention must be paid in all
  toilet/bathroom areas; every surface should be cleaned including toilets
  (cistern, pan, handles) walls, sinks, floors, mirrors and all other
  areas.</SPAN></FONT></LI>
  <LI><FONT color=#0000ff face=Arial size=2><SPAN class=197504008-05082004>Soft
  furnishings and especially linens should be washed separately at no less than
  a 60 degree Celsius wash.</SPAN></FONT></LI></OL>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN class=197504008-05082004>The
simplest and most effective way to prevent further spread of infection is HAND
WASHING by staff and residents/guests! But then if everyone did that I would
probably be out of a job!!</SPAN></FONT></DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN
class=197504008-05082004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN class=197504008-05082004>One
last point: I am in the middle of conducting some , as yet unpublished,
research. We are undertaking environmental swabbing to ascertain if Norovirus is
present once contamination has occurred and cleaning has, allegedly, taken
place. Some of initial results have found viable viral particles one month after
contamination occurred. The turn over of residents in hotel rooms within a month
would contribute to further spread of illness into the community if thorough
cleaning did not take place.</SPAN></FONT></DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN
class=197504008-05082004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN class=197504008-05082004>If you
would like any further information on this please do contact me off
list.</SPAN></FONT></DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN
class=197504008-05082004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN
class=197504008-05082004>Regards</SPAN></FONT></DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN
class=197504008-05082004>Frances Regan</SPAN></FONT></DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN
class=197504008-05082004>Communicable Disease Control
Officer</SPAN></FONT></DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN class=197504008-05082004>Derby
City Council</SPAN></FONT></DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN
class=197504008-05082004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN class=197504008-05082004>Tel:
01332 715218</SPAN></FONT></DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN
class=197504008-05082004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN
class=197504008-05082004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN
class=197504008-05082004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN
class=197504008-05082004></SPAN></FONT>&nbsp;</DIV>
<UL></UL>
<DIV><FONT face=Tahoma><FONT size=2>-----Original Message-----<BR><B>From:</B>
Catherine Cross [mailto:[log in to unmask]]<BR><B>Sent:</B> 04 August 2004
14:10<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Infection
Control<BR><BR></FONT></DIV>
<BLOCKQUOTE style="MARGIN-RIGHT: 0px"></FONT>
  <P>Dear All</P>
  <P>Do any of you out there work in the hotel/accommodation area.</P>
  <P>I'm after some guidance, advice&nbsp;or policies re infection control in
  cleaning rooms that have been contaminated with diarrhoea and vomit.&nbsp;
  Also, is it wise to accordingly vaccinate the employees exposed to&nbsp; these
  risks?</P>
  <P>Any help greatfully received.<BR><BR><STRONG>Cate</STRONG></P><BR><BR>
  <HR SIZE=1>
  Whatever you <A href="http://www.wanadoo.co.uk/time/"
  target=_blank>Wanadoo</A><BR><BR>This email has been checked for most known
  viruses - find out more <A href="http://www.wanadoo.co.uk/help/id/7098.htm"
  target=_blank>here</A> ~~~~~~~~~~~~~~~ Please remove this footer before
  replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE><FONT SIZE=3><BR>
<BR>
**********************************************************************<BR>
The views expressed in this email are personal and may not <BR>
necessarily reflect those of Derby City Council, unless explicitly <BR>
stated otherwise<BR>
<BR>
This email, and any files transmitted with it, are confidential and<BR>
intended solely for the use of the individual or entity to whom they<BR>
are addressed. If you have received this email in error, please <BR>
notify me immediately.<BR>
<BR>
If you are not the intended recipient of this email, you should not <BR>
copy it for any purpose, or disclose its contents to any other <BR>
person.<BR>
<BR>
Senders and recipients of e-mail should be aware that under the Data Protection Act 1998 and Freedom of Information Act 2000, the contents may have to be disclosed.<BR>
<BR>
This footnote also confirms that this email message has been<BR>
swept by MIMEsweeper for the presence of computer viruses.<BR>
However, we cannot accept liability for viruses that may be in<BR>
this e-mail. We recommend that you check all e-mails with an<BR>
appropriate virus scanner.<BR>
<BR>
www.mimesweeper.com<BR>
**********************************************************************<BR>
</FONT>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C47ACD.859782C0--
=========================================================================
Date:         Thu, 5 Aug 2004 14:30:28 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Audrey Dean <[log in to unmask]>
Subject:      Training Course for the Management of Anaphylaxis

Hello all,

Does anyone out there have any information on where RN's can go to be
clinically updated on the management of anaphylaxis? We often have a need
for RN's/OHAs to fulfil roles where they may be administering vaccines and
I am investigating what provision there is available for clinical skills to
be refreshed.

I look forward to hearing from you.

kind regards
Audrey
(OH Recruitment)

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 5 Aug 2004 14:43:49 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Aziz, Bashyr" <[log in to unmask]>
Subject:      Re: Training Course for the Management of Anaphylaxis
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Audrey Dean asked:

Does anyone out there have any information on where RN's can go to be
clinically updated on the management of anaphylaxis? We often have a =
need
for RN's/OHAs to fulfil roles where they may be administering vaccines =
and
I am investigating what provision there is available for clinical skills =
to
be refreshed.

*****

While I do not know where such courses are routinely held, I am sure =
that any of the 15 UK universities that teach occupational health =
nursing would be happy to meet demand by organising study days on =
Management of Anaphylaxis.

Bashyr Aziz                Telephone: 01902 518632 =20
University of Wolverhampton
=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 5 Aug 2004 15:17:57 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sara Werry <[log in to unmask]>
Subject:      Re: Training Course for the Management of Anaphylaxis
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit

Hi

Try Norvic Training Associates, the website is www.norvic.biz

All the best
Sara

Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579


-----Original Message-----
From: Aziz, Bashyr [mailto:[log in to unmask]]
Sent: 05 August 2004 14:44
To: [log in to unmask]
Subject: Re: Training Course for the Management of Anaphylaxis


Audrey Dean asked:

Does anyone out there have any information on where RN's can go to be
clinically updated on the management of anaphylaxis? We often have a
need for RN's/OHAs to fulfil roles where they may be administering
vaccines and I am investigating what provision there is available for
clinical skills to be refreshed.

*****

While I do not know where such courses are routinely held, I am sure
that any of the 15 UK universities that teach occupational health
nursing would be happy to meet demand by organising study days on
Management of Anaphylaxis.

Bashyr Aziz                Telephone: 01902 518632
University of Wolverhampton


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 5 Aug 2004 17:58:33 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         heather bearpark <[log in to unmask]>
Subject:      Re: Training Course for the Management of Anaphylaxis
Mime-Version: 1.0
Content-Type: text/html

<html><div style='background-color:'><P><BR><BR></P>You could try your local ambulance services training departments or local primary care groups who often run this type of update.<BR><BR>
<DIV>
<DIV>Regards </DIV>Heather Bearpark </DIV></div><br clear=all><hr>Get a sneak preview of the new look MSN home page.  <a href="http://g.msn.com/8HMAENUK/2731??PS=47575">Click here to take the tour!</a> </html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 5 Aug 2004 20:52:41 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         shelley cook <[log in to unmask]>
Subject:      Re: psoriasis and fitness for work
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_003B_01C47B2E.2689E5A0"

This is a multi-part message in MIME format.

------=_NextPart_000_003B_01C47B2E.2689E5A0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hi there Martin,
as Carole says there arecontra indications towards catering and hospital =
staff - I work in Pharmaceuticals where our good manufacturing process =
requirements would prevent someone with this severity and location of =
skin problems being employed.

regards
  ----- Original Message -----=20
  From: Martin Tohill=20
  To: [log in to unmask]
  Sent: Wednesday, August 04, 2004 4:51 PM
  Subject: psoriasis and fitness for work


  Does anyone have any evidence base on fitness to work in someone with =
severe, scaling, generalised psoriasis affecting the scalp, face, arms, =
hands in the following: -

  =20

    1.. Food handling=20
    2.. Health care worker allied to medicine=20
    3.. nurse=20
  =20

  Many thanks.

  =20

  Martin

  =20

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_003B_01C47B2E.2689E5A0
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns=3D"http://www.w3.org/TR/REC-html40" xmlns:o =3D=20
"urn:schemas-microsoft-com:office:office" xmlns:w =3D=20
"urn:schemas-microsoft-com:office:word"><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3DWord.Document name=3DProgId>
<META content=3D"MSHTML 5.50.4134.600" name=3DGENERATOR>
<META content=3D"Microsoft Word 11" name=3DOriginator><LINK=20
href=3D"cid:filelist.xml@01C47A43.53046150" rel=3DFile-List><!--[if gte =
mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:DontDisplayPageBoundaries/>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:PunctuationKerning/>
  <w:ValidateAgainstSchemas/>
  <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
  <w:IgnoreMixedContent>false</w:IgnoreMixedContent>
  <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
  <w:Compatibility>
   <w:BreakWrappedTables/>
   <w:SnapToGridInCell/>
   <w:WrapTextWithPunct/>
   <w:UseAsianBreakRules/>
   <w:DontGrowAutofit/>
  </w:Compatibility>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:LatentStyles DefLockedState=3D"false" LatentStyleCount=3D"156">
 </w:LatentStyles>
</xml><![endif]-->
<STYLE>@page Section1 {size: 595.3pt 841.9pt; margin: 72.0pt 90.0pt =
72.0pt 90.0pt; mso-header-margin: 35.4pt; mso-footer-margin: 35.4pt; =
mso-paper-source: 0; }
P.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
LI.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
DIV.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
A:link {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
SPAN.MsoHyperlink {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
A:visited {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
SPAN.MsoHyperlinkFollowed {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
P.MsoAutoSig {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-pagination: widow-orphan; mso-fareast-font-family: "Times New Roman"
}
LI.MsoAutoSig {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-pagination: widow-orphan; mso-fareast-font-family: "Times New Roman"
}
DIV.MsoAutoSig {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-pagination: widow-orphan; mso-fareast-font-family: "Times New Roman"
}
SPAN.EmailStyle17 {
        FONT-WEIGHT: bold; COLOR: windowtext; FONT-STYLE: normal; FONT-FAMILY: =
Arial; TEXT-DECORATION: none; text-underline: none; mso-style-type: =
personal-compose; mso-style-noshow: yes; mso-ansi-font-size: 10.0pt; =
mso-bidi-font-size: 10.0pt; mso-ascii-font-family: Arial; =
mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; =
text-line-through: none
}
DIV.Section1 {
        page: Section1
}
OL {
        MARGIN-BOTTOM: 0cm
}
UL {
        MARGIN-BOTTOM: 0cm
}
</STYLE>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";
        mso-ansi-language:#0400;
        mso-fareast-language:#0400;
        mso-bidi-language:#0400;}
</style>
<![endif]--></HEAD>
<BODY lang=3DEN-GB style=3D"tab-interval: 36.0pt" vLink=3Dpurple =
link=3Dblue=20
bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>Hi there Martin,</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>as Carole says there arecontra =
indications towards=20
catering and hospital staff - I work in Pharmaceuticals where our good=20
manufacturing process requirements would prevent someone with this =
severity and=20
location of skin problems being employed.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>regards</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Martin Tohill</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, August 04, =
2004 4:51=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> psoriasis and fitness =
for=20
  work</DIV>
  <DIV><BR></DIV>
  <DIV class=3DSection1>
  <P class=3DMsoNormal><B><FONT face=3DArial size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">Does =
anyone=20
  have any evidence base on fitness to work in someone with severe, =
scaling,=20
  generalised psoriasis affecting the scalp, face, arms, hands in the =
following:=20
  -<o:p></o:p></SPAN></FONT></B></P>
  <P class=3DMsoNormal><B><FONT face=3DArial size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></B></P>
  <OL style=3D"MARGIN-TOP: 0cm" type=3D1>
    <LI class=3DMsoNormal=20
    style=3D"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt"><B><FONT =
face=3DArial=20
    size=3D2><SPAN=20
    style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">Food=20
    handling<o:p></o:p></SPAN></FONT></B>=20
    <LI class=3DMsoNormal=20
    style=3D"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt"><B><FONT =
face=3DArial=20
    size=3D2><SPAN=20
    style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">Health care=20
    worker allied to medicine<o:p></o:p></SPAN></FONT></B>=20
    <LI class=3DMsoNormal=20
    style=3D"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt"><B><FONT =
face=3DArial=20
    size=3D2><SPAN=20
    style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">nurse<o:p></o:p></SPAN></FONT></B>=20
    </LI></OL>
  <P class=3DMsoNormal><B><FONT face=3DArial size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></B></P>
  <P class=3DMsoNormal><B><FONT face=3DArial size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">Many=20
  thanks.<o:p></o:p></SPAN></FONT></B></P>
  <P class=3DMsoNormal><B><FONT face=3DArial size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></B></P>
  <P class=3DMsoNormal><B><FONT face=3DArial size=3D2><SPAN=20
  style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">Martin</SPAN></FONT></B><SPAN=20
  style=3D"mso-no-proof: yes"><o:p></o:p></SPAN></P>
  <P class=3DMsoNormal><FONT face=3D"Times New Roman" size=3D3><SPAN=20
  style=3D"FONT-SIZE: =
12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P></DIV>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to <A=20
  =
href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html">http://www.jiscm=
ail.ac.uk/lists/occ-health.html</A>=20
  for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_003B_01C47B2E.2689E5A0--
=========================================================================
Date:         Thu, 5 Aug 2004 20:55:55 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         shelley cook <[log in to unmask]>
Subject:      Re: Training Course for the Management of Anaphylaxis
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Audrey,
there is an Anaphylaxis group which provides good info on this area. I have
the details at work  i will post them to you tomorrow evening . They also
have excellent info sheets booklets and the like.

kind regards
Shelley
----- Original Message -----
From: "Audrey Dean" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, August 05, 2004 2:30 PM
Subject: Training Course for the Management of Anaphylaxis


> Hello all,
>
> Does anyone out there have any information on where RN's can go to be
> clinically updated on the management of anaphylaxis? We often have a need
> for RN's/OHAs to fulfil roles where they may be administering vaccines and
> I am investigating what provision there is available for clinical skills
to
> be refreshed.
>
> I look forward to hearing from you.
>
> kind regards
> Audrey
> (OH Recruitment)
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 5 Aug 2004 21:14:40 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         MARTIN TOHILL <[log in to unmask]>
Subject:      Re: psoriasis and fitness for work
In-Reply-To:  <003e01c47b25$c4df6e40$79c06c51@theowner>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0010_01C47B31.39612BE0"

This is a multi-part message in MIME format.

------=_NextPart_000_0010_01C47B31.39612BE0
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: 7bit

Shelley

Thanks for this - what is the evidence base for your decisions?
Is this a policy decision?
Do you have it written anywhere?
Is it based on evidence?

Many thanks.

  _____

From: shelley cook [mailto:[log in to unmask]]
Sent: 05 August 2004 20:53
To: [log in to unmask]
Subject: Re: psoriasis and fitness for work

Hi there Martin,
as Carole says there arecontra indications towards catering and hospital
staff - I work in Pharmaceuticals where our good manufacturing process
requirements would prevent someone with this severity and location of skin
problems being employed.

regards
----- Original Message -----
From: Martin Tohill <mailto:[log in to unmask]>
To: [log in to unmask]
Sent: Wednesday, August 04, 2004 4:51 PM
Subject: psoriasis and fitness for work

Does anyone have any evidence base on fitness to work in someone with
severe, scaling, generalised psoriasis affecting the scalp, face, arms,
hands in the following: -

1.      Food handling
2.      Health care worker allied to medicine
3.      nurse

Many thanks.

Martin

~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0010_01C47B31.39612BE0
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<html xmlns:v=3D"urn:schemas-microsoft-com:vml" =
xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<meta http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dus-ascii">
<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 11">
<meta name=3DOriginator content=3D"Microsoft Word 11">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C47B31.37DB7640">
<link rel=3DEdit-Time-Data href=3D"cid:editdata.mso">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:DontDisplayPageBoundaries/>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:PunctuationKerning/>
  <w:ValidateAgainstSchemas/>
  <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
  <w:IgnoreMixedContent>false</w:IgnoreMixedContent>
  <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
  <w:Compatibility>
   <w:BreakWrappedTables/>
   <w:SnapToGridInCell/>
   <w:WrapTextWithPunct/>
   <w:UseAsianBreakRules/>
   <w:DontGrowAutofit/>
  </w:Compatibility>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:LatentStyles DefLockedState=3D"false" LatentStyleCount=3D"156">
 </w:LatentStyles>
</xml><![endif]-->
<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;
        mso-font-charset:0;
        mso-generic-font-family:swiss;
        mso-font-pitch:variable;
        mso-font-signature:1627421319 -2147483648 8 0 66047 0;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;
        text-underline:single;}
p.MsoAutoSig, li.MsoAutoSig, div.MsoAutoSig
        {margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
p
        {mso-margin-top-alt:auto;
        margin-right:0cm;
        mso-margin-bottom-alt:auto;
        margin-left:0cm;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
span.EmailStyle19
        {mso-style-type:personal;
        mso-style-noshow:yes;
        mso-ansi-font-size:10.0pt;
        mso-bidi-font-size:10.0pt;
        font-family:Arial;
        mso-ascii-font-family:Arial;
        mso-hansi-font-family:Arial;
        mso-bidi-font-family:Arial;
        color:windowtext;
        mso-text-animation:none;
        font-weight:bold;
        font-style:normal;
        text-decoration:none;
        text-underline:none;
        text-decoration:none;
        text-line-through:none;}
span.EmailStyle20
        {mso-style-type:personal-reply;
        mso-style-noshow:yes;
        mso-ansi-font-size:10.0pt;
        mso-bidi-font-size:10.0pt;
        font-family:Arial;
        mso-ascii-font-family:Arial;
        mso-hansi-font-family:Arial;
        mso-bidi-font-family:Arial;
        color:blue;
        mso-text-animation:none;
        font-weight:normal;
        font-style:normal;
        text-decoration:none;
        text-underline:none;
        text-decoration:none;
        text-line-through:none;}
span.SpellE
        {mso-style-name:"";
        mso-spl-e:yes;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;
        mso-header-margin:35.4pt;
        mso-footer-margin:35.4pt;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
 /* List Definitions */
 @list l0
        {mso-list-id:426852810;
        mso-list-template-ids:1070387086;}
@list l1
        {mso-list-id:1900818473;
        mso-list-template-ids:-1733128556;}
@list l1:level1
        {mso-level-tab-stop:36.0pt;
        mso-level-number-position:left;
        text-indent:-18.0pt;}
@list l1:level2
        {mso-level-tab-stop:72.0pt;
        mso-level-number-position:left;
        text-indent:-18.0pt;}
@list l1:level3
        {mso-level-tab-stop:108.0pt;
        mso-level-number-position:left;
        text-indent:-18.0pt;}
@list l1:level4
        {mso-level-tab-stop:144.0pt;
        mso-level-number-position:left;
        text-indent:-18.0pt;}
@list l1:level5
        {mso-level-tab-stop:180.0pt;
        mso-level-number-position:left;
        text-indent:-18.0pt;}
@list l1:level6
        {mso-level-tab-stop:216.0pt;
        mso-level-number-position:left;
        text-indent:-18.0pt;}
@list l1:level7
        {mso-level-tab-stop:252.0pt;
        mso-level-number-position:left;
        text-indent:-18.0pt;}
@list l1:level8
        {mso-level-tab-stop:288.0pt;
        mso-level-number-position:left;
        text-indent:-18.0pt;}
@list l1:level9
        {mso-level-tab-stop:324.0pt;
        mso-level-number-position:left;
        text-indent:-18.0pt;}
ol
        {margin-bottom:0cm;}
ul
        {margin-bottom:0cm;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";
        mso-ansi-language:#0400;
        mso-fareast-language:#0400;
        mso-bidi-language:#0400;}
</style>
<![endif]--><!--[if gte mso 9]><xml>
 <o:shapedefaults v:ext=3D"edit" spidmax=3D"1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
 <o:shapelayout v:ext=3D"edit">
  <o:idmap v:ext=3D"edit" data=3D"1" />
 </o:shapelayout></xml><![endif]-->
</head>

<body bgcolor=3Dwhite lang=3DEN-GB link=3Dblue vlink=3Dpurple =
style=3D'tab-interval:36.0pt'>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'>Shelley<o:p></o:p></span></font></p>=


<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'>Thanks for this &#8211; what is the
evidence base for your decisions?<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'>Is this a policy =
decision?<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'>Do you have it written =
anywhere?<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'>Is it based on =
evidence?<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'>Many =
thanks.<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:blue'><o:p>&nbsp;</o:p></span></font></p>

<div>

<div class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><font =
size=3D3
face=3D"Times New Roman"><span lang=3DEN-US =
style=3D'font-size:12.0pt;mso-ansi-language:
EN-US'>

<hr size=3D2 width=3D"100%" align=3Dcenter tabindex=3D-1>

</span></font></div>

<p class=3DMsoNormal><b><font size=3D2 face=3DTahoma><span lang=3DEN-US
style=3D'font-size:10.0pt;font-family:Tahoma;mso-ansi-language:EN-US;font=
-weight:
bold'>From:</span></font></b><font size=3D2 face=3DTahoma><span =
lang=3DEN-US
style=3D'font-size:10.0pt;font-family:Tahoma;mso-ansi-language:EN-US'> =
<span
class=3DSpellE>shelley</span> cook [mailto:[log in to unmask]] =
<br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 05 August 2004 =
20:53<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Re: psoriasis =
and fitness
for work</span></font><span lang=3DEN-US =
style=3D'mso-ansi-language:EN-US'><o:p></o:p></span></p>

</div>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<div>

<p class=3DMsoNormal><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial'>Hi there Martin,</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial'>as Carole says there <span =
class=3DSpellE>arecontra</span>
indications towards catering and hospital staff - I work in =
Pharmaceuticals
where our good manufacturing process requirements would prevent someone =
with
this severity and location of skin problems being =
employed.</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial'>regards</span></font><o:p></o:p></p>

</div>

<blockquote style=3D'border:none;border-left:solid black =
1.5pt;padding:0cm 0cm 0cm 4.0pt;
margin-left:3.75pt;margin-top:5.0pt;margin-right:0cm;margin-bottom:5.0pt'=
>

<div>

<p class=3DMsoNormal><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial'>----- Original Message ----- =
<o:p></o:p></span></font></p>

</div>

<div style=3D'font-color:black'>

<p class=3DMsoNormal style=3D'background:#E4E4E4'><b><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;font-weight:bold'>From:</span=
></font></b><font
size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'> <a
href=3D"mailto:[log in to unmask]"
title=3D"[log in to unmask]">Martin Tohill</a> =
<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'>To:</span></font></b><font size=3D2
face=3DArial><span style=3D'font-size:10.0pt;font-family:Arial'> <a
href=3D"mailto:[log in to unmask]" =
title=3D"[log in to unmask]">[log in to unmask]</a>
<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'>Sent:</span></font></b><font =
size=3D2
face=3DArial><span style=3D'font-size:10.0pt;font-family:Arial'> =
Wednesday, August
04, 2004 4:51 PM<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'>Subject:</span></font></b><font =
size=3D2
face=3DArial><span style=3D'font-size:10.0pt;font-family:Arial'> =
psoriasis and
fitness for work<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'><o:p>&nbsp;</o:p></span></font></p>

</div>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'>Does anyone have any evidence base =
on
fitness to work in someone with severe, scaling, generalised psoriasis
affecting the scalp, face, arms, hands in the following: =
-<o:p></o:p></span></font></b></p>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'><o:p>&nbsp;</o:p></span></font></b></=
p>

<ol style=3D'margin-top:0cm' start=3D1 type=3D1>
 <li class=3DMsoNormal style=3D'mso-list:l1 level1 lfo3;tab-stops:list =
36.0pt'><b><font
     size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
     font-weight:bold'>Food handling</span></font></b> <b><font size=3D2
     face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;font-weight:
     bold'><o:p></o:p></span></font></b></li>
 <li class=3DMsoNormal style=3D'mso-list:l1 level1 lfo3;tab-stops:list =
36.0pt'><b><font
     size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
     font-weight:bold'>Health care worker allied to =
medicine</span></font></b> <b><font
     size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
     font-weight:bold'><o:p></o:p></span></font></b></li>
 <li class=3DMsoNormal style=3D'mso-list:l1 level1 lfo3;tab-stops:list =
36.0pt'><b><font
     size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
     font-weight:bold'>nurse</span></font></b> <b><font size=3D2 =
face=3DArial><span
     =
style=3D'font-size:10.0pt;font-family:Arial;font-weight:bold'><o:p></o:p>=
</span></font></b></li>
</ol>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'><o:p>&nbsp;</o:p></span></font></b></=
p>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'>Many =
thanks.<o:p></o:p></span></font></b></p>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'><o:p>&nbsp;</o:p></span></font></b></=
p>

<p class=3DMsoNormal><b><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial;font-weight:bold'>Martin</span></font></b><span
style=3D'mso-no-proof:yes'><o:p></o:p></span></p>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'>~~~~~~~~~~~~~~~ Please remove this footer before replying. =
<o:p></o:p></span></font></p>

<p><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>For list
archives and documents, go to <a
href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html">http://www.jiscm=
ail.ac.uk/lists/occ-health.html</a>
for list archives <o:p></o:p></span></font></p>

<p><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>For jobs
in Occupational Health, go to http://uk.groups.yahoo.com/group/OHJobs/ =
<o:p></o:p></span></font></p>

</blockquote>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_0010_01C47B31.39612BE0--
=========================================================================
Date:         Fri, 6 Aug 2004 08:27:46 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Caroline Skyrme <[log in to unmask]>
Subject:      Re: psoriasis and fitness for work
MIME-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Disposition: inline; Creation-Date="Fri, 6 Aug 2004 08:27:46 +0100"
Content-Transfer-Encoding: 7bit

Martin

I work in the food industry and we refer to DoH Food handlers:Fitness to
work Guidelines 1995.
Section 46 refers to infected lesions of skin eyes, ears and mouth.

"In order to prevent potential contamination of the product with
staphylococcus aureus or streptococci it is important that anyone who
has a scaling, weeping or discharging lesions on any part of their skin
(face, hands, neck, arms or scalp) which can not be covered ceases food
handling".

Regards
Caroline
-----Original Message-----
From: [log in to unmask]
[mailto:[log in to unmask]]
Sent: 04 August 2004 16:52
To: [log in to unmask]
Subject: psoriasis and fitness for work



Does anyone have any evidence base on fitness to work in someone with
severe, scaling, generalised psoriasis affecting the scalp, face, arms,
hands in the following: -

1.      Food handling
2.      Health care worker allied to medicine
3.      nurse

Many thanks.

Martin

~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 6 Aug 2004 09:28:19 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Training Course for the Management of Anaphylaxis
MIME-Version: 1.0
Content-Type: text/plain; charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

If you go to the Anaphylaxis Society website www.anaphylaxis.org.uk there=
 is
a great deal of information including a section for healthcare profession=
als
including nurses and GPs - the later probably gives you the info you want.
Also the National Respiratory training centre runs a diploma level module
'Allergy in practice' accredited by the OU www.nrtc.org.uk - incidentally
they also run a one day spirometry course for =A385!

Greta

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


----- Original Message -----=20
From: "Audrey Dean" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, August 05, 2004 2:30 PM
Subject: Training Course for the Management of Anaphylaxis


> Hello all,
>
> Does anyone out there have any information on where RN's can go to be
> clinically updated on the management of anaphylaxis? We often have a ne=
ed
> for RN's/OHAs to fulfil roles where they may be administering vaccines =
and
> I am investigating what provision there is available for clinical skill=
s
to
> be refreshed.
>
> I look forward to hearing from you.
>
> kind regards
> Audrey
> (OH Recruitment)
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.726 / Virus Database: 481 - Release Date: 22/07/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 5 Aug 2004 14:55:32 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         JOSEPH BUGGY <[log in to unmask]>
Subject:      Re: Training Course for the Management of Anaphylaxis
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: quoted-printable
Content-Disposition: inline

Christchurch College in Canterbury (Kent) run a study day on Immunisations =
which includes a good component on the management of anaphylaxis. Perhaps o=
ther such days/ courses exist at local colleges in particular where nursing=
 modules are taught.

Joseph Buggy
Occupational Health Advisor
QEQMH
East Kent Hospitals NHS Trust
01843-234478 Direct
0r 01843-225544 Ext 62301
[log in to unmask]

>>> [log in to unmask] 08/05/04 02:30pm >>>
Hello all,

Does anyone out there have any information on where RN's can go to be
clinically updated on the management of anaphylaxis? We often have a need
for RN's/OHAs to fulfil roles where they may be administering vaccines and
I am investigating what provision there is available for clinical skills to
be refreshed.

I look forward to hearing from you.

kind regards
Audrey
(OH Recruitment)

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



**********************************************************************
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.
Any views or opinions presented are solely those of the author and do=20
not necessarily represent those of East Kent Hospitals NHS Trust.  If
you are not the intended recipient, be advised that you have received
this email in error and that any use, dissemination, forwarding, printing
or copying of this email is strictly prohibited.

If you have received this email in error please notify the system
manager at the following email address: [log in to unmask]

www.kentandmedway.nhs.uk

This footnote also confirms that although this email message has been
swept by MIMEsweeper for the presence of computer viruses, it is strongly r=
ecommended that you carry out your own virus scan of this
message and any attachments.

www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sat, 7 Aug 2004 11:39:30 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         =?iso-8859-1?q?STUART=20COOPER?= <[log in to unmask]>
Subject:      Re: Training Course for the Management of Anaphylaxis
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative; boundary="0-770514128-1091875170=:44597"
Content-Transfer-Encoding: 8bit

--0-770514128-1091875170=:44597
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

Hi Audrey,

Anne Harriss, who posts on this list, runs an independant training consultancy and might be able to help you.  Anne has delivered a wide range of training packages for me to a wide range of my clients and the feedback has always been excellant.  I am not sure if she has an anaphalaxis training package but she is definately worth a try.

Alternatively I have also used Rapid Resuscitation Services to train my team.  The company is run by Louise (?) who is a Senior Resus Training Officer in the NHS and does some independant training also.  Again the training is of a high quality and reasonable cost.

If you call me next week I can give you the details for Anne and RRS - (020) 7628 0523.

Best wishes,

Stu.

Audrey Dean <[log in to unmask]> wrote:
Hello all,

Does anyone out there have any information on where RN's can go to be
clinically updated on the management of anaphylaxis? We often have a need
for RN's/OHAs to fulfil roles where they may be administering vaccines and
I am investigating what provision there is available for clinical skills to
be refreshed.

I look forward to hearing from you.

kind regards
Audrey
(OH Recruitment)

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



___________________________________________
Stuart Cooper
Avondale, Pinewood Road, Sands, High Wycombe,
Buckinghamshire, HP12 4DD, UK.

(01494) 533787  -  Home
(07775) 797857  -  Mobile
[log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--0-770514128-1091875170=:44597
Content-Type: text/html; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

<DIV>
<DIV>Hi Audrey,</DIV>
<DIV>&nbsp;</DIV>
<DIV>Anne Harriss, who posts on this list, runs an independant training consultancy and might be able to help you.&nbsp; Anne has delivered a wide range of training packages for me to a wide range of my clients and the feedback has always been excellant.&nbsp; I am not sure if she has an anaphalaxis training package but she is definately worth a try.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Alternatively I have also used Rapid Resuscitation Services to train my team.&nbsp; The company is run by Louise (?) who is&nbsp;a Senior Resus Training Officer in the NHS and does some independant training also.&nbsp; Again the training is of a high quality and reasonable cost.</DIV>
<DIV>&nbsp;</DIV>
<DIV>If you call me next week I can give you the details for Anne and RRS&nbsp;- (020) 7628 0523.&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV>Best wishes,</DIV>
<DIV>&nbsp;</DIV>
<DIV>Stu.<BR><BR><B><I>Audrey Dean &lt;[log in to unmask]&gt;</I></B> wrote:</DIV>
<BLOCKQUOTE class=replbq style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #1010ff 2px solid">Hello all,<BR><BR>Does anyone out there have any information on where RN's can go to be<BR>clinically updated on the management of anaphylaxis? We often have a need<BR>for RN's/OHAs to fulfil roles where they may be administering vaccines and<BR>I am investigating what provision there is available for clinical skills to<BR>be refreshed.<BR><BR>I look forward to hearing from you.<BR><BR>kind regards<BR>Audrey<BR>(OH Recruitment)<BR><BR>~~~~~~~~~~~~~~~<BR>Please remove this footer before replying.<BR><BR>For list archives and documents, go to<BR>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives<BR><BR>For jobs in Occupational Health, go to<BR>http://uk.groups.yahoo.com/group/OHJobs/<BR></BLOCKQUOTE></DIV><BR><BR><DIV><FONT color=#00007f>___________________________________________</FONT></DIV>
<DIV><FONT color=#00007f>Stuart Cooper</FONT></DIV>
<DIV><FONT color=#00007f>Avondale, Pinewood Road, Sands, High Wycombe,</FONT></DIV>
<DIV><FONT color=#00007f>Buckinghamshire, HP12 4DD, UK.</FONT></DIV>
<DIV><FONT color=#00007f></FONT>&nbsp;</DIV>
<DIV><FONT color=#00007f>(01494) 533787&nbsp; -&nbsp; Home</FONT></DIV>
<DIV><FONT color=#00007f>(07775) 797857&nbsp; -&nbsp; Mobile</FONT></DIV>
<DIV><FONT color=#00007f><A href="mailto:[log in to unmask]">[log in to unmask]</A></FONT></DIV>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-770514128-1091875170=:44597--
=========================================================================
Date:         Sun, 8 Aug 2004 17:43:46 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandy Townsend <[log in to unmask]>
Subject:      re Agency staff screening
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0001_01C47D6F.42288490"

This is a multi-part message in MIME format.

------=_NextPart_000_0001_01C47D6F.42288490
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: 7bit

We (an NHS Trust) have been approached with the request to quote
undertake some screening for individuals who will be placed by an agency
in various health care facilities. (not particularly our own Trust)

I am advised that there is documentation ?LAP which requires all such
individuals to be shown to have immunity to hepatitis B with blood
results taken in the last five years, besides checks for rubella
immunity, varicella and TB immunity review.

There doesn't appear to be any flexibility with respect to duties. Ie
Exposure prone, medical, nursing, PAMS, qualified, unqualified, acute
hospital setting, nursing home- all must meet the same standard.
I have several concerns:-
Where is the documentation (copy requested but not yet received)
Restrictions faced by individuals who have yet to have a primary Hep B
course
What do we do with non responders
The ethics of testing on demand
Has anybody had sight of the requirements that have led to the request
and what is the current level of management for agency staff.
I look forward to your responses
Sandy


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0001_01C47D6F.42288490
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<html xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns:st1=3D"urn:schemas-microsoft-com:office:smarttags" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">


<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 10">
<meta name=3DOriginator content=3D"Microsoft Word 10">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C47D6F.41171490">
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"place"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"City"/>
<!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:Compatibility>
   <w:BreakWrappedTables/>
   <w:SnapToGridInCell/>
   <w:WrapTextWithPunct/>
   <w:UseAsianBreakRules/>
  </w:Compatibility>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if !mso]>
<style>
st1\:*{behavior:url(#default#ieooui) }
</style>
<![endif]-->
<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:"Comic Sans MS";
        panose-1:3 15 7 2 3 3 2 2 2 4;
        mso-font-charset:0;
        mso-generic-font-family:script;
        mso-font-pitch:variable;
        mso-font-signature:647 0 0 0 159 0;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;
        text-underline:single;}
span.EmailStyle17
        {mso-style-type:personal-compose;
        mso-style-noshow:yes;
        mso-ansi-font-size:14.0pt;
        mso-bidi-font-size:14.0pt;
        font-family:Arial;
        mso-ascii-font-family:Arial;
        mso-hansi-font-family:Arial;
        mso-bidi-font-family:Arial;
        color:windowtext;
        font-weight:bold;
        mso-bidi-font-weight:normal;
        font-style:italic;
        mso-bidi-font-style:normal;}
span.SpellE
        {mso-style-name:"";
        mso-spl-e:yes;}
span.GramE
        {mso-style-name:"";
        mso-gram-e:yes;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;
        mso-header-margin:35.4pt;
        mso-footer-margin:35.4pt;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]-->
</head>

<body lang=3DEN-GB link=3Dblue vlink=3Dpurple =
style=3D'tab-interval:36.0pt'>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D3 face=3DArial><span =
style=3D'font-size:12.0pt;
font-family:Arial'>We (an NHS Trust) have been approached with the =
request to quote
undertake some screening for individuals who will be placed by an agency =
in
various health care facilities. (not particularly our own =
Trust)<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D3 face=3DArial><span =
style=3D'font-size:12.0pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D3 face=3DArial><span =
style=3D'font-size:12.0pt;
font-family:Arial'>I am advised that there is documentation ?LAP which =
requires
all such individuals to be shown to have immunity to hepatitis B with =
blood
results taken in the last five years, besides checks for rubella =
immunity, <span
class=3DSpellE>varicella</span> and TB immunity review. =
<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D3 face=3DArial><span =
style=3D'font-size:12.0pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D3 face=3DArial><span =
style=3D'font-size:12.0pt;
font-family:Arial'>There doesn&#8217;t appear to be any flexibility with
respect to duties. <span class=3DSpellE>Ie</span> Exposure prone, =
medical, <span
class=3DGramE>nursing</span>, PAMS, qualified, unqualified, acute =
hospital
setting, nursing home- all must meet the same =
standard.<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D3 face=3DArial><span =
style=3D'font-size:12.0pt;
font-family:Arial'>I have several =
concerns:-<o:p></o:p></span></font></p>

<p class=3DMsoNormal style=3D'text-indent:36.0pt'><font size=3D3 =
face=3DArial><span
style=3D'font-size:12.0pt;font-family:Arial'>Where is the documentation =
(copy
requested but not yet <span =
class=3DGramE>received</span>)<o:p></o:p></span></font></p>

<p class=3DMsoNormal style=3D'text-indent:36.0pt'><font size=3D3 =
face=3DArial><span
style=3D'font-size:12.0pt;font-family:Arial'>Restrictions faced by =
individuals
who have yet to have a primary Hep B course<o:p></o:p></span></font></p>

<p class=3DMsoNormal style=3D'text-indent:36.0pt'><font size=3D3 =
face=3DArial><span
style=3D'font-size:12.0pt;font-family:Arial'>What do we do with non =
<span
class=3DGramE>responders</span><o:p></o:p></span></font></p>

<p class=3DMsoNormal style=3D'text-indent:36.0pt'><font size=3D3 =
face=3DArial><span
style=3D'font-size:12.0pt;font-family:Arial'>The ethics of testing on =
demand<o:p></o:p></span></font></p>

<p class=3DMsoNormal style=3D'text-indent:36.0pt'><font size=3D3 =
face=3DArial><span
style=3D'font-size:12.0pt;font-family:Arial'>Has anybody had sight of =
the
requirements that have led to the request and what is the current level =
of
management for agency <span =
class=3DGramE>staff.</span><o:p></o:p></span></font></p>

<p class=3DMsoNormal style=3D'text-indent:36.0pt'><font size=3D3 =
face=3DArial><span
style=3D'font-size:12.0pt;font-family:Arial'>I look forward to your =
responses<o:p></o:p></span></font></p>

<p class=3DMsoNormal =
style=3D'text-indent:36.0pt'><st1:City><st1:place><i
  style=3D'mso-bidi-font-style:normal'><font size=3D3 color=3D"#3366ff"
  face=3D"Comic Sans MS"><span =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
  =
mso-bidi-font-family:Arial;color:#3366FF;font-style:italic;mso-bidi-font-=
style:
  normal'>Sandy</span></font></i></st1:place></st1:City><i =
style=3D'mso-bidi-font-style:
normal'><font color=3D"#3366ff" face=3D"Comic Sans MS"><span =
style=3D'font-family:
"Comic Sans =
MS";mso-bidi-font-family:Arial;color:#3366FF;font-style:italic;
mso-bidi-font-style:normal'><o:p></o:p></span></font></i></p>

<p class=3DMsoNormal style=3D'text-indent:36.0pt'><font size=3D3 =
face=3DArial><span
style=3D'font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></fo=
nt></p>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0001_01C47D6F.42288490--
=========================================================================
Date:         Sun, 8 Aug 2004 12:52:53 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
Subject:      Re: re Agency staff screening
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="part1_dc.114da769.2e47b465_boundary"

--part1_dc.114da769.2e47b465_boundary
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Hi Sandy,

I have posted on this some time ago. It is basically a requirement of the
Purchasing and Supply Agency (PASA) that agencies now meet the service framework
for staff, which basically means they must have evidence of immunity to TB,
Rubella, VZ and mors importantly Hep B.

This does cause some problems for those who are not immune, for whatever
reason (poor responder/ unvaccinated) but basically if they are not immune they
cannot be cleared to work for the agency. This is causing concerns as this
standard is higher than the DoH regs imposed for the Trust (where I work) so you
could have a member of staff employed by the Trust who is then not able to work
in that same area on the agency! Madness, but if that's the agreement then
that's what we have to work towards.

If you want to mail me off-list we can we can arrange to chat over the phone,
as I've had this headache for the past 5 months and would be more than happy
to share my experiences of it!!

Best of luck,

Glenn

(by the way there is a website but you have to login in and register so it
may be easier for us just to have a natter)

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--part1_dc.114da769.2e47b465_boundary
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<HTML><FONT FACE=3Darial,helvetica><HTML><FONT  COLOR=3D"#0000ff" SIZE=3D4 P=
TSIZE=3D14 FAMILY=3D"SERIF" FACE=3D"Calisto MT" LANG=3D"0">Hi Sandy,<BR>
<BR>
I have posted on this some time ago. It is basically a requirement of the Pu=
rchasing and Supply Agency (PASA) that agencies now meet the service framewo=
rk for staff, which basically means they must have evidence of immunity to T=
B, Rubella, VZ and mors importantly Hep B. <BR>
<BR>
This does cause some problems for those who are not immune, for whatever rea=
son (poor responder/ unvaccinated) but basically if they are not immune they=
 cannot be cleared to work for the agency. This is causing concerns as this=20=
standard is higher than the DoH regs imposed for the Trust (where I work) so=
 you could have a member of staff employed by the Trust who is then not able=
 to work in that same area on the agency! Madness, but if that's the agreeme=
nt then that's what we have to work towards.<BR>
<BR>
If you want to mail me off-list we can we can arrange to chat over the phone=
, as I've had this headache for the past 5 months and would be more than hap=
py to share my experiences of it!!<BR>
<BR>
Best of luck,<BR>
<BR>
Glenn<BR>
<BR>
(by the way there is a website but you have to login in and register so it m=
ay be easier for us just to have a natter)</FONT></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--part1_dc.114da769.2e47b465_boundary--
=========================================================================
Date:         Mon, 9 Aug 2004 09:38:45 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Training Course for the Management of Anaphylaxis
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

I did a course at East Midlands Ambulance Service Training Centre in
Leicester.
Lynda

-----Original Message-----
From: Audrey Dean [mailto:[log in to unmask]]
Sent: Thursday, August 05, 2004 2:30 PM
To: [log in to unmask]
Subject: Training Course for the Management of Anaphylaxis


Hello all,

Does anyone out there have any information on where RN's can go to be
clinically updated on the management of anaphylaxis? We often have a need
for RN's/OHAs to fulfil roles where they may be administering vaccines and
I am investigating what provision there is available for clinical skills to
be refreshed.

I look forward to hearing from you.

kind regards
Audrey
(OH Recruitment)

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 9 Aug 2004 10:56:44 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Anne Harriss <[log in to unmask]>
Subject:      Training resouces
Comments: cc: [log in to unmask]
Mime-version: 1.0
Content-type: text/plain; charset="ISO-8859-1"
Content-transfer-encoding: quoted-printable

I am going out to the Limpopo province ( located in the north of South
Africa) to undertake some voluntary work for a South African charity. I wil=
l
be  running some basic  health and safety and first aid training courses.  =
I
ran a similar  course last year, the majority of the delegates did not spea=
k
English  and therefore had the assistance of an interpreter who spoke the
local language. I will be accompanied by three other people, two of whom ar=
e
educationalists, who will be assisting with curriculum development of
courses to train lay people as basic health care assistants who will work
with people who have terminal (eg AIDS) or chronic illnesses or have severe
disabilities such as would result following CVA's, trauma etc.

I am now looking into purchasing a small range of videos which may be
useful.  As the delegates are likely to speak very little, if any English.
The important factor is that the "visuals" are more important than the
commentary.  I used the Heart start video produced by the British Heart
Foundation last time and it worked well. The material covered CPR, care of
bleeding, angina and choking. Can anyone recommend any other first aid
training videos which cover similar material to the above and also asthma. =
I
have been given a total of =A350.00 to spend so commercially produced videos
are probably out of the question but those produced by charities will
probably be cheaper and purchasing from them supports yet another charity.

Any suggestions would be very gratefully received.

Anne Harriss
Course Director BSc (Hons) OH Nursing London South Bank University

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 9 Aug 2004 11:40:42 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sue Hawkins <[log in to unmask]>
Subject:      Re: Training resouces
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Anne,there is an organisation in St Albans called TALC.Teaching Aids at L=
ow
Cost, which you may find helpful
TALC
Po Box 49
St Albans
AL1 5TX
01727 853869
www.talcuk.org

Regards
Sue Hawkins

-----Original Message-----
From: Anne Harriss [mailto:[log in to unmask]]
Sent: Monday, August 09, 2004 10:57 AM
To: [log in to unmask]
Subject: Training resouces


I am going out to the Limpopo province ( located in the north of South
Africa) to undertake some voluntary work for a South African charity. I w=
ill
be  running some basic  health and safety and first aid training courses.=
  I
ran a similar  course last year, the majority of the delegates did not sp=
eak
English  and therefore had the assistance of an interpreter who spoke the
local language. I will be accompanied by three other people, two of whom =
are
educationalists, who will be assisting with curriculum development of
courses to train lay people as basic health care assistants who will work
with people who have terminal (eg AIDS) or chronic illnesses or have seve=
re
disabilities such as would result following CVA's, trauma etc.

I am now looking into purchasing a small range of videos which may be
useful.  As the delegates are likely to speak very little, if any English.
The important factor is that the "visuals" are more important than the
commentary.  I used the Heart start video produced by the British Heart
Foundation last time and it worked well. The material covered CPR, care o=
f
bleeding, angina and choking. Can anyone recommend any other first aid
training videos which cover similar material to the above and also asthma=
. I
have been given a total of =A350.00 to spend so commercially produced vid=
eos
are probably out of the question but those produced by charities will
probably be cheaper and purchasing from them supports yet another charity.

Any suggestions would be very gratefully received.

Anne Harriss
Course Director BSc (Hons) OH Nursing London South Bank University

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 9 Aug 2004 16:53:02 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Denovan Marianne <[log in to unmask]>
Subject:      HEALTH CLEARANCE
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C47E28.F3CD82E0"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C47E28.F3CD82E0
Content-Type: text/plain;
        charset="iso-8859-1"

Re: DoH Health Clearance for Serious Communicable Diseases: New Health Care
Workers
Anyone any idea when the final document is going to be published?

Regards
Marianne Denovan
Occupational Health Nurse Advisor
University of Bristol
Direct Telephone Line: 0117 946 7284


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C47E28.F3CD82E0
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<html xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns:st1=3D"urn:schemas-microsoft-com:office:smarttags" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 10">
<meta name=3DOriginator content=3D"Microsoft Word 10">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C47E32.17CE5800">
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"place"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"PlaceType"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"PlaceName"/>
<!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:Compatibility>
   <w:BreakWrappedTables/>
   <w:SnapToGridInCell/>
   <w:WrapTextWithPunct/>
   <w:UseAsianBreakRules/>
  </w:Compatibility>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if !mso]>
<style>
st1\:*{behavior:url(#default#ieooui) }
</style>
<![endif]-->
<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Courier;
        panose-1:2 7 4 9 2 2 5 2 4 4;
        mso-font-alt:"Courier New";
        mso-font-charset:0;
        mso-generic-font-family:modern;
        mso-font-format:other;
        mso-font-pitch:fixed;
        mso-font-signature:3 0 0 0 1 0;}
@font-face
        {font-family:Fixedsys;
        panose-1:0 0 0 0 0 0 0 0 0 0;
        mso-font-charset:0;
        mso-generic-font-family:swiss;
        mso-font-format:other;
        mso-font-pitch:auto;
        mso-font-signature:3 0 0 0 1 0;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0in;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;
        text-underline:single;}
span.EmailStyle17
        {mso-style-type:personal-compose;
        mso-style-noshow:yes;
        mso-ansi-font-size:10.0pt;
        mso-bidi-font-size:10.0pt;
        font-family:Arial;
        mso-ascii-font-family:Arial;
        mso-hansi-font-family:Arial;
        mso-bidi-font-family:Arial;
        color:windowtext;}
@page Section1
        {size:8.5in 11.0in;
        margin:1.0in 1.25in 1.0in 1.25in;
        mso-header-margin:.5in;
        mso-footer-margin:.5in;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0in 5.4pt 0in 5.4pt;
        mso-para-margin:0in;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]-->
</head>

<body lang=3DEN-US link=3Dblue vlink=3Dpurple =
style=3D'tab-interval:.5in'>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial'>Re: DoH Health Clearance for Serious Communicable =
Diseases: New
Health Care Workers<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial'>Anyone any idea when the final document is going to =
be
published?<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D3 face=3DFixedsys><span =
style=3D'font-size:12.0pt;
font-family:Fixedsys;mso-no-proof:yes'><o:p>&nbsp;</o:p></span></font></=
p>

<p class=3DMsoNormal><font size=3D3 face=3DFixedsys><span =
style=3D'font-size:12.0pt;
font-family:Fixedsys;mso-no-proof:yes'>Regards</span></font><span
style=3D'mso-no-proof:yes'><o:p></o:p></span></p>

<p class=3DMsoNormal><font size=3D3 face=3DFixedsys><span =
style=3D'font-size:12.0pt;
font-family:Fixedsys;mso-no-proof:yes'>Marianne =
Denovan</span></font><span
style=3D'mso-no-proof:yes'><o:p></o:p></span></p>

<p class=3DMsoNormal><font size=3D3 face=3DFixedsys><span =
style=3D'font-size:12.0pt;
font-family:Fixedsys;mso-no-proof:yes'>Occupational Health Nurse =
Advisor</span></font><span
style=3D'mso-no-proof:yes'><o:p></o:p></span></p>

<p class=3DMsoNormal><st1:place><st1:PlaceType><font size=3D3 =
face=3DFixedsys><span
  =
style=3D'font-size:12.0pt;font-family:Fixedsys;mso-no-proof:yes'>Univers=
ity</span></font></st1:PlaceType><font
 face=3DFixedsys><span style=3D'font-family:Fixedsys;mso-no-proof:yes'> =
of </span></font><st1:PlaceName><font
  face=3DFixedsys><span =
style=3D'font-family:Fixedsys;mso-no-proof:yes'>Bristol</span></font></s=
t1:PlaceName></st1:place><span
style=3D'mso-no-proof:yes'><o:p></o:p></span></p>

<p class=3DMsoNormal><font size=3D3 face=3DFixedsys><span =
style=3D'font-size:12.0pt;
font-family:Fixedsys;mso-no-proof:yes'>Direct Telephone Line: =
</span></font><font
face=3DCourier><span =
style=3D'font-family:Courier;mso-no-proof:yes'>0117 946 =
7284</span></font><o:p></o:p></p>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'><o:p>&nbsp;</o:p></span></font></p>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C47E28.F3CD82E0--
=========================================================================
Date:         Mon, 9 Aug 2004 16:59:34 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         MARILYN MUMFORD <[log in to unmask]>
Subject:      Re: HEALTH CLEARANCE
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

I shall be away till 16th Sept, but shall be in for 2 days in Aug. If
you would like me to contact you or meet with you on those days please
mail me at   [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 9 Aug 2004 20:52:01 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Richardson <[log in to unmask]>
Subject:      =?iso-8859-1?Q?Re:__Agency_staff_screening?=
Content-Type: text/plain; charset="iso-8859-1"
Mime-Version: 1.0
Content-Transfer-Encoding: 8bit

Hi,
You may find the LAP3 page on my site(ohadvisor.com)useful, it's the
draft guidelines that came out around May time.  It's my translation of
the algorithms into interactive layers so appologies for any errors.  I
think they may come out around October and be effective next April(just
a guess).
Paul
>
> ~~~~~~~~~~~~~~~
>
--
Paul G Richardson BA RGN OND

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 10 Aug 2004 09:06:46 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Fields Shirley <[log in to unmask]>
Subject:      Re: HEALTH CLEARANCE
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C47EB0.FACECBBA"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C47EB0.FACECBBA
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

At a recent meeting, Julian Topping gave us an update and said probably =
Autumn 2004.
=20
Shirley Fields
Occupational Health Manager
Burton Hospital
        -----Original Message-----
        From: Denovan Marianne [mailto:[log in to unmask]]=20
        Sent: 09 August 2004 16:53
        To: [log in to unmask]
        Subject: HEALTH CLEARANCE
=09
=09
        Re: DoH Health Clearance for Serious Communicable Diseases: New Health =
Care Workers
        Anyone any idea when the final document is going to be published?
        =20
        Regards
        Marianne Denovan
        Occupational Health Nurse Advisor
        University of Bristol
        Direct Telephone Line: 0117 946 7284
        =20
        ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
        For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
        For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C47EB0.FACECBBA
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns=3D"http://www.w3.org/TR/REC-html40" xmlns:o =3D=20
"urn:schemas-microsoft-com:office:office" xmlns:w =3D=20
"urn:schemas-microsoft-com:office:word" xmlns:st1 =3D=20
"urn:schemas-microsoft-com:office:smarttags"><HEAD><TITLE>Message</TITLE>=

<META content=3D"text/html; charset=3Diso-8859-1" =
http-equiv=3DContent-Type>
<META content=3DWord.Document name=3DProgId>
<META content=3D"MSHTML 5.00.3526.800" name=3DGENERATOR>
<META content=3D"Microsoft Word 10" name=3DOriginator><LINK=20
href=3D"cid:filelist.xml@01C47E32.17CE5800" =
rel=3DFile-List><o:SmartTagType=20
name=3D"place"=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"></o:SmartTagT=
ype><o:SmartTagType=20
name=3D"PlaceType"=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"></o:SmartTagT=
ype><o:SmartTagType=20
name=3D"PlaceName"=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"></o:SmartTagT=
ype><!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:Compatibility>
   <w:BreakWrappedTables/>
   <w:SnapToGridInCell/>
   <w:WrapTextWithPunct/>
   <w:UseAsianBreakRules/>
  </w:Compatibility>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if !mso]>
<STYLE>st1\:* {
        BEHAVIOR: url(#default#ieooui)
}
</STYLE>
<![endif]-->
<STYLE>@font-face {
        font-family: Courier;
}
@font-face {
        font-family: Fixedsys;
}
P.MsoNormal {
        FONT-FAMILY: "Times New Roman"; FONT-SIZE: 12pt; MARGIN: 0in 0in 0pt; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
LI.MsoNormal {
        FONT-FAMILY: "Times New Roman"; FONT-SIZE: 12pt; MARGIN: 0in 0in 0pt; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
DIV.MsoNormal {
        FONT-FAMILY: "Times New Roman"; FONT-SIZE: 12pt; MARGIN: 0in 0in 0pt; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
A:link {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
SPAN.MsoHyperlink {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
A:visited {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
SPAN.MsoHyperlinkFollowed {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
SPAN.EmailStyle17 {
        COLOR: windowtext; FONT-FAMILY: Arial; mso-style-type: =
personal-compose; mso-style-noshow: yes; mso-ansi-font-size: 10.0pt; =
mso-bidi-font-size: 10.0pt; mso-ascii-font-family: Arial; =
mso-hansi-font-family: Arial; mso-bidi-font-family: Arial
}
DIV.Section1 {
        page: Section1
}
</STYLE>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0in 5.4pt 0in 5.4pt;
        mso-para-margin:0in;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]--></HEAD>
<BODY lang=3DEN-US link=3Dblue style=3D"tab-interval: .5in" =
vLink=3Dpurple>
<DIV><FONT color=3D#0000ff face=3DArial size=3D2><SPAN =
class=3D874470508-10082004>At a=20
recent meeting, Julian Topping gave us an update and said probably =
Autumn=20
2004.</SPAN></FONT></DIV>
<DIV><FONT color=3D#0000ff face=3DArial size=3D2><SPAN=20
class=3D874470508-10082004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT color=3D#0000ff face=3DArial size=3D2><SPAN=20
class=3D874470508-10082004>Shirley Fields</SPAN></FONT></DIV>
<DIV><FONT color=3D#0000ff face=3DArial size=3D2><SPAN=20
class=3D874470508-10082004>Occupational Health =
Manager</SPAN></FONT></DIV>
<DIV><FONT color=3D#0000ff face=3DArial size=3D2><SPAN =
class=3D874470508-10082004>Burton=20
Hospital</SPAN></FONT></DIV>
<BLOCKQUOTE style=3D"MARGIN-RIGHT: 0px">
  <DIV></DIV>
  <DIV align=3Dleft class=3DOutlookMessageHeader dir=3Dltr =
lang=3Den-us><FONT=20
  face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B> =
Denovan Marianne=20
  [mailto:[log in to unmask]] <BR><B>Sent:</B> 09 August =
2004=20
  16:53<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
HEALTH=20
  CLEARANCE<BR><BR></FONT></DIV>
  <DIV class=3DSection1>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN=20
  style=3D"FONT-FAMILY: Arial; FONT-SIZE: 10pt">Re: DoH Health Clearance =
for=20
  Serious Communicable Diseases: New Health Care=20
  Workers<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN=20
  style=3D"FONT-FAMILY: Arial; FONT-SIZE: 10pt">Anyone any idea when the =
final=20
  document is going to be published?<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DFixedsys size=3D3><SPAN=20
  style=3D"FONT-FAMILY: Fixedsys; FONT-SIZE: 12pt; mso-no-proof: =
yes"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DFixedsys size=3D3><SPAN=20
  style=3D"FONT-FAMILY: Fixedsys; FONT-SIZE: 12pt; mso-no-proof: =
yes">Regards</SPAN></FONT><SPAN=20
  style=3D"mso-no-proof: yes"><o:p></o:p></SPAN></P>
  <P class=3DMsoNormal><FONT face=3DFixedsys size=3D3><SPAN=20
  style=3D"FONT-FAMILY: Fixedsys; FONT-SIZE: 12pt; mso-no-proof: =
yes">Marianne=20
  Denovan</SPAN></FONT><SPAN style=3D"mso-no-proof: =
yes"><o:p></o:p></SPAN></P>
  <P class=3DMsoNormal><FONT face=3DFixedsys size=3D3><SPAN=20
  style=3D"FONT-FAMILY: Fixedsys; FONT-SIZE: 12pt; mso-no-proof: =
yes">Occupational=20
  Health Nurse Advisor</SPAN></FONT><SPAN=20
  style=3D"mso-no-proof: yes"><o:p></o:p></SPAN></P>
  <P class=3DMsoNormal><st1:place><st1:PlaceType><FONT face=3DFixedsys =
size=3D3><SPAN=20
  style=3D"FONT-FAMILY: Fixedsys; FONT-SIZE: 12pt; mso-no-proof: =
yes">University</SPAN></FONT></st1:PlaceType><FONT=20
  face=3DFixedsys><SPAN style=3D"FONT-FAMILY: Fixedsys; mso-no-proof: =
yes"> of=20
  </SPAN></FONT><st1:PlaceName><FONT face=3DFixedsys><SPAN=20
  style=3D"FONT-FAMILY: Fixedsys; mso-no-proof: =
yes">Bristol</SPAN></FONT></st1:PlaceName></st1:place><SPAN=20
  style=3D"mso-no-proof: yes"><o:p></o:p></SPAN></P>
  <P class=3DMsoNormal><FONT face=3DFixedsys size=3D3><SPAN=20
  style=3D"FONT-FAMILY: Fixedsys; FONT-SIZE: 12pt; mso-no-proof: =
yes">Direct=20
  Telephone Line: </SPAN></FONT><FONT face=3DCourier><SPAN=20
  style=3D"FONT-FAMILY: Courier; mso-no-proof: yes">0117 946=20
  7284</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal><FONT face=3D"Times New Roman" size=3D3><SPAN=20
  style=3D"FONT-SIZE: =
12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P></DIV>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE>
<P></P></BODY></HTML>
=00
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C47EB0.FACECBBA--
=========================================================================
Date:         Tue, 10 Aug 2004 09:12:03 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Denovan Marianne <[log in to unmask]>
Subject:      Re: HEALTH CLEARANCE
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C47EB1.B7FB08D0"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C47EB1.B7FB08D0
Content-Type: text/plain;
        charset="iso-8859-1"

THanks

-----Original Message-----
From: Fields Shirley [mailto:[log in to unmask]]
Sent: Tuesday, August 10, 2004 9:07 AM
To: [log in to unmask]
Subject: Re: HEALTH CLEARANCE

At a recent meeting, Julian Topping gave us an update and said probably
Autumn 2004.

Shirley Fields
Occupational Health Manager
Burton Hospital
-----Original Message-----
From: Denovan Marianne [mailto:[log in to unmask]]
Sent: 09 August 2004 16:53
To: [log in to unmask]
Subject: HEALTH CLEARANCE
Re: DoH Health Clearance for Serious Communicable Diseases: New Health Care
Workers
Anyone any idea when the final document is going to be published?

Regards
Marianne Denovan
Occupational Health Nurse Advisor
University of Bristol
Direct Telephone Line: 0117 946 7284

~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C47EB1.B7FB08D0
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<html xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns:st1=3D"urn:schemas-microsoft-com:office:smarttags" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 10">
<meta name=3DOriginator content=3D"Microsoft Word 10">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C47EBA.DC829A20">
<title>Message</title>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"PlaceName"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"PlaceType"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"place"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"time"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"date"/>
<!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:Compatibility>
   <w:BreakWrappedTables/>
   <w:SnapToGridInCell/>
   <w:WrapTextWithPunct/>
   <w:UseAsianBreakRules/>
  </w:Compatibility>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if !mso]>
<style>
st1\:*{behavior:url(#default#ieooui) }
</style>
<![endif]-->
<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Courier;
        panose-1:2 7 4 9 2 2 5 2 4 4;
        mso-font-alt:"Courier New";
        mso-font-charset:0;
        mso-generic-font-family:modern;
        mso-font-format:other;
        mso-font-pitch:fixed;
        mso-font-signature:3 0 0 0 1 0;}
@font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;
        mso-font-charset:0;
        mso-generic-font-family:swiss;
        mso-font-pitch:variable;
        mso-font-signature:553679495 -2147483648 8 0 66047 0;}
@font-face
        {font-family:Fixedsys;
        panose-1:0 0 0 0 0 0 0 0 0 0;
        mso-font-charset:0;
        mso-generic-font-family:swiss;
        mso-font-format:other;
        mso-font-pitch:auto;
        mso-font-signature:3 0 0 0 1 0;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0in;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;
        text-underline:single;}
p
        {mso-margin-top-alt:auto;
        margin-right:0in;
        mso-margin-bottom-alt:auto;
        margin-left:0in;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
span.EmailStyle17
        {mso-style-type:personal;
        mso-style-noshow:yes;
        mso-ansi-font-size:10.0pt;
        mso-bidi-font-size:10.0pt;
        font-family:Arial;
        mso-ascii-font-family:Arial;
        mso-hansi-font-family:Arial;
        mso-bidi-font-family:Arial;
        color:windowtext;}
span.EmailStyle19
        {mso-style-type:personal-reply;
        mso-style-noshow:yes;
        mso-ansi-font-size:10.0pt;
        mso-bidi-font-size:10.0pt;
        font-family:Arial;
        mso-ascii-font-family:Arial;
        mso-hansi-font-family:Arial;
        mso-bidi-font-family:Arial;
        color:navy;}
@page Section1
        {size:8.5in 11.0in;
        margin:1.0in 1.25in 1.0in 1.25in;
        mso-header-margin:.5in;
        mso-footer-margin:.5in;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0in 5.4pt 0in 5.4pt;
        mso-para-margin:0in;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]-->
</head>

<body lang=3DEN-US link=3Dblue vlink=3Dpurple =
style=3D'tab-interval:.5in'>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>THanks<o:p></o:p></span></font></p>=


<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>=


<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D2 =
face=3DTahoma><span
style=3D'font-size:10.0pt;font-family:Tahoma'>-----Original =
Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Fields Shirley
[mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> =
</span></font><st1:date
Month=3D"8" Day=3D"10" Year=3D"2004"><font size=3D2 face=3DTahoma><span =
style=3D'font-size:
 10.0pt;font-family:Tahoma'>Tuesday, August 10, =
2004</span></font></st1:date><font
size=3D2 face=3DTahoma><span =
style=3D'font-size:10.0pt;font-family:Tahoma'> </span></font><st1:time
Hour=3D"9" Minute=3D"7"><font size=3D2 face=3DTahoma><span =
style=3D'font-size:10.0pt;
 font-family:Tahoma'>9:07 AM</span></font></st1:time><font size=3D2 =
face=3DTahoma><span
style=3D'font-size:10.0pt;font-family:Tahoma'><br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Re: HEALTH =
CLEARANCE</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D3 =
face=3D"Times New Roman"><span
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<div>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D2 =
color=3Dblue face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;color:blue'>At a recent =
meeting,
Julian Topping gave us an update and said probably Autumn =
2004.</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D3 =
face=3D"Times New Roman"><span
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D2 =
color=3Dblue face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;color:blue'>Shirley =
Fields</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D2 =
color=3Dblue face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;color:blue'>Occupational =
Health
Manager</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal =
style=3D'margin-left:.5in'><st1:place><st1:PlaceName><font
  size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
  color:blue'>Burton</span></font></st1:PlaceName><font size=3D2 =
color=3Dblue
 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:blue'> =
</span></font><st1:PlaceType><font
  size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
  =
color:blue'>Hospital</span></font></st1:PlaceType></st1:place><o:p></o:p=
></p>

</div>

<blockquote =
style=3D'margin-top:5.0pt;margin-right:0in;margin-bottom:5.0pt'>

<p class=3DMsoNormal =
style=3D'mso-margin-top-alt:0in;margin-right:0in;margin-bottom:
12.0pt;margin-left:.5in'><font size=3D2 face=3DTahoma><span =
style=3D'font-size:10.0pt;
font-family:Tahoma'>-----Original Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Denovan Marianne
[mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> =
</span></font><st1:date
Month=3D"8" Day=3D"9" Year=3D"2004"><font size=3D2 face=3DTahoma><span =
style=3D'font-size:
 10.0pt;font-family:Tahoma'>09 August =
2004</span></font></st1:date><font
size=3D2 face=3DTahoma><span =
style=3D'font-size:10.0pt;font-family:Tahoma'> </span></font><st1:time
Hour=3D"16" Minute=3D"53"><font size=3D2 face=3DTahoma><span =
style=3D'font-size:10.0pt;
 font-family:Tahoma'>16:53</span></font></st1:time><font size=3D2 =
face=3DTahoma><span
style=3D'font-size:10.0pt;font-family:Tahoma'><br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> HEALTH =
CLEARANCE</span></font><o:p></o:p></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>Re: DoH Health Clearance =
for Serious
Communicable Diseases: New Health Care =
Workers<o:p></o:p></span></font></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>Anyone any idea when the =
final
document is going to be published?<o:p></o:p></span></font></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D3 =
face=3DFixedsys><span
style=3D'font-size:12.0pt;font-family:Fixedsys;mso-no-proof:yes'><o:p>&n=
bsp;</o:p></span></font></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D3 =
face=3DFixedsys><span
style=3D'font-size:12.0pt;font-family:Fixedsys;mso-no-proof:yes'>Regards=
</span></font><span
style=3D'mso-no-proof:yes'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D3 =
face=3DFixedsys><span
style=3D'font-size:12.0pt;font-family:Fixedsys;mso-no-proof:yes'>Mariann=
e Denovan</span></font><span
style=3D'mso-no-proof:yes'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D3 =
face=3DFixedsys><span
style=3D'font-size:12.0pt;font-family:Fixedsys;mso-no-proof:yes'>Occupat=
ional
Health Nurse Advisor</span></font><span =
style=3D'mso-no-proof:yes'><o:p></o:p></span></p>

<p class=3DMsoNormal =
style=3D'margin-left:.5in'><st1:place><st1:PlaceType><font
  size=3D3 face=3DFixedsys><span =
style=3D'font-size:12.0pt;font-family:Fixedsys;
  mso-no-proof:yes'>University</span></font></st1:PlaceType><font
 face=3DFixedsys><span style=3D'font-family:Fixedsys;mso-no-proof:yes'> =
of </span></font><st1:PlaceName><font
  face=3DFixedsys><span =
style=3D'font-family:Fixedsys;mso-no-proof:yes'>Bristol</span></font></s=
t1:PlaceName></st1:place><span
style=3D'mso-no-proof:yes'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D3 =
face=3DFixedsys><span
style=3D'font-size:12.0pt;font-family:Fixedsys;mso-no-proof:yes'>Direct =
Telephone
Line: </span></font><font face=3DCourier><span =
style=3D'font-family:Courier;
mso-no-proof:yes'>0117 946 7284</span></font><o:p></o:p></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D3 =
face=3D"Times New Roman"><span
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><font size=3D3 =
face=3D"Times New Roman"><span
style=3D'font-size:12.0pt'>~~~~~~~~~~~~~~~ Please remove this footer =
before
replying. <o:p></o:p></span></font></p>

<p style=3D'margin-left:.5in'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives =
<o:p></o:p></span></font></p>

<p style=3D'margin-left:.5in'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/ <o:p></o:p></span></font></p>

</blockquote>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C47EB1.B7FB08D0--
=========================================================================
Date:         Wed, 11 Aug 2004 08:05:15 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lynn Holland <[log in to unmask]>
Subject:      Re: HEALTH CLEARANCE[Scanned]
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: base64
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=========================================================================
Date:         Wed, 11 Aug 2004 10:33:07 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "MASLEN-JONES David, Cinical Nurse Mgr"
              <[log in to unmask]>
Subject:      Re: Psittacosis
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C47F86.3572407D"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C47F86.3572407D
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hi All,
Is there anybody out there who can give me any information on =
risks/precautions in relation to contracting psittacosis at work
=20
many thanks and regards
=20
David
=20
David R Maslen-Jones RGN BA Spohn MIOSH=20

Clinical Nurse Manager, Occupational Health=20
Plymouth Hospitals NHS Trust=20
Derriford=20
Plymouth=20
PL6 8DH=20
Tel: 01752 517592      int:57592=20
[log in to unmask]

=20


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C47F86.3572407D
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<TITLE>Biological monitoring</TITLE>

<META content=3D"MSHTML 6.00.2600.0" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN =
class=3D945173109-11082004>Hi=20
All,</SPAN></FONT></DIV>
<DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN =
class=3D945173109-11082004>Is=20
there anybody out there who can give me any information on =
risks/precautions in=20
relation to contracting psittacosis at work</SPAN></FONT></DIV>
<DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN=20
class=3D945173109-11082004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN =
class=3D945173109-11082004>many=20
thanks and regards</SPAN></FONT></DIV>
<DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN=20
class=3D945173109-11082004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN=20
class=3D945173109-11082004>David</SPAN></FONT></DIV>
<DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN=20
class=3D945173109-11082004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN =
class=3D945173109-11082004>
<P><B><I><FONT face=3D"Arial Narrow" size=3D2>David R Maslen-Jones RGN =
BA Spohn=20
MIOSH</FONT></I></B> </P>
<P><FONT face=3DArial size=3D2>Clinical Nurse Manager, Occupational =
Health</FONT>=20
<BR><FONT face=3DArial size=3D2>Plymouth Hospitals NHS Trust</FONT> =
<BR><FONT=20
face=3DArial size=3D2>Derriford</FONT> <BR><FONT face=3DArial =
size=3D2>Plymouth</FONT>=20
<BR><FONT face=3DArial size=3D2>PL6 8DH</FONT> <BR><B><I><FONT =
face=3DArial=20
size=3D2>Tel: 01752 517592&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
int:57592</FONT></I></B><I></I><FONT face=3DArial size=3D2> =
</FONT><BR><B><I><FONT=20
face=3DArial =
size=3D2>[log in to unmask]</FONT></I></B>=20
</P></SPAN></FONT></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px"><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT>&nbsp;</BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C47F86.3572407D--
=========================================================================
Date:         Wed, 11 Aug 2004 12:43:45 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Helen Kay <[log in to unmask]>
Subject:      Footwear in the clinical setting

Hello,

I am currently looking into the risks associated with occupational health
nurses wearing sandals at work. This topic has occured as a result of
discussion with my colleagues in light of current hot temperatures and
lack of air-conditioned facilities.

The main concern that has been raised is the risk of a needle-stick injury
occurring in the foot during vaccination clinics, however I believe that
wearing suitable sandals would be beneficial in enabling comfort in this
current climate.

As I am currently in the process of developing a risk assessment I would
be grateful for your thoughts and views on this subject.

Many thanks

Helen Kay

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 11 Aug 2004 11:51:53 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Muir, Jackie" <[log in to unmask]>
Subject:      Re: Psittacosis
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C47F91.365F0980"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C47F91.365F0980
Content-Type: text/plain; charset="iso-8859-1"

The condition is transmitted by infected birds particularly parrots.
Characterised by respiratory problems pneumonia like symptoms. Symptoms can
be difficult as they resemble any number of infectious diseases - but fever,
cough and headache are almost always present. History of exposure to birds
is needed as the causal organism is difficult to isolate and culture.

Where in the hospital environment are you thinking you have a problem?

Jackie

-----Original Message-----
From: MASLEN-JONES David, Cinical Nurse Mgr
[mailto:[log in to unmask]]
Sent: 11 August 2004 10:33
To: [log in to unmask]
Subject: Re: Psittacosis


Hi All,
Is there anybody out there who can give me any information on
risks/precautions in relation to contracting psittacosis at work

many thanks and regards

David

David R Maslen-Jones RGN BA Spohn MIOSH

Clinical Nurse Manager, Occupational Health
Plymouth Hospitals NHS Trust
Derriford
Plymouth
PL6 8DH
Tel: 01752 517592      int:57592
[log in to unmask]





.sophos.3.84.08.11.
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C47F91.365F0980
Content-Type: text/html; charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">
<TITLE>Biological monitoring</TITLE>

<META content="MSHTML 6.00.2800.1106" name=GENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=#ffffff>
<DIV><SPAN class=167264810-11082004><FONT face=Arial color=#0000ff size=2>The
condition is transmitted by infected birds particularly parrots. Characterised
by respiratory problems pneumonia like symptoms. Symptoms can be difficult as
they resemble any number of infectious diseases - but fever, cough and headache
are almost always present. History of exposure to birds is needed as the causal
organism is difficult to isolate and culture. </FONT></SPAN></DIV>
<DIV><SPAN class=167264810-11082004><FONT face=Arial color=#0000ff
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=167264810-11082004><FONT face=Arial color=#0000ff size=2>Where
in the hospital environment are you thinking you have a
problem?</FONT></SPAN></DIV>
<DIV><SPAN class=167264810-11082004><FONT face=Arial color=#0000ff
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=167264810-11082004><FONT face=Arial color=#0000ff
size=2>Jackie</FONT></SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> MASLEN-JONES David, Cinical
  Nurse Mgr [mailto:[log in to unmask]]<BR><B>Sent:</B> 11
  August 2004 10:33<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B>
  Re: Psittacosis<BR><BR></FONT></DIV>
  <DIV><FONT face=Arial color=#0000ff size=2><SPAN class=945173109-11082004>Hi
  All,</SPAN></FONT></DIV>
  <DIV><FONT face=Arial color=#0000ff size=2><SPAN class=945173109-11082004>Is
  there anybody out there who can give me any information on risks/precautions
  in relation to contracting psittacosis at work</SPAN></FONT></DIV>
  <DIV><FONT face=Arial color=#0000ff size=2><SPAN
  class=945173109-11082004></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT face=Arial color=#0000ff size=2><SPAN class=945173109-11082004>many
  thanks and regards</SPAN></FONT></DIV>
  <DIV><FONT face=Arial color=#0000ff size=2><SPAN
  class=945173109-11082004></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT face=Arial color=#0000ff size=2><SPAN
  class=945173109-11082004>David</SPAN></FONT></DIV>
  <DIV><FONT face=Arial color=#0000ff size=2><SPAN
  class=945173109-11082004></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT face=Arial color=#0000ff size=2><SPAN class=945173109-11082004>
  <P><B><I><FONT face="Arial Narrow" size=2>David R Maslen-Jones RGN BA Spohn
  MIOSH</FONT></I></B> </P>
  <P><FONT face=Arial size=2>Clinical Nurse Manager, Occupational Health</FONT>
  <BR><FONT face=Arial size=2>Plymouth Hospitals NHS Trust</FONT> <BR><FONT
  face=Arial size=2>Derriford</FONT> <BR><FONT face=Arial size=2>Plymouth</FONT>
  <BR><FONT face=Arial size=2>PL6 8DH</FONT> <BR><B><I><FONT face=Arial
  size=2>Tel: 01752 517592&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  int:57592</FONT></I></B><I></I><FONT face=Arial size=2> </FONT><BR><B><I><FONT
  face=Arial size=2>[log in to unmask]</FONT></I></B>
  </P></SPAN></FONT></DIV>
  <BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px"><FONT face=Arial color=#0000ff
    size=2></FONT>&nbsp;</BLOCKQUOTE><CODE><FONT
  size=3><BR><BR>.sophos.3.84.08.11.<BR></FONT></CODE>~~~~~~~~~~~~~~~ Please
  remove this footer before replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE><CODE><FONT SIZE=3><BR>
<BR>
Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.<BR>
<BR>
This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.<BR>
<BR>
If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.<BR>
<BR>
Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.<BR>
<BR>
Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc. <BR>
</FONT></CODE>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C47F91.365F0980--
=========================================================================
Date:         Wed, 11 Aug 2004 14:15:25 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sara Werry <[log in to unmask]>
Subject:      Re: Footwear in the clinical setting
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit

Hi Helen

I would of thought it would be down to an individuals risk assessment of
their own practice, if they were a bit of a butter fingers then full
lace up boots and face visor might be useful.....seriously, even shoes
may not protect the top of the foot which is the most likely to be
caught if a syringe was dropped so makes a weak argument for not wearing
sandals.

All the best
Sara



Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579


-----Original Message-----
From: Helen Kay [mailto:[log in to unmask]]
Sent: 11 August 2004 12:44
To: [log in to unmask]
Subject: Footwear in the clinical setting


Hello,

I am currently looking into the risks associated with occupational
health nurses wearing sandals at work. This topic has occured as a
result of discussion with my colleagues in light of current hot
temperatures and lack of air-conditioned facilities.

The main concern that has been raised is the risk of a needle-stick
injury occurring in the foot during vaccination clinics, however I
believe that wearing suitable sandals would be beneficial in enabling
comfort in this current climate.

As I am currently in the process of developing a risk assessment I would
be grateful for your thoughts and views on this subject.

Many thanks

Helen Kay

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 11 Aug 2004 09:30:57 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
Subject:      Re: Footwear in the clinical setting
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="part1_be.13868b0c.2e4b7991_boundary"

--part1_be.13868b0c.2e4b7991_boundary
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

hello Helen,

from my experience both on the wards and now within OH any member of staff in
a clinical setting must wear shoes that cover the toes and feet. This is to
protect for NSI's as you mention as well as other health and safety issues.

The use of temperature is a bit of a con really, as other professionals and
disciplines have to wear foot protection (builders for example) and this is
true in countries with truly hot weather and not just a few isolated days a year
as is the case in England.

regards,

Glenn

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--part1_be.13868b0c.2e4b7991_boundary
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<HTML><FONT FACE=3Darial,helvetica><HTML><FONT  COLOR=3D"#0000ff" SIZE=3D4 P=
TSIZE=3D14 FAMILY=3D"SERIF" FACE=3D"Calisto MT" LANG=3D"0">hello Helen,<BR>
<BR>
from my experience both on the wards and now within OH any member of staff i=
n a clinical setting must wear shoes that cover the toes and feet. This is t=
o protect for NSI's as you mention as well as other health and safety issues=
.<BR>
<BR>
The use of temperature is a bit of a con really, as other professionals and=20=
disciplines have to wear foot protection (builders for example) and this is=20=
true in countries with truly hot weather and not just a few isolated days a=20=
year as is the case in England.<BR>
<BR>
regards,<BR>
<BR>
Glenn</FONT></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--part1_be.13868b0c.2e4b7991_boundary--
=========================================================================
Date:         Wed, 11 Aug 2004 16:08:52 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Porter Suzanne <[log in to unmask]>
Subject:      Re: Footwear in the clinical setting
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Helen

This issue has recently caused disharmony in our directorate too, =
including HR. Our Assistant Director, H & S [who also happens to me my =
manager], got very annoyed that we were wearing open toed sandals. She =
claimed that no area at work was safe for this type of shoe in case you =
dropped something heavy on it, spilled boiling fluid on it, slipped, =
tripped etc. She stated that there were 900 slips, trips and falls last =
year and that 16 were related to unsuitable footwear. I do not know what =
stats she referred to for this info, but I assume she studied each and =
every incident form to make her point. I have a pair of safety shoes =
from when I worked in an industrial setting and I tend to wear them when =
I visit wards/departments etc.

We have, on the whole, taken notice of what she has said and she is =
intending to update the uniform policy accordingly.

Regards

-----Original Message-----
From: Helen Kay [mailto:[log in to unmask]]
Sent: 11 August 2004 12:44
To: [log in to unmask]
Subject: Footwear in the clinical setting


Hello,

I am currently looking into the risks associated with occupational =
health
nurses wearing sandals at work. This topic has occured as a result of
discussion with my colleagues in light of current hot temperatures and
lack of air-conditioned facilities.

The main concern that has been raised is the risk of a needle-stick =
injury
occurring in the foot during vaccination clinics, however I believe that
wearing suitable sandals would be beneficial in enabling comfort in this
current climate.

As I am currently in the process of developing a risk assessment I would
be grateful for your thoughts and views on this subject.

Many thanks

Helen Kay

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 11 Aug 2004 16:26:24 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Susan Harrison-Stone <[log in to unmask]>
Subject:      Re: Footwear in the clinical setting
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Hi
My experience is similar to Sara Werry as it always seemed that the injury
occured in a part of the foot that was not covered by safety foot wear.
Does your safety officer intend to make everyone on site incl all the admin
staff wear foot wear? They after all might drop files on their feet.  This
is really safety going mad. How do OHA's fall into a uniform policy.  I did
not think any of us wore uniforms anymore.  What happens with health
visitors, CPN's etc.?  Is any of this based on risk assessment? And is the
safe system of work being followed to prevent such an accident?
Regards
Sue
----- Original Message -----
From: "Porter Suzanne" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, August 11, 2004 4:08 PM
Subject: Re: Footwear in the clinical setting


Helen

This issue has recently caused disharmony in our directorate too, including
HR. Our Assistant Director, H & S [who also happens to me my manager], got
very annoyed that we were wearing open toed sandals. She claimed that no
area at work was safe for this type of shoe in case you dropped something
heavy on it, spilled boiling fluid on it, slipped, tripped etc. She stated
that there were 900 slips, trips and falls last year and that 16 were
related to unsuitable footwear. I do not know what stats she referred to for
this info, but I assume she studied each and every incident form to make her
point. I have a pair of safety shoes from when I worked in an industrial
setting and I tend to wear them when I visit wards/departments etc.

We have, on the whole, taken notice of what she has said and she is
intending to update the uniform policy accordingly.

Regards

-----Original Message-----
From: Helen Kay [mailto:[log in to unmask]]
Sent: 11 August 2004 12:44
To: [log in to unmask]
Subject: Footwear in the clinical setting


Hello,

I am currently looking into the risks associated with occupational health
nurses wearing sandals at work. This topic has occured as a result of
discussion with my colleagues in light of current hot temperatures and
lack of air-conditioned facilities.

The main concern that has been raised is the risk of a needle-stick injury
occurring in the foot during vaccination clinics, however I believe that
wearing suitable sandals would be beneficial in enabling comfort in this
current climate.

As I am currently in the process of developing a risk assessment I would
be grateful for your thoughts and views on this subject.

Many thanks

Helen Kay

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 11 Aug 2004 17:18:50 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         heather bearpark <[log in to unmask]>
Subject:      Re: Footwear in the clinical setting
Mime-Version: 1.0
Content-Type: text/html

<html><div style='background-color:'>Does the employer supply the PPE for everyone then in form of safety shoes?<BR><BR>
<DIV>
<DIV>Regards </DIV>Heather Bearpark </DIV>
<DIV>&nbsp;</DIV></div><br clear=all><hr>Faster than e-mail, more discreet than a phone call and best of all it's free -  <a href="http://g.msn.com/8HMAENUK/2755??PS=47575">download MSN Messenger </a> today!</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 11 Aug 2004 18:26:07 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Swann, Alan B" <[log in to unmask]>
Subject:      Re: Footwear in the clinical setting
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Interesting. I think I have to side with those in favour of sensible =
shoes.
On a common-sense risk assessment there is a small but credible risk of =
a significant injury. Closed toed shoes will reduce the risk. It doesn't =
however require a steel toe-cap, so safety shoes are unnecessary. And, =
as Glenn says, sandals hardly make much difference to temperature =
control/ comfort especially indoors.
Also, shouldn't we be setting a good example?=20
Lets wear sandals on the way to work, but change into sensible =
work-wear- not uniform-  when we are in clinic=20
Regards

Dr. Alan Swann, BM, AFOM
Director of Occupational Health
Occupational Health Service
Imperial College London
Southside building
South Kensington Campus
London
SW7 2AZ
Tel:    +44 (20) 7594 9385
Fax:    +44 (20) 7594 9407
http://www.imperial.ac.uk/hq/occhealth/
https://www.imperial.ac.uk/spectrum/occhealth (Intranet)

 -----Original Message-----
From:   Helen Kay [mailto:[log in to unmask]]=20
Sent:   11 August 2004 12:44=20
To:     [log in to unmask]
Subject:        Footwear in the clinical setting

Hello,

I am currently looking into the risks associated with occupational =
health
nurses wearing sandals at work. This topic has occured as a result of
discussion with my colleagues in light of current hot temperatures and
lack of air-conditioned facilities.

The main concern that has been raised is the risk of a needle-stick =
injury
occurring in the foot during vaccination clinics, however I believe that
wearing suitable sandals would be beneficial in enabling comfort in this
current climate.

As I am currently in the process of developing a risk assessment I would
be grateful for your thoughts and views on this subject.

Many thanks

Helen Kay

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 12 Aug 2004 14:13:11 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Mandy Brennan <[log in to unmask]>
Subject:      Re: Footwear in the clinical setting
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

At the risk of being shouted down..I don't think it looks very
businesslike...call me old fashioned..

regards
Mandy Brennan

-----Original Message-----
From: Susan Harrison-Stone [mailto:[log in to unmask]]
Sent: 11 August 2004 16:26
To: [log in to unmask]
Subject: Re: Footwear in the clinical setting


Hi
My experience is similar to Sara Werry as it always seemed that the injury
occured in a part of the foot that was not covered by safety foot wear.
Does your safety officer intend to make everyone on site incl all the admin
staff wear foot wear? They after all might drop files on their feet.  This
is really safety going mad. How do OHA's fall into a uniform policy.  I did
not think any of us wore uniforms anymore.  What happens with health
visitors, CPN's etc.?  Is any of this based on risk assessment? And is the
safe system of work being followed to prevent such an accident?
Regards
Sue
----- Original Message -----
From: "Porter Suzanne" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, August 11, 2004 4:08 PM
Subject: Re: Footwear in the clinical setting


Helen

This issue has recently caused disharmony in our directorate too, including
HR. Our Assistant Director, H & S [who also happens to me my manager], got
very annoyed that we were wearing open toed sandals. She claimed that no
area at work was safe for this type of shoe in case you dropped something
heavy on it, spilled boiling fluid on it, slipped, tripped etc. She stated
that there were 900 slips, trips and falls last year and that 16 were
related to unsuitable footwear. I do not know what stats she referred to for
this info, but I assume she studied each and every incident form to make her
point. I have a pair of safety shoes from when I worked in an industrial
setting and I tend to wear them when I visit wards/departments etc.

We have, on the whole, taken notice of what she has said and she is
intending to update the uniform policy accordingly.

Regards

-----Original Message-----
From: Helen Kay [mailto:[log in to unmask]]
Sent: 11 August 2004 12:44
To: [log in to unmask]
Subject: Footwear in the clinical setting


Hello,

I am currently looking into the risks associated with occupational health
nurses wearing sandals at work. This topic has occured as a result of
discussion with my colleagues in light of current hot temperatures and
lack of air-conditioned facilities.

The main concern that has been raised is the risk of a needle-stick injury
occurring in the foot during vaccination clinics, however I believe that
wearing suitable sandals would be beneficial in enabling comfort in this
current climate.

As I am currently in the process of developing a risk assessment I would
be grateful for your thoughts and views on this subject.

Many thanks

Helen Kay

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 11 Aug 2004 18:58:41 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Ann Wilson <[log in to unmask]>
Subject:      Health effects of working in a dark environments

Hi
Does any one have experience of working with employees working in a light
lab which actually involves working in a room with black walls, floor etc
and when running tests having no lights on except for one small desk lamp
this can be for periods of hours in some cases. Even when lights are on
they are low level and the company are looking at using daylight tubes, the
employees work in there alone for 8 hour periods, not good i know and i am
aware of lone working etc but does anyone know of employees who have
experienced problems from working in this type of environment.
Thanks
Ann

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 11 Aug 2004 15:52:49 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jean Piernicki <[log in to unmask]>
Subject:      Re: Footwear in the clinical setting
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1092253969"

-------------------------------1092253969
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

We have taken the same sort of approach as Sara. If individuals are in the
office they can wear what ever shoes they are comportable in. If they are
required to go out to a company and potentially have to visit a factory setting
or ward setting then "sensible" shoes are the order of the day.
When they are undertaking vaccinations etc in the department then sensible
shoes are worn. Most staff just want the flexibility and ability to make a
sensible risk assessment.

I am always amazed that nurses have these sorts of dilemas.
Has anyone taken a look at the footwear worn by Drs on the wards? Having a
passion for shoes its something that I've taken a lot of interest in. Worth
having a look at when you are next in a hospital setting.

Jean

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1092253969
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY:=20=
Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3DArial color=3D#000000 size=3D2>
<DIV>We have taken the same sort of approach as Sara. If individuals are in=20=
the=20
office they can wear what ever shoes they are comportable&nbsp;in. If they a=
re=20
required to go out to a company and potentially have to visit a factory sett=
ing=20
or ward setting then "sensible" shoes are the order of the day.</DIV>
<DIV>When they are undertaking vaccinations etc in the department then sensi=
ble=20
shoes are worn. Most staff just want the flexibility and ability to make a=20
sensible risk assessment.</DIV>
<DIV>&nbsp;</DIV>
<DIV>I am always amazed that nurses have these sorts of dilemas. </DIV>
<DIV>Has anyone taken a look at the footwear worn by Drs on the wards? Havin=
g a=20
passion for shoes its something that I've taken a lot of interest in. Worth=20
having a look at when you are next in a hospital setting.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Jean</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1092253969--
=========================================================================
Date:         Wed, 11 Aug 2004 20:53:40 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Darcy <[log in to unmask]>
Subject:      Re: Footwear in the clinical setting (Away)
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

I will be away from my office on 12 August 2004 although you can contact
me via reception on extension 33063 (020 8383 3063 if calling
externally).

Many thanks









>>> OCC-HEALTH 08/11/04 20:52 >>>

We have taken the same sort of approach as Sara. If individuals are in
the
office they can wear what ever shoes they are comportable in. If they
are
required to go out to a company and potentially have to visit a factory
setting
or ward setting then "sensible" shoes are the order of the day.
When they are undertaking vaccinations etc in the department then
sensible
shoes are worn. Most staff just want the flexibility and ability to make
a
sensible risk assessment.

I am always amazed that nurses have these sorts of dilemas.
Has anyone taken a look at the footwear worn by Drs on the wards? Having
a
passion for shoes its something that I've taken a lot of interest in.
Worth
having a look at when you are next in a hospital setting.

Jean

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Hammersmith Hospitals NHS Trust IT department on 020 8746 5555. Please also delete the message from your computer.

**
*

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 12 Aug 2004 07:01:38 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      sandals in OH
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

Hello all

I thought it was April 1st when I saw this question.

I think this is more of a problem for OH departments in the NHS.

I work as an independent practitioner ,mainly in industry, but currently in
a charitable hospital.
I do not have a uniform, and usually wear sandals, as I find them more
comfortable.They are very sturdy, with a buckled strap around the back so
they don't shift and are unlikely in themselves to cause an accident.

If I  were to drop a syringe then it would be the luck of the draw where it
landed.

I seem to recall in my days in ITU and Theatres that we wore white clogs
with an open back. Would this be a good compromise?

In terms of clothing and hazard in OH,  my main problem is rolling over the
hem of long skirts when sitting in a DSE type chair and working at the
computer...

Best wishes,
Diane R-W

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 12 Aug 2004 09:38:04 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sue Summers-Coles <[log in to unmask]>
Subject:      Rectal administration of diazepam
MIME-Version: 1.0
Content-type: text/plain; charset=us-ascii

Hi All

I have had a query about administration of rectal diazepam by unqualified
drivers / escorts / carers to disabled children travelling to their school
by minibus. What are your thoughts? Are there any H&S guidelines already
drawn up?

Thanks
Sue Summers-Coles



______________________________________________________________________


   IMPORTANT
   The information contained in this e-mail and in any
   attachments is intended only for the named recipient or
   entity. The e-mail and any attachments may contain legally
   privileged or confidential information and may not be
   disclosed to anyone else. If you are not the intended
   recipient, please notify us immediately on 01789-202121
   and delete the material from any computer that may contain
   it and destroy any printed copies you may have made. We
   accept no liability for any direct, indirect or
   consequential loss or damage arising from any action taken
   in reliance on or use of the information contained in this
   e-mail and give no warranty or representation as to its
   accuracy or reliability.

   NFU Mutual has the facility to monitor and read both
   incoming and outgoing communications by e-mail and these
   may be intercepted by its automated e-mail administrators.
   NFU Mutual will not accept e-mail communications found to
   contain viruses.

   Parent Company: The National Farmers Union Mutual Insurance
   Society Ltd
   (No. 111982). Authorised and regulated by the Financial
   Services Authority for Life, Pension and Investment business.
   Registered in England
   Registered office : Tiddington Road, Stratford-upon-Avon,
   CV37 7BJ.
   Tel: 01789 204211
   NFU Mutual is a member of the General Insurance Standards
   Council, ABI and FOS.


   http://www.nfumutual.co.uk

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 12 Aug 2004 19:30:54 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Helen Hannar <[log in to unmask]>
Subject:      Working in Cold Environments
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_66988_27290281.1092331854647"

------=_Part_66988_27290281.1092331854647
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

Dear All,
Are there any guidelines on persons of Afro-Caribean origin working in Cold Environments (temperatures for +10 degrees C to minus 4degrees). Obviousley appropriate clothing is provided but a vague memory recalls something about the level of pigmentation in Afro-Caribean skin making that person more susceptible to cold environments and so unsuitable for working in freezer type environments.
Any help would be greatly appreciated.
Many thanks,
Helen
Helen Hannar
OH Advisor

OHServices (NE).
Tel:- 01388 777962
Mob:- 07950 154541
Fax:- 01388 777962

--

Whatever you Wanadoo:
http://www.wanadoo.co.uk/time/

This email has been checked for most known viruses - find out more at: http://www.wanadoo.co.uk/help/id/7098.htm

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_66988_27290281.1092331854647
Content-Type: text/html
Content-Transfer-Encoding: 7bit

<P>Dear All,</P>
<P>Are there any guidelines on persons of Afro-Caribean origin working in Cold Environments (temperatures for +10 degrees C to minus 4degrees). Obviousley appropriate clothing is provided but a vague memory recalls something about the level of pigmentation in Afro-Caribean skin making&nbsp;that person&nbsp;more susceptible to cold environments and so unsuitable for working in freezer type environments.</P>
<P>Any help would be greatly appreciated.</P>
<P>Many thanks,</P>
<P>Helen</P>
<P><STRONG>Helen Hannar <BR>OH Advisor <BR><BR>OHServices (NE). <BR>Tel:- 01388 777962 <BR>Mob:- 07950 154541 <BR>Fax:- 01388 777962</STRONG></P><BR><BR><hr size="1">Whatever you <a href="http://www.wanadoo.co.uk/time/" target="_blank">Wanadoo</a><br><br>This email has been checked for most known viruses - find out more <a href="http://www.wanadoo.co.uk/help/id/7098.htm" target="_blank">here</a>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_66988_27290281.1092331854647--
=========================================================================
Date:         Thu, 12 Aug 2004 14:07:49 -0400
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Stella Howard <[log in to unmask]>
Subject:      Change of e-mail address
MIME-Version: 1.0
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

Please note that I have a new e-mail address

[log in to unmask]

I was previously using [log in to unmask]

Many thanks

Stella Howard OHN

ABRO Bovington

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 12 Aug 2004 21:36:02 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Richardson <[log in to unmask]>
Subject:      =?iso-8859-1?Q?Re:_Health_effects_of_working_in_a_dark_environments?=
Content-Type: text/plain; charset="iso-8859-1"
Mime-Version: 1.0
Content-Transfer-Encoding: 8bit

Hi,
Correct me if I am wrong folks but I think an acute glaucomatomus attack
may occur.  This is where the canal of schlem is blocked of by the
dilated pupil and therefore the intra occular pressure builds up and
the resulting problems could occur.  Obviously regular visits to normal
lighting would be required.  I am not sure if the old miners condition
of nystagmus may be a possible risk?  Excuse the spelling as I don't
have a Med dictionary to hand.
Regards
Paul

p.s folks, still waiting for your donations of tools/policies etc for
those who are starting from scratch, or have a specific problem/task
that they have to complete and pound to a penny someone out there has
done it already and got the T Shirt etc..  I hate to keep asking but I
have had quite a few people stating they would love access this part of
the site.  I feel like old mother hubbard sometimes.  End of begging.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 13 Aug 2004 01:01:03 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Donna Dixon <[log in to unmask]>
Subject:      Donna Dixon/National Britannia is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=iso-8859-1
Content-transfer-encoding: quoted-printable

I will be out of the office starting  12/08/2004 and will not return un=
til
16/08/2004.

I am unable to access my emails until Monday 16th August.  If your mess=
age
is urgent, please leave me a voice mail on 07718 661614 and I will
endeavour to return your call.  Alternatively, please call client suppo=
rt
on 02920 852852 where someone will be happy to help you.  Thank you

This transmission has been issued for the  information of the addressee=

only and contains information which is  confidential.=A0 Accordingly, i=
t
should not be altered in any way or copied  or otherwise reproduced in =
any
form, nor should its existence or contents be  disclosed to any other
person.=A0 If you are not the  intended recipient of this transmission =
or any
attachment, please reply  immediately.
=

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 13 Aug 2004 01:03:11 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Leanne MORRISON <[log in to unmask]>
Subject:      Leanne MORRISON/ABZ/UK/EP/Corp is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII

I will be out of the office starting  12/08/2004 and will not return until 16/08/2004.

I will respond to your message when I return.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 13 Aug 2004 08:55:11 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Kinselley, Gillian E" <[log in to unmask]>
Subject:      Re: Working in Cold Environments
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4810A.DBDC4B00"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4810A.DBDC4B00
Content-Type: text/plain; charset="iso-8859-1"

Helen
I have worked 6-7 years ago at McVities and their work force was mainly non
white at that time - I can't remember having a problem with this however the
number for the Occ Health Dept is  (Luton) 01582 401177 - don't know who the
advisor is at the moment but they may be able to help.

Gill

-----Original Message-----
From: Helen Hannar [mailto:[log in to unmask]]
Sent: 12 August 2004 18:31
To: [log in to unmask]
Subject: Working in Cold Environments



Dear All,

Are there any guidelines on persons of Afro-Caribean origin working in Cold
Environments (temperatures for +10 degrees C to minus 4degrees). Obviousley
appropriate clothing is provided but a vague memory recalls something about
the level of pigmentation in Afro-Caribean skin making that person more
susceptible to cold environments and so unsuitable for working in freezer
type environments.

Any help would be greatly appreciated.

Many thanks,

Helen

Helen Hannar
OH Advisor

OHServices (NE).
Tel:- 01388 777962
Mob:- 07950 154541
Fax:- 01388 777962



  _____

Whatever you Wanadoo <http://www.wanadoo.co.uk/time/>

This email has been checked for most known viruses - find out more here
<http://www.wanadoo.co.uk/help/id/7098.htm>  ~~~~~~~~~~~~~~~ Please remove
this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

.sophos.3.84.08.12.




Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4810A.DBDC4B00
Content-Type: text/html; charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 6.00.2800.1106" name=GENERATOR></HEAD>
<BODY>
<DIV><SPAN class=670134907-13082004><FONT face=Arial color=#0000ff
size=2>Helen</FONT></SPAN></DIV>
<DIV><SPAN class=670134907-13082004><FONT face=Arial color=#0000ff size=2>I have
worked 6-7 years ago at McVities and their work force was mainly non white at
that time - I can't remember having a problem with this however the number for
the Occ Health Dept is&nbsp; (Luton) 01582 401177&nbsp;- don't know who the
advisor is at the moment but they may be able to help.</FONT></SPAN></DIV>
<DIV><SPAN class=670134907-13082004><FONT face=Arial color=#0000ff
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=670134907-13082004><FONT face=Arial color=#0000ff
size=2>Gill</FONT>&nbsp;</SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> Helen Hannar
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 12 August 2004 18:31<BR><B>To:</B>
  [log in to unmask]<BR><B>Subject:</B> Working in Cold
  Environments<BR><BR></FONT></DIV>
  <P>Dear All,</P>
  <P>Are there any guidelines on persons of Afro-Caribean origin working in Cold
  Environments (temperatures for +10 degrees C to minus 4degrees). Obviousley
  appropriate clothing is provided but a vague memory recalls something about
  the level of pigmentation in Afro-Caribean skin making&nbsp;that
  person&nbsp;more susceptible to cold environments and so unsuitable for
  working in freezer type environments.</P>
  <P>Any help would be greatly appreciated.</P>
  <P>Many thanks,</P>
  <P>Helen</P>
  <P><STRONG>Helen Hannar <BR>OH Advisor <BR><BR>OHServices (NE). <BR>Tel:-
  01388 777962 <BR>Mob:- 07950 154541 <BR>Fax:- 01388
777962</STRONG></P><BR><BR>
  <HR SIZE=1>
  Whatever you <A href="http://www.wanadoo.co.uk/time/"
  target=_blank>Wanadoo</A><BR><BR>This email has been checked for most known
  viruses - find out more <A href="http://www.wanadoo.co.uk/help/id/7098.htm"
  target=_blank>here</A> ~~~~~~~~~~~~~~~ Please remove this footer before
  replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/<CODE><FONT
  size=3><BR><BR>.sophos.3.84.08.12.<BR></FONT></CODE></P></BLOCKQUOTE><CODE><FONT SIZE=3><BR>
<BR>
Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.<BR>
<BR>
This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.<BR>
<BR>
If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.<BR>
<BR>
Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.<BR>
<BR>
Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc. <BR>
</FONT></CODE>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4810A.DBDC4B00--
=========================================================================
Date:         Fri, 13 Aug 2004 10:16:22 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Harrop, Chris" <[log in to unmask]>
Subject:      Re: Working in Cold Environments
MIME-Version: 1.0
Content-Type: multipart/mixed;
              boundary="----=_NextPartTM-000-8e9ccafc-5b1d-4afa-a923-3516f537d6a8"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------=_NextPartTM-000-8e9ccafc-5b1d-4afa-a923-3516f537d6a8
Content-Type: multipart/alternative;
        boundary="----_=_NextPart_001_01C4810D.D15E1B60"

------_=_NextPart_001_01C4810D.D15E1B60
Content-Type: text/plain

We have employees working at -40C which is much colder than the temperatures
you are talking about. . Our contract cleaning staff are mostly non-white
and they go into the cold room to clean up spillages etc. We treat them in
exactly the same way as our own staff with regard to pre-work  and annual
screening and we have not had any problems to date. I must confess to
ignorance though in that I have no awareness of this. I too would appreciate
knowing if this is fact.


Regards

Christine

Christine Harrop
Occupational Health Manager
Kraft Foods (UK) Ltd
Banbury
Oxfordshire
OX16 2QU

Tel No   01295 223311
Fax No   01295 223726
Page No  157


-----Original Message-----
From: Kinselley, Gillian E [mailto:[log in to unmask]]
Sent: 13 August 2004 08:55
To: [log in to unmask]
Subject: Re: Working in Cold Environments



Helen
I have worked 6-7 years ago at McVities and their work force was mainly non
white at that time - I can't remember having a problem with this however the
number for the Occ Health Dept is  (Luton) 01582 401177 - don't know who the
advisor is at the moment but they may be able to help.

Gill

-----Original Message-----
From: Helen Hannar [mailto:[log in to unmask]]
Sent: 12 August 2004 18:31
To: [log in to unmask]
Subject: Working in Cold Environments



Dear All,

Are there any guidelines on persons of Afro-Caribean origin working in Cold
Environments (temperatures for +10 degrees C to minus 4degrees). Obviousley
appropriate clothing is provided but a vague memory recalls something about
the level of pigmentation in Afro-Caribean skin making that person more
susceptible to cold environments and so unsuitable for working in freezer
type environments.

Any help would be greatly appreciated.

Many thanks,

Helen

Helen Hannar
OH Advisor

OHServices (NE).
Tel:- 01388 777962
Mob:- 07950 154541
Fax:- 01388 777962



  _____

Whatever you Wanadoo <http://www.wanadoo.co.uk/time/>

This email has been checked for most known viruses - find out more here
<http://www.wanadoo.co.uk/help/id/7098.htm>  ~~~~~~~~~~~~~~~ Please remove
this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

.sophos.3.84.08.12.




Emails aren't always secure, and they may be intercepted or changed after
they've been sent. Abbey doesn't accept liability if this happens. If you
think someone may have interfered with this email, please get in touch with
the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept
responsibility for damage caused by any viruses contained in this email or
its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once
that it's gone to the wrong person and then destroy it without copying,
using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No.
3839455 are registered in England and have their Registered Offices at Abbey
National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and
regulated by the Financial Services Authority. Abbey National plc only
advises on its own life assurance, pension and collective investment scheme
products. Inscape Investments Limited is a member of the Abbey Marketing
Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered
trademarks of Abbey National plc.
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4810D.D15E1B60
Content-Type: text/html

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=us-ascii">
<TITLE>Message</TITLE>

<META content="MSHTML 6.00.2800.1458" name=GENERATOR></HEAD>
<BODY>
<DIV><SPAN class=012050708-13082004><FONT face="Comic Sans MS" color=#000080
size=2>We have employees working at -40C which is much colder than the
temperatures you are talking about.&nbsp;. Our contract cleaning staff are
mostly non-white and they go into the cold room to clean up spillages etc. We
treat them in exactly the same way as our own staff with regard to
pre-work&nbsp; and annual screening and we have not had any problems to date. I
must confess to ignorance though in that I have no awareness of this.&nbsp;I too
would appreciate knowing if this is fact.</FONT></SPAN></DIV>
<DIV><SPAN class=012050708-13082004><FONT face="Comic Sans MS" color=#000080
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=012050708-13082004><FONT face=Arial color=#0000ff
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=012050708-13082004><FONT face="Comic Sans MS"
color=#800080>Regards</FONT></SPAN></DIV>
<DIV><SPAN class=012050708-13082004>
<DIV align=left><FONT size=2></FONT>&nbsp;</DIV>
<DIV align=left><FONT face="Monotype Corsiva" color=#800080
size=5>Christine</FONT></DIV>
<DIV align=left><FONT face="Monotype Corsiva" color=#800080 size=5><SPAN
class=012050708-13082004></SPAN></FONT>&nbsp;</DIV>
<DIV align=left><FONT face="Comic Sans MS" color=#800080><SPAN
class=012050708-13082004>Christine Harrop</SPAN></FONT></DIV>
<DIV align=left><FONT face="Comic Sans MS" color=#800080>Occupational Health
Manager</FONT></DIV>
<DIV align=left><FONT face="Comic Sans MS" color=#800080>Kraft Foods (UK)
Ltd</FONT></DIV>
<DIV align=left><FONT face="Comic Sans MS" color=#800080>Banbury</FONT></DIV>
<DIV align=left><FONT face="Comic Sans MS"
color=#800080>Oxfordshire</FONT></DIV>
<DIV align=left><FONT face="Comic Sans MS" color=#800080>OX16 2QU</FONT></DIV>
<DIV align=left><FONT face="Comic Sans MS" color=#800080></FONT>&nbsp;</DIV>
<DIV align=left><FONT face="Comic Sans MS" color=#800080>Tel No&nbsp;
&nbsp;01295 223311</FONT></DIV>
<DIV align=left><FONT face="Comic Sans MS" color=#800080>Fax No
&nbsp;&nbsp;01295 223726</FONT></DIV>
<DIV align=left><FONT face="Comic Sans MS" color=#800080>Page No
&nbsp;157</FONT></DIV>
<DIV align=left><FONT face="Monotype Corsiva" color=#800080
size=5></FONT>&nbsp;</DIV>
<DIV align=left><FONT face=comic color=#800080 size=4></FONT>&nbsp;</DIV><FONT
face=Arial color=#0000ff size=2></FONT></SPAN></DIV>
<DIV></DIV>
<DIV><FONT face=Tahoma size=2>-----Original Message-----<BR><B>From:</B>
Kinselley, Gillian E [mailto:[log in to unmask]] <BR><B>Sent:</B> 13
August 2004 08:55<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re:
Working in Cold Environments<BR><BR></DIV></FONT>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV><SPAN class=670134907-13082004><FONT face=Arial color=#0000ff
  size=2>Helen</FONT></SPAN></DIV>
  <DIV><SPAN class=670134907-13082004><FONT face=Arial color=#0000ff size=2>I
  have worked 6-7 years ago at McVities and their work force was mainly non
  white at that time - I can't remember having a problem with this however the
  number for the Occ Health Dept is&nbsp; (Luton) 01582 401177&nbsp;- don't know
  who the advisor is at the moment but they may be able to
  help.</FONT></SPAN></DIV>
  <DIV><SPAN class=670134907-13082004><FONT face=Arial color=#0000ff
  size=2></FONT></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=670134907-13082004><FONT face=Arial color=#0000ff
  size=2>Gill</FONT>&nbsp;</SPAN></DIV>
  <BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
    <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
    size=2>-----Original Message-----<BR><B>From:</B> Helen Hannar
    [mailto:[log in to unmask]]<BR><B>Sent:</B> 12 August 2004
    18:31<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Working in
    Cold Environments<BR><BR></FONT></DIV>
    <P>Dear All,</P>
    <P>Are there any guidelines on persons of Afro-Caribean origin working in
    Cold Environments (temperatures for +10 degrees C to minus 4degrees).
    Obviousley appropriate clothing is provided but a vague memory recalls
    something about the level of pigmentation in Afro-Caribean skin
    making&nbsp;that person&nbsp;more susceptible to cold environments and so
    unsuitable for working in freezer type environments.</P>
    <P>Any help would be greatly appreciated.</P>
    <P>Many thanks,</P>
    <P>Helen</P>
    <P><STRONG>Helen Hannar <BR>OH Advisor <BR><BR>OHServices (NE). <BR>Tel:-
    01388 777962 <BR>Mob:- 07950 154541 <BR>Fax:- 01388
    777962</STRONG></P><BR><BR>
    <HR SIZE=1>
    Whatever you <A href="http://www.wanadoo.co.uk/time/"
    target=_blank>Wanadoo</A><BR><BR>This email has been checked for most known
    viruses - find out more <A href="http://www.wanadoo.co.uk/help/id/7098.htm"
    target=_blank>here</A> ~~~~~~~~~~~~~~~ Please remove this footer before
    replying.
    <P>For list archives and documents, go to
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
    <P>For jobs in Occupational Health, go to
    http://uk.groups.yahoo.com/group/OHJobs/<CODE><FONT
    size=3><BR><BR>.sophos.3.84.08.12.<BR></FONT></CODE></P></BLOCKQUOTE><CODE><FONT
  size=3><BR><BR>Emails aren't always secure, and they may be intercepted or
  changed after they've been sent. Abbey doesn't accept liability if this
  happens. If you think someone may have interfered with this email, please get
  in touch with the sender another way.<BR><BR>This message doesn't create or
  change any contract. Abbey doesn't accept responsibility for damage caused by
  any viruses contained in this email or its attachments. Emails may be
  monitored.<BR><BR>If you've received this email by mistake, please let the
  sender know at once that it's gone to the wrong person and then destroy it
  without copying, using, or telling anyone about its contents.<BR><BR>Abbey
  National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455
  are registered in England and have their Registered Offices at Abbey National
  House, 2 Triton Square, Regent's Place, London, NW1 3AN.<BR><BR>Abbey National
  plc and Inscape Investments Limited are authorised and regulated by the
  Financial Services Authority. Abbey National plc only advises on its own life
  assurance, pension and collective investment scheme products. Inscape
  Investments Limited is a member of the Abbey Marketing Group and provides
  OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey
  National plc. <BR></FONT></CODE>~~~~~~~~~~~~~~~ Please remove this footer
  before replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4810D.D15E1B60--

------=_NextPartTM-000-8e9ccafc-5b1d-4afa-a923-3516f537d6a8--
=========================================================================
Date:         Fri, 13 Aug 2004 10:18:18 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Anne Harriss <[log in to unmask]>
Subject:      Re: Working in Cold Environments
In-Reply-To:  <12231426.1092331854657.JavaMail.www@wwinf3002>
Mime-version: 1.0
Content-type: multipart/alternative;
              boundary="MS_Mac_OE_3175237098_7698285_MIME_Part"

> This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

--MS_Mac_OE_3175237098_7698285_MIME_Part
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

on 12/8/04 6:30 pm, Helen Hannar at [log in to unmask] wrote:


Dear All,

Are there any guidelines on persons of Afro-Caribean origin working in Cold
Environments (temperatures for +10 degrees C to minus 4degrees). Obviousley
appropriate clothing is provided but a vague memory recalls something about
the level of pigmentation in Afro-Caribean skin making that person more
susceptible to cold environments and so unsuitable for working in freezer
type environments.

Any help would be greatly appreciated.

Many thanks,

Helen

Helen Hannar
OH Advisor

OHServices (NE).
Tel:- 01388 777962
Mob:- 07950 154541
Fax:- 01388 777962




Whatever you Wanadoo <http://www.wanadoo.co.uk/time/>

This email has been checked for most known viruses - find out more here
<http://www.wanadoo.co.uk/help/id/7098.htm> ~~~~~~~~~~~~~~~ Please remove
this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

Hello Helen

I don't see how skin pigmentation should affect the ability to cope with
work in a cold environment. Some people have difficulties with coping with
extremes of thermal environment either due to health problems such as
circulatory disorders, hypo/hyperthyroidism or from a level of personal
preference. Are you confusing darker skinned people having more difficulty
absorbing enough light to manufacture vitamin D, particularly muslim and
asian women who wear long clothes which may include a long dark robe and
hijab ( head covering). Such people are more pre-disposed to developing
rickets particularly if they have dietary deficiencies.

The British Occupational Hygiene Society have published a guide on the
thermal environment which may be a useful resource.  If you are a nurse and
a member of the RCN then I believe that this book is available in the RCN
library.

Hope this is helpful.

Anne Harriss

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--MS_Mac_OE_3175237098_7698285_MIME_Part
Content-type: text/html; charset="US-ASCII"
Content-transfer-encoding: quoted-printable

<HTML>
<HEAD>
<TITLE>Re: Working in Cold Environments</TITLE>
</HEAD>
<BODY>
on 12/8/04 6:30 pm, Helen Hannar at [log in to unmask] wrote:<BR>
<BR>
<BLOCKQUOTE><BR>
Dear All, <BR>
<BR>
Are there any guidelines on persons of Afro-Caribean origin working in Cold=
 Environments (temperatures for +10 degrees C to minus 4degrees). Obviousley=
 appropriate clothing is provided but a vague memory recalls something about=
 the level of pigmentation in Afro-Caribean skin making that person more sus=
ceptible to cold environments and so unsuitable for working in freezer type =
environments. <BR>
<BR>
Any help would be greatly appreciated. <BR>
<BR>
Many thanks, <BR>
<BR>
Helen <BR>
<BR>
<B>Helen Hannar <BR>
OH Advisor <BR>
<BR>
OHServices (NE). <BR>
Tel:- 01388 777962 <BR>
Mob:- 07950 154541 <BR>
Fax:- 01388 777962<BR>
</B><BR>
<HR ALIGN=3DCENTER SIZE=3D"1" WIDTH=3D"100%"><BR>
Whatever you Wanadoo &lt;http://www.wanadoo.co.uk/time/&gt; <BR>
<BR>
This email has been checked for most known viruses - find out more here &lt=
;http://www.wanadoo.co.uk/help/id/7098.htm&gt; ~~~~~~~~~~~~~~~ Please remove=
 this footer before replying. <BR>
<BR>
For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-=
health.html for list archives <BR>
<BR>
For jobs in Occupational Health, go to http://uk.groups.yahoo.com/group/OHJ=
obs/ <BR>
</BLOCKQUOTE><BR>
Hello Helen<BR>
<BR>
I don't see how skin pigmentation should affect the ability to cope with wo=
rk in a cold environment. Some people have difficulties with coping with ext=
remes of thermal environment either due to health problems such as circulato=
ry disorders, hypo/hyperthyroidism or from a level of personal preference. A=
re you confusing darker skinned people having more difficulty absorbing enou=
gh light to manufacture vitamin D, particularly muslim and asian women who w=
ear long clothes which may include a long dark robe and hijab ( head coverin=
g). Such people are more pre-disposed to developing rickets particularly if =
they have dietary deficiencies. <BR>
<BR>
The British Occupational Hygiene Society have published a guide on the ther=
mal environment which may be a useful resource. &nbsp;If you are a nurse and=
 a member of the RCN then I believe that this book is available in the RCN l=
ibrary.<BR>
<BR>
Hope this is helpful.<BR>
<BR>
Anne Harriss
</BODY>
</HTML>

~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--MS_Mac_OE_3175237098_7698285_MIME_Part--
=========================================================================
Date:         Fri, 13 Aug 2004 11:51:57 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Anne Harriss <[log in to unmask]>
Subject:      Cold environments
Mime-version: 1.0
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

Hello Helen

After further pondering your query about cold environments and
afro-caribbean  workers I wonder whether people who have sickle cell disease
are more likely to go into crisis if exposed to a cold environment. Don't
know the answer to this one but perhaps a call to a clinical nurse
specialist working in a hospital which serves an afro-caribbean population
such as Guy's or St Thomas Hospital in London may be useful. If you get an
answer it may be interesting for the list to see it.

Anne

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 13 Aug 2004 11:59:18 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Bradley, Paul (Sandiway)" <[log in to unmask]>
Subject:      Re: Cold environments
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C48124.9459B7D0"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C48124.9459B7D0
Content-Type: text/plain;
        charset="iso-8859-1"

Helen,

This link may prove informative

http://www.drugs.com/CG/SICKLE_CELL_CRISIS.html

Regards

Paul

-----Original Message-----
From: Anne Harriss [mailto:[log in to unmask]]
Sent: 13 August 2004 11:52
To: [log in to unmask]
Subject: Cold environments


Hello Helen

After further pondering your query about cold environments and
afro-caribbean  workers I wonder whether people who have sickle cell disease
are more likely to go into crisis if exposed to a cold environment. Don't
know the answer to this one but perhaps a call to a clinical nurse
specialist working in a hospital which serves an afro-caribbean population
such as Guy's or St Thomas Hospital in London may be useful. If you get an
answer it may be interesting for the list to see it.

Anne

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C48124.9459B7D0
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version =
5.5.2653.12">
<TITLE>RE: Cold environments</TITLE>
</HEAD>
<BODY>

<P><FONT SIZE=3D2>Helen,</FONT>
</P>

<P><FONT SIZE=3D2>This link may prove informative</FONT>
</P>

<P><FONT SIZE=3D2><A =
HREF=3D"http://www.drugs.com/CG/SICKLE_CELL_CRISIS.html" =
TARGET=3D"_blank">http://www.drugs.com/CG/SICKLE_CELL_CRISIS.html</A></F=
ONT>
</P>

<P><FONT SIZE=3D2>Regards</FONT>
</P>

<P><FONT SIZE=3D2>Paul</FONT>
</P>

<P><FONT SIZE=3D2>-----Original Message-----</FONT>
<BR><FONT SIZE=3D2>From: Anne Harriss [<A =
HREF=3D"mailto:[log in to unmask]">mailto:[log in to unmask]</A>]<=
/FONT>
<BR><FONT SIZE=3D2>Sent: 13 August 2004 11:52</FONT>
<BR><FONT SIZE=3D2>To: [log in to unmask]</FONT>
<BR><FONT SIZE=3D2>Subject: Cold environments</FONT>
</P>
<BR>

<P><FONT SIZE=3D2>Hello Helen</FONT>
</P>

<P><FONT SIZE=3D2>After further pondering your query about cold =
environments and</FONT>
<BR><FONT SIZE=3D2>afro-caribbean&nbsp; workers I wonder whether people =
who have sickle cell disease</FONT>
<BR><FONT SIZE=3D2>are more likely to go into crisis if exposed to a =
cold environment. Don't</FONT>
<BR><FONT SIZE=3D2>know the answer to this one but perhaps a call to a =
clinical nurse</FONT>
<BR><FONT SIZE=3D2>specialist working in a hospital which serves an =
afro-caribbean population</FONT>
<BR><FONT SIZE=3D2>such as Guy's or St Thomas Hospital in London may be =
useful. If you get an</FONT>
<BR><FONT SIZE=3D2>answer it may be interesting for the list to see =
it.</FONT>
</P>

<P><FONT SIZE=3D2>Anne</FONT>
</P>

<P><FONT SIZE=3D2>~~~~~~~~~~~~~~~</FONT>
<BR><FONT SIZE=3D2>Please remove this footer before replying.</FONT>
</P>

<P><FONT SIZE=3D2>For list archives and documents, go to</FONT>
<BR><FONT SIZE=3D2><A =
HREF=3D"http://www.jiscmail.ac.uk/lists/occ-health.html" =
TARGET=3D"_blank">http://www.jiscmail.ac.uk/lists/occ-health.html</A> =
for list archives</FONT>
</P>

<P><FONT SIZE=3D2>For jobs in Occupational Health, go to</FONT>
<BR><FONT SIZE=3D2><A HREF=3D"http://uk.groups.yahoo.com/group/OHJobs/" =
TARGET=3D"_blank">http://uk.groups.yahoo.com/group/OHJobs/</A></FONT>
</P>

</BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C48124.9459B7D0--
=========================================================================
Date:         Fri, 13 Aug 2004 12:30:40 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chloe Coleridge <[log in to unmask]>
Subject:      Re: Cold environments
In-Reply-To:  <[log in to unmask]>
Mime-version: 1.0
Content-type: multipart/alternative; boundary="B_3175245040_758811"

> This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

--B_3175245040_758811
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

Helen
In Fitness to Work ( Fox, Edwards & Palmer p 345)

Ref to sickle cell disease: factors which have and advserse effect on their
condition are:
Hypoxia, acidosis, extremes of temp, dehydration and changes of atmospheric
pressure

Chloe


On 13/8/04 11:59 AM, "Bradley, Paul (Sandiway)" <[log in to unmask]>
wrote:

> Helen,
>
> This link may prove informative
>
> http://www.drugs.com/CG/SICKLE_CELL_CRISIS.html
>
> Regards
>
> Paul
>
> -----Original Message-----
> From: Anne Harriss [mailto:[log in to unmask]]
> Sent: 13 August 2004 11:52
> To: [log in to unmask]
> Subject: Cold environments
>
>
> Hello Helen
>
> After further pondering your query about cold environments and
> afro-caribbean  workers I wonder whether people who have sickle cell disease
> are more likely to go into crisis if exposed to a cold environment. Don't
> know the answer to this one but perhaps a call to a clinical nurse
> specialist working in a hospital which serves an afro-caribbean population
> such as Guy's or St Thomas Hospital in London may be useful. If you get an
> answer it may be interesting for the list to see it.
>
> Anne
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
> ~~~~~~~~~~~~~~~ Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--B_3175245040_758811
Content-type: text/html; charset="US-ASCII"
Content-transfer-encoding: quoted-printable

<HTML>
<HEAD>
<TITLE>Re: Cold environments</TITLE>
</HEAD>
<BODY>
<FONT FACE=3D"Verdana">Helen<BR>
In Fitness to Work ( Fox, Edwards &amp; Palmer p 345)<BR>
<BR>
Ref to sickle cell disease: factors which have and advserse effect on their=
 condition are:<BR>
Hypoxia, acidosis, extremes of temp, dehydration and changes of atmospheric=
 pressure<BR>
<BR>
Chloe<BR>
<BR>
<BR>
On 13/8/04 11:59 AM, &quot;Bradley, Paul (Sandiway)&quot; &lt;Paul.Bradley@=
AMEC.COM&gt; wrote:<BR>
<BR>
</FONT><BLOCKQUOTE><FONT FACE=3D"Verdana"><FONT SIZE=3D"2">Helen,</FONT> <BR>
<BR>
<FONT SIZE=3D"2">This link may prove informative</FONT> <BR>
<BR>
<FONT SIZE=3D"2">http://www.drugs.com/CG/SICKLE_CELL_CRISIS.html</FONT> <BR>
<BR>
<FONT SIZE=3D"2">Regards</FONT> <BR>
<BR>
<FONT SIZE=3D"2">Paul</FONT> <BR>
<BR>
<FONT SIZE=3D"2">-----Original Message-----</FONT> <BR>
<FONT SIZE=3D"2">From: Anne Harriss [mailto:[log in to unmask]]</FONT> <BR=
>
<FONT SIZE=3D"2">Sent: 13 August 2004 11:52</FONT> <BR>
<FONT SIZE=3D"2">To: [log in to unmask]</FONT> <BR>
<FONT SIZE=3D"2">Subject: Cold environments</FONT> <BR>
<BR>
<BR>
<FONT SIZE=3D"2">Hello Helen</FONT> <BR>
<BR>
<FONT SIZE=3D"2">After further pondering your query about cold environments a=
nd</FONT> <BR>
<FONT SIZE=3D"2">afro-caribbean &nbsp;workers I wonder whether people who hav=
e sickle cell disease</FONT> <BR>
<FONT SIZE=3D"2">are more likely to go into crisis if exposed to a cold envir=
onment. Don't</FONT> <BR>
<FONT SIZE=3D"2">know the answer to this one but perhaps a call to a clinical=
 nurse</FONT> <BR>
<FONT SIZE=3D"2">specialist working in a hospital which serves an afro-caribb=
ean population</FONT> <BR>
<FONT SIZE=3D"2">such as Guy's or St Thomas Hospital in London may be useful.=
 If you get an</FONT> <BR>
<FONT SIZE=3D"2">answer it may be interesting for the list to see it.</FONT> =
<BR>
<BR>
<FONT SIZE=3D"2">Anne</FONT> <BR>
<BR>
<FONT SIZE=3D"2">~~~~~~~~~~~~~~~</FONT> <BR>
<FONT SIZE=3D"2">Please remove this footer before replying.</FONT> <BR>
<BR>
<FONT SIZE=3D"2">For list archives and documents, go to</FONT> <BR>
<FONT SIZE=3D"2">http://www.jiscmail.ac.uk/lists/occ-health.html for list arc=
hives</FONT> <BR>
<BR>
<FONT SIZE=3D"2">For jobs in Occupational Health, go to</FONT> <BR>
<FONT SIZE=3D"2">http://uk.groups.yahoo.com/group/OHJobs/</FONT> <BR>
~~~~~~~~~~~~~~~ Please remove this footer before replying. <BR>
<BR>
For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-=
health.html for list archives <BR>
<BR>
For jobs in Occupational Health, go to http://uk.groups.yahoo.com/group/OHJ=
obs/ <BR>
</FONT></BLOCKQUOTE><FONT FACE=3D"Verdana"><BR>
</FONT>
</BODY>
</HTML>

~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--B_3175245040_758811--
=========================================================================
Date:         Fri, 13 Aug 2004 13:02:44 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Denovan Marianne <[log in to unmask]>
Subject:      Mailing List
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4812D.71659290"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4812D.71659290
Content-Type: text/plain;
        charset="iso-8859-1"

Please remove me from the list. Thanks

Regards
Marianne Denovan
Occupational Health Nurse Advisor
University of Bristol
Direct Telephone Line: 0117 946 7284


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4812D.71659290
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<html xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns:st1=3D"urn:schemas-microsoft-com:office:smarttags" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 10">
<meta name=3DOriginator content=3D"Microsoft Word 10">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C48136.978EED00">
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"place"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"PlaceType"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"PlaceName"/>
<!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:Compatibility>
   <w:BreakWrappedTables/>
   <w:SnapToGridInCell/>
   <w:WrapTextWithPunct/>
   <w:UseAsianBreakRules/>
  </w:Compatibility>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if !mso]>
<style>
st1\:*{behavior:url(#default#ieooui) }
</style>
<![endif]-->
<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Courier;
        panose-1:2 7 4 9 2 2 5 2 4 4;
        mso-font-alt:"Courier New";
        mso-font-charset:0;
        mso-generic-font-family:modern;
        mso-font-format:other;
        mso-font-pitch:fixed;
        mso-font-signature:3 0 0 0 1 0;}
@font-face
        {font-family:Fixedsys;
        panose-1:0 0 0 0 0 0 0 0 0 0;
        mso-font-charset:0;
        mso-generic-font-family:swiss;
        mso-font-format:other;
        mso-font-pitch:auto;
        mso-font-signature:3 0 0 0 1 0;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0in;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;
        text-underline:single;}
span.EmailStyle17
        {mso-style-type:personal-compose;
        mso-style-noshow:yes;
        mso-ansi-font-size:10.0pt;
        mso-bidi-font-size:10.0pt;
        font-family:Arial;
        mso-ascii-font-family:Arial;
        mso-hansi-font-family:Arial;
        mso-bidi-font-family:Arial;
        color:windowtext;}
@page Section1
        {size:8.5in 11.0in;
        margin:1.0in 1.25in 1.0in 1.25in;
        mso-header-margin:.5in;
        mso-footer-margin:.5in;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0in 5.4pt 0in 5.4pt;
        mso-para-margin:0in;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]-->
</head>

<body lang=3DEN-US link=3Dblue vlink=3Dpurple =
style=3D'tab-interval:.5in'>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial'>Please remove me from the list. =
Thanks<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D3 face=3DFixedsys><span =
style=3D'font-size:12.0pt;
font-family:Fixedsys;mso-no-proof:yes'>Regards</span></font><span
style=3D'mso-no-proof:yes'><o:p></o:p></span></p>

<p class=3DMsoNormal><font size=3D3 face=3DFixedsys><span =
style=3D'font-size:12.0pt;
font-family:Fixedsys;mso-no-proof:yes'>Marianne =
Denovan</span></font><span
style=3D'mso-no-proof:yes'><o:p></o:p></span></p>

<p class=3DMsoNormal><font size=3D3 face=3DFixedsys><span =
style=3D'font-size:12.0pt;
font-family:Fixedsys;mso-no-proof:yes'>Occupational Health Nurse =
Advisor</span></font><span
style=3D'mso-no-proof:yes'><o:p></o:p></span></p>

<p class=3DMsoNormal><st1:place><st1:PlaceType><font size=3D3 =
face=3DFixedsys><span
  =
style=3D'font-size:12.0pt;font-family:Fixedsys;mso-no-proof:yes'>Univers=
ity</span></font></st1:PlaceType><font
 face=3DFixedsys><span style=3D'font-family:Fixedsys;mso-no-proof:yes'> =
of </span></font><st1:PlaceName><font
  face=3DFixedsys><span =
style=3D'font-family:Fixedsys;mso-no-proof:yes'>Bristol</span></font></s=
t1:PlaceName></st1:place><span
style=3D'mso-no-proof:yes'><o:p></o:p></span></p>

<p class=3DMsoNormal><font size=3D3 face=3DFixedsys><span =
style=3D'font-size:12.0pt;
font-family:Fixedsys;mso-no-proof:yes'>Direct Telephone Line: =
</span></font><font
face=3DCourier><span =
style=3D'font-family:Courier;mso-no-proof:yes'>0117 946 =
7284</span></font><o:p></o:p></p>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'><o:p>&nbsp;</o:p></span></font></p>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4812D.71659290--
=========================================================================
Date:         Fri, 13 Aug 2004 16:06:54 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sheila M Donovan <[log in to unmask]>
Subject:      In your research,
              have you worked with service users or carers as partners?
MIME-Version: 1.0
Content-Type: Multipart/mixed; BOUNDARY="Part10408131606.S"

--Part10408131606.S
Content-Type: Text/Plain; charset="us-ascii"

The Nursing Research Unit has been funded by the Department of Health
to find out what is known about patient and public involvement in
nursing, midwifery and health visiting research. This work is known as
the PIN Project.

We are undertaking a review of the published literature but would also
like to include work that is UNPUBLISHED, ONGOING or RECENTLY
COMPLETED. For example, unpublished research projects, MSc or PhD
project work, research undertaken in practice or action orientated
projects.

If your research has involved working in partnership with service users
or carers we would like to hear about it. We would be grateful if you
would complete the ATTACHED QUESTIONNAIRE and return it to us. We are
offering to send each person who completes the questionnaire a summary
of our findings.

PLEASE NOTE:
1) We will be collecting information on this type of research until the
end of January 2005.

2) We are only collecting information about the involvement of service
users / carers in RESEARCH projects.

3) By INVOLVEMENT in research we mean an active partnership between
service users / carers in the research process, rather than involvement
as the 'subjects' of research.

4) We are not including involvement of service users / carers in other
activities such as seminars, commissioning groups or meetings.

5) We are interested in research with a nursing, midwifery or health
visiting focus that has involved service users / carers. The research
might relate to the promotion of community health, evaluation of
service provision and workforce, evaluation of specialist and new
roles, chronic and palliative care, symptom assessment and management,
education and competence or the interface with social care, or any
other aspect of nursing, midwifery or health visiting practice. We are
including research that has involved any age groups i.e. children or
adults.

6) The attached questionnaire focuses on the reasons why service users
/ carers were involved in the project, how this was achieved and what
aspects of involvement led to successful outcomes.

7) The information we collect will help to develop an understanding of
the complex and rapidly expanding area of patient and public
involvement in research. We will also invite some projects to be
included as 'case studies' in our final report, to show how involvement
can work in different contexts.

8) If you are unsure whether a project is within our remit or if you
have any comments or queries about the PIN project please email:
[log in to unmask]

Further information about the project can be found at:
http://www.kcl.ac.uk/nursing/nru/pin.html




~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--Part10408131606.S
Content-Type: Application/msword; name="JISCMAIL PIN Project questionnaire.doc"
Content-Transfer-Encoding: base64
Content-Disposition: attachment; filename="JISCMAIL PIN Project questionnaire.doc"
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dGhhdCBoZWxwZWQgYWNoaWV2ZSBnb29kIG91dGNvbWVzKSAgDSggDQ0NDQ0N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MP0mZAQBAAFQxggAAAD/BAEBAF2E4vtehDD9YSQDABYAAAomAAtGAwANxggA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AAAAAAC3AAAAAAAAAAAAAAAAtwAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA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AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAABQAFgAKAAEAaQAPAAMAAAAAAAAAAAA4AABA8f8CADgA
DAAGAE4AbwByAG0AYQBsAAAAAgAAABgAQ0oYAF9IAQRhShgAbUgJCHNICQh0
SAkEAABYAAJAAQACAFgADAAJAEgAZQBhAGQAaQBuAGcAIAAyAAAAIwACAAYk
AQ3GCAACWCB3JwAADoTi+w+EMP1AJgFdhOL7XoQw
/QAPADUIgU9KAgBRSgIAYUoUAABeAANAAQACAF4ADAAJAEgAZQBhAGQAaQBu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AIAAAACAmAAAABAwAAAAAAAAAIAAAACAGAAAAAIwAAAAAAAAAIAAAACAmAAA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AAAAAAAAAAAAAAAAABgAAA+EoAURhJj+FcYFAAGgBQZehKAFYISY/gIAAQAu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AwAAAIcHAAADAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAA/v8AAAQAAgAAAAAAAAAAAAAAAAAAAAAAAgAA
AALVzdWcLhsQk5cIACss+a5EAAAABdXN1ZwuGxCTlwgAKyz5rlgBAAAUAQAA
DAAAAAEAAABoAAAADwAAAHAAAAAFAAAAkAAAAAYAAACYAAAAEQAAAKAAAAAX
AAAAqAAAAAsAAACwAAAAEAAAALgAAAATAAAAwAAAABYAAADIAAAADQAAANAA
AAAMAAAA9gAAAAIAAADkBAAAHgAAABYAAABOdXJzaW5nIFJlc2VhcmNoIFVu
aXQAbwADAAAAEAAAAAMAAAADAAAAAwAAAD4JAAADAAAA7Q4JAAsAAAAAAAAA
CwAAAAAAAAALAAAAAAAAAAsAAAAAAAAAHhAAAAEAAAAaAAAAUElOIFByb2pl
Y3QgUVVFU1RJT05OQUlSRQAMEAAAAgAAAB4AAAAGAAAAVGl0bGUAAwAAAAEA
AABIAQAAAwAAAAAAAAAgAAAAAQAAADgAAAACAAAAQAAAAAEAAAACAAAADAAA
AF9QSURfSExJTktTAAIAAADkBAAAQQAAAAABAAAMAAAAAwAAAA0AGgADAAAA
AwAAAAMAAAAAAAAAAwAAAAUAAAAfAAAAKgAAAGgAdAB0AHAAOgAvAC8AdwB3
AHcALgBrAGMAbAAuAGEAYwAuAHUAawAvAG4AdQByAHMAaQBuAGcALwBuAHIA
dQAvAHAAaQBuAC4AaAB0AG0AbAAAAB8AAAABAAAAAAAAAAMAAABwAEwAAwAA
AAAAAAADAAAAAAAAAAMAAAAFAAAAHwAAACAAAABtAGEAaQBsAHQAbwA6AHMA
aABlAGkAbABhAC4AZABvAG4AbwB2AGEAbgBAAGsAYwBsAC4AYQBjAC4AdQBr
AAAAHwAAAAEAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAEAAAACAAAAAwAA
AAQAAAAFAAAABgAAAAcAAAAIAAAACQAAAAoAAAALAAAADAAAAA0AAAAOAAAA
DwAAABAAAAARAAAAEgAAABMAAAD+////FQAAABYAAAAXAAAAGAAAABkAAAAa
AAAAGwAAAP7///8dAAAAHgAAAB8AAAAgAAAAIQAAACIAAAAjAAAAJAAAACUA
AAAmAAAAJwAAACgAAAApAAAAKgAAACsAAAAsAAAA/v///y4AAAAvAAAAMAAA
ADEAAAAyAAAAMwAAADQAAAD+////NgAAADcAAAA4AAAAOQAAADoAAAA7AAAA
PAAAAP7////9////PwAAAP7////+/////v//////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////UgBvAG8AdAAgAEUAbgB0AHIAeQAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAABYABQH//////////wMAAAAGCQIA
AAAAAMAAAAAAAABGAAAAAAAAAAAAAAAAAAmmZDGBxAFBAAAAgAAAAAAAAABE
AGEAdABhAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAACgACAf///////////////wAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAABQAAAAAEAAAAAAAADEAVABhAGIA
bABlAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAOAAIAAQAAAP//////////AAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAHAAAAOohAAAAAAAAVwBvAHIAZABEAG8AYwB1
AG0AZQBuAHQAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAABoAAgEGAAAABQAAAP////8AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAALiYAAAAAAAAFAFMAdQBtAG0AYQByAHkASQBuAGYA
bwByAG0AYQB0AGkAbwBuAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAKAAC
Af///////////////wAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAC0AAAAAEAAAAAAAAAUARABvAGMAdQBtAGUAbgB0AFMAdQBtAG0AYQBy
AHkASQBuAGYAbwByAG0AYQB0AGkAbwBuAAAAAAAAAAAAAAA4AAIBBAAAAP//
////////AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAANQAAAAAQAAAAAAAAAQBDAG8AbQBwAE8AYgBqAAAAAAAA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--Part10408131606.S--
=========================================================================
Date:         Fri, 13 Aug 2004 17:33:29 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      AED
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Hi Folks
I have been asked by one of my clients to find out about organisations in
the UK that offer AED training. As you are based all over the countries you
make have local knowledge you would be prepared to share - please?

Thanking you in anticipation and wearing my sandals at work, so far the only
thing I have managed to drop on my feet is the milk for my coffee! have a
good w/e.

Greta

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.737 / Virus Database: 491 - Release Date: 11/08/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sat, 14 Aug 2004 07:58:56 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Di Bothwick <[log in to unmask]>
Subject:      (no subject)
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="part1_ea.55faf634.2e4f5880_boundary"

--part1_ea.55faf634.2e4f5880_boundary
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Please remove my name from mailing list

Many thanks
Di Bothwick

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--part1_ea.55faf634.2e4f5880_boundary
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<HTML><FONT FACE=3Darial,helvetica><HTML><FONT  SIZE=3D2 PTSIZE=3D10 FAMILY=
=3D"SANSSERIF" FACE=3D"Arial" LANG=3D"0">Please remove my name from mailing=20=
list<BR>
<BR>
Many thanks<BR>
Di Bothwick</FONT></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--part1_ea.55faf634.2e4f5880_boundary--
=========================================================================
Date:         Sun, 15 Aug 2004 19:30:17 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jeanette Warran <[log in to unmask]>
Subject:      Re: AED
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Greta

I did my AED training with St John as well as my AED Trainers course. I know
that Safety First Aid were offering training as well.

Jeanette

Jeanette Warran
Occupational Health Adviser
Skanska Integrated Projects
A Division of Skanska Construction UK Limited
Registration No: 191408
Registered in England
Registered Office: Maple Cross House, Denham Way, Maple Cross,
Rickmansworth, Hertfordshire, WD3 9SW
Privileged/Confidential Information may be contained in this message. If you
are not the addressee indicated in this message (or responsible for delivery
of the message to such person), you may not copy or deliver this message to
anyone. In such case, you should notify us immediately, and destroy this
message.



-----Original Message-----
From: Greta Thornbory [mailto:[log in to unmask]]
Sent: 13 August 2004 17:33
To: [log in to unmask]
Subject: AED


Hi Folks
I have been asked by one of my clients to find out about organisations in
the UK that offer AED training. As you are based all over the countries you
make have local knowledge you would be prepared to share - please?

Thanking you in anticipation and wearing my sandals at work, so far the only
thing I have managed to drop on my feet is the milk for my coffee! have a
good w/e.

Greta

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.737 / Virus Database: 491 - Release Date: 11/08/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 16 Aug 2004 07:03:40 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         John Caffrey <[log in to unmask]>
Subject:      Re: AED
MIME-Version: 1.0
Content-Type: MULTIPART/ALTERNATIVE; DIFFERENCES=Content-Language;
              BOUNDARY="341171-15428-1092636221=:275"

--341171-15428-1092636221=:275
Content-Type: TEXT/PLAIN; CHARSET=US-ASCII
Content-Language: en-GBR

West Yorkshire Ambulance Service (WYMAS) perform our AED training for our
site as well as general first aid training.

Cheers

John Caffrey
Lever Faberge - Leeds

-----Original Message-----
From: Jeanette Warran [mailto:[log in to unmask]]
Sent: 15 August 2004 19:30
To: [log in to unmask]
Subject: Re: AED


Greta

I did my AED training with St John as well as my AED Trainers course. I
know
that Safety First Aid were offering training as well.

Jeanette

Jeanette Warran
Occupational Health Adviser
Skanska Integrated Projects
A Division of Skanska Construction UK Limited
Registration No: 191408
Registered in England
Registered Office: Maple Cross House, Denham Way, Maple Cross,
Rickmansworth, Hertfordshire, WD3 9SW
Privileged/Confidential Information may be contained in this message. If
you
are not the addressee indicated in this message (or responsible for
delivery
of the message to such person), you may not copy or deliver this message to
anyone. In such case, you should notify us immediately, and destroy this
message.



-----Original Message-----
From: Greta Thornbory [mailto:[log in to unmask]]
Sent: 13 August 2004 17:33
To: [log in to unmask]
Subject: AED


Hi Folks
I have been asked by one of my clients to find out about organisations in
the UK that offer AED training. As you are based all over the countries you
make have local knowledge you would be prepared to share - please?

Thanking you in anticipation and wearing my sandals at work, so far the
only
thing I have managed to drop on my feet is the milk for my coffee! have a
good w/e.

Greta

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.737 / Virus Database: 491 - Release Date: 11/08/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--341171-15428-1092636221=:275
Content-Type: TEXT/x-cdsi-msrtf; CHARSET=US-ASCII
Content-ID: 0
Content-Language: en-GBR

{\rtf1\ansi\ansicpg1252\fromtext \deff0{\fonttbl
{\f0\fswiss Arial;}
{\f1\fmodern Courier New;}
{\f2\fnil\fcharset2 Symbol;}
{\f3\fmodern\fcharset0 Courier New;}}
{\colortbl\red0\green0\blue0;\red0\green0\blue255;}
\uc1\pard\plain\deftab360 \f0\fs20\cf0 West Yorkshire Ambulance Service (WYMAS) perform our AED training for our site as well as general first aid training.\par
\par
Cheers\par
\par
John Caffrey\par
Lever Faberge - Leeds\par
\par
-----Original Message-----\par
From: Jeanette Warran [mailto:[log in to unmask]]\par
Sent: 15 August 2004 19:30\par
To: [log in to unmask]\par
Subject: Re: AED\par
\par
\par
Greta\par
\par
I did my AED training with St John as well as my AED Trainers course. I know\par
that Safety First Aid were offering training as well.\par
\par
Jeanette\par
\par
Jeanette Warran\par
Occupational Health Adviser\par
Skanska Integrated Projects\par
A Division of Skanska Construction UK Limited\par
Registration No: 191408\par
Registered in England\par
Registered Office: Maple Cross House, Denham Way, Maple Cross,\par
Rickmansworth, Hertfordshire, WD3 9SW\par
Privileged/Confidential Information may be contained in this message. If you\par
are not the addressee indicated in this message (or responsible for delivery\par
of the message to such person), you may not copy or deliver this message to\par
anyone. In such case, you should notify us immediately, and destroy this\par
message.\par
\par
\par
\par
-----Original Message-----\par
From: Greta Thornbory [mailto:[log in to unmask]]\par
Sent: 13 August 2004 17:33\par
To: [log in to unmask]\par
Subject: AED\par
\par
\par
Hi Folks\par
I have been asked by one of my clients to find out about organisations in\par
the UK that offer AED training. As you are based all over the countries you\par
make have local knowledge you would be prepared to share - please?\par
\par
Thanking you in anticipation and wearing my sandals at work, so far the only\par
thing I have managed to drop on my feet is the milk for my coffee! have a\par
good w/e.\par
\par
Greta\par
\par
Greta Thornbory\par
Consultant, Occupational Health & Education\par
Consultant Editor, OH Journal\par
www.gtenterprises-uk.com\par
Tel: 01235 770156\par
Mob: 07778 518 027\par
\par
\par
---\par
Outgoing mail is certified Virus Free.\par
Checked by AVG anti-virus system (http://www.grisoft.com).\par
Version: 6.0.737 / Virus Database: 491 - Release Date: 11/08/2004\par
\par
~~~~~~~~~~~~~~~\par
Please remove this footer before replying.\par
\par
For list archives and documents, go to\par
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives\par
\par
For jobs in Occupational Health, go to\par
http://uk.groups.yahoo.com/group/OHJobs/\par
\par
~~~~~~~~~~~~~~~\par
Please remove this footer before replying.\par
\par
For list archives and documents, go to\par
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives\par
\par
For jobs in Occupational Health, go to\par
http://uk.groups.yahoo.com/group/OHJobs/\par
}
--341171-15428-1092636221=:275--
=========================================================================
Date:         Mon, 16 Aug 2004 03:11:49 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Haddock <[log in to unmask]>
Subject:      (no subject)
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="part1_1ee.27e93106.2e51b835_boundary"

--part1_1ee.27e93106.2e51b835_boundary
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Please remove my name from the mailing list

thank you

diane haddock

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--part1_1ee.27e93106.2e51b835_boundary
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<HTML><FONT FACE=3Darial,helvetica><HTML><FONT  SIZE=3D2 PTSIZE=3D10 FAMILY=
=3D"SANSSERIF" FACE=3D"Arial" LANG=3D"0">Please remove my name from the mail=
ing list <BR>
<BR>
thank you<BR>
<BR>
diane haddock</FONT></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--part1_1ee.27e93106.2e51b835_boundary--
=========================================================================
Date:         Mon, 16 Aug 2004 11:17:22 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Aileen Stewart <[log in to unmask]>
Subject:      Vaccination policy
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Does anyone have a copy of a vaccination policy for employees travelling
abroad which they'd be willing to share with me ? Also , do you have a
disclaimer for people who still intend to travel but will not accept
vaccination or medication?
Would be glad of any advice/info
Thanks
Aileen Stewart
Occupational Health Manager
University of Glasgow

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 17 Aug 2004 08:51:04 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Overseas travellers
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Do any of you perform 'fitness to fly' medicals on employees who need to
travel overseas on company business?  If so, please would you tell me what
you actually do in these medicals.  My predecessor here did a whole range of
tests including audiometry, spirometry and urinalysis etc but I cannot see
the value in that.  What does everyone else do please??

Lynda

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 17 Aug 2004 09:09:03 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Kinselley, Gillian E" <[log in to unmask]>
Subject:      Re: Overseas travellers
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

We do not undertake medicals but we do a paper screen which includes basics
age-gender- dob- date of travel- allergies- any ongoing medical condition-
current condition and medication- pregnancy - vaccinations - mental health
issues - disability- any other relevant information.
If anybody does have any worrying issues these are then looked at in more
depth.
I tend to agree with you and would'nt arrange a whole range of tests usless
the individual had a concern in that medical area.

Gill

-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 17 August 2004 08:51
To: [log in to unmask]
Subject: Overseas travellers


Do any of you perform 'fitness to fly' medicals on employees who need to
travel overseas on company business?  If so, please would you tell me what
you actually do in these medicals.  My predecessor here did a whole range of
tests including audiometry, spirometry and urinalysis etc but I cannot see
the value in that.  What does everyone else do please??

Lynda

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


.sophos.3.84.08.16.


Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 17 Aug 2004 09:11:51 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Overseas travellers
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Lynda et al

I am devising a chairing a conference on Business Travel Health on Decemb=
er
8th. BA will be covering this subject and various other eminent
organisations involved with travel health &/or sending their staff overse=
as
will be speaking. If you would like more details then please contact me
direct as I will have =A3100 off vouchers! However, the conference will b=
e
reported in OH journal in the new year.

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


----- Original Message -----=20
From: "Hawkes, Lynda" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, August 17, 2004 8:51 AM
Subject: Overseas travellers


> Do any of you perform 'fitness to fly' medicals on employees who need t=
o
> travel overseas on company business?  If so, please would you tell me w=
hat
> you actually do in these medicals.  My predecessor here did a whole ran=
ge
of
> tests including audiometry, spirometry and urinalysis etc but I cannot =
see
> the value in that.  What does everyone else do please??
>
> Lynda
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.737 / Virus Database: 491 - Release Date: 11/08/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 17 Aug 2004 13:08:45 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Shirley - Occhea <[log in to unmask]>
Organization: Occhea
Subject:      Re: AED
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_002D_01C4845B.53FD8330"

This is a multi-part message in MIME format.

------=_NextPart_000_002D_01C4845B.53FD8330
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Dear Greta,
Apologies for the delay in replying.
Kays Medical do our AED training. It has been received very well by =
employees undertaking the training. It is a 4 hour course, Max 10 people =
 costing =A3500 per course. The course can be run on site or at a Kays =
site.
Contact David King for further info. on: 0151 482 2856; =
www.kaymedical.com
Kind regards,
Shirley
  ----- Original Message -----=20
  From: Greta Thornbory=20
  To: [log in to unmask]
  Sent: Friday, August 13, 2004 5:33 PM
  Subject: AED


  Hi Folks
  I have been asked by one of my clients to find out about organisations =
in
  the UK that offer AED training. As you are based all over the =
countries you
  make have local knowledge you would be prepared to share - please?

  Thanking you in anticipation and wearing my sandals at work, so far =
the only
  thing I have managed to drop on my feet is the milk for my coffee! =
have a
  good w/e.

  Greta

  Greta Thornbory
  Consultant, Occupational Health & Education
  Consultant Editor, OH Journal
  www.gtenterprises-uk.com
  Tel: 01235 770156
  Mob: 07778 518 027


  ---
  Outgoing mail is certified Virus Free.
  Checked by AVG anti-virus system (http://www.grisoft.com).
  Version: 6.0.737 / Virus Database: 491 - Release Date: 11/08/2004

  ~~~~~~~~~~~~~~~
  Please remove this footer before replying.

  For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

  For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_002D_01C4845B.53FD8330
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3D"Comic Sans MS" color=3D#000080>Dear =
Greta,</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS" color=3D#000080>Apologies for the =
delay in=20
replying.</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS" color=3D#000080>Kays Medical do our =
AED training.=20
It has been received very well by employees undertaking the training. It =
is a 4=20
hour course, Max 10 people&nbsp; costing =A3500 per course. The course =
can be run=20
on site or at a Kays site.</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS" color=3D#000080>Contact David King for =
further=20
info. on: 0151 482 2856; <A=20
href=3D"http://www.kaymedical.com">www.kaymedical.com</A></FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS" color=3D#000080>Kind =
regards,</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"=20
color=3D#008080><STRONG><EM>Shirley</EM></STRONG></FONT></DIV>
<BLOCKQUOTE=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000080 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Greta Thornbory</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Friday, August 13, 2004 =
5:33=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> AED</DIV>
  <DIV><BR></DIV>Hi Folks<BR>I have been asked by one of my clients to =
find out=20
  about organisations in<BR>the UK that offer AED training. As you are =
based all=20
  over the countries you<BR>make have local knowledge you would be =
prepared to=20
  share - please?<BR><BR>Thanking you in anticipation and wearing my =
sandals at=20
  work, so far the only<BR>thing I have managed to drop on my feet is =
the milk=20
  for my coffee! have a<BR>good w/e.<BR><BR>Greta<BR><BR>Greta=20
  Thornbory<BR>Consultant, Occupational Health &amp; =
Education<BR>Consultant=20
  Editor, OH Journal<BR><A=20
  =
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
  01235 770156<BR>Mob: 07778 518 027<BR><BR><BR>---<BR>Outgoing mail is=20
  certified Virus Free.<BR>Checked by AVG anti-virus system (<A=20
  =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.737=20
  / Virus Database: 491 - Release Date:=20
  11/08/2004<BR><BR>~~~~~~~~~~~~~~~<BR>Please remove this footer before=20
  replying.<BR><BR>For list archives and documents, go to<BR><A=20
  =
href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html">http://www.jiscm=
ail.ac.uk/lists/occ-health.html</A>=20
  for list archives<BR><BR>For jobs in Occupational Health, go to<BR><A=20
  =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/">http://uk.groups.yahoo.=
com/group/OHJobs/</A></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_002D_01C4845B.53FD8330--
=========================================================================
Date:         Wed, 18 Aug 2004 10:10:08 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Barbara McLelland <[log in to unmask]>
Subject:      Change of personnel
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Disposition: inline
Content-Transfer-Encoding: quoted-printable

Please remove my name from the mailing list but include
[log in to unmask]

Thanks in anticipation
=97----------------------------------------------------------------------=
------
CONFIDENTIALITY NOTICE: This e-mail and any attachment is confidential=20
and may be privileged.  If you are not the intended recipient please noti=
fy=20
us immediately.  You should not copy or use it for any purposes, nor=20
disclose its contents to any other person.=20

Please be aware that e-mail is not a secure form of communication.=20
Messages sent via this medium may be subject to delays, non-delivery and=20
unauthorised interference. Although we have scanned this e-mail and any a=
ttachments=20
for viruses, it is your responsibility to ensure that they are actually=20
virus free.=20

DISCLAIMER: Any opinions contained in this message are not necessarily=20
endorsed by Silvertown UK Ltd. Internet communications are not guaranteed
to be secure, therefore the sender accepts no liability for errors or=20
damage as a result of this Internet transmission.------------------

=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 19 Aug 2004 01:02:44 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Leanne MORRISON <[log in to unmask]>
Subject:      Leanne MORRISON/ABZ/UK/EP/Corp is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII

I will be out of the office starting  18/08/2004 and will not return until 23/08/2004.

I will respond to your message when I return.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 19 Aug 2004 01:00:59 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Ann Wilson <[log in to unmask]>
Subject:      Ann Wilson/National Britannia is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=iso-8859-1
Content-transfer-encoding: quoted-printable

I will be out of the office starting  18/08/2004 and will not return un=
til
02/09/2004.

Any issues needing urgent attention please contact Donna Dixon

This transmission has been issued for the  information of the addressee=

only and contains information which is  confidential.=A0 Accordingly, i=
t
should not be altered in any way or copied  or otherwise reproduced in =
any
form, nor should its existence or contents be  disclosed to any other
person.=A0 If you are not the  intended recipient of this transmission =
or any
attachment, please reply  immediately.
=

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 19 Aug 2004 10:40:31 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Visentin Lorenzo <[log in to unmask]>
Subject:      National LA OSH Conference
MIME-Version: 1.0
Content-Type: multipart/related;
              boundary="----_=_NextPart_000_01C485D0.91558810";
              type="multipart/alternative"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_000_01C485D0.91558810
Content-Type: multipart/alternative;
        boundary="----_=_NextPart_001_01C485D0.91558810"


------_=_NextPart_001_01C485D0.91558810
Content-Type: text/plain

Dear colleague,



"Professionals as Partners" - A one day national LA conference.



Please see the attached flyer for a first local-authority-specific safety
and occupational health one day conference in association with the Employers
Organisation, the TUC, West Midlands LGA and Walsall MBC.



I would be delighted to see you there and look forward to hearing from you -
early birds will get a 25% discount to hear from:



*      Hugh Robertson (HSC Commissioner) on government as H&S exemplars

*      Dr Alan Scott (EMAS) Stress audit work in LAs

*      Dr Mark Doggett (WMBC) Physical Agents Directive and implications for
health surveillance

*      Jennifer Lunt (Higher Psychologist at HSL) Local Authority
benchmarking

*      Paul Harvey (HSE) Musculo-skeletal disorders in waste management

*       Frank Coldwell (Director - Amey Highways) Collaborative work with
PFIs for safety performance

*      Jane Kennedy MP (Minister of State for Work) - to be confirmed



The agenda is set to address both safety and health issues in local
government, so please feel free to forward this announcement to any safety
colleagues - or indeed personnel and operational managers who may be
interested.



Best wishes,



Lorenzo Visentin

Principal Occupational Health & Safety Officer

tel: +44 (0)1922 652057

fax:+44 (0)1922 653292

Safety, Health & Wellbeing Services

Walsall Metropolitan Borough Council

The Lily Hall, Walsall Town Hall

Leicester Street

WALSALL WS1 1TW



The information in this message should be regarded as confidential and is
intended for the addressee only unless explicitly stated. If you have
received this message in error it must be deleted and the sender notified.
The views expressed in this message are personal and not necessarily those
of Walsall Metropolitan Borough Council unless explicitly stated. Please be
aware that e-mails sent to or received from Walsall Metropolitan Borough
Council may be intercepted and read by the Council. Interception will only
occur to ensure compliance with Council policies or procedures or regulatory
obligations, to prevent or deter crime, or for the purposes of essential
maintenance or support of the e-mail system.




~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C485D0.91558810
Content-Type: text/html

<html>

<head>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=us-ascii">


<meta name=Generator content="Microsoft Word 10 (filtered)">

<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Wingdings;
        panose-1:5 0 0 0 0 0 0 0 0 0;}
@font-face
        {font-family:"Comic Sans MS";
        panose-1:3 15 7 2 3 3 2 2 2 4;}
@font-face
        {font-family:"Century Gothic";
        panose-1:2 11 5 2 2 2 2 2 2 4;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {margin:0cm;
        margin-bottom:.0001pt;
        font-size:12.0pt;
        font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;}
span.emailstyle17
        {font-family:Arial;
        color:windowtext;}
span.EmailStyle19
        {font-family:Arial;
        color:navy;}
@page Section1
        {size:612.0pt 792.0pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;}
div.Section1
        {page:Section1;}
 /* List Definitions */
 ol
        {margin-bottom:0cm;}
ul
        {margin-bottom:0cm;}
-->
</style>

</head>

<body lang=EN-GB link=blue vlink=purple>

<div class=Section1>

<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Dear colleague,</span></font></p>

<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>&nbsp;</span></font></p>

<p class=MsoNormal><b><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial;font-weight:bold'>"Professionals as Partners" - A
one day national LA conference.</span></font></b></p>

<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>&nbsp;</span></font></p>

<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Please see the attached flyer for a first
local-authority-specific safety and occupational health one day conference in
association with the Employers Organisation, the<font color=navy><span
style='color:navy'> </span></font>TUC, West Midlands LGA and Walsall MBC.</span></font></p>

<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>&nbsp;</span></font></p>

<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>I would be delighted to see you there and look forward to
hearing from you - early birds will get a 25% discount to hear from:</span></font></p>

<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>&nbsp;</span></font></p>

<p class=MsoNormal style='margin-left:18.0pt;text-indent:-18.0pt'><font size=3
face=Symbol><span style='font-size:12.0pt;font-family:Symbol'><img width=13
height=13 src="cid:image001.gif@01C485D8.F2D8C860" alt="*"><font size=1
face="Times New Roman"><span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></font></span></font><font size=2 face=Arial><span style='font-size:
10.0pt;font-family:Arial'>Hugh Robertson (HSC Commissioner) on government as
H&amp;S exemplars</span></font></p>

<p class=MsoNormal style='margin-left:18.0pt;text-indent:-18.0pt'><font size=3
face=Symbol><span style='font-size:12.0pt;font-family:Symbol'><img width=13
height=13 src="cid:image001.gif@01C485D8.F2D8C860" alt="*"><font size=1
face="Times New Roman"><span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></font></span></font><font size=2 face=Arial><span style='font-size:
10.0pt;font-family:Arial'>Dr Alan Scott (EMAS) Stress audit work in LAs</span></font></p>

<p class=MsoNormal style='margin-left:18.0pt;text-indent:-18.0pt'><font size=3
color=navy face=Symbol><span style='font-size:12.0pt;font-family:Symbol;
color:navy'><img width=13 height=13 src="cid:image001.gif@01C485D8.F2D8C860"
alt="*"><font size=1 face="Times New Roman"><span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></font></span></font><font size=2 face=Arial><span style='font-size:
10.0pt;font-family:Arial'>Dr Mark Doggett (WMBC) Physical Agents Directive<font
color=navy><span style='color:navy'> </span></font>and implications for health
surveillance</span></font></p>

<p class=MsoNormal style='margin-left:18.0pt;text-indent:-18.0pt'><font size=3
face=Symbol><span style='font-size:12.0pt;font-family:Symbol'><img width=13
height=13 src="cid:image001.gif@01C485D8.F2D8C860" alt="*"><font size=1
face="Times New Roman"><span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></font></span></font><font size=2 face=Arial><span style='font-size:
10.0pt;font-family:Arial'>Jennifer Lunt (Higher Psychologist at<font
color=navy><span style='color:navy'> </span></font>HSL) Local Authority
benchmarking</span></font></p>

<p class=MsoNormal style='margin-left:18.0pt;text-indent:-18.0pt'><font size=3
face=Symbol><span style='font-size:12.0pt;font-family:Symbol'><img width=13
height=13 src="cid:image001.gif@01C485D8.F2D8C860" alt="*"><font size=1
face="Times New Roman"><span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></font></span></font><font size=2 face=Arial><span style='font-size:
10.0pt;font-family:Arial'>Paul Harvey (HSE) Musculo-skeletal disorders in waste
management</span></font></p>

<p class=MsoNormal style='margin-left:18.0pt;text-indent:-18.0pt'><font size=2
face=Symbol><span style='font-size:10.0pt;font-family:Symbol'><img width=11
height=11 src="cid:image001.gif@01C485D8.F2D8C860" alt="*"><font size=1
face="Times New Roman"><span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></font></span></font><font size=2 face=Arial><span style='font-size:
10.0pt;font-family:Arial'>Frank Coldwell (Director - Amey Highways)
Collaborative work with PFIs for safety performance </span></font></p>

<p class=MsoNormal style='margin-left:18.0pt;text-indent:-18.0pt'><font size=3
face=Symbol><span style='font-size:12.0pt;font-family:Symbol'><img width=13
height=13 src="cid:image001.gif@01C485D8.F2D8C860" alt="*"><font size=1
face="Times New Roman"><span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></font></span></font><font size=2 face=Arial><span style='font-size:
10.0pt;font-family:Arial'>Jane Kennedy MP <font color=navy><span
style='color:navy'>(</span></font>Minister of State for Work<font color=navy><span
style='color:navy'>)</span></font> - to be confirmed</span></font></p>

<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>&nbsp;</span></font></p>

<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>The agenda is set to address both safety and health issues
in local government, so please feel free to forward this announcement to any safety
colleagues - or indeed personnel and operational managers who may be
interested.</span></font></p>

<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>&nbsp;</span></font></p>

<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Best wishes,</span></font></p>

<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>&nbsp;</span></font></p>

<p class=MsoNormal><strong><b><i><font size=3 face="Century Gothic"><span
style='font-size:12.0pt;font-family:"Century Gothic";font-style:italic'>Lorenzo
Visentin</span></font></i></b></strong></p>

<p class=MsoNormal><strong><b><font size=1 face=Arial><span style='font-size:
7.5pt;font-family:Arial'>Principal Occupational Health &amp; Safety Officer</span></font></b></strong></p>

<p class=MsoNormal><font size=1 color=teal face=Arial><span style='font-size:
7.5pt;font-family:Arial;color:teal'>tel: +44 (0)1922 652057</span></font></p>

<p class=MsoNormal><font size=1 color=teal face=Arial><span style='font-size:
7.5pt;font-family:Arial;color:teal'>fax:+44 (0)1922 653292</span></font></p>

<p class=MsoNormal><font size=1 color=teal face=Arial><span style='font-size:
7.5pt;font-family:Arial;color:teal'>Safety, Health &amp; Wellbeing Services</span></font></p>

<p class=MsoNormal><font size=1 color=teal face=Arial><span style='font-size:
 7.5pt;font-family:Arial;color:teal'>Walsall</span></font><font size=1
color=teal face=Arial><span style='font-size:7.5pt;font-family:Arial;
color:teal'> Metropolitan Borough Council</span></font></p>

<p class=MsoNormal><font size=1 color=teal face=Arial><span style='font-size:
7.5pt;font-family:Arial;color:teal'>The Lily Hall, </span></font><font size=1
  color=teal face=Arial><span style='font-size:7.5pt;font-family:Arial;
  color:teal'>Walsall</span></font><font size=1 color=teal face=Arial><span
 style='font-size:7.5pt;font-family:Arial;color:teal'> </span></font><font
  size=1 color=teal face=Arial><span style='font-size:7.5pt;font-family:Arial;
  color:teal'>Town Hall</span></font></p>

<p class=MsoNormal><font size=1 color=teal face=Arial><span style='font-size:
  7.5pt;font-family:Arial;color:teal'>Leicester Street</span></font></p>

<p class=MsoNormal><font size=1 color=teal face=Arial><span style='font-size:
 7.5pt;font-family:Arial;color:teal'>WALSALL</span></font><font size=1
color=teal face=Arial><span style='font-size:7.5pt;font-family:Arial;
color:teal'> WS1 1TW</span></font></p>

<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>&nbsp;</span></font></p>

<p class=MsoNormal><font size=1 color=gray face="Comic Sans MS"><span
style='font-size:7.5pt;font-family:"Comic Sans MS";color:gray'>The information in
this message should be regarded as confidential and is intended for the
addressee only unless explicitly stated. If you have received this message in
error it must be deleted and the sender notified. The views expressed in this
message are personal and not necessarily those of Walsall Metropolitan Borough
Council unless explicitly stated. Please be aware that e-mails sent to or
received from Walsall Metropolitan Borough Council may be intercepted and read
by the Council. Interception will only occur to ensure compliance with Council
policies or procedures or regulatory obligations, to prevent or deter crime, or
for the purposes of essential maintenance or support of the e-mail system.</span></font></p>

<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>&nbsp;</span></font></p>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C485D0.91558810--

------_=_NextPart_000_01C485D0.91558810
Content-Type: application/octet-stream;
        name="Conference Flyer 2004.pdf"
Content-Transfer-Encoding: base64
Content-Disposition: attachment;
        filename="Conference Flyer 2004.pdf"
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=

------_=_NextPart_000_01C485D0.91558810
Content-Type: image/gif;
        name="image001.gif"
Content-Transfer-Encoding: base64
Content-Disposition: attachment;
        filename="image001.gif"
Content-ID: <[log in to unmask]>

R0lGODlhDwAPAHcAACH/C01TT0ZGSUNFOS4wDQAAAAFzUkdCAK7OHOkAIf8LTVNPRkZJQ0U5LjAY
AAAADG1zT1BNU09GRklDRTkuMERuJlAzACH/C01TT0ZGSUNFOS4wGAAAAAxjbVBQSkNtcDA3MTIC
AQEGiroUzgAh+QQBAAABACwAAAAADwAPAIb/99jAwMD/0BP/1Cf/2Dv/32IAAABSUf94eP+Mi/+f
nv/Fxf//8LD/88QFBP8sK///9MT/+Nj/77D/88X/6In/8LH/2tr/v7//sbH/o6P/h4f/eXn/1zv/
4GL/z8//s7P/pqb/mJf/xMT/qKf/mpr/jIz/cXD/YmL/ra3/kZL/hIP/dXb/Wlr/TEz/oqL/hob/
eHf/amr/Tk7/QUD/lpb/enr/bW3/Xl//0BSfn//Gxf95d/+Li///6Ir/54l5eP94d/9SUv8sKv8r
K/8BAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMB
AgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMB
AgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMBAgMB
AgMBAgMBAgMBAgMHh4ABgoOEhYaCBoeDAgMcBQYUFQ0AhjgDBB0GPgyThowEj5sQEZ6XjxQSE6SF
lqCQnJQBNDU2N5YcmT0SnQEuLzAxMjMODwYHCDw5OgEoKSorLC0OQsZACQoLASIjJCUmJ9PGCNfZ
Hh8gIQbq6+wGFhcYGRobDkPGP9fLhsQGQTs82BQFSFQoEAA7

------_=_NextPart_000_01C485D0.91558810
Content-Type: image/gif;
        name="image001.gif"
Content-Transfer-Encoding: base64
Content-Disposition: attachment;
        filename="image001.gif"
Content-ID: <[log in to unmask]>
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------_=_NextPart_000_01C485D0.91558810--
=========================================================================
Date:         Thu, 19 Aug 2004 12:49:11 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Catherine Cross <[log in to unmask]>
Subject:      Re: Overseas travellers
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_4553_10984042.1092912551235"

------=_Part_4553_10984042.1092912551235
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: quoted-printable

Hello Lynda
I am looking into this as well and got the feeling that medicals were OTT, =
however giving advice, vaccinations etc was ok.  I was advised though to do=
 an appropriate course and understand MASTA do good ones.
(Greta - no offence!)
Regards    Cate




=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D
Message date : Aug 17 2004, 09:11 AM
From : "Greta Thornbory"=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 19 Aug 2004 15:23:36 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Overseas travellers
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

That's okay - no offence taken as MASTA are speaking at the conference! The
conference is no substitute for a course, but should be used as part of
professional updating.

Regards Greta

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


----- Original Message -----
From: "Catherine Cross" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, August 19, 2004 11:49 AM
Subject: Re: Overseas travellers


Hello Lynda
I am looking into this as well and got the feeling that medicals were OTT,
however giving advice, vaccinations etc was ok.  I was advised though to do
an appropriate course and understand MASTA do good ones.
(Greta - no offence!)
Regards    Cate




========================================
Message date : Aug 17 2004, 09:11 AM
From : "Greta Thornbory"

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJob


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.737 / Virus Database: 491 - Release Date: 11/08/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 19 Aug 2004 19:46:27 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandra Babbngs <[log in to unmask]>
Subject:      Study Day
MIME-Version: 1.0
Content-Transfer-Encoding: quoted-printable
Content-Type: text/plain; charset=ISO-8859-1

We would love to see you at our study day in Septmenber please
The McAlpine Stadium, Huddersfield on Tuesday, 21st September, 2004. The
cost of the study day will be =A355.00 and will include morning coffee, 2
course lunch and afternoon tea.
The day commences at 8:30am with coffee and registration. The
chairperson=92s opening remarks will commence at 9:50am prompt. The day will=

close at 4:30pm. A number of suppliers of medical, safety and other
associated equipment will be exhibiting throughout the day.

Dr. Neil Shaw: MB. Ch.B. DRCOG. MRCGP. AFOM
Topic - Hand / Arm Vibration

SPEAKER  : Mr. Jeremy Smith. Whittles Solicitors, Manchester.
Topic - Occupational Health and Safety

SPEAKER  :         Mr. John Keen:  Clinical Director,
Cognitive Behaviour Therapy
Centre West Yorkshire
Topic - Stress in the Workplace

SPEAKER  :        Mr. Danny Leech:  Training and Development
Co-ordinator,
Calderdale Drug Action Team
Topic - Drugs!-How to make policies and influence people

If you would like to attend the Study Day you must complete the
application form and return to the following address:
Mrs. Patricia Campbell
15, Sunnybank Road,
Edgerton
Huddersfield, HD3 3DE       Telephone: 01484 511157    E-mail:
[log in to unmask]

Cheques must accompany application forms and be made payable to WYOHNG. A
receipt will be forwarded. However invoices cannot be arranged. In the
event of cancellation before 9/9/04 a fee of =A310 will be deducted from the=

refund to cover costs incurred. After this date no refund will be given.
Full programmes will be available on the day. Overnight accommodation is
available at The Stadium.
=85=85=85=85=85=85=85=85=85=85=85=85=85=85=85=85=85=85=85=85=85=85=85=85=85=85=
=85=85=85=85=85=85=85=85=85=85

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 19 Aug 2004 23:46:14 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         OccHealth <[log in to unmask]>
Subject:      Dermatitis ?cause ?work related
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_009E_01C48646.B6FBBB40"

This is a multi-part message in MIME format.

------=_NextPart_000_009E_01C48646.B6FBBB40
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

I have a client whose work includes the use of an Edge Gilding Machine. =
Work [i.e. paper/card] is fed into the machine; goes thru' a series of =
sanding belts and then pre-heated and metalised gilding foil is applied =
to the product, the work is then counted and inspected.

They've had 3 workers who periodically have had a rashes on their hands =
which may have been caused by this process.( 2 (female) no longer work =
on it and appear to have improved!) the other (male) enjoys the work and =
has therefore remained on it and has had skin patch testing which only =
showed up a slight reaction to - Methyldibromo Glutaronitrile(MG).

[They have asked for the Product Data Sheets from the suppliers but have =
not had any joy in getting them!!]

Can anyone shed any light here for me.

MG can be found in so many cosmetics and protective creams that its v =
difficult to say if that is the cause. I suppose one question is- Is it =
found in metalised gilding foil?=20

Any help here would be much appreciated.

Also can anyone recommend a company for skin patch testing please - =
Chris Packham is this a service you offer?

Many thanks to all
Helen

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_009E_01C48646.B6FBBB40
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1264" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>I have a client whose work includes the =
use of an=20
Edge Gilding Machine. Work [i.e. paper/card] is fed into the =
machine;&nbsp;goes=20
thru' a series of sanding belts and then pre-heated and metalised =
gilding foil=20
is applied to the product, the work is then counted and =
inspected.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>They've had 3 workers who periodically =
have=20
had&nbsp;a rashes on their hands which may have been caused by this =
process.( 2=20
(female)&nbsp;no longer work on it and appear to have improved!) the =
other=20
(male) enjoys the work and has therefore remained on it and has had=20
skin&nbsp;patch testing which only showed up a slight reaction to=20
-&nbsp;Methyldibromo Glutaronitrile(MG).</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>[They have asked for the Product Data =
Sheets from=20
the suppliers but have not had any joy in getting them!!]</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Can anyone shed any light here for =
me.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>MG can be found in so many cosmetics =
and protective=20
creams that its v difficult to say if that is the cause. I suppose one =
question=20
is- Is&nbsp;it found in metalised gilding foil? </FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Any help here would be much=20
appreciated.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Also can anyone recommend a company for =
skin patch=20
testing please - Chris Packham is this a service you offer?</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Many thanks to all</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Helen</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_009E_01C48646.B6FBBB40--
=========================================================================
Date:         Fri, 20 Aug 2004 01:03:27 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Susan Ford <[log in to unmask]>
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

I will be out of the office starting  18/08/2004 and will not return until
24/08/2004.






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

This e-mail is confidential and may contain privileged information.  If you
are not the addressee or if you have received the e-mail in error, it may
be unlawful for you to read, copy, distribute, disclose or otherwise use the
information which it contains.  Under these circumstances, please notify
us immediately by returning this mail to [log in to unmask] and deleting
this e-mail from your system.

Any views expressed by an individual within this e-mail do not necessarily
reflect the views of Cadbury Schweppes Plc or its subsidiaries.  Cadbury
Schweppes Plc will not be bound by any agreement entered into as a result
of this email, unless its intention is clearly evidenced in the body of the email.
Whilst we have taken reasonable steps to ensure that this e-mail and
attachments are free from viruses, recipients are advised to subject this mail
to their own virus checking, in keeping with good computing practice. Please
note that email received by Cadbury Schweppes Plc or its subsidiaries may be
monitored in accordance with the prevailing law in the United Kingdom.

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

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 20 Aug 2004 07:15:24 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         John Caffrey <[log in to unmask]>
Subject:      Occupational Health Computer Systems
MIME-Version: 1.0
Content-Type: MULTIPART/ALTERNATIVE; DIFFERENCES=Content-Language;
              BOUNDARY="414593-32196-1092982524=:222"

--414593-32196-1092982524=:222
Content-Type: TEXT/PLAIN; CHARSET=US-ASCII
Content-Language: en-GBR

To All

I am part of a working party for my parent company who will be
implementing the OPAS occupational health computer system nation-wide.

I would be grateful if those who have experience of working with the OPAS
programme could share with me their views and experiences of the system.
I would also be very grateful if there is an Occupational Health
Department preferably within the Yorkshire area that would allow me to
visit their site to view it in operation and to discuss how they
implemented OPAS, how it is used today, and what they find the benefits
and limitations are.

Thank you very much for your help.

Cheers

John
_______________________________________________________________________________________________________________________________________
John Caffrey
Occupational Health Manager
Lever Faberge Ltd.
Coal Road
Seacroft
LEEDS LS14 2AR

Tel: 0113 222 5323  Fax: 0113 222 5377

"At the leading edge in Occupational Health we will be an integral part of
the business, promoting a quality service that protects, promotes and
enhances the health of all our employees at work"
________________________________________________________________________________________________________________________________________
This email, and any attachments, is strictly confidential.  Accordingly
this email and its attachments should not be forwarded, reproduced or made
available to any third party under any circumstances without prior consent
from Occupational Health.  If you are not the intended recipient please
advise the sender immediately by reply email and delete the message and
any attachments without reading, distributing or copying.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--414593-32196-1092982524=:222
Content-Type: TEXT/x-cdsi-msrtf; CHARSET=US-ASCII
Content-ID: 0
Content-Language: en-GBR

{\rtf1\ansi\ansicpg1252\fromhtml1 \deff0{\fonttbl
{\f0\fswiss\fcharset0 Arial;}
{\f1\fmodern Courier New;}
{\f2\fnil\fcharset2 Symbol;}
{\f3\fmodern\fcharset0 Courier New;}
{\f4\fswiss\fcharset0 Arial;}}
{\colortbl\red0\green0\blue0;\red0\green0\blue255;\red255\green0\blue0;}
\uc1\pard\plain\deftab360 \f0\fs24\cf0
{\*\htmltag243 <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">}
{\*\htmltag3 \par }
{\*\htmltag19 <HTML>}
{\*\htmltag34 <HEAD>}
{\*\htmltag1 \par }
{\*\htmltag1 \par }
{\*\htmltag161 <META content="MSHTML 6.00.2716.2200" name=GENERATOR>}
{\*\htmltag41 </HEAD>}
{\*\htmltag2 \par }
{\*\htmltag50 <BODY bgColor=#ffffff>}\htmlrtf \viewkind5
{\*\background {\shp{\*\shpinst{\sp{\sn fillColor}{\sv 16777215}}{\sp{\sn fFilled}{\sv 1}}}}}\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag84 <SPAN class=717021006-20082004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Arial size=2>}\htmlrtf {\f4 \fs20 \htmlrtf0 To
{\*\htmltag4 \par }All
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag84 <SPAN class=717021006-20082004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Arial \par size=2>}\htmlrtf {\f4 \fs20 \htmlrtf0
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag84 <SPAN class=717021006-20082004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Arial size=2>}\htmlrtf {\f4 \fs20 \htmlrtf0 I am part of a
{\*\htmltag4 \par }working party for my parent company who will be implementing the OPAS
{\*\htmltag4 \par }occupational health computer system nation-wide.
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag84 <SPAN class=717021006-20082004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Arial \par size=2>}\htmlrtf {\f4 \fs20 \htmlrtf0
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag84 <SPAN class=717021006-20082004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Arial size=2>}\htmlrtf {\f4 \fs20 \htmlrtf0 I would be grateful
{\*\htmltag4 \par }if those who have experience of working with the OPAS programme could share with
{\*\htmltag4 \par }me their views and experiences of the system.
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0  I would also be very
{\*\htmltag4 \par }grateful if there is an Occupational Health Department preferably within the
{\*\htmltag4 \par }Yorkshire area that would allow me to visit their site to view it in operation
{\*\htmltag4 \par }and to discuss how they implemented OPAS, how it is used today, and what they
{\*\htmltag4 \par }find the benefits and limitations are.
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag84 <SPAN class=717021006-20082004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Arial \par size=2>}\htmlrtf {\f4 \fs20 \htmlrtf0
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag84 <SPAN class=717021006-20082004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Arial size=2>}\htmlrtf {\f4 \fs20 \htmlrtf0 Thank you very much
{\*\htmltag4 \par }for your help.
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag84 <SPAN class=717021006-20082004>}\htmlrtf {\htmlrtf0
{\*\htmltag4 \par }\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf}\htmlrtf0

{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0
{\*\htmltag112 <BR>}\htmlrtf \par
\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Arial size=2>}\htmlrtf {\f4 \fs20 \htmlrtf0 Cheers
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 \htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Arial size=2>}\htmlrtf {\f4 \fs20 \htmlrtf0
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 \htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0
{\*\htmltag88 </SPAN>}{\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag84 <SPAN class=717021006-20082004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Arial \par size=2>}\htmlrtf {\f4 \fs20 \htmlrtf0 John
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT \par size=2>}\htmlrtf {\fs20 \htmlrtf0 _______________________________________________________________________________________________________________________________________
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0 John Caffrey
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0 Occupational Health Manager
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0 Lever Faberge Ltd.
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0 Coal Road
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0 Seacroft
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0 LEEDS LS14 2AR
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0 Tel: 0113 222 5323
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0  Fax: 0113 222 5377
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0 "At the leading edge in Occupational Health we will be an
{\*\htmltag4 \par }integral part of the business, promoting a quality service that protects,
{\*\htmltag4 \par }promotes and enhances the health of all our employees at work"
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT \par size=2>}\htmlrtf {\fs20 \htmlrtf0 ________________________________________________________________________________________________________________________________________
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT color=#ff0000 size=2>}\htmlrtf {\cf2 \fs20 \htmlrtf0 This email, and any attachments, is strictly
{\*\htmltag4 \par }confidential.
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0  Accordingly this email and its attachments should not be
{\*\htmltag4 \par }forwarded, reproduced or made available to any third party under any
{\*\htmltag4 \par }circumstances without prior consent from Occupational Health.
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0  If you are
{\*\htmltag4 \par }not the intended recipient please advise the sender immediately by reply email
{\*\htmltag4 \par }and delete the message and any attachments without reading, distributing or
{\*\htmltag4 \par }copying.
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag58 </BODY>}
{\*\htmltag27 </HTML>}
{\*\htmltag3 \par }}
--414593-32196-1092982524=:222--
=========================================================================
Date:         Fri, 20 Aug 2004 07:42:23 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      card gilding
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

I would have thoiuht it might be whatever metal is in the gild- perhaps some
nickel as a good proportion of females are sensitised by having pierced
ears. Do the ladies concerned have problems with inexpensive jewellery?
I wonder where the initial patch yesting was done, and why you are seeking
to have it done elsewhere?
if you are anywhere near Bimingham i can reccomend the dermatologist Iain
Foulds who has an interest in OH. If not near Birmingham, you may wish to
ask at the nearest OH training place- they will probably know who the
local/regional people are with an interest in OH and skin..

Best wishes,
Diane Romano-Woodward

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 20 Aug 2004 10:18:09 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Anne Harriss <[log in to unmask]>
Subject:      Re: AED
In-Reply-To:  <001b01c48153$4483bf10$72af9851@gh0953f0versng>
Mime-version: 1.0
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

on 13/8/04 5:33 pm, Greta Thornbory at [log in to unmask] wrote:

> Hi Folks
> I have been asked by one of my clients to find out about organisations in
> the UK that offer AED training. As you are based all over the countries you
> make have local knowledge you would be prepared to share - please?
>
> Thanking you in anticipation and wearing my sandals at work, so far the only
> thing I have managed to drop on my feet is the milk for my coffee! have a
> good w/e.
>
> Greta
>
> Greta Thornbory
> Consultant, Occupational Health & Education
> Consultant Editor, OH Journal
> www.gtenterprises-uk.com
> Tel: 01235 770156
> Mob: 07778 518 027
>
>
> ---
> Outgoing mail is certified Virus Free.
> Checked by AVG anti-virus system (http://www.grisoft.com).
> Version: 6.0.737 / Virus Database: 491 - Release Date: 11/08/2004
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
Hello Greta and List

I know this is a couple of weeks after you enquiry but I'll answer just the
same. In addition to my consultancy services and HSE first aid at work
training I run a variety of first and emergency  aid courses including AED
training.

I have been running  AED training thoughout the country and I believe that
the pricing is the  most competitive on the market. Should you wish more
details please contact me off list at [log in to unmask]

Cheers

Anne Harriss

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 20 Aug 2004 20:03:57 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chris Packham <[log in to unmask]>
Subject:      Re: Dermatitis ?cause ?work related
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0080_01C486F0.D3B47AB0"

This is a multi-part message in MIME format.

------=_NextPart_000_0080_01C486F0.D3B47AB0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Helen

Without actually seeing the operation and being able to assess where =
exposure is possibly occurring it is impossible to give a precise =
suggestion as to what is happening. (It's a bit like trying to diagnose =
the wife's illness without seeing her just from the husband's =
description of the symptoms!)

It could be that the gilding foil has some form of adhesive coating. =
Equally it could be that there is something in the paper and the paper =
dust is getting on to the skin. Of course, these are mere speculations.

We are not medically qualified and do not do patch testing ourselves. =
However, if you need a recommendation I suggest you contact me off line =
and when I know where you are I can probably recommend someone local. It =
is important that when you send someone for patch testing you let the =
dermatologist have a list of the various substances with which they may =
have contact, otherwise he/she may not patch test with the right =
allergens and you may not get a helpful diagnosis.

You can get me on 01386 832 311 or my mobile 07818 035 898

Best regards
Chris Packham
EnviroDerm Services

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_0080_01C486F0.D3B47AB0
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT color=3D#000080>Helen</FONT></DIV>
<DIV><FONT color=3D#000080></FONT>&nbsp;</DIV>
<DIV><FONT color=3D#000080>Without actually seeing the operation and =
being able to=20
assess where exposure is possibly occurring it is impossible to give a =
precise=20
suggestion as to what is happening. (It's a bit like trying to diagnose =
the=20
wife's illness without seeing her just from the husband's description of =
the=20
symptoms!)</FONT></DIV>
<DIV><FONT color=3D#000080></FONT>&nbsp;</DIV>
<DIV><FONT color=3D#000080>It could be that the gilding foil has some =
form of=20
adhesive coating. Equally it could be that there is something in the =
paper and=20
the paper dust is getting on to the skin. Of course, these are mere=20
speculations.</FONT></DIV>
<DIV><FONT color=3D#000080></FONT>&nbsp;</DIV>
<DIV><FONT color=3D#000080>We are not medically qualified and do not do =
patch=20
testing ourselves. However, if you need a recommendation I suggest you =
contact=20
me off line and when I know where you are I can probably recommend =
someone=20
local. It is important that when you send someone for patch testing you =
let the=20
dermatologist have a list of the various substances with which they may =
have=20
contact, otherwise he/she may not patch test with the right allergens =
and=20
you&nbsp;may not get a helpful diagnosis.</FONT></DIV>
<DIV><FONT color=3D#000080></FONT>&nbsp;</DIV>
<DIV><FONT color=3D#000080>You can get me on 01386 832 311 or my mobile =
07818 035=20
898</FONT></DIV>
<DIV><FONT color=3D#000080></FONT>&nbsp;</DIV>
<DIV><FONT color=3D#000080>Best regards</FONT></DIV>
<DIV><FONT color=3D#000080>Chris Packham</FONT></DIV>
<DIV><FONT color=3D#000080>EnviroDerm =
Services</FONT></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0080_01C486F0.D3B47AB0--
=========================================================================
Date:         Sat, 21 Aug 2004 07:43:05 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Barbara Spencer <[log in to unmask]>
Subject:      Upper Limb Policy
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1093088585"

-------------------------------1093088585
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

I am currently working as a Occ Health Advisor for a Company  which carry out
a high level of manual handling duties (repetitive) plus a  call centre
environment.

We have high insidences of upper limb problems.  I have arranged a
contracted physiotherapist to join our team but looking at putting in place an  upper
limb policy.

Does anybody wihtin the group have a current upper limb policy that they
could share with me?  I would be most grateful

Barbara Spencer



 that have a number of sites .  Most areas require heavy manual  handling and
other sites are call centre environments.

in an area which is both heavy manual handling work and

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1093088585
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2800.1106" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY:=20=
Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3DArial color=3D#000000 size=3D2>
<DIV>I am currently working as a Occ Health Advisor for a Company=20
which&nbsp;carry out a high level of manual handling duties (repetitive) plu=
s a=20
call centre environment.</DIV>
<DIV>&nbsp;</DIV>
<DIV>We have high insidences of upper limb problems.&nbsp; I have arranged a=
=20
contracted physiotherapist to join our team but looking at putting in place=20=
an=20
upper limb policy.&nbsp; </DIV>
<DIV>&nbsp;</DIV>
<DIV>Does anybody wihtin the group have a current upper limb policy that the=
y=20
could share with me?&nbsp; I would be most grateful</DIV>
<DIV>&nbsp;</DIV>
<DIV>Barbara Spencer</DIV>
<DIV>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV>&nbsp;that have a number of sites .&nbsp; Most areas require heavy manu=
al=20
handling and other sites are call centre environments.&nbsp; </DIV>
<DIV>&nbsp;</DIV>
<DIV>in an area which is both heavy manual handling work and=20
</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1093088585--
=========================================================================
Date:         Sun, 22 Aug 2004 17:51:18 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Margaret Mercer <[log in to unmask]>
Subject:      Re: Occupational Health Computer Systems
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit

John,
Good luck... Still at it
If I remember yorkshire water had opas???
Cheers
margaret

-----Original Message-----
From: John Caffrey [mailto:[log in to unmask]]
Sent: 20 August 2004 07:15
To: [log in to unmask]
Subject: Occupational Health Computer Systems


To All

I am part of a working party for my parent company who will be
implementing the OPAS occupational health computer system nation-wide.

I would be grateful if those who have experience of working with the
OPAS programme could share with me their views and experiences of the
system. I would also be very grateful if there is an Occupational Health
Department preferably within the Yorkshire area that would allow me to
visit their site to view it in operation and to discuss how they
implemented OPAS, how it is used today, and what they find the benefits
and limitations are.

Thank you very much for your help.

Cheers

John
________________________________________________________________________
_______________________________________________________________
John Caffrey
Occupational Health Manager
Lever Faberge Ltd.
Coal Road
Seacroft
LEEDS LS14 2AR

Tel: 0113 222 5323  Fax: 0113 222 5377

"At the leading edge in Occupational Health we will be an integral part
of the business, promoting a quality service that protects, promotes and
enhances the health of all our employees at work"
________________________________________________________________________
________________________________________________________________
This email, and any attachments, is strictly confidential.  Accordingly
this email and its attachments should not be forwarded, reproduced or
made available to any third party under any circumstances without prior
consent from Occupational Health.  If you are not the intended recipient
please advise the sender immediately by reply email and delete the
message and any attachments without reading, distributing or copying.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 23 Aug 2004 01:00:20 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Gail Collins <[log in to unmask]>
Subject:      Gail Collins/National Britannia is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=iso-8859-1
Content-transfer-encoding: quoted-printable

I will be out of the office starting  20/08/2004 and will not return un=
til
31/08/2004.

I will respond to your message when I return.
If your message is urgent please resend your email to
[log in to unmask]

This transmission has been issued for the  information of the addressee=

only and contains information which is  confidential.=A0 Accordingly, i=
t
should not be altered in any way or copied  or otherwise reproduced in =
any
form, nor should its existence or contents be  disclosed to any other
person.=A0 If you are not the  intended recipient of this transmission =
or any
attachment, please reply  immediately.
=

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 23 Aug 2004 08:58:03 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sharon JOnes <[log in to unmask]>
Subject:      Health Surveillance and Welding

We are currently reviewing our respiratory health surveillance to make sure
that we are screening the correct people at the correct time etc.

Can I ask if any of you cover OH for a weldiing environment? If so, please
would it be possible to let me know what you are doing in terms of
respiratory health screening?

Many thanks
Best Wishes
Sharon
x

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 23 Aug 2004 08:54:22 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Stress/Depression tools (MS Excel)
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Carol,
Please let me have your address so that I can send this to you.
Regards
Lynda

-----Original Message-----
From: Carole Wallace [mailto:[log in to unmask]]
Sent: Monday, July 05, 2004 11:35 AM
To: [log in to unmask]
Subject: Re: Stress/Depression tools (MS Excel)


Lynda,

Yes please that would be great.

Regards,
Carol.

-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 05 July 2004 09:40
To: Carol Wallace
Subject: Re: Stress/Depression tools (MS Excel)


I can get one for you but not before July 15th - any use??
Lynda

-----Original Message-----
From: Carole Wallace [mailto:[log in to unmask]]
Sent: Monday, July 05, 2004 9:31 AM
To: [log in to unmask]
Subject: Re: Stress/Depression tools (MS Excel)


And on the subject is anyone able to share, or knows of a source for First
Aid Skills Test Sheet to assess students on CPR and care of the Unconscious
Casualty?

Regards, Carol.

-----Original Message-----
From: Antony ('Tom') Thomas [mailto:[log in to unmask]]
Sent: 04 July 2004 22:54
To: Carol Wallace
Subject: Stress/Depression tools (MS Excel)


Does anyone know where I can get my hands on/download some (free) MS Excel
self-test tools for stress and depression?

....not for me of course, but for, er.... research.

Yours tearfully,

Tom

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
---
Incoming mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.690 / Virus Database: 451 - Release Date: 22/05/2004

---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.690 / Virus Database: 451 - Release Date: 22/05/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
---
Incoming mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.690 / Virus Database: 451 - Release Date: 22/05/2004

---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.690 / Virus Database: 451 - Release Date: 22/05/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 23 Aug 2004 10:11:44 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         =?iso-8859-1?q?MARGARET=20MERCER?=
              <[log in to unmask]>
Subject:      first aiders' record keeping
MIME-Version: 1.0
Content-Type: multipart/alternative; boundary="0-1116049808-1093252304=:26511"
Content-Transfer-Encoding: 8bit

--0-1116049808-1093252304=:26511
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

Dear all,
 I would appreciate your advice on what records First aiders should or should not keep.

My instinct is that they should keep a record of individuals they see, and what advice or "first aid" they administer for everything they see.  ( This may not only be occupational injury, but any acute illness they could be asked to give first aid for)

This could then mean they have sensitive data about individuals and which is not compatible with the Data Protection Act.

What do your first aiders do for record keeping?  How long are such records kept for?
Do other people have access to the first aid records?

Thank you in anticipation

Margaret


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--0-1116049808-1093252304=:26511
Content-Type: text/html; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

<DIV>
<DIV>Dear all,</DIV>
<DIV>&nbsp;I would appreciate your advice on what records First aiders should or should not keep.</DIV>
<DIV>&nbsp;</DIV>
<DIV>My instinct is that they should keep a record of individuals they see, and what&nbsp;advice or "first aid" they administer&nbsp;for everything they see.&nbsp; ( This may not only be&nbsp;occupational injury, but any acute illness they could be asked to give first aid for) </DIV>
<DIV>&nbsp;</DIV>
<DIV>This could then mean they have sensitive data about individuals and which is not compatible with the Data Protection Act.&nbsp; </DIV>
<DIV>&nbsp;</DIV>
<DIV>What do your first aiders do for record keeping?&nbsp; How long are such records kept for?</DIV>
<DIV>Do other people have access to the first aid records?</DIV>
<DIV>&nbsp;</DIV>
<DIV>Thank you in anticipation</DIV>
<DIV>&nbsp;</DIV>
<DIV>Margaret</DIV></DIV>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-1116049808-1093252304=:26511--
=========================================================================
Date:         Mon, 23 Aug 2004 10:26:12 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Kinselley, Gillian E" <[log in to unmask]>
Subject:      Re: first aiders' record keeping
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C488F3.3B490C50"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C488F3.3B490C50
Content-Type: text/plain; charset="iso-8859-1"



-----Original Message-----
From: MARGARET MERCER [mailto:[log in to unmask]]
Sent: 23 August 2004 10:12
To: [log in to unmask]
Subject: first aiders' record keeping


Dear all,
 I would appreciate your advice on what records First aiders should or
should not keep.

My instinct is that they should keep a record of individuals they see, and
what advice or "first aid" they administer for everything they see.  ( This
may not only be occupational injury, but any acute illness they could be
asked to give first aid for)

This could then mean they have sensitive data about individuals and which is
not compatible with the Data Protection Act.

What do your first aiders do for record keeping?  How long are such records
kept for?
Do other people have access to the first aid records?

Thank you in anticipation

Margaret
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

.sophos.3.84.08.20.




Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C488F3.3B490C50
Content-Type: text/html; charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 6.00.2800.1106" name=GENERATOR></HEAD>
<BODY>
<DIV>&nbsp;</DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> MARGARET MERCER
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 23 August 2004
  10:12<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> first aiders'
  record keeping<BR><BR></FONT></DIV>
  <DIV>
  <DIV>Dear all,</DIV>
  <DIV>&nbsp;I would appreciate your advice on what records First aiders should
  or should not keep.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>My instinct is that they should keep a record of individuals they see,
  and what&nbsp;advice or "first aid" they administer&nbsp;for everything they
  see.&nbsp; ( This may not only be&nbsp;occupational injury, but any acute
  illness they could be asked to give first aid for) </DIV>
  <DIV>&nbsp;</DIV>
  <DIV>This could then mean they have sensitive data about individuals and which
  is not compatible with the Data Protection Act.&nbsp; </DIV>
  <DIV>&nbsp;</DIV>
  <DIV>What do your first aiders do for record keeping?&nbsp; How long are such
  records kept for?</DIV>
  <DIV>Do other people have access to the first aid records?</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Thank you in anticipation</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Margaret</DIV></DIV>~~~~~~~~~~~~~~~ Please remove this footer before
  replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/<CODE><FONT
  size=3><BR><BR>.sophos.3.84.08.20.<BR></FONT></CODE></P></BLOCKQUOTE><CODE><FONT SIZE=3><BR>
<BR>
Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.<BR>
<BR>
This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.<BR>
<BR>
If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.<BR>
<BR>
Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.<BR>
<BR>
Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc. <BR>
</FONT></CODE>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C488F3.3B490C50--
=========================================================================
Date:         Mon, 23 Aug 2004 10:23:29 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: first aiders' record keeping
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C488F2.DA1E2B90"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C488F2.DA1E2B90
Content-Type: text/plain;
        charset="iso-8859-1"

Our First Aiders have a "Day Book"  which they use for all non work accident
cases.  They document date, time, name, department, problem and treatment
given and then they sign the entry.  The Day Book is kept in the First Aid
Room and only the First Aiders have access to that room  Obviously they do
not give out any medications (neither do I for that matter) but they do
record all treatment and advice that they provide, including whether or not
the patient takes their advice - i.e. refuses to go home etc.
Hope that helps.
Lynda

-----Original Message-----
From: MARGARET MERCER [mailto:[log in to unmask]]
Sent: Monday, August 23, 2004 10:12 AM
To: [log in to unmask]
Subject: first aiders' record keeping


Dear all,
 I would appreciate your advice on what records First aiders should or
should not keep.

My instinct is that they should keep a record of individuals they see, and
what advice or "first aid" they administer for everything they see.  ( This
may not only be occupational injury, but any acute illness they could be
asked to give first aid for)

This could then mean they have sensitive data about individuals and which is
not compatible with the Data Protection Act.

What do your first aiders do for record keeping?  How long are such records
kept for?
Do other people have access to the first aid records?

Thank you in anticipation

Margaret
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C488F2.DA1E2B90
Content-Type: text/html;
        charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 5.50.4937.800" name=GENERATOR></HEAD>
<BODY>
<DIV><SPAN class=459242809-23082004><FONT face=Arial color=#0000ff size=2>Our
First Aiders have a "Day Book"&nbsp; which they use for all non work accident
cases.&nbsp; They document date, time, name, department, problem and treatment
given and then they sign the entry.&nbsp; The Day Book is kept in the First Aid
Room and only the First Aiders have access to that room&nbsp; Obviously they do
not give out any medications (neither do I for that matter) but they do record
all treatment and advice that they provide, including whether or not the patient
takes their advice - i.e. refuses to go home etc.</FONT></SPAN></DIV>
<DIV><SPAN class=459242809-23082004><FONT face=Arial color=#0000ff size=2>Hope
that helps.</FONT></SPAN></DIV>
<DIV><SPAN class=459242809-23082004><FONT face=Arial color=#0000ff
size=2>Lynda</FONT></SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> MARGARET MERCER
  [mailto:[log in to unmask]]<BR><B>Sent:</B> Monday, August 23,
  2004 10:12 AM<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> first
  aiders' record keeping<BR><BR></FONT></DIV>
  <DIV>
  <DIV>Dear all,</DIV>
  <DIV>&nbsp;I would appreciate your advice on what records First aiders should
  or should not keep.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>My instinct is that they should keep a record of individuals they see,
  and what&nbsp;advice or "first aid" they administer&nbsp;for everything they
  see.&nbsp; ( This may not only be&nbsp;occupational injury, but any acute
  illness they could be asked to give first aid for) </DIV>
  <DIV>&nbsp;</DIV>
  <DIV>This could then mean they have sensitive data about individuals and which
  is not compatible with the Data Protection Act.&nbsp; </DIV>
  <DIV>&nbsp;</DIV>
  <DIV>What do your first aiders do for record keeping?&nbsp; How long are such
  records kept for?</DIV>
  <DIV>Do other people have access to the first aid records?</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Thank you in anticipation</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Margaret</DIV></DIV>~~~~~~~~~~~~~~~ Please remove this footer before
  replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C488F2.DA1E2B90--
=========================================================================
Date:         Mon, 23 Aug 2004 10:38:20 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Kinselley, Gillian E" <[log in to unmask]>
Subject:      Re: first aiders' record keeping
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C488F4.ECF4A3F0"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C488F4.ECF4A3F0
Content-Type: text/plain; charset="iso-8859-1"

You need to have a look at the First Aid Regs and link into Data Protection
Act with input from your company guidelines on date protection.

We currently advise completion of documentation for accident or incident.
Accidents or major incidents are them forward to us electronically- for
review and further input if required. First Aiders are all aware  of their
duty with respect of medical information - included in the training-  as
they would for any information received on individuals and our records are
kept by the branch or head office ... ongoing.

Access to the information when appropriate is via Occ Health & Safety team
and our insurers who arrange rehab etc with the individuals consent.

Hoping this helps

Gill



-----Original Message-----
From: MARGARET MERCER [mailto:[log in to unmask]]
Sent: 23 August 2004 10:12
To: [log in to unmask]
Subject: first aiders' record keeping


Dear all,
 I would appreciate your advice on what records First aiders should or
should not keep.

My instinct is that they should keep a record of individuals they see, and
what advice or "first aid" they administer for everything they see.  ( This
may not only be occupational injury, but any acute illness they could be
asked to give first aid for)

This could then mean they have sensitive data about individuals and which is
not compatible with the Data Protection Act.

What do your first aiders do for record keeping?  How long are such records
kept for?
Do other people have access to the first aid records?

Thank you in anticipation

Margaret
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

.sophos.3.84.08.20.




Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C488F4.ECF4A3F0
Content-Type: text/html; charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 6.00.2800.1106" name=GENERATOR></HEAD>
<BODY>
<DIV><SPAN class=973152609-23082004><FONT face=Arial color=#0000ff size=2>You
need to have a look at the First Aid Regs and link into Data Protection Act with
input from your company guidelines on date protection.</FONT></SPAN></DIV>
<DIV><SPAN class=973152609-23082004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=973152609-23082004><FONT face=Arial color=#0000ff size=2>We
currently advise completion of documentation for accident or incident.&nbsp;
Accidents or major incidents are them forward to us electronically- for review
and further input if required. First Aiders are all aware&nbsp; of their duty
with respect of medical information - included in the
training-&nbsp;</FONT>&nbsp;<FONT face=Arial><FONT color=#0000ff size=2>as they
would for any information received on individuals and our records are kept by
the branch or head office&nbsp;... ongoing.</FONT></FONT></SPAN></DIV>
<DIV><SPAN class=973152609-23082004><FONT face=Arial color=#0000ff
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=973152609-23082004><FONT face=Arial color=#0000ff size=2>Access
to the information when appropriate is via Occ Health &amp; Safety team and our
insurers who arrange rehab etc with the individuals consent.</FONT></SPAN></DIV>
<DIV><SPAN class=973152609-23082004><FONT face=Arial color=#0000ff
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=973152609-23082004><FONT face=Arial color=#0000ff size=2>Hoping
this helps</FONT></SPAN></DIV>
<DIV><SPAN class=973152609-23082004><FONT face=Arial color=#0000ff
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=973152609-23082004><FONT face=Arial color=#0000ff
size=2>Gill</FONT></SPAN></DIV>
<DIV><SPAN class=973152609-23082004><FONT face=Arial color=#0000ff
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=973152609-23082004><FONT face=Arial color=#0000ff
size=2></FONT></SPAN>&nbsp;</DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> MARGARET MERCER
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 23 August 2004
  10:12<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> first aiders'
  record keeping<BR><BR></FONT></DIV>
  <DIV>
  <DIV>Dear all,</DIV>
  <DIV>&nbsp;I would appreciate your advice on what records First aiders should
  or should not keep.</DIV>
  <DIV><FONT face=Arial color=#0000ff size=2></FONT>&nbsp;</DIV>
  <DIV>My instinct is that they should keep a record of individuals they see,
  and what&nbsp;advice or "first aid" they administer&nbsp;for everything they
  see.&nbsp; ( This may not only be&nbsp;occupational injury, but any acute
  illness they could be asked to give first aid for) </DIV>
  <DIV><FONT face=Arial color=#0000ff size=2></FONT>&nbsp;</DIV>
  <DIV>This could then mean they have sensitive data about individuals and which
  is not compatible with the Data Protection Act.&nbsp; </DIV>
  <DIV><FONT face=Arial color=#0000ff size=2></FONT>&nbsp;</DIV>
  <DIV>What do your first aiders do for record keeping?&nbsp; How long are such
  records kept for?</DIV>
  <DIV>Do other people have access to the first aid records?</DIV>
  <DIV><FONT face=Arial color=#0000ff size=2></FONT>&nbsp;</DIV>
  <DIV>Thank you in anticipation</DIV>
  <DIV><FONT face=Arial color=#0000ff size=2></FONT>&nbsp;</DIV>
  <DIV>Margaret</DIV></DIV>~~~~~~~~~~~~~~~ Please remove this footer before
  replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/<CODE><FONT
  size=3><BR><BR>.sophos.3.84.08.20.<BR></FONT></CODE></P></BLOCKQUOTE><CODE><FONT SIZE=3><BR>
<BR>
Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.<BR>
<BR>
This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.<BR>
<BR>
If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.<BR>
<BR>
Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.<BR>
<BR>
Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc. <BR>
</FONT></CODE>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C488F4.ECF4A3F0--
=========================================================================
Date:         Mon, 23 Aug 2004 10:44:48 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Swann, Alan B" <[log in to unmask]>
Subject:      Re: first aiders' record keeping
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C488F5.D4459790"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C488F5.D4459790
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

Our first aider's treatment is recorded on the accident form (even if
called to deal with illness). These are then held centrally in our
safety office. Avoids first aiders having to keep personal records
themselves & the hassles about what to do with such records when a first
aider leaves. Also makes it easier to track down the info in future if
ever needed. Beyond the routine follow-through accident investigation,
I've never known the information to be ever needed again. =20

=20

Dr. Alan Swann, BM, AFOM
Director of Occupational Health
Occupational Health Service
Imperial College London
Southside building
South Kensington Campus
London
SW7 2AZ

Tel:       +44 (20) 7594 9385
Fax:      +44 (20) 7594 9407
http://www.imperial.ac.uk/hq/occhealth/
https://www.imperial.ac.uk/spectrum/occhealth (Intranet)

=20

-----Original Message-----
From: MARGARET MERCER [mailto:[log in to unmask]]=20
Sent: 23 August 2004 10:12
To: [log in to unmask]
Subject: first aiders' record keeping

=20

Dear all,

 I would appreciate your advice on what records First aiders should or
should not keep.

=20

My instinct is that they should keep a record of individuals they see,
and what advice or "first aid" they administer for everything they see.
( This may not only be occupational injury, but any acute illness they
could be asked to give first aid for)=20

=20

This could then mean they have sensitive data about individuals and
which is not compatible with the Data Protection Act. =20

=20

What do your first aiders do for record keeping?  How long are such
records kept for?

Do other people have access to the first aid records?

=20

Thank you in anticipation

=20

Margaret

~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C488F5.D4459790
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<html>

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">


<meta name=3DGenerator content=3D"Microsoft Word 10 (filtered)">

<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;}
@font-face
        {font-family:"Arial Narrow";
        panose-1:2 11 5 6 2 2 2 3 2 4;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {margin:0cm;
        margin-bottom:.0001pt;
        font-size:12.0pt;
        font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;}
p
        {margin-right:0cm;
        margin-left:0cm;
        font-size:12.0pt;
        font-family:"Times New Roman";}
span.EmailStyle18
        {font-family:Arial;
        color:navy;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;}
div.Section1
        {page:Section1;}
-->
</style>

</head>

<body lang=3DEN-GB link=3Dblue vlink=3Dpurple>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Our first aider&#8217;s treatment =
is
recorded on the accident form (even if called to deal with illness). =
These are
then held centrally in our safety office. Avoids first aiders having to =
keep
personal records themselves &amp; the hassles about what to do with such =
records
when a first aider leaves. Also makes it easier to track down the info =
in
future if ever needed. Beyond the routine follow-through accident
investigation, I&#8217;ve never known the information to be ever needed =
again. &nbsp;</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>&nbsp;</span></font></p>

<div>

<p class=3DMsoNormal style=3D'text-autospace:none'><font size=3D2 =
color=3Dnavy
face=3D"Arial Narrow"><span style=3D'font-size:10.0pt;font-family:"Arial =
Narrow";
color:navy'>Dr. Alan Swann, BM, AFOM<br>
<b><span style=3D'font-weight:bold'>Director of Occupational Health<br>
</span></b>Occupational Health Service<br>
Imperial College London<br>
Southside building<br>
South Kensington Campus<br>
London<br>
SW7 2AZ</span></font></p>

<p class=3DMsoNormal style=3D'text-autospace:none'><font size=3D2 =
color=3Dnavy
face=3D"Arial Narrow"><span style=3D'font-size:10.0pt;font-family:"Arial =
Narrow";
color:navy'>Tel: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; +44 (20) 7594 9385<br>
Fax: &nbsp;&nbsp;&nbsp;&nbsp; +44 (20) 7594 9407<br>
http://www.imperial.ac.uk/hq/occhealth/<br>
https://www.imperial.ac.uk/spectrum/occhealth =
(Intranet)</span></font></p>

</div>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>&nbsp;</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DTahoma><span
lang=3DEN-US style=3D'font-size:10.0pt;font-family:Tahoma'>-----Original
Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> MARGARET MERCER
[mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 23 August 2004 =
10:12<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> first aiders' =
record
keeping</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

<div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span style=3D'font-size:12.0pt'>Dear =
all,</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span style=3D'font-size:12.0pt'>&nbsp;I would =
appreciate
your advice on what records First aiders should or should not =
keep.</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span style=3D'font-size:12.0pt'>My instinct is =
that they
should keep a record of individuals they see, and what&nbsp;advice or
&quot;first aid&quot; they administer&nbsp;for everything they =
see.&nbsp; (
This may not only be&nbsp;occupational injury, but any acute illness =
they could
be asked to give first aid for) </span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span style=3D'font-size:12.0pt'>This could =
then mean they
have sensitive data about individuals and which is not compatible with =
the Data
Protection Act.&nbsp; </span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span style=3D'font-size:12.0pt'>What do your =
first aiders
do for record keeping?&nbsp; How long are such records kept =
for?</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span style=3D'font-size:12.0pt'>Do other =
people have
access to the first aid records?</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span style=3D'font-size:12.0pt'>Thank you in =
anticipation</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>Margaret</span></font></p>

</div>

</div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>~~~~~~~~~~~~~~~ Please
remove this footer before replying. </span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives =
</span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/</span></font></p>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C488F5.D4459790--
=========================================================================
Date:         Mon, 23 Aug 2004 11:09:44 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Kath Griffiths <[log in to unmask]>
Subject:      flu vaccinations
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C488F9.50160373"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C488F9.50160373
Content-Type: text/plain;
 charset=iso-8859-1
Content-Transfer-Encoding: quoted-printable

=20
Does anyone have any evidence re efficacy or otherwise of flu vaccinations =
=66or a healthy young work force=3F
=20
Kath Griffiths
Occupational Health Manager
=46reshfields Bruckhaus Deringer
65 Fleet Street
EC4Y 1HS
[log in to unmask]
0207  716 4024
07966 961 821

This email and any attachments is strictly confidential. Accordingly this =
email and its attachments should not be forwarded, reproduced or made =
available to any third party under any circumstances without prior consent =
=66rom Occupational Health .  If you are not the intended recipient  please=
 =
advise the sender immediately by reply email and delete the message and any=
 =
attachments without reading, distributing or copying.

=20

This e-mail is confidential and may well also be legally privileged. If you=
 =
have received it in error, you are on notice of its status.  Please notify =
us immediately by reply e-mail and then delete this message from your =
system.  Please do not copy it or use it for any purposes, or disclose its =
contents to any other person:  to do so could be a breach of confidence.  =
Thank you for your co-operation.  Please contact our IT Helpdesk on +44 (0)=
 =
20 7936 4000 Ext.2000 or email [log in to unmask] if you need =
assistance.





~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C488F9.50160373
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR></HEAD>
<BODY>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><SPAN class=3D520440710-23082004><FONT face=3DArial size=3D2>Does =
anyone have any=20
evidence re efficacy or otherwise of flu&nbsp;vaccinations for&nbsp;a =
healthy=20
young work force=3F</FONT></SPAN></DIV>
<DIV><SPAN class=3D520440710-23082004><FONT face=3DArial=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Kath Griffiths</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Occupational Health Manager</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Freshfields Bruckhaus Deringer</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>65 Fleet Street</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>EC4Y 1HS</FONT></DIV>
<DIV><FONT face=3DArial size=3D2><A=20
href=3D"mailto:[log in to unmask]">[log in to unmask]
om</A></FONT></DIV>
<DIV><FONT face=3DArial size=3D2>0207&nbsp; 716 4024</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>07966 961 821</FONT></DIV>
<DIV>
<P><FONT face=3DArial color=3D#ff0000 size=3D1>This email and any =
attachments is=20
strictly confidential. Accordingly this email and its attachments should no=
t=
 be=20
=66orwarded, reproduced or made available to any third party under any=20
circumstances without prior consent from Occupational Health .&nbsp; If you=
 =
are=20
not the intended recipient&nbsp; please advise the sender immediately by =
reply=20
email and delete the message and any attachments without reading, =
distributing=20
or copying.</FONT></P></DIV>
<DIV>&nbsp;</DIV></BODY></HTML>

<P>This e-mail is confidential and may well also be legally privileged. If =
you have received it in error, you are on notice of its status.  Please =
notify us immediately by reply e-mail and then delete this message from you=
r=
 system.  Please do not copy it or use it for any purposes, or disclose its=
 =
contents to any other person:  to do so could be a breach of confidence.  =
Thank you for your co-operation.  Please contact our IT Helpdesk on +44 (0)=
 =
20 7936 4000 Ext.2000 or email [log in to unmask] if you need =
assistance.<br>
<br>
<br>
<br>
<br>
</P>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C488F9.50160373--
=========================================================================
Date:         Mon, 23 Aug 2004 11:14:45 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         joan Twigger <[log in to unmask]>
Subject:      Re: first aiders' record keeping
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII

Margaret,

I supply an A4 note book kept in the first aid room in which the First
aiders write , date, time ,dept, symptoms, treatment , name,  then tick a
colum for  return to work , h ome or hospital.

They do not keep any records themselves . A separate accident form  is
completed (if it is a works accident )a copy goes in their medical notes, a
copy to departmental head for their file and a copy to Environmental Health
& Safety Department for their record. Along with a minor investigation
report.

The access to all our FA rooms is via a security number pad so only myself
and known first aiders have access to the note book ,which I find
invaluable for noting trends in departments.

I hope this is of help.



Joan Twigger
Occupational Health Advisor
3M Healthcare Limited
Tel:  01509 613720
Fax:  01509 613065
e-mail [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 23 Aug 2004 11:08:46 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lindsay Gordon <[log in to unmask]>
Subject:      Re: Study Day
MIME-Version: 1.0
MIME-Version: 1.0
Content-Type: text/html; charset=ISO-8859-1
Content-Transfer-Encoding: base64
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=========================================================================
Date:         Mon, 23 Aug 2004 11:45:19 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         SBlair <[log in to unmask]>
Subject:      Re: first aiders' record keeping
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

We used to do something very similar Joan but since the DPA
Accident/Incident forms (only one copy) are now the only records kept, these
are stored with the Health and Safety Officer, who is also the person who
commences investigations. We usually communicate with each other on a daily
basis.  Sian

-----Original Message-----
From: joan Twigger [mailto:[log in to unmask]]
Sent: 23 August 2004 11:15
To: [log in to unmask]
Subject: Re: first aiders' record keeping


Margaret,

I supply an A4 note book kept in the first aid room in which the First
aiders write , date, time ,dept, symptoms, treatment , name,  then tick a
colum for  return to work , h ome or hospital.

They do not keep any records themselves . A separate accident form  is
completed (if it is a works accident )a copy goes in their medical notes, a
copy to departmental head for their file and a copy to Environmental Health
& Safety Department for their record. Along with a minor investigation
report.

The access to all our FA rooms is via a security number pad so only myself
and known first aiders have access to the note book ,which I find
invaluable for noting trends in departments.

I hope this is of help.



Joan Twigger
Occupational Health Advisor
3M Healthcare Limited
Tel:  01509 613720
Fax:  01509 613065
e-mail [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.


-----------------------------------------------------------------------
John Heathcoat and Company Ltd is registered in England No. 450787.
Registered Office: Westexe, Tiverton, Devon EX16 5LL.

This email is confidential and intended solely for the use of the
individual to whom it is addressed. Any views or opinions presented
are solely those of the author and do not necessarily represent those
of John Heathcoat and Company Ltd. If you are not the intended
recipient and have received this email in error, any use, dissemination,
forwarding, printing or copying of this email is strictly prohibited.
------------------------------------------------------------------------

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 23 Aug 2004 14:28:53 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tanya Stacey <[log in to unmask]>
Subject:      Re: first aiders' record keeping
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C48915.226FB040"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C48915.226FB040
Content-Type: text/plain; charset="iso-8859-1"

Hi Margaret
We have a book which just has date/time/dept/name/problem/acc report number
if required and outcome with the signature of the first aider which is kept
in a room that only the first aiders have access to. The accident forms are
as data protection requires but as in most workplaces the first aiders do
not just see works accidents.
Tanya Stacey
Fenland Foods
Grantham

-----Original Message-----
From: MARGARET MERCER [mailto:[log in to unmask]]
Sent: 23 August 2004 10:12
To: [log in to unmask]
Subject: first aiders' record keeping


Dear all,
 I would appreciate your advice on what records First aiders should or
should not keep.

My instinct is that they should keep a record of individuals they see, and
what advice or "first aid" they administer for everything they see.  ( This
may not only be occupational injury, but any acute illness they could be
asked to give first aid for)

This could then mean they have sensitive data about individuals and which is
not compatible with the Data Protection Act.

What do your first aiders do for record keeping?  How long are such records
kept for?
Do other people have access to the first aid records?

Thank you in anticipation

Margaret
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



***********************************************************************************
The information included in this e-mail is of a confidential nature and is intended only for the addressee.  If you are not the intended addressee, any disclosure, copying or distribution by you is prohibited and may be unlawful.  Disclosure to any party other than the addressee, whether inadvertent or otherwise is not intended to waive the privilege or confidentiality.

Although this e-mail and any attachments are believed to be free from any virus, or other defect which might affect any system into which they are received or opened, it is the responsibility of the recipient to ensure that they are virus free and to check that they will not adversely affect its systems and data.  No responsibility is accepted by Northern Foods PLC for any loss or damage arising in any way from their receipt, opening or use.
***********************************************************************************


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C48915.226FB040
Content-Type: text/html; charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 6.00.2800.1400" name=GENERATOR></HEAD>
<BODY>
<DIV><SPAN class=913462313-23082004><FONT face=Arial color=#0000ff size=2>Hi
Margaret</FONT></SPAN></DIV>
<DIV><SPAN class=913462313-23082004><FONT face=Arial color=#0000ff size=2>We
have a book which just has date/time/dept/name/problem/acc report number if
required&nbsp;and outcome with the signature of the first aider which is kept in
a room that only the first aiders have access to. The accident forms are as data
protection requires but as in most workplaces the first aiders do not just see
works accidents.&nbsp;</FONT></SPAN></DIV>
<DIV><SPAN class=913462313-23082004><FONT face=Arial color=#0000ff size=2>Tanya
Stacey</FONT></SPAN></DIV>
<DIV><SPAN class=913462313-23082004><FONT face=Arial color=#0000ff
size=2>Fenland Foods&nbsp;</FONT></SPAN></DIV>
<DIV><SPAN class=913462313-23082004><FONT face=Arial color=#0000ff
size=2>Grantham</FONT>&nbsp;</SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> MARGARET MERCER
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 23 August 2004
  10:12<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> first aiders'
  record keeping<BR><BR></FONT></DIV>
  <DIV>
  <DIV>Dear all,</DIV>
  <DIV>&nbsp;I would appreciate your advice on what records First aiders should
  or should not keep.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>My instinct is that they should keep a record of individuals they see,
  and what&nbsp;advice or "first aid" they administer&nbsp;for everything they
  see.&nbsp; ( This may not only be&nbsp;occupational injury, but any acute
  illness they could be asked to give first aid for) </DIV>
  <DIV>&nbsp;</DIV>
  <DIV>This could then mean they have sensitive data about individuals and which
  is not compatible with the Data Protection Act.&nbsp; </DIV>
  <DIV>&nbsp;</DIV>
  <DIV>What do your first aiders do for record keeping?&nbsp; How long are such
  records kept for?</DIV>
  <DIV>Do other people have access to the first aid records?</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Thank you in anticipation</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Margaret</DIV></DIV>~~~~~~~~~~~~~~~ Please remove this footer before
  replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE><FONT SIZE=3><BR>
<BR>
***********************************************************************************<BR>
The information included in this e-mail is of a confidential nature and is intended only for the addressee.  If you are not the intended addressee, any disclosure, copying or distribution by you is prohibited and may be unlawful.  Disclosure to any party other than the addressee, whether inadvertent or otherwise is not intended to waive the privilege or confidentiality.<BR>
<BR>
Although this e-mail and any attachments are believed to be free from any virus, or other defect which might affect any system into which they are received or opened, it is the responsibility of the recipient to ensure that they are virus free and to check that they will not adversely affect its systems and data.  No responsibility is accepted by Northern Foods PLC for any loss or damage arising in any way from their receipt, opening or use.<BR>
***********************************************************************************<BR>
</FONT>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C48915.226FB040--
=========================================================================
Date:         Mon, 23 Aug 2004 20:03:20 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandra Babbings <[log in to unmask]>
Subject:      Re: Study Day
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0037_01C4894C.3CE64420"

This is a multi-part message in MIME format.

------=_NextPart_000_0037_01C4894C.3CE64420
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

many thanks for your reply
Sandra
  ----- Original Message -----=20
  From: Lindsay Gordon=20
  To: [log in to unmask]
  Sent: Monday, August 23, 2004 11:08 AM
  Subject: Re: Study Day




  Lindsay Gordon
  Resources
  Nottinghamshire County Council
  Sorry I can't attend, I am at college on that day.
  Jock.

  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 via NCC Help Desk (0115) 9772010.

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

  Nottinghamshire County Council Legal Disclaimer

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0037_01C4894C.3CE64420
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>many thanks for your reply</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Sandra</FONT></DIV>
<BLOCKQUOTE=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Lindsay Gordon</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, August 23, 2004 =
11:08=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Study Day</DIV>
  <DIV><BR></DIV><FONT=20
  face=3D"Default Sans Serif, Verdana, Arial, Helvetica, sans-serif" =
size=3D2>
  <DIV><BR>
  =
<DIV>Lindsay&nbsp;Gordon<BR>Resources<BR>Nottinghamshire&nbsp;County&nbsp=
;Council<BR>Sorry=20
  I can't attend, I am at college on that day.</DIV>
  <DIV>Jock.</DIV></DIV></FONT><FONT face=3DHelv color=3D#000000=20
  size=3D3></FONT><BR><FONT face=3DHelv color=3D#000000 size=3D3>This =
email and any=20
  files transmitted with it are confidential and</FONT><BR><FONT =
face=3DHelv=20
  color=3D#000000 size=3D3>intended solely for the use of the individual =
or entity=20
  to whom they</FONT><BR><FONT face=3DHelv color=3D#000000 size=3D3>are =
addressed. If=20
  you have received this email in error please notify</FONT><BR><FONT =
face=3DHelv=20
  color=3D#000000 size=3D3>the system manager via NCC Help Desk (0115)=20
  9772010.</FONT><BR><FONT face=3DHelv color=3D#000000 =
size=3D3></FONT><BR><FONT=20
  face=3DHelv color=3D#000000 size=3D3>This footnote also confirms that =
this email=20
  message has been swept</FONT><BR><FONT face=3DHelv color=3D#000000 =
size=3D3>for the=20
  presence of computer viruses.</FONT><BR><FONT face=3DHelv =
color=3D#000000=20
  size=3D3></FONT><BR><FONT face=3DHelv color=3D#000000 =
size=3D3>Nottinghamshire County=20
  Council Legal Disclaimer</FONT><BR></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0037_01C4894C.3CE64420--
=========================================================================
Date:         Tue, 24 Aug 2004 08:56:11 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: flu vaccinations
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0017_01C489B8.33EB8F80"

This is a multi-part message in MIME format.

------=_NextPart_000_0017_01C489B8.33EB8F80
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Kath
I don't see anyone giving you an answer - maybe they did privately. =
However, have you looked on www.jr.ox.ac.uk/bandolier/index.html ? This =
website gives systematic reviews and meta analysis of medical and health =
care research. If you search for 'flu vaccine' it gives you 2 pieces of =
research in this area. It is a very useful resource.

Greta

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027
  ----- Original Message -----=20
  From: Kath Griffiths=20
  To: [log in to unmask]
  Sent: Monday, August 23, 2004 11:09 AM
  Subject: flu vaccinations



  Does anyone have any evidence re efficacy or otherwise of flu =
vaccinations for a healthy young work force?

  Kath Griffiths
  Occupational Health Manager
  Freshfields Bruckhaus Deringer
  65 Fleet Street
  EC4Y 1HS
  [log in to unmask]
  0207  716 4024
  07966 961 821
  This email and any attachments is strictly confidential. Accordingly =
this email and its attachments should not be forwarded, reproduced or =
made available to any third party under any circumstances without prior =
consent from Occupational Health .  If you are not the intended =
recipient  please advise the sender immediately by reply email and =
delete the message and any attachments without reading, distributing or =
copying.


  This e-mail is confidential and may well also be legally privileged. =
If you have received it in error, you are on notice of its status. =
Please notify us immediately by reply e-mail and then delete this =
message from your system. Please do not copy it or use it for any =
purposes, or disclose its contents to any other person: to do so could =
be a breach of confidence. Thank you for your co-operation. Please =
contact our IT Helpdesk on +44 (0) 20 7936 4000 Ext.2000 or email =
[log in to unmask] if you need assistance.






  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/


  ---
  Outgoing mail is certified Virus Free.
  Checked by AVG anti-virus system (http://www.grisoft.com).
  Version: 6.0.737 / Virus Database: 491 - Release Date: 11/08/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0017_01C489B8.33EB8F80
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT size=3D2>Kath</FONT></DIV>
<DIV><FONT size=3D2>I don't see anyone giving you an answer - maybe they =
did=20
privately. However, have you looked on <A=20
href=3D"http://www.jr.ox.ac.uk/bandolier/index.html">www.jr.ox.ac.uk/band=
olier/index.html</A>=20
? This website gives systematic reviews and meta analysis of medical and =
health=20
care research. If you search for 'flu vaccine' it gives you 2 pieces of =
research=20
in this area. It is a very useful resource.</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health =
&amp;=20
Education<BR>Consultant Editor, OH Journal<BR><A=20
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Kath Griffiths</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, August 23, 2004 =
11:09=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> flu vaccinations</DIV>
  <DIV><BR></DIV>
  <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
  <DIV><SPAN class=3D520440710-23082004><FONT face=3DArial size=3D2>Does =
anyone have=20
  any evidence re efficacy or otherwise of flu&nbsp;vaccinations =
for&nbsp;a=20
  healthy young work force?</FONT></SPAN></DIV>
  <DIV><SPAN class=3D520440710-23082004><FONT face=3DArial=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>Kath Griffiths</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2>Occupational Health =
Manager</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2>Freshfields Bruckhaus =
Deringer</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2>65 Fleet Street</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2>EC4Y 1HS</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2><A=20
  =
href=3D"mailto:[log in to unmask]">kath.griffiths@freshfields=
.com</A></FONT></DIV>
  <DIV><FONT face=3DArial size=3D2>0207&nbsp; 716 4024</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2>07966 961 821</FONT></DIV>
  <DIV>
  <P><FONT face=3DArial color=3D#ff0000 size=3D1>This email and any =
attachments is=20
  strictly confidential. Accordingly this email and its attachments =
should not=20
  be forwarded, reproduced or made available to any third party under =
any=20
  circumstances without prior consent from Occupational Health .&nbsp; =
If you=20
  are not the intended recipient&nbsp; please advise the sender =
immediately by=20
  reply email and delete the message and any attachments without =
reading,=20
  distributing or copying.</FONT></P></DIV>
  <DIV>&nbsp;</DIV>
  <P>This e-mail is confidential and may well also be legally =
privileged. If you=20
  have received it in error, you are on notice of its status. Please =
notify us=20
  immediately by reply e-mail and then delete this message from your =
system.=20
  Please do not copy it or use it for any purposes, or disclose its =
contents to=20
  any other person: to do so could be a breach of confidence. Thank you =
for your=20
  co-operation. Please contact our IT Helpdesk on +44 (0) 20 7936 4000 =
Ext.2000=20
  or email [log in to unmask] if you need=20
  assistance.<BR><BR><BR><BR><BR></P>~~~~~~~~~~~~~~~ Please remove this =
footer=20
  before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to <A=20
  =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/">http://uk.groups.yahoo.=
com/group/OHJobs/</A>
  <P><BR>---<BR>Outgoing mail is certified Virus Free.<BR>Checked by AVG =

  anti-virus system (<A=20
  =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.737=20
  / Virus Database: 491 - Release Date: =
11/08/2004</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0017_01C489B8.33EB8F80--
=========================================================================
Date:         Tue, 24 Aug 2004 11:27:58 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Trevor Maze <[log in to unmask]>
Subject:      Re: flu vaccinations
Comments: cc: [log in to unmask]
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C489C5.0647ED5A"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C489C5.0647ED5A
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Kath,
=20
Although we provide influenza vaccination to customers who request it, =
I've never bothered to have it myself. I've never been convinced of the =
efficacy - the "evidence" seems to be mostly theoretical, based on what =
"should" happen if you're immune. Even in the elderly, it only seems to =
reduce the incidence of clinical infection by about a third. The BNF =
recommendations (p. 586) for flu vaccination are that it should be =
offered to those at high risk, plus those who might transmit it to them =
(eg, health care workers). Basically, that is what I would endorse, with =
only minor modifications. Providing it to others is fine, as long as we =
don't misrepresent what the vaccine will do for the individual or their =
employer.
=20
Now for the evidence-based bit - my series of one! I have only had flu =
once, in the middle of an epidemic. I had been feeling under the weather =
for a few days and was pyrexial, but it was only when I got the muscle =
pains that the penny dropped. I had been reading about Linus Pauling's =
megavitamin theory, so I made an expedition to the local health food =
shop and bought a lorry load of Vitamin C. I swallowed 3 grams, then =
another 1000mg every time I thought about it (every half to two hours) =
and next day was right as rain, so that's what I'll do if I ever get it =
again. CAVEAT - I've tried it for colds and it didn't always seem to =
have the same effect, so no guarantee that this wasn't a fluke outcome!
=20
Regards,
=20
Trevor
=20
Dr Trevor Maze=20
Occupational Physician=20
mobile: 079 852 777 99=20

Join us on stand 75 at the 2004 Channel Chamber Business 2 Business =
Show,=20

The Grand, The Leas, Folkestone. Thursday 16th September 2004

Premier Occupational Healthcare - Winners of the 2004 Shepway Small =
Business of the Year Award
6 Folkestone Enterprise Centre
Shearway Business Park
Folkestone
Kent CT19 4RH
Tel: 0870 444 1399
Fax: 0870 444 2908

The information in this e-mail is confidential and intended for the =
addressee only. The contents may not be disclosed, copied or used by =
anyone other than the addressee. If you are not the intended recipient, =
please notify us immediately at the above address and delete this e-mail =
from your computer. Premier Occupational Healthcare Limited does not =
accept any responsibility, legal or otherwise, for any action taken or =
not taken in consequence of, or in reliance on the contents of this =
document where the actual recipient is not the addressee.

-----Original Message-----
From: Kath Griffiths [mailto:[log in to unmask]]
Sent: 23 August 2004 11:10
To: [log in to unmask]
Subject: flu vaccinations
Sensitivity: Private


=20
Does anyone have any evidence re efficacy or otherwise of flu =
vaccinations for a healthy young work force?


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C489C5.0647ED5A
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<META content=3D"MSHTML 6.00.2800.1226" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D984545008-24082004><FONT face=3DArial color=3D#0000ff =

size=3D2>Kath,</FONT></SPAN></DIV>
<DIV><SPAN class=3D984545008-24082004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D984545008-24082004><FONT face=3DArial color=3D#0000ff =

size=3D2>Although we provide influenza vaccination to customers who =
request=20
it,&nbsp;I've never bothered to have it myself.&nbsp;I've never been =
convinced=20
of the efficacy - the "evidence" seems to be mostly theoretical, based =
on what=20
"should" happen if you're immune. Even in the elderly, it only seems to =
reduce=20
the incidence of clinical infection by about a third. The BNF=20
recommendations&nbsp;(p. 586) for&nbsp;flu vaccination&nbsp;are that it =
should=20
be offered to those at high risk, plus those who might transmit it to =
them (eg,=20
health care workers). Basically, that is what I would endorse, with only =
minor=20
modifications. Providing it to others is fine, as long as we don't =
misrepresent=20
what the vaccine will do for the individual or their=20
employer.</FONT></SPAN></DIV>
<DIV><SPAN class=3D984545008-24082004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D984545008-24082004><FONT face=3DArial color=3D#0000ff =
size=3D2>Now=20
for the evidence-based bit - my series of one! I have only had flu once, =
in the=20
middle of an epidemic. I had been feeling under the weather for a few=20
days&nbsp;and was pyrexial, but it was only when I got the muscle pains =
that the=20
penny dropped. I had been reading about Linus Pauling's megavitamin =
theory, so I=20
made an expedition to the local health food shop&nbsp;and bought a lorry =
load of=20
Vitamin C. I swallowed 3 grams, then another&nbsp;1000mg every time I =
thought=20
about it (every half to two hours) and next day was right as rain, so =
that's=20
what I'll do if I ever get it again. CAVEAT - I've tried it for colds =
and it=20
didn't always seem to have the same effect, so no guarantee that this =
wasn't a=20
fluke outcome!</FONT></SPAN></DIV>
<DIV><SPAN class=3D984545008-24082004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D984545008-24082004><FONT face=3DArial color=3D#0000ff =

size=3D2>Regards,</FONT></SPAN></DIV>
<DIV><SPAN class=3D984545008-24082004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D984545008-24082004><FONT face=3DArial color=3D#0000ff =

size=3D2>Trevor</FONT></SPAN></DIV>
<DIV><SPAN class=3D984545008-24082004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D984545008-24082004>
<P><FONT size=3D2>Dr Trevor Maze <BR>Occupational Physician <BR>mobile: =
079 852=20
777 99 </FONT></P>
<P align=3Dcenter><FONT size=3D2><B>Join us on stand 75 at the 2004 =
Channel Chamber=20
Business 2 Business Show,</B> </FONT></P>
<P align=3Dcenter><FONT size=3D2>The Grand, The Leas, Folkestone. =
Thursday 1<SPAN=20
class=3D984545008-24082004>6</SPAN>th September 2004</FONT></P>
<P><FONT size=3D2>Premier Occupational Healthcare -<I> Winners of the =
2004 Shepway=20
Small Business of the Year Award</I><BR><I>6</I> Folkestone Enterprise=20
Centre<BR>Shearway Business Park<BR>Folkestone<BR>Kent CT19 4RH<BR>Tel: =
0870 444=20
1399<BR>Fax: 0870 444 2908<BR><BR>The information in this e-mail is =
confidential=20
and intended for the addressee only. The contents may not be disclosed, =
copied=20
or used by anyone other than the addressee. If you are not the intended=20
recipient, please notify us immediately at the above address and delete =
this=20
e-mail from your computer. Premier Occupational Healthcare Limited does =
not=20
accept any responsibility, legal or otherwise, for any action taken or =
not taken=20
in consequence of, or in reliance on the contents of this document where =
the=20
actual recipient is not the addressee.</FONT></P></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> Kath Griffiths=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 23 August 2004 =

  11:10<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> flu=20
  vaccinations<BR><B>Sensitivity:</B> Private<BR><BR></FONT></DIV>
  <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
  <DIV><SPAN class=3D520440710-23082004><FONT face=3DArial size=3D2>Does =
anyone have=20
  any evidence re efficacy or otherwise of flu&nbsp;vaccinations =
for&nbsp;a=20
  healthy young work =
force?</FONT></SPAN></DIV></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C489C5.0647ED5A--
=========================================================================
Date:         Tue, 24 Aug 2004 19:04:39 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      respiratory surveillance
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

Can I remind everyone that the BOHRF is publishing evidence based guidelines
on Occupational Asthma on Sept 14. they should be available on the website
then. Ther are individual summary sheets for 3 groups of people 1) OH
Practitoners 2)GP& practice nurse 3) Employers and staff reps.There is a
launch 1/2 day in London on Sept 14th and a free full day study day in
Glasgow on 22nd sept. I will be there in Glasgow so if you go there, wave at
me .

Best wishes,
Diane

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 24 Aug 2004 14:18:31 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
Subject:      Re: flu vaccinations
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="part1_7f.4abfab4a.2e5ce077_boundary"

--part1_7f.4abfab4a.2e5ce077_boundary
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Hi Kath,

I personally do not have the flu jab as i am not in frontline health care
delivery (ie on the wards/clinical environment) and i have no health issues or
diseases.

I have read other responses to this and i also take Vit C but i take 1000mg
of this each day anyway. Any more than this dose is excreted!

All this said I've never had flu, and people who tend to have the jab have
had flu previously. They all say that if you've had it once you don't want it
again. My question is that a Man's cold (which is what I get) is similar to flu
anyway, in fact it could be argued that it's worse, but then we are the fairer
sex aren't we?

regards

Glenn

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--part1_7f.4abfab4a.2e5ce077_boundary
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<HTML><FONT FACE=3Darial,helvetica><HTML><FONT  COLOR=3D"#0000ff" SIZE=3D4 P=
TSIZE=3D14 FAMILY=3D"SERIF" FACE=3D"Calisto MT" LANG=3D"0">Hi Kath,<BR>
<BR>
I personally do not have the flu jab as i am not in frontline health care de=
livery (ie on the wards/clinical environment) and i have no health issues or=
 diseases.<BR>
<BR>
I have read other responses to this and i also take Vit C but i take 1000mg=20=
of this each day anyway. Any more than this dose is excreted!<BR>
<BR>
All this said I've never had flu, and people who tend to have the jab have h=
ad flu previously. They all say that if you've had it once you don't want it=
 again. My question is that a Man's cold (which is what I get) is similar to=
 flu anyway, in fact it could be argued that it's worse, but then we are the=
 fairer sex aren't we?<BR>
<BR>
regards<BR>
<BR>
Glenn</FONT></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--part1_7f.4abfab4a.2e5ce077_boundary--
=========================================================================
Date:         Wed, 25 Aug 2004 04:50:16 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Robyn Buck <[log in to unmask]>
Subject:      health surveillance for users of organophosphate pesticides

Hi

I am looking for information on monitoring organophosphate (OP) users.  I
don't have experience in this area but have done some reading, so have an
understanding of what is needed, but now would like to have a look at other
organisations (those who are monitoring OP users) policies and procedures.

The users we are looking at use correct PPE and procedures to dispense and
apply the OP.  The OP is applied to plants which are in an enclosed
greenhouse.  An occupational hygienist is organising environmental
monitoring. As well as the person using the OP, I am also concerned about
those staff and students who enter the greenhouse after the OP is applied.


Regards,

Robyn Buck
Occupational Health Nurse Adviser
EMail address: [log in to unmask]
University of Queensland, Australia

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 25 Aug 2004 07:24:26 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Alison Chaundy <[log in to unmask]>
Subject:      Re: Health Surveillance and Welding
MIME-Version: 1.0
Content-Type: TEXT/PLAIN; CHARSET=US-ASCII

Sharon,
Have a chat with Occ health at either Landrover or MG Rover, they definitely do
screening for welders. Hope this helps.
Ali

Alison J. Chaundy
RGN. DipOHN. MIOSH
Departmental Manager
Department of Occupational Health
Unilever (ICF)
Gloucester

+44 (0)1452 392232
[log in to unmask]



-----Original Message-----
From: Sharon JOnes [mailto:[log in to unmask]]
Sent: 23 August 2004 08:58
To: [log in to unmask]
Subject: Health Surveillance and Welding


We are currently reviewing our respiratory health surveillance to make sure
that we are screening the correct people at the correct time etc.

Can I ask if any of you cover OH for a weldiing environment? If so, please
would it be possible to let me know what you are doing in terms of
respiratory health screening?

Many thanks
Best Wishes
Sharon
x

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 25 Aug 2004 08:04:01 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Nina Hepworth <[log in to unmask]>
Subject:      E-mails
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Good morning,

Since yesterday I have received 8 e-mails which were meant to come to your =
mailbox. Please can you inform your IT support so they can rectify this pro=
blem?

Many thanks,
Nina Hepworth.
(Trainee Occupational Health Adviser)


***************************************************************************=
********=20
This electronic message contains information from Hampshire Constabulary wh=
ich may be legally privileged and confidential. Any opinions expressed may =
be those of the individual and not necessarily the Hampshire Constabulary.
The information is intended to be for the use of the individual(s) or entit=
y named above. If you are not the intended recipient, be aware that any dis=
closure, copying, distribution or use of the contents of the information is=
 prohibited. If you have received this electronic message in error, please =
notify us by telephone=20
+44 (0) 845 045 45 45 or email to [log in to unmask] immedi=
ately. Please then delete this email and destroy any copies of it.=20
All communications, including telephone calls and electronic messages=20
to and from the Hampshire Constabulary may be subject to monitoring.  Repli=
es to this email may be seen by employees other than the intended recipient=
. =20
***************************************************************************=
********=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 25 Aug 2004 09:03:56 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lisa Willis <[log in to unmask]>
Subject:      Re: respiratory surveillance
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Diane thanks for the info.  Do you have the website address please.

Lisa

[log in to unmask] wrote:

> Can I remind everyone that the BOHRF is publishing evidence based guidelines
> on Occupational Asthma on Sept 14. they should be available on the website
> then. Ther are individual summary sheets for 3 groups of people 1) OH
> Practitoners 2)GP& practice nurse 3) Employers and staff reps.There is a
> launch 1/2 day in London on Sept 14th and a free full day study day in
> Glasgow on 22nd sept. I will be there in Glasgow so if you go there, wave at
> me .
>
> Best wishes,
> Diane
>
> _________________________________________________________________
> It's fast, it's easy and it's free. Get MSN Messenger today!
> http://www.msn.co.uk/messenger
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 25 Aug 2004 09:29:34 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Health Surveillance and Welding
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

You might also find the Welding Institute website useful - www.twi.co.uk

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


----- Original Message -----
From: "Alison Chaundy" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, August 25, 2004 7:24 AM
Subject: Re: Health Surveillance and Welding


> Sharon,
> Have a chat with Occ health at either Landrover or MG Rover, they
definitely do
> screening for welders. Hope this helps.
> Ali
>
> Alison J. Chaundy
> RGN. DipOHN. MIOSH
> Departmental Manager
> Department of Occupational Health
> Unilever (ICF)
> Gloucester
>
> +44 (0)1452 392232
> [log in to unmask]
>
>
>
> -----Original Message-----
> From: Sharon JOnes [mailto:[log in to unmask]]
> Sent: 23 August 2004 08:58
> To: [log in to unmask]
> Subject: Health Surveillance and Welding
>
>
> We are currently reviewing our respiratory health surveillance to make
sure
> that we are screening the correct people at the correct time etc.
>
> Can I ask if any of you cover OH for a weldiing environment? If so, please
> would it be possible to let me know what you are doing in terms of
> respiratory health screening?
>
> Many thanks
> Best Wishes
> Sharon
> x
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.737 / Virus Database: 491 - Release Date: 11/08/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 25 Aug 2004 15:02:01 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jean Piernicki <[log in to unmask]>
Subject:      Re: health surveillance for users of organophosphate pesticides
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1093460521"

-------------------------------1093460521
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Robyn
I was involved in this a couple of years ago. University based using OP's  in
greenhouses. The end result of all of our iunvestigation was that unless you
mesured immediately before and after the results were too variable. There
isn't  a tight "normal" range for any of the blood results.
Our workers used the OP's a couple of times a year and we investigated the
"engineering out" of the problem and monitoring to ensure that no one entered
the greenhouses and that  dispersal had occured. It was a case of lots of
people using their expertise to ensure the safety of the staff. There had been
some blood testing by  aprevious OH provider but the results had such a  huge
range that it was impossible to tell whether exposure had occurred.
Regards
Jean

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1093460521
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY:=20=
Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3DArial color=3D#000000 size=3D2>
<DIV>Robyn</DIV>
<DIV>I was involved in this a couple of years ago. University based using OP=
's=20
in greenhouses. The end result of all of our iunvestigation was that unless=20=
you=20
mesured immediately before and after the results were too variable. There is=
n't=20
a tight "normal" range for any of the blood results. </DIV>
<DIV>Our workers used the OP's a couple of times a year and we investigated=20=
the=20
"engineering out" of the problem and monitoring to ensure that no one entere=
d=20
the greenhouses and that&nbsp; dispersal had occured. It was a case of lots=20=
of=20
people using their expertise to ensure the safety of the staff. There had be=
en=20
some blood testing by&nbsp; aprevious OH provider but the results had such a=
=20
huge range that it was impossible to tell whether exposure had occurred. </D=
IV>
<DIV>Regards</DIV>
<DIV>Jean</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1093460521--
=========================================================================
Date:         Wed, 25 Aug 2004 15:06:50 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jean Piernicki <[log in to unmask]>
Subject:      Re: flu vaccinations
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1093460810"

-------------------------------1093460810
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

I've read with interest the answers on the flu vaccine. As ever we have our
opinions - old socks, man's colds (yeah that'll be a first!) Vit C etc, etc
but  the good news is that there is some research... currently being done by the
MRC.  One of our consultants is very involved in this and the study comes to
an end  this year. I think it will be a case of wait and see.
Jean

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1093460810
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY:=20=
Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3DArial color=3D#000000 size=3D2>
<DIV>I've read with interest the answers on the flu vaccine. As ever we have=
 our=20
opinions - old socks, man's colds (yeah that'll be a first!) Vit C etc, etc=20=
but=20
the good news is that there is some research... currently being done by the=20=
MRC.=20
One of our consultants is very involved in this and the study comes to an en=
d=20
this year. I think it will be a case of wait and see.</DIV>
<DIV>Jean</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1093460810--
=========================================================================
Date:         Wed, 25 Aug 2004 21:38:07 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lucy & Adrian <[log in to unmask]>
Subject:      Re: health surveillance for users of organophosphate pesticides
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0800_01C48AEB.CF463910"

This is a multi-part message in MIME format.

------=_NextPart_000_0800_01C48AEB.CF463910
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

We did some health surveillance in Harlow that looked at neuro symptoms =
pre and post exposure.

Lucy
  ----- Original Message -----=20
  From: Jean Piernicki=20
  To: [log in to unmask]
  Sent: Wednesday, August 25, 2004 8:02 PM
  Subject: Re: health surveillance for users of organophosphate =
pesticides


  Robyn
  I was involved in this a couple of years ago. University based using =
OP's in greenhouses. The end result of all of our iunvestigation was =
that unless you mesured immediately before and after the results were =
too variable. There isn't a tight "normal" range for any of the blood =
results.=20
  Our workers used the OP's a couple of times a year and we investigated =
the "engineering out" of the problem and monitoring to ensure that no =
one entered the greenhouses and that  dispersal had occured. It was a =
case of lots of people using their expertise to ensure the safety of the =
staff. There had been some blood testing by  aprevious OH provider but =
the results had such a huge range that it was impossible to tell whether =
exposure had occurred.=20
  Regards
  Jean
  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0800_01C48AEB.CF463910
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; =
FONT-FAMILY: Arial"=20
bottomMargin=3D7 bgColor=3D#ffffff leftMargin=3D7 topMargin=3D7 =
rightMargin=3D7>
<DIV>We did some health surveillance in Harlow that looked at neuro =
symptoms pre=20
and post exposure.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Lucy</DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask] href=3D"mailto:[log in to unmask]">Jean=20
  Piernicki</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, August 25, =
2004 8:02=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: health =
surveillance for=20
  users of organophosphate pesticides</DIV>
  <DIV><BR></DIV><FONT id=3Drole_document face=3DArial color=3D#000000 =
size=3D2>
  <DIV>Robyn</DIV>
  <DIV>I was involved in this a couple of years ago. University based =
using OP's=20
  in greenhouses. The end result of all of our iunvestigation was that =
unless=20
  you mesured immediately before and after the results were too =
variable. There=20
  isn't a tight "normal" range for any of the blood results. </DIV>
  <DIV>Our workers used the OP's a couple of times a year and we =
investigated=20
  the "engineering out" of the problem and monitoring to ensure that no =
one=20
  entered the greenhouses and that&nbsp; dispersal had occured. It was a =
case of=20
  lots of people using their expertise to ensure the safety of the =
staff. There=20
  had been some blood testing by&nbsp; aprevious OH provider but the =
results had=20
  such a huge range that it was impossible to tell whether exposure had=20
  occurred. </DIV>
  <DIV>Regards</DIV>
  <DIV>Jean</DIV></FONT>~~~~~~~~~~~~~~~ Please remove this footer before =

  replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0800_01C48AEB.CF463910--
=========================================================================
Date:         Thu, 26 Aug 2004 06:14:41 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      BOHRF website-occupational asthma
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

From Diane Romano-Woodward

For more information on the BOHRF the website is

www.bohrf.org.uk

and details of the project at

http://www.bohrf.org.uk/content/status.htm#asthma

I was on the working group and we met at HSE in London. The HSE OH Physician
who wrote the HSE guidance note on OA was also a member, and I think it is
likely that it will be revised.

Best wishes
Diane

_________________________________________________________________
Stay in touch with absent friends - get MSN Messenger
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 27 Aug 2004 01:02:03 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Leanne MORRISON <[log in to unmask]>
Subject:      Leanne MORRISON/ABZ/UK/EP/Corp is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII

I will be out of the office starting  26/08/2004 and will not return until 30/08/2004.

I will respond to your message when I return.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 27 Aug 2004 01:02:05 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Donna Dixon <[log in to unmask]>
Subject:      Donna Dixon/National Britannia is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=iso-8859-1
Content-transfer-encoding: quoted-printable

I will be out of the office starting  27/08/2004 and will not return un=
til
31/08/2004.

Thank you for your email.  i am on leave on Friday 27th August and will=
 not
be able to respond to your email until Tuesday 31st. If you require
assistance, please call client support on 02920 852852. Thank you

This transmission has been issued for the  information of the addressee=

only and contains information which is  confidential.=A0 Accordingly, i=
t
should not be altered in any way or copied  or otherwise reproduced in =
any
form, nor should its existence or contents be  disclosed to any other
person.=A0 If you are not the  intended recipient of this transmission =
or any
attachment, please reply  immediately.
=

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 27 Aug 2004 13:49:23 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Flower, Sarah" <[log in to unmask]>
Subject:      New DSE Legislation
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C48C34.473F2E4C"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C48C34.473F2E4C
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

All,

I have recieved a query from our IT Department in regard to this email she =
received today, could anybody shed any light on this and how it may effect =
our DSE Assessments.

"You may or may not be aware but a new government legislation came into for=
ce which means all forms of web based communications must be compliant with=
 DDA (Disabilities Discrimination Act). This has a direct impact on employe=
e portals and corporate intranets as they can be hostile environments for t=
he disabled and blind. Failure to comply with this legislation has and will=
 result in legal action being taken against organisations that are unaware =
of their negligence."

Kind regards

Sarah Flower
Occupational Health Adviser
H.J.Heinz Com.Ltd




***************************************************************************=
********
This email is not intended to create a contract or an offer of acceptance o=
r other legally binding commitment, unless that is expressly stated to be t=
he case in the email. If the email does expressly state that a contract is =
created, then any contract for sale of goods will (unless expressly stated =
otherwise) be subject to the relevant H.J. Heinz's Standard Conditions of S=
ale applicable to that type of goods which are set out at www.heinzcustomer=
s.co.uk

This email and any attachments are confidential and solely for the use of t=
he intended recipient.  They may contain material protected by legal profes=
sional or other privilege.  If you are not the intended recipient or the pe=
rson responsible for delivering to the intended recipient, you are not auth=
orised to and must not disclose, copy, distribute or retain this email or i=
ts attachments.  Although this email and its attachments are believed to be=
 free of any virus or other defect, it is the responsibility of the recipie=
nt to ensure that they are virus free and no responsibility is accepted by =
the company for any loss or damage arising from receipt or use thereof.

***************************************************************************=
********
hjdisclaimer


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C48C34.473F2E4C
Content-Type: text/html; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; charset=3Diso-8859-=
1">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version 6.0.6487.1">
<TITLE>New DSE Legislation</TITLE>
</HEAD>
<BODY>
<!-- Converted from text/rtf format -->

<P><FONT SIZE=3D2 FACE=3D"Arial">All,</FONT>
</P>

<P><FONT SIZE=3D2 FACE=3D"Arial">I have recieved a query from our IT Depart=
ment in regard to this email she received today, could anybody shed any lig=
ht on this and how it may effect our DSE Assessments.</FONT></P>

<P><FONT SIZE=3D2 FACE=3D"Arial">&quot;You may or may not be aware but a ne=
w government legislation came into force which means all forms of web based=
 communications must be compliant with DDA (Disabilities Discrimination Act=
). This has a direct impact on employee portals and corporate intranets as =
they can be hostile environments for the disabled and blind. Failure to com=
ply with this legislation has and will result in legal action being taken a=
gainst organisations that are unaware of their negligence.&quot;</FONT></P>

<P><FONT SIZE=3D2 FACE=3D"Arial">Kind regards</FONT>
</P>

<P><FONT SIZE=3D2 FACE=3D"Arial">Sarah Flower</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Arial">Occupational Health Adviser</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Arial">H.J.Heinz Com.Ltd</FONT>
</P>
<BR>

<FONT SIZE=3D3><BR>
<BR>
***************************************************************************=
********<BR>
This email is not intended to create a contract or an offer of acceptance o=
r other legally binding commitment, unless that is expressly stated to be t=
he case in the email. If the email does expressly state that a contract is =
created, then any contract for sale of goods will (unless expressly stated =
otherwise) be subject to the relevant H.J. Heinz's Standard Conditions of S=
ale applicable to that type of goods which are set out at www.heinzcustomer=
s.co.uk<BR>
<BR>
This email and any attachments are confidential and solely for the use of t=
he intended recipient.  They may contain material protected by legal profes=
sional or other privilege.  If you are not the intended recipient or the pe=
rson responsible for delivering to the intended recipient, you are not auth=
orised to and must not disclose, copy, distribute or retain this email or i=
ts attachments.  Although this email and its attachments are believed to be=
 free of any virus or other defect, it is the responsibility of the recipie=
nt to ensure that they are virus free and no responsibility is accepted by =
the company for any loss or damage arising from receipt or use thereof.<BR>
<BR>
***************************************************************************=
********<BR>
hjdisclaimer<BR>
</FONT>
</BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C48C34.473F2E4C--
=========================================================================
Date:         Fri, 27 Aug 2004 14:44:57 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Kinselley, Gillian E" <[log in to unmask]>
Subject:      Re: New DSE Legislation
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C48C3C.0A619430"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C48C3C.0A619430
Content-Type: text/plain; charset="iso-8859-1"

This has been about  for some time and includes things such as having -
zoomtex - or voice activation - ability to change font or background colour
and size etc ..these options should available to individuals on their PC.
The PC's being obtained by companies now tend to have facilities built in
but if a person needs the softwear this can easily be purchassed and
installed. Your 'IT' dept will need to check it first to make sure its
compatable with your company softwear.

Its also a good idea for your IT department to be aware of individuals who
have specialist softwear (with the individuals consent) so that when they
undertake upgrades  and virus checks the specialist softwear can be
included.

Gill


-----Original Message-----
From: Flower, Sarah [mailto:[log in to unmask]]
Sent: 27 August 2004 13:49
To: [log in to unmask]
Subject: New DSE Legislation



All,

I have recieved a query from our IT Department in regard to this email she
received today, could anybody shed any light on this and how it may effect
our DSE Assessments.

"You may or may not be aware but a new government legislation came into
force which means all forms of web based communications must be compliant
with DDA (Disabilities Discrimination Act). This has a direct impact on
employee portals and corporate intranets as they can be hostile environments
for the disabled and blind. Failure to comply with this legislation has and
will result in legal action being taken against organisations that are
unaware of their negligence."

Kind regards

Sarah Flower
Occupational Health Adviser
H.J.Heinz Com.Ltd




****************************************************************************
*******
This email is not intended to create a contract or an offer of acceptance or
other legally binding commitment, unless that is expressly stated to be the
case in the email. If the email does expressly state that a contract is
created, then any contract for sale of goods will (unless expressly stated
otherwise) be subject to the relevant H.J. Heinz's Standard Conditions of
Sale applicable to that type of goods which are set out at
www.heinzcustomers.co.uk

This email and any attachments are confidential and solely for the use of
the intended recipient. They may contain material protected by legal
professional or other privilege. If you are not the intended recipient or
the person responsible for delivering to the intended recipient, you are not
authorised to and must not disclose, copy, distribute or retain this email
or its attachments. Although this email and its attachments are believed to
be free of any virus or other defect, it is the responsibility of the
recipient to ensure that they are virus free and no responsibility is
accepted by the company for any loss or damage arising from receipt or use
thereof.

****************************************************************************
*******
hjdisclaimer


.sophos.3.84.08.27.
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C48C3C.0A619430
Content-Type: text/html; charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">
<TITLE>New DSE Legislation</TITLE>

<META content="MSHTML 6.00.2800.1106" name=GENERATOR></HEAD>
<BODY>
<DIV><SPAN class=202332513-27082004><FONT face=Arial color=#0000ff size=2>This
has been about&nbsp; for some time and includes things such as having
-&nbsp;zoomtex - or voice activation - ability to change font or background
colour and size etc ..these options should available to&nbsp;individuals on
their PC.&nbsp; The PC's being obtained by companies now tend to have facilities
built in but if a person needs the softwear this&nbsp;can easily be purchassed
and installed. Your 'IT' dept will need to check it first to make sure its
compatable with your company softwear.&nbsp;&nbsp;</FONT></SPAN></DIV>
<DIV><SPAN class=202332513-27082004><FONT face=Arial color=#0000ff
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=202332513-27082004><FONT face=Arial color=#0000ff size=2>Its
also a good idea for your IT department to be aware of individuals who have
specialist softwear (with the individuals consent)&nbsp;so that when they
undertake upgrades&nbsp; and virus checks the specialist softwear can be
included.</FONT></SPAN></DIV>
<DIV><SPAN class=202332513-27082004><FONT face=Arial color=#0000ff
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=202332513-27082004><FONT face=Arial color=#0000ff
size=2>Gill</FONT></SPAN></DIV>
<DIV><SPAN class=202332513-27082004><FONT face=Arial color=#0000ff
size=2>&nbsp;&nbsp;</FONT></SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> Flower, Sarah
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 27 August 2004
  13:49<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> New DSE
  Legislation<BR><BR></FONT></DIV><!-- Converted from text/rtf format -->
  <P><FONT face=Arial size=2>All,</FONT> </P>
  <P><FONT face=Arial size=2>I have recieved a query from our IT Department in
  regard to this email she received today, could anybody shed any light on this
  and how it may effect our DSE Assessments.</FONT></P>
  <P><FONT face=Arial size=2>"You may or may not be aware but a new government
  legislation came into force which means all forms of web based communications
  must be compliant with DDA (Disabilities Discrimination Act). This has a
  direct impact on employee portals and corporate intranets as they can be
  hostile environments for the disabled and blind. Failure to comply with this
  legislation has and will result in legal action being taken against
  organisations that are unaware of their negligence."</FONT></P>
  <P><FONT face=Arial size=2>Kind regards</FONT> </P>
  <P><FONT face=Arial size=2>Sarah Flower</FONT> <BR><FONT face=Arial
  size=2>Occupational Health Adviser</FONT> <BR><FONT face=Arial
  size=2>H.J.Heinz Com.Ltd</FONT> </P><BR><FONT
  size=3><BR><BR>***********************************************************************************<BR>This
  email is not intended to create a contract or an offer of acceptance or other
  legally binding commitment, unless that is expressly stated to be the case in
  the email. If the email does expressly state that a contract is created, then
  any contract for sale of goods will (unless expressly stated otherwise) be
  subject to the relevant H.J. Heinz's Standard Conditions of Sale applicable to
  that type of goods which are set out at www.heinzcustomers.co.uk<BR><BR>This
  email and any attachments are confidential and solely for the use of the
  intended recipient. They may contain material protected by legal professional
  or other privilege. If you are not the intended recipient or the person
  responsible for delivering to the intended recipient, you are not authorised
  to and must not disclose, copy, distribute or retain this email or its
  attachments. Although this email and its attachments are believed to be free
  of any virus or other defect, it is the responsibility of the recipient to
  ensure that they are virus free and no responsibility is accepted by the
  company for any loss or damage arising from receipt or use
  thereof.<BR><BR>***********************************************************************************<BR>hjdisclaimer<BR></FONT><CODE><FONT
  size=3><BR><BR>.sophos.3.84.08.27.<BR></FONT></CODE>~~~~~~~~~~~~~~~ Please
  remove this footer before replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE><CODE><FONT SIZE=3><BR>
<BR>
Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.<BR>
<BR>
This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.<BR>
<BR>
If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.<BR>
<BR>
Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.<BR>
<BR>
Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc. <BR>
</FONT></CODE>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C48C3C.0A619430--
=========================================================================
Date:         Fri, 27 Aug 2004 15:09:06 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: New DSE Legislation
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0034_01C48C47.CBBA7E20"

This is a multi-part message in MIME format.

------=_NextPart_000_0034_01C48C47.CBBA7E20
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

New DSE LegislationYou could ring or e-mail the Disability Right =
Commission who will give you clear and accurate advice on this. They are =
open from 8-8 and their website address is www.drc-gb.org if you click =
on 'contact us' you will get the phone nos and the email address.

Have a nice bank holiday w/e all

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027
  ----- Original Message -----=20
  From: Flower, Sarah=20
  To: [log in to unmask]
  Sent: Friday, August 27, 2004 1:49 PM
  Subject: New DSE Legislation


  All,=20

  I have recieved a query from our IT Department in regard to this email =
she received today, could anybody shed any light on this and how it may =
effect our DSE Assessments.

  "You may or may not be aware but a new government legislation came =
into force which means all forms of web based communications must be =
compliant with DDA (Disabilities Discrimination Act). This has a direct =
impact on employee portals and corporate intranets as they can be =
hostile environments for the disabled and blind. Failure to comply with =
this legislation has and will result in legal action being taken against =
organisations that are unaware of their negligence."

  Kind regards=20

  Sarah Flower=20
  Occupational Health Adviser=20
  H.J.Heinz Com.Ltd=20




  =
*************************************************************************=
**********
  This email is not intended to create a contract or an offer of =
acceptance or other legally binding commitment, unless that is expressly =
stated to be the case in the email. If the email does expressly state =
that a contract is created, then any contract for sale of goods will =
(unless expressly stated otherwise) be subject to the relevant H.J. =
Heinz's Standard Conditions of Sale applicable to that type of goods =
which are set out at www.heinzcustomers.co.uk

  This email and any attachments are confidential and solely for the use =
of the intended recipient. They may contain material protected by legal =
professional or other privilege. If you are not the intended recipient =
or the person responsible for delivering to the intended recipient, you =
are not authorised to and must not disclose, copy, distribute or retain =
this email or its attachments. Although this email and its attachments =
are believed to be free of any virus or other defect, it is the =
responsibility of the recipient to ensure that they are virus free and =
no responsibility is accepted by the company for any loss or damage =
arising from receipt or use thereof.

  =
*************************************************************************=
**********
  hjdisclaimer
  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/


  ---
  Outgoing mail is certified Virus Free.
  Checked by AVG anti-virus system (http://www.grisoft.com).
  Version: 6.0.737 / Virus Database: 491 - Release Date: 11/08/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0034_01C48C47.CBBA7E20
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><TITLE>New DSE Legislation</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT size=3D2>You could ring or e-mail the Disability Right =
Commission who=20
will give you clear and accurate advice on this. They are open from 8-8 =
and=20
their website address is <A =
href=3D"http://www.drc-gb.org">www.drc-gb.org</A> if=20
you click on 'contact us' you will get the phone nos and the email=20
address.</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Have a nice bank holiday w/e all</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health =
&amp;=20
Education<BR>Consultant Editor, OH Journal<BR><A=20
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Flower, Sarah</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Friday, August 27, 2004 =
1:49=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> New DSE =
Legislation</DIV>
  <DIV><BR></DIV><!-- Converted from text/rtf format -->
  <P><FONT face=3DArial size=3D2>All,</FONT> </P>
  <P><FONT face=3DArial size=3D2>I have recieved a query from our IT =
Department in=20
  regard to this email she received today, could anybody shed any light =
on this=20
  and how it may effect our DSE Assessments.</FONT></P>
  <P><FONT face=3DArial size=3D2>"You may or may not be aware but a new =
government=20
  legislation came into force which means all forms of web based =
communications=20
  must be compliant with DDA (Disabilities Discrimination Act). This has =
a=20
  direct impact on employee portals and corporate intranets as they can =
be=20
  hostile environments for the disabled and blind. Failure to comply =
with this=20
  legislation has and will result in legal action being taken against=20
  organisations that are unaware of their negligence."</FONT></P>
  <P><FONT face=3DArial size=3D2>Kind regards</FONT> </P>
  <P><FONT face=3DArial size=3D2>Sarah Flower</FONT> <BR><FONT =
face=3DArial=20
  size=3D2>Occupational Health Adviser</FONT> <BR><FONT face=3DArial=20
  size=3D2>H.J.Heinz Com.Ltd</FONT> </P><BR><FONT=20
  =
size=3D3><BR><BR>********************************************************=
***************************<BR>This=20
  email is not intended to create a contract or an offer of acceptance =
or other=20
  legally binding commitment, unless that is expressly stated to be the =
case in=20
  the email. If the email does expressly state that a contract is =
created, then=20
  any contract for sale of goods will (unless expressly stated =
otherwise) be=20
  subject to the relevant H.J. Heinz's Standard Conditions of Sale =
applicable to=20
  that type of goods which are set out at =
www.heinzcustomers.co.uk<BR><BR>This=20
  email and any attachments are confidential and solely for the use of =
the=20
  intended recipient. They may contain material protected by legal =
professional=20
  or other privilege. If you are not the intended recipient or the =
person=20
  responsible for delivering to the intended recipient, you are not =
authorised=20
  to and must not disclose, copy, distribute or retain this email or its =

  attachments. Although this email and its attachments are believed to =
be free=20
  of any virus or other defect, it is the responsibility of the =
recipient to=20
  ensure that they are virus free and no responsibility is accepted by =
the=20
  company for any loss or damage arising from receipt or use=20
  =
thereof.<BR><BR>*********************************************************=
**************************<BR>hjdisclaimer<BR></FONT>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to <A=20
  =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/">http://uk.groups.yahoo.=
com/group/OHJobs/</A>
  <P><BR>---<BR>Outgoing mail is certified Virus Free.<BR>Checked by AVG =

  anti-virus system (<A=20
  =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.737=20
  / Virus Database: 491 - Release Date: =
11/08/2004</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0034_01C48C47.CBBA7E20--
=========================================================================
Date:         Fri, 27 Aug 2004 16:08:38 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         enricoSmog <[log in to unmask]>
Subject:      New DSE Legislation
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_077D_01C48C50.1CE07180"

This is a multi-part message in MIME format.

------=_NextPart_000_077D_01C48C50.1CE07180
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

New DSE LegislationThere is no new DSE legislation relating to the DDA =
as there has always been the proviso that reasonable adjustments should =
be made for individuals with special needs. Where most companies will =
fall down is in their risk assessments that are software based as nearly =
all have made no attempt to make them usable by those with a disabling =
conditon. This in itself will make them liable to a claim of =
discrimination.=20

However, it is not that difficult to make these programs compliant. Nor =
is it difficult to make computers accessible for all.=20

For a website to be compliant to the DDA - it must be accessible by all, =
that is, the page should convert to being easily read by a screen =
reader, all images should have a description, navigation should not need =
endless mouse application etc. See July issue of EZ-1 ergonomics for =
description of software for use by disabled workers.

EZ-1 ergonomics has just produced its first special report on making =
computers accessible for all - contact below for details.=20


Duncan Abbott
enricoSmog Human Factor consultancy
www.enricosmog.com
EZ-1 ergonomics news, research and good practice send blank email to =
[log in to unmask] with subscribe in subject line
  ----- Original Message -----=20
  From: Kinselley, Gillian E=20
  To: [log in to unmask]
  Sent: Friday, August 27, 2004 2:44 PM
  Subject: Re: New DSE Legislation


  This has been about  for some time and includes things such as having =
- zoomtex - or voice activation - ability to change font or background =
colour and size etc ..these options should available to individuals on =
their PC.  The PC's being obtained by companies now tend to have =
facilities built in but if a person needs the softwear this can easily =
be purchassed and installed. Your 'IT' dept will need to check it first =
to make sure its compatable with your company softwear. =20

  Its also a good idea for your IT department to be aware of individuals =
who have specialist softwear (with the individuals consent) so that when =
they undertake upgrades  and virus checks the specialist softwear can be =
included.

  Gill
   =20
    -----Original Message-----
    From: Flower, Sarah [mailto:[log in to unmask]]
    Sent: 27 August 2004 13:49
    To: [log in to unmask]
    Subject: New DSE Legislation


    All,=20

    I have recieved a query from our IT Department in regard to this =
email she received today, could anybody shed any light on this and how =
it may effect our DSE Assessments.

    "You may or may not be aware but a new government legislation came =
into force which means all forms of web based communications must be =
compliant with DDA (Disabilities Discrimination Act). This has a direct =
impact on employee portals and corporate intranets as they can be =
hostile environments for the disabled and blind. Failure to comply with =
this legislation has and will result in legal action being taken against =
organisations that are unaware of their negligence."

    Kind regards=20

    Sarah Flower=20
    Occupational Health Adviser=20
    H.J.Heinz Com.Ltd=20




    =
*************************************************************************=
**********
    This email is not intended to create a contract or an offer of =
acceptance or other legally binding commitment, unless that is expressly =
stated to be the case in the email. If the email does expressly state =
that a contract is created, then any contract for sale of goods will =
(unless expressly stated otherwise) be subject to the relevant H.J. =
Heinz's Standard Conditions of Sale applicable to that type of goods =
which are set out at www.heinzcustomers.co.uk

    This email and any attachments are confidential and solely for the =
use of the intended recipient. They may contain material protected by =
legal professional or other privilege. If you are not the intended =
recipient or the person responsible for delivering to the intended =
recipient, you are not authorised to and must not disclose, copy, =
distribute or retain this email or its attachments. Although this email =
and its attachments are believed to be free of any virus or other =
defect, it is the responsibility of the recipient to ensure that they =
are virus free and no responsibility is accepted by the company for any =
loss or damage arising from receipt or use thereof.

    =
*************************************************************************=
**********
    hjdisclaimer


    .sophos.3.84.08.27.
    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/



  Emails aren't always secure, and they may be intercepted or changed =
after they've been sent. Abbey doesn't accept liability if this happens. =
If you think someone may have interfered with this email, please get in =
touch with the sender another way.

  This message doesn't create or change any contract. Abbey doesn't =
accept responsibility for damage caused by any viruses contained in this =
email or its attachments. Emails may be monitored.

  If you've received this email by mistake, please let the sender know =
at once that it's gone to the wrong person and then destroy it without =
copying, using, or telling anyone about its contents.

  Abbey National plc Reg. No 2294747, and Inscape Investments Limited =
Reg. No. 3839455 are registered in England and have their Registered =
Offices at Abbey National House, 2 Triton Square, Regent's Place, =
London, NW1 3AN.

  Abbey National plc and Inscape Investments Limited are authorised and =
regulated by the Financial Services Authority. Abbey National plc only =
advises on its own life assurance, pension and collective investment =
scheme products. Inscape Investments Limited is a member of the Abbey =
Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are =
registered trademarks of Abbey National plc.=20
  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_077D_01C48C50.1CE07180
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><TITLE>New DSE Legislation</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1106" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>There is no new DSE legislation =
relating to the DDA=20
as there has always been the proviso that reasonable adjustments should =
be made=20
for individuals with special needs. Where most companies will fall down =
is in=20
their risk assessments that are software based as nearly all have made =
no=20
attempt to make them usable by those with a disabling conditon. This in =
itself=20
will make them liable to a claim of discrimination. </FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>However, it is not that difficult to =
make these=20
programs compliant. Nor is it difficult to make computers accessible for =
all.=20
</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>For a website to be compliant to the =
DDA - it must=20
be accessible by all, that is, the page should convert to being easily =
read by a=20
screen reader, all images should have a description, navigation should =
not need=20
endless mouse application etc. See July issue of EZ-1 ergonomics for =
description=20
of software for use by disabled workers.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>EZ-1 ergonomics has just produced its =
first special=20
report </FONT><FONT face=3DArial size=3D2>on making computers accessible =
for all -=20
contact below for details. </FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Duncan Abbott</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>enricoSmog Human Factor =
consultancy</FONT></DIV>
<DIV><FONT face=3DArial size=3D2><A=20
href=3D"http://www.enricosmog.com">www.enricosmog.com</A></FONT></DIV>
<DIV><FONT face=3DArial size=3D2>EZ-1 ergonomics news, research and good =
practice=20
send blank email to <A=20
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> with =
subscribe in=20
subject line</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Kinselley, Gillian E</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Friday, August 27, 2004 =
2:44=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: New DSE =
Legislation</DIV>
  <DIV><BR></DIV>
  <DIV><SPAN class=3D202332513-27082004><FONT face=3DArial =
color=3D#0000ff size=3D2>This=20
  has been about&nbsp; for some time and includes things such as having=20
  -&nbsp;zoomtex - or voice activation - ability to change font or =
background=20
  colour and size etc ..these options should available =
to&nbsp;individuals on=20
  their PC.&nbsp; The PC's being obtained by companies now tend to have=20
  facilities built in but if a person needs the softwear this&nbsp;can =
easily be=20
  purchassed and installed. Your 'IT' dept will need to check it first =
to make=20
  sure its compatable with your company=20
softwear.&nbsp;&nbsp;</FONT></SPAN></DIV>
  <DIV><SPAN class=3D202332513-27082004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D202332513-27082004><FONT face=3DArial =
color=3D#0000ff size=3D2>Its=20
  also a good idea for your IT department to be aware of individuals who =
have=20
  specialist softwear (with the individuals consent)&nbsp;so that when =
they=20
  undertake upgrades&nbsp; and virus checks the specialist softwear can =
be=20
  included.</FONT></SPAN></DIV>
  <DIV><SPAN class=3D202332513-27082004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D202332513-27082004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>Gill</FONT></SPAN></DIV>
  <DIV><SPAN class=3D202332513-27082004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>&nbsp;&nbsp;</FONT></SPAN></DIV>
  <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
    <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
    size=3D2>-----Original Message-----<BR><B>From:</B> Flower, Sarah=20
    [mailto:[log in to unmask]]<BR><B>Sent:</B> 27 August 2004=20
    13:49<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> New =
DSE=20
    Legislation<BR><BR></FONT></DIV><!-- Converted from text/rtf format =
-->
    <P><FONT face=3DArial size=3D2>All,</FONT> </P>
    <P><FONT face=3DArial size=3D2>I have recieved a query from our IT =
Department in=20
    regard to this email she received today, could anybody shed any =
light on=20
    this and how it may effect our DSE Assessments.</FONT></P>
    <P><FONT face=3DArial size=3D2>"You may or may not be aware but a =
new government=20
    legislation came into force which means all forms of web based=20
    communications must be compliant with DDA (Disabilities =
Discrimination Act).=20
    This has a direct impact on employee portals and corporate intranets =
as they=20
    can be hostile environments for the disabled and blind. Failure to =
comply=20
    with this legislation has and will result in legal action being =
taken=20
    against organisations that are unaware of their =
negligence."</FONT></P>
    <P><FONT face=3DArial size=3D2>Kind regards</FONT> </P>
    <P><FONT face=3DArial size=3D2>Sarah Flower</FONT> <BR><FONT =
face=3DArial=20
    size=3D2>Occupational Health Adviser</FONT> <BR><FONT face=3DArial=20
    size=3D2>H.J.Heinz Com.Ltd</FONT> </P><BR><FONT=20
    =
size=3D3><BR><BR>********************************************************=
***************************<BR>This=20
    email is not intended to create a contract or an offer of acceptance =
or=20
    other legally binding commitment, unless that is expressly stated to =
be the=20
    case in the email. If the email does expressly state that a contract =
is=20
    created, then any contract for sale of goods will (unless expressly =
stated=20
    otherwise) be subject to the relevant H.J. Heinz's Standard =
Conditions of=20
    Sale applicable to that type of goods which are set out at=20
    www.heinzcustomers.co.uk<BR><BR>This email and any attachments are=20
    confidential and solely for the use of the intended recipient. They =
may=20
    contain material protected by legal professional or other privilege. =
If you=20
    are not the intended recipient or the person responsible for =
delivering to=20
    the intended recipient, you are not authorised to and must not =
disclose,=20
    copy, distribute or retain this email or its attachments. Although =
this=20
    email and its attachments are believed to be free of any virus or =
other=20
    defect, it is the responsibility of the recipient to ensure that =
they are=20
    virus free and no responsibility is accepted by the company for any =
loss or=20
    damage arising from receipt or use=20
    =
thereof.<BR><BR>*********************************************************=
**************************<BR>hjdisclaimer<BR></FONT><CODE><FONT=20
    =
size=3D3><BR><BR>.sophos.3.84.08.27.<BR></FONT></CODE>~~~~~~~~~~~~~~~ =
Please=20
    remove this footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE><CODE><FONT =

  size=3D3><BR><BR>Emails aren't always secure, and they may be =
intercepted or=20
  changed after they've been sent. Abbey doesn't accept liability if =
this=20
  happens. If you think someone may have interfered with this email, =
please get=20
  in touch with the sender another way.<BR><BR>This message doesn't =
create or=20
  change any contract. Abbey doesn't accept responsibility for damage =
caused by=20
  any viruses contained in this email or its attachments. Emails may be=20
  monitored.<BR><BR>If you've received this email by mistake, please let =
the=20
  sender know at once that it's gone to the wrong person and then =
destroy it=20
  without copying, using, or telling anyone about its =
contents.<BR><BR>Abbey=20
  National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. =
3839455=20
  are registered in England and have their Registered Offices at Abbey =
National=20
  House, 2 Triton Square, Regent's Place, London, NW1 3AN.<BR><BR>Abbey =
National=20
  plc and Inscape Investments Limited are authorised and regulated by =
the=20
  Financial Services Authority. Abbey National plc only advises on its =
own life=20
  assurance, pension and collective investment scheme products. Inscape=20
  Investments Limited is a member of the Abbey Marketing Group and =
provides=20
  OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of =
Abbey=20
  National plc. <BR></FONT></CODE>~~~~~~~~~~~~~~~ Please remove this =
footer=20
  before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_077D_01C48C50.1CE07180--
=========================================================================
Date:         Fri, 27 Aug 2004 17:12:44 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Catherine Cross <[log in to unmask]>
Subject:      Re: health surveillance for users of organophosphate pesticides
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_108730_19969074.1093619564855"

------=_Part_108730_19969074.1093619564855
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

Hi Robyn
I will soon be taking over a horticultural research centre where they use OP's, and in stead of doing blood tests they do urinalysis.  All samples are sent to the Health & Safety Laboratory in Sheffield.  I'm not at work until next week, so if you would like more info contact me off list.
Regards
Cate





========================================
Message date : Aug 25 2004, 04:50 AM
From : "Robyn Buck"

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 27 Aug 2004 18:53:29 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Anne Harriss <[log in to unmask]>
Subject:      Re: New DSE Legislation
In-Reply-To:  <[log in to unmask]>
Mime-version: 1.0
Content-type: multipart/alternative;
              boundary="MS_Mac_OE_3176477609_4243868_MIME_Part"

> This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

--MS_Mac_OE_3176477609_4243868_MIME_Part
Content-type: text/plain; charset="ISO-8859-1"
Content-transfer-encoding: quoted-printable

on 27/8/04 1:49 pm, Flower, Sarah at [log in to unmask] wrote:


All,=20

I have recieved a query from our IT Department in regard to this email she
received today, could anybody shed any light on this and how it may effect
our DSE Assessments.

"You may or may not be aware but a new government legislation came into
force which means all forms of web based communications must be compliant
with DDA (Disabilities Discrimination Act). This has a direct impact on
employee portals and corporate intranets as they can be hostile environment=
s
for the disabled and blind. Failure to comply with this legislation has and
will result in legal action being taken against organisations that are
unaware of their negligence."

Kind regards=20

Sarah Flower=20
Occupational Health Adviser
H.J.Heinz Com.Ltd=20


***************************************************************************=
*
*******
This email is not intended to create a contract or an offer of acceptance o=
r
other legally binding commitment, unless that is expressly stated to be the
case in the email. If the email does expressly state that a contract is
created, then any contract for sale of goods will (unless expressly stated
otherwise) be subject to the relevant H.J. Heinz's Standard Conditions of
Sale applicable to that type of goods which are set out at
www.heinzcustomers.co.uk

This email and any attachments are confidential and solely for the use of
the intended recipient.  They may contain material protected by legal
professional or other privilege.  If you are not the intended recipient or
the person responsible for delivering to the intended recipient, you are no=
t
authorised to and must not disclose, copy, distribute or retain this email
or its attachments.  Although this email and its attachments are believed t=
o
be free of any virus or other defect, it is the responsibility of the
recipient to ensure that they are virus free and no responsibility is
accepted by the company for any loss or damage arising from receipt or use
thereof.

***************************************************************************=
*
*******
hjdisclaimer
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

Dear Sarah and List

This email is somewhat suspect. The DDA has always required that reasonable
adjustments are made in order that the requirements of all  disabled worker=
s
(not only those with impaired visual function) are met. Similarly there is =
a
requirement under both Reg 3 of the Workplace Regs and the DSE regs for ris=
k
assessments to be undertaken and adjustments made where necessary.

I get the feeling this is an organisation trying to sell their services and
using "scare tactics' in order to do so. Reminds me of the recent scam by a=
n
organisation based in the north of England purporting to be associated with
the HSE. They wrote to a number of companies asking for =A3200 in exchange fo=
r
a worthless "health and safety certificate" indicating  full compliance wit=
h
both data protection and all health and safety legislation. Interesting tha=
t
they felt able to do this by mail without even visiting the workplace nor
checking the existence nor accuracy of any risk assessments.

Anne

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--MS_Mac_OE_3176477609_4243868_MIME_Part
Content-type: text/html; charset="ISO-8859-1"
Content-transfer-encoding: quoted-printable

<HTML>
<HEAD>
<TITLE>Re: New DSE Legislation</TITLE>
</HEAD>
<BODY>
on 27/8/04 1:49 pm, Flower, Sarah at [log in to unmask] wrote:<BR>
<BR>
<BLOCKQUOTE><BR>
<FONT SIZE=3D"2"><FONT FACE=3D"Arial">All,</FONT></FONT> <BR>
<BR>
<FONT SIZE=3D"2"><FONT FACE=3D"Arial">I have recieved a query from our IT Depar=
tment in regard to this email she received today, could anybody shed any lig=
ht on this and how it may effect our DSE Assessments.</FONT></FONT> <BR>
<BR>
<FONT SIZE=3D"2"><FONT FACE=3D"Arial">&quot;You may or may not be aware but a n=
ew government legislation came into force which means all forms of web based=
 communications must be compliant with DDA (Disabilities Discrimination Act)=
. This has a direct impact on employee portals and corporate intranets as th=
ey can be hostile environments for the disabled and blind. Failure to comply=
 with this legislation has and will result in legal action being taken again=
st organisations that are unaware of their negligence.&quot;</FONT></FONT> <=
BR>
<BR>
<FONT SIZE=3D"2"><FONT FACE=3D"Arial">Kind regards</FONT></FONT> <BR>
<BR>
<FONT SIZE=3D"2"><FONT FACE=3D"Arial">Sarah Flower</FONT></FONT> <BR>
<FONT SIZE=3D"2"><FONT FACE=3D"Arial">Occupational Health Adviser</FONT></FONT>=
 <BR>
<FONT SIZE=3D"2"><FONT FACE=3D"Arial">H.J.Heinz Com.Ltd</FONT></FONT> <BR>
<BR>
<BR>
***************************************************************************=
********<BR>
This email is not intended to create a contract or an offer of acceptance o=
r other legally binding commitment, unless that is expressly stated to be th=
e case in the email. If the email does expressly state that a contract is cr=
eated, then any contract for sale of goods will (unless expressly stated oth=
erwise) be subject to the relevant H.J. Heinz's Standard Conditions of Sale =
applicable to that type of goods which are set out at www.heinzcustomers.co.=
uk<BR>
<BR>
This email and any attachments are confidential and solely for the use of t=
he intended recipient. &nbsp;They may contain material protected by legal pr=
ofessional or other privilege. &nbsp;If you are not the intended recipient o=
r the person responsible for delivering to the intended recipient, you are n=
ot authorised to and must not disclose, copy, distribute or retain this emai=
l or its attachments. &nbsp;Although this email and its attachments are beli=
eved to be free of any virus or other defect, it is the responsibility of th=
e recipient to ensure that they are virus free and no responsibility is acce=
pted by the company for any loss or damage arising from receipt or use there=
of.<BR>
<BR>
***************************************************************************=
********<BR>
hjdisclaimer<BR>
~~~~~~~~~~~~~~~ Please remove this footer before replying. <BR>
<BR>
For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-=
health.html for list archives <BR>
<BR>
For jobs in Occupational Health, go to http://uk.groups.yahoo.com/group/OHJ=
obs/ <BR>
</BLOCKQUOTE><BR>
Dear Sarah and List<BR>
<BR>
This email is somewhat suspect. The DDA has always required that reasonable=
 adjustments are made in order that the requirements of all &nbsp;disabled w=
orkers (not only those with impaired visual function) are met. Similarly the=
re is a requirement under both Reg 3 of the Workplace Regs and the DSE regs =
for risk assessments to be undertaken and adjustments made where necessary. =
<BR>
<BR>
I get the feeling this is an organisation trying to sell their services and=
 using &quot;scare tactics' in order to do so. Reminds me of the recent scam=
 by an organisation based in the north of England purporting to be associate=
d with the HSE. They wrote to a number of companies asking for =A3200 in excha=
nge for a worthless &quot;health and safety certificate&quot; indicating &nb=
sp;full compliance with both data protection and all health and safety legis=
lation. Interesting that they felt able to do this by mail without even visi=
ting the workplace nor checking the existence nor accuracy of any risk asses=
sments. <BR>
<BR>
Anne
</BODY>
</HTML>

~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--MS_Mac_OE_3176477609_4243868_MIME_Part--
=========================================================================
Date:         Wed, 1 Sep 2004 22:45:15 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jacqui Livock <[log in to unmask]>
Subject:      first aiders/hep B vaccine

hi all
im sorry if this is an old chestnut but i have been asked about
requirements for the above!!

i am looking at the research base in relation to hep B and first
aiders, 'best practice' aside does anyone know of anything which will back
(or dispute) my nursing background which tells me that this is actually a
good thing for a company to do??

The first aiders may deal with members of the public and the company have
potentially between 500 and 1000 first aiders nationwide. (cost benefit
analysis and all that!)

what does your company's do and what are your experiences with GP's etc

yours in anticipation (as ever)

jacqui

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 1 Sep 2004 23:02:42 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         joan Twigger <[log in to unmask]>
Subject:      Joan Twigger/UK-Europe/3M/US is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII

I will be out of the office starting  01/09/2004 and will not return until
03/09/2004.

 I will respond to your message when I return.On Fri PM

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 2 Sep 2004 09:14:18 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         SBlair <[log in to unmask]>
Subject:      Re: first aiders/hep B vaccine
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Jacqui
I have been down this road like many others. We have decided to give the
option to the FA's themselves. We have an agreement with the local local GP
practice managers as we don't have the necessary facilities. Sian

-----Original Message-----
From: Jacqui Livock [mailto:[log in to unmask]]
Sent: 01 September 2004 22:45
To: [log in to unmask]
Subject: first aiders/hep B vaccine


hi all
im sorry if this is an old chestnut but i have been asked about
requirements for the above!!

i am looking at the research base in relation to hep B and first
aiders, 'best practice' aside does anyone know of anything which will back
(or dispute) my nursing background which tells me that this is actually a
good thing for a company to do??

The first aiders may deal with members of the public and the company have
potentially between 500 and 1000 first aiders nationwide. (cost benefit
analysis and all that!)

what does your company's do and what are your experiences with GP's etc

yours in anticipation (as ever)

jacqui

~~~~~~~~~~~~~~~

-----------------------------------------------------------------------
John Heathcoat and Company Ltd is registered in England No. 450787.
Registered Office: Westexe, Tiverton, Devon EX16 5LL.

This email is confidential and intended solely for the use of the
individual to whom it is addressed. Any views or opinions presented
are solely those of the author and do not necessarily represent those
of John Heathcoat and Company Ltd. If you are not the intended
recipient and have received this email in error, any use, dissemination,
forwarding, printing or copying of this email is strictly prohibited.
------------------------------------------------------------------------

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 2 Sep 2004 10:04:59 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         N Loader <[log in to unmask]>
Subject:      Musculoskeletal Disorders

Dear members,

Does anyone know of any seminars/study days relating to Musculoskeletal
issues?

Many thanks.
Nick

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 2 Sep 2004 10:17:16 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Catherine Wood <[log in to unmask]>
Subject:      Re: E-mails
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Hi Nina
I hope that you dont mind me contacting you.  I am currently training
at RGU Aberdeen.  I was wondering where you are doing yours at.
Cath Wood
>>> [log in to unmask] 25/08/2004 08:04:01 >>>
Good morning,

Since yesterday I have received 8 e-mails which were meant to come to
your mailbox. Please can you inform your IT support so they can rectify
this problem?

Many thanks,
Nina Hepworth.
(Trainee Occupational Health Adviser)


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

This electronic message contains information from Hampshire
Constabulary which may be legally privileged and confidential. Any
opinions expressed may be those of the individual and not necessarily
the Hampshire Constabulary.
The information is intended to be for the use of the individual(s) or
entity named above. If you are not the intended recipient, be aware that
any disclosure, copying, distribution or use of the contents of the
information is prohibited. If you have received this electronic message
in error, please notify us by telephone
+44 (0) 845 045 45 45 or email to [log in to unmask]
immediately. Please then delete this email and destroy any copies of it.

All communications, including telephone calls and electronic messages
to and from the Hampshire Constabulary may be subject to monitoring.
Replies to this email may be seen by employees other than the intended
recipient.
***********************************************************************************


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 2 Sep 2004 10:50:20 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Musculoskeletal Disorders
MIME-Version: 1.0
Content-Type: text/plain; charset="Windows-1252"
Content-Transfer-Encoding: 7bit

Nick et al
yes, IRS are planning another Musculoskeletal 2 day conference in March
2005 - contact me directly for father details. Also the IRS OH Update
conference on 2/3rd November has some MSD & ergonomic topics - again contact
me direct. You could also look at the Hu Tech website www.hu-tech.co.uk as
they do MSD/ergonomics study days

There are probably many others but these are the things I am involved with
so know they are good quality.

Cheers, Greta

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027

----- Original Message -----
From: "N Loader" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, September 02, 2004 10:04 AM
Subject: Musculoskeletal Disorders


> Dear members,
>
> Does anyone know of any seminars/study days relating to Musculoskeletal
> issues?
>
> Many thanks.
> Nick
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.749 / Virus Database: 501 - Release Date: 01/09/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 2 Sep 2004 17:08:11 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Angela Arnold - Cheviot Recruitment
              <[log in to unmask]>
Subject:      MSD and DSE Study Days
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_116E_01C4910F.6D038260"

This is a multi-part message in MIME format.

------=_NextPart_000_116E_01C4910F.6D038260
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable
X-MIME-Autoconverted: from 8bit to quoted-printable by fili.jiscmail.ac.uk id i82G9tQl026411

Dear Nick and List

We hold a number of study days each year , covering a variety of topics.
With reference to your enquiry:
We are running a joint MSD/ DSE Study day , which is based in Central Lon=
don
on the 21st September 2004

If you are interested in obtaining further details about the day , or any=
 of
the other Study Days
Contact Anya Tobin at our office  [log in to unmask]  or  0207
404 9449


Angela Arnold

OH & Safety Recruitment Advisor



Cheviot Recruitment

Baird House, 15-17 St Cross Street

London EC1N 8UW



Tel: 020 7404 9559

Fax: 020 7404 0986

Web: www.cheviotrecruitment.co.uk





IMPORTANT NOTICE: The information in this email (and any attachments) is
confidential.  If you are not the intended recipient, you must not use or
disseminate the information.  If you have received this email in error
please immediately notify me by =93Reply=94 command and permanently delet=
e the
original and any copies or printouts thereof.  Although this email and an=
y
attachments are believed to be free of any virus or other defect that mig=
ht
affect any computer system into which it is received and opened, it is th=
e
responsibility of the recipient to ensure that it is virus free and no
responsibility is accepted by Cheviot Recruitment Limited or its
subsidiaries or affiliates either jointly or severally, for any loss or
damage arising in any way from its use.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_116E_01C4910F.6D038260
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR></HEAD>
<BODY>
<DIV><FONT face=3DArial size=3D2><SPAN class=3D660465915-02092004>Dear =
Nick and=20
List</SPAN></FONT></DIV>
<DIV><FONT face=3DArial size=3D2><SPAN=20
class=3D660465915-02092004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2><SPAN class=3D660465915-02092004>We =
hold a number of=20
study days each year , covering a variety of topics.</SPAN></FONT></DIV>
<DIV><FONT face=3DArial size=3D2><SPAN class=3D660465915-02092004>With =
reference to=20
your enquiry:</SPAN></FONT></DIV>
<DIV><FONT face=3DArial size=3D2><SPAN class=3D660465915-02092004>We are =
running a=20
joint MSD/ DSE Study day , which is based in Central London on the 21st=20
September 2004</SPAN></FONT></DIV>
<DIV><FONT face=3DArial size=3D2><SPAN=20
class=3D660465915-02092004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2><SPAN class=3D660465915-02092004>If you =
are=20
interested in obtaining further details about the day , or any of the =
other=20
Study Days </SPAN></FONT></DIV>
<DIV><FONT face=3DArial size=3D2><SPAN =
class=3D660465915-02092004>Contact Anya Tobin=20
at our office&nbsp; <A=20
href=3D"mailto:[log in to unmask]">[log in to unmask]
uk</A>&nbsp;=20
or&nbsp; 0207 404 9449 </SPAN></FONT></DIV>
<DIV><FONT face=3DArial size=3D2><SPAN=20
class=3D660465915-02092004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2><SPAN=20
class=3D660465915-02092004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3D"Arial =
Narrow"=20
color=3D#ff00ff size=3D2>Angela Arnold</FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3D"Arial =
Narrow"=20
color=3D#ff00ff size=3D2>OH &amp; Safety Recruitment Advisor</FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT size=3D2><FONT=20
face=3D"Arial Narrow"><FONT color=3D#ff00ff>&nbsp;<?xml:namespace prefix =
=3D o ns =3D=20
"urn:schemas-microsoft-com:office:office" =
/><o:p></o:p></FONT></FONT></FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3D"Arial =
Narrow"=20
color=3D#ff00ff size=3D2>Cheviot Recruitment</FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3D"Arial =
Narrow"=20
color=3D#ff00ff size=3D2>Baird House, 15-17 St Cross Street</FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3D"Arial =
Narrow"=20
color=3D#ff00ff size=3D2>London EC1N 8UW</FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3D"Arial =
Narrow"=20
color=3D#ff00ff size=3D2></FONT>&nbsp;</P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3D"Arial =
Narrow"=20
color=3D#ff00ff size=3D2>Tel: 020 7404 9559</FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3D"Arial =
Narrow"=20
color=3D#ff00ff size=3D2>Fax: 020 7404 0986</FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3D"Arial =
Narrow"=20
color=3D#ff00ff size=3D2>Web: </FONT><A=20
href=3D"http://www.cheviotrecruitment.co.uk/"><SPAN=20
style=3D"COLOR: windowtext"><FONT face=3D"Arial Narrow" color=3D#ff00ff=20
size=3D2>www.cheviotrecruitment.co.uk</FONT></SPAN></A></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3D"Arial =
Narrow"=20
size=3D2></FONT>&nbsp;</P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3D"Arial =
Narrow"=20
size=3D2></FONT>&nbsp;</P><SPAN=20
style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Arial Narrow'; =
mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times =
New Roman'; mso-ansi-language: EN-GB; mso-fareast-language: EN-US; =
mso-bidi-language: AR-SA">IMPORTANT=20
NOTICE: The information in this email (and any attachments) is=20
confidential.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>If you are =
not the=20
intended recipient, you must not use or disseminate the =
information.<SPAN=20
style=3D"mso-spacerun: yes">&nbsp; </SPAN>If you have received this =
email in error=20
please immediately notify me by =93Reply=94 command and permanently =
delete the=20
original and any copies or printouts thereof.<SPAN=20
style=3D"mso-spacerun: yes">&nbsp; </SPAN>Although this email and any =
attachments=20
are believed to be free of any virus or other defect that might affect =
any=20
computer system into which it is received and opened, it is the =
responsibility=20
of the recipient to ensure that it is virus free and no responsibility =
is=20
accepted by Cheviot Recruitment Limited or its subsidiaries or =
affiliates either=20
jointly or severally, for any loss or damage arising in any way from its =

use.</SPAN></FONT></DIV>
<DIV>&nbsp;</DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_116E_01C4910F.6D038260--
=========================================================================
Date:         Fri, 3 Sep 2004 13:00:33 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Kate Venables <[log in to unmask]>
Subject:      test mail
Comments: To: [log in to unmask], [log in to unmask],
          [log in to unmask]
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

test mail

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 3 Sep 2004 13:28:45 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "MASLEN-JONES David, Cinical Nurse Mgr"
              <[log in to unmask]>
Subject:      Re: Surgical smoke
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Dear All,

Especially those in the NHS/Healthcare sector,

I have a staff nurse in our theatres with a respiratory problem who has =
raised the issue of contaminants in surgical smoke produced during =
diothermy or laser procedures.

This smoke potentially contains all sorts of nasties including virus =
particles and some sensitisers, we currently  have no LEV and a very =
poor main extraction system in the theatres.

Does anyone have any experience of control systems in theatres, =
appropriate health surveillance, evidence or research which confirms =
risk, etc: which I could use to make an argument for the introduction of =
extraction or which might assist in treatment for my patient

regards

david

David R Maslen-Jones RGN BA Spohn MIOSH

Clinical Nurse Manager, Occupational Health
Plymouth Hospitals NHS Trust
Derriford
Plymouth
PL6 8DH
Tel: 01752 517592      int:57592=20
[log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 3 Sep 2004 13:44:11 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Darcy <[log in to unmask]>
Subject:      Re: Surgical smoke
Mime-Version: 1.0
Content-Type: multipart/alternative; boundary="=__Part7D5D090B.0__="

This is a MIME message. If you are reading this text, you may want to
consider changing to a mail reader or gateway that understands how to
properly handle MIME multipart messages.

--=__Part7D5D090B.0__=
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit

I have not considered diathermy smoke to produce a risk of transmission
of infection, not would consider it a sensitiser.  Howver, I have come
across staff who have had transient respiratory symptoms that have
resolved spontaneously when a general facemask was worn.

Are there any other processes or agents of concern eg anaesthetic
gases, solvents, surgical adhesives etc?

Regards



Paul D'Arcy,
Occupational Health Manager (Acting)

Occupational Health
Hammersmith Hospital

Developing And Supporting People To Make Healthcare Better

Direct Line  020 8383 1024
Internal Ext 31024



*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Hammersmith Hospitals NHS Trust IT department on 020 8746 5555. Please also delete the message from your computer.

**
*


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--=__Part7D5D090B.0__=
Content-Type: text/html; charset=ISO-8859-1
Content-Transfer-Encoding: 8bit
Content-Description: HTML

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=Content-Type content="text/html; charset=iso-8859-1">
<META content="MSHTML 6.00.2713.1100" name=GENERATOR></HEAD>
<BODY style="MARGIN-TOP: 2px; FONT: 8pt MS Sans Serif; MARGIN-LEFT: 2px">
<DIV><FONT size=2>I have not considered diathermy smoke to produce a risk of
transmission of infection, not would consider it a sensitiser.&nbsp; Howver, I
have come across staff who have had transient respiratory symptoms that have
resolved spontaneously when a general facemask was worn.</FONT></DIV>
<DIV><FONT size=2></FONT>&nbsp;</DIV>
<DIV><FONT size=2>Are there any other processes or agents of concern eg
anaesthetic gases, solvents, surgical adhesives&nbsp;etc?</FONT></DIV>
<DIV><FONT size=2></FONT>&nbsp;</DIV>
<DIV><FONT size=2>Regards</FONT></DIV>
<DIV><FONT size=2></FONT>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV>Paul D'Arcy, <BR>Occupational Health Manager (Acting)</DIV>
<DIV>&nbsp;</DIV>
<DIV>Occupational Health<BR>Hammersmith Hospital</DIV>
<DIV>&nbsp;</DIV>
<DIV>Developing And Supporting People To Make Healthcare Better</DIV>
<DIV>&nbsp;</DIV>
<DIV>Direct Line&nbsp; 020 8383 1024<BR>Internal Ext
31024<BR></DIV><FONT SIZE=3><BR>
<BR>
*<BR>
**<BR>
<BR>
Confidentiality Notice<BR>
<BR>
The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Hammersmith Hospitals NHS Trust IT department on 020 8746 5555. Please also delete the message from your computer.<BR>
<BR>
**<BR>
*<BR>
</FONT>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--=__Part7D5D090B.0__=--
=========================================================================
Date:         Fri, 3 Sep 2004 14:18:49 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         John O'Hagan <[log in to unmask]>
Subject:      Re: Surgical smoke
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

David

From the laser perspective, the main issue seems to be the potential for =
viable tissue to survive the procedure and be breathed in by those in the=
=20vicinity. There have been (a small number of) reports of genital warts=
=20appearing in the airway of clinicians.

BS EN 60825-8, which deals with Guidelines for the safe use of medical la=
ser equipment, states the following:

"2.4 Fumes, plumes and vapours
In most class 4 laser operations, the vaporization of target tissue produ=
ces noxious airborne
contaminants. The smoke plume may contain viral particles having a respir=
atory size of the
order of 0,1 =B5m.
2.4.1 Goal
Laser generated fumes, plumes and vapours should be removed from the oper=
ating environment
to produce a level which is considered acceptable.
2.4.2 Control measures
2.4.2.1 Dedicated smoke evacuation systems
Masks, including special laser surgical masks, are not recommended for us=
e as the primary
method of filtration.
Airborne contaminants should be captured as near as practicable to the so=
urce and removed
by local exhaust ventilation. This should be designed to ensure that any =
potentially infectious
agents are not passed downstream in the air handling/exhaust system. This=
=20may be accomplished
with a portable smoke extractor using ULPA filters (at least 0,1 =B5m) wi=
th a filtration
efficiency at this particle size of not less than 99.999 %. Local extract=
ion of fume also
eliminates cellular debris and vapours, thus providing greater visibility=
=20for increased precision
and safety.
Replaceable filters should be monitored and replaced on a regular basis i=
n accordance with the
manufacturer's recommendations.
2.4.2.2 High speed particles
Consideration should be given to protecting the eyes and the respiratory =
tract from particles
which may be ejected at high speed from the treatment site. Laser safety =
eyewear, if worn,
should provide adequate protection for the eyes."

Our view is that the component in the air should be minimised such that t=
here is no smell, with the fume extracted as close to the site of emissio=
n as possible.

John
----
Dr John O'Hagan
Group Leader, Laser and Optical Radiation Dosimetry Group
National Radiological Protection Board
Chilton
Didcot
Oxfordshire OX11 0RQ
UK

Tel: +44 (0)1235 822673
Fax: +44 (0)1235 822650



-----Original Message-----
From: MASLEN-JONES David, Cinical Nurse Mgr
[mailto:[log in to unmask]]
Sent: 03 September 2004 13:29
To: [log in to unmask]
Subject: Re: Surgical smoke


Dear All,

Especially those in the NHS/Healthcare sector,

I have a staff nurse in our theatres with a respiratory problem who has r=
aised the issue of contaminants in surgical smoke produced during diother=
my or laser procedures.

This smoke potentially contains all sorts of nasties including virus part=
icles and some sensitisers, we currently  have no LEV and a very poor mai=
n extraction system in the theatres.

Does anyone have any experience of control systems in theatres, appropria=
te health surveillance, evidence or research which confirms risk, etc: wh=
ich I could use to make an argument for the introduction of extraction or=
=20which might assist in treatment for my patient

regards

david

David R Maslen-Jones RGN BA Spohn MIOSH

Clinical Nurse Manager, Occupational Health
Plymouth Hospitals NHS Trust
Derriford
Plymouth
PL6 8DH
Tel: 01752 517592      int:57592=20
[log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
This e-mail transmission is strictly confidential and intended
solely for the person or organisation to whom it is=20
addressed.  It may contain privileged and confidential=20
information and if you are not the intended recipient,
please do not copy, distribute or take any action in=20
reliance on it.  If you have received this e-mail in error,=20
please notify the sender as soon as possible and delete=20
the message.=20

Please note that NRPB monitors all incoming and outgoing
e-mail for compliance with its Acceptable Use Policy. This
will include scanning incoming e-mails to detect viruses=20
and key-words and may in some circumstances result in=20
the manual monitoring of the content of messages.

National Radiological Protection Board
E-mail: [log in to unmask]
Web site: www.nrpb.org=20
--------------------------------------------

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 3 Sep 2004 15:14:03 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "MASLEN-JONES David, Cinical Nurse Mgr"
              <[log in to unmask]>
Subject:      Re: Surgical smoke
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C491C0.4458103B"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C491C0.4458103B
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Thanks Paul
=20
I have an article from British journal of perioperative nursing which =
suggests that this is very harmfull and I understand in North america it =
has a hazard classification,, having done a literature search there is a =
reported case in the UK of a Urology surgeon contracting human papilloma =
virus from surgical smoke but little else although there are a number of =
articles which claim the smoke may be harmfull and in some cases =
carcinogenic.
=20
I understand that some hospitals in the UK have introduced LEV because =
of the dangers and that extraction is compulsory in the USA
=20
regards
=20
David

-----Original Message-----
From: Paul Darcy [mailto:[log in to unmask]]
Sent: 03 September 2004 13:44
To: [log in to unmask]
Subject: Re: Surgical smoke


I have not considered diathermy smoke to produce a risk of transmission =
of infection, not would consider it a sensitiser.  Howver, I have come =
across staff who have had transient respiratory symptoms that have =
resolved spontaneously when a general facemask was worn.
=20
Are there any other processes or agents of concern eg anaesthetic gases, =
solvents, surgical adhesives etc?
=20
Regards
=20
=20
=20
Paul D'Arcy,=20
Occupational Health Manager (Acting)
=20
Occupational Health
Hammersmith Hospital
=20
Developing And Supporting People To Make Healthcare Better
=20
Direct Line  020 8383 1024
Internal Ext 31024



*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of the =
e-mail address to which it is addressed and may also be privileged. If =
you are not the addressee of this e-mail you may not copy, forward, =
disclose or otherwise use it in any form whatsoever. If you have =
received this e-mail in error please telephone the Hammersmith Hospitals =
NHS Trust IT department on 020 8746 5555. Please also delete the message =
from your computer.

**
*

-- This email has been electronically scanned using DynaComm i:mail =
filtering software. If you have any questions please email =
[log in to unmask] Tony Daniel Sam Shayer =
Information Security Team=20
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C491C0.4458103B
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<META content=3D"MSHTML 6.00.2600.0" name=3DGENERATOR></HEAD>
<BODY style=3D"MARGIN-TOP: 2px; FONT: 8pt MS Sans Serif; MARGIN-LEFT: =
2px">
<DIV><SPAN class=3D106030914-03092004><FONT size=3D1>Thanks =
Paul</FONT></SPAN></DIV>
<DIV><SPAN class=3D106030914-03092004><FONT =
size=3D1></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D106030914-03092004><FONT size=3D1>I have an article =
from British=20
journal of perioperative nursing which suggests that this is very =
harmfull and I=20
understand in North america it has a hazard classification,, having done =
a=20
literature search there is a reported case in the UK of a&nbsp;Urology =
surgeon=20
contracting human papilloma virus from surgical smoke but little else =
although=20
there are a number of articles which claim the smoke may be harmfull and =
in some=20
cases carcinogenic.</FONT></SPAN></DIV>
<DIV><SPAN class=3D106030914-03092004><FONT =
size=3D1></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D106030914-03092004><FONT size=3D1>I understand that =
some=20
hospitals in the UK have introduced LEV because of the dangers and that=20
extraction is compulsory in the USA</FONT></SPAN></DIV>
<DIV><SPAN class=3D106030914-03092004><FONT =
size=3D1></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D106030914-03092004><FONT =
size=3D1>regards</FONT></SPAN></DIV>
<DIV><SPAN class=3D106030914-03092004><FONT =
size=3D1></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D106030914-03092004><FONT =
size=3D1>David</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> Paul Darcy=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 03 September 2004 =
13:44<BR><B>To:</B>=20
  [log in to unmask]<BR><B>Subject:</B> Re: Surgical=20
  smoke<BR><BR></FONT></DIV>
  <DIV><FONT size=3D2>I have not considered diathermy smoke to produce a =
risk of=20
  transmission of infection, not would consider it a sensitiser.&nbsp; =
Howver, I=20
  have come across staff who have had transient respiratory symptoms =
that have=20
  resolved spontaneously when a general facemask was worn.</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>Are there any other processes or agents of concern =
eg=20
  anaesthetic gases, solvents, surgical adhesives&nbsp;etc?</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>Regards</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Paul D'Arcy, <BR>Occupational Health Manager (Acting)</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Occupational Health<BR>Hammersmith Hospital</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Developing And Supporting People To Make Healthcare Better</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Direct Line&nbsp; 020 8383 1024<BR>Internal Ext =
31024<BR></DIV><FONT=20
  size=3D3><BR><BR>*<BR>**<BR><BR>Confidentiality Notice<BR><BR>The =
contents of=20
  this e-mail are confidential to the ordinary user of the e-mail =
address to=20
  which it is addressed and may also be privileged. If you are not the =
addressee=20
  of this e-mail you may not copy, forward, disclose or otherwise use it =
in any=20
  form whatsoever. If you have received this e-mail in error please =
telephone=20
  the Hammersmith Hospitals NHS Trust IT department on 020 8746 5555. =
Please=20
  also delete the message from your =
computer.<BR><BR>**<BR>*<BR></FONT><BR>--=20
  This email has been electronically scanned using DynaComm i:mail =
filtering=20
  software. If you have any questions please email=20
  [log in to unmask] Tony Daniel Sam Shayer =
Information=20
  Security Team <BR>~~~~~~~~~~~~~~~ Please remove this footer before =
replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C491C0.4458103B--
=========================================================================
Date:         Fri, 3 Sep 2004 15:15:30 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "MASLEN-JONES David, Cinical Nurse Mgr"
              <[log in to unmask]>
Subject:      Re: Surgical smoke
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Thanks John that is really helpfull!

-----Original Message-----
From: John O'Hagan [mailto:[log in to unmask]]
Sent: 03 September 2004 14:19
To: [log in to unmask]
Subject: Re: Surgical smoke


David

From the laser perspective, the main issue seems to be the potential for =
viable tissue to survive the procedure and be breathed in by those in =
the vicinity. There have been (a small number of) reports of genital =
warts appearing in the airway of clinicians.

BS EN 60825-8, which deals with Guidelines for the safe use of medical =
laser equipment, states the following:

"2.4 Fumes, plumes and vapours
In most class 4 laser operations, the vaporization of target tissue =
produces noxious airborne
contaminants. The smoke plume may contain viral particles having a =
respiratory size of the
order of 0,1 =B5m.
2.4.1 Goal
Laser generated fumes, plumes and vapours should be removed from the =
operating environment
to produce a level which is considered acceptable.
2.4.2 Control measures
2.4.2.1 Dedicated smoke evacuation systems
Masks, including special laser surgical masks, are not recommended for =
use as the primary
method of filtration.
Airborne contaminants should be captured as near as practicable to the =
source and removed
by local exhaust ventilation. This should be designed to ensure that any =
potentially infectious
agents are not passed downstream in the air handling/exhaust system. =
This may be accomplished
with a portable smoke extractor using ULPA filters (at least 0,1 =B5m) =
with a filtration
efficiency at this particle size of not less than 99.999 %. Local =
extraction of fume also
eliminates cellular debris and vapours, thus providing greater =
visibility for increased precision
and safety.
Replaceable filters should be monitored and replaced on a regular basis =
in accordance with the
manufacturer's recommendations.
2.4.2.2 High speed particles
Consideration should be given to protecting the eyes and the respiratory =
tract from particles
which may be ejected at high speed from the treatment site. Laser safety =
eyewear, if worn,
should provide adequate protection for the eyes."

Our view is that the component in the air should be minimised such that =
there is no smell, with the fume extracted as close to the site of =
emission as possible.

John
----
Dr John O'Hagan
Group Leader, Laser and Optical Radiation Dosimetry Group
National Radiological Protection Board
Chilton
Didcot
Oxfordshire OX11 0RQ
UK

Tel: +44 (0)1235 822673
Fax: +44 (0)1235 822650



-----Original Message-----
From: MASLEN-JONES David, Cinical Nurse Mgr
[mailto:[log in to unmask]]
Sent: 03 September 2004 13:29
To: [log in to unmask]
Subject: Re: Surgical smoke


Dear All,

Especially those in the NHS/Healthcare sector,

I have a staff nurse in our theatres with a respiratory problem who has =
raised the issue of contaminants in surgical smoke produced during =
diothermy or laser procedures.

This smoke potentially contains all sorts of nasties including virus =
particles and some sensitisers, we currently  have no LEV and a very =
poor main extraction system in the theatres.

Does anyone have any experience of control systems in theatres, =
appropriate health surveillance, evidence or research which confirms =
risk, etc: which I could use to make an argument for the introduction of =
extraction or which might assist in treatment for my patient

regards

david

David R Maslen-Jones RGN BA Spohn MIOSH

Clinical Nurse Manager, Occupational Health
Plymouth Hospitals NHS Trust
Derriford
Plymouth
PL6 8DH
Tel: 01752 517592      int:57592=20
[log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
This e-mail transmission is strictly confidential and intended
solely for the person or organisation to whom it is=20
addressed.  It may contain privileged and confidential=20
information and if you are not the intended recipient,
please do not copy, distribute or take any action in=20
reliance on it.  If you have received this e-mail in error,=20
please notify the sender as soon as possible and delete=20
the message.=20

Please note that NRPB monitors all incoming and outgoing
e-mail for compliance with its Acceptable Use Policy. This
will include scanning incoming e-mails to detect viruses=20
and key-words and may in some circumstances result in=20
the manual monitoring of the content of messages.

National Radiological Protection Board
E-mail: [log in to unmask]
Web site: www.nrpb.org=20
--------------------------------------------

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--=20
This email has been electronically scanned using=20
DynaComm i:mail filtering software.

If you have any questions please email=20
[log in to unmask]

Tony Daniel=20
Sam Shayer
Information Security Team

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 6 Sep 2004 17:30:16 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jean Piernicki <[log in to unmask]>
Subject:      Agenda for Change
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1094506216"

-------------------------------1094506216
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Dear all
Can I ask any NHS colleagues out there how they are getting on with job
descriptions required for agenda for change. I 'd rather not start  from scratch
unless I have to. I'd really like to hear from any of the EI's who  have OH job
descriptions.
Many thanks
Jean

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1094506216
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY:=20=
Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3DArial color=3D#000000 size=3D2>
<DIV>Dear all</DIV>
<DIV>Can I ask any NHS colleagues out there how they are getting on with job=
=20
descriptions&nbsp;required for agenda for change. I 'd rather not&nbsp;start=
=20
from scratch unless I have to. I'd really like to hear from any of the EI's=20=
who=20
have OH job descriptions.</DIV>
<DIV>Many thanks</DIV>
<DIV>Jean</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1094506216--
=========================================================================
Date:         Mon, 6 Sep 2004 22:31:11 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Darcy <[log in to unmask]>
Subject:      Re: Agenda for Change (Out of Office.)
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

I will be away untill 20 September 2004 and will not check my email
until my return.

For urgent matters, please telephone the Occupational Health reception
on ext 33063 (020 8383 3063) and one of my colleagues will try to help
you.

Regards


Paul D'Arcy
Occupational Health Adviser


Paul



*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Hammersmith Hospitals NHS Trust IT department on 020 8746 5555. Please also delete the message from your computer.

**
*

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 6 Sep 2004 17:39:36 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jean Piernicki <[log in to unmask]>
Subject:      Storage of notes
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1094506776"

-------------------------------1094506776
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Another request again for colleagues particually NHS  please.
Can I ask how long you keep your notes for ?(COSHH & Radiation are  clear
cut.)
Also how do you store terminated notes? We have used a traditional file
store and lost some thousands during a fire!
Recognising how quickly technology advances it is likely that anything that
is put on to CD rom now wont be able to be accessed in 40 years time. Perhaps
good old microfische is the best option.
I'd really appreciate others thoughts and also the rational to their
conclusion
Many thanks
Jean

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1094506776
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY:=20=
Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3DArial color=3D#000000 size=3D2>
<DIV>Another request&nbsp;again for&nbsp;colleagues particually NHS=20
please.</DIV>
<DIV>Can I ask how long you keep your notes for ?(COSHH &amp; Radiation are=20
clear cut.)</DIV>
<DIV>Also how do you store terminated notes? We have used a traditional file=
=20
store and lost some thousands during a fire!</DIV>
<DIV>Recognising how quickly technology advances it is likely that anything=20=
that=20
is put on to CD rom now wont be able to be accessed in 40 years time. Perhap=
s=20
good old microfische is the best option.</DIV>
<DIV>I'd really appreciate others thoughts and also the rational to their=20
conclusion</DIV>
<DIV>Many thanks</DIV>
<DIV>Jean</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1094506776--
=========================================================================
Date:         Tue, 7 Sep 2004 01:01:04 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Donna Dixon <[log in to unmask]>
Subject:      Donna Dixon/National Britannia is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=iso-8859-1
Content-transfer-encoding: quoted-printable

I will be out of the office starting  06/09/2004 and will not return un=
til
08/09/2004.

Thank you for your email.  iI am out of the office until Wed 8th Sept. =
 If
you require assistance, please call client support on 02920 852852 or m=
y
mobile 07718 661614 Thank you

This transmission has been issued for the  information of the addressee=

only and contains information which is  confidential.=A0 Accordingly, i=
t
should not be altered in any way or copied  or otherwise reproduced in =
any
form, nor should its existence or contents be  disclosed to any other
person.=A0 If you are not the  intended recipient of this transmission =
or any
attachment, please reply  immediately.
=

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 7 Sep 2004 09:33:31 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Fearnley Debbie (RBT) Mid Cheshire Tr"
              <[log in to unmask]>
Subject:      Re: Storage of notes
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C494B5.5B307D2F"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C494B5.5B307D2F
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Jean,
I keep all notes in line with 'good practise' of storing medical records =
within the NHS. You can access this via your medical records dept.
=20
I keep the leavers records on site for the last four years, prior to =
that any immunisation records would really be too old to be reliable =
i.e. Hepatitis B immunity. Records pre dateing this date are stored off =
site with the Trust's long term stored records. Obviously they are =
listed and secured seperately, so we know what records are held off =
site.
=20
There are organisations which will scan your records on to CD for you. =
There sales pitch tells you that many OH depts use their services, =
although I have yet to meet a fellow OH person who has used their =
services. If you want to discuss futher contact me direct.
Debbie

-----Original Message-----
From: Jean Piernicki [mailto:[log in to unmask]]
Sent: 06 September 2004 22:40
To: [log in to unmask]
Subject: Storage of notes



Another request again for colleagues particually NHS please.
Can I ask how long you keep your notes for ?(COSHH & Radiation are clear =
cut.)
Also how do you store terminated notes? We have used a traditional file =
store and lost some thousands during a fire!
Recognising how quickly technology advances it is likely that anything =
that is put on to CD rom now wont be able to be accessed in 40 years =
time. Perhaps good old microfische is the best option.
I'd really appreciate others thoughts and also the rational to their =
conclusion
Many thanks
Jean
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C494B5.5B307D2F
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; =
FONT-FAMILY: Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7>
<DIV><SPAN class=3D939372308-07092004>Jean,</SPAN></DIV>
<DIV><SPAN class=3D939372308-07092004>I keep all notes in line with =
'good=20
practise' of storing medical records within the NHS. You can access this =
via=20
your medical records dept.</SPAN></DIV>
<DIV><SPAN class=3D939372308-07092004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D939372308-07092004>I keep the leavers records on site =
for the=20
last four years, prior to that any immunisation records would really be =
too old=20
to be reliable i.e. Hepatitis B immunity. Records pre dateing&nbsp;this=20
date&nbsp;are stored off site with the Trust's long term stored records. =

Obviously they are listed and secured seperately, so we know what =
records are=20
held off site.</SPAN></DIV>
<DIV><SPAN class=3D939372308-07092004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D939372308-07092004>There are organisations which will =
scan your=20
records on to CD for you. There sales pitch tells you that many OH depts =
use=20
their services, although I have yet to meet a fellow OH person who has =
used=20
their services. If you want to discuss futher contact me =
direct.</SPAN></DIV>
<DIV><SPAN class=3D939372308-07092004>Debbie</SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT=20
  face=3DTahoma>-----Original Message-----<BR><B>From:</B> Jean =
Piernicki=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 06 September 2004=20
  22:40<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Storage of=20
  notes<BR><BR></FONT></DIV><FONT id=3Drole_document face=3DArial>
  <DIV>Another request&nbsp;again for&nbsp;colleagues particually NHS=20
  please.</DIV>
  <DIV>Can I ask how long you keep your notes for ?(COSHH &amp; =
Radiation are=20
  clear cut.)</DIV>
  <DIV>Also how do you store terminated notes? We have used a =
traditional file=20
  store and lost some thousands during a fire!</DIV>
  <DIV>Recognising how quickly technology advances it is likely that =
anything=20
  that is put on to CD rom now wont be able to be accessed in 40 years =
time.=20
  Perhaps good old microfische is the best option.</DIV>
  <DIV>I'd really appreciate others thoughts and also the rational to =
their=20
  conclusion</DIV>
  <DIV>Many thanks</DIV>
  <DIV>Jean</DIV></FONT>~~~~~~~~~~~~~~~ Please remove this footer before =

  replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C494B5.5B307D2F--
=========================================================================
Date:         Tue, 7 Sep 2004 09:37:50 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Fearnley Debbie (RBT) Mid Cheshire Tr"
              <[log in to unmask]>
Subject:      Re: Agenda for Change
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C494B5.F5E4B922"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C494B5.F5E4B922
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Jean,
If you look on the Modernisation Agency web site you will find official =
agreed job descriptions.
I suggest you speak to your A4C lead about what Job Matchers are looking =
for in job descriptions.
Aintree Trust was an Early Implementer site, you may want to contact =
them direct.
Regards
Debbie

-----Original Message-----
From: Jean Piernicki [mailto:[log in to unmask]]
Sent: 06 September 2004 22:30
To: [log in to unmask]
Subject: Agenda for Change



Dear all
Can I ask any NHS colleagues out there how they are getting on with job =
descriptions required for agenda for change. I 'd rather not start from =
scratch unless I have to. I'd really like to hear from any of the EI's =
who have OH job descriptions.
Many thanks
Jean
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C494B5.F5E4B922
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; =
FONT-FAMILY: Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7>
<DIV><SPAN class=3D823453308-07092004>Jean,</SPAN></DIV>
<DIV><SPAN class=3D823453308-07092004>If you look on the Modernisation =
Agency web=20
site you will find official agreed job descriptions.</SPAN></DIV>
<DIV><SPAN class=3D823453308-07092004>I suggest you speak to your A4C =
lead about=20
what Job Matchers are looking for in job descriptions.</SPAN></DIV>
<DIV><SPAN class=3D823453308-07092004>Aintree Trust was an Early =
Implementer site,=20
you may want to contact them direct.</SPAN></DIV>
<DIV><SPAN class=3D823453308-07092004>Regards</SPAN></DIV>
<DIV><SPAN class=3D823453308-07092004>Debbie</SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT=20
  face=3DTahoma>-----Original Message-----<BR><B>From:</B> Jean =
Piernicki=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 06 September 2004=20
  22:30<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Agenda for=20
  Change<BR><BR></FONT></DIV><FONT id=3Drole_document face=3DArial>
  <DIV>Dear all</DIV>
  <DIV>Can I ask any NHS colleagues out there how they are getting on =
with job=20
  descriptions&nbsp;required for agenda for change. I 'd rather =
not&nbsp;start=20
  from scratch unless I have to. I'd really like to hear from any of the =
EI's=20
  who have OH job descriptions.</DIV>
  <DIV>Many thanks</DIV>
  <DIV>Jean</DIV></FONT>~~~~~~~~~~~~~~~ Please remove this footer before =

  replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C494B5.F5E4B922--
=========================================================================
Date:         Tue, 7 Sep 2004 15:47:57 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Gallagher Deirdre (RGZ)" <[log in to unmask]>
Subject:      Cosmetic surgery time off as Sick Leave
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C494E9.A9FE1B70"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C494E9.A9FE1B70
Content-Type: text/plain;
        charset="iso-8859-1"

Especially for my NHS colleagues, does anyone out there have a policy or
part there of that addresses whether cosmetic surgery is taken as sick leave
or not, managers are not too keen on the idea, but I cant see how its not
sick leave as for example, varicose veins surgery can be cosmetic as well as
for medical purposes and other cosmetic surgeries can have a psychological
basis.
Any ideas?
thanks
Deirdre Gallagher

-----Original Message-----
From: Fearnley Debbie (RBT) Mid Cheshire Tr
[mailto:[log in to unmask]]
Sent: 07 September 2004 09:38
To: [log in to unmask]
Subject: Re: Agenda for Change


Jean,
If you look on the Modernisation Agency web site you will find official
agreed job descriptions.
I suggest you speak to your A4C lead about what Job Matchers are looking for
in job descriptions.
Aintree Trust was an Early Implementer site, you may want to contact them
direct.
Regards
Debbie

-----Original Message-----
From: Jean Piernicki [mailto:[log in to unmask]]
Sent: 06 September 2004 22:30
To: [log in to unmask]
Subject: Agenda for Change



Dear all
Can I ask any NHS colleagues out there how they are getting on with job
descriptions required for agenda for change. I 'd rather not start from
scratch unless I have to. I'd really like to hear from any of the EI's who
have OH job descriptions.
Many thanks
Jean
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C494E9.A9FE1B70
Content-Type: text/html;
        charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 5.50.4934.1600" name=GENERATOR></HEAD>
<BODY id=role_body style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: Arial"
bottomMargin=7 leftMargin=7 topMargin=7 rightMargin=7>
<DIV><SPAN class=910484214-07092004>Especially for my NHS colleagues, does
anyone out there have a policy or part there of that addresses whether cosmetic
surgery is taken as sick leave or not, managers are not too keen on the idea,
but I cant see how its not sick leave as for example,&nbsp;varicose veins
surgery can be cosmetic as well as for medical purposes and other cosmetic
surgeries can have a psychological basis.&nbsp;</SPAN></DIV>
<DIV><SPAN class=910484214-07092004>Any ideas?</SPAN></DIV>
<DIV><SPAN class=910484214-07092004>thanks</SPAN></DIV>
<DIV><SPAN class=910484214-07092004>Deirdre Gallagher</SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT
  face=Tahoma>-----Original Message-----<BR><B>From:</B> Fearnley Debbie (RBT)
  Mid Cheshire Tr [mailto:[log in to unmask]]<BR><B>Sent:</B> 07
  September 2004 09:38<BR><B>To:</B>
  [log in to unmask]<BR><B>Subject:</B> Re: Agenda for
  Change<BR><BR></FONT></DIV>
  <DIV><SPAN class=823453308-07092004>Jean,</SPAN></DIV>
  <DIV><SPAN class=823453308-07092004>If you look on the Modernisation Agency
  web site you will find official agreed job descriptions.</SPAN></DIV>
  <DIV><SPAN class=823453308-07092004>I suggest you speak to your A4C lead about
  what Job Matchers are looking for in job descriptions.</SPAN></DIV>
  <DIV><SPAN class=823453308-07092004>Aintree Trust was an Early Implementer
  site, you may want to contact them direct.</SPAN></DIV>
  <DIV><SPAN class=823453308-07092004>Regards</SPAN></DIV>
  <DIV><SPAN class=823453308-07092004>Debbie</SPAN></DIV>
  <BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
    <DIV class=OutlookMessageHeader dir=ltr align=left><FONT
    face=Tahoma>-----Original Message-----<BR><B>From:</B> Jean Piernicki
    [mailto:[log in to unmask]]<BR><B>Sent:</B> 06 September 2004
    22:30<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Agenda for
    Change<BR><BR></FONT></DIV><FONT id=role_document face=Arial>
    <DIV>Dear all</DIV>
    <DIV>Can I ask any NHS colleagues out there how they are getting on with job
    descriptions&nbsp;required for agenda for change. I 'd rather not&nbsp;start
    from scratch unless I have to. I'd really like to hear from any of the EI's
    who have OH job descriptions.</DIV>
    <DIV>Many thanks</DIV>
    <DIV>Jean</DIV></FONT>~~~~~~~~~~~~~~~ Please remove this footer before
    replying.
    <P>For list archives and documents, go to
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
    <P>For jobs in Occupational Health, go to
    http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE>~~~~~~~~~~~~~~~
  Please remove this footer before replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C494E9.A9FE1B70--
=========================================================================
Date:         Tue, 7 Sep 2004 16:07:44 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Muir, Jackie" <[log in to unmask]>
Subject:      Re: Cosmetic surgery time off as Sick Leave
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C494EC.6DC58370"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C494EC.6DC58370
Content-Type: text/plain; charset="iso-8859-1"

I wouldn't have thought it was a frequently occuring problem! I may be wrong
but does this not come into a similar category to Fertility treatment? We
allow time off for this treatment and for VV's for example (which can be
cosmetic or medicallly needed). I can't recall a case where we've had somone
ask for sick leave for cosmetic surgery but that doesn't mean it hasn't
happened!

I think you would have to be very careful in making any decisions for or
against allowing this. It would be very difficult to prove that the cosmetic
process is not being done for other reasons - e.g. psychological. I think
many patients would be able to get a certificate from their GP to cover
their absence, and in any case they can sign themselves of for a week for
starters for minor ops!!

Good luck

Jackie

-----Original Message-----
From: Gallagher Deirdre (RGZ) [mailto:[log in to unmask]]
Sent: 07 September 2004 15:48
To: [log in to unmask]
Subject: Cosmetic surgery time off as Sick Leave


Especially for my NHS colleagues, does anyone out there have a policy or
part there of that addresses whether cosmetic surgery is taken as sick leave
or not, managers are not too keen on the idea, but I cant see how its not
sick leave as for example, varicose veins surgery can be cosmetic as well as
for medical purposes and other cosmetic surgeries can have a psychological
basis.
Any ideas?
thanks
Deirdre Gallagher

-----Original Message-----
From: Fearnley Debbie (RBT) Mid Cheshire Tr
[mailto:[log in to unmask]]
Sent: 07 September 2004 09:38
To: [log in to unmask]
Subject: Re: Agenda for Change


Jean,
If you look on the Modernisation Agency web site you will find official
agreed job descriptions.
I suggest you speak to your A4C lead about what Job Matchers are looking for
in job descriptions.
Aintree Trust was an Early Implementer site, you may want to contact them
direct.
Regards
Debbie

-----Original Message-----
From: Jean Piernicki [mailto:[log in to unmask]]
Sent: 06 September 2004 22:30
To: [log in to unmask]
Subject: Agenda for Change



Dear all
Can I ask any NHS colleagues out there how they are getting on with job
descriptions required for agenda for change. I 'd rather not start from
scratch unless I have to. I'd really like to hear from any of the EI's who
have OH job descriptions.
Many thanks
Jean
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



.sophos.3.85.09.06.
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C494EC.6DC58370
Content-Type: text/html; charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 6.00.2800.1106" name=GENERATOR></HEAD>
<BODY id=role_body style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: Arial"
bottomMargin=7 leftMargin=7 topMargin=7 rightMargin=7>
<DIV><SPAN class=662035414-07092004>I wouldn't have thought it was a frequently
occuring problem! I may be wrong but does this not come into a similar category
to Fertility treatment? We allow time off for this treatment and for VV's for
example (which can be cosmetic or medicallly needed). I can't recall a case
where we've had somone ask for sick leave for cosmetic surgery but that doesn't
mean it hasn't happened!</SPAN></DIV>
<DIV><SPAN class=662035414-07092004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=662035414-07092004>I think you would have to be very careful in
making any decisions for or against allowing this. It would be very difficult to
prove that the cosmetic process is not being done for other reasons - e.g.
psychological. I think many patients would be able to get a certificate from
their GP to cover their absence, and in any case they can sign themselves of for
a week for starters for minor ops!!</SPAN></DIV>
<DIV><SPAN class=662035414-07092004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=662035414-07092004>Good luck</SPAN></DIV>
<DIV><SPAN class=662035414-07092004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=662035414-07092004>Jackie</SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT
  face=Tahoma>-----Original Message-----<BR><B>From:</B> Gallagher Deirdre (RGZ)
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 07 September 2004
  15:48<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Cosmetic
  surgery time off as Sick Leave<BR><BR></FONT></DIV>
  <DIV><SPAN class=910484214-07092004>Especially for my NHS colleagues, does
  anyone out there have a policy or part there of that addresses whether
  cosmetic surgery is taken as sick leave or not, managers are not too keen on
  the idea, but I cant see how its not sick leave as for example,&nbsp;varicose
  veins surgery can be cosmetic as well as for medical purposes and other
  cosmetic surgeries can have a psychological basis.&nbsp;</SPAN></DIV>
  <DIV><SPAN class=910484214-07092004>Any ideas?</SPAN></DIV>
  <DIV><SPAN class=910484214-07092004>thanks</SPAN></DIV>
  <DIV><SPAN class=910484214-07092004>Deirdre Gallagher</SPAN></DIV>
  <BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
    <DIV class=OutlookMessageHeader dir=ltr align=left><FONT
    face=Tahoma>-----Original Message-----<BR><B>From:</B> Fearnley Debbie (RBT)
    Mid Cheshire Tr [mailto:[log in to unmask]]<BR><B>Sent:</B> 07
    September 2004 09:38<BR><B>To:</B>
    [log in to unmask]<BR><B>Subject:</B> Re: Agenda for
    Change<BR><BR></FONT></DIV>
    <DIV><SPAN class=823453308-07092004>Jean,</SPAN></DIV>
    <DIV><SPAN class=823453308-07092004>If you look on the Modernisation Agency
    web site you will find official agreed job descriptions.</SPAN></DIV>
    <DIV><SPAN class=823453308-07092004>I suggest you speak to your A4C lead
    about what Job Matchers are looking for in job descriptions.</SPAN></DIV>
    <DIV><SPAN class=823453308-07092004>Aintree Trust was an Early Implementer
    site, you may want to contact them direct.</SPAN></DIV>
    <DIV><SPAN class=823453308-07092004>Regards</SPAN></DIV>
    <DIV><SPAN class=823453308-07092004>Debbie</SPAN></DIV>
    <BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
      <DIV class=OutlookMessageHeader dir=ltr align=left><FONT
      face=Tahoma>-----Original Message-----<BR><B>From:</B> Jean Piernicki
      [mailto:[log in to unmask]]<BR><B>Sent:</B> 06 September 2004
      22:30<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Agenda
      for Change<BR><BR></FONT></DIV><FONT id=role_document face=Arial>
      <DIV>Dear all</DIV>
      <DIV>Can I ask any NHS colleagues out there how they are getting on with
      job descriptions&nbsp;required for agenda for change. I 'd rather
      not&nbsp;start from scratch unless I have to. I'd really like to hear from
      any of the EI's who have OH job descriptions.</DIV>
      <DIV>Many thanks</DIV>
      <DIV>Jean</DIV></FONT>~~~~~~~~~~~~~~~ Please remove this footer before
      replying.
      <P>For list archives and documents, go to
      http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
      <P>For jobs in Occupational Health, go to
      http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE>~~~~~~~~~~~~~~~
    Please remove this footer before replying.
    <P>For list archives and documents, go to
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
    <P>For jobs in Occupational Health, go to
    http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE><CODE><FONT
  size=3><BR><BR>.sophos.3.85.09.06.<BR></FONT></CODE>~~~~~~~~~~~~~~~ Please
  remove this footer before replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE><CODE><FONT SIZE=3><BR>
<BR>
Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.<BR>
<BR>
This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.<BR>
<BR>
If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.<BR>
<BR>
Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.<BR>
<BR>
Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc. <BR>
</FONT></CODE>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C494EC.6DC58370--
=========================================================================
Date:         Tue, 7 Sep 2004 17:56:56 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Bacons <[log in to unmask]>
Subject:      Re: Storage of notes
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_001A_01C49504.10949FC0"

This is a multi-part message in MIME format.

------=_NextPart_000_001A_01C49504.10949FC0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

I work for NHS trust and for the last 2 years we have been using a =
company that puts all leavers on CD but I understand it is quite =
expensive.  It does enable us to have easy access to the notes but =
sometimes I find it can be time-consuming to print out the notes (if the =
leaver is returning). One could argue it may be considerably cheaper to =
store them the old fashioned way!=20
Hope that helps.
Anna Bacon
  ----- Original Message -----=20
  From: Fearnley Debbie (RBT) Mid Cheshire Tr=20
  To: [log in to unmask]
  Sent: Tuesday, September 07, 2004 9:33 AM
  Subject: Re: Storage of notes


  Jean,
  I keep all notes in line with 'good practise' of storing medical =
records within the NHS. You can access this via your medical records =
dept.

  I keep the leavers records on site for the last four years, prior to =
that any immunisation records would really be too old to be reliable =
i.e. Hepatitis B immunity. Records pre dateing this date are stored off =
site with the Trust's long term stored records. Obviously they are =
listed and secured seperately, so we know what records are held off =
site.

  There are organisations which will scan your records on to CD for you. =
There sales pitch tells you that many OH depts use their services, =
although I have yet to meet a fellow OH person who has used their =
services. If you want to discuss futher contact me direct.
  Debbie
    -----Original Message-----
    From: Jean Piernicki [mailto:[log in to unmask]]
    Sent: 06 September 2004 22:40
    To: [log in to unmask]
    Subject: Storage of notes


    Another request again for colleagues particually NHS please.
    Can I ask how long you keep your notes for ?(COSHH & Radiation are =
clear cut.)
    Also how do you store terminated notes? We have used a traditional =
file store and lost some thousands during a fire!
    Recognising how quickly technology advances it is likely that =
anything that is put on to CD rom now wont be able to be accessed in 40 =
years time. Perhaps good old microfische is the best option.
    I'd really appreciate others thoughts and also the rational to their =
conclusion
    Many thanks
    Jean
    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001A_01C49504.10949FC0
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; =
FONT-FAMILY: Arial"=20
bottomMargin=3D7 bgColor=3D#ffffff leftMargin=3D7 topMargin=3D7 =
rightMargin=3D7>
<DIV>I work for NHS trust and for the last 2 years we have been using a =
company=20
that puts all leavers on CD&nbsp;but I understand it is quite =
expensive.&nbsp;=20
It does enable us to have easy access to the notes but sometimes I find =
it can=20
be time-consuming to print out the notes (if the leaver is returning). =
One could=20
argue it may&nbsp;be considerably&nbsp;cheaper to store them the old =
fashioned=20
way! </DIV>
<DIV>Hope that helps.</DIV>
<DIV>Anna Bacon</DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Fearnley Debbie (RBT) Mid =
Cheshire=20
  Tr</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Tuesday, September 07, =
2004 9:33=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Storage of =
notes</DIV>
  <DIV><BR></DIV>
  <DIV><SPAN class=3D939372308-07092004>Jean,</SPAN></DIV>
  <DIV><SPAN class=3D939372308-07092004>I keep all notes in line with =
'good=20
  practise' of storing medical records within the NHS. You can access =
this via=20
  your medical records dept.</SPAN></DIV>
  <DIV><SPAN class=3D939372308-07092004></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D939372308-07092004>I keep the leavers records on =
site for the=20
  last four years, prior to that any immunisation records would really =
be too=20
  old to be reliable i.e. Hepatitis B immunity. Records pre =
dateing&nbsp;this=20
  date&nbsp;are stored off site with the Trust's long term stored =
records.=20
  Obviously they are listed and secured seperately, so we know what =
records are=20
  held off site.</SPAN></DIV>
  <DIV><SPAN class=3D939372308-07092004></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D939372308-07092004>There are organisations which =
will scan=20
  your records on to CD for you. There sales pitch tells you that many =
OH depts=20
  use their services, although I have yet to meet a fellow OH person who =
has=20
  used their services. If you want to discuss futher contact me=20
  direct.</SPAN></DIV>
  <DIV><SPAN class=3D939372308-07092004>Debbie</SPAN></DIV>
  <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
    <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT=20
    face=3DTahoma>-----Original Message-----<BR><B>From:</B> Jean =
Piernicki=20
    [mailto:[log in to unmask]]<BR><B>Sent:</B> 06 September 2004=20
    22:40<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Storage of=20
    notes<BR><BR></FONT></DIV><FONT id=3Drole_document face=3DArial>
    <DIV>Another request&nbsp;again for&nbsp;colleagues particually NHS=20
    please.</DIV>
    <DIV>Can I ask how long you keep your notes for ?(COSHH &amp; =
Radiation are=20
    clear cut.)</DIV>
    <DIV>Also how do you store terminated notes? We have used a =
traditional file=20
    store and lost some thousands during a fire!</DIV>
    <DIV>Recognising how quickly technology advances it is likely that =
anything=20
    that is put on to CD rom now wont be able to be accessed in 40 years =
time.=20
    Perhaps good old microfische is the best option.</DIV>
    <DIV>I'd really appreciate others thoughts and also the rational to =
their=20
    conclusion</DIV>
    <DIV>Many thanks</DIV>
    <DIV>Jean</DIV></FONT>~~~~~~~~~~~~~~~ Please remove this footer =
before=20
    replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001A_01C49504.10949FC0--
=========================================================================
Date:         Tue, 7 Sep 2004 18:57:53 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         =?iso-8859-1?q?jacqui=20livock?= <[log in to unmask]>
Subject:      Re: Cosmetic surgery time off as Sick Leave
In-Reply-To:  <A1581AC3AAEAD311A48900508B6374D201BE9917@Mars>
MIME-Version: 1.0
Content-Type: multipart/alternative; boundary="0-97585125-1094579873=:73858"
Content-Transfer-Encoding: 8bit

--0-97585125-1094579873=:73858
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

hi Deirdre
i have come across this dilemma in the past, the HR dept of the company i was providing OH for at that time and i had an open discussion and also involved the union. we had a 'simple' solution...if it is done under the NHS then it is deemed as 'elective surgery' this covers breast reductions/enhancemnets/rhinoplasty/varicose veins etc which are done under medical recommendation for the phsyical or psychological well being of the individual. this is deemed as sickness absence.
If the person choses to use the private sector AND PAYS then an agreement was made that this was the persons choice and probably not done for 'medical' reasons but for cosmetic purposes (or to beat the NHS wait).Laser eye treatment was deemed as cosmetic. rationale..if mental/physical health seriously affected by health issue which needs surgery then GP/surgeon would have picked up on this and it would be done urgently under NHS or a private facility used (for speed) and the NHS would meet the costs. obviously each case was looked at individually but both the employees (via the union) and the employer were happy with this agreement.
hope this helps
jacqui

(annual leave/ authorised paid/unpaid absence was negotiated with manager and individual (and union if necessary))


---------------------------------
 ALL-NEW Yahoo! Messenger - all new features - even more fun!

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-97585125-1094579873=:73858
Content-Type: text/html; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

<DIV>hi Deirdre</DIV>
<DIV>i have come across this dilemma in the past, the HR dept of the company i was&nbsp;providing OH for at that time and i had an open discussion and also involved the union. we had a 'simple' solution...if it is done under the NHS then it is deemed as 'elective surgery' this covers breast reductions/enhancemnets/rhinoplasty/varicose veins&nbsp;etc which are done under medical recommendation for the phsyical or psychological well being of the individual. this is deemed as sickness absence. </DIV>
<DIV>If the person choses to use the private sector AND PAYS then an agreement was made that this was the persons choice and probably not done for 'medical' reasons but for cosmetic purposes (or to beat the NHS wait).Laser eye treatment was deemed as cosmetic. rationale..if mental/physical health seriously affected by health issue which needs&nbsp;surgery then GP/surgeon would have picked up on this and it would be done urgently under NHS or a private facility used (for speed) and the NHS would meet the costs. obviously each case was looked at individually but both the employees (via the union)&nbsp;and the employer were happy with this agreement.</DIV>
<DIV>hope this helps</DIV>
<DIV>jacqui<BR><BR>(annual leave/ authorised paid/unpaid absence was negotiated with manager and individual (and union if necessary))</DIV><p>
                <hr size=1> <font size="2" face="Verdana, Arial, Helvetica, sans-serif"><a href="http://uk.rd.yahoo.com/evt=21626/*http://uk.messenger.yahoo.com"><strong><font face="Arial, Helvetica, sans-serif">ALL-NEW
Yahoo! Messenger</font></strong></a><font face="Arial, Helvetica, sans-serif"><strong>
- all new features - even more fun!</strong></font><strong><font color="#FF9900">
</font></strong></font>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-97585125-1094579873=:73858--
=========================================================================
Date:         Tue, 7 Sep 2004 20:02:39 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jane Fairburn <[log in to unmask]>
Subject:      Availability
Mime-Version: 1.0
Content-Type: text/html

<html><div style='background-color:'><DIV class=RTE>
<P>Hello,</P>
<P>I Know we recently had the whole debate about Flu Jabs but is there anyone that can pick up a couple of jabs for me in both/either Ross On Wye and Bridgewater areas??</P>
<P>Please respond either to </P>
<P><A href="mailto:[log in to unmask]">[log in to unmask]</A></P>
<P>or 07770 638268.</P>
<P>Rates etc (and other work opportunities if necessary!!) can be discussed..many thanks</P>
<P>Jane Fairburn&nbsp;<BR><BR></P></DIV></div><br clear=all><hr>Fed up of receiving junk e-mail? Find out how to deal with  <a href="http://g.msn.com/8HMAENUK/2746??PS=47575">spam here.</a> </html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 8 Sep 2004 05:36:35 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Audrey Du'Mont <[log in to unmask]>
Subject:      Re: Agenda for Change
MIME-Version: 1.0
Content-Transfer-Encoding: quoted-printable
Content-Type: text/plain; charset=ISO-8859-1

There are no officially agreed job descriptions for OH within the NHS. The
reason for this, which was explained by Carol Bannister on the recent 1st
ANHONS Conference, is that there is too much diversity across the NH.  The
RCN didn=92t want to place OH nurses in the same dilemma as district nurses
have found themselves (i.e. they are all stuck in band 6, despite their
varying roles).

There are some profiles within the agenda for change document for
Specialist Nurse and Highly Specialist Nurse, which may help, but
basically the banding range for OH nurses could be between bands 6-8
depending on the results of local job evaluation.  Job evaluation for non-
profile jobs (wthe bracket OH falls into) will take place at employer
level in partnership with staff representatives using an agreed national
protocol, so at least the jobs will have been fairly evaluated.   At the
end of the day looking at other JD=92s will help you a little, but they have=

to be written in your Trust=92s language / format and they will have to
reflect your role, not anyone else=92s.

Further information on Agenda for Change can be found at the following
links:
www.rcn.org.uk
- not easy to find - have a better link, but it's at work

www.dh.gov.uk
- search for agenda for change =96 it will give you all the latest
information.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 8 Sep 2004 11:40:20 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Giuliana Christmas <[log in to unmask]>
Subject:      Transfer of Records

Please could anyone advise me whether when a company uses the services of a
new OH provider, records may only be transfered between named medical
directors or whether the notes may be transferred to an OH Advisor, where
the new service is nurse led.

Thank you

Giuliana

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 8 Sep 2004 21:45:14 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Duncan Lovell <[log in to unmask]>
Subject:      introduction and software question
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0038_01C495ED.1F951BF0"

This is a multi-part message in MIME format.

------=_NextPart_000_0038_01C495ED.1F951BF0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

 Hello, just a quickie to re-introduce myself to the group as i have =
previously been a member and then left whilst having babies and now =
jumping straight back in at the deep end looking into going solo or =
starting up an oh company. I have recently come accross PHS software =
from the same company who do OPAS. I wondered if anyone could give me =
opinions on it or perhaps other similar preventive health software. =
Thanks, Catriona Lovell

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0038_01C495ED.1F951BF0
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2900.2180" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>&nbsp;Hello, just a quickie to =
re-introduce myself=20
to the group as i have previously been a member and then left whilst =
having=20
babies and now jumping straight back in at the deep end looking into =
going solo=20
or starting up an oh company. I have recently come accross PHS software =
from the=20
same company who do OPAS. I wondered if anyone could give me opinions on =
it or=20
perhaps other similar preventive health software. Thanks, Catriona=20
Lovell</FONT></DIV>
<DIV><FONT face=3DArial size=3D2><A=20
href=3D"mailto:[log in to unmask]"></A></FONT>&nbsp;</DIV></BOD=
Y></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0038_01C495ED.1F951BF0--
=========================================================================
Date:         Thu, 9 Sep 2004 13:40:24 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jeanette Warran <[log in to unmask]>
Subject:      Crown Report
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Can anyone tell me where I can get hold of a copy of the Crown Report 1999
(regarding protocols for administration of medicines etc)
Thank you

Jeanette Warran
Occupational Health Adviser
07812 218440
Skanska Integrated Projects
A Division of Skanska Construction UK Limited
Registration No: 191408
Registered in England
Registered Office: Maple Cross House, Denham Way, Maple Cross,
Rickmansworth, Hertfordshire, WD3 9SW
Privileged/Confidential Information may be contained in this message. If you
are not the addressee indicated in this message (or responsible for delivery
of the message to such person), you may not copy or deliver this message to
anyone. In such case, you should notify us immediately, and destroy this
message.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 9 Sep 2004 13:49:24 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Bradley, Paul (Sandiway)" <[log in to unmask]>
Subject:      Re: Crown Report
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4966B.6EE521D6"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4966B.6EE521D6
Content-Type: text/plain;
        charset="iso-8859-1"

Jeanette,

This link may be of some help

http://www.dh.gov.uk/assetRoot/04/08/00/34/04080034.pdf

Regards

Paul

-----Original Message-----
From: Jeanette Warran [mailto:[log in to unmask]]
Sent: 09 September 2004 13:40
To: [log in to unmask]
Subject: Crown Report


Can anyone tell me where I can get hold of a copy of the Crown Report 1999
(regarding protocols for administration of medicines etc)
Thank you

Jeanette Warran
Occupational Health Adviser
07812 218440
Skanska Integrated Projects
A Division of Skanska Construction UK Limited
Registration No: 191408
Registered in England
Registered Office: Maple Cross House, Denham Way, Maple Cross,
Rickmansworth, Hertfordshire, WD3 9SW
Privileged/Confidential Information may be contained in this message. If you
are not the addressee indicated in this message (or responsible for delivery
of the message to such person), you may not copy or deliver this message to
anyone. In such case, you should notify us immediately, and destroy this
message.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4966B.6EE521D6
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version =
5.5.2658.2">
<TITLE>RE: Crown Report</TITLE>
</HEAD>
<BODY>

<P><FONT SIZE=3D2>Jeanette,</FONT>
</P>

<P><FONT SIZE=3D2>This link may be of some help</FONT>
</P>

<P><FONT SIZE=3D2><A =
HREF=3D"http://www.dh.gov.uk/assetRoot/04/08/00/34/04080034.pdf" =
TARGET=3D"_blank">http://www.dh.gov.uk/assetRoot/04/08/00/34/04080034.pd=
f</A></FONT>
</P>

<P><FONT SIZE=3D2>Regards</FONT>
</P>

<P><FONT SIZE=3D2>Paul</FONT>
</P>

<P><FONT SIZE=3D2>-----Original Message-----</FONT>
<BR><FONT SIZE=3D2>From: Jeanette Warran [<A =
HREF=3D"mailto:[log in to unmask]">mailto:Jeanette.Warran@SKA=
NSKA.CO.UK</A>]</FONT>
<BR><FONT SIZE=3D2>Sent: 09 September 2004 13:40</FONT>
<BR><FONT SIZE=3D2>To: [log in to unmask]</FONT>
<BR><FONT SIZE=3D2>Subject: Crown Report</FONT>
</P>
<BR>

<P><FONT SIZE=3D2>Can anyone tell me where I can get hold of a copy of =
the Crown Report 1999</FONT>
<BR><FONT SIZE=3D2>(regarding protocols for administration of medicines =
etc)</FONT>
<BR><FONT SIZE=3D2>Thank you</FONT>
</P>

<P><FONT SIZE=3D2>Jeanette Warran</FONT>
<BR><FONT SIZE=3D2>Occupational Health Adviser</FONT>
<BR><FONT SIZE=3D2>07812 218440</FONT>
<BR><FONT SIZE=3D2>Skanska Integrated Projects</FONT>
<BR><FONT SIZE=3D2>A Division of Skanska Construction UK Limited</FONT>
<BR><FONT SIZE=3D2>Registration No: 191408</FONT>
<BR><FONT SIZE=3D2>Registered in England</FONT>
<BR><FONT SIZE=3D2>Registered Office: Maple Cross House, Denham Way, =
Maple Cross,</FONT>
<BR><FONT SIZE=3D2>Rickmansworth, Hertfordshire, WD3 9SW</FONT>
<BR><FONT SIZE=3D2>Privileged/Confidential Information may be contained =
in this message. If you</FONT>
<BR><FONT SIZE=3D2>are not the addressee indicated in this message (or =
responsible for delivery</FONT>
<BR><FONT SIZE=3D2>of the message to such person), you may not copy or =
deliver this message to</FONT>
<BR><FONT SIZE=3D2>anyone. In such case, you should notify us =
immediately, and destroy this</FONT>
<BR><FONT SIZE=3D2>message.</FONT>
</P>

<P><FONT SIZE=3D2>~~~~~~~~~~~~~~~</FONT>
<BR><FONT SIZE=3D2>Please remove this footer before replying.</FONT>
</P>

<P><FONT SIZE=3D2>For list archives and documents, go to</FONT>
<BR><FONT SIZE=3D2><A =
HREF=3D"http://www.jiscmail.ac.uk/lists/occ-health.html" =
TARGET=3D"_blank">http://www.jiscmail.ac.uk/lists/occ-health.html</A> =
for list archives</FONT>
</P>

<P><FONT SIZE=3D2>For jobs in Occupational Health, go to</FONT>
<BR><FONT SIZE=3D2><A HREF=3D"http://uk.groups.yahoo.com/group/OHJobs/" =
TARGET=3D"_blank">http://uk.groups.yahoo.com/group/OHJobs/</A></FONT>
</P>

</BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4966B.6EE521D6--
=========================================================================
Date:         Fri, 10 Sep 2004 01:02:17 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Leanne MORRISON <[log in to unmask]>
Subject:      Leanne MORRISON/ABZ/UK/EP/Corp is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII

I will be out of the office starting  09/09/2004 and will not return until 13/09/2004.

I will respond to your message when I return.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 10 Sep 2004 18:54:51 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      plastic surgery as paid time off
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

What an interesting one...
i speak as one who has had an abdominoplasty on the NHS.. (although you
wouldn't know it to look at me now , but that's another medical story)

I think I only managed to swing it on the NHS because:
1) my GP asked me if I was expecting again, when I wasn't (big mistake, but
a logical conclusion in view of my shape)
2) I was an ex-operating theatre nurse and had scrubbed for the consultant
3) I think the Senior Registrar needed the practice

Other wise I would have had to go privately, and therefore by some people's
reckoning I would not have been entitled to sick leave.

I was at the time, working in a community college and there was not a
problem with sick leave of 3 weeks because clearly I was not fit to work.

I wonder if the same principles should apply to other "self inflicted"
conditions such as sporting injuries, skiing knees,  falling off
bicycles(you may begin to recognize yourself here) or playing "chicken "
with cars when celebrating your birthday. (Well, the chap was only 19....)

and then we can get onto smoking related conditions...

realistically if the patient is not fit for work,they are not fit for work,
and a couple of weeks off for this reason, which may bring long term benefit
seem reasonable to me.

best wishes,
Diane R-W

_________________________________________________________________
Stay in touch with absent friends - get MSN Messenger
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 10 Sep 2004 23:08:35 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      transfer of records
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

paraphrasing Giuliana - she asked if records had to be transferred to a
physician or could they be transferred to  the care and custody of a nurse

SeeDiana  Kloss Ocupational Health Law, 3rd edition, page 57

"control should be handed over to the new doctor or nurse"

also the FOM recommends that

" before agreeing to the transfer of clinical records, the outgoing provider
should be satisfied that the new contractors are professionally competent
and have arrangements to store and safeguard the records appropriately"

Based on the above I cannot see why this professionally competent person
should not be a nurse.

Best wishes,

Diane R-W

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sat, 11 Sep 2004 00:01:36 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Anne Harriss <[log in to unmask]>
Subject:      Re: transfer of records
In-Reply-To:  <[log in to unmask]>
Mime-version: 1.0
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

on 10/9/04 11:08 pm, Diane Romano-Woodward at [log in to unmask] wrote:

> paraphrasing Giuliana - she asked if records had to be transferred to a
> physician or could they be transferred to  the care and custody of a nurse
>
> SeeDiana  Kloss Ocupational Health Law, 3rd edition, page 57
>
> "control should be handed over to the new doctor or nurse"
>
> also the FOM recommends that
>
> " before agreeing to the transfer of clinical records, the outgoing provider
> should be satisfied that the new contractors are professionally competent
> and have arrangements to store and safeguard the records appropriately"
>
> Based on the above I cannot see why this professionally competent person
> should not be a nurse.
>
> Best wishes,
>
> Diane R-W
>
> _________________________________________________________________
> It's fast, it's easy and it's free. Get MSN Messenger today!
> http://www.msn.co.uk/messenger
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
I totally agree with you Diane. The important point is that both physicians
and nurses are accountable for their actions and both professions are bound
by the  code of professional conduct of their respective professional bodies
ie the GMC and the NMC resepectively. Both bodies require compliance with
clauses on confidentiality. Furthermore these practitioners are also bound
by legislation such as the Data Protection Act.

Regards
Anne

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sun, 12 Sep 2004 17:48:49 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Catherine Cross <[log in to unmask]>
Subject:      Re: Crown Report
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_363159_32640374.1095004129137"

------=_Part_363159_32640374.1095004129137
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

Hello Jeanette
I've found this little book useful -'UK Guidance on Best Practice in Vaccine Administration'  2001, ISBN 0-9541497-0-X.  Copies available from The Vaccine Administration Taskforce, Shire Hall Communications, PO Box 31580, London W11 4YZ.  Endorsed by RCN, AOHNP, CPHVA, BTHA and RCGP's.
Regards  Cate





========================================
Message date : Sep 09 2004, 01:39 PM
From : "Jeanette Warran"

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sun, 12 Sep 2004 17:11:34 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         heather bearpark <[log in to unmask]>
Subject:      Re: Crown Report
Mime-Version: 1.0
Content-Type: text/html

<html><div style='background-color:'><P><U><FONT color=#800080><A href="http://www.groupprotocols.org.uk/">http://www.groupprotocols.org.uk/</A></FONT></U><A href="http://www.druginfozone.nhs.uk/pgd/PGd-Flowchart_v5_2004.pdf"></A></P>
<P><BR><A href="http://www.druginfozone.nhs.uk/pgd/PGd-Flowchart_v5_2004.pdf">http://www.druginfozone.nhs.uk/pgd/PGd-Flowchart_v5_2004.pdf</A></P>
<P>Try these 2 &nbsp;links which can be accessed from the&nbsp;Royal&nbsp;Pharmaceutical website <A href="http://www.rpsgb.org.uk/">http://www.rpsgb.org.uk/</A><BR></P>
<P>It's not specifically Crown report but may help you.<BR><BR></P>
<DIV>
<DIV>Regards </DIV>Heather Bearpark </DIV></div><br clear=all><hr>Faster than e-mail, more discreet than a phone call and best of all it's free -  <a href="http://g.msn.com/8HMBENUK/2755??PS=47575">download MSN Messenger </a> today!</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sun, 12 Sep 2004 21:08:02 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Richardson <[log in to unmask]>
Subject:      =?iso-8859-1?Q?Request?=
Content-Type: text/plain; charset="iso-8859-1"
Mime-Version: 1.0
Content-Transfer-Encoding: 8bit

Hi Folks,
I would like to test an internet type survey on you, just plucked the
questions out of the air to try this facilty on my server.  It only
involves clicking on the link below and answering about 7 questions,
should only take a minute and would appreciate your indulgence.  Once
again, no reason behind questions just a test to see if this works, and
just a little breakdown of us folks out there.

http://www.ohadvisor.com:80/tinc?key=YfZMaIoO&formname=OHSurvey

Thanks in anticipation.
Paul
--
Paul G Richardson BA RGN OND

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sun, 12 Sep 2004 23:20:17 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Crown Report
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

You can also download it from www.vaccine-administration.org.uk or from the
RCN website www.rcn.org.uk


Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


----- Original Message -----
From: "Catherine Cross" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, September 12, 2004 4:48 PM
Subject: Re: Crown Report


> Hello Jeanette
> I've found this little book useful -'UK Guidance on Best Practice in
Vaccine Administration'  2001, ISBN 0-9541497-0-X.  Copies available from
The Vaccine Administration Taskforce, Shire Hall Communications, PO Box
31580, London W11 4YZ.  Endorsed by RCN, AOHNP, CPHVA, BTHA and RCGP's.
> Regards  Cate
>
>
>
>
>
> ========================================
> Message date : Sep 09 2004, 01:39 PM
> From : "Jeanette Warran"
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJob


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.749 / Virus Database: 501 - Release Date: 01/09/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 13 Sep 2004 17:27:53 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Catherine Cross <[log in to unmask]>
Subject:      Manual handling trainers
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_61743_2631870.1095089273756"

------=_Part_61743_2631870.1095089273756
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

Hello All
I would like to ask if anyone can recommend, on experience, a good manual handling trainer/company in the West Midlands please.  Also, when I worked in the NHS we had yearly manual handling updates, does this apply to all areas of business and manual handling or just good practice.  I see people (in catering, hospitality, portering) that say that they have not had any updates in years eg 5-10 years.  When I mentioned it to the safety officer he said that Manual Handling Regulations did not specify any update times.  Any advice appreciated.
Regards
Cate

--

Whatever you Wanadoo:
http://www.wanadoo.co.uk/time/

This email has been checked for most known viruses - find out more at: http://www.wanadoo.co.uk/help/id/7098.htm

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_61743_2631870.1095089273756
Content-Type: text/html
Content-Transfer-Encoding: 7bit

<P>Hello All</P>
<P>I would like to ask if anyone can recommend, on experience, a good manual handling trainer/company in the West Midlands please.&nbsp; Also, when I worked in the NHS we had yearly manual handling updates, does this apply to all areas of business and manual handling or&nbsp;just good practice.&nbsp; I see people (in catering,&nbsp;hospitality, portering)&nbsp;that say that they have not had any updates in years eg 5-10 years.&nbsp; When I mentioned it to the safety officer he said that Manual Handling Regulations did not specify any update times.&nbsp; Any advice appreciated.<BR>Regards</P>
<P><STRONG>Cate</STRONG></P><BR><BR><hr size="1">Whatever you <a href="http://www.wanadoo.co.uk/time/" target="_blank">Wanadoo</a><br><br>This email has been checked for most known viruses - find out more <a href="http://www.wanadoo.co.uk/help/id/7098.htm" target="_blank">here</a>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_61743_2631870.1095089273756--
=========================================================================
Date:         Mon, 13 Sep 2004 18:17:11 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Anne Harriss <[log in to unmask]>
Subject:      Re: Manual handling trainers
In-Reply-To:  <9105087.1095089273760.JavaMail.www@wwinf3005>
Mime-version: 1.0
Content-type: multipart/alternative;
              boundary="MS_Mac_OE_3177944231_4146796_MIME_Part"

> This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

--MS_Mac_OE_3177944231_4146796_MIME_Part
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

on 13/9/04 4:27 pm, Catherine Cross at [log in to unmask] wrote:


Hello All

I would like to ask if anyone can recommend, on experience, a good manual
handling trainer/company in the West Midlands please.  Also, when I worked
in the NHS we had yearly manual handling updates, does this apply to all
areas of business and manual handling or just good practice.  I see people
(in catering, hospitality, portering) that say that they have not had any
updates in years eg 5-10 years.  When I mentioned it to the safety officer
he said that Manual Handling Regulations did not specify any update times.
Any advice appreciated.
Regards

Cate


Hello Cate

I am sorry I don't know of any training organisations specificically in the
West Midlands. However, I understand that "Osteopaths for Industry" (?based
in Surrey) offer high quality training and will send trainers all over the
country. I am sure they must have a web-site. Try Google and add "Osteopaths
for Industry".

Re  the need for regular updates: The manual handling Regs require that
manual handling tasks should be risk assessed and  manual handling should be
avoided as far as "as reasonably practicable". As you state there is no
specific requirement re the intervals between training courses included in
the Regs. However, employees should be competent to undertake the
requirements of their post. Moving and handling techniques which are
initially considered "safe" may later be found to put employees at risk. (eg
the Australian Lift was once considered to be the safest lifting technique
to be used by nurses to lift patients.) It would therefore be sensible to
undertake regular update training on moving and handling loads for  all
staff who are required  to undertake this procedure in order that they do
not put themselves at risk. The degree of risk  of the tasks they perform
may influence the frequency of this training.

Eliminating moving and handling as a result of the risk assessment is the
important point. Playing devil's advocate ....  staff may attend training
courses but they do not necessarily implement what they have been trained to
do. Eliminating the hazard is more important.

Anyone else have any thoughts???
Anne

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--MS_Mac_OE_3177944231_4146796_MIME_Part
Content-type: text/html; charset="US-ASCII"
Content-transfer-encoding: quoted-printable

<HTML>
<HEAD>
<TITLE>Re: Manual handling trainers</TITLE>
</HEAD>
<BODY>
on 13/9/04 4:27 pm, Catherine Cross at [log in to unmask] wrote:<BR>
<BR>
<BLOCKQUOTE><BR>
Hello All <BR>
<BR>
I would like to ask if anyone can recommend, on experience, a good manual h=
andling trainer/company in the West Midlands please. &nbsp;Also, when I work=
ed in the NHS we had yearly manual handling updates, does this apply to all =
areas of business and manual handling or just good practice. &nbsp;I see peo=
ple (in catering, hospitality, portering) that say that they have not had an=
y updates in years eg 5-10 years. &nbsp;When I mentioned it to the safety of=
ficer he said that Manual Handling Regulations did not specify any update ti=
mes. &nbsp;Any advice appreciated.<BR>
Regards <BR>
<BR>
<B>Cate<BR>
</B><BR>
</BLOCKQUOTE><BR>
Hello Cate<BR>
<BR>
I am sorry I don't know of any training organisations specificically in the=
 West Midlands. However, I understand that &quot;Osteopaths for Industry&quo=
t; (?based in Surrey) offer high quality training and will send trainers all=
 over the country. I am sure they must have a web-site. Try Google and add &=
quot;Osteopaths for Industry&quot;.<BR>
<BR>
Re &nbsp;the need for regular updates: The manual handling Regs require tha=
t manual handling tasks should be risk assessed and &nbsp;manual handling sh=
ould be avoided as far as &quot;as reasonably practicable&quot;. As you stat=
e there is no specific requirement re the intervals between training courses=
 included in the Regs. However, employees should be competent to undertake t=
he requirements of their post. Moving and handling techniques which are init=
ially considered &quot;safe&quot; may later be found to put employees at ris=
k. (eg the Australian Lift was once considered to be the safest lifting tech=
nique to be used by nurses to lift patients.) It would therefore be sensible=
 to undertake regular update training on moving and handling loads for &nbsp=
;all staff who are required &nbsp;to undertake this procedure in order that =
they do not put themselves at risk. The degree of risk &nbsp;of the tasks th=
ey perform may influence the frequency of this training. <BR>
<BR>
Eliminating moving and handling as a result of the risk assessment is the i=
mportant point. Playing devil's advocate .... &nbsp;staff may attend trainin=
g courses but they do not necessarily implement what they have been trained =
to do. Eliminating the hazard is more important.<BR>
<BR>
Anyone else have any thoughts???<BR>
Anne
</BODY>
</HTML>

~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--MS_Mac_OE_3177944231_4146796_MIME_Part--
=========================================================================
Date:         Tue, 14 Sep 2004 09:53:41 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Dearlove, Kenny" <[log in to unmask]>
Subject:      CBRN health standards
MIME-Version: 1.0
Content-Type: multipart/related;
              boundary="----_=_NextPart_001_01C49A38.55A2C96A";
              type="multipart/alternative"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C49A38.55A2C96A
Content-Type: multipart/alternative;
        boundary="----_=_NextPart_002_01C49A38.55A2C96A"


------_=_NextPart_002_01C49A38.55A2C96A
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

=20=20

Hello, can you give me some advice, please? I've been asked to screen
Police Officers before they train and use chemical, biological,
radiation and nuclear PPE, to assess their fitness to use the equipment
and carry out the duties during CBRN incidents. Have you come across or
are using any standards that I can use to identify best practice?

=20

Regards from Kenny. =20

=20

Kenny Dearlove

Occupational Health Nurse Advisor

Occupational Health, Safety & Welfare Service

OCC

Norfolk Constabulary

Norfolk

England

=20

=20


#########################################################################=
############
Note:
The information contained in this e-mail is intended only for the named=20
person or organisation to which it is addressed. If you have received it =

in error, please disregard and advise me immediately. Unauthorised=20
disclosure or use of such information may be a breach of legislation or=20
confidentiality. E-mails sent and received from and by members of staff=20
and officers of the Norfolk Constabulary may be monitored for purposes=20
including: - Virus scanning, unauthorised e-mail usage, and obscene or=20
inappropriate material. The Constabulary reserves the right to read all=20
such material and to reject and return any material which is considered=20
either to be a security risk or unsuitable. Any monitoring will comply=20
with the legislation currently in force and in particular the Human Right=
s=20
Act 1998.

If this e-mail does not relate to Official Norfolk Constabulary business,=
=20
then it will be regarded by the Constabulary as "Personal". As such, it=20
will not be authorised by or sent on behalf of the Constabulary and the=20
sender will retain sole responsibility for any legal actions or disputes =

that may arise."=20
#########################################################################=
############

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_002_01C49A38.55A2C96A
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-mi=
crosoft-com:office:office" xmlns:w=3D"urn:schemas-microsoft-com:office:wo=
rd" xmlns:st1=3D"urn:schemas-microsoft-com:office:smarttags" xmlns=3D"htt=
p://www.w3.org/TR/REC-html40">

<head>
<meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"=
>
<meta name=3DGenerator content=3D"Microsoft Word 11 (filtered medium)">
<o:SmartTagType namespaceuri=3D"urn:schemas-microsoft-com:office:smarttag=
s"
=20name=3D"City"/>
<o:SmartTagType namespaceuri=3D"urn:schemas-microsoft-com:office:smarttag=
s"
=20name=3D"place"/>
<!--[if !mso]>
<style>
st1\:*{behavior:url(#default#ieooui) }
</style>
<![endif]-->
<style>
<!--
=20/* Font Definitions */
=20@font-face
=09{font-family:"sans serif";
=09panose-1:0 0 0 0 0 0 0 0 0 0;}
@font-face
=09{font-family:"Comic Sans MS";
=09panose-1:3 15 7 2 3 3 2 2 2 4;}
=20/* Style Definitions */
=20p.MsoNormal, li.MsoNormal, div.MsoNormal
=09{margin:0cm;
=09margin-bottom:.0001pt;
=09font-size:12.0pt;
=09font-family:"sans serif";
=09color:black;
=09mso-believe-normal-left:yes;}
a:link, span.MsoHyperlink
=09{color:blue;
=09text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
=09{color:purple;
=09text-decoration:underline;}
span.EmailStyle17
=09{mso-style-type:personal-compose;
=09color:black;}
@page Section1
=09{size:595.3pt 841.9pt;
=09margin:72.0pt 90.0pt 72.0pt 90.0pt;}
div.Section1
=09{page:Section1;}
-->
</style>
<![if mso 9]>
<style>
p.MsoNormal
=09{margin-left:37.5pt;}
</style>
<![endif]><!--[if gte mso 9]><xml>
=20<o:shapedefaults v:ext=3D"edit" spidmax=3D"1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
=20<o:shapelayout v:ext=3D"edit">
=20 <o:idmap v:ext=3D"edit" data=3D"1" />
=20</o:shapelayout></xml><![endif]-->
</head>

<body bgcolor=3Dwhite background=3D"cid:image001.jpg@01C49A40.B7401070" l=
ang=3DEN-GB
link=3Dblue vlink=3Dpurple style=3D'margin-left:37.5pt'>
<img src=3D"cid:image001.jpg@01C49A40.B7401070"
v:src=3D"cid:image001.jpg@01C49A40.B7401070" v:shapes=3D"_x0000_Mail" wid=
th=3D0
height=3D0 class=3Dshape style=3D'display:none;width:0;height:0'>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D3 color=3Dblack face=3D"sans serif"><sp=
an
style=3D'font-size:12.0pt'>Hello, can you give me some advice, please? I&=
#8217;ve
been asked to screen Police Officers before they train and use chemical,
biological, radiation and nuclear PPE, to assess their fitness to use the=

equipment and carry out the duties during CBRN incidents. Have you come a=
cross
or are using any standards that I can use to identify best practice?<o:p>=
</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D3 color=3Dblack face=3D"sans serif"><sp=
an
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D3 color=3Dblack face=3D"sans serif"><sp=
an
style=3D'font-size:12.0pt'>Regards from Kenny. &nbsp;<o:p></o:p></span></=
font></p>

<p class=3DMsoNormal><font size=3D3 color=3Dblack face=3D"sans serif"><sp=
an
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<div>

<p class=3DMsoNormal><font size=3D3 color=3Dblack face=3D"Comic Sans MS">=
<span
style=3D'font-size:12.0pt;font-family:"Comic Sans MS"'>Kenny Dearlove</sp=
an></font><o:p></o:p></p>

<p class=3DMsoNormal><font size=3D3 color=3Dblack face=3D"Comic Sans MS">=
<span
style=3D'font-size:12.0pt;font-family:"Comic Sans MS"'>Occupational Healt=
h Nurse
Advisor</span></font><o:p></o:p></p>

<p class=3DMsoNormal><font size=3D2 color=3Dblack face=3D"Comic Sans MS">=
<span
style=3D'font-size:10.0pt;font-family:"Comic Sans MS"'>Occupational Healt=
h,
Safety&nbsp;&amp; Welfare Service</span></font><o:p></o:p></p>

<p class=3DMsoNormal><font size=3D3 color=3Dblack face=3D"Comic Sans MS">=
<span
style=3D'font-size:12.0pt;font-family:"Comic Sans MS"'>OCC<o:p></o:p></sp=
an></font></p>

<p class=3DMsoNormal><st1:City w:st=3D"on"><st1:place w:st=3D"on"><font s=
ize=3D3
=20 color=3Dblack face=3D"Comic Sans MS"><span style=3D'font-size:12.0pt;=
font-family:
=20 "Comic Sans MS"'>Norfolk</span></font></st1:place></st1:City><font
face=3D"Comic Sans MS"><span style=3D'font-family:"Comic Sans MS"'> Const=
abulary<o:p></o:p></span></font></p>

<p class=3DMsoNormal><st1:City w:st=3D"on"><st1:place w:st=3D"on"><font s=
ize=3D3
=20 color=3Dblack face=3D"Comic Sans MS"><span style=3D'font-size:12.0pt;=
font-family:
=20 "Comic Sans MS"'>Norfolk</span></font></st1:place></st1:City><font
face=3D"Comic Sans MS"><span style=3D'font-family:"Comic Sans MS"'><o:p><=
/o:p></span></font></p>

<p class=3DMsoNormal><font size=3D3 color=3Dblack face=3D"Comic Sans MS">=
<span
style=3D'font-size:12.0pt;font-family:"Comic Sans MS"'>England</span></fo=
nt><o:p></o:p></p>

<p class=3DMsoNormal><font size=3D3 color=3Dblack face=3D"sans serif"><sp=
an
style=3D'font-size:12.0pt'>&nbsp;</span><o:p></o:p></font></p>

</div>

<p class=3DMsoNormal><font size=3D3 color=3Dblack face=3D"sans serif"><sp=
an
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

</div>


<HR>

<DIV><STRONG>Note:</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV>"The information contained in this e-mail is intended only for the n=
amed=20
person or organisation to which it is addressed. If you have received it =
in=20
error please disregard and advise me immediately. Unauthorised disclosure=
=20or use=20
of such information may be a breach of legislation or confidentiality. E-=
mails=20
sent and received from and by members of staff and officers of <FONT=20
color=3D#808000><FONT color=3D#000000>Norfolk Constabulary</FONT> <FONT=20
color=3D#000000>may be monitored for purposes including: - Virus scanning=
,=20
unauthorised e-mail usage, and obscene or inappropriate material. The=20
Constabulary reserves the right to read all such material and to reject a=
nd=20
return any material which is considered to be a security risk or unsuitab=
le. Any=20
monitoring will comply with the legislation currently in force and in par=
ticular=20
the Human Rights Act 1998</FONT></FONT></DIV>
<DIV>If this e-mail does not relate to Official Norfolk Constabulary busi=
ness=20
then it will be regarded by the Constabulary as "Personal". As such, it w=
ill not=20
be authorised by or sent on behalf of the Constabulary and the sender wil=
l=20
retain sole responsibility for any legal actions or disputes that may=20
arise."</DIV>
<DIV>&nbsp;</DIV>
<DIV><FONT style=3D"BACKGROUND-COLOR: #ff80ff"><STRONG><FONT=20
style=3D"BACKGROUND-COLOR: #ffffff">Thank You.</FONT>=20
</STRONG><BR></FONT></DIV><FONT style=3D"BACKGROUND-COLOR: #ff80ff">
<HR style=3D"HEIGHT: 2px; WIDTH: 421px">
</FONT>
</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_002_01C49A38.55A2C96A--

------_=_NextPart_001_01C49A38.55A2C96A
Content-Type: image/jpeg;
        name="image001.jpg"
Content-Transfer-Encoding: base64
Content-ID: <[log in to unmask]>
Content-Description: image001.jpg
Content-Location: image001.jpg
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------_=_NextPart_001_01C49A38.55A2C96A--
=========================================================================
Date:         Tue, 14 Sep 2004 12:42:13 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Donna Dixon <[log in to unmask]>
Subject:      Over 65's health assessments

HI folks

We are putting together a health standard for assessment of over 65's
(supply teachers,cleaners,school crossing patrol staff) specifically
within a local authority setting.  I would be grateful if any of you kind
people out there would like to share any standards you may already have in
place.

Best regards

Donna

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 14 Sep 2004 12:46:32 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: CBRN health standards
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0096_01C49A58.DCFF1280"

This is a multi-part message in MIME format.

------=_NextPart_000_0096_01C49A58.DCFF1280
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

As an ex army officer who had to wear NBC PPE we did not have any =
special 'screening' over and beyond fitness to be in the army - so I =
would guess if you are fit to be a policemen you should be fit to wear =
NBC PPE - if you don't wear the PPE you stand a good chance of being =
dead! (depending of course on the NBC). Incidentally the fitness to be =
in the army and the screening procedures are not arduous, more to do =
with general all round health & fitness. The only special aspect is =
hearing screening, unless you are going to be in a specialist area. I =
have checked with other ex army colleagues and they agree - including =
the ones who have been out in the gulf. NBC requires that you wear a =
'noddy' suit - sort of charcoal lined 2 piece, rubber gloves with a =
cotton liner and a respirator. Those who wear glasses have to have =
special lenses for the respirator as they do not fit over respirators - =
so opticians prescriptions are required to make up the lenses. Have worn =
it for 5 days on exercise - it gets a bit hot and sweaty and does =
nothing for the figure, but its not too bad.=20

I would have thought that the Home office has guidelines on these things =
for the police forces in the UK.......... have you asked/looked? You =
could ask Jean Thomas, Head of Nursing in the Met Pol. She knows a lot =
about the police policies. [log in to unmask]

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027
  ----- Original Message -----=20
  From: Dearlove, Kenny=20
  To: [log in to unmask]
  Sent: Tuesday, September 14, 2004 9:53 AM
  Subject: CBRN health standards


  =20
  Hello, can you give me some advice, please? I've been asked to screen =
Police Officers before they train and use chemical, biological, =
radiation and nuclear PPE, to assess their fitness to use the equipment =
and carry out the duties during CBRN incidents. Have you come across or =
are using any standards that I can use to identify best practice?

  =20

  Regards from Kenny. =20

  =20

  Kenny Dearlove

  Occupational Health Nurse Advisor

  Occupational Health, Safety & Welfare Service

  OCC

  Norfolk Constabulary

  Norfolk

  England

  =20

  =20


-------------------------------------------------------------------------=
-----

  Note:

  "The information contained in this e-mail is intended only for the =
named person or organisation to which it is addressed. If you have =
received it in error please disregard and advise me immediately. =
Unauthorised disclosure or use of such information may be a breach of =
legislation or confidentiality. E-mails sent and received from and by =
members of staff and officers of Norfolk Constabulary may be monitored =
for purposes including: - Virus scanning, unauthorised e-mail usage, and =
obscene or inappropriate material. The Constabulary reserves the right =
to read all such material and to reject and return any material which is =
considered to be a security risk or unsuitable. Any monitoring will =
comply with the legislation currently in force and in particular the =
Human Rights Act 1998
  If this e-mail does not relate to Official Norfolk Constabulary =
business then it will be regarded by the Constabulary as "Personal". As =
such, it will not be authorised by or sent on behalf of the Constabulary =
and the sender will retain sole responsibility for any legal actions or =
disputes that may arise."

  Thank You.=20


-------------------------------------------------------------------------=
-----
  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20


  ---
  Outgoing mail is certified Virus Free.
  Checked by AVG anti-virus system (http://www.grisoft.com).
  Version: 6.0.749 / Virus Database: 501 - Release Date: 01/09/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0096_01C49A58.DCFF1280
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns=3D"http://www.w3.org/TR/REC-html40" xmlns:v =3D=20
"urn:schemas-microsoft-com:vml" xmlns:o =3D=20
"urn:schemas-microsoft-com:office:office" xmlns:w =3D=20
"urn:schemas-microsoft-com:office:word" xmlns:st1 =3D=20
"urn:schemas-microsoft-com:office:smarttags"><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR><o:SmartTagType =
name=3D"City"=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"></o:SmartTagT=
ype><o:SmartTagType=20
name=3D"place"=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"></o:SmartTagT=
ype><!--[if !mso]>
<STYLE>st1\:* {
        BEHAVIOR: url(#default#ieooui)
}
</STYLE>
<![endif]-->
<STYLE>
<!--
 /* Font Definitions */
 @font-face
        {font-family:"sans serif";
        panose-1:0 0 0 0 0 0 0 0 0 0;}
@font-face
        {font-family:"Comic Sans MS";
        panose-1:3 15 7 2 3 3 2 2 2 4;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {margin:0cm;
        margin-bottom:.0001pt;
        font-size:12.0pt;
        font-family:"sans serif";
        color:black;
        mso-believe-normal-left:yes;}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;}
span.EmailStyle17
        {mso-style-type:personal-compose;
        color:black;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;}
div.Section1
        {page:Section1;}
-->
</STYLE>
<![if mso 9]>
<style>
p.MsoNormal
        {margin-left:37.5pt;}
</style>
<![endif]><!--[if gte mso 9]><xml>
 <o:shapedefaults v:ext=3D"edit" spidmax=3D"1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
 <o:shapelayout v:ext=3D"edit">
  <o:idmap v:ext=3D"edit" data=3D"1" />
 </o:shapelayout></xml><![endif]--></HEAD>
<BODY lang=3DEN-GB style=3D"MARGIN-LEFT: 37.5pt" vLink=3Dpurple =
link=3Dblue=20
bgColor=3Dwhite background=3Dcid:image001.jpg@01C49A40.B7401070>
<DIV><FONT size=3D2>As an ex army officer who had to wear NBC PPE we did =
not have=20
any special 'screening' over and beyond fitness to be in the army - =
so&nbsp;I=20
would guess if you are fit to be a policemen you should be fit to wear =
NBC PPE -=20
if you don't wear the PPE you stand a good chance of being dead! =
(depending of=20
course on the NBC). Incidentally the fitness to be in the army and the =
screening=20
procedures are not arduous, more to do with general all round health =
&amp;=20
fitness. The only special aspect&nbsp;is hearing screening, unless you =
are going=20
to be in a specialist area. I have checked with other ex army colleagues =
and=20
they agree - including the ones who have been out in the gulf. NBC =
requires that=20
you wear a 'noddy' suit - sort of charcoal lined 2 piece, rubber gloves =
with a=20
cotton liner and a respirator. Those who wear glasses have to have =
special=20
lenses for the respirator as they do not fit over respirators - so =
opticians=20
prescriptions are required to make up the lenses. Have worn it for 5 =
days on=20
exercise - it gets a bit hot and sweaty and does nothing for the figure, =
but its=20
not too bad. </FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>I would have thought that the Home office has =
guidelines on=20
these things for the police forces in the UK.......... have you =
asked/looked?=20
You could ask Jean Thomas, Head of Nursing in the Met Pol. She knows a =
lot about=20
the police policies. <A=20
href=3D"mailto:[log in to unmask]">[log in to unmask]</A></FONT=
></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health =
&amp;=20
Education<BR>Consultant Editor, OH Journal<BR><A=20
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Dearlove, Kenny</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Tuesday, September 14, =
2004 9:53=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> CBRN health =
standards</DIV>
  <DIV><BR></DIV><IMG class=3Dshape style=3D"DISPLAY: none; WIDTH: 0px; =
HEIGHT: 0px"=20
  height=3D0 src=3D"cid:image001.jpg@01C49A40.B7401070" width=3D0=20
  v:shapes=3D"_x0000_Mail" v:src=3D"cid:image001.jpg@01C49A40.B7401070"> =

  <DIV class=3DSection1>
  <P class=3DMsoNormal><FONT face=3D"sans serif" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt">Hello, can you give me some advice, please? =
I=92ve been=20
  asked to screen Police Officers before they train and use chemical,=20
  biological, radiation and nuclear PPE, to assess their fitness to use =
the=20
  equipment and carry out the duties during CBRN incidents. Have you =
come across=20
  or are using any standards that I can use to identify best=20
  practice?<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"sans serif" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"sans serif" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt">Regards from Kenny.=20
&nbsp;<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"sans serif" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <DIV>
  <P class=3DMsoNormal><FONT face=3D"Comic Sans MS" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Comic Sans MS'">Kenny=20
  Dearlove</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal><FONT face=3D"Comic Sans MS" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Comic Sans MS'">Occupational =
Health=20
  Nurse Advisor</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal><FONT face=3D"Comic Sans MS" color=3Dblack =
size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'">Occupational =
Health,=20
  Safety&nbsp;&amp; Welfare Service</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal><FONT face=3D"Comic Sans MS" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Comic Sans =
MS'">OCC<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><st1:City w:st=3D"on"><st1:place =
w:st=3D"on"><FONT=20
  face=3D"Comic Sans MS" color=3Dblack size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Comic Sans =
MS'">Norfolk</SPAN></FONT></st1:place></st1:City><FONT=20
  face=3D"Comic Sans MS"><SPAN style=3D"FONT-FAMILY: 'Comic Sans MS'">=20
  Constabulary<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><st1:City w:st=3D"on"><st1:place =
w:st=3D"on"><FONT=20
  face=3D"Comic Sans MS" color=3Dblack size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Comic Sans =
MS'">Norfolk</SPAN></FONT></st1:place></st1:City><FONT=20
  face=3D"Comic Sans MS"><SPAN=20
  style=3D"FONT-FAMILY: 'Comic Sans MS'"><o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"Comic Sans MS" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Comic Sans =
MS'">England</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal><FONT face=3D"sans serif" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt">&nbsp;</SPAN><o:p></o:p></FONT></P></DIV>
  <P class=3DMsoNormal><FONT face=3D"sans serif" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P></DIV>
  <HR>

  <DIV><STRONG>Note:</STRONG></DIV>
  <DIV><STRONG></STRONG>&nbsp;</DIV>
  <DIV>"The information contained in this e-mail is intended only for =
the named=20
  person or organisation to which it is addressed. If you have received =
it in=20
  error please disregard and advise me immediately. Unauthorised =
disclosure or=20
  use of such information may be a breach of legislation or =
confidentiality.=20
  E-mails sent and received from and by members of staff and officers of =
<FONT=20
  color=3D#808000><FONT color=3D#000000>Norfolk Constabulary</FONT> =
<FONT=20
  color=3D#000000>may be monitored for purposes including: - Virus =
scanning,=20
  unauthorised e-mail usage, and obscene or inappropriate material. The=20
  Constabulary reserves the right to read all such material and to =
reject and=20
  return any material which is considered to be a security risk or =
unsuitable.=20
  Any monitoring will comply with the legislation currently in force and =
in=20
  particular the Human Rights Act 1998</FONT></FONT></DIV>
  <DIV>If this e-mail does not relate to Official Norfolk Constabulary =
business=20
  then it will be regarded by the Constabulary as "Personal". As such, =
it will=20
  not be authorised by or sent on behalf of the Constabulary and the =
sender will=20
  retain sole responsibility for any legal actions or disputes that may=20
  arise."</DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT style=3D"BACKGROUND-COLOR: #ff80ff"><STRONG><FONT=20
  style=3D"BACKGROUND-COLOR: #ffffff">Thank You.</FONT>=20
  </STRONG><BR></FONT></DIV><FONT style=3D"BACKGROUND-COLOR: #ff80ff">
  <HR style=3D"WIDTH: 421px; HEIGHT: 2px">
  </FONT>~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/=20
  <P><BR>---<BR>Outgoing mail is certified Virus Free.<BR>Checked by AVG =

  anti-virus system (<A=20
  =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.749=20
  / Virus Database: 501 - Release Date: =
01/09/2004</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0096_01C49A58.DCFF1280--
=========================================================================
Date:         Tue, 14 Sep 2004 13:15:55 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Muir, Jackie" <[log in to unmask]>
Subject:      Re: Over 65's health assessments
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Donne,

If an individual makes an application to work past normal retirement age,
for extending working from 60 to 65, it is a managers decision based on the
individual's absence history and performance in the role. The individual's
manager refers them to Occupational Health if there are any health
conditions or issues affecting or with the potential to affect their ability
to work past normal retirement age.

A referral to OH is made in all cases for those asking to work from 65 to
70. We write to the GP and then advise if the individual is suitable to work
up to 70 years. An annual review is then put in place. No-one is curently
allowed to work past 70 years.

Hope this helps.

Regards

Jackie Muir
Occupational Health Consultant (Technical)
Occupational Health & Safety
Abbey House
AHM 406
Tel: 01908-343184
Fax: 01908-343855
Mobile: 07703-517098
E-mail: [log in to unmask]


-----Original Message-----
From: Donna Dixon [mailto:[log in to unmask]]
Sent: 14 September 2004 12:42
To: [log in to unmask]
Subject: Over 65's health assessments


HI folks

We are putting together a health standard for assessment of over 65's
(supply teachers,cleaners,school crossing patrol staff) specifically
within a local authority setting.  I would be grateful if any of you kind
people out there would like to share any standards you may already have in
place.

Best regards

Donna

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


.sophos.3.85.09.14.


Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 14 Sep 2004 13:45:03 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jeanette Warran <[log in to unmask]>
Subject:      Access to medical records
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Can anyone give me a little advice here, we have just moved into a new
office building and will shortly be carrying out medical
assessments/surveillance etc and will obviously generate personal medical
records. The problem I have is that the office manager is refusing to give
me the spare key to the filing cabinets allocated to me (she keeps a master
key as well) and before I start keeping records I wanted to know if anyone
knows where I stand with regards to this situation.

Thanks


Jeanette Warran
Occupational Health Adviser
07812 218440
Skanska Integrated Projects
A Division of Skanska Construction UK Limited
Registration No: 191408
Registered in England
Registered Office: Maple Cross House, Denham Way, Maple Cross,
Rickmansworth, Hertfordshire, WD3 9SW
Privileged/Confidential Information may be contained in this message. If you
are not the addressee indicated in this message (or responsible for delivery
of the message to such person), you may not copy or deliver this message to
anyone. In such case, you should notify us immediately, and destroy this
message.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 14 Sep 2004 14:33:48 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Access to medical records
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Perhaps you would like to tell her about the recent case of Tracy Cooke (see
September's OH journal page 4) Tracy refused to let the HR manager have
access to medical records and she was subsequently dismissed but not before
the Manager had looked at the notes whilst Tracy was out of the office. She
has won her case in court........ Carol Bannister was the chief witness and
the judges comments are invaluable to the OH nursing profession for the
future. The Leeds tribunal found in favour of Tracy on the grounds of
protected disclosure. The amount of compensation Tracy has awarded will be
decided in October - we await this figure with anticipation - as it will
make the likes of your general manager sit up and take note. If you show
him/her the article and explain that only you and your OH colleagues should
hold the keys maybe, just maybe, it may have some effect!

Hope this may help,

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027



----- Original Message -----
From: "Jeanette Warran" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, September 14, 2004 1:45 PM
Subject: Access to medical records


> Can anyone give me a little advice here, we have just moved into a new
> office building and will shortly be carrying out medical
> assessments/surveillance etc and will obviously generate personal medical
> records. The problem I have is that the office manager is refusing to give
> me the spare key to the filing cabinets allocated to me (she keeps a
master
> key as well) and before I start keeping records I wanted to know if anyone
> knows where I stand with regards to this situation.
>
> Thanks
>
>
> Jeanette Warran
> Occupational Health Adviser
> 07812 218440
> Skanska Integrated Projects
> A Division of Skanska Construction UK Limited
> Registration No: 191408
> Registered in England
> Registered Office: Maple Cross House, Denham Way, Maple Cross,
> Rickmansworth, Hertfordshire, WD3 9SW
> Privileged/Confidential Information may be contained in this message. If
you
> are not the addressee indicated in this message (or responsible for
delivery
> of the message to such person), you may not copy or deliver this message
to
> anyone. In such case, you should notify us immediately, and destroy this
> message.
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.749 / Virus Database: 501 - Release Date: 01/09/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 14 Sep 2004 14:36:05 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lucy & Adrian <[log in to unmask]>
Subject:      Re: Access to medical records
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

I wish this was the first time I had come across this!  Most importantly, if
you are generating records, but haven't yet you have time to find a creative
solution (like spare cabinets for which you have all the keys or changing
the keys), while you educate her on why she does not want access and how not
having access may protect her from litigation in the future.

I would have a word with someone in security who understands data protection
and see if she can be persuaded by someone else without losing face!

Lucy
----- Original Message -----
From: "Jeanette Warran" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, September 14, 2004 1:45 PM
Subject: Access to medical records


> Can anyone give me a little advice here, we have just moved into a new
> office building and will shortly be carrying out medical
> assessments/surveillance etc and will obviously generate personal medical
> records. The problem I have is that the office manager is refusing to give
> me the spare key to the filing cabinets allocated to me (she keeps a
master
> key as well) and before I start keeping records I wanted to know if anyone
> knows where I stand with regards to this situation.
>
> Thanks
>
>
> Jeanette Warran
> Occupational Health Adviser
> 07812 218440
> Skanska Integrated Projects
> A Division of Skanska Construction UK Limited
> Registration No: 191408
> Registered in England
> Registered Office: Maple Cross House, Denham Way, Maple Cross,
> Rickmansworth, Hertfordshire, WD3 9SW
> Privileged/Confidential Information may be contained in this message. If
you
> are not the addressee indicated in this message (or responsible for
delivery
> of the message to such person), you may not copy or deliver this message
to
> anyone. In such case, you should notify us immediately, and destroy this
> message.
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 14 Sep 2004 13:58:07 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Access to medical records
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

you should have your own filing system with seperate locks that only OH
can access

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 09/14/04 01:45pm >>>
Can anyone give me a little advice here, we have just moved into a new
office building and will shortly be carrying out medical
assessments/surveillance etc and will obviously generate personal
medical
records. The problem I have is that the office manager is refusing to
give
me the spare key to the filing cabinets allocated to me (she keeps a
master
key as well) and before I start keeping records I wanted to know if
anyone
knows where I stand with regards to this situation.

Thanks


Jeanette Warran
Occupational Health Adviser
07812 218440
Skanska Integrated Projects
A Division of Skanska Construction UK Limited
Registration No: 191408
Registered in England
Registered Office: Maple Cross House, Denham Way, Maple Cross,
Rickmansworth, Hertfordshire, WD3 9SW
Privileged/Confidential Information may be contained in this message.
If you
are not the addressee indicated in this message (or responsible for
delivery
of the message to such person), you may not copy or deliver this
message to
anyone. In such case, you should notify us immediately, and destroy
this
message.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 14 Sep 2004 15:05:02 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lucy & Adrian <[log in to unmask]>
Subject:      Re: Over 65's health assessments
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

While at Leicester we undertook functional health assessments based on
occupational and public health risks e.g. school crossing patrol: DVLA
standards of fitness (BP, pulse and TSU for undiagnosed risk factors for
heart disease, diabetes and neurological disease) to be on the road, ability
to climb a step (pavement) and agility (to restrain a child from running
into the road) (on the basis that they were supervising vulnerable adults
and children) and a blind whisper test.
----- Original Message -----
From: "Donna Dixon" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, September 14, 2004 12:42 PM
Subject: Over 65's health assessments


> HI folks
>
> We are putting together a health standard for assessment of over 65's
> (supply teachers,cleaners,school crossing patrol staff) specifically
> within a local authority setting.  I would be grateful if any of you kind
> people out there would like to share any standards you may already have in
> place.
>
> Best regards
>
> Donna
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 14 Sep 2004 15:45:53 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Kinselley, Gillian E" <[log in to unmask]>
Subject:      Re: Access to medical records
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Be assertive and inform her of your professional status (you are the
professional she is the office manager)- obtain your written documentation
on storage of records from the RCN and NMC include info on Data Protection.
Document a policy statement for the office on storage and access of
confidential information.

If she does not agree to compromise and let you have keys take it to a
higher level after all you are the one answerable if information is not kept
appropriately.

Gill
Occupational Health Consultant
Abbey
01908 343524

-----Original Message-----
From: Jeanette Warran [mailto:[log in to unmask]]
Sent: 14 September 2004 13:45
To: [log in to unmask]
Subject: Access to medical records


Can anyone give me a little advice here, we have just moved into a new
office building and will shortly be carrying out medical
assessments/surveillance etc and will obviously generate personal medical
records. The problem I have is that the office manager is refusing to give
me the spare key to the filing cabinets allocated to me (she keeps a master
key as well) and before I start keeping records I wanted to know if anyone
knows where I stand with regards to this situation.

Thanks


Jeanette Warran
Occupational Health Adviser
07812 218440
Skanska Integrated Projects
A Division of Skanska Construction UK Limited
Registration No: 191408
Registered in England
Registered Office: Maple Cross House, Denham Way, Maple Cross,
Rickmansworth, Hertfordshire, WD3 9SW
Privileged/Confidential Information may be contained in this message. If you
are not the addressee indicated in this message (or responsible for delivery
of the message to such person), you may not copy or deliver this message to
anyone. In such case, you should notify us immediately, and destroy this
message.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


.sophos.3.85.09.14.


Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 14 Sep 2004 16:18:06 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lisa Willis <[log in to unmask]>
Subject:      Re: Access to medical records
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

I have always understood that only the nurses or doctor has access to medical
records and the key.  I thought they should be in a locked cabinet within a
locked area (filing room) etc. and only someone like yourself should have access
to the keys.  Any admin non medical staff should sign a confidentiality
agreement and do not read or have direct access to the notes, bar filing etc.

Good Luck

Lisa

[log in to unmask] wrote:

> Can anyone give me a little advice here, we have just moved into a new
> office building and will shortly be carrying out medical
> assessments/surveillance etc and will obviously generate personal medical
> records. The problem I have is that the office manager is refusing to give
> me the spare key to the filing cabinets allocated to me (she keeps a master
> key as well) and before I start keeping records I wanted to know if anyone
> knows where I stand with regards to this situation.
>
> Thanks
>
> Jeanette Warran
> Occupational Health Adviser
> 07812 218440
> Skanska Integrated Projects
> A Division of Skanska Construction UK Limited
> Registration No: 191408
> Registered in England
> Registered Office: Maple Cross House, Denham Way, Maple Cross,
> Rickmansworth, Hertfordshire, WD3 9SW
> Privileged/Confidential Information may be contained in this message. If you
> are not the addressee indicated in this message (or responsible for delivery
> of the message to such person), you may not copy or deliver this message to
> anyone. In such case, you should notify us immediately, and destroy this
> message.
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 14 Sep 2004 16:22:04 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jeanette Warran <[log in to unmask]>
Subject:      Re: Access to medical records
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Thank you for all the advice.

I also rang the NMC and their advice is that it is perfectly acceptable for
her to hold the second key!

Jeanette Warran
Occupational Health Adviser
07812 218440
Skanska Integrated Projects
A Division of Skanska Construction UK Limited
Registration No: 191408
Registered in England
Registered Office: Maple Cross House, Denham Way, Maple Cross,
Rickmansworth, Hertfordshire, WD3 9SW
Privileged/Confidential Information may be contained in this message. If you
are not the addressee indicated in this message (or responsible for delivery
of the message to such person), you may not copy or deliver this message to
anyone. In such case, you should notify us immediately, and destroy this
message.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 14 Sep 2004 17:44:35 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lucy & Adrian <[log in to unmask]>
Subject:      Re: Access to medical records
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

I'm amazed that this is their advice without some guidance on the data
protection act.  I wonder how doctors would feel if they knew their reports
were open to view by someone for whom they were not intended.  In fact, many
put a clause in their reports precluding the divulgence to other parties
without their express consent.

Don't know what others think about this?  Another good debate perhaps.

LL

----- Original Message -----
From: "Jeanette Warran" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, September 14, 2004 4:22 PM
Subject: Re: Access to medical records


> Thank you for all the advice.
>
> I also rang the NMC and their advice is that it is perfectly acceptable
for
> her to hold the second key!
>
> Jeanette Warran
> Occupational Health Adviser
> 07812 218440
> Skanska Integrated Projects
> A Division of Skanska Construction UK Limited
> Registration No: 191408
> Registered in England
> Registered Office: Maple Cross House, Denham Way, Maple Cross,
> Rickmansworth, Hertfordshire, WD3 9SW
> Privileged/Confidential Information may be contained in this message. If
you
> are not the addressee indicated in this message (or responsible for
delivery
> of the message to such person), you may not copy or deliver this message
to
> anyone. In such case, you should notify us immediately, and destroy this
> message.
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 14 Sep 2004 17:51:49 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jeanette Warran <[log in to unmask]>
Subject:      Re: Access to medical records
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Amazed is not the word I would use to describe my reaction. The gentleman I
spoke to said that just because she had the key it did not mean she had
access to it!!!! I said I thought it was one and the same but he said it was
two different matters.

Jeanette Warran
Occupational Health Adviser
07812 218440
Skanska Integrated Projects
A Division of Skanska Construction UK Limited
Registration No: 191408
Registered in England
Registered Office: Maple Cross House, Denham Way, Maple Cross,
Rickmansworth, Hertfordshire, WD3 9SW
Privileged/Confidential Information may be contained in this message. If you
are not the addressee indicated in this message (or responsible for delivery
of the message to such person), you may not copy or deliver this message to
anyone. In such case, you should notify us immediately, and destroy this
message.



-----Original Message-----
From: Lucy & Adrian [mailto:[log in to unmask]]
Sent: 14 September 2004 17:45
To: [log in to unmask]
Subject: Re: Access to medical records


I'm amazed that this is their advice without some guidance on the data
protection act.  I wonder how doctors would feel if they knew their reports
were open to view by someone for whom they were not intended.  In fact, many
put a clause in their reports precluding the divulgence to other parties
without their express consent.

Don't know what others think about this?  Another good debate perhaps.

LL

----- Original Message -----
From: "Jeanette Warran" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, September 14, 2004 4:22 PM
Subject: Re: Access to medical records


> Thank you for all the advice.
>
> I also rang the NMC and their advice is that it is perfectly acceptable
for
> her to hold the second key!
>
> Jeanette Warran
> Occupational Health Adviser
> 07812 218440
> Skanska Integrated Projects
> A Division of Skanska Construction UK Limited
> Registration No: 191408
> Registered in England
> Registered Office: Maple Cross House, Denham Way, Maple Cross,
> Rickmansworth, Hertfordshire, WD3 9SW
> Privileged/Confidential Information may be contained in this message. If
you
> are not the addressee indicated in this message (or responsible for
delivery
> of the message to such person), you may not copy or deliver this message
to
> anyone. In such case, you should notify us immediately, and destroy this
> message.
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 14 Sep 2004 19:57:28 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Catherine Cross <[log in to unmask]>
Subject:      Re: Access to medical records
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_404906_11713979.1095184648755"

------=_Part_404906_11713979.1095184648755
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: quoted-printable

Hi Jeanette
Have a look at this draft proposal if you haven't already,  - The Employmen=
t Practices Data Protection Code: Part 4: Information about workers=92 heal=
th found on  www.informationcommissioner.gov.uk.
Cate
=20





=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D
Message date : Sep 14 2004, 01:54 PM
From : "Jeanette Warran"=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 14 Sep 2004 14:44:12 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Pauline Cranney <[log in to unmask]>
Subject:      Re: CBRN health standards
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1095187452"

-------------------------------1095187452
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Hi
I have come across this in the police force recently.Our OHP  advised  that
you must screen for unfitness not fitness.
Regards
Pauline Cranney BSc
OHN,Specialist Practitioner

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1095187452
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2800.1141" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #000000; FONT-FAMILY: Comic Sans MS"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3D"Comic Sans MS" color=3D#000000 size=3D3>
<DIV>Hi</DIV>
<DIV>I have come across this in the police force recently.Our OHP&nbsp; advi=
sed=20
that you must screen for unfitness not fitness.</DIV>
<DIV>Regards</DIV>
<DIV>Pauline Cranney BSc </DIV>
<DIV>OHN,Specialist Practitioner</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1095187452--
=========================================================================
Date:         Tue, 14 Sep 2004 21:26:01 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Richardson <[log in to unmask]>
Subject:      =?iso-8859-1?Q?Thank_you?=
Content-Type: text/plain; charset="iso-8859-1"
Mime-Version: 1.0
Content-Transfer-Encoding: 8bit

Hi Folks, Many thanks for taking the time to test out a survey function
on my server.  In fact 61 took the trouble to click on a few questions
and sent it back.  As there were no personal details would anyone like
to see the results as it was a test of the system rather than for the
information.
Once again Thanks
Paul
--
Paul G Richardson BA RGN OND

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 15 Sep 2004 01:02:20 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Susan Ford <[log in to unmask]>
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

I will be out of the office starting  14/09/2004 and will not return until
04/10/2004.






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

This e-mail is confidential and may contain privileged information.  If you
are not the addressee or if you have received the e-mail in error, it may
be unlawful for you to read, copy, distribute, disclose or otherwise use the
information which it contains.  Under these circumstances, please notify
us immediately by returning this mail to [log in to unmask] and deleting
this e-mail from your system.

Any views expressed by an individual within this e-mail do not necessarily
reflect the views of Cadbury Schweppes Plc or its subsidiaries.  Cadbury
Schweppes Plc will not be bound by any agreement entered into as a result
of this email, unless its intention is clearly evidenced in the body of the email.
Whilst we have taken reasonable steps to ensure that this e-mail and
attachments are free from viruses, recipients are advised to subject this mail
to their own virus checking, in keeping with good computing practice. Please
note that email received by Cadbury Schweppes Plc or its subsidiaries may be
monitored in accordance with the prevailing law in the United Kingdom.

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

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 15 Sep 2004 15:49:28 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Leanne MORRISON <[log in to unmask]>
Subject:      Leanne MORRISON/ABZ/UK/EP/Corp is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII

I will be out of the office starting  15/09/2004 and will not return until 20/09/2004.

I will respond to your message when I return.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 15 Sep 2004 16:41:06 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandra Babbings <[log in to unmask]>
Subject:      Re: Manual handling trainers
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0042_01C49B42.CC397180"

This is a multi-part message in MIME format.

------=_NextPart_000_0042_01C49B42.CC397180
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Re: Manual handling trainersHi Kate
our company offers manual handling
We offer a excellent day course for low rise companies, which include, =
Manual Handling First Aid and fire, which is popular www.prohms.com
Kind regards

Sandra
  ----- Original Message -----=20
  From: Anne Harriss=20
  To: [log in to unmask]
  Sent: Monday, September 13, 2004 6:17 PM
  Subject: Re: Manual handling trainers


  on 13/9/04 4:27 pm, Catherine Cross at [log in to unmask] wrote:



    Hello All=20

    I would like to ask if anyone can recommend, on experience, a good =
manual handling trainer/company in the West Midlands please.  Also, when =
I worked in the NHS we had yearly manual handling updates, does this =
apply to all areas of business and manual handling or just good =
practice.  I see people (in catering, hospitality, portering) that say =
that they have not had any updates in years eg 5-10 years.  When I =
mentioned it to the safety officer he said that Manual Handling =
Regulations did not specify any update times.  Any advice appreciated.
    Regards=20

    Cate



  Hello Cate

  I am sorry I don't know of any training organisations specificically =
in the West Midlands. However, I understand that "Osteopaths for =
Industry" (?based in Surrey) offer high quality training and will send =
trainers all over the country. I am sure they must have a web-site. Try =
Google and add "Osteopaths for Industry".

  Re  the need for regular updates: The manual handling Regs require =
that manual handling tasks should be risk assessed and  manual handling =
should be avoided as far as "as reasonably practicable". As you state =
there is no specific requirement re the intervals between training =
courses included in the Regs. However, employees should be competent to =
undertake the requirements of their post. Moving and handling techniques =
which are initially considered "safe" may later be found to put =
employees at risk. (eg the Australian Lift was once considered to be the =
safest lifting technique to be used by nurses to lift patients.) It =
would therefore be sensible to undertake regular update training on =
moving and handling loads for  all staff who are required  to undertake =
this procedure in order that they do not put themselves at risk. The =
degree of risk  of the tasks they perform may influence the frequency of =
this training.=20

  Eliminating moving and handling as a result of the risk assessment is =
the important point. Playing devil's advocate ....  staff may attend =
training courses but they do not necessarily implement what they have =
been trained to do. Eliminating the hazard is more important.

  Anyone else have any thoughts???
  Anne ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0042_01C49B42.CC397180
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><TITLE>Re: Manual handling trainers</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>
<DIV><FONT face=3DArial size=3D2>Hi Kate</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>our company offers manual =
handling</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>We offer a excellent day course for low =
rise=20
companies, which include, Manual Handling First Aid and fire, which is =
popular=20
<A href=3D"http://www.prohms.com">www.prohms.com</A></FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Kind regards</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Sandra</FONT></DIV></FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask] =
href=3D"mailto:[log in to unmask]">Anne=20
  Harriss</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, September 13, =
2004 6:17=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Manual handling=20
  trainers</DIV>
  <DIV><BR></DIV>on 13/9/04 4:27 pm, Catherine Cross at <A=20
  href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
wrote:<BR><BR>
  <BLOCKQUOTE><BR>Hello All <BR><BR>I would like to ask if anyone can=20
    recommend, on experience, a good manual handling trainer/company in =
the West=20
    Midlands please. &nbsp;Also, when I worked in the NHS we had yearly =
manual=20
    handling updates, does this apply to all areas of business and =
manual=20
    handling or just good practice. &nbsp;I see people (in catering,=20
    hospitality, portering) that say that they have not had any updates =
in years=20
    eg 5-10 years. &nbsp;When I mentioned it to the safety officer he =
said that=20
    Manual Handling Regulations did not specify any update times. =
&nbsp;Any=20
    advice appreciated.<BR>Regards=20
  <BR><BR><B>Cate<BR></B><BR></BLOCKQUOTE><BR>Hello Cate<BR><BR>I am =
sorry I=20
  don't know of any training organisations specificically in the West =
Midlands.=20
  However, I understand that "Osteopaths for Industry" (?based in =
Surrey) offer=20
  high quality training and will send trainers all over the country. I =
am sure=20
  they must have a web-site. Try Google and add "Osteopaths for=20
  Industry".<BR><BR>Re &nbsp;the need for regular updates: The manual =
handling=20
  Regs require that manual handling tasks should be risk assessed and=20
  &nbsp;manual handling should be avoided as far as "as reasonably =
practicable".=20
  As you state there is no specific requirement re the intervals between =

  training courses included in the Regs. However, employees should be =
competent=20
  to undertake the requirements of their post. Moving and handling =
techniques=20
  which are initially considered "safe" may later be found to put =
employees at=20
  risk. (eg the Australian Lift was once considered to be the safest =
lifting=20
  technique to be used by nurses to lift patients.) It would therefore =
be=20
  sensible to undertake regular update training on moving and handling =
loads for=20
  &nbsp;all staff who are required &nbsp;to undertake this procedure in =
order=20
  that they do not put themselves at risk. The degree of risk &nbsp;of =
the tasks=20
  they perform may influence the frequency of this training. =
<BR><BR>Eliminating=20
  moving and handling as a result of the risk assessment is the =
important point.=20
  Playing devil's advocate .... &nbsp;staff may attend training courses =
but they=20
  do not necessarily implement what they have been trained to do. =
Eliminating=20
  the hazard is more important.<BR><BR>Anyone else have any =
thoughts???<BR>Anne=20
  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0042_01C49B42.CC397180--
=========================================================================
Date:         Wed, 15 Sep 2004 17:10:18 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandra Babbings <[log in to unmask]>
Subject:      Re: Storage of notes
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_011E_01C49B46.E0521BF0"

This is a multi-part message in MIME format.

------=_NextPart_000_011E_01C49B46.E0521BF0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

would also like some help on this
  ----- Original Message -----=20
  From: Jean Piernicki=20
  To: [log in to unmask]
  Sent: Monday, September 06, 2004 10:39 PM
  Subject: Storage of notes


  Another request again for colleagues particually NHS please.
  Can I ask how long you keep your notes for ?(COSHH & Radiation are =
clear cut.)
  Also how do you store terminated notes? We have used a traditional =
file store and lost some thousands during a fire!
  Recognising how quickly technology advances it is likely that anything =
that is put on to CD rom now wont be able to be accessed in 40 years =
time. Perhaps good old microfische is the best option.
  I'd really appreciate others thoughts and also the rational to their =
conclusion
  Many thanks
  Jean
  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_011E_01C49B46.E0521BF0
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; =
FONT-FAMILY: Arial"=20
bottomMargin=3D7 bgColor=3D#ffffff leftMargin=3D7 topMargin=3D7 =
rightMargin=3D7>
<DIV>would also like some help on this</DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask] href=3D"mailto:[log in to unmask]">Jean=20
  Piernicki</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, September 06, =
2004 10:39=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Storage of notes</DIV>
  <DIV><BR></DIV><FONT id=3Drole_document face=3DArial color=3D#000000 =
size=3D2>
  <DIV>Another request&nbsp;again for&nbsp;colleagues particually NHS=20
  please.</DIV>
  <DIV>Can I ask how long you keep your notes for ?(COSHH &amp; =
Radiation are=20
  clear cut.)</DIV>
  <DIV>Also how do you store terminated notes? We have used a =
traditional file=20
  store and lost some thousands during a fire!</DIV>
  <DIV>Recognising how quickly technology advances it is likely that =
anything=20
  that is put on to CD rom now wont be able to be accessed in 40 years =
time.=20
  Perhaps good old microfische is the best option.</DIV>
  <DIV>I'd really appreciate others thoughts and also the rational to =
their=20
  conclusion</DIV>
  <DIV>Many thanks</DIV>
  <DIV>Jean</DIV></FONT>~~~~~~~~~~~~~~~ Please remove this footer before =

  replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_011E_01C49B46.E0521BF0--
=========================================================================
Date:         Wed, 15 Sep 2004 17:42:18 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lindsey Hall <[log in to unmask]>
Subject:      Re: Over 65's health assessments
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Hi

I was asked to consider this in my old role. I discussed with HR and we came
to the conclusion that we shouldn't do anything health assessment wise as
continuing employment should be offered on the basis of capability and
performance and just because someone has reached 65 does not mean this
suddenly changes.  Health assessment would take place where risk assessment
or legislation dictated but only in the same way as any other job at any
other age.

You ought to consider upcoming legislation that means you could be
discriminating on the grounds of age.  I don't think this is strictly
illegal now but it might be soon.

Thanks

Lindsey Hall
Head of Nursing Services
AXA PPP Healthcare OHS

----- Original Message -----
From: "Donna Dixon" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, September 14, 2004 12:42 PM
Subject: Over 65's health assessments


> HI folks
>
> We are putting together a health standard for assessment of over 65's
> (supply teachers,cleaners,school crossing patrol staff) specifically
> within a local authority setting.  I would be grateful if any of you kind
> people out there would like to share any standards you may already have in
> place.
>
> Best regards
>
> Donna
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 15 Sep 2004 19:09:06 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         OccHealth <[log in to unmask]>
Subject:      If I know they should know!!!!!!!!!!!!!!!
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0052_01C49B57.78DC9AC0"

This is a multi-part message in MIME format.

------=_NextPart_000_0052_01C49B57.78DC9AC0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

I'm asking for advice here. Could you tell me where i stand?=20
I have an HR dept who are saying that if I know health info about an =
employee I am obliged to disclose this to them because if i didn't =
disclose it as soon as i learned of it they the employer would be liable =
when/if the employee's health became worse as a result of work. They say =
I am obliged by law under duty of care to inform the HR dept of this =
employees health issue(s) regardless of whether I have permission or no.

Basically they say if I am aware of the info  the employer would be =
deemed to have known about it and would therefore be vulnerable / liable =
if they were do nothing about it and things deteriorate healthwise for =
the employee.

I have said that if i deemed the info important enough to to feel the =
Co. should know then i would discuss it furthger with the employee and =
try and obtain permission to disclose it thus helping the employee at =
the same time. But if i don't get that permission then i could not =
disclose.

Clarification would be very helpful.

Many thanks=20
Helen

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_0052_01C49B57.78DC9AC0
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1264" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>I'm asking for advice here. Could you =
tell me where=20
i stand? </FONT></DIV>
<DIV><FONT face=3DArial size=3D2>I have an HR dept who are saying that =
if I=20
know&nbsp;health info about an employee I am obliged to disclose this to =
them=20
because if i didn't disclose it as soon as i learned of it&nbsp;they=20
the&nbsp;employer would be liable when/if the employee's health became =
worse as=20
a result of work. They say&nbsp;I am obliged by law under duty of care =
to inform=20
the HR dept of this employees health issue(s) regardless of whether I =
have=20
permission or no.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Basically they say if I am aware of the =
info=20
&nbsp;the employer would be deemed to have known about it&nbsp;and would =

therefore&nbsp;be vulnerable / liable if they were do nothing about it =
and=20
things deteriorate healthwise for the employee.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>I have said that if i deemed the info =
important=20
enough to to feel the Co. should know then i would discuss it furthger =
with the=20
employee and try and obtain permission to disclose it thus helping the =
employee=20
at the same time. But if i don't get that permission then i could not=20
disclose.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Clarification would be very =
helpful.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Many thanks </FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Helen</FONT></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0052_01C49B57.78DC9AC0--
=========================================================================
Date:         Wed, 15 Sep 2004 19:21:12 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lucy & Adrian <[log in to unmask]>
Subject:      Re: If I know they should know!!!!!!!!!!!!!!!
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_016A_01C49B59.29749F80"

This is a multi-part message in MIME format.

------=_NextPart_000_016A_01C49B59.29749F80
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

I know where the misunderstanding has arisen.  As the rep of the =
employer, when you know something, the employer is deemed to know.  This =
is what the insurance company will have told them.  If you are aware of =
a case of occupational disease, under RIDDOR there is a duty to report =
it.  All you are obliged to inform the employer of is what they need to =
do to safeguard the health of the employer so they can exercise their =
duty of care - after all if they didn't need your OH qualification to =
interpret health problems into working advice to management, OH would =
not exist.

So reassure them that you will let them know if an employee needs a =
restriction, redeployment or other protection from the normal business.  =
If you give them a standard format they will be able to understand =
better what info they are asking for!

Lucy
  ----- Original Message -----=20
  From: OccHealth=20
  To: [log in to unmask]
  Sent: Wednesday, September 15, 2004 7:09 PM
  Subject: If I know they should know!!!!!!!!!!!!!!!


  I'm asking for advice here. Could you tell me where i stand?=20
  I have an HR dept who are saying that if I know health info about an =
employee I am obliged to disclose this to them because if i didn't =
disclose it as soon as i learned of it they the employer would be liable =
when/if the employee's health became worse as a result of work. They say =
I am obliged by law under duty of care to inform the HR dept of this =
employees health issue(s) regardless of whether I have permission or no.

  Basically they say if I am aware of the info  the employer would be =
deemed to have known about it and would therefore be vulnerable / liable =
if they were do nothing about it and things deteriorate healthwise for =
the employee.

  I have said that if i deemed the info important enough to to feel the =
Co. should know then i would discuss it furthger with the employee and =
try and obtain permission to disclose it thus helping the employee at =
the same time. But if i don't get that permission then i could not =
disclose.

  Clarification would be very helpful.

  Many thanks=20
  Helen
  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_016A_01C49B59.29749F80
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>I know where the misunderstanding has =
arisen.&nbsp;=20
As the rep of the employer, when you know something, the employer is =
deemed to=20
know.&nbsp; This is what the insurance company will have told =
them.&nbsp; If you=20
are aware of a case of occupational disease, under RIDDOR there is a =
duty to=20
report it.&nbsp; All you are obliged to inform the employer of is what =
they need=20
to do to safeguard the health of the employer so they can exercise their =
duty of=20
care - after all if they didn't need your OH qualification to interpret =
health=20
problems into working advice to management, OH would not =
exist.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>So reassure them that you will let them =
know if an=20
employee needs a restriction, redeployment or other protection from the =
normal=20
business.&nbsp; If you give them a standard format they will be able to=20
understand better what info they are asking for!</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Lucy</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">OccHealth</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, September 15, =
2004 7:09=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> If I know they should=20
  know!!!!!!!!!!!!!!!</DIV>
  <DIV><BR></DIV>
  <DIV><FONT face=3DArial size=3D2>I'm asking for advice here. Could you =
tell me=20
  where i stand? </FONT></DIV>
  <DIV><FONT face=3DArial size=3D2>I have an HR dept who are saying that =
if I=20
  know&nbsp;health info about an employee I am obliged to disclose this =
to them=20
  because if i didn't disclose it as soon as i learned of it&nbsp;they=20
  the&nbsp;employer would be liable when/if the employee's health became =
worse=20
  as a result of work. They say&nbsp;I am obliged by law under duty of =
care to=20
  inform the HR dept of this employees health issue(s) regardless of =
whether I=20
  have permission or no.</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>Basically they say if I am aware of =
the info=20
  &nbsp;the employer would be deemed to have known about it&nbsp;and =
would=20
  therefore&nbsp;be vulnerable / liable if they were do nothing about it =
and=20
  things deteriorate healthwise for the employee.</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>I have said that if i deemed the info =
important=20
  enough to to feel the Co. should know then i would discuss it furthger =
with=20
  the employee and try and obtain permission to disclose it thus helping =
the=20
  employee at the same time. But if i don't get that permission then i =
could not=20
  disclose.</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>Clarification would be very =
helpful.</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>Many thanks </FONT></DIV>
  <DIV><FONT face=3DArial size=3D2>Helen</FONT></DIV>~~~~~~~~~~~~~~~ =
Please remove=20
  this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_016A_01C49B59.29749F80--
=========================================================================
Date:         Wed, 15 Sep 2004 16:01:37 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jean Piernicki <[log in to unmask]>
Subject:      Re: Storage of notes
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1095278497"

-------------------------------1095278497
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

For the others who also wanted some information this is what I've found  out.
1.Ordinary records - BMA recommends 10 years.

2.. Storage of terminated records - most use Hugh Symons. They scan
everything onto CD - very user friendly and effective.

3.The question of what happens as technology moves on - they recommend that
for COSHH etc record that these also put onto micro film. (Planing for the
future apparently!) Data has a destruction date put on it allowing for
compliance with Data protection and not storing records longer than  required.
Hope that helps
Regards to all
Jean


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1095278497
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY:=20=
Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3DArial color=3D#000000 size=3D2>
<DIV>For the others who also wanted some information this is what I've found=
=20
out.</DIV>
<DIV>1.Ordinary records - BMA recommends 10 years.</DIV>
<DIV>&nbsp;</DIV>
<DIV>2.. Storage of terminated records - most use Hugh Symons. They scan=20
everything onto CD - very user friendly and effective. </DIV>
<DIV>&nbsp;</DIV>
<DIV>3.The question of what happens as technology moves on - they recommend=20=
that=20
for COSHH etc record that these also put onto micro film. (Planing for the=20
future apparently!) Data has a destruction date put on it allowing for=20
compliance with Data protection and not storing records longer than=20
required.</DIV>
<DIV>Hope that helps</DIV>
<DIV>Regards to all</DIV>
<DIV>Jean</DIV>
<DIV>&nbsp;</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1095278497--
=========================================================================
Date:         Wed, 15 Sep 2004 16:13:59 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jean Piernicki <[log in to unmask]>
Subject:      Re: Over 65's health assessments
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1095279239"

-------------------------------1095279239
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

I agree with Lindsay.
This subject has come up in connection to our volunteers. A large  percentage
are older people and are taking some form of medication.
We have taken the stance that fitness should be based on risk assessment as
with all jobs. If one of the volunteers has a protracted period of absence due
 to sickness absence then we will review their fitness to undertake their
current  post or recommend alternative type of work. We have done this in light
of  forthcoming legislation -to say nothing of appreciating our  volunteers!
Jean

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1095279239
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY:=20=
Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3DArial color=3D#000000 size=3D2>
<DIV>I agree with Lindsay. </DIV>
<DIV>This subject has come up in connection to our volunteers. A large=20
percentage are&nbsp;older people and are taking some form of medication. </D=
IV>
<DIV>We have taken the stance that fitness should be based on risk assessmen=
t as=20
with all jobs. If one of the volunteers has a protracted period of absence d=
ue=20
to sickness absence then we will review their fitness to undertake their cur=
rent=20
post or recommend alternative type of work. We have done this in light of=20
forthcoming legislation&nbsp;-to say nothing of appreciating our=20
volunteers!</DIV>
<DIV>Jean</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1095279239--
=========================================================================
Date:         Wed, 15 Sep 2004 23:18:58 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         OccHealth <[log in to unmask]>
Subject:      Re: If I know they should know!!!!!!!!!!!!!!!
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_000B_01C49B7A.60EEE1C0"

This is a multi-part message in MIME format.

------=_NextPart_000_000B_01C49B7A.60EEE1C0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Lucy

Many thanks for this.
I totally understand what you say.

They have come at this from many angles and are attempting to write all =
these clauses into a brand new Sickness/Absence Management policy.

Amonst many of the arguments put forward, one of them I find most =
difficult to reconcile is their argument shown here by way of this =
example:
If I knew an employee was a Diabetic then I would be obliged to disclose =
this fact to HR, the employees manager and the employees peers and =
co-workers regardless of consent or otherwise from the employee.

Again clarification would be v. helpful.

Many thanks
Helen=20

  ----- Original Message -----=20
  From: Lucy & Adrian=20
  To: [log in to unmask]
  Sent: Wednesday, September 15, 2004 7:21 PM
  Subject: Re: If I know they should know!!!!!!!!!!!!!!!


  I know where the misunderstanding has arisen.  As the rep of the =
employer, when you know something, the employer is deemed to know.  This =
is what the insurance company will have told them.  If you are aware of =
a case of occupational disease, under RIDDOR there is a duty to report =
it.  All you are obliged to inform the employer of is what they need to =
do to safeguard the health of the employer so they can exercise their =
duty of care - after all if they didn't need your OH qualification to =
interpret health problems into working advice to management, OH would =
not exist.

  So reassure them that you will let them know if an employee needs a =
restriction, redeployment or other protection from the normal business.  =
If you give them a standard format they will be able to understand =
better what info they are asking for!

  Lucy
    ----- Original Message -----=20
    From: OccHealth=20
    To: [log in to unmask]
    Sent: Wednesday, September 15, 2004 7:09 PM
    Subject: If I know they should know!!!!!!!!!!!!!!!


    I'm asking for advice here. Could you tell me where i stand?=20
    I have an HR dept who are saying that if I know health info about an =
employee I am obliged to disclose this to them because if i didn't =
disclose it as soon as i learned of it they the employer would be liable =
when/if the employee's health became worse as a result of work. They say =
I am obliged by law under duty of care to inform the HR dept of this =
employees health issue(s) regardless of whether I have permission or no.

    Basically they say if I am aware of the info  the employer would be =
deemed to have known about it and would therefore be vulnerable / liable =
if they were do nothing about it and things deteriorate healthwise for =
the employee.

    I have said that if i deemed the info important enough to to feel =
the Co. should know then i would discuss it furthger with the employee =
and try and obtain permission to disclose it thus helping the employee =
at the same time. But if i don't get that permission then i could not =
disclose.

    Clarification would be very helpful.

    Many thanks=20
    Helen
    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_000B_01C49B7A.60EEE1C0
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1264" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>Lucy</FONT></DIV>
<DIV>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Many thanks for this.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>I totally understand what you =
say.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>They have come at this from many angles =
and are=20
<FONT face=3DArial size=3D2>attempting to write all these clauses into a =
brand new=20
Sickness/Absence Management policy.</FONT>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>Amonst many&nbsp;of =
the=20
arguments put forward, one of&nbsp;them I find most difficult to =
reconcile is=20
their argument shown here by way of this example:</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>If I knew an employee was a Diabetic =
then I would=20
be obliged to disclose this fact to HR, the employees manager and the =
employees=20
peers and co-workers regardless of consent or otherwise from the=20
employee.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Again&nbsp;clarification would be v.=20
helpful.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Many thanks</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Helen</FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask] =
href=3D"mailto:[log in to unmask]">Lucy &amp;=20
  Adrian</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, September 15, =
2004 7:21=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: If I know they =
should=20
  know!!!!!!!!!!!!!!!</DIV>
  <DIV><BR></DIV>
  <DIV><FONT face=3DArial size=3D2>I know where the misunderstanding has =

  arisen.&nbsp; As the rep of the employer, when you know something, the =

  employer is deemed to know.&nbsp; This is what the insurance company =
will have=20
  told them.&nbsp; If you are aware of a case of occupational disease, =
under=20
  RIDDOR there is a duty to report it.&nbsp; All you are obliged to =
inform the=20
  employer of is what they need to do to safeguard the health of the =
employer so=20
  they can exercise their duty of care - after all if they didn't need =
your OH=20
  qualification to interpret health problems into working advice to =
management,=20
  OH would not exist.</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>So reassure them that you will let =
them know if=20
  an employee needs a restriction, redeployment or other protection from =
the=20
  normal business.&nbsp; If you give them a standard format they will be =
able to=20
  understand better what info they are asking for!</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>Lucy</FONT></DIV>
  <BLOCKQUOTE dir=3Dltr=20
  style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
    <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
    <DIV=20
    style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
    <A [log in to unmask]
    href=3D"mailto:[log in to unmask]">OccHealth</A> </DIV>
    <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
    =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, September =
15, 2004=20
    7:09 PM</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> If I know they =
should=20
    know!!!!!!!!!!!!!!!</DIV>
    <DIV><BR></DIV>
    <DIV><FONT face=3DArial size=3D2>I'm asking for advice here. Could =
you tell me=20
    where i stand? </FONT></DIV>
    <DIV><FONT face=3DArial size=3D2>I have an HR dept who are saying =
that if I=20
    know&nbsp;health info about an employee I am obliged to disclose =
this to=20
    them because if i didn't disclose it as soon as i learned of =
it&nbsp;they=20
    the&nbsp;employer would be liable when/if the employee's health =
became worse=20
    as a result of work. They say&nbsp;I am obliged by law under duty of =
care to=20
    inform the HR dept of this employees health issue(s) regardless of =
whether I=20
    have permission or no.</FONT></DIV>
    <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT face=3DArial size=3D2>Basically they say if I am aware of =
the info=20
    &nbsp;the employer would be deemed to have known about it&nbsp;and =
would=20
    therefore&nbsp;be vulnerable / liable if they were do nothing about =
it and=20
    things deteriorate healthwise for the employee.</FONT></DIV>
    <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT face=3DArial size=3D2>I have said that if i deemed the =
info important=20
    enough to to feel the Co. should know then i would discuss it =
furthger with=20
    the employee and try and obtain permission to disclose it thus =
helping the=20
    employee at the same time. But if i don't get that permission then i =
could=20
    not disclose.</FONT></DIV>
    <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT face=3DArial size=3D2>Clarification would be very=20
    helpful.</FONT></DIV>
    <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT face=3DArial size=3D2>Many thanks </FONT></DIV>
    <DIV><FONT face=3DArial size=3D2>Helen</FONT></DIV>~~~~~~~~~~~~~~~ =
Please remove=20
    this footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_000B_01C49B7A.60EEE1C0--
=========================================================================
Date:         Thu, 16 Sep 2004 08:17:57 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Porter Suzanne <[log in to unmask]>
Subject:      Re: If I know they should know!!!!!!!!!!!!!!!
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C49BBD.4A919052"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C49BBD.4A919052
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Helen
=20
As Lucy says you do cannot convey information to HR unless you have =
written consent from the employee but the way around it is to let the =
employee know that you have to let the employer know that you may have =
special requirements to protect them. We would write something like " =
this person has a well recognised medical condition that may require =
them to have regular meal breaks and they should not work in isolation" =
for example if the person had poor control of their diabetes. Another =
example is "well recognised medical condition that will restrict this =
person from working alone or at heights" for someone with poorly =
controlled epilepsy. These are obviously extreme examples but this is =
all you are obliged to do. This highlights risk to the employer without =
disclosing the nature of the problem. It is then up the employer to =
discuss this with the employee, and you should try to encourage the =
employee to let their manager know. But you cannot unless you believe =
not doing so would put the employee or others at risk.
=20
I suggest you get your HR department a copy of the RCN OH =
confidentiality book.
=20
Be very firm with them, I experienced the same scenario when I first =
started in OH, and I was threatened with the sack! I told the HR =
Director that he could try if he felt brave!
=20
Hope this helps.
=20
Su

-----Original Message-----
From: OccHealth [mailto:[log in to unmask]]
Sent: 15 September 2004 23:19
To: [log in to unmask]
Subject: Re: If I know they should know!!!!!!!!!!!!!!!


Lucy
=20
Many thanks for this.
I totally understand what you say.
=20
They have come at this from many angles and are attempting to write all =
these clauses into a brand new Sickness/Absence Management policy.=20
=20
Amonst many of the arguments put forward, one of them I find most =
difficult to reconcile is their argument shown here by way of this =
example:
If I knew an employee was a Diabetic then I would be obliged to disclose =
this fact to HR, the employees manager and the employees peers and =
co-workers regardless of consent or otherwise from the employee.
=20
Again clarification would be v. helpful.
=20
Many thanks
Helen=20
=20

----- Original Message -----=20
From: Lucy  <mailto:[log in to unmask]> & Adrian=20
To: [log in to unmask]
Sent: Wednesday, September 15, 2004 7:21 PM
Subject: Re: If I know they should know!!!!!!!!!!!!!!!

I know where the misunderstanding has arisen.  As the rep of the =
employer, when you know something, the employer is deemed to know.  This =
is what the insurance company will have told them.  If you are aware of =
a case of occupational disease, under RIDDOR there is a duty to report =
it.  All you are obliged to inform the employer of is what they need to =
do to safeguard the health of the employer so they can exercise their =
duty of care - after all if they didn't need your OH qualification to =
interpret health problems into working advice to management, OH would =
not exist.
=20
So reassure them that you will let them know if an employee needs a =
restriction, redeployment or other protection from the normal business.  =
If you give them a standard format they will be able to understand =
better what info they are asking for!
=20
Lucy

----- Original Message -----=20
From: OccHealth <mailto:[log in to unmask]> =20
To: [log in to unmask]
Sent: Wednesday, September 15, 2004 7:09 PM
Subject: If I know they should know!!!!!!!!!!!!!!!

I'm asking for advice here. Could you tell me where i stand?=20
I have an HR dept who are saying that if I know health info about an =
employee I am obliged to disclose this to them because if i didn't =
disclose it as soon as i learned of it they the employer would be liable =
when/if the employee's health became worse as a result of work. They say =
I am obliged by law under duty of care to inform the HR dept of this =
employees health issue(s) regardless of whether I have permission or no.
=20
Basically they say if I am aware of the info  the employer would be =
deemed to have known about it and would therefore be vulnerable / liable =
if they were do nothing about it and things deteriorate healthwise for =
the employee.
=20
I have said that if i deemed the info important enough to to feel the =
Co. should know then i would discuss it furthger with the employee and =
try and obtain permission to disclose it thus helping the employee at =
the same time. But if i don't get that permission then i could not =
disclose.
=20
Clarification would be very helpful.
=20
Many thanks=20
Helen
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C49BBD.4A919052
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><SPAN class=3D811440807-16092004><FONT face=3DArial color=3D#0000ff =

size=3D2>Helen</FONT></SPAN></DIV>
<DIV><SPAN class=3D811440807-16092004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D811440807-16092004><FONT face=3DArial color=3D#0000ff =
size=3D2>As=20
Lucy says you do cannot convey information to HR unless you have written =
consent=20
from the employee but the way around it is to let the employee know that =
you=20
have to let the employer know that you may have special requirements to =
protect=20
them. We would write something like " this person has a well recognised =
medical=20
condition that may require them to have regular meal breaks and they =
should not=20
work in isolation" for example if the person had poor control of their =
diabetes.=20
Another example is "well recognised medical condition that will restrict =
this=20
person from working alone or at heights" for someone with poorly =
controlled=20
epilepsy. These are obviously extreme examples but this is all you are =
obliged=20
to do. This highlights risk to the employer without disclosing the =
nature of the=20
problem. It is then up the employer to discuss this with the employee, =
and you=20
should try to encourage the employee to let their manager know. But you =
cannot=20
unless you believe not doing so would put the employee or others at=20
risk.</FONT></SPAN></DIV>
<DIV><SPAN class=3D811440807-16092004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D811440807-16092004><FONT face=3DArial color=3D#0000ff =
size=3D2>I=20
suggest you get your HR department a copy of the RCN OH confidentiality=20
book.</FONT></SPAN></DIV>
<DIV><SPAN class=3D811440807-16092004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D811440807-16092004><FONT face=3DArial color=3D#0000ff =
size=3D2>Be=20
very firm with them, I experienced the same scenario when I first =
started in OH,=20
and I was threatened with the sack! I told the HR Director that he could =
try if=20
he felt brave!</FONT></SPAN></DIV>
<DIV><SPAN class=3D811440807-16092004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D811440807-16092004><FONT face=3DArial color=3D#0000ff =
size=3D2>Hope=20
this helps.</FONT></SPAN></DIV>
<DIV><SPAN class=3D811440807-16092004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D811440807-16092004><FONT face=3DArial color=3D#0000ff =

size=3D2>Su</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> OccHealth=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 15 September 2004=20
  23:19<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
If I know=20
  they should know!!!!!!!!!!!!!!!<BR><BR></FONT></DIV>
  <DIV><FONT face=3DArial size=3D2>Lucy</FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>Many thanks for this.</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2>I totally understand what you =
say.</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>They have come at this from many =
angles and are=20
  <FONT face=3DArial size=3D2>attempting to write all these clauses into =
a brand new=20
  Sickness/Absence Management policy.</FONT>=20
  <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>Amonst =
many&nbsp;of the=20
  arguments put forward, one of&nbsp;them I find most difficult to =
reconcile is=20
  their argument shown here by way of this example:</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2>If I knew an employee was a Diabetic =
then I would=20
  be obliged to disclose this fact to HR, the employees manager and the=20
  employees peers and co-workers regardless of consent or otherwise from =
the=20
  employee.</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>Again&nbsp;clarification would be v.=20
  helpful.</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>Many thanks</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2>Helen</FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
  <BLOCKQUOTE dir=3Dltr=20
  style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
    <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
    <DIV=20
    style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
    <A [log in to unmask] =
href=3D"mailto:[log in to unmask]">Lucy &amp;=20
    Adrian</A> </DIV>
    <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
    =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, September =
15, 2004=20
    7:21 PM</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: If I know they =
should=20
    know!!!!!!!!!!!!!!!</DIV>
    <DIV><BR></DIV>
    <DIV><FONT face=3DArial size=3D2>I know where the misunderstanding =
has=20
    arisen.&nbsp; As the rep of the employer, when you know something, =
the=20
    employer is deemed to know.&nbsp; This is what the insurance company =
will=20
    have told them.&nbsp; If you are aware of a case of occupational =
disease,=20
    under RIDDOR there is a duty to report it.&nbsp; All you are obliged =
to=20
    inform the employer of is what they need to do to safeguard the =
health of=20
    the employer so they can exercise their duty of care - after all if =
they=20
    didn't need your OH qualification to interpret health problems into =
working=20
    advice to management, OH would not exist.</FONT></DIV>
    <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT face=3DArial size=3D2>So reassure them that you will let =
them know if=20
    an employee needs a restriction, redeployment or other protection =
from the=20
    normal business.&nbsp; If you give them a standard format they will =
be able=20
    to understand better what info they are asking for!</FONT></DIV>
    <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT face=3DArial size=3D2>Lucy</FONT></DIV>
    <BLOCKQUOTE dir=3Dltr=20
    style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
      <DIV style=3D"FONT: 10pt arial">----- Original Message ----- =
</DIV>
      <DIV=20
      style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
      <A [log in to unmask]
      href=3D"mailto:[log in to unmask]">OccHealth</A> </DIV>
      <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A=20
      [log in to unmask]
      =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A>=20
      </DIV>
      <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, September =
15, 2004=20
      7:09 PM</DIV>
      <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> If I know they =
should=20
      know!!!!!!!!!!!!!!!</DIV>
      <DIV><BR></DIV>
      <DIV><FONT face=3DArial size=3D2>I'm asking for advice here. Could =
you tell me=20
      where i stand? </FONT></DIV>
      <DIV><FONT face=3DArial size=3D2>I have an HR dept who are saying =
that if I=20
      know&nbsp;health info about an employee I am obliged to disclose =
this to=20
      them because if i didn't disclose it as soon as i learned of =
it&nbsp;they=20
      the&nbsp;employer would be liable when/if the employee's health =
became=20
      worse as a result of work. They say&nbsp;I am obliged by law under =
duty of=20
      care to inform the HR dept of this employees health issue(s) =
regardless of=20
      whether I have permission or no.</FONT></DIV>
      <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT face=3DArial size=3D2>Basically they say if I am aware =
of the info=20
      &nbsp;the employer would be deemed to have known about it&nbsp;and =
would=20
      therefore&nbsp;be vulnerable / liable if they were do nothing =
about it and=20
      things deteriorate healthwise for the employee.</FONT></DIV>
      <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT face=3DArial size=3D2>I have said that if i deemed the =
info=20
      important enough to to feel the Co. should know then i would =
discuss it=20
      furthger with the employee and try and obtain permission to =
disclose it=20
      thus helping the employee at the same time. But if i don't get =
that=20
      permission then i could not disclose.</FONT></DIV>
      <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT face=3DArial size=3D2>Clarification would be very=20
      helpful.</FONT></DIV>
      <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT face=3DArial size=3D2>Many thanks </FONT></DIV>
      <DIV><FONT face=3DArial size=3D2>Helen</FONT></DIV>~~~~~~~~~~~~~~~ =
Please=20
      remove this footer before replying.=20
      <P>For list archives and documents, go to=20
      http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
      <P>For jobs in Occupational Health, go to=20
      http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE>~~~~~~~~~~~~~~~=20
    Please remove this footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C49BBD.4A919052--
=========================================================================
Date:         Thu, 16 Sep 2004 08:45:39 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lisa Willis <[log in to unmask]>
Subject:      Re: If I know they should know!!!!!!!!!!!!!!!
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="------------95B74C42FAF3319B1CE19387"

--------------95B74C42FAF3319B1CE19387
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Wouldn't life be easier without HR.

I have always understood that you cannot disclose details about a
patient without there permission.  The patient themselves, if they wish
may tell HR, but may choose not to as they may feel they would  be
treated with bias.

It is difficult.  You can say they have a permanent restriction because
of a medical condition without disclosing it, or are covered by the DDA,
but I didn't think you had to give them details.

Good LUck



[log in to unmask] wrote:

> I'm asking for advice here. Could you tell me where i stand?I have an
> HR dept who are saying that if I know health info about an employee I
> am obliged to disclose this to them because if i didn't disclose it as
> soon as i learned of it they the employer would be liable when/if the
> employee's health became worse as a result of work. They say I am
> obliged by law under duty of care to inform the HR dept of this
> employees health issue(s) regardless of whether I have permission or
> no. Basically they say if I am aware of the info  the employer would
> be deemed to have known about it and would therefore be vulnerable /
> liable if they were do nothing about it and things deteriorate
> healthwise for the employee. I have said that if i deemed the info
> important enough to to feel the Co. should know then i would discuss
> it furthger with the employee and try and obtain permission to
> disclose it thus helping the employee at the same time. But if i don't
> get that permission then i could not disclose. Clarification would be
> very helpful. Many thanksHelen~~~~~~~~~~~~~~~ Please remove this
> footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--------------95B74C42FAF3319B1CE19387
Content-Type: text/html; charset=us-ascii
Content-Transfer-Encoding: 7bit

<!doctype html public "-//w3c//dtd html 4.0 transitional//en">
<html>
<body bgcolor="#FFFFFF">
Wouldn't life be easier without HR.
<p>I have always understood that you cannot disclose details about a patient
without there permission.&nbsp; The patient themselves, if they wish may
tell HR, but may choose not to as they may feel they would&nbsp; be treated
with bias.
<p>It is difficult.&nbsp; You can say they have a permanent restriction
because of a medical condition without disclosing it, or are covered by
the DDA, but I didn't think you had to give them details.
<p>Good LUck
<br>&nbsp;
<br>&nbsp;
<p>[log in to unmask] wrote:
<blockquote TYPE=CITE><style></style>
<font face="Arial"><font size=-1>I'm
asking for advice here. Could you tell me where i stand?</font></font><font face="Arial"><font size=-1>I
have an HR dept who are saying that if I know health info about an employee
I am obliged to disclose this to them because if i didn't disclose it as
soon as i learned of it they the employer would be liable when/if the employee's
health became worse as a result of work. They say I am obliged by law under
duty of care to inform the HR dept of this employees health issue(s) regardless
of whether I have permission or no.</font></font>&nbsp;<font face="Arial"><font size=-1>Basically
they say if I am aware of the info&nbsp; the employer would be deemed to
have known about it and would therefore be vulnerable / liable if they
were do nothing about it and things deteriorate healthwise for the employee.</font></font>&nbsp;<font face="Arial"><font size=-1>I
have said that if i deemed the info important enough to to feel the Co.
should know then i would discuss it furthger with the employee and try
and obtain permission to disclose it thus helping the employee at the same
time. But if i don't get that permission then i could not disclose.</font></font>&nbsp;<font face="Arial"><font size=-1>Clarification
would be very helpful.</font></font>&nbsp;<font face="Arial"><font size=-1>Many
thanks</font></font><font face="Arial"><font size=-1>Helen</font></font>~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>For list archives and documents, go to <A HREF="http://www.jiscmail.ac.uk/lists/occ-health.html">http://www.jiscmail.ac.uk/lists/occ-health.html</A>
for list archives
<p>For jobs in Occupational Health, go to <A HREF="http://uk.groups.yahoo.com/group/OHJobs/">http://uk.groups.yahoo.com/group/OHJobs/</A></blockquote>

</body>
</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--------------95B74C42FAF3319B1CE19387--
=========================================================================
Date:         Thu, 16 Sep 2004 09:52:48 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Anne Harriss <[log in to unmask]>
Subject:      Re: If I know they should know!!!!!!!!!!!!!!!
In-Reply-To:  <[log in to unmask]>
Mime-version: 1.0
Content-type: multipart/alternative;
              boundary="MS_Mac_OE_3178173168_15671189_MIME_Part"

> This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

--MS_Mac_OE_3178173168_15671189_MIME_Part
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

on 16/9/04 8:45 am, Lisa Willis at [log in to unmask] wrote:

Wouldn't life be easier without HR.

I have always understood that you cannot disclose details about a patient
without there permission.  The patient themselves, if they wish may tell HR,
but may choose not to as they may feel they would  be treated with bias.

It is difficult.  You can say they have a permanent restriction because of a
medical condition without disclosing it, or are covered by the DDA, but I
didn't think you had to give them details.

Good LUck



[log in to unmask] wrote:
I'm asking for advice here. Could you tell me where i stand?I have an HR
dept who are saying that if I know health info about an employee I am
obliged to disclose this to them because if i didn't disclose it as soon as
i learned of it they the employer would be liable when/if the employee's
health became worse as a result of work. They say I am obliged by law under
duty of care to inform the HR dept of this employees health issue(s)
regardless of whether I have permission or no. Basically they say if I am
aware of the info  the employer would be deemed to have known about it and
would therefore be vulnerable / liable if they were do nothing about it and
things deteriorate healthwise for the employee. I have said that if i deemed
the info important enough to to feel the Co. should know then i would
discuss it furthger with the employee and try and obtain permission to
disclose it thus helping the employee at the same time. But if i don't get
that permission then i could not disclose. Clarification would be very
helpful. Many thanksHelen~~~~~~~~~~~~~~~ Please remove this footer before
replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

This has been, and always will be, a difficulty for OHNs. I can see the
problem form both sides  but OHNs are bound by a professional code of
conduct and a clause within that code on confidentiality.

One way of dealing with this is that HR can be informed of the implications
of a health condition which may put the health and safety of the employee,
or others, at risk without revealing specific details such as the diagnosis.
For example an example from my own practice experience: A company driver
revealed to me  that they had a drink problem had been coming to work under
the influence of alcohol. They now  intended to seek treatment from their GP
and the assistance of Alcoholics Anonymous. I discussed with that employee
the health and safety issues and the duty of care of all parties as he was
employed to undertake driving duties. I outlined my responsibility to advise
management that the client had a health problem which would affect their
ability to drive. Until that issue was resolved  they are not fit to
undertake driving duties. I gave the client the opportunity to see the
letter I wrote to management in order that they were aware that no specific
confidential medical information had been revealed. All that had been
revealed were implications. It was likely that the manager suspected an
alcohol problem due to their attendance behaviour  but the ball was then in
the manager's court.

I hope this is helpful

Anne

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--MS_Mac_OE_3178173168_15671189_MIME_Part
Content-type: text/html; charset="US-ASCII"
Content-transfer-encoding: quoted-printable

<HTML>
<HEAD>
<TITLE>Re: If I know they should know!!!!!!!!!!!!!!!</TITLE>
</HEAD>
<BODY>
on 16/9/04 8:45 am, Lisa Willis at [log in to unmask] wrote:<BR>
<BR>
<BLOCKQUOTE>Wouldn't life be easier without HR. <BR>
<BR>
I have always understood that you cannot disclose details about a patient w=
ithout there permission. &nbsp;The patient themselves, if they wish may tell=
 HR, but may choose not to as they may feel they would &nbsp;be treated with=
 bias. <BR>
<BR>
It is difficult. &nbsp;You can say they have a permanent restriction becaus=
e of a medical condition without disclosing it, or are covered by the DDA, b=
ut I didn't think you had to give them details. <BR>
<BR>
Good LUck <BR>
 <BR>
 <BR>
<BR>
[log in to unmask] wrote: <BR>
<BLOCKQUOTE><FONT SIZE=3D"2"><FONT FACE=3D"Arial">I'm asking for advice here. C=
ould you tell me where i stand?I have an HR dept who are saying that if I kn=
ow health info about an employee I am obliged to disclose this to them becau=
se if i didn't disclose it as soon as i learned of it they the employer woul=
d be liable when/if the employee's health became worse as a result of work. =
They say I am obliged by law under duty of care to inform the HR dept of thi=
s employees health issue(s) regardless of whether I have permission or no.</=
FONT></FONT> <FONT SIZE=3D"2"><FONT FACE=3D"Arial">Basically they say if I am aw=
are of the info &nbsp;the employer would be deemed to have known about it an=
d would therefore be vulnerable / liable if they were do nothing about it an=
d things deteriorate healthwise for the employee.</FONT></FONT> <FONT SIZE=3D"=
2"><FONT FACE=3D"Arial">I have said that if i deemed the info important enough=
 to to feel the Co. should know then i would discuss it furthger with the em=
ployee and try and obtain permission to disclose it thus helping the employe=
e at the same time. But if i don't get that permission then i could not disc=
lose.</FONT></FONT> <FONT SIZE=3D"2"><FONT FACE=3D"Arial">Clarification would be=
 very helpful.</FONT></FONT> <FONT SIZE=3D"2"><FONT FACE=3D"Arial">Many thanksHe=
len</FONT></FONT>~~~~~~~~~~~~~~~ Please remove this footer before replying. =
<BR>
<BR>
For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-=
health.html for list archives <BR>
<BR>
For jobs in Occupational Health, go to http://uk.groups.yahoo.com/group/OHJ=
obs/<BR>
</BLOCKQUOTE>~~~~~~~~~~~~~~~ Please remove this footer before replying. <BR=
>
<BR>
For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-=
health.html for list archives <BR>
<BR>
For jobs in Occupational Health, go to http://uk.groups.yahoo.com/group/OHJ=
obs/ <BR>
</BLOCKQUOTE><BR>
This has been, and always will be, a difficulty for OHNs. I can see the pro=
blem form both sides &nbsp;but OHNs are bound by a professional code of cond=
uct and a clause within that code on confidentiality. <BR>
<BR>
One way of dealing with this is that HR can be informed of the<B> implicati=
ons</B> of a health condition which may put the health and safety of the emp=
loyee, or others, at risk without revealing specific details such as the dia=
gnosis. &nbsp;For example an example from my own practice experience: A comp=
any driver revealed to me &nbsp;that they had a drink problem had been comin=
g to work under the influence of alcohol. They now &nbsp;intended to seek tr=
eatment from their GP and the assistance of Alcoholics Anonymous. I discusse=
d with that employee the health and safety issues and the duty of care of al=
l parties as he was employed to undertake driving duties. I outlined my resp=
onsibility to advise management that the client had a health problem which w=
ould affect their ability to drive. Until that issue was resolved &nbsp;they=
 are not fit to undertake driving duties. I gave the client the opportunity =
to see the letter I wrote to management in order that they were aware that n=
o specific confidential medical information had been revealed. All that had =
been revealed were implications. It was likely that the manager suspected an=
 alcohol problem due to their attendance behaviour &nbsp;but the ball was th=
en in the manager's court. <BR>
<BR>
I hope this is helpful<BR>
<BR>
Anne
</BODY>
</HTML>

~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--MS_Mac_OE_3178173168_15671189_MIME_Part--
=========================================================================
Date:         Thu, 16 Sep 2004 09:25:38 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      RIDDOR and disclosure
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

Along the lines of the other discussion, do any of you get permission from
the employee to disclose RIDDOR disease to the HSE?
Diane

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Sep 2004 09:31:02 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         JOSEPH BUGGY <[log in to unmask]>
Subject:      Re: Over 65's health assessments
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

I also agree with Lesley
If continuing in current role and there has been no health problems,
the person should continue
If changing hours, contract or role, then a new Health Questionnaire
should be completed and screened accordingly
To do anyhting else is surely ageist!

Joseph Buggy
Occupational Health Advisor
QEQMH
East Kent Hospitals NHS Trust
01843-234478 Direct
0r 01843-225544 Ext 62301
[log in to unmask]

>>> [log in to unmask] 09/15/04 09:13pm >>>
I agree with Lindsay.
This subject has come up in connection to our volunteers. A large
percentage
are older people and are taking some form of medication.
We have taken the stance that fitness should be based on risk
assessment as
with all jobs. If one of the volunteers has a protracted period of
absence due
 to sickness absence then we will review their fitness to undertake
their
current  post or recommend alternative type of work. We have done this
in light
of  forthcoming legislation -to say nothing of appreciating our
volunteers!
Jean

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


**********************************************************************
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.
Any views or opinions presented are solely those of the author and do
not necessarily represent those of East Kent Hospitals NHS Trust.  If
you are not the intended recipient, be advised that you have received
this email in error and that any use, dissemination, forwarding, printing
or copying of this email is strictly prohibited.

If you have received this email in error please notify the system
manager at the following email address: [log in to unmask]

www.kentandmedway.nhs.uk

This footnote also confirms that although this email message has been
swept by MIMEsweeper for the presence of computer viruses, it is strongly recommended that you carry out your own virus scan of this
message and any attachments.

www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Sep 2004 09:23:55 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      disclosure of medical conditions
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

Hello all,

The way I see it, we are employed to give advice to management on the
inter-relationship between health and work. We do have some expertise, and
using this we make judegements.

For example , with Diabetes, if an office worker has diet controlled
diabetes I see no reason to give any information, except perhaps that the
employee has a medical condiiton for which they are receiving appropriate
treatemnt and follow up from the GP, but that it should not affect their
ability to do their job.I might add that it was important that they were
allowed to have meal breaks at   regular intervals if I thought it was going
to be a problem.

If they person was insulin dependent , I might suggest to the employee that
they find out who their First Aider is and discuss this in confidence. I
would also suggest that they disclose to the manager. (i might also ensure
that all the FA's knew what to do for hypoglycaemia , and that there was
hypostop or dextrose tablets readily available, but I wouldn't tell them
specifially why!)

In information to the manager I would be suitably vague, but tell them that
I had advised the employee to talk to the first aider.

The situation might be different if the employee's job involved moving
machinery, or working at heights where thier safety and that of others might
be affected. However I would always try and persuade the employee to
disclose, perhaps having a joint meeting with them. (i might also ensure
that all the FA's knew what to do for hypoglycaemia , and that there was
hypostop or dextrose tablets readily available, but I wouldn't tell them
specifially why!)

An if there was a regulation which made a person unsuitable, for example if
diabetic LGV driver  had to commence on insulin, then here would be an
obligaiton to say that the the person was no longer suitable for the
task.Then I would look at ways of modifying jobs to ensure that they stay in
work.

Does this approach fit in with other's practice?

BW
Diane



I do know of a (self -employed) insulin dependent steeplejack....

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Sep 2004 10:39:38 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Clayton.Mary" <[log in to unmask]>
Subject:      Re: disclosure of medical conditions
MIME-Version: 1.0
Content-Type: text/plain

This fits in with my experience of practice throughout the years. I always
encourage the client to take control of disclosure wherever possible - it
helps the client to remain in control of the information-type quantity and
quality.

Mary

-----Original Message-----
From: Diane Romano-Woodward [mailto:[log in to unmask]]
Sent: 16 September 2004 09:24
To: [log in to unmask]
Subject: disclosure of medical conditions

Hello all,

The way I see it, we are employed to give advice to management on the
inter-relationship between health and work. We do have some expertise, and
using this we make judegements.

For example , with Diabetes, if an office worker has diet controlled
diabetes I see no reason to give any information, except perhaps that the
employee has a medical condiiton for which they are receiving appropriate
treatemnt and follow up from the GP, but that it should not affect their
ability to do their job.I might add that it was important that they were
allowed to have meal breaks at   regular intervals if I thought it was going
to be a problem.

If they person was insulin dependent , I might suggest to the employee that
they find out who their First Aider is and discuss this in confidence. I
would also suggest that they disclose to the manager. (i might also ensure
that all the FA's knew what to do for hypoglycaemia , and that there was
hypostop or dextrose tablets readily available, but I wouldn't tell them
specifially why!)

In information to the manager I would be suitably vague, but tell them that
I had advised the employee to talk to the first aider.

The situation might be different if the employee's job involved moving
machinery, or working at heights where thier safety and that of others might
be affected. However I would always try and persuade the employee to
disclose, perhaps having a joint meeting with them. (i might also ensure
that all the FA's knew what to do for hypoglycaemia , and that there was
hypostop or dextrose tablets readily available, but I wouldn't tell them
specifially why!)

An if there was a regulation which made a person unsuitable, for example if
diabetic LGV driver  had to commence on insulin, then here would be an
obligaiton to say that the the person was no longer suitable for the
task.Then I would look at ways of modifying jobs to ensure that they stay in
work.

Does this approach fit in with other's practice?

BW
Diane



I do know of a (self -employed) insulin dependent steeplejack....

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Sep 2004 10:43:39 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Clayton.Mary" <[log in to unmask]>
Subject:      Re: RIDDOR and disclosure
MIME-Version: 1.0
Content-Type: text/plain

Interesting point - I haven't sought employee consent in such circumstances.
Isn't RIDDOR however subordinate legislation to HASAWA - in that case isn't
the employee obliged to co-operate in the interests of their (and others)
health & safety? I'd be interested to hear what Diana Kloss would say on the
subject.

Mary

-----Original Message-----
From: Diane Romano-Woodward [mailto:[log in to unmask]]
Sent: 16 September 2004 09:26
To: [log in to unmask]
Subject: RIDDOR and disclosure

Along the lines of the other discussion, do any of you get permission from
the employee to disclose RIDDOR disease to the HSE?
Diane

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Sep 2004 11:13:33 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Anne Harriss <[log in to unmask]>
Subject:      Re: RIDDOR and disclosure
In-Reply-To:  <[log in to unmask]>
Mime-version: 1.0
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

on 16/9/04 9:25 am, Diane Romano-Woodward at [log in to unmask] wrote:

> Along the lines of the other discussion, do any of you get permission from
> the employee to disclose RIDDOR disease to the HSE?
> Diane
>
> _________________________________________________________________
> It's fast, it's easy and it's free. Get MSN Messenger today!
> http://www.msn.co.uk/messenger
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
Just out of interest why should we have to seek permission? It is a legal
requirement that diseases which come under RIDDOR  are reported. If they
refuse permission what happens then??? Out of politeness it may be a good
idea to inform them that it has to be done but not that you are seeking
their permission to do so.

Anne

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Sep 2004 11:25:34 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Kennie Adeoye <[log in to unmask]>
Subject:      Re: RIDDOR and disclosure
MIME-Version: 1.0
Content-Type: multipart/mixed;
              boundary="----=_NextPartTM-000-f9c7016c-7874-49be-92f5-2a74b6b90a42"

This is a multi-part message in MIME format.

------=_NextPartTM-000-f9c7016c-7874-49be-92f5-2a74b6b90a42
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

Do one need permission from an employee to fulfil a legal obligation
under RIDDOR in terms of F2508/F2508A? I don't think so!!
Kennie


-----Original Message-----
From: Anne Harriss [mailto:[log in to unmask]]=20
Sent: 16 September 2004 11:14
To: [log in to unmask]
Subject: Re: RIDDOR and disclosure


on 16/9/04 9:25 am, Diane Romano-Woodward at [log in to unmask] wrote:

> Along the lines of the other discussion, do any of you get permission
from
> the employee to disclose RIDDOR disease to the HSE?
> Diane
>
> _________________________________________________________________
> It's fast, it's easy and it's free. Get MSN Messenger today!
> http://www.msn.co.uk/messenger
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
Just out of interest why should we have to seek permission? It is a
legal
requirement that diseases which come under RIDDOR  are reported. If they
refuse permission what happens then??? Out of politeness it may be a
good
idea to inform them that it has to be done but not that you are seeking
their permission to do so.

Anne

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPartTM-000-f9c7016c-7874-49be-92f5-2a74b6b90a42
Content-Type: text/plain;
        name="InterScan_Disclaimer.txt"
Content-Transfer-Encoding: 7bit
Content-Disposition: attachment;
        filename="InterScan_Disclaimer.txt"

Please note that the contents of this e-mail, including any attachments thereto, may contain
information which is confidential or privileged, and which is solely for the use of the
recipient named above.  If you are not the intended recipient, please be aware that any
disclosure, copying, distribution or use of the contents of this e-mail is strictly
prohibited.
Northampton Borough Council, The Guildhall, Northampton, United Kingdon, NN1 1DA
+44 (0)1604 837837
www.northampton.gov.uk




~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPartTM-000-f9c7016c-7874-49be-92f5-2a74b6b90a42--
=========================================================================
Date:         Thu, 16 Sep 2004 11:23:31 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         [log in to unmask]
Subject:      Re: RIDDOR and disclosure
MIME-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
Content-Transfer-Encoding: 7bit

I was under the impression that the duty to inform under RIDDOR belonged to the employer. Therefore OH would need to tell the employer about an employee's medical condition - maybe that would need consent?
David MJ Mills
>
> From: "Clayton.Mary" <[log in to unmask]>
> Date: 2004/09/16 Thu AM 09:43:39 GMT
> To: [log in to unmask]
> Subject: Re: RIDDOR and disclosure
>
> Interesting point - I haven't sought employee consent in such circumstances.
> Isn't RIDDOR however subordinate legislation to HASAWA - in that case isn't
> the employee obliged to co-operate in the interests of their (and others)
> health & safety? I'd be interested to hear what Diana Kloss would say on the
> subject.
>
> Mary
>
> -----Original Message-----
> From: Diane Romano-Woodward [mailto:[log in to unmask]]
> Sent: 16 September 2004 09:26
> To: [log in to unmask]
> Subject: RIDDOR and disclosure
>
> Along the lines of the other discussion, do any of you get permission from
> the employee to disclose RIDDOR disease to the HSE?
> Diane
>
> _________________________________________________________________
> It's fast, it's easy and it's free. Get MSN Messenger today!
> http://www.msn.co.uk/messenger
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>

-----------------------------------------
Email provided by http://www.ntlhome.com/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Sep 2004 12:31:20 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Clayton.Mary" <[log in to unmask]>
Subject:      Re: RIDDOR and disclosure
MIME-Version: 1.0
Content-Type: text/plain

But isn't the OH practitioner the agent of the employer, and often the one
who reports on the employer's behalf?

Mary.

-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]]
Sent: 16 September 2004 12:24
To: [log in to unmask]
Subject: Re: RIDDOR and disclosure

I was under the impression that the duty to inform under RIDDOR belonged to
the employer. Therefore OH would need to tell the employer about an
employee's medical condition - maybe that would need consent?
David MJ Mills
>
> From: "Clayton.Mary" <[log in to unmask]>
> Date: 2004/09/16 Thu AM 09:43:39 GMT
> To: [log in to unmask]
> Subject: Re: RIDDOR and disclosure
>
> Interesting point - I haven't sought employee consent in such
circumstances.
> Isn't RIDDOR however subordinate legislation to HASAWA - in that case
isn't
> the employee obliged to co-operate in the interests of their (and others)
> health & safety? I'd be interested to hear what Diana Kloss would say on
the
> subject.
>
> Mary
>
> -----Original Message-----
> From: Diane Romano-Woodward [mailto:[log in to unmask]]
> Sent: 16 September 2004 09:26
> To: [log in to unmask]
> Subject: RIDDOR and disclosure
>
> Along the lines of the other discussion, do any of you get permission from
> the employee to disclose RIDDOR disease to the HSE?
> Diane
>
> _________________________________________________________________
> It's fast, it's easy and it's free. Get MSN Messenger today!
> http://www.msn.co.uk/messenger
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>

-----------------------------------------
Email provided by http://www.ntlhome.com/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Sep 2004 12:38:21 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Kinselley, Gillian E" <[log in to unmask]>
Subject:      Re: RIDDOR and disclosure
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

I tend to agree it is for the individual to report the accident - however
there are always cases where they are unable to do this  - in our company
this is then done by the manager.
However we or the manager would always obtain consent and inform the
individual in any situation - usually written but sometimes verbal
depending.

Gill

-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]]
Sent: 16 September 2004 12:24
To: [log in to unmask]
Subject: Re: RIDDOR and disclosure


I was under the impression that the duty to inform under RIDDOR belonged to
the employer. Therefore OH would need to tell the employer about an
employee's medical condition - maybe that would need consent?
David MJ Mills
>
> From: "Clayton.Mary" <[log in to unmask]>
> Date: 2004/09/16 Thu AM 09:43:39 GMT
> To: [log in to unmask]
> Subject: Re: RIDDOR and disclosure
>
> Interesting point - I haven't sought employee consent in such
circumstances.
> Isn't RIDDOR however subordinate legislation to HASAWA - in that case
isn't
> the employee obliged to co-operate in the interests of their (and others)
> health & safety? I'd be interested to hear what Diana Kloss would say on
the
> subject.
>
> Mary
>
> -----Original Message-----
> From: Diane Romano-Woodward [mailto:[log in to unmask]]
> Sent: 16 September 2004 09:26
> To: [log in to unmask]
> Subject: RIDDOR and disclosure
>
> Along the lines of the other discussion, do any of you get permission from
> the employee to disclose RIDDOR disease to the HSE?
> Diane
>
> _________________________________________________________________
> It's fast, it's easy and it's free. Get MSN Messenger today!
> http://www.msn.co.uk/messenger
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>

-----------------------------------------
Email provided by http://www.ntlhome.com/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


.sophos.3.85.09.16.


Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Sep 2004 12:40:41 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Kinselley, Gillian E" <[log in to unmask]>
Subject:      Re: RIDDOR and disclosure
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

This is fine in a small company but difficult when you are global...

Gill

-----Original Message-----
From: Clayton.Mary [mailto:[log in to unmask]]
Sent: 16 September 2004 12:31
To: [log in to unmask]
Subject: Re: RIDDOR and disclosure


But isn't the OH practitioner the agent of the employer, and often the one
who reports on the employer's behalf?

Mary.

-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]]
Sent: 16 September 2004 12:24
To: [log in to unmask]
Subject: Re: RIDDOR and disclosure

I was under the impression that the duty to inform under RIDDOR belonged to
the employer. Therefore OH would need to tell the employer about an
employee's medical condition - maybe that would need consent?
David MJ Mills
>
> From: "Clayton.Mary" <[log in to unmask]>
> Date: 2004/09/16 Thu AM 09:43:39 GMT
> To: [log in to unmask]
> Subject: Re: RIDDOR and disclosure
>
> Interesting point - I haven't sought employee consent in such
circumstances.
> Isn't RIDDOR however subordinate legislation to HASAWA - in that case
isn't
> the employee obliged to co-operate in the interests of their (and others)
> health & safety? I'd be interested to hear what Diana Kloss would say on
the
> subject.
>
> Mary
>
> -----Original Message-----
> From: Diane Romano-Woodward [mailto:[log in to unmask]]
> Sent: 16 September 2004 09:26
> To: [log in to unmask]
> Subject: RIDDOR and disclosure
>
> Along the lines of the other discussion, do any of you get permission from
> the employee to disclose RIDDOR disease to the HSE?
> Diane
>
> _________________________________________________________________
> It's fast, it's easy and it's free. Get MSN Messenger today!
> http://www.msn.co.uk/messenger
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>

-----------------------------------------
Email provided by http://www.ntlhome.com/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


.sophos.3.85.09.16.


Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Sep 2004 12:44:59 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         [log in to unmask]
Subject:      Re: RIDDOR and disclosure
MIME-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
Content-Transfer-Encoding: 7bit

Not in my experience.
>
> From: "Clayton.Mary" <[log in to unmask]>
> Date: 2004/09/16 Thu AM 11:31:20 GMT
> To: [log in to unmask]
> Subject: Re: RIDDOR and disclosure
>
> But isn't the OH practitioner the agent of the employer, and often the one
> who reports on the employer's behalf?
>
> Mary.
>
> -----Original Message-----
> From: [log in to unmask] [mailto:[log in to unmask]]
> Sent: 16 September 2004 12:24
> To: [log in to unmask]
> Subject: Re: RIDDOR and disclosure
>
> I was under the impression that the duty to inform under RIDDOR belonged to
> the employer. Therefore OH would need to tell the employer about an
> employee's medical condition - maybe that would need consent?
> David MJ Mills
> >
> > From: "Clayton.Mary" <[log in to unmask]>
> > Date: 2004/09/16 Thu AM 09:43:39 GMT
> > To: [log in to unmask]
> > Subject: Re: RIDDOR and disclosure
> >
> > Interesting point - I haven't sought employee consent in such
> circumstances.
> > Isn't RIDDOR however subordinate legislation to HASAWA - in that case
> isn't
> > the employee obliged to co-operate in the interests of their (and others)
> > health & safety? I'd be interested to hear what Diana Kloss would say on
> the
> > subject.
> >
> > Mary
> >
> > -----Original Message-----
> > From: Diane Romano-Woodward [mailto:[log in to unmask]]
> > Sent: 16 September 2004 09:26
> > To: [log in to unmask]
> > Subject: RIDDOR and disclosure
> >
> > Along the lines of the other discussion, do any of you get permission from
> > the employee to disclose RIDDOR disease to the HSE?
> > Diane
> >
> > _________________________________________________________________
> > It's fast, it's easy and it's free. Get MSN Messenger today!
> > http://www.msn.co.uk/messenger
> >
> > ~~~~~~~~~~~~~~~
> > Please remove this footer before replying.
> >
> > For list archives and documents, go to
> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> > For jobs in Occupational Health, go to
> > http://uk.groups.yahoo.com/group/OHJobs/
> >
> > ~~~~~~~~~~~~~~~
> > Please remove this footer before replying.
> >
> > For list archives and documents, go to
> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> > For jobs in Occupational Health, go to
> > http://uk.groups.yahoo.com/group/OHJobs/
> >
>
> -----------------------------------------
> Email provided by http://www.ntlhome.com/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>

-----------------------------------------
Email provided by http://www.ntlhome.com/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Sep 2004 13:46:00 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: disclosure of medical conditions
MIME-Version: 1.0
Content-Type: text/plain; charset="Windows-1252"
Content-Transfer-Encoding: 7bit

May I recommend to all of you Stuart Whitakers chapter in 'Practical Ethics
in occupational health' (Westerholm et al 2004, Radcliffe Medical press) The
chapter is on 'Health Examinations on new employment: ethical issues'. In
fact the whole book addresses OH ethical issues in depth and is a must for
all OH practitioners! There is a review in Occupational Health Review Sept&
Oct and also one in October's OH journal.

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


----- Original Message -----
From: "Clayton.Mary" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, September 16, 2004 10:39 AM
Subject: Re: disclosure of medical conditions


> This fits in with my experience of practice throughout the years. I always
> encourage the client to take control of disclosure wherever possible - it
> helps the client to remain in control of the information-type quantity and
> quality.
>
> Mary
>
> -----Original Message-----
> From: Diane Romano-Woodward [mailto:[log in to unmask]]
> Sent: 16 September 2004 09:24
> To: [log in to unmask]
> Subject: disclosure of medical conditions
>
> Hello all,
>
> The way I see it, we are employed to give advice to management on the
> inter-relationship between health and work. We do have some expertise, and
> using this we make judegements.
>
> For example , with Diabetes, if an office worker has diet controlled
> diabetes I see no reason to give any information, except perhaps that the
> employee has a medical condiiton for which they are receiving appropriate
> treatemnt and follow up from the GP, but that it should not affect their
> ability to do their job.I might add that it was important that they were
> allowed to have meal breaks at   regular intervals if I thought it was
going
> to be a problem.
>
> If they person was insulin dependent , I might suggest to the employee
that
> they find out who their First Aider is and discuss this in confidence. I
> would also suggest that they disclose to the manager. (i might also ensure
> that all the FA's knew what to do for hypoglycaemia , and that there was
> hypostop or dextrose tablets readily available, but I wouldn't tell them
> specifially why!)
>
> In information to the manager I would be suitably vague, but tell them
that
> I had advised the employee to talk to the first aider.
>
> The situation might be different if the employee's job involved moving
> machinery, or working at heights where thier safety and that of others
might
> be affected. However I would always try and persuade the employee to
> disclose, perhaps having a joint meeting with them. (i might also ensure
> that all the FA's knew what to do for hypoglycaemia , and that there was
> hypostop or dextrose tablets readily available, but I wouldn't tell them
> specifially why!)
>
> An if there was a regulation which made a person unsuitable, for example
if
> diabetic LGV driver  had to commence on insulin, then here would be an
> obligaiton to say that the the person was no longer suitable for the
> task.Then I would look at ways of modifying jobs to ensure that they stay
in
> work.
>
> Does this approach fit in with other's practice?
>
> BW
> Diane
>
>
>
> I do know of a (self -employed) insulin dependent steeplejack....
>
> _________________________________________________________________
> It's fast, it's easy and it's free. Get MSN Messenger today!
> http://www.msn.co.uk/messenger
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.762 / Virus Database: 510 - Release Date: 13/09/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Sep 2004 13:50:16 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: RIDDOR and disclosure
MIME-Version: 1.0
Content-Type: text/plain; charset="Windows-1252"
Content-Transfer-Encoding: 7bit

Shouldn't all this be in the company 'Health & Safety policy part 3' that is
where the who, what, where, when, how of RIDDOR reporting should be laid
down and agreed by all those involved - Employer - usually HR, employee
(often the unions) and OH and anyone else deemed by the company as
necessary?

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027

----- Original Message -----
From: "Clayton.Mary" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, September 16, 2004 12:31 PM
Subject: Re: RIDDOR and disclosure


> But isn't the OH practitioner the agent of the employer, and often the one
> who reports on the employer's behalf?
>
> Mary.
>
> -----Original Message-----
> From: [log in to unmask] [mailto:[log in to unmask]]
> Sent: 16 September 2004 12:24
> To: [log in to unmask]
> Subject: Re: RIDDOR and disclosure
>
> I was under the impression that the duty to inform under RIDDOR belonged
to
> the employer. Therefore OH would need to tell the employer about an
> employee's medical condition - maybe that would need consent?
> David MJ Mills
> >
> > From: "Clayton.Mary" <[log in to unmask]>
> > Date: 2004/09/16 Thu AM 09:43:39 GMT
> > To: [log in to unmask]
> > Subject: Re: RIDDOR and disclosure
> >
> > Interesting point - I haven't sought employee consent in such
> circumstances.
> > Isn't RIDDOR however subordinate legislation to HASAWA - in that case
> isn't
> > the employee obliged to co-operate in the interests of their (and
others)
> > health & safety? I'd be interested to hear what Diana Kloss would say on
> the
> > subject.
> >
> > Mary
> >
> > -----Original Message-----
> > From: Diane Romano-Woodward [mailto:[log in to unmask]]
> > Sent: 16 September 2004 09:26
> > To: [log in to unmask]
> > Subject: RIDDOR and disclosure
> >
> > Along the lines of the other discussion, do any of you get permission
from
> > the employee to disclose RIDDOR disease to the HSE?
> > Diane
> >
> > _________________________________________________________________
> > It's fast, it's easy and it's free. Get MSN Messenger today!
> > http://www.msn.co.uk/messenger
> >
> > ~~~~~~~~~~~~~~~
> > Please remove this footer before replying.
> >
> > For list archives and documents, go to
> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> > For jobs in Occupational Health, go to
> > http://uk.groups.yahoo.com/group/OHJobs/
> >
> > ~~~~~~~~~~~~~~~
> > Please remove this footer before replying.
> >
> > For list archives and documents, go to
> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> > For jobs in Occupational Health, go to
> > http://uk.groups.yahoo.com/group/OHJobs/
> >
>
> -----------------------------------------
> Email provided by http://www.ntlhome.com/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.762 / Virus Database: 510 - Release Date: 13/09/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Sep 2004 14:06:14 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Clayton.Mary" <[log in to unmask]>
Subject:      Re: RIDDOR and disclosure
MIME-Version: 1.0
Content-Type: text/plain

I agree - it was laid down that way in my last company's H&S Policy. In fact
it stipulated which roles were empowered to complete RIDDOR reports so that
there was always someone available who could complete them in a timely
manner.

Mary.
-----Original Message-----
From: Greta Thornbory [mailto:[log in to unmask]]
Sent: 16 September 2004 13:50
To: [log in to unmask]
Subject: Re: RIDDOR and disclosure

Shouldn't all this be in the company 'Health & Safety policy part 3' that is
where the who, what, where, when, how of RIDDOR reporting should be laid
down and agreed by all those involved - Employer - usually HR, employee
(often the unions) and OH and anyone else deemed by the company as
necessary?

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027

----- Original Message -----
From: "Clayton.Mary" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, September 16, 2004 12:31 PM
Subject: Re: RIDDOR and disclosure


> But isn't the OH practitioner the agent of the employer, and often the one
> who reports on the employer's behalf?
>
> Mary.
>
> -----Original Message-----
> From: [log in to unmask] [mailto:[log in to unmask]]
> Sent: 16 September 2004 12:24
> To: [log in to unmask]
> Subject: Re: RIDDOR and disclosure
>
> I was under the impression that the duty to inform under RIDDOR belonged
to
> the employer. Therefore OH would need to tell the employer about an
> employee's medical condition - maybe that would need consent?
> David MJ Mills
> >
> > From: "Clayton.Mary" <[log in to unmask]>
> > Date: 2004/09/16 Thu AM 09:43:39 GMT
> > To: [log in to unmask]
> > Subject: Re: RIDDOR and disclosure
> >
> > Interesting point - I haven't sought employee consent in such
> circumstances.
> > Isn't RIDDOR however subordinate legislation to HASAWA - in that case
> isn't
> > the employee obliged to co-operate in the interests of their (and
others)
> > health & safety? I'd be interested to hear what Diana Kloss would say on
> the
> > subject.
> >
> > Mary
> >
> > -----Original Message-----
> > From: Diane Romano-Woodward [mailto:[log in to unmask]]
> > Sent: 16 September 2004 09:26
> > To: [log in to unmask]
> > Subject: RIDDOR and disclosure
> >
> > Along the lines of the other discussion, do any of you get permission
from
> > the employee to disclose RIDDOR disease to the HSE?
> > Diane
> >
> > _________________________________________________________________
> > It's fast, it's easy and it's free. Get MSN Messenger today!
> > http://www.msn.co.uk/messenger
> >
> > ~~~~~~~~~~~~~~~
> > Please remove this footer before replying.
> >
> > For list archives and documents, go to
> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> > For jobs in Occupational Health, go to
> > http://uk.groups.yahoo.com/group/OHJobs/
> >
> > ~~~~~~~~~~~~~~~
> > Please remove this footer before replying.
> >
> > For list archives and documents, go to
> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> > For jobs in Occupational Health, go to
> > http://uk.groups.yahoo.com/group/OHJobs/
> >
>
> -----------------------------------------
> Email provided by http://www.ntlhome.com/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.762 / Virus Database: 510 - Release Date: 13/09/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Sep 2004 18:19:02 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         OHNet <[log in to unmask]>
Subject:      Re: RIDDOR and disclosure
MIME-Version: 1.0
Content-Type: text/plain; charset="Windows-1252"
Content-Transfer-Encoding: 7bit

I've never sought their permission, however (where possible) I try to
discuss the RIDDOR report, the reason and what the HSE actually do with the
info. This is then documented.

Only once have I had an employee who ststed he did not want the report going
out. After re-emphasising that I had no choice and it was a legal obligation
he decide to ask his union and grudgingly accepted that it had to go.

Regards

Craig

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Sep 2004 18:46:31 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         jacqui livock <[log in to unmask]>
Subject:      Re: RIDDOR and disclosure
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative; boundary="0-478315946-1095356791=:71685"
Content-Transfer-Encoding: 8bit

--0-478315946-1095356791=:71685
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

hi diane
i have always sought client consent before releasing details of disease to HSE,  health and safety/managers deal with accidents and HSE,
the reason i 'do' disease is that i write to GP's to establish if diagnosis is work related (unless sick note says so!) those with Med3's which identify work related absence see me. i 'quiz' the individual about their out of work activities and often ask the GP how they reached the diagnosis and how they decided work was the cause. That said my area of work does not have many disease risks.
the reason i have always asked for consent is because i am releasing details of a disease to a person the individual has never met.
i have always explained it is a legislative requriement that we report the disease and each individual has always happily signed a consent form to release condition to HSE.
jacqui

Diane Romano-Woodward <[log in to unmask]> wrote:
Along the lines of the other discussion, do any of you get permission from
the employee to disclose RIDDOR disease to the HSE?
Diane

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


---------------------------------
 ALL-NEW Yahoo! Messenger - all new features - even more fun!

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-478315946-1095356791=:71685
Content-Type: text/html; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

<DIV>hi diane</DIV>
<DIV>i have always sought client consent before releasing details of disease to HSE,&nbsp;&nbsp;health and safety/managers deal with accidents and HSE, </DIV>
<DIV>the reason i 'do' disease is that i write to GP's to establish if diagnosis is work related (unless sick note says so!) those with Med3's which identify work related absence see me. i 'quiz' the individual about their out of work activities and often&nbsp;ask the GP how they reached the diagnosis and how they&nbsp;decided work was the cause. That said my area of work does not have many disease risks.</DIV>
<DIV>the reason i have always asked for consent is because i am releasing details of a disease to a person the individual has never met.</DIV>
<DIV>i have always explained it is a legislative requriement that we report the disease and each individual has always happily signed a consent form to release condition to HSE. </DIV>
<DIV>jacqui<BR><BR><B><I>Diane Romano-Woodward &lt;[log in to unmask]&gt;</I></B> wrote:</DIV>
<BLOCKQUOTE class=replbq style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #1010ff 2px solid">Along the lines of the other discussion, do any of you get permission from<BR>the employee to disclose RIDDOR disease to the HSE?<BR>Diane<BR><BR>_________________________________________________________________<BR>It's fast, it's easy and it's free. Get MSN Messenger today!<BR>http://www.msn.co.uk/messenger<BR><BR>~~~~~~~~~~~~~~~<BR>Please remove this footer before replying.<BR><BR>For list archives and documents, go to<BR>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives<BR><BR>For jobs in Occupational Health, go to<BR>http://uk.groups.yahoo.com/group/OHJobs/<BR></BLOCKQUOTE><p>
                <hr size=1> <font size="2" face="Verdana, Arial, Helvetica, sans-serif"><a href="http://uk.rd.yahoo.com/evt=21626/*http://uk.messenger.yahoo.com"><strong><font face="Arial, Helvetica, sans-serif">ALL-NEW
Yahoo! Messenger</font></strong></a><font face="Arial, Helvetica, sans-serif"><strong>
- all new features - even more fun!</strong></font><strong><font color="#FF9900">
</font></strong></font>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-478315946-1095356791=:71685--
=========================================================================
Date:         Thu, 16 Sep 2004 21:37:47 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         =?iso-8859-1?Q?Samantha_=A0Chapman?= <[log in to unmask]>
Subject:      Re: Manual handling trainers
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_17309_6186438.1095363467897"

------=_Part_17309_6186438.1095363467897
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

Cate
Try Sketchley Hall in Burbage Leics. If you want details contact me direct & I'll get number for you.

Sam Chapman





========================================
Message date : Sep 13 2004, 04:28 PM
From : "Catherine Cross"

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Sep 2004 21:10:01 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Anne Harriss <[log in to unmask]>
Subject:      Re: Manual handling trainers
In-Reply-To:  <23838167.1095363467902.JavaMail.www@wwinf3001>
Mime-version: 1.0
Content-type: text/plain; charset="ISO-8859-1"
Content-transfer-encoding: quoted-printable

on 16/9/04 8:37 pm, Samantha =A0Chapman at [log in to unmask] wrote:

> Cate
> Try Sketchley Hall in Burbage Leics. If you want details contact me direc=
t &
> I'll get number for you.
>=20
> Sam Chapman
>=20
>=20
>=20
>=20
>=20
> =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D
> Message date : Sep 13 2004, 04:28 PM
> From : "Catherine Cross"
>=20
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>=20
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>=20
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>=20

Try this organisation for manual handling: www.hsrltd.co.uk.

They run a number of health and safety training courses. I only have
experience of their First Aid training as I have accted as an examiner for
them. Their candidates were well trained and their teaching aids were first
class. I know they offer manual handling.

The MD and principal trainer is a nurse who is a qualified teacher.

Regards

Anne

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 17 Sep 2004 10:54:34 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Amanda Hinkley <[log in to unmask]>
Subject:      Re: CBRN health standards
MIME-Version: 1.0
Content-Type: multipart/related;
              boundary="----=_NextPart_000_002C_01C49CA4.B8263DA0";
              type="multipart/alternative"

This is a multi-part message in MIME format.

------=_NextPart_000_002C_01C49CA4.B8263DA0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_001_002D_01C49CA4.B8263DA0"


------=_NextPart_001_002D_01C49CA4.B8263DA0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Kenny

We were asked to screen police officers in Hampshire who were taking =
part in a home office cbrn suit trial this year.We saw them face to face =
to check BMI,pulse,bp and urinalysis and went through a one page check =
list they had completed prior to the screen.This asked re health =
conditions,medication and medical treatment/intervention type =
questions.The view being to treat each answer as a consider carefully =
rather ie decisions re control of medical condition or those with =
specific association with CBRN eg respiratory - asthma or skin eg exzema =
etc

regards

Amanda Hinkley
  ----- Original Message -----=20
  From: Dearlove, Kenny=20
  To: [log in to unmask]
  Sent: Tuesday, September 14, 2004 9:53 AM
  Subject: CBRN health standards


  =20
  Hello, can you give me some advice, please? I've been asked to screen =
Police Officers before they train and use chemical, biological, =
radiation and nuclear PPE, to assess their fitness to use the equipment =
and carry out the duties during CBRN incidents. Have you come across or =
are using any standards that I can use to identify best practice?

  =20

  Regards from Kenny. =20

  =20

  Kenny Dearlove

  Occupational Health Nurse Advisor

  Occupational Health, Safety & Welfare Service

  OCC

  Norfolk Constabulary

  Norfolk

  England

  =20

  =20


-------------------------------------------------------------------------=
-----

  Note:

  "The information contained in this e-mail is intended only for the =
named person or organisation to which it is addressed. If you have =
received it in error please disregard and advise me immediately. =
Unauthorised disclosure or use of such information may be a breach of =
legislation or confidentiality. E-mails sent and received from and by =
members of staff and officers of Norfolk Constabulary may be monitored =
for purposes including: - Virus scanning, unauthorised e-mail usage, and =
obscene or inappropriate material. The Constabulary reserves the right =
to read all such material and to reject and return any material which is =
considered to be a security risk or unsuitable. Any monitoring will =
comply with the legislation currently in force and in particular the =
Human Rights Act 1998
  If this e-mail does not relate to Official Norfolk Constabulary =
business then it will be regarded by the Constabulary as "Personal". As =
such, it will not be authorised by or sent on behalf of the Constabulary =
and the sender will retain sole responsibility for any legal actions or =
disputes that may arise."

  Thank You.=20


-------------------------------------------------------------------------=
-----
  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_001_002D_01C49CA4.B8263DA0
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns=3D"http://www.w3.org/TR/REC-html40" xmlns:v =3D=20
"urn:schemas-microsoft-com:vml" xmlns:o =3D=20
"urn:schemas-microsoft-com:office:office" xmlns:w =3D=20
"urn:schemas-microsoft-com:office:word" xmlns:st1 =3D=20
"urn:schemas-microsoft-com:office:smarttags"><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1106" name=3DGENERATOR><o:SmartTagType =
name=3D"City"=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"></o:SmartTagT=
ype><o:SmartTagType=20
name=3D"place"=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"></o:SmartTagT=
ype><!--[if !mso]>
<STYLE>st1\:* {
        BEHAVIOR: url(#default#ieooui)
}
</STYLE>
<![endif]-->
<STYLE>
<!--
 /* Font Definitions */
 @font-face
        {font-family:"sans serif";
        panose-1:0 0 0 0 0 0 0 0 0 0;}
@font-face
        {font-family:"Comic Sans MS";
        panose-1:3 15 7 2 3 3 2 2 2 4;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {margin:0cm;
        margin-bottom:.0001pt;
        font-size:12.0pt;
        font-family:"sans serif";
        color:black;
        mso-believe-normal-left:yes;}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;}
span.EmailStyle17
        {mso-style-type:personal-compose;
        color:black;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;}
div.Section1
        {page:Section1;}
-->
</STYLE>
<![if mso 9]>
<style>
p.MsoNormal
        {margin-left:37.5pt;}
</style>
<![endif]><!--[if gte mso 9]><xml>
 <o:shapedefaults v:ext=3D"edit" spidmax=3D"1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
 <o:shapelayout v:ext=3D"edit">
  <o:idmap v:ext=3D"edit" data=3D"1" />
 </o:shapelayout></xml><![endif]--></HEAD>
<BODY lang=3DEN-GB style=3D"MARGIN-LEFT: 37.5pt" vLink=3Dpurple =
link=3Dblue=20
bgColor=3Dwhite =
background=3Dcid:002b01c49c9c$562f7b00$fc8ffea9@pbncomputer>
<DIV>Kenny</DIV>
<DIV>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>We were asked to screen police officers =
in=20
Hampshire who were taking part in a home office cbrn suit trial this =
year.We saw=20
them face to face to check BMI,pulse,bp and urinalysis and went through =
a one=20
page check list they had completed prior to the screen.This asked re =
health=20
conditions,medication and medical treatment/intervention type =
questions.The view=20
being to treat each answer as a consider carefully rather ie decisions =
re=20
control of medical condition or those with specific association with =
CBRN eg=20
respiratory - asthma or skin eg exzema etc</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>regards</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Amanda Hinkley</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Dearlove, Kenny</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Tuesday, September 14, =
2004 9:53=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> CBRN health =
standards</DIV>
  <DIV><BR></DIV><IMG class=3Dshape style=3D"DISPLAY: none; WIDTH: 0px; =
HEIGHT: 0px"=20
  height=3D0 src=3D"cid:002b01c49c9c$562f7b00$fc8ffea9@pbncomputer" =
width=3D0=20
  v:shapes=3D"_x0000_Mail" v:src=3D"cid:image001.jpg@01C49A40.B7401070"> =

  <DIV class=3DSection1>
  <P class=3DMsoNormal><FONT face=3D"sans serif" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt">Hello, can you give me some advice, please? =
I=92ve been=20
  asked to screen Police Officers before they train and use chemical,=20
  biological, radiation and nuclear PPE, to assess their fitness to use =
the=20
  equipment and carry out the duties during CBRN incidents. Have you =
come across=20
  or are using any standards that I can use to identify best=20
  practice?<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"sans serif" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"sans serif" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt">Regards from Kenny.=20
&nbsp;<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"sans serif" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <DIV>
  <P class=3DMsoNormal><FONT face=3D"Comic Sans MS" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Comic Sans MS'">Kenny=20
  Dearlove</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal><FONT face=3D"Comic Sans MS" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Comic Sans MS'">Occupational =
Health=20
  Nurse Advisor</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal><FONT face=3D"Comic Sans MS" color=3Dblack =
size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'">Occupational =
Health,=20
  Safety&nbsp;&amp; Welfare Service</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal><FONT face=3D"Comic Sans MS" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Comic Sans =
MS'">OCC<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><st1:City w:st=3D"on"><st1:place =
w:st=3D"on"><FONT=20
  face=3D"Comic Sans MS" color=3Dblack size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Comic Sans =
MS'">Norfolk</SPAN></FONT></st1:place></st1:City><FONT=20
  face=3D"Comic Sans MS"><SPAN style=3D"FONT-FAMILY: 'Comic Sans MS'">=20
  Constabulary<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><st1:City w:st=3D"on"><st1:place =
w:st=3D"on"><FONT=20
  face=3D"Comic Sans MS" color=3Dblack size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Comic Sans =
MS'">Norfolk</SPAN></FONT></st1:place></st1:City><FONT=20
  face=3D"Comic Sans MS"><SPAN=20
  style=3D"FONT-FAMILY: 'Comic Sans MS'"><o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"Comic Sans MS" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Comic Sans =
MS'">England</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal><FONT face=3D"sans serif" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt">&nbsp;</SPAN><o:p></o:p></FONT></P></DIV>
  <P class=3DMsoNormal><FONT face=3D"sans serif" color=3Dblack =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P></DIV>
  <HR>

  <DIV><STRONG>Note:</STRONG></DIV>
  <DIV><STRONG></STRONG>&nbsp;</DIV>
  <DIV>"The information contained in this e-mail is intended only for =
the named=20
  person or organisation to which it is addressed. If you have received =
it in=20
  error please disregard and advise me immediately. Unauthorised =
disclosure or=20
  use of such information may be a breach of legislation or =
confidentiality.=20
  E-mails sent and received from and by members of staff and officers of =
<FONT=20
  color=3D#808000><FONT color=3D#000000>Norfolk Constabulary</FONT> =
<FONT=20
  color=3D#000000>may be monitored for purposes including: - Virus =
scanning,=20
  unauthorised e-mail usage, and obscene or inappropriate material. The=20
  Constabulary reserves the right to read all such material and to =
reject and=20
  return any material which is considered to be a security risk or =
unsuitable.=20
  Any monitoring will comply with the legislation currently in force and =
in=20
  particular the Human Rights Act 1998</FONT></FONT></DIV>
  <DIV>If this e-mail does not relate to Official Norfolk Constabulary =
business=20
  then it will be regarded by the Constabulary as "Personal". As such, =
it will=20
  not be authorised by or sent on behalf of the Constabulary and the =
sender will=20
  retain sole responsibility for any legal actions or disputes that may=20
  arise."</DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT style=3D"BACKGROUND-COLOR: #ff80ff"><STRONG><FONT=20
  style=3D"BACKGROUND-COLOR: #ffffff">Thank You.</FONT>=20
  </STRONG><BR></FONT></DIV><FONT style=3D"BACKGROUND-COLOR: #ff80ff">
  <HR style=3D"WIDTH: 421px; HEIGHT: 2px">
  </FONT>~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_001_002D_01C49CA4.B8263DA0--

------=_NextPart_000_002C_01C49CA4.B8263DA0
Content-Type: image/jpeg;
        name="image001.jpg"
Content-Transfer-Encoding: base64
Content-ID: <002b01c49c9c$562f7b00$fc8ffea9@pbncomputer>
Content-Location: image001.jpg
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------=_NextPart_000_002C_01C49CA4.B8263DA0--
=========================================================================
Date:         Sun, 19 Sep 2004 13:44:36 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: CBRN health standards
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_001A_01C49E4E.CDA38560"

This is a multi-part message in MIME format.

------=_NextPart_000_001A_01C49E4E.CDA38560
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Amanda et al=20
I am interested to know the rationale and evidence base for your =
screening procedures. What difference would knowing the BMI, pulse and =
BP - let alone urinalysis have on wearing an CBRN suit and a respirator? =
Has anyone thought to ask the doctors in HM forces what screening they =
undertake for the soldiers specifically for wearing CBRN (known to us ex =
army as NBC) kit? Many of them leave the forces to take up OH physician =
posts. Any of the docs who read JISC know one to ask?

If the balloon goes up e.g. the sarin gas leak in Japan in 1995, then =
the police will be involved. Have you looked at the stats from that =
scenario when unprotected emergency workers were affected because they =
did not have NBC kit? 10% of emergency workers showed acute symptoms of =
sarin poisoning even though they went nowhere near the underground! =
Therefore all police officers and any other emergency workers will have =
to be able to wear it............. so surely it is part of their overall =
health fitness for the job?

At the moment to me it seems like making work without much evidence =
base. What would have happened if you had decided that the person was =
not fit to wear the kit? Would this have ended his/her police career as =
he/she would then not be able to function as a police officer in an =
emergency? Drummed out the force on what evidence? I am curious to know.

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027
  ----- Original Message -----=20
  From: Amanda Hinkley=20
  To: [log in to unmask]
  Sent: Friday, September 17, 2004 10:54 AM
  Subject: Re: CBRN health standards


  Kenny

  We were asked to screen police officers in Hampshire who were taking =
part in a home office cbrn suit trial this year.We saw them face to face =
to check BMI,pulse,bp and urinalysis and went through a one page check =
list they had completed prior to the screen.This asked re health =
conditions,medication and medical treatment/intervention type =
questions.The view being to treat each answer as a consider carefully =
rather ie decisions re control of medical condition or those with =
specific association with CBRN eg respiratory - asthma or skin eg exzema =
etc

  regards

  Amanda Hinkley
    ----- Original Message -----=20
    From: Dearlove, Kenny=20
    To: [log in to unmask]
    Sent: Tuesday, September 14, 2004 9:53 AM
    Subject: CBRN health standards


    =20
    Hello, can you give me some advice, please? I've been asked to =
screen Police Officers before they train and use chemical, biological, =
radiation and nuclear PPE, to assess their fitness to use the equipment =
and carry out the duties during CBRN incidents. Have you come across or =
are using any standards that I can use to identify best practice?

    =20

    Regards from Kenny. =20

    =20

    Kenny Dearlove

    Occupational Health Nurse Advisor

    Occupational Health, Safety & Welfare Service

    OCC

    Norfolk Constabulary

    Norfolk

    England

    =20

    =20


-------------------------------------------------------------------------=
---

    Note:

    "The information contained in this e-mail is intended only for the =
named person or organisation to which it is addressed. If you have =
received it in error please disregard and advise me immediately. =
Unauthorised disclosure or use of such information may be a breach of =
legislation or confidentiality. E-mails sent and received from and by =
members of staff and officers of Norfolk Constabulary may be monitored =
for purposes including: - Virus scanning, unauthorised e-mail usage, and =
obscene or inappropriate material. The Constabulary reserves the right =
to read all such material and to reject and return any material which is =
considered to be a security risk or unsuitable. Any monitoring will =
comply with the legislation currently in force and in particular the =
Human Rights Act 1998
    If this e-mail does not relate to Official Norfolk Constabulary =
business then it will be regarded by the Constabulary as "Personal". As =
such, it will not be authorised by or sent on behalf of the Constabulary =
and the sender will retain sole responsibility for any legal actions or =
disputes that may arise."

    Thank You.=20


-------------------------------------------------------------------------=
---
    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20


  ---
  Outgoing mail is certified Virus Free.
  Checked by AVG anti-virus system (http://www.grisoft.com).
  Version: 6.0.762 / Virus Database: 510 - Release Date: 13/09/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001A_01C49E4E.CDA38560
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns=3D"http://www.w3.org/TR/REC-html40" xmlns:v =3D=20
"urn:schemas-microsoft-com:vml" xmlns:o =3D=20
"urn:schemas-microsoft-com:office:office" xmlns:w =3D=20
"urn:schemas-microsoft-com:office:word" xmlns:st1 =3D=20
"urn:schemas-microsoft-com:office:smarttags"><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR><o:SmartTagType =

namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"=20
name=3D"City"></o:SmartTagType><o:SmartTagType=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"=20
name=3D"place"></o:SmartTagType><!--[if !mso]>
<STYLE>st1\:* {
        BEHAVIOR: url(#default#ieooui)
}
</STYLE>
<![endif]-->
<STYLE>
<!--
 /* Font Definitions */
 @font-face
        {font-family:"sans serif";
        panose-1:0 0 0 0 0 0 0 0 0 0;}
@font-face
        {font-family:"Comic Sans MS";
        panose-1:3 15 7 2 3 3 2 2 2 4;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {margin:0cm;
        margin-bottom:.0001pt;
        font-size:12.0pt;
        font-family:"sans serif";
        color:black;
        mso-believe-normal-left:yes;}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;}
span.EmailStyle17
        {mso-style-type:personal-compose;
        color:black;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;}
div.Section1
        {page:Section1;}
-->
</STYLE>
<![if mso 9]>
<style>
p.MsoNormal
        {margin-left:37.5pt;}
</style>
<![endif]><!--[if gte mso 9]><xml>
 <o:shapedefaults v:ext=3D"edit" spidmax=3D"1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
 <o:shapelayout v:ext=3D"edit">
  <o:idmap v:ext=3D"edit" data=3D"1" />
 </o:shapelayout></xml><![endif]--></HEAD>
<BODY lang=3DEN-GB style=3D"MARGIN-LEFT: 37.5pt" vLink=3Dpurple =
link=3Dblue=20
bgColor=3Dwhite =
background=3Dcid:002b01c49c9c$562f7b00$fc8ffea9@pbncomputer>
<DIV><FONT size=3D2>Amanda et al </FONT></DIV>
<DIV><FONT size=3D2>I am interested to know the rationale and evidence =
base for=20
your screening procedures. What difference would knowing the BMI, pulse =
and BP -=20
let alone urinalysis have on wearing an CBRN&nbsp;suit and a respirator? =
Has=20
anyone thought to ask the doctors in HM forces what screening they =
undertake for=20
the soldiers specifically for wearing CBRN (known to us ex army as=20
NBC)&nbsp;kit? Many of them leave the forces to take up OH physician =
posts. Any=20
of the docs who read JISC know one to ask?</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>If the balloon goes up e.g. the sarin gas leak in =
Japan in=20
1995, then the police will be involved. Have you looked at the stats =
from that=20
scenario when unprotected emergency workers were affected because they =
did not=20
have NBC kit? 10% of emergency workers showed acute symptoms&nbsp;of =
sarin=20
poisoning even though they went nowhere near the underground! Therefore =
all=20
police officers and any other emergency workers will have to be able to =
wear=20
it............. so surely it is part of their overall health fitness for =
the=20
job?</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>At the moment to me it seems like making work =
without much=20
evidence base. What would have happened if you had decided that the =
person was=20
not fit to wear the kit? Would this have ended his/her police career as =
he/she=20
would then not be able to function as a police officer in an emergency? =
Drummed=20
out the force on what evidence? I am curious to know.</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health =
&amp;=20
Education<BR>Consultant Editor, OH Journal<BR><A=20
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Amanda Hinkley</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Friday, September 17, =
2004 10:54=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: CBRN health =
standards</DIV>
  <DIV><BR></DIV>
  <DIV>Kenny</DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>We were asked to screen police =
officers in=20
  Hampshire who were taking part in a home office cbrn suit trial this =
year.We=20
  saw them face to face to check BMI,pulse,bp and urinalysis and went =
through a=20
  one page check list they had completed prior to the screen.This asked =
re=20
  health conditions,medication and medical treatment/intervention type=20
  questions.The view being to treat each answer as a consider carefully =
rather=20
  ie decisions re control of medical condition or those with specific=20
  association with CBRN eg respiratory - asthma or skin eg exzema=20
  etc</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>regards</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>Amanda Hinkley</FONT></DIV>
  <BLOCKQUOTE dir=3Dltr=20
  style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
    <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
    <DIV=20
    style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
    <A [log in to unmask]
    href=3D"mailto:[log in to unmask]">Dearlove, Kenny</A> =
</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
    =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Tuesday, September 14, =
2004 9:53=20
    AM</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> CBRN health =
standards</DIV>
    <DIV><BR></DIV><IMG class=3Dshape=20
    style=3D"DISPLAY: none; WIDTH: 0px; HEIGHT: 0px" height=3D0=20
    src=3D"cid:002b01c49c9c$562f7b00$fc8ffea9@pbncomputer" width=3D0=20
    v:src=3D"cid:image001.jpg@01C49A40.B7401070" =
v:shapes=3D"_x0000_Mail">=20
    <DIV class=3DSection1>
    <P class=3DMsoNormal><FONT face=3D"sans serif" color=3Dblack =
size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">Hello, can you give me some advice, =
please? I=92ve=20
    been asked to screen Police Officers before they train and use =
chemical,=20
    biological, radiation and nuclear PPE, to assess their fitness to =
use the=20
    equipment and carry out the duties during CBRN incidents. Have you =
come=20
    across or are using any standards that I can use to identify best=20
    practice?<o:p></o:p></SPAN></FONT></P>
    <P class=3DMsoNormal><FONT face=3D"sans serif" color=3Dblack =
size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P>
    <P class=3DMsoNormal><FONT face=3D"sans serif" color=3Dblack =
size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">Regards from Kenny.=20
    &nbsp;<o:p></o:p></SPAN></FONT></P>
    <P class=3DMsoNormal><FONT face=3D"sans serif" color=3Dblack =
size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P>
    <DIV>
    <P class=3DMsoNormal><FONT face=3D"Comic Sans MS" color=3Dblack =
size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Comic Sans MS'">Kenny=20
    Dearlove</SPAN></FONT><o:p></o:p></P>
    <P class=3DMsoNormal><FONT face=3D"Comic Sans MS" color=3Dblack =
size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Comic Sans MS'">Occupational =
Health=20
    Nurse Advisor</SPAN></FONT><o:p></o:p></P>
    <P class=3DMsoNormal><FONT face=3D"Comic Sans MS" color=3Dblack =
size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'">Occupational =
Health,=20
    Safety&nbsp;&amp; Welfare Service</SPAN></FONT><o:p></o:p></P>
    <P class=3DMsoNormal><FONT face=3D"Comic Sans MS" color=3Dblack =
size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Comic Sans =
MS'">OCC<o:p></o:p></SPAN></FONT></P>
    <P class=3DMsoNormal><st1:City w:st=3D"on"><st1:place =
w:st=3D"on"><FONT=20
    face=3D"Comic Sans MS" color=3Dblack size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Comic Sans =
MS'">Norfolk</SPAN></FONT></st1:place></st1:City><FONT=20
    face=3D"Comic Sans MS"><SPAN style=3D"FONT-FAMILY: 'Comic Sans MS'"> =

    Constabulary<o:p></o:p></SPAN></FONT></P>
    <P class=3DMsoNormal><st1:City w:st=3D"on"><st1:place =
w:st=3D"on"><FONT=20
    face=3D"Comic Sans MS" color=3Dblack size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Comic Sans =
MS'">Norfolk</SPAN></FONT></st1:place></st1:City><FONT=20
    face=3D"Comic Sans MS"><SPAN=20
    style=3D"FONT-FAMILY: 'Comic Sans MS'"><o:p></o:p></SPAN></FONT></P>
    <P class=3DMsoNormal><FONT face=3D"Comic Sans MS" color=3Dblack =
size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Comic Sans =
MS'">England</SPAN></FONT><o:p></o:p></P>
    <P class=3DMsoNormal><FONT face=3D"sans serif" color=3Dblack =
size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;</SPAN><o:p></o:p></FONT></P></DIV>
    <P class=3DMsoNormal><FONT face=3D"sans serif" color=3Dblack =
size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P></DIV>
    <HR>

    <DIV><STRONG>Note:</STRONG></DIV>
    <DIV><STRONG></STRONG>&nbsp;</DIV>
    <DIV>"The information contained in this e-mail is intended only for =
the=20
    named person or organisation to which it is addressed. If you have =
received=20
    it in error please disregard and advise me immediately. Unauthorised =

    disclosure or use of such information may be a breach of legislation =
or=20
    confidentiality. E-mails sent and received from and by members of =
staff and=20
    officers of <FONT color=3D#808000><FONT color=3D#000000>Norfolk=20
    Constabulary</FONT> <FONT color=3D#000000>may be monitored for =
purposes=20
    including: - Virus scanning, unauthorised e-mail usage, and obscene =
or=20
    inappropriate material. The Constabulary reserves the right to read =
all such=20
    material and to reject and return any material which is considered =
to be a=20
    security risk or unsuitable. Any monitoring will comply with the =
legislation=20
    currently in force and in particular the Human Rights Act=20
    1998</FONT></FONT></DIV>
    <DIV>If this e-mail does not relate to Official Norfolk Constabulary =

    business then it will be regarded by the Constabulary as "Personal". =
As=20
    such, it will not be authorised by or sent on behalf of the =
Constabulary and=20
    the sender will retain sole responsibility for any legal actions or =
disputes=20
    that may arise."</DIV>
    <DIV>&nbsp;</DIV>
    <DIV><FONT style=3D"BACKGROUND-COLOR: #ff80ff"><STRONG><FONT=20
    style=3D"BACKGROUND-COLOR: #ffffff">Thank You.</FONT>=20
    </STRONG><BR></FONT></DIV><FONT style=3D"BACKGROUND-COLOR: #ff80ff">
    <HR style=3D"WIDTH: 421px; HEIGHT: 2px">
    </FONT>~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/=20
  <P><BR>---<BR>Outgoing mail is certified Virus Free.<BR>Checked by AVG =

  anti-virus system (<A=20
  =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.762=20
  / Virus Database: 510 - Release Date: =
13/09/2004</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001A_01C49E4E.CDA38560--
=========================================================================
Date:         Sun, 19 Sep 2004 16:00:25 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Donna Dixon <[log in to unmask]>
Subject:      Re: Over 65's health assessments
MIME-Version: 1.0
Content-type: text/plain; charset=us-ascii

Thank you to you all who took the time to respond to my querie regarding
the above issue.

I would agree with you all who suggest that any assessment should be based
on capability and performance and NOT age.

I did receive an interesting and enlightening comment regarding absenteeism
in older people, as below.

"Information from companies which currently have policies of employing
older people suggest that such employees have a lower rate of absenteeism
and sickness. This may be because the group of older workers employed are
self-selected by their motivation and relatively good health."

Great to hear from you all - and I hope to continue for many years to
come!!!!!!!!!!!!!!!!!!!!!

Regards

Donna

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 20 Sep 2004 08:12:10 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      respirators and BMI
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

I believe there is  reduced lung function in those with a BMI of over
30...probably due to the restrictive effect of the enlarged abdomen.
I know that i have found this a problem when doing inverted posture in yoga!
Best wishes,
Diane

_________________________________________________________________
Use MSN Messenger to send music and pics to your friends
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 20 Sep 2004 08:27:58 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: respirators and BMI
MIME-Version: 1.0
Content-Type: text/plain; charset="Windows-1252"
Content-Transfer-Encoding: 7bit

Diane
This may well be the case, but I can think of a few soldiers who have been
out in Iraq with a BMI of 30 who have been wearing PPE kit. If you don't
wear it when it is needed you may be dead.......

Greta



----- Original Message -----
From: "Diane Romano-Woodward" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, September 20, 2004 8:12 AM
Subject: respirators and BMI


> I believe there is  reduced lung function in those with a BMI of over
> 30...probably due to the restrictive effect of the enlarged abdomen.
> I know that i have found this a problem when doing inverted posture in
yoga!
> Best wishes,
> Diane
>
> _________________________________________________________________
> Use MSN Messenger to send music and pics to your friends
> http://www.msn.co.uk/messenger
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.762 / Virus Database: 510 - Release Date: 13/09/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 20 Sep 2004 08:59:54 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         MARGARET MERCER <[log in to unmask]>
Subject:      Re: audiometry prices
In-Reply-To:  <001c01c49ee3$5a617e00$4d362bd9@gh0953f0versng>
MIME-Version: 1.0
Content-Type: multipart/alternative; boundary="0-1175197762-1095667194=:69294"
Content-Transfer-Encoding: 8bit

--0-1175197762-1095667194=:69294
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 8bit




Hi everyone,

Just after a rough guide to audiometry prices.  Any ideas welcome please

Do NHS plus services provide audiometry services to external companies?

This is just because I am trying to cost the impact of the draft noise at work regs and I have employees all over the country that may need audiometry.

I may be looking for people who can supply this near our various locations as needed.

Best wishes

Margaret


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--0-1175197762-1095667194=:69294
Content-Type: text/html; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

<DIV><BR><BR>
<BLOCKQUOTE class=replbq style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #1010ff 2px solid">
<P>Hi everyone,</P>
<P>Just after a rough guide to audiometry prices.&nbsp; Any ideas welcome please</P>
<P>Do NHS plus services provide audiometry services to external companies?</P>
<P>This is just because I am trying to cost the impact of the draft noise at work regs and I have employees all over the country that may need audiometry.</P>
<P>I may be looking for people who can supply this near our various locations as needed. </P>
<P>Best wishes</P>
<P>Margaret</P></BLOCKQUOTE></DIV>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-1175197762-1095667194=:69294--
=========================================================================
Date:         Mon, 20 Sep 2004 12:19:30 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Muir, Jackie" <[log in to unmask]>
Subject:      Re: Over 65's health assessments
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

I would certainly dispute the statement that older people don't have as much
absenteeism and sick leave. Our stats show that the older the age group the
higher the absence and we are a low risk office environment!

Our policy relating to Working past normal retirement age is based on
capability and performance with the added catch fence of medical assessment
and information for those that do have medical conditions - this includes
those people which could potentially be covered by DDA and we would be
discriminating if we didn't take that into account.
Regards

Jackie
OH Consultant(Technical Support)
Abbey

-----Original Message-----
From: Donna Dixon [mailto:[log in to unmask]]
Sent: 19 September 2004 16:00
To: [log in to unmask]
Subject: Re: Over 65's health assessments


Thank you to you all who took the time to respond to my querie regarding
the above issue.

I would agree with you all who suggest that any assessment should be based
on capability and performance and NOT age.

I did receive an interesting and enlightening comment regarding absenteeism
in older people, as below.

"Information from companies which currently have policies of employing
older people suggest that such employees have a lower rate of absenteeism
and sickness. This may be because the group of older workers employed are
self-selected by their motivation and relatively good health."

Great to hear from you all - and I hope to continue for many years to
come!!!!!!!!!!!!!!!!!!!!!

Regards

Donna

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


.sophos.3.85.09.18.


Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 21 Sep 2004 08:52:42 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lynn Holland <[log in to unmask]>
Subject:      Re: audiometry prices[Scanned]
Content-Transfer-Encoding: 7bit
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C49FAF.F9295229"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C49FAF.F9295229
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: base64
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------_=_NextPart_001_01C49FAF.F9295229
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<HTML xmlns:eXclaimer=3D"http://www.exclaimer.co.uk">
<HEAD>
<META http-equiv=3D"Content-Type" content=3D"text/html; =
charset=3DUTF-16">
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3DUTF-16">
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">


<meta name=3DGenerator content=3D"Microsoft Word 10 (filtered)">

<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {margin:0cm;
        margin-bottom:.0001pt;
        font-size:12.0pt;
        font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;}
p
        {margin-right:0cm;
        margin-left:0cm;
        font-size:12.0pt;
        font-family:"Times New Roman";}
span.EmailStyle18
        {font-family:Arial;
        color:navy;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;}
div.Section1
        {page:Section1;}
-->
</style>

</HEAD><BODY lang=3DEN-GB link=3Dblue vlink=3Dpurple><DIV>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Hi</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>I can recommend a company Mobile
Audiometric, the are based in </span></font><font size=3D2 color=3Dnavy =
face=3DArial><span
  =
style=3D'font-size:10.0pt;font-family:Arial;color:navy'>Birmingham</span>=
</font><font
size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
color:navy'>, but travel any where:</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Prices were good cannot find them =
at present</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>They Mobile wagons with 2 booths in =
each,
excellent service.</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>&nbsp;</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Contact Colin =
Wardby</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>0121 476 7767</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
  10.0pt;font-family:Arial;color:navy'>Lynn</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>&nbsp;</span></font></p>

<div>

<p class=3DMsoNormal><strong><b><i><font size=3D2 color=3Dnavy =
face=3DArial><span
 =
style=3D'font-size:10.0pt;font-family:Arial;color:navy;font-style:italic'=
>Lynn
 Holland</span></font></i></b></strong></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Occupational Health =
Consultant</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Tempus Software =
Limited</span></font></p>

<p class=3DMsoNormal><font size=3D3 color=3Dnavy face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt;color:navy'>&nbsp;</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Tel: 07813008472 or email
[log in to unmask]</span></font></p>

</div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DTahoma><span
lang=3DEN-US style=3D'font-size:10.0pt;font-family:Tahoma'>-----Original
Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> MARGARET MERCER
[mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> </span></font><font =
size=3D2 face=3DTahoma><span lang=3DEN-US =
style=3D'font-size:10.0pt;font-family:Tahoma'>20
 September 2004</span></font><font size=3D2 face=3DTahoma><span =
lang=3DEN-US
style=3D'font-size:10.0pt;font-family:Tahoma'> </span></font><font
 size=3D2 face=3DTahoma><span lang=3DEN-US =
style=3D'font-size:10.0pt;font-family:Tahoma'>09:00</span></font><font
size=3D2 face=3DTahoma><span lang=3DEN-US =
style=3D'font-size:10.0pt;font-family:Tahoma'><br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Re: audiometry
prices[Scanned]</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

<div>

<blockquote style=3D'border:none;border-left:solid #1010FF =
1.5pt;padding:0cm 0cm 0cm 4.0pt;
margin-left:3.75pt;margin-top:5.0pt;margin-bottom:5.0pt'>

<p class=3DMsoNormal =
style=3D'margin-right:0cm;margin-bottom:12.0pt;margin-left:
36.0pt'><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>Hi everyone,</span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>Just after a rough guide to audiometry =
prices.&nbsp;
Any ideas welcome please</span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>Do NHS plus services provide audiometry =
services to
external companies?</span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>This is just because I am trying to cost the =
impact of
the draft noise at work regs and I have employees all over the country =
that may
need audiometry.</span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>I may be looking for people who can supply =
this near
our various locations as needed. </span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>Best wishes</span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>Margaret</span></font></p>

</blockquote>

</div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>~~~~~~~~~~~~~~~ Please
remove this footer before replying. </span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives =
</span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/</span></font></p>

</div>

</DIV>
<DIV> </DIV>
<DIV>
<FONT COLOR=3D"blue">Tempus Computers Ltd<BR>St Paul's House, 21 - 23 St =
Paul's Square, Birmingham<BR>Tel: +44 (0)1212333100<BR>Fax: +44 =
(0)1212334560</FONT>
</DIV>
<DIV>
<FONT COLOR=3D"#0000ff">Sales &amp; Order Fax +44 (0)1212366989</FONT>
</DIV>
<DIV><BR><FONT SIZE=3D"1">E&amp;OE. Prices are subject to VAT . Quotes =
valid for 7 days subject to availability. All goods are sold subject to =
Tempus terms and conditions which can be seen on request.</FONT>
</DIV>
<DIV>
<FONT SIZE=3D"1">This message (and any associated files) is intended =
only for the  use of the individual or entity to which it is addressed =
and may  contain information that is confidential, subject to copyright =
or constitutes a trade secret. If you are not the intended recipient  =
you are hereby notified that any dissemination, copying or  distribution =
of this message, or files associated with this message,  is strictly =
prohibited. If you have received this message in error,  please notify =
us immediately by replying to the message and deleting  it from your =
computer. Messages sent to and from us may be monitored. <BR> =
<BR>Internet communications cannot be guaranteed to be secure or =
error-free  as information could be intercepted, corrupted, lost, =
destroyed, arrive late or incomplete, or contain viruses. Therefore, we =
do not accept responsibility for any errors or omissions that are =
present in this message, or any attachment, that have arisen as a result =
of e-mail transmission. If verification is required, please request a =
hard-copy version. Any views or opinions presented are solely those of =
the author and do not necessarily represent those of the =
company</FONT>.</DIV>
<DIV> </DIV>
<DIV> </DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C49FAF.F9295229--
=========================================================================
Date:         Tue, 21 Sep 2004 08:53:21 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Darcy <[log in to unmask]>
Subject:      Re: audiometry prices[Scanned] (Away)
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

I will be away from my office on 21 Septembert 2004 although you can
contact me via reception on extension 33063 (020 8383 3063 if calling
externally).

Many thanks









>>> OCC-HEALTH 09/21/04 08:52 >>>

Hi

I can recommend a company Mobile Audiometric, the are based in
Birmingham,
but travel any where:

Prices were good cannot find them at present

They Mobile wagons with 2 booths in each, excellent service.



Contact Colin Wardby

0121 476 7767

Lynn



Lynn Holland

Occupational Health Consultant

Tempus Software Limited



Tel: 07813008472 or email [log in to unmask]

-----Original Message-----
From: MARGARET MERCER [mailto:[log in to unmask]]
Sent: 20 September 2004 09:00
To: [log in to unmask]
Subject: Re: audiometry prices[Scanned]





        Hi everyone,

        Just after a rough guide to audiometry prices.  Any ideas
welcome
please

        Do NHS plus services provide audiometry services to external
companies?

        This is just because I am trying to cost the impact of the draft
noise at work regs and I have employees all over the country that may
need
audiometry.

        I may be looking for people who can supply this near our various
locations as needed.

        Best wishes

        Margaret

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



Tempus Computers Ltd
St Paul's House, 21 - 23 St Paul's Square, Birmingham
Tel: +44 (0)1212333100
Fax: +44 (0)1212334560

Sales & Order Fax +44 (0)1212366989


E&OE. Prices are subject to VAT . Quotes valid for 7 days subject to
availability. All goods are sold subject to Tempus terms and conditions
which can be seen on request.

This message (and any associated files) is intended only for the  use of
the individual or entity to which it is addressed and may  contain
information that is confidential, subject to copyright or constitutes a
trade secret. If you are not the intended recipient  you are hereby
notified that any dissemination, copying or  distribution of this
message, or files associated with this message,  is strictly prohibited.
If you have received this message in error,  please notify us
immediately by replying to the message and deleting  it from your
computer. Messages sent to and from us may be monitored.

Internet communications cannot be guaranteed to be secure or error-free
as information could be intercepted, corrupted, lost, destroyed, arrive
late or incomplete, or contain viruses. Therefore, we do not accept
responsibility for any errors or omissions that are present in this
message, or any attachment, that have arisen as a result of e-mail
transmission. If verification is required, please request a hard-copy
version. Any views or opinions presented are solely those of the author
and do not necessarily represent those of the company.







*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Hammersmith Hospitals NHS Trust IT department on 020 8746 5555. Please also delete the message from your computer.

**
*

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 21 Sep 2004 12:34:29 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: audiometry prices[Scanned]
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C49FCE.F5034C90"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C49FCE.F5034C90
Content-Type: text/plain;
        charset="iso-8859-1"

Another good one is Mike James of Avon Occupational Health Services, based
in Bristol.  Tel 01275 544265

Lynda

-----Original Message-----
From: Lynn Holland [mailto:[log in to unmask]]
Sent: Tuesday, September 21, 2004 8:53 AM
To: [log in to unmask]
Subject: Re: audiometry prices[Scanned]



Hi

I can recommend a company Mobile Audiometric, the are based in Birmingham,
but travel any where:

Prices were good cannot find them at present

They Mobile wagons with 2 booths in each, excellent service.



Contact Colin Wardby

0121 476 7767

Lynn



Lynn Holland

Occupational Health Consultant

Tempus Software Limited



Tel: 07813008472 or email [log in to unmask]

-----Original Message-----
From: MARGARET MERCER [mailto:[log in to unmask]]
Sent: 20 September 2004 09:00
To: [log in to unmask]
Subject: Re: audiometry prices[Scanned]





Hi everyone,

Just after a rough guide to audiometry prices.  Any ideas welcome please

Do NHS plus services provide audiometry services to external companies?

This is just because I am trying to cost the impact of the draft noise at
work regs and I have employees all over the country that may need
audiometry.

I may be looking for people who can supply this near our various locations
as needed.

Best wishes

Margaret

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

Tempus Computers Ltd
St Paul's House, 21 - 23 St Paul's Square, Birmingham
Tel: +44 (0)1212333100
Fax: +44 (0)1212334560
Sales & Order Fax +44 (0)1212366989

E&OE. Prices are subject to VAT . Quotes valid for 7 days subject to
availability. All goods are sold subject to Tempus terms and conditions
which can be seen on request.
This message (and any associated files) is intended only for the use of the
individual or entity to which it is addressed and may contain information
that is confidential, subject to copyright or constitutes a trade secret. If
you are not the intended recipient you are hereby notified that any
dissemination, copying or distribution of this message, or files associated
with this message, is strictly prohibited. If you have received this message
in error, please notify us immediately by replying to the message and
deleting it from your computer. Messages sent to and from us may be
monitored.

Internet communications cannot be guaranteed to be secure or error-free as
information could be intercepted, corrupted, lost, destroyed, arrive late or
incomplete, or contain viruses. Therefore, we do not accept responsibility
for any errors or omissions that are present in this message, or any
attachment, that have arisen as a result of e-mail transmission. If
verification is required, please request a hard-copy version. Any views or
opinions presented are solely those of the author and do not necessarily
represent those of the company.
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C49FCE.F5034C90
Content-Type: text/html;
        charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns:eXclaimer = "http://www.exclaimer.co.uk"><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 5.50.4943.2100" name=GENERATOR>
<STYLE>@font-face {
        font-family: Tahoma;
}
@page Section1 {size: 595.3pt 841.9pt; margin: 72.0pt 90.0pt 72.0pt 90.0pt; }
P.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"
}
LI.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"
}
DIV.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"
}
A:link {
        COLOR: blue; TEXT-DECORATION: underline
}
SPAN.MsoHyperlink {
        COLOR: blue; TEXT-DECORATION: underline
}
A:visited {
        COLOR: purple; TEXT-DECORATION: underline
}
SPAN.MsoHyperlinkFollowed {
        COLOR: purple; TEXT-DECORATION: underline
}
P {
        FONT-SIZE: 12pt; MARGIN-LEFT: 0cm; MARGIN-RIGHT: 0cm; FONT-FAMILY: "Times New Roman"
}
SPAN.EmailStyle18 {
        COLOR: navy; FONT-FAMILY: Arial
}
DIV.Section1 {
        page: Section1
}
</STYLE>
</HEAD>
<BODY lang=EN-GB vLink=purple link=blue>
<DIV><SPAN class=688134411-21092004><FONT face=Arial color=#0000ff
size=2>Another good one is Mike James of Avon Occupational Health Services,
based in Bristol.&nbsp; Tel 01275 544265</FONT></SPAN></DIV>
<DIV><SPAN class=688134411-21092004><FONT face=Arial color=#0000ff
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=688134411-21092004><FONT face=Arial color=#0000ff
size=2>Lynda</FONT></SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> Lynn Holland
  [mailto:[log in to unmask]]<BR><B>Sent:</B> Tuesday, September 21, 2004
  8:53 AM<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re:
  audiometry prices[Scanned]<BR><BR></FONT></DIV>
  <DIV>
  <DIV class=Section1>
  <P class=MsoNormal><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Hi</SPAN></FONT></P>
  <P class=MsoNormal><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">I can recommend a
  company Mobile Audiometric, the are based in </SPAN></FONT><FONT face=Arial
  color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Birmingham</SPAN></FONT><FONT
  face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">, but travel any
  where:</SPAN></FONT></P>
  <P class=MsoNormal><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Prices were good
  cannot find them at present</SPAN></FONT></P>
  <P class=MsoNormal><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">They Mobile wagons
  with 2 booths in each, excellent service.</SPAN></FONT></P>
  <P class=MsoNormal><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"></SPAN></FONT>&nbsp;</P>
  <P class=MsoNormal><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Contact Colin
  Wardby</SPAN></FONT></P>
  <P class=MsoNormal><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">0121 476
  7767</SPAN></FONT></P>
  <P class=MsoNormal><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Lynn</SPAN></FONT></P>
  <P class=MsoNormal><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"></SPAN></FONT>&nbsp;</P>
  <DIV>
  <P class=MsoNormal><STRONG><B><I><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-STYLE: italic; FONT-FAMILY: Arial">Lynn
  Holland</SPAN></FONT></I></B></STRONG></P>
  <P class=MsoNormal><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Occupational Health
  Consultant</SPAN></FONT></P>
  <P class=MsoNormal><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Tempus Software
  Limited</SPAN></FONT></P>
  <P class=MsoNormal><FONT face="Times New Roman" color=navy size=3><SPAN
  style="FONT-SIZE: 12pt; COLOR: navy"></SPAN></FONT>&nbsp;</P>
  <P class=MsoNormal><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Tel: 07813008472 or
  email [log in to unmask]</SPAN></FONT></P></DIV>
  <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT face=Tahoma size=2><SPAN
  lang=EN-US style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original
  Message-----<BR><B><SPAN style="FONT-WEIGHT: bold">From:</SPAN></B> MARGARET
  MERCER [mailto:[log in to unmask]] <BR><B><SPAN
  style="FONT-WEIGHT: bold">Sent:</SPAN></B> </SPAN></FONT><FONT face=Tahoma
  size=2><SPAN lang=EN-US style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">20
  September 2004</SPAN></FONT><FONT face=Tahoma size=2><SPAN lang=EN-US
  style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma"> </SPAN></FONT><FONT face=Tahoma
  size=2><SPAN lang=EN-US
  style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">09:00</SPAN></FONT><FONT
  face=Tahoma size=2><SPAN lang=EN-US
  style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma"><BR><B><SPAN
  style="FONT-WEIGHT: bold">To:</SPAN></B> [log in to unmask]<BR><B><SPAN
  style="FONT-WEIGHT: bold">Subject:</SPAN></B> Re: audiometry
  prices[Scanned]</SPAN></FONT></P>
  <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman"
  size=3><SPAN style="FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P>
  <DIV>
  <BLOCKQUOTE
  style="BORDER-RIGHT: medium none; PADDING-RIGHT: 0cm; BORDER-TOP: medium none; MARGIN-TOP: 5pt; PADDING-LEFT: 4pt; MARGIN-BOTTOM: 5pt; PADDING-BOTTOM: 0cm; MARGIN-LEFT: 3.75pt; BORDER-LEFT: #1010ff 1.5pt solid; PADDING-TOP: 0cm; BORDER-BOTTOM: medium none">
    <P class=MsoNormal
    style="MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 36pt; MARGIN-RIGHT: 0cm"><FONT
    face="Times New Roman" size=3><SPAN
    style="FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P>
    <P style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman" size=3><SPAN
    style="FONT-SIZE: 12pt">Hi everyone,</SPAN></FONT></P>
    <P style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman" size=3><SPAN
    style="FONT-SIZE: 12pt">Just after a rough guide to audiometry prices.&nbsp;
    Any ideas welcome please</SPAN></FONT></P>
    <P style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman" size=3><SPAN
    style="FONT-SIZE: 12pt">Do NHS plus services provide audiometry services to
    external companies?</SPAN></FONT></P>
    <P style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman" size=3><SPAN
    style="FONT-SIZE: 12pt">This is just because I am trying to cost the impact
    of the draft noise at work regs and I have employees all over the country
    that may need audiometry.</SPAN></FONT></P>
    <P style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman" size=3><SPAN
    style="FONT-SIZE: 12pt">I may be looking for people who can supply this near
    our various locations as needed. </SPAN></FONT></P>
    <P style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman" size=3><SPAN
    style="FONT-SIZE: 12pt">Best wishes</SPAN></FONT></P>
    <P style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman" size=3><SPAN
    style="FONT-SIZE: 12pt">Margaret</SPAN></FONT></P></BLOCKQUOTE></DIV>
  <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman"
  size=3><SPAN style="FONT-SIZE: 12pt">~~~~~~~~~~~~~~~ Please remove this footer
  before replying. </SPAN></FONT></P>
  <P style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman" size=3><SPAN
  style="FONT-SIZE: 12pt">For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  </SPAN></FONT></P>
  <P style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman" size=3><SPAN
  style="FONT-SIZE: 12pt">For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/</SPAN></FONT></P></DIV></DIV>
  <DIV></DIV>
  <DIV><FONT color=blue>Tempus Computers Ltd<BR>St Paul's House, 21 - 23 St
  Paul's Square, Birmingham<BR>Tel: +44 (0)1212333100<BR>Fax: +44
  (0)1212334560</FONT> </DIV>
  <DIV><FONT color=#0000ff>Sales &amp; Order Fax +44 (0)1212366989</FONT> </DIV>
  <DIV><BR><FONT size=1>E&amp;OE. Prices are subject to VAT . Quotes valid for 7
  days subject to availability. All goods are sold subject to Tempus terms and
  conditions which can be seen on request.</FONT> </DIV>
  <DIV><FONT size=1>This message (and any associated files) is intended only for
  the use of the individual or entity to which it is addressed and may contain
  information that is confidential, subject to copyright or constitutes a trade
  secret. If you are not the intended recipient you are hereby notified that any
  dissemination, copying or distribution of this message, or files associated
  with this message, is strictly prohibited. If you have received this message
  in error, please notify us immediately by replying to the message and deleting
  it from your computer. Messages sent to and from us may be monitored.
  <BR><BR>Internet communications cannot be guaranteed to be secure or
  error-free as information could be intercepted, corrupted, lost, destroyed,
  arrive late or incomplete, or contain viruses. Therefore, we do not accept
  responsibility for any errors or omissions that are present in this message,
  or any attachment, that have arisen as a result of e-mail transmission. If
  verification is required, please request a hard-copy version. Any views or
  opinions presented are solely those of the author and do not necessarily
  represent those of the company</FONT>.</DIV>
  <DIV></DIV>
  <DIV></DIV>~~~~~~~~~~~~~~~ Please remove this footer before replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C49FCE.F5034C90--
=========================================================================
Date:         Wed, 22 Sep 2004 16:26:18 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jane Parry <[log in to unmask]>
Subject:      ADVANCED NOTICE : UK Meeting : Specialist Library for Rural
              Health & Wellbeing
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: quoted-printable
Content-Disposition: inline

***APOLOGIES FOR CROSS POSTINGS***


ADVANCED NOTICE OF A UK MEETING

A VIRUTAL SPECIALIST LIBRARY FOR RURAL HEALTH AND WELLBEING=20

Tuesday 9th November 2004, Birmingham


You are invited to contribute to a discussion forum considering the =
development of a virtual Specialist Library for Rural Health and Wellbeing.=
 =20

For health and social care practitioners working in rural communities, =
access to information is a vital tool in developing and delivering quality =
health and social care services.  But the very nature of rural practice =
itself can isolate or limit the practitioner's access to the wide range of =
high-quality knowledge resources they require for both clinical practice =
and service development in a rural setting.  =20

By developing a Specialist Library for Rural Health and Wellbeing, we seek =
to provide rural practitioners with an electronic gateway to the clinical =
and managerial information they require in order to provide their local =
communities with quality health and care services.  For rural communities, =
this Specialist Library will also be a source of quality-assured informatio=
n relating to patient care, rural wellbeing issues and community support =
information.

The Specialist Library is currently being developed in partnership by =
Powys Local Health Board, the Institute of Rural Health and Wales College =
of Medicine.  This UK meeting is being sponsored by the National Electronic=
 Library for Health.

We would like to invite anyone working in, or with an interest in, rural =
issues, (especially, but by no means exclusively, health, social care and =
wellbeing), to join us to discuss how this Specialist Library should =
develop.   Anyone who feels that they, either as an individual or =
organisation, would like to actively participate in the development of the =
Specialist Library, is especially welcome! =20

A prototype of the virtual Specialist Library is currently in development =
and will go live in the next few weeks.  An agenda for the 9th November =
meeting will be available shortly.

If you would like to know more about this UK meeting, request a booking =
form, or simply register an interest,  please email [log in to unmask]
es.nhs.uk. Further details will be circulated as soon as possible.

Jane Parry
Library Services Manager=20
Powys Local Health Board & the Institute of Rural Health


Powys Local Health Board website : http://www.powyslhb.wales.nhs.uk =20
Institute of Rural Health website : http://www.rural-health.ac.uk



Jane Parry
Library Services Manager

Powys Local Health Board
Library Services
Personnel, Library & Training Centre
Bronllys Hospital
Bronllys=20
Powys LD3 0LU

Telephone : 01874 712576
Fax : 01874 712577

Canolfan Addysg a Llyfrgell Personnel
Ysbty Bronllys
Bronllys
Powys LD3 0LU

Ffon : 01874 712576
Ffacs : 01874 712577
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                           =
                                                                         =
=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 23 Sep 2004 01:02:36 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Leanne MORRISON <[log in to unmask]>
Subject:      Leanne MORRISON/ABZ/UK/EP/Corp is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII

I will be out of the office starting  22/09/2004 and will not return until 27/09/2004.

I will respond to your message when I return.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 29 Sep 2004 11:44:55 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jay Chapman <[log in to unmask]>
Subject:      Re: Changes
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Hi

Sorry to use this old message as I am not actually replying to it.  I have
not had any messages for the last two weeks so presume my name has been
removed from the list for some reason.  As I cannot access the 'command
information numbers'  (you will probably be able to guess from this that my
computer literacy is somewhat limited) I really don't know how to, or who
to, ask why.  Perhaps you could elucidate?  I have been on the list for 1.5
years and I don't think I've upset anyone?

Jay Chapman
----- Original Message -----
From: "Bashyr Aziz" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, November 27, 2003 2:36 PM
Subject: Changes


> Hello
>
> I've put up a new Introduction to the list, to include some of the changes
> recently made.  This will be sent out to all new subscribers.  I am
> attaching it with this email, and would suggest that you, existing
> subscriber, print it off to keep for reference.
>
> Over the next few weeks, there will be some interesting improvements made
> to the OCC-HEALTH list, including a special area for useful documents and
> guidelines.  Will keep you informed.
>
> With best wishes
>
> Bashyr
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 29 Sep 2004 12:09:22 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Christine Wilson <[log in to unmask]>
Subject:      Re: Changes
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

I=20too=20have=20not=20received=20any=20mail=20since=20Tuesday=2021!!

-----Original=20Message-----
From:=20Jay=20Chapman=20[mailto:[log in to unmask]]
Sent:=2029=20September=202004=2011:45
To:[log in to unmask]
Subject:=20Re:=20Changes


Hi

Sorry=20to=20use=20this=20old=20message=20as=20I=20am=20not=20actually=20r=
eplying=20to=20it.=20=20I=20have
not=20had=20any=20messages=20for=20the=20last=20two=20weeks=20so=20presume=
=20my=20name=20has=20been
removed=20from=20the=20list=20for=20some=20reason.=20=20As=20I=20cannot=20=
access=20the=20'command
information=20numbers'=20=20(you=20will=20probably=20be=20able=20to=20gues=
s=20from=20this=20that=20my
computer=20literacy=20is=20somewhat=20limited)=20I=20really=20don't=20know=
=20how=20to,=20or=20who
to,=20ask=20why.=20=20Perhaps=20you=20could=20elucidate?=20=20I=20have=20b=
een=20on=20the=20list=20for=201.5
years=20and=20I=20don't=20think=20I've=20upset=20anyone?

Jay=20Chapman
-----=20Original=20Message=20-----
From:=20"Bashyr=20Aziz"=20<[log in to unmask]>
To:=20<[log in to unmask]>
Sent:=20Thursday,=20November=2027,=202003=202:36=20PM
Subject:=20Changes


>=20Hello
>
>=20I've=20put=20up=20a=20new=20Introduction=20to=20the=20list,=20to=20inc=
lude=20some=20of=20the=20changes
>=20recently=20made.=20=20This=20will=20be=20sent=20out=20to=20all=20new=20=
subscribers.=20=20I=20am
>=20attaching=20it=20with=20this=20email,=20and=20would=20suggest=20that=20=
you,=20existing
>=20subscriber,=20print=20it=20off=20to=20keep=20for=20reference.
>
>=20Over=20the=20next=20few=20weeks,=20there=20will=20be=20some=20interest=
ing=20improvements=20made
>=20to=20the=20OCC-HEALTH=20list,=20including=20a=20special=20area=20for=20=
useful=20documents=20and
>=20guidelines.=20=20Will=20keep=20you=20informed.
>
>=20With=20best=20wishes
>
>=20Bashyr
>
>

~~~~~~~~~~~~~~~
Please=20remove=20this=20footer=20before=20replying.

For=20list=20archives=20and=20documents,=20go=20to
http://www.jiscmail.ac.uk/lists/occ-health.html=20for=20list=20archives

For=20jobs=20in=20Occupational=20Health,=20go=20to
http://uk.groups.yahoo.com/group/OHJobs/

________________________________________________________________________
This=20e-mail=20has=20been=20scanned=20for=20all=20viruses=20by=20Star.=20=
The
service=20is=20powered=20by=20MessageLabs.=20For=20more=20information=20on=
=20a=20proactive
anti-virus=20service=20working=20around=20the=20clock,=20around=20the=20gl=
obe,=20visit:
http://www.star.net.uk
________________________________________________________________________

________________________________________________________________________
This=20e-mail=20has=20been=20scanned=20for=20all=20viruses=20by=20Star.=20=
The
service=20is=20powered=20by=20MessageLabs.=20For=20more=20information=20on=
=20a=20proactive
anti-virus=20service=20working=20around=20the=20clock,=20around=20the=20gl=
obe,=20visit:
http://www.star.net.uk
________________________________________________________________________

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 29 Sep 2004 12:20:34 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Aziz, Bashyr" <[log in to unmask]>
Subject:      Mail
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4A616.5664686E"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4A616.5664686E
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Dear Subscribers

I'm sorry you're beginning to suffer from withdrawal symptoms!  The list =
is working fine, it's just that there hasn't been any mail over the past =
few days.  You can always take a look at the archives by going to the =
link below. =20

Regards

Bashyr Aziz                =20
OCC-HEALTH list.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4A616.5664686E
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version =
6.0.6249.1">
<TITLE>Mail</TITLE>
</HEAD>
<BODY>
<!-- Converted from text/rtf format -->

<P><FONT COLOR=3D"#0000FF" FACE=3D"Arial">Dear Subscribers</FONT>
</P>

<P><FONT COLOR=3D"#0000FF" FACE=3D"Arial">I'm sorry you're beginning to =
suffer from withdrawal symptoms!&nbsp; The list is working fine, it's =
just that there hasn't been any mail over the past few days.&nbsp; You =
can always take a look at the archives by going to the link below.&nbsp; =
</FONT></P>

<P><FONT COLOR=3D"#0000FF" FACE=3D"Arial">Regards</FONT>
</P>

<P><B><FONT COLOR=3D"#0000FF" FACE=3D"Arial">Bashyr =
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;</FONT></B>&nbsp;<FONT COLOR=3D"#0000FF" =
FACE=3D"Arial"> </FONT>

<BR><FONT COLOR=3D"#0000FF" FACE=3D"Arial">OCC-HEALTH list.</FONT>
</P>

</BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4A616.5664686E--
=========================================================================
Date:         Wed, 29 Sep 2004 12:21:35 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Helen Martin <[log in to unmask]>
Subject:      Re: Changes
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

and me!
----- Original Message -----
From: "Christine Wilson" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, September 29, 2004 12:09 PM
Subject: Re: Changes


I too have not received any mail since Tuesday 21!!

-----Original Message-----
From: Jay Chapman [mailto:[log in to unmask]]
Sent: 29 September 2004 11:45
To: [log in to unmask]
Subject: Re: Changes


Hi

Sorry to use this old message as I am not actually replying to it.  I have
not had any messages for the last two weeks so presume my name has been
removed from the list for some reason.  As I cannot access the 'command
information numbers'  (you will probably be able to guess from this that my
computer literacy is somewhat limited) I really don't know how to, or who
to, ask why.  Perhaps you could elucidate?  I have been on the list for 1.5
years and I don't think I've upset anyone?

Jay Chapman
----- Original Message -----
From: "Bashyr Aziz" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, November 27, 2003 2:36 PM
Subject: Changes


> Hello
>
> I've put up a new Introduction to the list, to include some of the changes
> recently made.  This will be sent out to all new subscribers.  I am
> attaching it with this email, and would suggest that you, existing
> subscriber, print it off to keep for reference.
>
> Over the next few weeks, there will be some interesting improvements made
> to the OCC-HEALTH list, including a special area for useful documents and
> guidelines.  Will keep you informed.
>
> With best wishes
>
> Bashyr
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

________________________________________________________________________
This e-mail has been scanned for all viruses by Star. The
service is powered by MessageLabs. For more information on a proactive
anti-virus service working around the clock, around the globe, visit:
http://www.star.net.uk
________________________________________________________________________

________________________________________________________________________
This e-mail has been scanned for all viruses by Star. The
service is powered by MessageLabs. For more information on a proactive
anti-virus service working around the clock, around the globe, visit:
http://www.star.net.uk
________________________________________________________________________

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 29 Sep 2004 12:47:01 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Changes
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Count me in - perhaps everyone has gone into hibernation for the winter?!?

-----Original Message-----
From: Helen Martin [mailto:[log in to unmask]]
Sent: Wednesday, September 29, 2004 12:22 PM
To: [log in to unmask]
Subject: Re: Changes


and me!
----- Original Message -----
From: "Christine Wilson" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, September 29, 2004 12:09 PM
Subject: Re: Changes


I too have not received any mail since Tuesday 21!!

-----Original Message-----
From: Jay Chapman [mailto:[log in to unmask]]
Sent: 29 September 2004 11:45
To: [log in to unmask]
Subject: Re: Changes


Hi

Sorry to use this old message as I am not actually replying to it.  I have
not had any messages for the last two weeks so presume my name has been
removed from the list for some reason.  As I cannot access the 'command
information numbers'  (you will probably be able to guess from this that my
computer literacy is somewhat limited) I really don't know how to, or who
to, ask why.  Perhaps you could elucidate?  I have been on the list for 1.5
years and I don't think I've upset anyone?

Jay Chapman
----- Original Message -----
From: "Bashyr Aziz" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, November 27, 2003 2:36 PM
Subject: Changes


> Hello
>
> I've put up a new Introduction to the list, to include some of the changes
> recently made.  This will be sent out to all new subscribers.  I am
> attaching it with this email, and would suggest that you, existing
> subscriber, print it off to keep for reference.
>
> Over the next few weeks, there will be some interesting improvements made
> to the OCC-HEALTH list, including a special area for useful documents and
> guidelines.  Will keep you informed.
>
> With best wishes
>
> Bashyr
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

________________________________________________________________________
This e-mail has been scanned for all viruses by Star. The
service is powered by MessageLabs. For more information on a proactive
anti-virus service working around the clock, around the globe, visit:
http://www.star.net.uk
________________________________________________________________________

________________________________________________________________________
This e-mail has been scanned for all viruses by Star. The
service is powered by MessageLabs. For more information on a proactive
anti-virus service working around the clock, around the globe, visit:
http://www.star.net.uk
________________________________________________________________________

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 29 Sep 2004 13:44:08 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Harrop, Chris" <[log in to unmask]>
Subject:      Re: Changes
MIME-Version: 1.0
Content-Type: text/plain

Same here.


Christine Harrop

Occupational Health Manager
Kraft Foods (UK) Ltd
Banbury
Oxfordshire
OX16 2QU

Tel No   01295 223311
Fax No   01295 223726
Page No  157




-----Original Message-----
From: Helen Martin [mailto:[log in to unmask]]
Sent: 29 September 2004 12:22
To: [log in to unmask]
Subject: Re: Changes


and me!
----- Original Message -----
From: "Christine Wilson" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, September 29, 2004 12:09 PM
Subject: Re: Changes


I too have not received any mail since Tuesday 21!!

-----Original Message-----
From: Jay Chapman [mailto:[log in to unmask]]
Sent: 29 September 2004 11:45
To: [log in to unmask]
Subject: Re: Changes


Hi

Sorry to use this old message as I am not actually replying to it.  I have
not had any messages for the last two weeks so presume my name has been
removed from the list for some reason.  As I cannot access the 'command
information numbers'  (you will probably be able to guess from this that my
computer literacy is somewhat limited) I really don't know how to, or who
to, ask why.  Perhaps you could elucidate?  I have been on the list for 1.5
years and I don't think I've upset anyone?

Jay Chapman
----- Original Message -----
From: "Bashyr Aziz" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, November 27, 2003 2:36 PM
Subject: Changes


> Hello
>
> I've put up a new Introduction to the list, to include some of the changes
> recently made.  This will be sent out to all new subscribers.  I am
> attaching it with this email, and would suggest that you, existing
> subscriber, print it off to keep for reference.
>
> Over the next few weeks, there will be some interesting improvements made
> to the OCC-HEALTH list, including a special area for useful documents and
> guidelines.  Will keep you informed.
>
> With best wishes
>
> Bashyr
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

________________________________________________________________________
This e-mail has been scanned for all viruses by Star. The
service is powered by MessageLabs. For more information on a proactive
anti-virus service working around the clock, around the globe, visit:
http://www.star.net.uk
________________________________________________________________________

________________________________________________________________________
This e-mail has been scanned for all viruses by Star. The
service is powered by MessageLabs. For more information on a proactive
anti-virus service working around the clock, around the globe, visit:
http://www.star.net.uk
________________________________________________________________________

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 29 Sep 2004 15:14:02 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Gina Jones <[log in to unmask]>
Subject:      hello
MIME-Version: 1.0
Content-Type: multipart/alternative; boundary="=_alternative 004E308280256F1E_="

This is a multipart message in MIME format.
--=_alternative 004E308280256F1E_=
Content-Type: text/plain; charset="us-ascii"

It was suggested I posted a message introducing myself and as you all seem
to be starved of mail ..... here goes.

I am relatively new to Occupational Health, having worked as an
Occupational Practice nurse for a year I will soon commence my new role as
OHA for a local manufacturing firm. Last week I commenced on the long road
to qualification by starting a Diploma at St Martin's College Lancaster
which is where I learned about this site. I hope that you guys will be
able to assist me if needed, both in my new role and during the course of
my studies.

Gina Jones
Occupational Practice Nurse

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--=_alternative 004E308280256F1E_=
Content-Type: text/html; charset="us-ascii"


<br><font size=2 face="sans-serif">It was suggested I posted a message introducing myself and as you all seem to be starved of mail ..... here goes.</font>
<br>
<br><font size=2 face="sans-serif">I am relatively new to Occupational Health, having worked as an Occupational Practice nurse for a year I will soon commence my new role as OHA for a local manufacturing firm. Last week I commenced on the long road to qualification by starting a Diploma at St Martin's College Lancaster which is where I learned about this site. I hope that you guys will be able to assist me if needed, both in my new role and during the course of my studies.<br>
<br>
Gina Jones<br>
Occupational Practice Nurse<br>
</font>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--=_alternative 004E308280256F1E_=--
=========================================================================
Date:         Wed, 29 Sep 2004 15:45:16 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chris Packham <[log in to unmask]>
Subject:      Re: hello
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0007_01C4A63B.511A5CE0"

This is a multi-part message in MIME format.

------=_NextPart_000_0007_01C4A63B.511A5CE0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Gina

Welcome to the network. Just keep posting questions. We'll try to =
provide you with the answers.

Best of luck with your studies

Chris Packham
EnviroDerm Services

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_0007_01C4A63B.511A5CE0
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT color=3D#000080>Gina</FONT></DIV>
<DIV><FONT color=3D#000080></FONT>&nbsp;</DIV>
<DIV><FONT color=3D#000080>Welcome to the network. Just keep posting =
questions.=20
We'll try to provide you with the answers.</FONT></DIV>
<DIV><FONT color=3D#000080></FONT>&nbsp;</DIV>
<DIV><FONT color=3D#000080>Best of luck with your studies</FONT></DIV>
<DIV><FONT color=3D#000080></FONT>&nbsp;</DIV>
<DIV><FONT color=3D#000080>Chris Packham</FONT></DIV>
<DIV><FONT color=3D#000080>EnviroDerm =
Services</FONT></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0007_01C4A63B.511A5CE0--
=========================================================================
Date:         Wed, 29 Sep 2004 17:16:57 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chloe Coleridge <[log in to unmask]>
Subject:      OH nurses and sick certification
Mime-version: 1.0
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

Hi
Is anyone out there piloting OH sick certification. If so please could you
contact me off/on list

Many thanks

Chloe

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 29 Sep 2004 22:02:58 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         angie hickman <[log in to unmask]>
Subject:      Re: Changes
Mime-Version: 1.0
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<html><div style=3D'background-color:'><P>and me&nbsp;I have not received=
 any mail <BR><IMG height=3D12 src=3D"http://graphics.hotmail.com/emsmile=
.gif" width=3D12><FONT color=3D#ff3333>&nbsp;<STRONG><EM>Angie</EM></STRO=
NG></FONT></P>&gt;From: Helen Martin &lt;[log in to unmask]
.UK&gt; &gt;Reply-To: Occupational Health mailing list &lt;OCC-HEALTH@JIS=
CMAIL.AC.UK&gt; &gt;To: [log in to unmask] &gt;Subject: Re: Change=
s &gt;Date: Wed, 29 Sep 2004 12:21:35 +0100 &gt; &gt;and me! &gt;----- Or=
iginal Message ----- &gt;From: "Christine Wilson" &lt;christine.wilson@CA=
MBSFIRE.GOV.UK&gt; &gt;To: &lt;[log in to unmask]&gt; &gt;Sent: W=
ednesday, September 29, 2004 12:09 PM &gt;Subject: Re: Changes &gt; &gt; =
&gt;I too have not received any mail since Tuesday 21!! &gt; &gt;-----Ori=
ginal Message----- &gt;From: Jay Chapman [mailto:[log in to unmask]
K] &gt;Sent: 29 September 2004 11:45 &gt;To: [log in to unmask] &g=
t;Subject: Re: Changes &gt; &gt; &gt;Hi &gt; &gt;Sorry to use this old me=
ssage as I am not actually replying to it. I have &gt;not had any message=
s for the last two weeks so presume my name has been &gt;removed from the=
 list for some reason. As I cannot access the 'command &gt;information nu=
mbers' (you will probably be able to guess from this that my &gt;computer=
 literacy is somewhat limited) I really don't know how to, or who &gt;to,=
 ask why. Perhaps you could elucidate? I have been on the list for 1.5 &g=
t;years and I don't think I've upset anyone? &gt; &gt;Jay Chapman &gt;---=
-- Original Message ----- &gt;From: "Bashyr Aziz" &lt;[log in to unmask]&gt=
; &gt;To: &lt;[log in to unmask]&gt; &gt;Sent: Thursday, November =
27, 2003 2:36 PM &gt;Subject: Changes &gt; &gt; &gt; &gt; Hello &gt; &gt;=
 &gt; &gt; I've put up a new Introduction to the list, to include some of=
 the changes &gt; &gt; recently made. This will be sent out to all new su=
bscribers. I am &gt; &gt; attaching it with this email, and would suggest=
 that you, existing &gt; &gt; subscriber, print it off to keep for refere=
nce. &gt; &gt; &gt; &gt; Over the next few weeks, there will be some inte=
resting improvements made &gt; &gt; to the OCC-HEALTH list, including a s=
pecial area for useful documents and &gt; &gt; guidelines. Will keep you =
informed. &gt; &gt; &gt; &gt; With best wishes &gt; &gt; &gt; &gt; Bashyr=
 &gt; &gt; &gt; &gt; &gt; &gt;~~~~~~~~~~~~~~~ &gt;Please remove this foot=
er before replying. &gt; &gt;For list archives and documents, go to &gt;h=
ttp://www.jiscmail.ac.uk/lists/occ-health.html for list archives &gt; &gt=
;For jobs in Occupational Health, go to &gt;http://uk.groups.yahoo.com/gr=
oup/OHJobs/ &gt; &gt;____________________________________________________=
____________________ &gt;This e-mail has been scanned for all viruses by =
Star. The &gt;service is powered by MessageLabs. For more information on =
a proactive &gt;anti-virus service working around the clock, around the g=
lobe, visit: &gt;http://www.star.net.uk &gt;_____________________________=
___________________________________________ &gt; &gt;____________________=
____________________________________________________ &gt;This e-mail has =
been scanned for all viruses by Star. The &gt;service is powered by Messa=
geLabs. For more information on a proactive &gt;anti-virus service workin=
g around the clock, around the globe, visit: &gt;http://www.star.net.uk &=
gt;______________________________________________________________________=
__ &gt; &gt;~~~~~~~~~~~~~~~ &gt;Please remove this footer before replying=
. &gt; &gt;For list archives and documents, go to &gt;http://www.jiscmail=
.ac.uk/lists/occ-health.html for list archives &gt; &gt;For jobs in Occup=
ational Health, go to &gt;http://uk.groups.yahoo.com/group/OHJobs/ &gt; &=
gt;~~~~~~~~~~~~~~~ &gt;Please remove this footer before replying. &gt; &g=
t;For list archives and documents, go to &gt;http://www.jiscmail.ac.uk/li=
sts/occ-health.html for list archives &gt; &gt;For jobs in Occupational H=
ealth, go to &gt;http://uk.groups.yahoo.com/group/OHJobs/ </div><br clear=
=3Dall><hr>Enjoy the awesome learning power of Encarta=AE at your fingert=
ips when you subscribe to  <a href=3D"http://g.msn.com/8HMBENUK/2731??PS=3D=
47575" target=3D"_top">MSN=AE Encarta Premium.</a> </html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 30 Sep 2004 06:51:50 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      Occupatonal Asthma :new guidelines on the prevention management
              etc
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

Dear all
As it's a slack news  week I will remind you that the new evidence based
guidelines on OA have been launched this month. you can access them online
at

www.bohrf.org.uk

Click on Occ Asthma in the column on the left,  and  highlighted in blue are
3 summaries  for OH , GP and employers/staff reps. Thes can be down loaded-
the first 2 are about 3 sides of A4 , the other longer. they have been
specifically made to be easy to read and practical.

I was on the working party, and would be happy to hear and forward any
comment you have on them(good or bad!)


There will be an article in OH magazine in Oct expanding on the Occ Health
Practioiner guidelines too.

Best wishes,
Diane

_________________________________________________________________
Express yourself with cool new emoticons http://www.msn.co.uk/specials/myemo

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 30 Sep 2004 06:57:35 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      ignnore last message to brian
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

Sorry chaps, it only goes to show how easy it is to send someting out in
error to 300 people. ...
Diane

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 30 Sep 2004 06:54:25 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      Occupatonal Asthma :new guidelines on the prevention management
              etc
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

Dear Brian
I sent this email out to an OH email group with about 300 members in it.
if they comment on the guidelines, i will forward them onto  you.
Best wishes,
Diane


To  [log in to unmask]

Dear all
As it's a slack news  week I will remind you that the new evidence based
guidelines on OA have been launched this month. you can access them online
at

www.bohrf.org.uk

Click on Occ Asthma in the column on the left,  and  highlighted in blue are
3 summaries  for OH , GP and employers/staff reps. Thes can be down loaded-
the first 2 are about 3 sides of A4 , the other longer. they have been
specifically made to be easy to read and practical.

I was on the working party, and would be happy to hear and forward any
comment you have on them(good or bad!)


There will be an article in OH magazine in Oct expanding on the Occ Health
Practioiner guidelines too.

Best wishes,
Diane

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 30 Sep 2004 09:26:37 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Duncan Lovell <[log in to unmask]>
Subject:      Re: OH nurses and sick certification
MIME-Version: 1.0
Content-Type: text/plain; format=flowed; charset="iso-8859-1";
              reply-type=original
Content-Transfer-Encoding: 7bit

I would be interested in any responses to this too. If anyone is replying
off list could they cc it to me please? Thanks. Catriona
----- Original Message -----
From: "Chloe Coleridge" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, September 29, 2004 5:16 PM
Subject: OH nurses and sick certification


> Hi
> Is anyone out there piloting OH sick certification. If so please could you
> contact me off/on list
>
> Many thanks
>
> Chloe
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 30 Sep 2004 09:56:01 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandy Townsend <[log in to unmask]>
Subject:      Re: OH nurses and sick certification
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="Windows-1252"
Content-Transfer-Encoding: 7bit

I would expect many OH professionals are interested in the position of
OH provision of sick notes so it would be sad for this hot topic to be
conducted off line. I appreciate that personal contact may be
appropriate in some instances but a discussion on this matter would be
useful to many I am sure.
I understand the OH team at Peugeot are piloting a study but I do not
have a contact name.
Sandy

---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.770 / Virus Database: 517 - Release Date: 27/09/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 30 Sep 2004 11:55:02 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Harrop, Chris" <[log in to unmask]>
Subject:      Re: OH nurses and sick certification
MIME-Version: 1.0
Content-Type: text/plain

I think it would be a good idea to reply on-list. I am sure there would be
many of us interested in the results.


Christine Harrop

Occupational Health Nurse Manager
Kraft Foods (UK) Ltd
Banbury
Oxfordshire
OX16 2QU

Tel No   01295 223311
Fax No   01295 223726
Page No  157




-----Original Message-----
From: Duncan Lovell [mailto:[log in to unmask]]
Sent: 30 September 2004 09:27
To: [log in to unmask]
Subject: Re: OH nurses and sick certification


I would be interested in any responses to this too. If anyone is replying
off list could they cc it to me please? Thanks. Catriona
----- Original Message -----
From: "Chloe Coleridge" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, September 29, 2004 5:16 PM
Subject: OH nurses and sick certification


> Hi
> Is anyone out there piloting OH sick certification. If so please could you
> contact me off/on list
>
> Many thanks
>
> Chloe
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 30 Sep 2004 16:47:31 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chloe Coleridge <[log in to unmask]>
Subject:      Re: OH nurses and sick certification
In-Reply-To:  <3CAB2F76295EB044BD696A4050F8E1C3F32AE2@kjsgbcheshrexc1>
Mime-version: 1.0
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

On 30/9/04 10:55 AM, "Harrop, Chris" <[log in to unmask]> wrote:
Dear all

I read that Coca-Cola are piloting...one of their NW branches

What are the listees (if that's what we are?!) thoughts on the subject ...in
favour/against...??

I have been approached by a couple of organisations already...I work as a
freelance OHA .
Be interested to hear people's thoughts and comments

Chloe

> I think it would be a good idea to reply on-list. I am sure there would be
> many of us interested in the results.
>
>
> Christine Harrop
>
> Occupational Health Nurse Manager
> Kraft Foods (UK) Ltd
> Banbury
> Oxfordshire
> OX16 2QU
>
> Tel No   01295 223311
> Fax No   01295 223726
> Page No  157
>
>
>
>
> -----Original Message-----
> From: Duncan Lovell [mailto:[log in to unmask]]
> Sent: 30 September 2004 09:27
> To: [log in to unmask]
> Subject: Re: OH nurses and sick certification
>
>
> I would be interested in any responses to this too. If anyone is replying
> off list could they cc it to me please? Thanks. Catriona
> ----- Original Message -----
> From: "Chloe Coleridge" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Wednesday, September 29, 2004 5:16 PM
> Subject: OH nurses and sick certification
>
>
>> Hi
>> Is anyone out there piloting OH sick certification. If so please could you
>> contact me off/on list
>>
>> Many thanks
>>
>> Chloe
>>
>> ~~~~~~~~~~~~~~~
>> Please remove this footer before replying.
>>
>> For list archives and documents, go to
>> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>>
>> For jobs in Occupational Health, go to
>> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 30 Sep 2004 15:52:55 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Helen Hannar <[log in to unmask]>
Subject:      Re: employees problems with alcohol
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_120859_20824007.1096552375885"

------=_Part_120859_20824007.1096552375885
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

Dear All,
Does anyone have a standard procedure that they sue if an employee suggests that they MAY have a problem with alcohol. Currently a hot topic in one of our sites, managers are very sceptic as the employee has changed their mind 3times about if they have / have not got a problem.
Do you provide counselling, refer to GP, encourage contact to AA etc. How do you ensure that any advice that is given these organisations is followed, or even if they are attending when they say they are attending. What support do you provide personally within OH.
All replies gratefully received,
Helen Hannar






>

--

Whatever you Wanadoo:
http://www.wanadoo.co.uk/time/

This email has been checked for most known viruses - find out more at: http://www.wanadoo.co.uk/help/id/7098.htm

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_120859_20824007.1096552375885
Content-Type: text/html
Content-Transfer-Encoding: 7bit

<P>Dear All,</P>
<P>Does anyone have a standard procedure that they sue if an employee suggests that they MAY have a problem with alcohol. Currently a hot topic in one of our sites, managers are very sceptic as the employee has changed their mind 3times about if they have / have not got a problem.</P>
<P>Do you provide counselling, refer to GP, encourage contact to AA etc. How do you ensure that any advice that is given these organisations is followed, or even if they are attending when they say they are attending. What support do you provide personally within OH.</P>
<P>All replies gratefully received,</P>
<P>Helen Hannar</P>
<P><BR><BR><BR><BR><BR>&nbsp;</P>
<BLOCKQUOTE style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #ff0000 2px solid">&gt;</BLOCKQUOTE><BR><BR><hr size="1">Whatever you <a href="http://www.wanadoo.co.uk/time/" target="_blank">Wanadoo</a><br><br>This email has been checked for most known viruses - find out more <a href="http://www.wanadoo.co.uk/help/id/7098.htm" target="_blank">here</a>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_120859_20824007.1096552375885--
=========================================================================
Date:         Thu, 30 Sep 2004 17:34:46 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lucy & Adrian <[log in to unmask]>
Subject:      Re: OH nurses and sick certification
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

My concern about OH certification is that it will suddenly explode a volume
of work and OH time that the organisation is not used to paying for (GP
certs and the GP time is currently free).

Far more helpful would surely be an HR policy that asks employees (who are
after all adults) to self certify and then apply robust procedures depending
on the nature of the absence, referring into OH when the colleague expresses
concerns about their health in relation to their ability to:
- carry out their normal duties
- attend work on a regular basis
- attend the workplace due to immuno compromisation (or whatever the word
is)
or where HR or the employee are concerned that:
- work may aggravate a pre-existing problem
- the health problem may affect people or processes at work

I have recently devised a checklist from our rehabilitation guidelines that
HR can use as a tool to discuss health related absence or performance
problems with employees.  With training and support this works well and is
considered to be fair and equitable by the local union reps.  We have not
yet got rid of the requirement for GP certs, but I'm sure it will come.  I
would be very interested to hear what other people think.

Lucy

----- Original Message -----
From: "Harrop, Chris" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, September 30, 2004 10:55 AM
Subject: Re: OH nurses and sick certification


> I think it would be a good idea to reply on-list. I am sure there would be
> many of us interested in the results.
>
>
> Christine Harrop
>
> Occupational Health Nurse Manager
> Kraft Foods (UK) Ltd
> Banbury
> Oxfordshire
> OX16 2QU
>
> Tel No   01295 223311
> Fax No   01295 223726
> Page No  157
>
>
>
>
> -----Original Message-----
> From: Duncan Lovell [mailto:[log in to unmask]]
> Sent: 30 September 2004 09:27
> To: [log in to unmask]
> Subject: Re: OH nurses and sick certification
>
>
> I would be interested in any responses to this too. If anyone is replying
> off list could they cc it to me please? Thanks. Catriona
> ----- Original Message -----
> From: "Chloe Coleridge" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Wednesday, September 29, 2004 5:16 PM
> Subject: OH nurses and sick certification
>
>
> > Hi
> > Is anyone out there piloting OH sick certification. If so please could
you
> > contact me off/on list
> >
> > Many thanks
> >
> > Chloe
> >
> > ~~~~~~~~~~~~~~~
> > Please remove this footer before replying.
> >
> > For list archives and documents, go to
> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> > For jobs in Occupational Health, go to
> > http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 30 Sep 2004 20:20:09 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jane Fairburn <[log in to unmask]>
Subject:      Re: OH nurses and sick certification
Mime-Version: 1.0
Content-Type: text/html

<html><div style='background-color:'><P><BR><BR></P>
<DIV class=RTE>
<P>Hello,</P>
<P>I think this would be the best thing to happen to OH for years...</P>
<P>I am soooo fed up of GP's certifying just because the person doesn't want to work (and we all know this happens) and also fed up of GP's recommending LIGHT duties - what on earth is that meant to be?? I work primarily in distribution so we don't have many light lorry driving jobs or light picking duties (for example) Seriously tho, how is the poor GP meant to be able to assess whether someone is fit for work or not when they have no idea of what the persons job entails and have never visited the workplace ? I invited GP's local to my depots to come in and see what the guys do and what we can do to temporarily redeploy people etc but almost&nbsp;every one of them said they would love to but had no time...</P>
<P>I relish the opportunity whilst accepting that it is going to be a major change, consider it actually might encourage companies to be more proactive in their approaches to health at work and will, in my view, help us to support management in improving how they manage attendance.</P>
<P>Occupational Health is so varied in any event and this is just another element - some will love it and some will hate it - I personally hate screening and my Company employs OH screening nurses to do that but I know a lot of OHA's who really enjoy that type of work and the opportunity it brings for interaction and health promotion etc.</P>
<P>I am sure that each of the listers will have a view on this one tho!</P>
<P>Jane Fairburn - OH Managing Consultant, People Asset Management.<BR><BR></P></DIV></div></html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 30 Sep 2004 21:32:58 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Angie Hickman <[log in to unmask]>
Subject:      Phased return to work

Does anyone have a policy or procedure about phased return to work
following sickness absence or know of any research about this subject. I
am trying to gather information or evidence about what other employers do.
Is the employee paid for the shifts they do not work or do they have to
take annual leave to cover the days they are absent from work.

Any suggestions or information would be graefully received.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 30 Sep 2004 21:56:06 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chloe Coleridge <[log in to unmask]>
Subject:      Re: Phased return to work
In-Reply-To:  <[log in to unmask]>
Mime-version: 1.0
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

If you go to the HSE website there is a research paper on best practice re
return to work...you can find it via the stress section
Chloe
On 30/9/04 9:32 PM, "Angie Hickman" <[log in to unmask]> wrote:

> Does anyone have a policy or procedure about phased return to work
> following sickness absence or know of any research about this subject. I
> am trying to gather information or evidence about what other employers do.
> Is the employee paid for the shifts they do not work or do they have to
> take annual leave to cover the days they are absent from work.
>
> Any suggestions or information would be graefully received.
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 30 Sep 2004 17:47:18 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Gina Jones <[log in to unmask]>
Subject:      Re: Phased return to work
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1096580838"

-------------------------------1096580838
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

my current place of work runs a rehab scheme where employees are able to
return to work on reduced hours for an agreed period, depending whether suitable
and safe to do so. they are fully paid, but then are fully paid during sick
time  also.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1096580838
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2900.2180" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #8080ff; FONT-FAMILY: Comic Sans MS"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3D"Comic Sans MS" color=3D#8080ff size=3D3>
<DIV>my current place of work runs a rehab scheme where employees are able t=
o=20
return to work on reduced hours for an agreed period, depending whether suit=
able=20
and safe to do so. they are fully paid, but then are fully paid during sick=20=
time=20
also.</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1096580838--
=========================================================================
Date:         Thu, 30 Sep 2004 23:56:56 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Phased return to work
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0030_01C4A749.2A87F1A0"

This is a multi-part message in MIME format.

------=_NextPart_000_0030_01C4A749.2A87F1A0
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

There is a new book out 'Tolley's Guide to Workplace Rehabilitation' =
2004 written by various authors including Val Hughes - OH nurse and Dr =
Leslie Hawkins from the Robens Institute. This book gives guidelines on =
phased return to work programmes and recuperative duties. I have also =
devised a conference on Workplace Rehabilitation in December 7th - =
contact me direct for more details (Val Hughes is speaking at the =
conference). Dr Philip Sawney of DW&P is speaking on the sickness abs =
certification at the Managing Abs conference on 20th Oct. Both =
conferences will be written up in OH journal. For published research on =
this topic there is an HSE contract research report no 106 'Job =
retention and vocational rehabilitation; the development and evaluation =
of a conceptual framework' by Prof P James & Dr Pauline Dibben - both of =
whom are speaking at the conference. Lastly there is 'Concepts of =
rehabilitation for the management of common health problems' by G =
Waddell & A K Burton 2004 published by TSO ( www.tso.co.uk)=20

At the moment there are several pilot studies underway on sick =
certification and rehabilitation, some of which are funded by the DoH, =
HSE and DW&P. There is no definitive answer to any of these questions as =
to what will finally happen, although there is lots of speculation by =
lots of people. So few companies have access to OH and there is such a =
dearth of OH professionals it does not seem possible that OH could be =
responsible for certification - if you think about it rationally.

As for your last comment about paid shifts etc. this is going to depend =
on company policy and the company agreement with their insurers, not to =
mention what type of workplace and what the sickness abs is due to! It =
really is an HR problems to start with and all this should be dealt with =
in the sickness abs policy and the Rehab policy which may or may not be =
part of the sickness abs policy.=20

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027

----- Original Message -----=20
From: "Angie Hickman" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, September 30, 2004 9:32 PM
Subject: Phased return to work


> Does anyone have a policy or procedure about phased return to work
> following sickness absence or know of any research about this subject. =
I
> am trying to gather information or evidence about what other employers =
do.
> Is the employee paid for the shifts they do not work or do they have =
to
> take annual leave to cover the days they are absent from work.
>=20
> Any suggestions or information would be graefully received.
>=20
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>=20
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>=20
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.762 / Virus Database: 510 - Release Date: 13/09/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_0030_01C4A749.2A87F1A0
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dwindows-1252">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY>
<DIV><FONT size=3D2>There is a new book out <EM>'Tolley's Guide to =
Workplace=20
Rehabilitation'</EM> 2004 written by various authors including Val =
Hughes - OH=20
nurse and Dr Leslie Hawkins from the Robens Institute. This book gives=20
guidelines on phased return to work&nbsp;programmes and recuperative =
duties. I=20
have also devised a conference on Workplace Rehabilitation in December =
7th -=20
contact me direct for more details (Val Hughes is speaking at the =
conference).=20
Dr Philip Sawney of DW&amp;P is speaking on the sickness abs=20
certification&nbsp;at the Managing Abs conference on 20th Oct. Both =
conferences=20
will be written up in OH journal. For published research on this topic =
there is=20
an HSE&nbsp;contract research report no 106 <EM>'Job retention and =
vocational=20
rehabilitation; the development and evaluation of a conceptual =
framework'</EM>=20
by Prof P James &amp; Dr Pauline Dibben - both of whom are speaking at =
the=20
conference. Lastly there is <EM>'Concepts of rehabilitation for the =
management=20
of common health problems'</EM> by G Waddell &amp; A K Burton&nbsp;2004=20
published by TSO ( <A href=3D"http://www.tso.co.uk">www.tso.co.uk</A>)=20
</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>At the moment there are several pilot studies =
underway on sick=20
certification and rehabilitation, some of which are funded by the DoH, =
HSE and=20
DW&amp;P. There is no definitive answer to any of these questions as to =
what=20
will finally happen, although there&nbsp;is lots of&nbsp;speculation by =
lots of=20
people. So few companies have access to OH and there is such a dearth of =
OH=20
professionals it does not seem possible that OH could be responsible for =

certification - if you think about it rationally.</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>As for your last comment about paid shifts etc. this =
is going=20
to depend on company policy and the company agreement&nbsp;with their =
insurers,=20
not to mention what type of workplace and what the sickness abs is due =
to! It=20
really is an HR problems to start with and all this should be dealt with =
in the=20
sickness abs policy and the Rehab policy which may or may not be part of =
the=20
sickness abs policy. </FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health =
&amp;=20
Education<BR>Consultant Editor, OH Journal<BR><A=20
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>----- Original Message ----- </FONT>
<DIV><FONT size=3D2>From: "Angie Hickman" &lt;</FONT><A=20
href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
<DIV><FONT size=3D2>To: &lt;</FONT><A=20
href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
<DIV><FONT size=3D2>Sent: Thursday, September 30, 2004 9:32 =
PM</FONT></DIV>
<DIV><FONT size=3D2>Subject: Phased return to work</FONT></DIV></DIV>
<DIV><FONT size=3D2><BR></FONT></DIV>
<DIV><FONT size=3D2>&gt; Does anyone have a policy or procedure about =
phased=20
return to work<BR>&gt; following sickness absence or know of any =
research about=20
this subject. I<BR>&gt; am trying to gather information or evidence =
about what=20
other employers do.<BR>&gt; Is the employee paid for the shifts they do =
not work=20
or do they have to<BR>&gt; take annual leave to cover the days they are =
absent=20
from work.<BR>&gt; <BR>&gt; Any suggestions or information would be =
graefully=20
received.<BR>&gt; <BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove this =
footer=20
before replying.<BR>&gt; <BR>&gt; For list archives and documents, go =
to<BR>&gt;=20
</FONT><A href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT =

size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =
size=3D2>=20
for list archives<BR>&gt; <BR>&gt; For jobs in Occupational Health, go=20
to<BR>&gt; </FONT><A =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT =
color=3D#0000ff=20
size=3D2></FONT></U></DIV>
<DIV>&nbsp;</DIV>
<DIV><U><FONT color=3D#0000ff size=3D2><BR>---<BR>Outgoing mail is =
certified Virus=20
Free.<BR>Checked by AVG anti-virus system (<A=20
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.762 /=20
Virus Database: 510 - Release Date: =
13/09/2004</FONT></U></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0030_01C4A749.2A87F1A0--
=========================================================================
Date:         Fri, 1 Oct 2004 08:08:25 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jay Chapman <[log in to unmask]>
Subject:      Re: OH nurses and sick certification
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Morning all

The problem I have found with self certification is that HR in my
organisation tend not to believe the employee.  So for example, if they take
time off before a Bank Holiday they are not paid for that Bank Holiday not
even as sick time bearing in mind the 3 day waiting time.  Now I am not so
gullible as to think  every pre-Bank Holiday absence is genuine but many
are.

Then there is the question of signing the employee back to work.  Many GPs
having certified the employee as sick for 2 weeks say, refuse to give a fit
to work certificate as they apparently are under no obligation to do so.
This organisation will not allow employees back without this certificate.

Finally I have come across instances where the GP has refused to give a
certificate because (s)he has no understanding of the job the employee does
and is unable to judge their fitness or otherwise to do the work.  I have in
mind two recent cases, one of ring worm on the arms, the other of acute
conjunctivitis.  Both are conditions we cannot have in the factories as we
are a high care food processing organisation.  Had I been able to
certificate, it would not have been necessary to have the row that occurred
between the GP and myself and the ensuing problem the employee had getting
paid.

It's all very well saying the company should understand but many
organisations have rigid rules that are very difficult to sidestep.  It is
often a question of immovable objects and irresistible forces!

Jay
----- Original Message -----
From: "Lucy & Adrian" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, September 30, 2004 5:34 PM
Subject: Re: OH nurses and sick certification


> My concern about OH certification is that it will suddenly explode a
volume
> of work and OH time that the organisation is not used to paying for (GP
> certs and the GP time is currently free).
>
> Far more helpful would surely be an HR policy that asks employees (who are
> after all adults) to self certify and then apply robust procedures
depending
> on the nature of the absence, referring into OH when the colleague
expresses
> concerns about their health in relation to their ability to:
> - carry out their normal duties
> - attend work on a regular basis
> - attend the workplace due to immuno compromisation (or whatever the word
> is)
> or where HR or the employee are concerned that:
> - work may aggravate a pre-existing problem
> - the health problem may affect people or processes at work
>
> I have recently devised a checklist from our rehabilitation guidelines
that
> HR can use as a tool to discuss health related absence or performance
> problems with employees.  With training and support this works well and is
> considered to be fair and equitable by the local union reps.  We have not
> yet got rid of the requirement for GP certs, but I'm sure it will come.  I
> would be very interested to hear what other people think.
>
> Lucy
>
> ----- Original Message -----
> From: "Harrop, Chris" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Thursday, September 30, 2004 10:55 AM
> Subject: Re: OH nurses and sick certification
>
>
> > I think it would be a good idea to reply on-list. I am sure there would
be
> > many of us interested in the results.
> >
> >
> > Christine Harrop
> >
> > Occupational Health Nurse Manager
> > Kraft Foods (UK) Ltd
> > Banbury
> > Oxfordshire
> > OX16 2QU
> >
> > Tel No   01295 223311
> > Fax No   01295 223726
> > Page No  157
> >
> >
> >
> >
> > -----Original Message-----
> > From: Duncan Lovell [mailto:[log in to unmask]]
> > Sent: 30 September 2004 09:27
> > To: [log in to unmask]
> > Subject: Re: OH nurses and sick certification
> >
> >
> > I would be interested in any responses to this too. If anyone is
replying
> > off list could they cc it to me please? Thanks. Catriona
> > ----- Original Message -----
> > From: "Chloe Coleridge" <[log in to unmask]>
> > To: <[log in to unmask]>
> > Sent: Wednesday, September 29, 2004 5:16 PM
> > Subject: OH nurses and sick certification
> >
> >
> > > Hi
> > > Is anyone out there piloting OH sick certification. If so please could
> you
> > > contact me off/on list
> > >
> > > Many thanks
> > >
> > > Chloe
> > >
> > > ~~~~~~~~~~~~~~~
> > > Please remove this footer before replying.
> > >
> > > For list archives and documents, go to
> > > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> > >
> > > For jobs in Occupational Health, go to
> > > http://uk.groups.yahoo.com/group/OHJobs/
> >
> > ~~~~~~~~~~~~~~~
> > Please remove this footer before replying.
> >
> > For list archives and documents, go to
> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> > For jobs in Occupational Health, go to
> > http://uk.groups.yahoo.com/group/OHJobs/
> >
> > ~~~~~~~~~~~~~~~
> > Please remove this footer before replying.
> >
> > For list archives and documents, go to
> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> > For jobs in Occupational Health, go to
> > http://uk.groups.yahoo.com/group/OHJobs/
> >
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 1 Oct 2004 09:20:14 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         SBlair <[log in to unmask]>
Subject:      Re: Phased return to work
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

We have a phased return/rehab scheme. Each case is individually assessed for
hours worked and suitability to return to their employment or redeployed on
temp basis to another area. Generally reviewed weekly. These returns are
usually generated and managed from OH inconjunction with GP. The employee is
paid for the hours they work and Company sick pay for the hours they don't
work. Which means they don't loss any money (except lost time counts against
them in profit share) They do drop financially if they are no longer
entitled to Company sick pay which is related to length of service. We do
have a Trust who although will not make up Wages will help to a set amount
weekly. Plus the Union, if they are members, will give some financial
support.

-----Original Message-----
From: Angie Hickman [mailto:[log in to unmask]]
Sent: 30 September 2004 21:33
To: [log in to unmask]
Subject: Phased return to work


Does anyone have a policy or procedure about phased return to work
following sickness absence or know of any research about this subject. I
am trying to gather information or evidence about what other employers do.
Is the employee paid for the shifts they do not work or do they have to
take annual leave to cover the days they are absent from work.

Any suggestions or information would be graefully received.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


-----------------------------------------------------------------------
John Heathcoat and Company Ltd is registered in England No. 450787.
Registered Office: Westexe, Tiverton, Devon EX16 5LL.

This email is confidential and intended solely for the use of the
individual to whom it is addressed. Any views or opinions presented
are solely those of the author and do not necessarily represent those
of John Heathcoat and Company Ltd. If you are not the intended
recipient and have received this email in error, any use, dissemination,
forwarding, printing or copying of this email is strictly prohibited.
------------------------------------------------------------------------

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 1 Oct 2004 09:32:33 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         SBlair <[log in to unmask]>
Subject:      Re: employees problems with alcohol
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="--=_NextPart_ST_09_29_17_Friday_October_01_2004_13779"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

----=_NextPart_ST_09_29_17_Friday_October_01_2004_13779
Content-Type: text/plain;
        charset="iso-8859-1"

We have a Alcohol & Substance abuse policy.
It is difficult to answer your question without knowing the circumstances.
If an employee admits there is a problem he is referred to OH, we don't
Counsel but advise the employee to either see their GP or use the self
referral system to the local Insight team. If the referral has come to OH
from Personnel because there is a possible disciplinary issue, the employee
is requested to show OH evidence of attendance.

-----Original Message-----
From: Helen Hannar [mailto:[log in to unmask]]
Sent: 30 September 2004 14:53
To: [log in to unmask]
Subject: Re: employees problems with alcohol



Dear All,

Does anyone have a standard procedure that they sue if an employee suggests
that they MAY have a problem with alcohol. Currently a hot topic in one of
our sites, managers are very sceptic as the employee has changed their mind
3times about if they have / have not got a problem.

Do you provide counselling, refer to GP, encourage contact to AA etc. How do
you ensure that any advice that is given these organisations is followed, or
even if they are attending when they say they are attending. What support do
you provide personally within OH.

All replies gratefully received,

Helen Hannar








>



  _____

Whatever you Wanadoo <http://www.wanadoo.co.uk/time/>

This email has been checked for most known viruses - find out more here
<http://www.wanadoo.co.uk/help/id/7098.htm>  ~~~~~~~~~~~~~~~ Please remove
this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


-----------------------------------------------------------------------
John Heathcoat and Company Ltd is registered in England No. 450787.
Registered Office: Westexe, Tiverton, Devon EX16 5LL.

This email is confidential and intended solely for the use of the
individual to whom it is addressed. Any views or opinions presented
are solely those of the author and do not necessarily represent those
of John Heathcoat and Company Ltd. If you are not the intended
recipient and have received this email in error, any use, dissemination,
forwarding, printing or copying of this email is strictly prohibited.
------------------------------------------------------------------------

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

----=_NextPart_ST_09_29_17_Friday_October_01_2004_13779
Content-Type: text/html;
        charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 5.00.2919.6307" name=GENERATOR></HEAD>
<BODY>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN class=370463508-01102004>We
have a Alcohol &amp; Substance abuse policy.</SPAN></FONT></DIV>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN class=370463508-01102004>It is
difficult to answer your question without knowing the circumstances. If an
employee admits there is a problem he is referred to OH, we don't Counsel but
advise the employee to either see their GP or use the self referral system to
the local Insight team. If the referral has come to OH from Personnel because
there is a possible disciplinary issue, the employee is requested to show OH
evidence of attendance.&nbsp; </SPAN></FONT></DIV>
<BLOCKQUOTE style="MARGIN-RIGHT: 0px">
  <DIV align=left class=OutlookMessageHeader dir=ltr><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> Helen Hannar
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 30 September 2004
  14:53<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: employees
  problems with alcohol<BR><BR></DIV></FONT>
  <P>Dear All,</P>
  <P>Does anyone have a standard procedure that they sue if an employee suggests
  that they MAY have a problem with alcohol. Currently a hot topic in one of our
  sites, managers are very sceptic as the employee has changed their mind 3times
  about if they have / have not got a problem.</P>
  <P>Do you provide counselling, refer to GP, encourage contact to AA etc. How
  do you ensure that any advice that is given these organisations is followed,
  or even if they are attending when they say they are attending. What support
  do you provide personally within OH.</P>
  <P>All replies gratefully received,</P>
  <P>Helen Hannar</P>
  <P><BR><BR><BR><BR><BR>&nbsp;</P>
  <BLOCKQUOTE
  style="BORDER-LEFT: #ff0000 2px solid; MARGIN-LEFT: 5px; PADDING-LEFT: 5px">&gt;</BLOCKQUOTE><BR><BR>
  <HR SIZE=1>
  Whatever you <A href="http://www.wanadoo.co.uk/time/"
  target=_blank>Wanadoo</A><BR><BR>This email has been checked for most known
  viruses - find out more <A href="http://www.wanadoo.co.uk/help/id/7098.htm"
  target=_blank>here</A> ~~~~~~~~~~~~~~~ Please remove this footer before
  replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE><br><br>-----------------------------------------------------------------------<br>John Heathcoat and Company Ltd is registered in England No. 450787.<br>Registered Office: Westexe, Tiverton, Devon EX16 5LL.<br><br>This email is confidential and intended solely for the use of the <br>individual to whom it is addressed. Any views or opinions presented<br>are solely those of the author and do not necessarily represent those<br>of John Heathcoat and Company Ltd. If you are not the intended <br>recipient and have received this email in error, any use, dissemination,<br>forwarding, printing or copying of this email is strictly prohibited.<br>------------------------------------------------------------------------<br></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

----=_NextPart_ST_09_29_17_Friday_October_01_2004_13779--
=========================================================================
Date:         Fri, 1 Oct 2004 11:58:41 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Duncan Abbott <[log in to unmask]>
Subject:      Getting to grips with ergonomic methodology and tools
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

A quick announcement - after all it is October 1st 2004!

Two courses that may be of interest to OH professionals and are related to
discussions of recent times are::

1. Using ergonomic tools and methods
The course covers a number of ergonomic methods when examining posture.
These being  PLIBEL (identifying ergonomic hazards), NIOSH MSD survey, The
Power Zone, DMQ (Dutch MSD), QEC (Quick Exposure Check), REBA and RULA,
Strain Index, using PDA's checklists to check posture (US Army),
observation, verbal protocol analysis, applied cognitive work analysis
(ACWA) and Mental Workload..

The course is suitable for those interested in using new tools to examine,
monitor and record working postures.

1 day 3rd November 2004

2. Undertaking personal risk assessments for disabled workers
A course designed for those that are required to undertake risk assessments
for disabled workers. The course offers a framework by which to look at
disability (sesory, physical and cognitive) and offers a number of
approaches that a risk assessor can utilise. By working through case
studies, the risk assessor  will gain a good understanding of how to make
reasonable adjustments and the type of equipment that is available to help
them achieve this.

1 day 28th October 2004

For further details please contact

Duncan Abbott
Ergonomist@enricosmog
enricoSmog ergonomic pratitioners
21 Tisbury Row
Salisbury
Wilts
SP3 6RZ

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 1 Oct 2004 16:12:54 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Helen Hannar <[log in to unmask]>
Subject:      Re: Phased return to work
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_142984_13286284.1096639974858"

------=_Part_142984_13286284.1096639974858
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

The company that I contract to has full sick pay for employees for 12months.
They are keen on phased Return to work plans as well as gradully increasing duties, and the employee is paid for the time they work, and sick pay for the hours not worked.
It impacts as 'lost time' on the end of year bonus, but less so that being absent full time.
A previous company without such a generous sick pay term paid for time worked and SSP for the rest, I beleive.
If someone is on full time hours, but not full duties or restrictions, they are not allowed to work overtime as this is seen as a 'perk'.



> Message date : Sep 30 2004, 09:33 PM
> From : "Angie Hickman"
> To : [log in to unmask]
> Copy to :
> Subject : Phased return to work
> Does anyone have a policy or procedure about phased return to work
> following sickness absence or know of any research about this subject. I
> am trying to gather information or evidence about what other employers do.
> Is the employee paid for the shifts they do not work or do they have to
> take annual leave to cover the days they are absent from work.
>
> Any suggestions or information would be graefully received.
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>



Helen Hannar
OH Advisor

OHServices (NE).
Tel:- 01388 777962
Mob:- 07950 154541
Fax:- 01388 777962

--

Whatever you Wanadoo:
http://www.wanadoo.co.uk/time/

This email has been checked for most known viruses - find out more at: http://www.wanadoo.co.uk/help/id/7098.htm

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_142984_13286284.1096639974858
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<P>The company that I&nbsp;contract to&nbsp;has full sick pay for employees=
 for 12months.</P>
<P>They are keen on phased Return to work plans as well as gradully increas=
ing duties, and the employee is paid for the time they work, and sick pay f=
or the hours not worked.</P>
<P>It impacts as 'lost time' on the end of year bonus, but less so that bei=
ng absent full time.</P>
<P>A previous company without such a generous sick pay term paid for time w=
orked and SSP for the rest, I beleive. </P>
<P>If someone is on full time hours, but not full duties or restrictions, t=
hey are not allowed to work overtime as this is seen as a 'perk'.&nbsp;<BR>=
<BR><BR></P>
<BLOCKQUOTE style=3D"PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #ff0=
000 2px solid">&gt; Message date : Sep 30 2004, 09:33 PM<BR>&gt; From : "An=
gie Hickman" <[log in to unmask]><BR>&gt; To : [log in to unmask]
.UK<BR>&gt; Copy to : <BR>&gt; Subject : Phased return to work<BR>&gt; Does=
 anyone have a policy or procedure about phased return to work<BR>&gt; foll=
owing sickness absence or know of any research about this subject. I<BR>&gt=
; am trying to gather information or evidence about what other employers do=
.<BR>&gt; Is the employee paid for the shifts they do not work or do they h=
ave to<BR>&gt; take annual leave to cover the days they are absent from wor=
k.<BR>&gt; <BR>&gt; Any suggestions or information would be graefully recei=
ved.<BR>&gt; <BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove this footer bef=
ore replying.<BR>&gt; <BR>&gt; For list archives and documents, go to<BR>&g=
t; http://www.jiscmail.ac.uk/lists/occ-health.html for list archives<BR>&gt=
; <BR>&gt; For jobs in Occupational Health, go to<BR>&gt; http://uk.groups.=
yahoo.com/group/OHJobs/<BR>&gt; </BLOCKQUOTE>
<P><BR><BR></P>
<P><STRONG>Helen Hannar <BR>OH Advisor <BR><BR>OHServices (NE). <BR>Tel:- 0=
1388 777962 <BR>Mob:- 07950 154541 <BR>Fax:- 01388 777962</STRONG></P><BR><=
BR><hr size=3D"1">Whatever you <a href=3D"http://www.wanadoo.co.uk/time/" t=
arget=3D"_blank">Wanadoo</a><br><br>This email has been checked for most kn=
own viruses - find out more <a href=3D"http://www.wanadoo.co.uk/help/id/709=
8.htm" target=3D"_blank">here</a>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_142984_13286284.1096639974858--
=========================================================================
Date:         Sat, 2 Oct 2004 07:02:07 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      OHN and Sick certificates
Mime-Version: 1.0
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<html><div style=3D'background-color:'><DIV class=3DRTE>Dear all </DIV>
<DIV></DIV>
<P>The following website has informaton on SSP </P>
<DIV></DIV>
<DIV></DIV>http://www.inlandrevenue.gov.uk/employers/employee_sick.htm#6a=
=20
<DIV></DIV>
<DIV></DIV>
<P>And from it the current criteria for evidence: </P>
<DIV></DIV>
<DIV></DIV><STRONG>When and what medical evidence should your employee gi=
ve you? </STRONG>
<DIV></DIV><STRONG>Terms and conditions 5 </STRONG>
<DIV></DIV>
<DIV><STRONG></STRONG></DIV><STRONG>Firstly, you will need to tell your e=
mployees what you want them to produce as evidence of incapacity. Remembe=
r, this is not the same as notifying you that they are sick and you canno=
t withold SSP for late receipt of medical evidence, only late notificatio=
n. Therefore, notification given on one Monday should normally be renewed=
 by the next Monday. </STRONG>
<DIV></DIV>
<DIV><STRONG></STRONG></DIV><STRONG>You can ask for reasonable evidence o=
f incapacity but you cannot ask for a doctor=92s statement for the first =
seven days of a spell of sickness. A doctors statement is strong evidence=
 of incapacity and should usually be accepted as conclusive unless there =
is evidence to the contrary. </STRONG>
<DIV></DIV>
<DIV><STRONG></STRONG></DIV><STRONG>In addition, you may find that your e=
mployee gives you certificates from someone who is not a registered medic=
al practitioner, such as </STRONG>
<DIV></DIV>
<DIV><STRONG></STRONG></DIV><STRONG>Osteopaths </STRONG>
<DIV></DIV><STRONG>Chiropractors </STRONG>
<DIV></DIV><STRONG>Christian scientists </STRONG>
<DIV></DIV><STRONG>Herbalists </STRONG>
<DIV></DIV><STRONG>Acupuncturists </STRONG>
<DIV></DIV><STRONG>Consider such certificates on their merits. </STRONG>
<DIV></DIV>
<DIV>&nbsp;</DIV>
<DIV>thus for the nurse working in the food handling situation, it should=
 be possible for a firm's own qualified OHA to state that the employee is=
 unfit for work, even if the GP will not. I have had my opinion accepted =
by the HR department on such matters occasionally in the past.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Best wishes,</DIV>
<DIV>Diane</DIV></div><br clear=3Dall><hr>Fed up of receiving junk e-mail=
? Find out how to deal with  <a href=3D"http://g.msn.com/8HMAENUK/2746??P=
S=3D47575" target=3D"_top">spam here.</a> </html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sat, 2 Oct 2004 09:42:06 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Clare McArdell <[log in to unmask]>
Subject:      Options for change job descriptions

Hi Everyone

My senior OHA has just had his job description returned to him saying it is
not adequate for Options for change, he's concerned that mine too may be
returned shortly, and with me about to go on maternity leave, we need to
get these up to date. Being in Guernsey means we are a little isolated
other than these sort of lists, and haven't really been given any guidance
on the best way to proceed in writing these job descriptions.

I would very much apprechiate if anyone has job descriptions that they
would be willing to share, under options for change.
For G Grade, and H Grade both Occupational Health Specialist Practitioners,
and also for E grade and F Grade Occupational Health Nurses, in readiness
for expanding the OH Service at a later date.

They can either email me off list on [log in to unmask] or Fax : 01481
700105.

In anticipation many thanks.

Clare

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sat, 2 Oct 2004 14:36:17 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Options for change job descriptions
MIME-Version: 1.0
Content-Type: text/plain; charset="Windows-1252"
Content-Transfer-Encoding: 7bit

Clare
Do you mean 'Agenda for Change' or is it different in Guernsey? If it is A4C
and you are an RCN member you can go to the RCN website and log in as a
member - there is an A4C section where there is a section there that helps
you step by step to develop and write your job description. You may find
this useful with writing your own and others in your department job
description.

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027



----- Original Message -----
From: "Clare McArdell" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Saturday, October 02, 2004 9:42 AM
Subject: Options for change job descriptions


> Hi Everyone
>
> My senior OHA has just had his job description returned to him saying it
is
> not adequate for Options for change, he's concerned that mine too may be
> returned shortly, and with me about to go on maternity leave, we need to
> get these up to date. Being in Guernsey means we are a little isolated
> other than these sort of lists, and haven't really been given any guidance
> on the best way to proceed in writing these job descriptions.
>
> I would very much apprechiate if anyone has job descriptions that they
> would be willing to share, under options for change.
> For G Grade, and H Grade both Occupational Health Specialist
Practitioners,
> and also for E grade and F Grade Occupational Health Nurses, in readiness
> for expanding the OH Service at a later date.
>
> They can either email me off list on [log in to unmask] or Fax : 01481
> 700105.
>
> In anticipation many thanks.
>
> Clare
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.762 / Virus Database: 510 - Release Date: 13/09/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sun, 3 Oct 2004 17:31:29 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         jacqui livock <[log in to unmask]>
Subject:      Re: employees problems with alcohol
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative; boundary="0-1173021999-1096821089=:24091"
Content-Transfer-Encoding: 8bit

--0-1173021999-1096821089=:24091
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

Hi Helen

we too have an alcohol and substance abuse policy.basically if the person admits they have an issue then they are supported by their manager/HR. The policy includes details of contacts locally and nationally, we also have an employee assistance programme for the individual to contact.
If their role involves operating/woring near machinery then this is excluded until such a time as they have gained control of their issue.

OH are involved if a manager feels either they or the individual needs advice re: withdrawal symptoms etc.
Each individual is expected to see their GP within one week for help with withdrawal symptoms.

The individual is not expected to stop use instantly.

HR and managers draw up 'boundaries' outside which the disciplinary process is activated.The attendance at support agencies is voluntary however one manager has included attendance within the 'boundaries' for an individual who had lapsed on more than three occasions within one month.

Managers also insist that if the person is unfit for work due to their 'addiction' they are honest about this as a cause of their absence (it is not 'penalised' under the absence management policy) and it is seen as a positive step that they are acknowledging that their addiction is affecting work and most individuals work the time back.

Because it is 'acceptable' to ring in sick/late because of a 'fall off the wagon' this has so far encouraged honesty and trust between manager/employee. the health and safety aspect of the influence of alcohol on the individual at work is also managed in this way.


this supportive management technique has so far proved very successful for the individauls have admitted a problem. I have seen most of them if only to offer advice on what to expect during withdrawal and identifying lifestyle issues which increase the exposure to alcohol etc.
the individuals are grateful that someone is helping them and they recognise that they will lose their job if they do not address their habit.
the managers are happy because the individual is now 'fit' when they attend work.

this may seem like a 'softly' approach but the individuals i know who have lost their job because of their addiction have all spoken favourably of the compnay in its support and recognise their actions were the cause of their unemployment and not a 'heartless' company.

Incidentally we do not have a testing policy.
hope this helps
jacqui


---------------------------------
 ALL-NEW Yahoo! Messenger - all new features - even more fun!

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-1173021999-1096821089=:24091
Content-Type: text/html; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

<DIV>Hi Helen</DIV>
<DIV>&nbsp;</DIV>
<DIV>we too have an alcohol and substance abuse policy.basically if the person admits they have an issue then they are supported by their manager/HR. The policy includes details of contacts locally and nationally, we also have an employee assistance programme for the individual to contact. </DIV>
<DIV>If their role involves operating/woring near&nbsp;machinery then this is excluded until such a time as they have gained control of their issue.</DIV>
<DIV>&nbsp;</DIV>
<DIV>OH are involved if a manager feels either they or the&nbsp;individual needs advice re: withdrawal symptoms etc.</DIV>
<DIV>Each individual is expected to see their GP within one week for help with withdrawal symptoms.</DIV>
<DIV>&nbsp;</DIV>
<DIV>The individual is not expected to stop use instantly.</DIV>
<DIV>&nbsp;</DIV>
<DIV>HR and managers draw up 'boundaries' outside which the disciplinary process is activated.The attendance at support agencies is voluntary however one manager has included attendance within the 'boundaries' for an individual who had lapsed on more than three occasions within one month.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Managers also insist that if the person is unfit for work due to their 'addiction'&nbsp;they are honest about this as a cause of their absence (it is not 'penalised' under the absence management policy) and&nbsp;it is seen as a positive step that they are acknowledging that their addiction is affecting work and most individuals work the time back.</DIV>
<DIV>&nbsp;</DIV>
<DIV>
<DIV>Because it is 'acceptable' to ring in sick/late because of a 'fall off the wagon' this has so far encouraged honesty and trust between manager/employee. the health and safety aspect of the influence of alcohol on the individual at work is also managed in this way.</DIV></DIV>
<DIV>&nbsp;</DIV>
<DIV>this supportive management technique has so far proved very successful&nbsp;for the individauls have admitted a problem.&nbsp;I have seen most of them if only to offer advice on what to expect during withdrawal and identifying lifestyle issues which increase the exposure to alcohol etc.</DIV>
<DIV>the individuals are grateful that someone is helping them and they recognise that they will lose their job if they do not address their habit.</DIV>
<DIV>the managers are happy because the individual is now 'fit' when they attend work.</DIV>
<DIV>&nbsp;</DIV>
<DIV>this may seem like a 'softly' approach but the individuals i know who have lost their job because of their addiction have all spoken favourably of the compnay in its support and recognise their actions were the cause of their unemployment and not a 'heartless' company.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Incidentally we do not have a testing policy. </DIV>
<DIV>hope this helps</DIV>
<DIV>jacqui</DIV><p>
                <hr size=1> <font size="2" face="Verdana, Arial, Helvetica, sans-serif"><a href="http://uk.rd.yahoo.com/evt=21626/*http://uk.messenger.yahoo.com"><strong><font face="Arial, Helvetica, sans-serif">ALL-NEW
Yahoo! Messenger</font></strong></a><font face="Arial, Helvetica, sans-serif"><strong>
- all new features - even more fun!</strong></font><strong><font color="#FF9900">
</font></strong></font>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-1173021999-1096821089=:24091--
=========================================================================
Date:         Sun, 3 Oct 2004 19:22:47 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Catherine Cross <[log in to unmask]>
Subject:      Re: OH nurses and sick certification
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_68537_29758752.1096824167335"

------=_Part_68537_29758752.1096824167335
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

Hello Chloe (and All)
I'm hoping to be involved in the Government GP Pilot scheme, was to be October leading to January and probably not at all now!
My main problem is lack of OH personnel both clerical, medical and OH related professionals. I have been assured by the people running the scheme I will get support and training, and perhaps even access to increased physio for example.  A senior-ish HR manager has not discussed it with his managers or unions yet and when I spoke to the safety officer (whose job may increase due to risk assessments) I get told off!  Needless to say I have liaised with the people I think should know.
Unfortunately I think my biggest problem will be the lack of alternate jobs as the work is physical in nature and managers are already 'fed up' with me putting people on temporary restrictions.  It is an area that needs to be addressed regardless of the pilot study.  The HR manager has yet to decide what to do with people where an alternative job cannot be found and is trying to get me to say they are not fit to work so they go on sickness pay rather than usual pay and have to stay at home.  Management have to agree to a strategy for employees that refuse to phone, have no access to phone, to ill to come in, or do not want to pay for a taxi as they usually come in on works transport.  Unions are concerned about people who have long term illnesses or after major surgery and are worried that GP's and Consultants will be ignoree/not liaised with.  There are still a lot of things to sort out.  I must be mad!
Anyone from York City Council, Leceistershire Fire Service or Peugeot PSA?  I believe these may have started it already.
If I do start will let you know.  Chloe feel free to contact me off line, but saying this last time I said this to someone on the list unable to contact them!
Cate




========================================
Message date : Oct 01 2004, 08:15 AM
From : "Jay Chapman"

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sun, 3 Oct 2004 19:34:24 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Catherine Cross <[log in to unmask]>
Subject:      Re: OH nurses and sick certification
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_68701_32965223.1096824864585"

------=_Part_68701_32965223.1096824864585
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

Hello Jane
Like you, I think this is the way that OH will be going in the future.  I've recently had a domestic assistant off for near enough 3 months.  (Daughter in the Navy, Grandchildren at home, it was the school summer holidays, even bought the whole family along to one of her appointments! - just building a picture).
GP diagnosed frozen shoulder, the Physiotherapist disagreed totally and to put it mildy she was wasting our time.  Tried to get her back into work on temporary restricted duties and she failed to turn up to see myself or the physio on several occasions and then mowed the back lawn and strained her shoulder!  Was hoping to get her back sooner by writing to her GP and hopefully tomorrow she will be back on restricted hours, advised by the GP.
List please disagree with me or advise, as I'm still learning....
Cate





========================================
Message date : Sep 30 2004, 08:22 PM
From : "Jane Fairburn"

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sun, 3 Oct 2004 15:55:07 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jean Piernicki <[log in to unmask]>
Subject:      Re: OH nurses and sick certification
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1096833307"

-------------------------------1096833307
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Dear Cate
I think we are always back to the thorny issues of GP's being the patients
advocate and understanding their patients need to be at home and being prepared
 to sign them off when they are not actually ill.
We had a similar case where a cleaner said she had injured her thumb by
banging a key into a cupboard on repeated occaisions.
No report made of problem with cupboard, no accident/incident form  completed.
Signed off by GP - 4weeks.
 Had her seen by OHP and then by physio both unable to find anything  wrong.
Another 4 week cert arrived. OHP wrote to her GP requesting a diagnosis and
also plan for treatment/referral. Another 4 week cert.
OHP phoned the GP expressing concern and GP told OHP to mind their own
business and if he chose to sign off his patient he would. No he wasn't sending
her to a hand specialist etc.but signed her off for a further 4 weeks!
Cleaner dismissed on grounds of capability but resigned - suspicion of
having alternative employment the whole time.
I guess the only option is firm HR and sickness absence policy and clear
following of it. Will OH departments be the answer to it all? Porbably not but I
am certain the current system doesn't work either. At least those who do want
ot  return to work would have a better chance of being offered appropriate
work/  light duties or being kept at home if no alternative work was available.
This must be what makes our work so interesting and amusing!
Best wishes
Jean

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1096833307
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY:=20=
Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3DArial color=3D#000000 size=3D2>
<DIV>Dear Cate</DIV>
<DIV>I think we are always back to the thorny issues of GP's being the patie=
nts=20
advocate and understanding their patients need to be at home and being prepa=
red=20
to sign them off when they are not actually ill.</DIV>
<DIV>We had a similar case where a cleaner said she had injured her thumb by=
=20
banging a key into a cupboard on repeated occaisions. </DIV>
<DIV>No report made of problem with cupboard, no accident/incident form=20
completed.</DIV>
<DIV>Signed off by GP - 4weeks.</DIV>
<DIV>&nbsp;Had her seen by OHP and then by physio both unable to find anythi=
ng=20
wrong.</DIV>
<DIV>Another 4 week cert arrived. OHP wrote to her GP requesting a diagnosis=
 and=20
also plan for treatment/referral. Another 4 week cert.</DIV>
<DIV>OHP phoned the GP expressing concern and GP told OHP to mind their own=20
business and if he chose to sign off his patient he would. No he wasn't send=
ing=20
her to a hand specialist etc.but signed her off for a further 4 weeks!</DIV>
<DIV>Cleaner dismissed on grounds of capability but resigned - suspicion of=20
having alternative employment the whole time.</DIV>
<DIV>I guess the only option is firm HR and sickness absence policy and clea=
r=20
following of it. Will OH departments be the answer to it all? Porbably not b=
ut I=20
am certain the current system doesn't work either. At least those who do wan=
t ot=20
return to work would have a better chance of being offered appropriate work/=
=20
light duties or being kept at home if no alternative work was available.</DI=
V>
<DIV>This must be what makes our work so interesting and amusing!</DIV>
<DIV>Best wishes</DIV>
<DIV>Jean</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1096833307--
=========================================================================
Date:         Mon, 4 Oct 2004 01:00:59 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Angie Miles <[log in to unmask]>
Subject:      Angie Miles/National Britannia is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=iso-8859-1
Content-transfer-encoding: quoted-printable

I will be out of the office starting  01/10/2004 and will not return un=
til
11/10/2004.

I will be out of the office between these dates but will respond to you=
r
message when I return. If you have an URGENT query then please contact =
Ann
Wilson on 0771 866 1599. Thank you.


This transmission has been issued for the  information of the addressee=

only and contains information which is  confidential.=A0 Accordingly, i=
t
should not be altered in any way or copied  or otherwise reproduced in =
any
form, nor should its existence or contents be  disclosed to any other
person.=A0 If you are not the  intended recipient of this transmission =
or any
attachment, please reply  immediately.
=

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 4 Oct 2004 08:14:44 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Phased return to work
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

I have been arranging "rehabilitation programmes" for many years now and the
actual programme itself varies depending on the reason for sickness absence,
type of job returning to etc etc. My experience with this and other
employers is that the employee continues on normal full salary during rehab
and the days not worked are not counted as either sick or annual leave. I
prepare the full programme before they return to work and then whilst on
rehab, the employee is seen by me at the beginning of every week to assess
progress (or not, as the case may be) At this stage, the times etc can be
changed - i.e. if the emloyee is not coping as well as expected we may not
increase hours on that particular week.  On average, a rehab programme last
for about 6 weeks although some are shorter and some longer.  I have found
these programmes to be extremely beneficial and will enable the employee to
return to work sooner than they otherwise might.
Hope this helps.
Lynda

-----Original Message-----
From: Angie Hickman [mailto:[log in to unmask]]
Sent: Thursday, September 30, 2004 9:33 PM
To: [log in to unmask]
Subject: Phased return to work


Does anyone have a policy or procedure about phased return to work
following sickness absence or know of any research about this subject. I
am trying to gather information or evidence about what other employers do.
Is the employee paid for the shifts they do not work or do they have to
take annual leave to cover the days they are absent from work.

Any suggestions or information would be graefully received.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 4 Oct 2004 10:39:39 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sara Werry <[log in to unmask]>
Subject:      Re: Phased return to work
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Dear All

A few things I have picked up along the way which seem to help employees
get back to work earlier and phased return/rehabilitative programs
accepted by management/HR.

Discussing an informal workplace visit with the employee before the
return to work date and request that they arrange it. This is usually
really helpful for staff who have been off work with mental health
issues although has been beneficial for others. It automatically gives
the member of staff a sense of empowerment and control and is a good
first step to help them regain some confidence and self esteem in the
workplace again.

In terms of rehabilitation/phased returns, getting a feel from
management initially as to how supportive they are and what lengths they
are prepared to go to support this  individual in a phased return, this
will give guidance to the OH professional on how perhaps to get the best
outcomes for all concerned and also wording of reports etc.

All the best
Sara



Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579


-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 04 October 2004 08:15
To: [log in to unmask]
Subject: Re: Phased return to work


I have been arranging "rehabilitation programmes" for many years now and
the actual programme itself varies depending on the reason for sickness
absence, type of job returning to etc etc. My experience with this and
other employers is that the employee continues on normal full salary
during rehab and the days not worked are not counted as either sick or
annual leave. I prepare the full programme before they return to work
and then whilst on rehab, the employee is seen by me at the beginning of
every week to assess progress (or not, as the case may be) At this
stage, the times etc can be changed - i.e. if the emloyee is not coping
as well as expected we may not increase hours on that particular week.
On average, a rehab programme last for about 6 weeks although some are
shorter and some longer.  I have found these programmes to be extremely
beneficial and will enable the employee to return to work sooner than
they otherwise might. Hope this helps. Lynda

-----Original Message-----
From: Angie Hickman [mailto:[log in to unmask]]
Sent: Thursday, September 30, 2004 9:33 PM
To: [log in to unmask]
Subject: Phased return to work


Does anyone have a policy or procedure about phased return to work
following sickness absence or know of any research about this subject. I
am trying to gather information or evidence about what other employers
do. Is the employee paid for the shifts they do not work or do they have
to take annual leave to cover the days they are absent from work.

Any suggestions or information would be graefully received.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 4 Oct 2004 10:43:00 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         joan Twigger <[log in to unmask]>
Subject:      Re: Phased return to work
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII

Angie ,

I have a policy which I can send you of line ,our employees are paid at
their managers discretion depending on how long they have been away .Up to
12 weeks all employees would be paid full sick pay anyway so we see that as
an extension of their sick pay others with 5 years service are entitled to
26 weeks so they are paid.( We try to return everyone before 12 weeks ).
If the absence is longer and holidays are built up then the manger and
employee negotiate using some or all of these  days as part of the
re-introduction process.Holidays can not be held over to the next year nor
is there the option of working them and being paid so it makes sense to use
the days this way. So far our success rate is excellent.

Joan Twigger
Occupational Health Advisor
3M Healthcare Limited
Tel:  01509 613720
Fax:  01509 613065
e-mail [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 4 Oct 2004 17:12:56 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Kim Scaysbrook <[log in to unmask]>
Subject:      Egg Products Regulations
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1096924376"

-------------------------------1096924376
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Dear all,

According to the Egg Products Regs, anyone working with egg products (raw
egg or anything containing egg eg mayonnaise), has to have annual certification.
 But it doesn't state what I am certifying them for or any standards/criteria
to  meet.

Have any of you come across this before or can point me in any direction.
There is nothing in the DOH Food Handlers guidance so...


Thanks

Kim

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1096924376
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY:=20=
Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3DArial color=3D#000000 size=3D2>
<DIV>Dear all,</DIV>
<DIV>&nbsp;</DIV>
<DIV>According to the Egg Products Regs, anyone working with egg products (r=
aw=20
egg or anything containing egg eg mayonnaise), has to have annual certificat=
ion.=20
But it doesn't state what I am certifying them for or any standards/criteria=
 to=20
meet.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Have any of you come across this before or can point me in any directio=
n.=20
There is nothing in the DOH Food Handlers guidance so...</DIV>
<DIV>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV>Thanks</DIV>
<DIV>&nbsp;</DIV>
<DIV>Kim</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1096924376--
=========================================================================
Date:         Mon, 4 Oct 2004 17:17:07 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Kim Scaysbrook <[log in to unmask]>
Subject:      Meat Handlers Certificate
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1096924627"

-------------------------------1096924627
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Another question for you all. Following on from my last message about  Egg...

How about certification for meat handlers. THe DOH guidance does mention
this one - 'there is/is not any impediment to working with meat' on the
certificate and signed by an OHA or Dr.

Again there is nothing to say what to screen them for. I'm presuming (I  know
we shouldn't) that there must be something else besides a 'standard' food
handlers screen or there wouldn't be specific mention of it but again I'm at a
loss.


THanks

Kim

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1096924627
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY:=20=
Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3DArial color=3D#000000 size=3D2>
<DIV>Another question for you all. Following on from my last message about=20
Egg...</DIV>
<DIV>&nbsp;</DIV>
<DIV>How about certification for meat handlers. THe DOH guidance does mentio=
n=20
this one - 'there is/is not any impediment to working with meat' on the=20
certificate and signed by an OHA or Dr.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Again there is nothing to say what to screen them for. I'm presuming (I=
=20
know we shouldn't) that there must be something else besides a 'standard' fo=
od=20
handlers screen or there wouldn't be specific mention of it but again I'm at=
 a=20
loss.</DIV>
<DIV>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV>THanks</DIV>
<DIV>&nbsp;</DIV>
<DIV>Kim</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1096924627--
=========================================================================
Date:         Tue, 5 Oct 2004 07:19:31 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      meat handlers
Mime-Version: 1.0
Content-Type: text/html

<html><div style='background-color:'><DIV class=RTE>My out of date edition of </DIV>
<DIV class=RTE>"Fitnes for work, the medical aspects" has something in on meat handlers. I wont quote it as it is out of date , but someone with a new vol might be able to help...</DIV>
<DIV class=RTE>&nbsp;</DIV>
<DIV class=RTE>You could also try your local Environmental health officer or the Food standards agency..</DIV>
<DIV class=RTE>BW</DIV>
<DIV class=RTE>&nbsp;Diane</DIV></div><br clear=all><hr>Faster than e-mail, more discreet than a phone call and best of all it's free -  <a href="http://g.msn.com/8HMBENUK/2743??PS=47575" target="_top">download MSN Messenger </a> today!</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 5 Oct 2004 09:30:03 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         SBlair <[log in to unmask]>
Subject:      Re: Meat Handlers Certificate
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="--=_NextPart_ST_09_26_26_Tuesday_October_05_2004_27692"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

----=_NextPart_ST_09_26_26_Tuesday_October_05_2004_27692
Content-Type: text/plain;
        charset="iso-8859-1"

Department of Health Guidance 1995 is the latest document I believe
(Guidance for Food Businesses, Enforcement Officers and Health
Professionals. I would think this is available through TSO. (I am afraid
mine is a photocopy)

The DOH suggest that before a certificate is given the handler should be
asked by the person issueing that certificate if they have any history of :

Suffering from or suspected suffering from:

Salmonellosis, dysentry, infective hepatis, scarlet fever, or whether they
are carriers,
Infectious TB
Infectious skin disease
Anyone who is at the same time engaged in an activity through which harmful
micro organisms are likely to be transmitted in meat or meat products
Who have bandage on hands or forearms except for a waterproof dressing
protecting a non infected wound.
They should be asked whether  they have had D or V lasting more than 24hrs
in last three months or been incantact with anyone in last three months. If
there is a positve answer referral to GP  to organise any investigation
which may be necessary.

Hope this is helpful.  Sian

-----Original Message-----
From: Kim Scaysbrook [mailto:[log in to unmask]]
Sent: 04 October 2004 22:17
To: [log in to unmask]
Subject: Meat Handlers Certificate



Another question for you all. Following on from my last message about Egg...

How about certification for meat handlers. THe DOH guidance does mention
this one - 'there is/is not any impediment to working with meat' on the
certificate and signed by an OHA or Dr.

Again there is nothing to say what to screen them for. I'm presuming (I know
we shouldn't) that there must be something else besides a 'standard' food
handlers screen or there wouldn't be specific mention of it but again I'm at
a loss.


THanks

Kim
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


-----------------------------------------------------------------------
John Heathcoat and Company Ltd is registered in England No. 450787.
Registered Office: Westexe, Tiverton, Devon EX16 5LL.

This email is confidential and intended solely for the use of the
individual to whom it is addressed. Any views or opinions presented
are solely those of the author and do not necessarily represent those
of John Heathcoat and Company Ltd. If you are not the intended
recipient and have received this email in error, any use, dissemination,
forwarding, printing or copying of this email is strictly prohibited.
------------------------------------------------------------------------

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

----=_NextPart_ST_09_26_26_Tuesday_October_05_2004_27692
Content-Type: text/html;
        charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 5.00.2919.6307" name=GENERATOR></HEAD>
<BODY bottomMargin=7 id=role_body leftMargin=7 rightMargin=7
style="COLOR: #000000; FONT-FAMILY: Arial; FONT-SIZE: 10pt" topMargin=7>
<DIV><SPAN class=890062708-05102004>Department of Health Guidance 1995 is the
latest document I believe (Guidance for Food Businesses, Enforcement Officers
and Health Professionals. I would think this is available through TSO. (I am
afraid mine is a photocopy)</SPAN></DIV>
<DIV><SPAN class=890062708-05102004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=890062708-05102004>The DOH suggest that before a certificate is
given the handler should be asked by the person issueing that certificate if
they have any history of :</SPAN></DIV>
<DIV><SPAN class=890062708-05102004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=890062708-05102004>Suffering from or suspected suffering
from:</SPAN></DIV>
<DIV><SPAN class=890062708-05102004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=890062708-05102004>Salmonellosis, dysentry, infective hepatis,
scarlet fever, or whether they are carriers,</SPAN></DIV>
<DIV><SPAN class=890062708-05102004>Infectious TB</SPAN></DIV>
<DIV><SPAN class=890062708-05102004>Infectious skin disease</SPAN></DIV>
<DIV><SPAN class=890062708-05102004>Anyone who is at the same time engaged in an
activity through which harmful micro organisms are likely to be transmitted in
meat or meat products</SPAN></DIV>
<DIV><SPAN class=890062708-05102004>Who have bandage on hands or forearms except
for a waterproof dressing protecting a non infected wound.</SPAN></DIV>
<DIV><SPAN class=890062708-05102004>They should be asked whether&nbsp; they have
had D or V lasting more than 24hrs in last three months or been incantact with
anyone in last three months. If there is a positve answer referral to GP&nbsp;
to organise any investigation which may be necessary.</SPAN></DIV>
<DIV><SPAN class=890062708-05102004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=890062708-05102004>Hope this is helpful.&nbsp;
Sian</SPAN></DIV>
<BLOCKQUOTE style="MARGIN-RIGHT: 0px">
  <DIV align=left class=OutlookMessageHeader dir=ltr><FONT
  face=Tahoma>-----Original Message-----<BR><B>From:</B> Kim Scaysbrook
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 04 October 2004
  22:17<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Meat Handlers
  Certificate<BR><BR></DIV></FONT><FONT face=Arial id=role_document>
  <DIV>Another question for you all. Following on from my last message about
  Egg...</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>How about certification for meat handlers. THe DOH guidance does mention
  this one - 'there is/is not any impediment to working with meat' on the
  certificate and signed by an OHA or Dr.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Again there is nothing to say what to screen them for. I'm presuming (I
  know we shouldn't) that there must be something else besides a 'standard' food
  handlers screen or there wouldn't be specific mention of it but again I'm at a
  loss.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>THanks</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Kim</DIV></FONT>~~~~~~~~~~~~~~~ Please remove this footer before
  replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE><br><br>-----------------------------------------------------------------------<br>John Heathcoat and Company Ltd is registered in England No. 450787.<br>Registered Office: Westexe, Tiverton, Devon EX16 5LL.<br><br>This email is confidential and intended solely for the use of the <br>individual to whom it is addressed. Any views or opinions presented<br>are solely those of the author and do not necessarily represent those<br>of John Heathcoat and Company Ltd. If you are not the intended <br>recipient and have received this email in error, any use, dissemination,<br>forwarding, printing or copying of this email is strictly prohibited.<br>------------------------------------------------------------------------<br></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

----=_NextPart_ST_09_26_26_Tuesday_October_05_2004_27692--
=========================================================================
Date:         Tue, 5 Oct 2004 09:40:24 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sara Werry <[log in to unmask]>
Subject:      Re: meat handlers
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_000B_01C4AABF.698F4910"

This is a multi-part message in MIME format.

------=_NextPart_000_000B_01C4AABF.698F4910
Content-Type: text/plain;
        charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Hi

I seem to remember from my time in a ready meal factory that we had Vets
coming in from MAFF looking at the quality of the meat and they were the
ones who also wanted to see the fitness certificates for the staff
handling the meat.

This is from over 10 years ago so don't quite know if this is the system
now, I think the screening we did was the normal food handlers
assessment.

Sara


Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579

-----Original Message-----
From: Diane Romano-Woodward [mailto:[log in to unmask]]
Sent: 05 October 2004 07:20
To: [log in to unmask]
Subject: meat handlers


My out of date edition of
"Fitnes for work, the medical aspects" has something in on meat
handlers. I wont quote it as it is out of date , but someone with a new
vol might be able to help...

You could also try your local Environmental health officer or the Food
standards agency..
BW
 Diane

  _____

Faster than e-mail, more discreet than a phone call and best of all it's
free - download MSN  <http://g.msn.com/8HMBENUK/2743??PS=47575>
Messenger today! ~~~~~~~~~~~~~~~ Please remove this footer before
replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_000B_01C4AABF.698F4910
Content-Type: text/html;
        charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">
<TITLE>Message</TITLE>

<META content=3D"MSHTML 5.50.4134.600" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D698343508-05102004><FONT face=3DArial color=3D#0000ff =

size=3D2>Hi</FONT></SPAN></DIV>
<DIV><SPAN class=3D698343508-05102004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D698343508-05102004><FONT face=3DArial color=3D#0000ff =
size=3D2>I seem=20
to remember from my time in a ready meal factory that we had Vets coming =
in from=20
MAFF looking at the quality of the meat and they were the ones who also =
wanted=20
to see the fitness&nbsp;certificates for the staff handling the=20
meat.</FONT></SPAN></DIV>
<DIV><SPAN class=3D698343508-05102004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D698343508-05102004><FONT face=3DArial color=3D#0000ff =
size=3D2>This=20
is from over 10 years ago so don't quite know&nbsp;if this is the system =

now,&nbsp;I think the screening we did was the normal food handlers=20
assessment.</FONT></SPAN></DIV>
<DIV><SPAN class=3D698343508-05102004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D698343508-05102004><FONT face=3DArial color=3D#0000ff =

size=3D2>Sara&nbsp;&nbsp;&nbsp;&nbsp;</FONT></SPAN></DIV>
<DIV>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Sara Werry</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Adviser</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Service</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>University of East =
Anglia</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Norwich, NR4 7TJ</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Tel: (01603) 592174</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Fax: (01603) 506579</FONT></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV></DIV>
  <DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr =
align=3Dleft><FONT=20
  face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B> =
Diane=20
  Romano-Woodward [mailto:[log in to unmask]] <BR><B>Sent:</B> 05 =
October 2004=20
  07:20<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> meat=20
  handlers<BR><BR></FONT></DIV>
  <DIV>
  <DIV class=3DRTE>My out of date edition of </DIV>
  <DIV class=3DRTE>"Fitnes for work, the medical aspects" has something =
in on meat=20
  handlers. I wont quote it as it is out of date , but someone with a =
new vol=20
  might be able to help...</DIV>
  <DIV class=3DRTE>&nbsp;</DIV>
  <DIV class=3DRTE>You could also try your local Environmental health =
officer or=20
  the Food standards agency..</DIV>
  <DIV class=3DRTE>BW</DIV>
  <DIV class=3DRTE>&nbsp;Diane</DIV></DIV><BR clear=3Dall>
  <HR>
  Faster than e-mail, more discreet than a phone call and best of all =
it's free=20
  - <A target=3D_top =
href=3D"http://g.msn.com/8HMBENUK/2743??PS=3D47575">download MSN=20
  Messenger </A>today! ~~~~~~~~~~~~~~~ Please remove this footer before=20
  replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_000B_01C4AABF.698F4910--
=========================================================================
Date:         Tue, 5 Oct 2004 09:50:33 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Porter Suzanne <[log in to unmask]>
Subject:      Re: employees problems with alcohol
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4AAB8.600BA55A"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4AAB8.600BA55A
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Jacqui
=20
Please could I have a copy of your policy? We are in the process of =
putting together our revised policy and am particularly interested in =
the assistance programme you have?
=20
Many thanks
=20
Su

-----Original Message-----
From: jacqui livock [mailto:[log in to unmask]]
Sent: 03 October 2004 17:31
To: [log in to unmask]
Subject: Re: employees problems with alcohol


Hi Helen
=20
we too have an alcohol and substance abuse policy.basically if the =
person admits they have an issue then they are supported by their =
manager/HR. The policy includes details of contacts locally and =
nationally, we also have an employee assistance programme for the =
individual to contact.=20
If their role involves operating/woring near machinery then this is =
excluded until such a time as they have gained control of their issue.
=20
OH are involved if a manager feels either they or the individual needs =
advice re: withdrawal symptoms etc.
Each individual is expected to see their GP within one week for help =
with withdrawal symptoms.
=20
The individual is not expected to stop use instantly.
=20
HR and managers draw up 'boundaries' outside which the disciplinary =
process is activated.The attendance at support agencies is voluntary =
however one manager has included attendance within the 'boundaries' for =
an individual who had lapsed on more than three occasions within one =
month.
=20
Managers also insist that if the person is unfit for work due to their =
'addiction' they are honest about this as a cause of their absence (it =
is not 'penalised' under the absence management policy) and it is seen =
as a positive step that they are acknowledging that their addiction is =
affecting work and most individuals work the time back.
=20
Because it is 'acceptable' to ring in sick/late because of a 'fall off =
the wagon' this has so far encouraged honesty and trust between =
manager/employee. the health and safety aspect of the influence of =
alcohol on the individual at work is also managed in this way.
=20
this supportive management technique has so far proved very successful =
for the individauls have admitted a problem. I have seen most of them if =
only to offer advice on what to expect during withdrawal and identifying =
lifestyle issues which increase the exposure to alcohol etc.
the individuals are grateful that someone is helping them and they =
recognise that they will lose their job if they do not address their =
habit.
the managers are happy because the individual is now 'fit' when they =
attend work.
=20
this may seem like a 'softly' approach but the individuals i know who =
have lost their job because of their addiction have all spoken =
favourably of the compnay in its support and recognise their actions =
were the cause of their unemployment and not a 'heartless' company.
=20
Incidentally we do not have a testing policy.=20
hope this helps
jacqui



  _____ =20

 <http://uk.rd.yahoo.com/evt=3D21626/*http://uk.messenger.yahoo.com> =
ALL-NEW Yahoo! Messenger - all new features - even more fun! =
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4AAB8.600BA55A
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D912424808-05102004><FONT face=3DArial color=3D#0000ff =

size=3D2>Jacqui</FONT></SPAN></DIV>
<DIV><SPAN class=3D912424808-05102004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D912424808-05102004><FONT face=3DArial color=3D#0000ff =
size=3D2>Please=20
could I have a copy of your policy? We are in the process of putting =
together=20
our revised policy and am particularly interested in the assistance =
programme=20
you have?</FONT></SPAN></DIV>
<DIV><SPAN class=3D912424808-05102004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D912424808-05102004><FONT face=3DArial color=3D#0000ff =
size=3D2>Many=20
thanks</FONT></SPAN></DIV>
<DIV><SPAN class=3D912424808-05102004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D912424808-05102004><FONT face=3DArial color=3D#0000ff =

size=3D2>Su</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> jacqui livock=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 03 October 2004=20
  17:31<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
employees=20
  problems with alcohol<BR><BR></FONT></DIV>
  <DIV>Hi Helen</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>we too have an alcohol and substance abuse policy.basically if =
the person=20
  admits they have an issue then they are supported by their manager/HR. =
The=20
  policy includes details of contacts locally and nationally, we also =
have an=20
  employee assistance programme for the individual to contact. </DIV>
  <DIV>If their role involves operating/woring near&nbsp;machinery then =
this is=20
  excluded until such a time as they have gained control of their =
issue.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>OH are involved if a manager feels either they or =
the&nbsp;individual=20
  needs advice re: withdrawal symptoms etc.</DIV>
  <DIV>Each individual is expected to see their GP within one week for =
help with=20
  withdrawal symptoms.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>The individual is not expected to stop use instantly.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>HR and managers draw up 'boundaries' outside which the =
disciplinary=20
  process is activated.The attendance at support agencies is voluntary =
however=20
  one manager has included attendance within the 'boundaries' for an =
individual=20
  who had lapsed on more than three occasions within one month.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Managers also insist that if the person is unfit for work due to =
their=20
  'addiction'&nbsp;they are honest about this as a cause of their =
absence (it is=20
  not 'penalised' under the absence management policy) and&nbsp;it is =
seen as a=20
  positive step that they are acknowledging that their addiction is =
affecting=20
  work and most individuals work the time back.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>
  <DIV>Because it is 'acceptable' to ring in sick/late because of a =
'fall off=20
  the wagon' this has so far encouraged honesty and trust between=20
  manager/employee. the health and safety aspect of the influence of =
alcohol on=20
  the individual at work is also managed in this way.</DIV></DIV>
  <DIV>&nbsp;</DIV>
  <DIV>this supportive management technique has so far proved very=20
  successful&nbsp;for the individauls have admitted a problem.&nbsp;I =
have seen=20
  most of them if only to offer advice on what to expect during =
withdrawal and=20
  identifying lifestyle issues which increase the exposure to alcohol =
etc.</DIV>
  <DIV>the individuals are grateful that someone is helping them and =
they=20
  recognise that they will lose their job if they do not address their=20
  habit.</DIV>
  <DIV>the managers are happy because the individual is now 'fit' when =
they=20
  attend work.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>this may seem like a 'softly' approach but the individuals i know =
who=20
  have lost their job because of their addiction have all spoken =
favourably of=20
  the compnay in its support and recognise their actions were the cause =
of their=20
  unemployment and not a 'heartless' company.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Incidentally we do not have a testing policy. </DIV>
  <DIV>hope this helps</DIV>
  <DIV>jacqui</DIV>
  <P>
  <HR SIZE=3D1>
  <FONT face=3D"Verdana, Arial, Helvetica, sans-serif" size=3D2><A=20
  =
href=3D"http://uk.rd.yahoo.com/evt=3D21626/*http://uk.messenger.yahoo.com=
"><STRONG><FONT=20
  face=3D"Arial, Helvetica, sans-serif">ALL-NEW Yahoo!=20
  Messenger</FONT></STRONG></A><FONT=20
  face=3D"Arial, Helvetica, sans-serif"><STRONG> - all new features - =
even more=20
  fun!</STRONG></FONT><STRONG><FONT color=3D#ff9900>=20
  </FONT></STRONG></FONT>~~~~~~~~~~~~~~~ Please remove this footer =
before=20
  replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4AAB8.600BA55A--
=========================================================================
Date:         Tue, 5 Oct 2004 22:13:36 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         jacqui livock <[log in to unmask]>
Subject:      Re: employees problems with alcohol
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative; boundary="0-491090561-1097010816=:26074"
Content-Transfer-Encoding: 8bit

--0-491090561-1097010816=:26074
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

Hi Suzanne
i will have to remove the company identity and will send it via snail mail. do you have an address? (it wont be this week though)

we use First assist as the EAP it is absolutely fab, the individual and their family can access legal, financial advice and counselling via a free phone number (doesnt show on bill either)
if person needs face to face counselling they can have up to 8 sessions (dont quote me on the number) and all this is charged to the company.
i will get a contact number for them for you.

jacqui
Porter Suzanne <[log in to unmask]> wrote:
Jacqui

Please could I have a copy of your policy? We are in the process of putting together our revised policy and am particularly interested in the assistance programme you have?

Many thanks

Su
-----Original Message-----
From: jacqui livock [mailto:[log in to unmask]]
Sent: 03 October 2004 17:31
To: [log in to unmask]
Subject: Re: employees problems with alcohol


Hi Helen

we too have an alcohol and substance abuse policy.basically if the person admits they have an issue then they are supported by their manager/HR. The policy includes details of contacts locally and nationally, we also have an employee assistance programme for the individual to contact.
If their role involves operating/woring near machinery then this is excluded until such a time as they have gained control of their issue.

OH are involved if a manager feels either they or the individual needs advice re: withdrawal symptoms etc.
Each individual is expected to see their GP within one week for help with withdrawal symptoms.

The individual is not expected to stop use instantly.

HR and managers draw up 'boundaries' outside which the disciplinary process is activated.The attendance at support agencies is voluntary however one manager has included attendance within the 'boundaries' for an individual who had lapsed on more than three occasions within one month.

Managers also insist that if the person is unfit for work due to their 'addiction' they are honest about this as a cause of their absence (it is not 'penalised' under the absence management policy) and it is seen as a positive step that they are acknowledging that their addiction is affecting work and most individuals work the time back.

Because it is 'acceptable' to ring in sick/late because of a 'fall off the wagon' this has so far encouraged honesty and trust between manager/employee. the health and safety aspect of the influence of alcohol on the individual at work is also managed in this way.


this supportive management technique has so far proved very successful for the individauls have admitted a problem. I have seen most of them if only to offer advice on what to expect during withdrawal and identifying lifestyle issues which increase the exposure to alcohol etc.
the individuals are grateful that someone is helping them and they recognise that they will lose their job if they do not address their habit.
the managers are happy because the individual is now 'fit' when they attend work.

this may seem like a 'softly' approach but the individuals i know who have lost their job because of their addiction have all spoken favourably of the compnay in its support and recognise their actions were the cause of their unemployment and not a 'heartless' company.

Incidentally we do not have a testing policy.
hope this helps
jacqui


---------------------------------
ALL-NEW Yahoo! Messenger - all new features - even more fun! ~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
For jobs in Occupational Health, go to http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
For jobs in Occupational Health, go to http://uk.groups.yahoo.com/group/OHJobs/


---------------------------------
 ALL-NEW Yahoo! Messenger - all new features - even more fun!

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-491090561-1097010816=:26074
Content-Type: text/html; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

<DIV>Hi Suzanne</DIV>
<DIV>i will have to remove the company identity and will send it via snail mail. do you&nbsp;have an address? (it wont be this week though)</DIV>
<DIV>&nbsp;</DIV>
<DIV>we use First assist as the EAP it is absolutely fab, the individual and their family can access legal, financial advice and counselling via a free phone number (doesnt show on bill either)</DIV>
<DIV>if person needs face to face counselling they can have up to 8 sessions (dont quote me on the number) and all this is charged to the company.</DIV>
<DIV>i will get a contact number for them for you.</DIV>
<DIV><BR>jacqui<BR><B><I>Porter Suzanne &lt;[log in to unmask]&gt;</I></B> wrote:</DIV>
<BLOCKQUOTE class=replbq style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #1010ff 2px solid">
<META content="MSHTML 6.00.2800.1400" name=GENERATOR>
<DIV><SPAN class=912424808-05102004><FONT face=Arial color=#0000ff size=2>Jacqui</FONT></SPAN></DIV>
<DIV><SPAN class=912424808-05102004><FONT face=Arial color=#0000ff size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=912424808-05102004><FONT face=Arial color=#0000ff size=2>Please could I have a copy of your policy? We are in the process of putting together our revised policy and am particularly interested in the assistance programme you have?</FONT></SPAN></DIV>
<DIV><SPAN class=912424808-05102004><FONT face=Arial color=#0000ff size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=912424808-05102004><FONT face=Arial color=#0000ff size=2>Many thanks</FONT></SPAN></DIV>
<DIV><SPAN class=912424808-05102004><FONT face=Arial color=#0000ff size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=912424808-05102004><FONT face=Arial color=#0000ff size=2>Su</FONT></SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
<DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma size=2>-----Original Message-----<BR><B>From:</B> jacqui livock [mailto:[log in to unmask]]<BR><B>Sent:</B> 03 October 2004 17:31<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: employees problems with alcohol<BR><BR></FONT></DIV>
<DIV>Hi Helen</DIV>
<DIV>&nbsp;</DIV>
<DIV>we too have an alcohol and substance abuse policy.basically if the person admits they have an issue then they are supported by their manager/HR. The policy includes details of contacts locally and nationally, we also have an employee assistance programme for the individual to contact. </DIV>
<DIV>If their role involves operating/woring near&nbsp;machinery then this is excluded until such a time as they have gained control of their issue.</DIV>
<DIV>&nbsp;</DIV>
<DIV>OH are involved if a manager feels either they or the&nbsp;individual needs advice re: withdrawal symptoms etc.</DIV>
<DIV>Each individual is expected to see their GP within one week for help with withdrawal symptoms.</DIV>
<DIV>&nbsp;</DIV>
<DIV>The individual is not expected to stop use instantly.</DIV>
<DIV>&nbsp;</DIV>
<DIV>HR and managers draw up 'boundaries' outside which the disciplinary process is activated.The attendance at support agencies is voluntary however one manager has included attendance within the 'boundaries' for an individual who had lapsed on more than three occasions within one month.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Managers also insist that if the person is unfit for work due to their 'addiction'&nbsp;they are honest about this as a cause of their absence (it is not 'penalised' under the absence management policy) and&nbsp;it is seen as a positive step that they are acknowledging that their addiction is affecting work and most individuals work the time back.</DIV>
<DIV>&nbsp;</DIV>
<DIV>
<DIV>Because it is 'acceptable' to ring in sick/late because of a 'fall off the wagon' this has so far encouraged honesty and trust between manager/employee. the health and safety aspect of the influence of alcohol on the individual at work is also managed in this way.</DIV></DIV>
<DIV>&nbsp;</DIV>
<DIV>this supportive management technique has so far proved very successful&nbsp;for the individauls have admitted a problem.&nbsp;I have seen most of them if only to offer advice on what to expect during withdrawal and identifying lifestyle issues which increase the exposure to alcohol etc.</DIV>
<DIV>the individuals are grateful that someone is helping them and they recognise that they will lose their job if they do not address their habit.</DIV>
<DIV>the managers are happy because the individual is now 'fit' when they attend work.</DIV>
<DIV>&nbsp;</DIV>
<DIV>this may seem like a 'softly' approach but the individuals i know who have lost their job because of their addiction have all spoken favourably of the compnay in its support and recognise their actions were the cause of their unemployment and not a 'heartless' company.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Incidentally we do not have a testing policy. </DIV>
<DIV>hope this helps</DIV>
<DIV>jacqui</DIV>
<P>
<HR SIZE=1>
<FONT face="Verdana, Arial, Helvetica, sans-serif" size=2><A href="http://uk.rd.yahoo.com/evt=21626/*http://uk.messenger.yahoo.com"><STRONG><FONT face="Arial, Helvetica, sans-serif">ALL-NEW Yahoo! Messenger</FONT></STRONG></A><FONT face="Arial, Helvetica, sans-serif"><STRONG> - all new features - even more fun!</STRONG></FONT><STRONG><FONT color=#ff9900> </FONT></STRONG></FONT>~~~~~~~~~~~~~~~ Please remove this footer before replying.
<P>For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<P>For jobs in Occupational Health, go to http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE>~~~~~~~~~~~~~~~ Please remove this footer before replying.
<P>For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<P>For jobs in Occupational Health, go to http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE><p>
                <hr size=1> <font size="2" face="Verdana, Arial, Helvetica, sans-serif"><a href="http://uk.rd.yahoo.com/evt=21626/*http://uk.messenger.yahoo.com"><strong><font face="Arial, Helvetica, sans-serif">ALL-NEW
Yahoo! Messenger</font></strong></a><font face="Arial, Helvetica, sans-serif"><strong>
- all new features - even more fun!</strong></font><strong><font color="#FF9900">
</font></strong></font>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-491090561-1097010816=:26074--
=========================================================================
Date:         Tue, 5 Oct 2004 22:15:52 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         jacqui livock <[log in to unmask]>
Subject:      Re: employees problems with alcohol
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative; boundary="0-1645047198-1097010952=:38161"
Content-Transfer-Encoding: 8bit

--0-1645047198-1097010952=:38161
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

Hi Suzanne
i will have to remove the company identity and will send it via snail mail. do you have an address? (it wont be this week though)

we use First assist as the EAP it is absolutely fab, the individual and their family can access legal, financial advice and counselling via a free phone number (doesnt show on bill either)
if person needs face to face counselling they can have up to 8 sessions (dont quote me on the number) and all this is charged to the company.
i will get a contact number for them for you.

jacqui
Porter Suzanne <[log in to unmask]> wrote:
Jacqui

Please could I have a copy of your policy? We are in the process of putting together our revised policy and am particularly interested in the assistance programme you have?

Many thanks

Su
-----Original Message-----
From: jacqui livock [mailto:[log in to unmask]]
Sent: 03 October 2004 17:31
To: [log in to unmask]
Subject: Re: employees problems with alcohol


Hi Helen

we too have an alcohol and substance abuse policy.basically if the person admits they have an issue then they are supported by their manager/HR. The policy includes details of contacts locally and nationally, we also have an employee assistance programme for the individual to contact.
If their role involves operating/woring near machinery then this is excluded until such a time as they have gained control of their issue.

OH are involved if a manager feels either they or the individual needs advice re: withdrawal symptoms etc.
Each individual is expected to see their GP within one week for help with withdrawal symptoms.

The individual is not expected to stop use instantly.

HR and managers draw up 'boundaries' outside which the disciplinary process is activated.The attendance at support agencies is voluntary however one manager has included attendance within the 'boundaries' for an individual who had lapsed on more than three occasions within one month.

Managers also insist that if the person is unfit for work due to their 'addiction' they are honest about this as a cause of their absence (it is not 'penalised' under the absence management policy) and it is seen as a positive step that they are acknowledging that their addiction is affecting work and most individuals work the time back.

Because it is 'acceptable' to ring in sick/late because of a 'fall off the wagon' this has so far encouraged honesty and trust between manager/employee. the health and safety aspect of the influence of alcohol on the individual at work is also managed in this way.


this supportive management technique has so far proved very successful for the individauls have admitted a problem. I have seen most of them if only to offer advice on what to expect during withdrawal and identifying lifestyle issues which increase the exposure to alcohol etc.
the individuals are grateful that someone is helping them and they recognise that they will lose their job if they do not address their habit.
the managers are happy because the individual is now 'fit' when they attend work.

this may seem like a 'softly' approach but the individuals i know who have lost their job because of their addiction have all spoken favourably of the compnay in its support and recognise their actions were the cause of their unemployment and not a 'heartless' company.

Incidentally we do not have a testing policy.
hope this helps
jacqui


---------------------------------
ALL-NEW Yahoo! Messenger - all new features - even more fun! ~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
For jobs in Occupational Health, go to http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
For jobs in Occupational Health, go to http://uk.groups.yahoo.com/group/OHJobs/


---------------------------------
 ALL-NEW Yahoo! Messenger - all new features - even more fun!

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-1645047198-1097010952=:38161
Content-Type: text/html; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

<DIV>Hi Suzanne</DIV>
<DIV>i will have to remove the company identity and will send it via snail mail. do you&nbsp;have an address? (it wont be this week though)</DIV>
<DIV>&nbsp;</DIV>
<DIV>we use First assist as the EAP it is absolutely fab, the individual and their family can access legal, financial advice and counselling via a free phone number (doesnt show on bill either)</DIV>
<DIV>if person needs face to face counselling they can have up to 8 sessions (dont quote me on the number) and all this is charged to the company.</DIV>
<DIV>i will get a contact number for them for you.</DIV>
<DIV><BR>jacqui<BR><B><I>Porter Suzanne &lt;[log in to unmask]&gt;</I></B> wrote:</DIV>
<BLOCKQUOTE class=replbq style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #1010ff 2px solid">
<META content="MSHTML 6.00.2800.1400" name=GENERATOR>
<DIV><SPAN class=912424808-05102004><FONT face=Arial color=#0000ff size=2>Jacqui</FONT></SPAN></DIV>
<DIV><SPAN class=912424808-05102004><FONT face=Arial color=#0000ff size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=912424808-05102004><FONT face=Arial color=#0000ff size=2>Please could I have a copy of your policy? We are in the process of putting together our revised policy and am particularly interested in the assistance programme you have?</FONT></SPAN></DIV>
<DIV><SPAN class=912424808-05102004><FONT face=Arial color=#0000ff size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=912424808-05102004><FONT face=Arial color=#0000ff size=2>Many thanks</FONT></SPAN></DIV>
<DIV><SPAN class=912424808-05102004><FONT face=Arial color=#0000ff size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=912424808-05102004><FONT face=Arial color=#0000ff size=2>Su</FONT></SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
<DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma size=2>-----Original Message-----<BR><B>From:</B> jacqui livock [mailto:[log in to unmask]]<BR><B>Sent:</B> 03 October 2004 17:31<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: employees problems with alcohol<BR><BR></FONT></DIV>
<DIV>Hi Helen</DIV>
<DIV>&nbsp;</DIV>
<DIV>we too have an alcohol and substance abuse policy.basically if the person admits they have an issue then they are supported by their manager/HR. The policy includes details of contacts locally and nationally, we also have an employee assistance programme for the individual to contact. </DIV>
<DIV>If their role involves operating/woring near&nbsp;machinery then this is excluded until such a time as they have gained control of their issue.</DIV>
<DIV>&nbsp;</DIV>
<DIV>OH are involved if a manager feels either they or the&nbsp;individual needs advice re: withdrawal symptoms etc.</DIV>
<DIV>Each individual is expected to see their GP within one week for help with withdrawal symptoms.</DIV>
<DIV>&nbsp;</DIV>
<DIV>The individual is not expected to stop use instantly.</DIV>
<DIV>&nbsp;</DIV>
<DIV>HR and managers draw up 'boundaries' outside which the disciplinary process is activated.The attendance at support agencies is voluntary however one manager has included attendance within the 'boundaries' for an individual who had lapsed on more than three occasions within one month.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Managers also insist that if the person is unfit for work due to their 'addiction'&nbsp;they are honest about this as a cause of their absence (it is not 'penalised' under the absence management policy) and&nbsp;it is seen as a positive step that they are acknowledging that their addiction is affecting work and most individuals work the time back.</DIV>
<DIV>&nbsp;</DIV>
<DIV>
<DIV>Because it is 'acceptable' to ring in sick/late because of a 'fall off the wagon' this has so far encouraged honesty and trust between manager/employee. the health and safety aspect of the influence of alcohol on the individual at work is also managed in this way.</DIV></DIV>
<DIV>&nbsp;</DIV>
<DIV>this supportive management technique has so far proved very successful&nbsp;for the individauls have admitted a problem.&nbsp;I have seen most of them if only to offer advice on what to expect during withdrawal and identifying lifestyle issues which increase the exposure to alcohol etc.</DIV>
<DIV>the individuals are grateful that someone is helping them and they recognise that they will lose their job if they do not address their habit.</DIV>
<DIV>the managers are happy because the individual is now 'fit' when they attend work.</DIV>
<DIV>&nbsp;</DIV>
<DIV>this may seem like a 'softly' approach but the individuals i know who have lost their job because of their addiction have all spoken favourably of the compnay in its support and recognise their actions were the cause of their unemployment and not a 'heartless' company.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Incidentally we do not have a testing policy. </DIV>
<DIV>hope this helps</DIV>
<DIV>jacqui</DIV>
<P>
<HR SIZE=1>
<FONT face="Verdana, Arial, Helvetica, sans-serif" size=2><A href="http://uk.rd.yahoo.com/evt=21626/*http://uk.messenger.yahoo.com"><STRONG><FONT face="Arial, Helvetica, sans-serif">ALL-NEW Yahoo! Messenger</FONT></STRONG></A><FONT face="Arial, Helvetica, sans-serif"><STRONG> - all new features - even more fun!</STRONG></FONT><STRONG><FONT color=#ff9900> </FONT></STRONG></FONT>~~~~~~~~~~~~~~~ Please remove this footer before replying.
<P>For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<P>For jobs in Occupational Health, go to http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE>~~~~~~~~~~~~~~~ Please remove this footer before replying.
<P>For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<P>For jobs in Occupational Health, go to http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE><p>
                <hr size=1> <font size="2" face="Verdana, Arial, Helvetica, sans-serif"><a href="http://uk.rd.yahoo.com/evt=21626/*http://uk.messenger.yahoo.com"><strong><font face="Arial, Helvetica, sans-serif">ALL-NEW
Yahoo! Messenger</font></strong></a><font face="Arial, Helvetica, sans-serif"><strong>
- all new features - even more fun!</strong></font><strong><font color="#FF9900">
</font></strong></font>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-1645047198-1097010952=:38161--
=========================================================================
Date:         Tue, 5 Oct 2004 23:08:56 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         joan Twigger <[log in to unmask]>
Subject:      Joan Twigger/UK-Europe/3M/US is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII

I will be out of the office starting  05/10/2004 and will not return until
08/10/2004.

 I will respond to your message when I return.On Fri PM

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 6 Oct 2004 02:38:03 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jay Chapman <[log in to unmask]>
Subject:      Re: Egg Products Regulations
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0008_01C4AB4D.80D39D40"

This is a multi-part message in MIME format.

------=_NextPart_000_0008_01C4AB4D.80D39D40
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hi KIm

I have just waded through the Egg Products Regs. 1993 after seeing your =
e-mail.  I too am a touch puzzled by them.  They certainly don't state =
what we should be  certifying.  I feel it just means generally fit.  =
However there is the matter of pregnancy.  Would this render a handler =
or operative unfit, especially if unpasturised eggs were being handled?  =
Also you state "mayonaise or anything containing egg" is covered and =
thus much is clear from the regs.  Do you think  it covers the =
manufacture of scotch eggs for example, or cake mixes containing egg =
allbeit pasturised? I must admit the regs are not clear on this point.  =
Anyone else got an answer?

Jay C

  ----- Original Message -----=20
  From: Kim Scaysbrook=20
  To: [log in to unmask]
  Sent: Monday, October 04, 2004 10:12 PM
  Subject: Egg Products Regulations


  Dear all,

  According to the Egg Products Regs, anyone working with egg products =
(raw egg or anything containing egg eg mayonnaise), has to have annual =
certification. But it doesn't state what I am certifying them for or any =
standards/criteria to meet.

  Have any of you come across this before or can point me in any =
direction. There is nothing in the DOH Food Handlers guidance so...


  Thanks

  Kim
  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0008_01C4AB4D.80D39D40
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; =
FONT-FAMILY: Arial"=20
bottomMargin=3D7 bgColor=3D#ffffff leftMargin=3D7 topMargin=3D7 =
rightMargin=3D7>
<DIV><FONT size=3D3>Hi KIm</FONT></DIV>
<DIV><FONT size=3D3></FONT>&nbsp;</DIV>
<DIV><FONT size=3D3>I have just waded through the Egg Products Regs. =
1993 after=20
seeing your e-mail.&nbsp; I too am a touch puzzled by them.&nbsp; They =
certainly=20
don't state what we should be&nbsp; certifying.&nbsp; I feel it just =
means=20
generally fit.&nbsp; However there is the matter of pregnancy.&nbsp; =
Would this=20
render a handler or operative unfit, especially if unpasturised eggs =
were being=20
handled?&nbsp; Also you state "mayonaise or anything containing egg" is=20
covered&nbsp;and thus much is clear from the regs.&nbsp; Do you think =
&nbsp;it=20
covers the manufacture of scotch eggs for example, or cake mixes =
containing egg=20
allbeit pasturised? I must admit the regs are not clear on this =
point.&nbsp;=20
Anyone else got an answer?</FONT></DIV>
<DIV><FONT size=3D3></FONT>&nbsp;</DIV>
<DIV><FONT size=3D3>Jay C</FONT></DIV>
<DIV><FONT size=3D3></FONT>&nbsp;</DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask] =
href=3D"mailto:[log in to unmask]">Kim=20
  Scaysbrook</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, October 04, 2004 =
10:12=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Egg Products =
Regulations</DIV>
  <DIV><FONT size=3D3></FONT><FONT size=3D3></FONT><BR></DIV><FONT =
id=3Drole_document=20
  face=3DArial color=3D#000000 size=3D2>
  <DIV>Dear all,</DIV>
  <DIV><FONT size=3D3></FONT>&nbsp;</DIV>
  <DIV>According to the Egg Products Regs, anyone working with egg =
products (raw=20
  egg or anything containing egg eg mayonnaise), has to have annual=20
  certification. But it doesn't state what I am certifying them for or =
any=20
  standards/criteria to meet.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Have any of you come across this before or can point me in any =
direction.=20
  There is nothing in the DOH Food Handlers guidance so...</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Thanks</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Kim</DIV></FONT>~~~~~~~~~~~~~~~ Please remove this footer before=20
  replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0008_01C4AB4D.80D39D40--
=========================================================================
Date:         Wed, 6 Oct 2004 08:36:13 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Porter Suzanne <[log in to unmask]>
Subject:      Re: employees problems with alcohol
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4AB77.27F167D2"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4AB77.27F167D2
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Jacqui
=20
Thank you, that will be great. My snail mail address is:
Ms Suzanne Porter
Occupational Health & Safety Unit
St. Mary's Hospital
NEWPORT
Isle of Wight
PO30 5TG
=20
Regards
=20
Su

-----Original Message-----
From: jacqui livock [mailto:[log in to unmask]]
Sent: 05 October 2004 22:16
To: [log in to unmask]
Subject: Re: employees problems with alcohol


Hi Suzanne
i will have to remove the company identity and will send it via snail =
mail. do you have an address? (it wont be this week though)
=20
we use First assist as the EAP it is absolutely fab, the individual and =
their family can access legal, financial advice and counselling via a =
free phone number (doesnt show on bill either)
if person needs face to face counselling they can have up to 8 sessions =
(dont quote me on the number) and all this is charged to the company.
i will get a contact number for them for you.

jacqui
Porter Suzanne <[log in to unmask]> wrote:

Jacqui
=20
Please could I have a copy of your policy? We are in the process of =
putting together our revised policy and am particularly interested in =
the assistance programme you have?
=20
Many thanks
=20
Su

-----Original Message-----
From: jacqui livock [mailto:[log in to unmask]]
Sent: 03 October 2004 17:31
To: [log in to unmask]
Subject: Re: employees problems with alcohol


Hi Helen
=20
we too have an alcohol and substance abuse policy.basically if the =
person admits they have an issue then they are supported by their =
manager/HR. The policy includes details of contacts locally and =
nationally, we also have an employee assistance programme for the =
individual to contact.=20
If their role involves operating/woring near machinery then this is =
excluded until such a time as they have gained control of their issue.
=20
OH are involved if a manager feels either they or the individual needs =
advice re: withdrawal symptoms etc.
Each individual is expected to see their GP within one week for help =
with withdrawal symptoms.
=20
The individual is not expected to stop use instantly.
=20
HR and managers draw up 'boundaries' outside which the disciplinary =
process is activated.The attendance at support agencies is voluntary =
however one manager has included attendance within the 'boundaries' for =
an individual who had lapsed on more than three occasions within one =
month.
=20
Managers also insist that if the person is unfit for work due to their =
'addiction' they are honest about this as a cause of their absence (it =
is not 'penalised' under the absence management policy) and it is seen =
as a positive step that they are acknowledging that their addiction is =
affecting work and most individuals work the time back.
=20
Because it is 'acceptable' to ring in sick/late because of a 'fall off =
the wagon' this has so far encouraged honesty and trust between =
manager/employee. the health and safety aspect of the influence of =
alcohol on the individual at work is also managed in this way.
=20
this supportive management technique has so far proved very successful =
for the individauls have admitted a problem. I have seen most of them if =
only to offer advice on what to expect during withdrawal and identifying =
lifestyle issues which increase the exposure to alcohol etc.
the individuals are grateful that someone is helping them and they =
recognise that they will lose their job if they do not address their =
habit.
the managers are happy because the individual is now 'fit' when they =
attend work.
=20
this may seem like a 'softly' approach but the individuals i know who =
have lost their job because of their addiction have all spoken =
favourably of the compnay in its support and recognise their actions =
were the cause of their unemployment and not a 'heartless' company.
=20
Incidentally we do not have a testing policy.=20
hope this helps
jacqui



  _____ =20

 <http://uk.rd.yahoo.com/evt=3D21626/*http://uk.messenger.yahoo.com> =
ALL-NEW Yahoo! Messenger - all new features - even more fun! =
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20



  _____ =20

 <http://uk.rd.yahoo.com/evt=3D21626/*http://uk.messenger.yahoo.com> =
ALL-NEW Yahoo! Messenger - all new features - even more fun! =
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4AB77.27F167D2
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D818283307-06102004><FONT face=3DArial color=3D#0000ff =

size=3D2>Jacqui</FONT></SPAN></DIV>
<DIV><SPAN class=3D818283307-06102004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D818283307-06102004><FONT face=3DArial color=3D#0000ff =
size=3D2>Thank=20
you, that will be great. My snail mail address is:</FONT></SPAN></DIV>
<DIV><SPAN class=3D818283307-06102004><FONT face=3DArial color=3D#0000ff =
size=3D2>Ms=20
Suzanne Porter</FONT></SPAN></DIV>
<DIV><SPAN class=3D818283307-06102004><FONT face=3DArial color=3D#0000ff =

size=3D2>Occupational Health &amp; Safety Unit</FONT></SPAN></DIV>
<DIV><SPAN class=3D818283307-06102004><FONT face=3DArial color=3D#0000ff =
size=3D2>St.=20
Mary's Hospital</FONT></SPAN></DIV>
<DIV><SPAN class=3D818283307-06102004><FONT face=3DArial color=3D#0000ff =

size=3D2>NEWPORT</FONT></SPAN></DIV>
<DIV><SPAN class=3D818283307-06102004><FONT face=3DArial color=3D#0000ff =
size=3D2>Isle=20
of Wight</FONT></SPAN></DIV>
<DIV><SPAN class=3D818283307-06102004><FONT face=3DArial color=3D#0000ff =
size=3D2>PO30=20
5TG</FONT></SPAN></DIV>
<DIV><SPAN class=3D818283307-06102004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D818283307-06102004><FONT face=3DArial color=3D#0000ff =

size=3D2>Regards</FONT></SPAN></DIV>
<DIV><SPAN class=3D818283307-06102004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D818283307-06102004><FONT face=3DArial color=3D#0000ff =

size=3D2>Su</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> jacqui livock=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 05 October 2004=20
  22:16<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
employees=20
  problems with alcohol<BR><BR></FONT></DIV>
  <DIV>Hi Suzanne</DIV>
  <DIV>i will have to remove the company identity and will send it via =
snail=20
  mail. do you&nbsp;have an address? (it wont be this week though)</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>we use First assist as the EAP it is absolutely fab, the =
individual and=20
  their family can access legal, financial advice and counselling via a =
free=20
  phone number (doesnt show on bill either)</DIV>
  <DIV>if person needs face to face counselling they can have up to 8 =
sessions=20
  (dont quote me on the number) and all this is charged to the =
company.</DIV>
  <DIV>i will get a contact number for them for you.</DIV>
  <DIV><BR>jacqui<BR><B><I>Porter Suzanne=20
  &lt;[log in to unmask]&gt;</I></B> wrote:</DIV>
  <BLOCKQUOTE class=3Dreplbq=20
  style=3D"PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #1010ff 2px =
solid">
    <META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
    <DIV><SPAN class=3D912424808-05102004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2>Jacqui</FONT></SPAN></DIV>
    <DIV><SPAN class=3D912424808-05102004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2></FONT></SPAN>&nbsp;</DIV>
    <DIV><SPAN class=3D912424808-05102004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2>Please could I have a copy of your policy? We are in the =
process of=20
    putting together our revised policy and am particularly interested =
in the=20
    assistance programme you have?</FONT></SPAN></DIV>
    <DIV><SPAN class=3D912424808-05102004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2></FONT></SPAN>&nbsp;</DIV>
    <DIV><SPAN class=3D912424808-05102004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2>Many thanks</FONT></SPAN></DIV>
    <DIV><SPAN class=3D912424808-05102004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2></FONT></SPAN>&nbsp;</DIV>
    <DIV><SPAN class=3D912424808-05102004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2>Su</FONT></SPAN></DIV>
    <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
      <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
      size=3D2>-----Original Message-----<BR><B>From:</B> jacqui livock=20
      [mailto:[log in to unmask]]<BR><B>Sent:</B> 03 October 2004=20
      17:31<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Re:=20
      employees problems with alcohol<BR><BR></FONT></DIV>
      <DIV>Hi Helen</DIV>
      <DIV>&nbsp;</DIV>
      <DIV>we too have an alcohol and substance abuse policy.basically =
if the=20
      person admits they have an issue then they are supported by their=20
      manager/HR. The policy includes details of contacts locally and=20
      nationally, we also have an employee assistance programme for the=20
      individual to contact. </DIV>
      <DIV>If their role involves operating/woring near&nbsp;machinery =
then this=20
      is excluded until such a time as they have gained control of their =

      issue.</DIV>
      <DIV>&nbsp;</DIV>
      <DIV>OH are involved if a manager feels either they or =
the&nbsp;individual=20
      needs advice re: withdrawal symptoms etc.</DIV>
      <DIV>Each individual is expected to see their GP within one week =
for help=20
      with withdrawal symptoms.</DIV>
      <DIV>&nbsp;</DIV>
      <DIV>The individual is not expected to stop use instantly.</DIV>
      <DIV>&nbsp;</DIV>
      <DIV>HR and managers draw up 'boundaries' outside which the =
disciplinary=20
      process is activated.The attendance at support agencies is =
voluntary=20
      however one manager has included attendance within the =
'boundaries' for an=20
      individual who had lapsed on more than three occasions within one=20
      month.</DIV>
      <DIV>&nbsp;</DIV>
      <DIV>Managers also insist that if the person is unfit for work due =
to=20
      their 'addiction'&nbsp;they are honest about this as a cause of =
their=20
      absence (it is not 'penalised' under the absence management =
policy)=20
      and&nbsp;it is seen as a positive step that they are acknowledging =
that=20
      their addiction is affecting work and most individuals work the =
time=20
      back.</DIV>
      <DIV>&nbsp;</DIV>
      <DIV>
      <DIV>Because it is 'acceptable' to ring in sick/late because of a =
'fall=20
      off the wagon' this has so far encouraged honesty and trust =
between=20
      manager/employee. the health and safety aspect of the influence of =
alcohol=20
      on the individual at work is also managed in this way.</DIV></DIV>
      <DIV>&nbsp;</DIV>
      <DIV>this supportive management technique has so far proved very=20
      successful&nbsp;for the individauls have admitted a =
problem.&nbsp;I have=20
      seen most of them if only to offer advice on what to expect during =

      withdrawal and identifying lifestyle issues which increase the =
exposure to=20
      alcohol etc.</DIV>
      <DIV>the individuals are grateful that someone is helping them and =
they=20
      recognise that they will lose their job if they do not address =
their=20
      habit.</DIV>
      <DIV>the managers are happy because the individual is now 'fit' =
when they=20
      attend work.</DIV>
      <DIV>&nbsp;</DIV>
      <DIV>this may seem like a 'softly' approach but the individuals i =
know who=20
      have lost their job because of their addiction have all spoken =
favourably=20
      of the compnay in its support and recognise their actions were the =
cause=20
      of their unemployment and not a 'heartless' company.</DIV>
      <DIV>&nbsp;</DIV>
      <DIV>Incidentally we do not have a testing policy. </DIV>
      <DIV>hope this helps</DIV>
      <DIV>jacqui</DIV>
      <P>
      <HR SIZE=3D1>
      <FONT face=3D"Verdana, Arial, Helvetica, sans-serif" size=3D2><A=20
      =
href=3D"http://uk.rd.yahoo.com/evt=3D21626/*http://uk.messenger.yahoo.com=
"><STRONG><FONT=20
      face=3D"Arial, Helvetica, sans-serif">ALL-NEW Yahoo!=20
      Messenger</FONT></STRONG></A><FONT=20
      face=3D"Arial, Helvetica, sans-serif"><STRONG> - all new features =
- even=20
      more fun!</STRONG></FONT><STRONG><FONT color=3D#ff9900>=20
      </FONT></STRONG></FONT>~~~~~~~~~~~~~~~ Please remove this footer =
before=20
      replying.=20
      <P>For list archives and documents, go to=20
      http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
      <P>For jobs in Occupational Health, go to=20
      =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE>~~~~~~~~~~~~~~~ =

    Please remove this footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE>
  <P>
  <HR SIZE=3D1>
  <FONT face=3D"Verdana, Arial, Helvetica, sans-serif" size=3D2><A=20
  =
href=3D"http://uk.rd.yahoo.com/evt=3D21626/*http://uk.messenger.yahoo.com=
"><STRONG><FONT=20
  face=3D"Arial, Helvetica, sans-serif">ALL-NEW Yahoo!=20
  Messenger</FONT></STRONG></A><FONT=20
  face=3D"Arial, Helvetica, sans-serif"><STRONG> - all new features - =
even more=20
  fun!</STRONG></FONT><STRONG><FONT color=3D#ff9900>=20
  </FONT></STRONG></FONT>~~~~~~~~~~~~~~~ Please remove this footer =
before=20
  replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4AB77.27F167D2--
=========================================================================
Date:         Wed, 6 Oct 2004 14:35:54 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Leanne MORRISON <[log in to unmask]>
Subject:      Leanne MORRISON/ABZ/UK/EP/Corp is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII

I will be out of the office starting  06/10/2004 and will not return until 12/10/2004.

I will respond to your message when I return.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 7 Oct 2004 13:31:27 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Therona Goldsmith <[log in to unmask]>
Subject:      skin survelliance
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

Hi Colleagues
We are in the process of updating our Procedures and policy on skin
survelliance for those working with solvents.
I am interested in finding what you have set up in your workplace
With many thanks
Therona

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 7 Oct 2004 13:34:28 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Therona Goldsmith <[log in to unmask]>
Subject:      Needle disposal
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

I am trying to set up a procedure and some training for staff who have to
deal with disgarded needles and syringes left behind by homeless people
using the site.
Does anyone have a risk assessment for this sort of thing and would they be
willing to share it with me?
Many thanks
Therona

_________________________________________________________________
Stay in touch with absent friends - get MSN Messenger
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 7 Oct 2004 13:49:24 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: skin survelliance
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

I too would be very interested in this. I am having great difficulty on
getting appropriate systems in place.

Rggds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/07/04 02:31pm >>>
Hi Colleagues
We are in the process of updating our Procedures and policy on skin
survelliance for those working with solvents.
I am interested in finding what you have set up in your workplace
With many thanks
Therona

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 7 Oct 2004 14:40:12 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jeanette Warran <[log in to unmask]>
Subject:      Policies and Procedures
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Hi

I have recently taken on a new role and have been set the task of setting in
place OH policies and procedures (there is currently none in place) and I
would appreciate any help any of you would be willing to offer

Thanks

Jeanette Warran
Occupational Health Adviser
07812 218440
Skanska Integrated Projects
A Division of Skanska Construction UK Limited
Registration No: 191408
Registered in England
Registered Office: Maple Cross House, Denham Way, Maple Cross,
Rickmansworth, Hertfordshire, WD3 9SW
Privileged/Confidential Information may be contained in this message. If you
are not the addressee indicated in this message (or responsible for delivery
of the message to such person), you may not copy or deliver this message to
anyone. In such case, you should notify us immediately, and destroy this
message.



-----Original Message-----
From: Therona Goldsmith [mailto:[log in to unmask]]
Sent: 07 October 2004 14:31
To: [log in to unmask]
Subject: skin survelliance


Hi Colleagues
We are in the process of updating our Procedures and policy on skin
survelliance for those working with solvents.
I am interested in finding what you have set up in your workplace
With many thanks
Therona

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 7 Oct 2004 15:11:43 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Tuberculosis
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_00DD_01C4AC7F.F486DE40"

This is a multi-part message in MIME format.

------=_NextPart_000_00DD_01C4AC7F.F486DE40
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

For those of you working in the NHS or in areas where Tuberculosis may =
be a problem the Chief MO at DOH has published his new action plan for =
'Stopping tuberculosis in England' today. It is available to download in =
as a pdf file from www.doh.gov.uk  As per usual little is said about =
occupational exposure! The only reference I can find is in Action 7 =
'achieve comprehensive occupational screening of healthcare workers =
joining the NHS' - so no change there then since we have been doing it =
for 30 years to my knowledge!

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027




---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.762 / Virus Database: 510 - Release Date: 13/09/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_00DD_01C4AC7F.F486DE40
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY>
<DIV><FONT size=3D2>For those of you working in the NHS or in areas =
where=20
Tuberculosis may be a problem the Chief MO at DOH has published his new =
action=20
plan for <U>'Stopping tuberculosis in England'</U> today. It is =
available to=20
download in as a pdf file from </FONT><A =
href=3D"http://www.doh.gov.uk"><FONT=20
size=3D2>www.doh.gov.uk</FONT></A><FONT size=3D2>&nbsp; As per usual =
little is said=20
about occupational exposure! The only reference I can find is in Action =
7=20
<EM>'achieve comprehensive occupational screening of healthcare workers =
joining=20
the NHS' -</EM> so no change there then since we have been doing it for =
30 years=20
to my knowledge!</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health =
&amp;=20
Education<BR>Consultant Editor, OH Journal<BR><A=20
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV><FONT size=3D2><BR>---<BR>Outgoing mail is certified Virus =
Free.<BR>Checked=20
by AVG anti-virus system (<A=20
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.762 /=20
Virus Database: 510 - Release Date: =
13/09/2004</FONT></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_00DD_01C4AC7F.F486DE40--
=========================================================================
Date:         Thu, 7 Oct 2004 15:19:22 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Elizabeth Griffiths <[log in to unmask]>
Subject:      Re: Tuberculosis
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4AC78.A4468872"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4AC78.A4468872
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

thanks Greta
will try and arrange a visit sometime early next year, if that's alright =
with you.

-----Original Message-----
From: Greta Thornbory [mailto:[log in to unmask]]
Sent: 07 October 2004 15:12
To: [log in to unmask]
Subject: Tuberculosis


For those of you working in the NHS or in areas where Tuberculosis may =
be a problem the Chief MO at DOH has published his new action plan for =
'Stopping tuberculosis in England' today. It is available to download in =
as a pdf file from  <http://www.doh.gov.uk> www.doh.gov.uk  As per usual =
little is said about occupational exposure! The only reference I can =
find is in Action 7 'achieve comprehensive occupational screening of =
healthcare workers joining the NHS' - so no change there then since we =
have been doing it for 30 years to my knowledge!
=20
Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027
=20
=20
=20

---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system ( http://www.grisoft.com).
Version: 6.0.762 / Virus Database: 510 - Release Date: 13/09/2004
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4AC78.A4468872
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY>
<DIV><SPAN class=3D856041814-07102004><FONT face=3DArial color=3D#0000ff =
size=3D2>thanks=20
Greta</FONT></SPAN></DIV>
<DIV><SPAN class=3D856041814-07102004><FONT face=3DArial color=3D#0000ff =
size=3D2>will=20
try and arrange a visit sometime early next year, if that's alright with =

you.</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> Greta Thornbory=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 07 October 2004=20
  15:12<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B>=20
  Tuberculosis<BR><BR></FONT></DIV>
  <DIV><FONT size=3D2>For those of you working in the NHS or in areas =
where=20
  Tuberculosis may be a problem the Chief MO at DOH has published his =
new action=20
  plan for <U>'Stopping tuberculosis in England'</U> today. It is =
available to=20
  download in as a pdf file from </FONT><A =
href=3D"http://www.doh.gov.uk"><FONT=20
  size=3D2>www.doh.gov.uk</FONT></A><FONT size=3D2>&nbsp; As per usual =
little is=20
  said about occupational exposure! The only reference I can find is in =
Action 7=20
  <EM>'achieve comprehensive occupational screening of healthcare =
workers=20
  joining the NHS' -</EM> so no change there then since we have been =
doing it=20
  for 30 years to my knowledge!</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health =
&amp;=20
  Education<BR>Consultant Editor, OH Journal<BR><A=20
  =
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
  01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT size=3D2><BR>---<BR>Outgoing mail is certified Virus =
Free.<BR>Checked=20
  by AVG anti-virus system (<A=20
  =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.762=20
  / Virus Database: 510 - Release Date: =
13/09/2004</FONT></DIV>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4AC78.A4468872--
=========================================================================
Date:         Thu, 7 Oct 2004 08:16:32 -0700
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         ILISE Feitshans <[log in to unmask]>
Subject:      Re: Policies and Procedures available from Westlaw.com
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative; boundary="0-1836415095-1097162192=:69557"

--0-1836415095-1097162192=:69557
Content-Type: text/plain; charset=us-ascii

I have written two books and about 100 articles on this subject:
DESIGNING AN EFFECTIVE OSHA COMPLIANCE PROGRAM (Westlaw.com)
BRINGING HEALTH TO WORK
The latter is for non-lawyers and available through me or through Amazon.com ("i'm faster)
Can send you excerpts of the latter by email
Would love to consult and will  bring books for all of your staff if you can fly me over to your offices.
All the best, Ilise
Prof.I.L. Feitshans JD and ScM
[log in to unmask]
856 428 0605

Jeanette Warran <[log in to unmask]> wrote:
Hi

I have recently taken on a new role and have been set the task of setting in
place OH policies and procedures (there is currently none in place) and I
would appreciate any help any of you would be willing to offer

Thanks

Jeanette Warran
Occupational Health Adviser
07812 218440
Skanska Integrated Projects
A Division of Skanska Construction UK Limited
Registration No: 191408
Registered in England
Registered Office: Maple Cross House, Denham Way, Maple Cross,
Rickmansworth, Hertfordshire, WD3 9SW
Privileged/Confidential Information may be contained in this message. If you
are not the addressee indicated in this message (or responsible for delivery
of the message to such person), you may not copy or deliver this message to
anyone. In such case, you should notify us immediately, and destroy this
message.



-----Original Message-----
From: Therona Goldsmith [mailto:[log in to unmask]]
Sent: 07 October 2004 14:31
To: [log in to unmask]
Subject: skin survelliance


Hi Colleagues
We are in the process of updating our Procedures and policy on skin
survelliance for those working with solvents.
I am interested in finding what you have set up in your workplace
With many thanks
Therona

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--0-1836415095-1097162192=:69557
Content-Type: text/html; charset=us-ascii

<DIV>I have written two books and about 100 articles on this subject:</DIV>
<DIV>DESIGNING AN EFFECTIVE OSHA COMPLIANCE PROGRAM (Westlaw.com)</DIV>
<DIV>BRINGING HEALTH TO WORK </DIV>
<DIV>The latter is for non-lawyers and available through me or through Amazon.com ("i'm faster) </DIV>
<DIV>Can send you excerpts of the latter by email</DIV>
<DIV>Would love to consult and will &nbsp;bring books for all of your staff if you can fly me over to your offices.</DIV>
<DIV>All the best, Ilise</DIV>
<DIV>Prof.I.L. Feitshans JD and ScM</DIV>
<DIV><A href="mailto:[log in to unmask]">[log in to unmask]</A> </DIV>
<DIV>856 428 0605 <BR><BR><B><I>Jeanette Warran &lt;[log in to unmask]&gt;</I></B> wrote:</DIV>
<BLOCKQUOTE class=replbq style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #1010ff 2px solid">Hi<BR><BR>I have recently taken on a new role and have been set the task of setting in<BR>place OH policies and procedures (there is currently none in place) and I<BR>would appreciate any help any of you would be willing to offer<BR><BR>Thanks<BR><BR>Jeanette Warran<BR>Occupational Health Adviser<BR>07812 218440<BR>Skanska Integrated Projects<BR>A Division of Skanska Construction UK Limited<BR>Registration No: 191408<BR>Registered in England<BR>Registered Office: Maple Cross House, Denham Way, Maple Cross,<BR>Rickmansworth, Hertfordshire, WD3 9SW<BR>Privileged/Confidential Information may be contained in this message. If you<BR>are not the addressee indicated in this message (or responsible for delivery<BR>of the message to such person), you may not copy or deliver this message to<BR>anyone. In such case, you should notify us immediately, and destroy
 this<BR>message.<BR><BR><BR><BR>-----Original Message-----<BR>From: Therona Goldsmith [mailto:[log in to unmask]]<BR>Sent: 07 October 2004 14:31<BR>To: [log in to unmask]<BR>Subject: skin survelliance<BR><BR><BR>Hi Colleagues<BR>We are in the process of updating our Procedures and policy on skin<BR>survelliance for those working with solvents.<BR>I am interested in finding what you have set up in your workplace<BR>With many thanks<BR>Therona<BR><BR>_________________________________________________________________<BR>It's fast, it's easy and it's free. Get MSN Messenger today!<BR>http://www.msn.co.uk/messenger<BR><BR>~~~~~~~~~~~~~~~<BR>Please remove this footer before replying.<BR><BR>For list archives and documents, go to<BR>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives<BR><BR>For jobs in Occupational Health, go to<BR>http://uk.groups.yahoo.com/group/OHJobs/<BR><BR>~~~~~~~~~~~~~~~<BR>Please remove this footer before replying.<BR><BR>For list arc!
hives and
 documents, go to<BR>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives<BR><BR>For jobs in Occupational Health, go to<BR>http://uk.groups.yahoo.com/group/OHJobs/<BR></BLOCKQUOTE>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-1836415095-1097162192=:69557--
=========================================================================
Date:         Thu, 7 Oct 2004 16:43:05 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chris Packham <[log in to unmask]>
Subject:      Re: skin survelliance
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Skin health surveillance can be carried out in two ways. One is the
traditional visual assessment which will give you an indication when an
actual skin problem has arisen. The other is what dermatologists call skin
bio-engineering, which uses scientific instruments to measure actual skin
condition. This latter will detect sub-clinical damage, i.e. damage from
irritants that is not yet visible on the surface of the skin.

We run half-day courses on skin health surveillance. If you are interested
may I suggest you contact me off list to discuss.

Regards
Chris Packham
EnviroDerm Services
Tel: 01386 832 311

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 7 Oct 2004 16:44:45 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chris Packham <[log in to unmask]>
Subject:      Re: Needle disposal
MIME-Version: 1.0
Content-Type: text/plain; charset="Windows-1252"
Content-Transfer-Encoding: 7bit

Try contacting Malcolm Roberts on 01778 426 841. This is one of his
specialist areas.

Regards
Chris Packham

----- Original Message -----
From: "Therona Goldsmith" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, October 07, 2004 2:34 PM
Subject: Needle disposal


> I am trying to set up a procedure and some training for staff who have to
> deal with disgarded needles and syringes left behind by homeless people
> using the site.
> Does anyone have a risk assessment for this sort of thing and would they
be
> willing to share it with me?
> Many thanks
> Therona
>
> _________________________________________________________________
> Stay in touch with absent friends - get MSN Messenger
> http://www.msn.co.uk/messenger
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 7 Oct 2004 16:58:59 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jacqui Livock <[log in to unmask]>
Subject:      accident - Personal injury claims

hi all
i am looking for research into this, i wonder if anyone can direct me to
the recent research (or otherwise) i remember reading about a research
article very recently which says "actually we dont have a compensation
culture". but cant find any references or where i read it!if there is
anything that says we do have a claims culture i would be happy to look at
that too.

anyone got a direction i can start?
jacqui

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 7 Oct 2004 22:36:23 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Tuberculosis
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_015C_01C4ACBE.12DD1920"

This is a multi-part message in MIME format.

------=_NextPart_000_015C_01C4ACBE.12DD1920
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Okay with me as long as it is okay with Gillian. I am away from Friday =
14th Jan and back Monday 31st Jan. As Gillian is in college on Thursdays =
I guess it will not be that day - I also have a college course to on =
that day. So that narrows it all down a bit............. sorry! However, =
I look forward to meeting you again after the festive season. Have fun!

Greta

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027
  ----- Original Message -----=20
  From: Elizabeth Griffiths=20
  To: [log in to unmask]
  Sent: Thursday, October 07, 2004 3:19 PM
  Subject: Re: Tuberculosis


  thanks Greta
  will try and arrange a visit sometime early next year, if that's =
alright with you.
    -----Original Message-----
    From: Greta Thornbory [mailto:[log in to unmask]]
    Sent: 07 October 2004 15:12
    To: [log in to unmask]
    Subject: Tuberculosis


    For those of you working in the NHS or in areas where Tuberculosis =
may be a problem the Chief MO at DOH has published his new action plan =
for 'Stopping tuberculosis in England' today. It is available to =
download in as a pdf file from www.doh.gov.uk  As per usual little is =
said about occupational exposure! The only reference I can find is in =
Action 7 'achieve comprehensive occupational screening of healthcare =
workers joining the NHS' - so no change there then since we have been =
doing it for 30 years to my knowledge!

    Greta Thornbory
    Consultant, Occupational Health & Education
    Consultant Editor, OH Journal
    www.gtenterprises-uk.com
    Tel: 01235 770156
    Mob: 07778 518 027




    ---
    Outgoing mail is certified Virus Free.
    Checked by AVG anti-virus system (http://www.grisoft.com).
    Version: 6.0.762 / Virus Database: 510 - Release Date: 13/09/2004
    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_015C_01C4ACBE.12DD1920
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT size=3D2>Okay with me as long as it is okay with Gillian. I =
am away=20
from Friday 14th Jan and back Monday 31st Jan. As Gillian is in college =
on=20
Thursdays I guess it will not be that day - I also have a college course =
to on=20
that day. So that narrows it all down a bit............. sorry! However, =
I look=20
forward to meeting you again after the festive season. Have =
fun!</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health =
&amp;=20
Education<BR>Consultant Editor, OH Journal<BR><A=20
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Elizabeth =
Griffiths</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Thursday, October 07, =
2004 3:19=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Tuberculosis</DIV>
  <DIV><BR></DIV>
  <DIV><SPAN class=3D856041814-07102004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>thanks Greta</FONT></SPAN></DIV>
  <DIV><SPAN class=3D856041814-07102004><FONT face=3DArial =
color=3D#0000ff size=3D2>will=20
  try and arrange a visit sometime early next year, if that's alright =
with=20
  you.</FONT></SPAN></DIV>
  <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
    <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
    size=3D2>-----Original Message-----<BR><B>From:</B> Greta Thornbory=20
    [mailto:[log in to unmask]]<BR><B>Sent:</B> 07 October 2004 =

    15:12<BR><B>To:</B> <A=20
    =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A><B=
R><B>Subject:</B>=20
    Tuberculosis<BR><BR></FONT></DIV>
    <DIV><FONT size=3D2>For those of you working in the NHS or in areas =
where=20
    Tuberculosis may be a problem the Chief MO at DOH has published his =
new=20
    action plan for <U>'Stopping tuberculosis in England'</U> today. It =
is=20
    available to download in as a pdf file from </FONT><A=20
    href=3D"http://www.doh.gov.uk"><FONT =
size=3D2>www.doh.gov.uk</FONT></A><FONT=20
    size=3D2>&nbsp; As per usual little is said about occupational =
exposure! The=20
    only reference I can find is in Action 7 <EM>'achieve comprehensive=20
    occupational screening of healthcare workers joining the NHS' -</EM> =
so no=20
    change there then since we have been doing it for 30 years to my=20
    knowledge!</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational =
Health &amp;=20
    Education<BR>Consultant Editor, OH Journal<BR><A=20
    =
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
    01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV>&nbsp;</DIV>
    <DIV><FONT size=3D2><BR>---<BR>Outgoing mail is certified Virus=20
    Free.<BR>Checked by AVG anti-virus system (<A=20
    =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =

    6.0.762 / Virus Database: 510 - Release Date:=20
    13/09/2004</FONT></DIV>~~~~~~~~~~~~~~~ Please remove this footer =
before=20
    replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_015C_01C4ACBE.12DD1920--
=========================================================================
Date:         Thu, 7 Oct 2004 22:46:45 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: accident - Personal injury claims
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_016A_01C4ACBF.85816FC0"

This is a multi-part message in MIME format.

------=_NextPart_000_016A_01C4ACBF.85816FC0
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

You may find the paper 'Better Routes to Redress' useful. Published in =
May 2004 by the 'Better Regulation Task Force - which is part of the =
Cabinet Office - www.brtf.gov.uk  you can download the document as a pdf =
file. It says of it:
  "It is a commonly held perception that the United Kingdom is in the =
grip of "compensation culture". Newspapers complain that the UK is =
becoming like the United States with stories of people apparently suing =
others for large sums of money, and often for what appear to be trivial =
reasons. Media reports and claims management companies encourage people =
to "have a go" by creating a perception, quite inaccurately, that large =
sums of money are easily accessible."
  "This report looks at what has created the perception of a =
compensation culture; how that perception is fuelled; and the damage =
that the perception, unless tackled, will do for the prosperity and =
well-being of the UK. We also consider how people with genuine =
grievances - especially those who in the past may not have had access to =
justice - can have better access to redress, and make recommendations =
and about how the process can be improved'

The contents are referenced........

Good luck,

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027

----- Original Message -----=20
From: "Jacqui Livock" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, October 07, 2004 4:58 PM
Subject: accident - Personal injury claims


> hi all
> i am looking for research into this, i wonder if anyone can direct me =
to
> the recent research (or otherwise) i remember reading about a research
> article very recently which says "actually we dont have a compensation
> culture". but cant find any references or where i read it!if there is
> anything that says we do have a claims culture i would be happy to =
look at
> that too.
>=20
> anyone got a direction i can start?
> jacqui
>=20
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>=20
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>=20
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.762 / Virus Database: 510 - Release Date: 13/09/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_016A_01C4ACBF.85816FC0
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dwindows-1252">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY>
<DIV><FONT size=3D2>You may find the paper 'Better Routes to Redress' =
useful.=20
Published in May 2004 by the 'Better Regulation Task Force - which is =
part of=20
the Cabinet Office - </FONT><A href=3D"http://www.brtf.gov.uk"><FONT=20
size=3D2>www.brtf.gov.uk</FONT></A><FONT size=3D2>&nbsp; you can =
download the=20
document as a pdf file. It says of it:</FONT></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV><FONT size=3D2>"<EM>It is a commonly held perception that the =
United=20
  Kingdom is in the grip of "compensation culture". Newspapers complain =
that the=20
  UK is becoming like the United States with stories of people =
apparently suing=20
  others for large sums of money, and often for what appear to be =
trivial=20
  reasons. Media reports and claims management companies encourage =
people to=20
  "have a go" by creating a perception, quite inaccurately, that large =
sums of=20
  money are easily accessible."</EM></FONT></DIV>
  <P><FONT size=3D2><EM>"This report looks at what has created the =
perception of a=20
  compensation culture; how that perception is fuelled; and the damage =
that the=20
  perception, unless tackled, will do for the prosperity and well-being =
of the=20
  UK. We also consider how people with genuine grievances - especially =
those who=20
  in the past may not have had access to justice - can have better =
access to=20
  redress, and make recommendations and about how the process can =
be</EM>=20
  <EM>improved'</EM></FONT></P></BLOCKQUOTE>
<DIV><FONT size=3D2>The contents are referenced........</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Good luck,</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health =
&amp;=20
Education<BR>Consultant Editor, OH Journal<BR><A=20
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>----- Original Message ----- </FONT></DIV>
<DIV><FONT size=3D2>From: "Jacqui Livock" &lt;</FONT><A=20
href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
<DIV><FONT size=3D2>To: &lt;</FONT><A=20
href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
<DIV><FONT size=3D2>Sent: Thursday, October 07, 2004 4:58 =
PM</FONT></DIV>
<DIV><FONT size=3D2>Subject: accident - Personal injury =
claims</FONT></DIV>
<DIV><FONT size=3D2><BR></FONT></DIV>
<DIV><FONT size=3D2>&gt; hi all<BR>&gt; i am looking for research into =
this, i=20
wonder if anyone can direct me to<BR>&gt; the recent research (or =
otherwise) i=20
remember reading about a research<BR>&gt; article very recently which =
says=20
"actually we dont have a compensation<BR>&gt; culture". but cant find =
any=20
references or where i read it!if there is<BR>&gt; anything that says we =
do have=20
a claims culture i would be happy to look at<BR>&gt; that too.<BR>&gt; =
<BR>&gt;=20
anyone got a direction i can start?<BR>&gt; jacqui<BR>&gt; <BR>&gt;=20
~~~~~~~~~~~~~~~<BR>&gt; Please remove this footer before =
replying.<BR>&gt;=20
<BR>&gt; For list archives and documents, go to<BR>&gt; </FONT><A=20
href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT=20
size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =
size=3D2>=20
for list archives<BR>&gt; <BR>&gt; For jobs in Occupational Health, go=20
to<BR>&gt; </FONT><A =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT =
color=3D#0000ff=20
size=3D2></FONT></U></DIV>
<DIV>&nbsp;</DIV>
<DIV><U><FONT color=3D#0000ff size=3D2><BR>---<BR>Outgoing mail is =
certified Virus=20
Free.<BR>Checked by AVG anti-virus system (<A=20
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.762 /=20
Virus Database: 510 - Release Date: =
13/09/2004</FONT></U></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_016A_01C4ACBF.85816FC0--
=========================================================================
Date:         Fri, 8 Oct 2004 08:57:12 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Godfrey Farerell (RGC) OHNA" <[log in to unmask]>
Subject:      Re: skin survelliance
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Hi Chris,
Can you please give me more detail re:1/2 day course that you run.  I am
interested.  Thank you.

-----Original Message-----
From: Chris Packham [mailto:[log in to unmask]]
Sent: 07 October 2004 16:43
To: [log in to unmask]
Subject: Re: skin survelliance


Skin health surveillance can be carried out in two ways. One is the
traditional visual assessment which will give you an indication when an
actual skin problem has arisen. The other is what dermatologists call skin
bio-engineering, which uses scientific instruments to measure actual skin
condition. This latter will detect sub-clinical damage, i.e. damage from
irritants that is not yet visible on the surface of the skin.

We run half-day courses on skin health surveillance. If you are interested
may I suggest you contact me off list to discuss.

Regards
Chris Packham
EnviroDerm Services
Tel: 01386 832 311

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 8 Oct 2004 10:00:38 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lisa Willis <[log in to unmask]>
Subject:      Re: skin survelliance
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Chris

Me too please

Lisa

[log in to unmask] wrote:

> Hi Chris,
> Can you please give me more detail re:1/2 day course that you run.  I am
> interested.  Thank you.
>
> -----Original Message-----
> From: Chris Packham [mailto:[log in to unmask]]
> Sent: 07 October 2004 16:43
> To: [log in to unmask]
> Subject: Re: skin survelliance
>
> Skin health surveillance can be carried out in two ways. One is the
> traditional visual assessment which will give you an indication when an
> actual skin problem has arisen. The other is what dermatologists call skin
> bio-engineering, which uses scientific instruments to measure actual skin
> condition. This latter will detect sub-clinical damage, i.e. damage from
> irritants that is not yet visible on the surface of the skin.
>
> We run half-day courses on skin health surveillance. If you are interested
> may I suggest you contact me off list to discuss.
>
> Regards
> Chris Packham
> EnviroDerm Services
> Tel: 01386 832 311
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 8 Oct 2004 14:10:26 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Therona Goldsmith <[log in to unmask]>
Subject:      Re: skin survelliance
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

Hi Chris
Thanks for your reply.

What I am  trying to find out is what systems or working procedure others
have in place for visual checking - who does it, when, what records are
kept, who keeps them,  what procedures they have in place if abnormalities
are found, how to ensure compliance etc etc.

MAny thanks though.

Regards
Therona



>From: Chris Packham <[log in to unmask]>
>Reply-To: Occupational Health mailing list <[log in to unmask]>
>To: [log in to unmask]
>Subject: Re: skin survelliance
>Date: Thu, 7 Oct 2004 16:43:05 +0100
>
>Skin health surveillance can be carried out in two ways. One is the
>traditional visual assessment which will give you an indication when an
>actual skin problem has arisen. The other is what dermatologists call skin
>bio-engineering, which uses scientific instruments to measure actual skin
>condition. This latter will detect sub-clinical damage, i.e. damage from
>irritants that is not yet visible on the surface of the skin.
>
>We run half-day courses on skin health surveillance. If you are interested
>may I suggest you contact me off list to discuss.
>
>Regards
>Chris Packham
>EnviroDerm Services
>Tel: 01386 832 311
>
>~~~~~~~~~~~~~~~
>Please remove this footer before replying.
>
>For list archives and documents, go to
>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
>For jobs in Occupational Health, go to
>http://uk.groups.yahoo.com/group/OHJobs/

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 8 Oct 2004 14:12:10 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Therona Goldsmith <[log in to unmask]>
Subject:      Re: Needle disposal
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

Thanks for this Chris. I think i have been in touch with this person before
about puncture resisitant gloves. I am more concerned about setting up a
procedure for collection of needles etc.
Many thanks
Therona

>From: Chris Packham <[log in to unmask]>
>Reply-To: Occupational Health mailing list <[log in to unmask]>
>To: [log in to unmask]
>Subject: Re: Needle disposal
>Date: Thu, 7 Oct 2004 16:44:45 +0100
>
>Try contacting Malcolm Roberts on 01778 426 841. This is one of his
>specialist areas.
>
>Regards
>Chris Packham
>
>----- Original Message -----
>From: "Therona Goldsmith" <[log in to unmask]>
>To: <[log in to unmask]>
>Sent: Thursday, October 07, 2004 2:34 PM
>Subject: Needle disposal
>
>
> > I am trying to set up a procedure and some training for staff who have
>to
> > deal with disgarded needles and syringes left behind by homeless people
> > using the site.
> > Does anyone have a risk assessment for this sort of thing and would they
>be
> > willing to share it with me?
> > Many thanks
> > Therona
> >
> > _________________________________________________________________
> > Stay in touch with absent friends - get MSN Messenger
> > http://www.msn.co.uk/messenger
> >
> > ~~~~~~~~~~~~~~~
> > Please remove this footer before replying.
> >
> > For list archives and documents, go to
> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> > For jobs in Occupational Health, go to
> > http://uk.groups.yahoo.com/group/OHJobs/
> >
> >
>
>~~~~~~~~~~~~~~~
>Please remove this footer before replying.
>
>For list archives and documents, go to
>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
>For jobs in Occupational Health, go to
>http://uk.groups.yahoo.com/group/OHJobs/

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 8 Oct 2004 15:44:35 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chris Packham <[log in to unmask]>
Subject:      Re: skin survelliance
MIME-Version: 1.0
Content-Type: text/plain; charset="Windows-1252"
Content-Transfer-Encoding: 7bit

Therona

If you wrote the syllabus for our skin health surveillance course it would
include all those topics you mention (except, perhaps the 'compliance'
aspect). It would also cover some of the more modern, scientific techniques
that can provide advance information on skin damage. Visual assessment
generally only detects once damage has resulted in some form of skin
disease. These new techniques can detect certain forms of sub-clinical
damage and allow you to take pre-emptive action so that the visual damage
simply does not occur.

The compliance aspect is dealt with in our one day course on occupational
skin management. This also covers occupational skin diseases, causes and
consequences, so would answer the other part of your search. If you need
more information on this take a look at our website (www.enviroderm.co.uk)
or contact us (tel: 01386 832 311)

Regards
Chris Packham
EnviroDerm Services

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 8 Oct 2004 15:45:38 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chris Packham <[log in to unmask]>
Subject:      Re: Needle disposal
MIME-Version: 1.0
Content-Type: text/plain; charset="Windows-1252"
Content-Transfer-Encoding: 7bit

Therona

Malcolm has for some year now run courses on techniques for just this
purpose. Give him a call.

Regards
Chris

-----

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 8 Oct 2004 16:00:03 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jo Jenkins <[log in to unmask]>
Subject:      Re: Policies and Procedures
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

What were you specifically looking for?

Regards

JJ

Jo Jenkins
Occupational Health Lead (UK/Ireland)
King's Lynn Office
Tel: 01553 615152       Mobile 0771 2120 003




             Jeanette.Warran@S
             KANSKA.CO.UK
                                                                        To
             07/10/04 14:40            [log in to unmask]
                                                                        cc

             Please respond to                                     Subject
             OCC-HEALTH@JISCMA         Policies and Procedures
                 IL.AC.UK









Hi

I have recently taken on a new role and have been set the task of setting
in
place OH policies and procedures (there is currently none in place) and I
would appreciate any help any of you would be willing to offer

Thanks

Jeanette Warran
Occupational Health Adviser
07812 218440
Skanska Integrated Projects
A Division of Skanska Construction UK Limited
Registration No: 191408
Registered in England
Registered Office: Maple Cross House, Denham Way, Maple Cross,
Rickmansworth, Hertfordshire, WD3 9SW
Privileged/Confidential Information may be contained in this message. If
you
are not the addressee indicated in this message (or responsible for
delivery
of the message to such person), you may not copy or deliver this message to
anyone. In such case, you should notify us immediately, and destroy this
message.



-----Original Message-----
From: Therona Goldsmith [mailto:[log in to unmask]]
Sent: 07 October 2004 14:31
To: [log in to unmask]
Subject: skin survelliance


Hi Colleagues
We are in the process of updating our Procedures and policy on skin
survelliance for those working with solvents.
I am interested in finding what you have set up in your workplace
With many thanks
Therona

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/




**********************************************************************
This e-mail and any files transmitted with it may contain
confidential information and is intended solely for use by
the individual to whom it is addressed.  If you received
this e-mail in error, please notify the sender, do not
disclose its contents to others and delete it from your
system.

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

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 8 Oct 2004 16:46:05 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Davies <[log in to unmask]>
Subject:      Re: employees problems with alcohol
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

Hi Jacqui
My company is also looking at a new drugs and alcohol policy. Could I please
have a copy as well. I would appreciate it if you could email me off list at
[log in to unmask]
Thanks
Magi

_________________________________________________________________
Want to block unwanted pop-ups? Download the free MSN Toolbar now!
http://toolbar.msn.co.uk/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 8 Oct 2004 21:55:00 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lanre Ogunyemi <[log in to unmask]>
Subject:      Re: accident - Personal injury claims
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Hi Jacqui,

I'd recommend Whiplash and other useful illnesses by Andrew Malleson
available via amazon or your local library & reviewed recently by John
Hobson in Occup Med (Lond).2004; 54: 361-362. Enjoy!

Lanre

-----Original Message-----
From: Jacqui Livock [mailto:[log in to unmask]]
Sent: 07 October 2004 16:59
To: [log in to unmask]
Subject: accident - Personal injury claims


hi all
i am looking for research into this, i wonder if anyone can direct me to
the recent research (or otherwise) i remember reading about a research
article very recently which says "actually we dont have a compensation
culture". but cant find any references or where i read it!if there is
anything that says we do have a claims culture i would be happy to look at
that too.

anyone got a direction i can start?
jacqui

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sat, 9 Oct 2004 07:01:26 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      needle disposal
Mime-Version: 1.0
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<html><div style=3D'background-color:'><DIV class=3DRTE>You could try you=
r local council OH deparment. Their binmen and park keepers&nbsp;often ha=
ve to deal with this and they may have a procedure..</DIV>
<DIV class=3DRTE>Diane</DIV></div><br clear=3Dall><hr>MSN Premium gives y=
ou PC protection, junk-mail filters, advanced communication tools and gre=
at software like MSN Encarta=AE Premium.   <a href=3D"http://g.msn.com/8H=
MAENUK/2740??PS=3D47575" target=3D"_top">Click here for a FREE trial!</a>=
 </html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sun, 10 Oct 2004 10:32:50 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         shelley cook <[log in to unmask]>
Subject:      Re: If I know they should know!!!!!!!!!!!!!!!
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_00C0_01C4AEB4.7E2644C0"

This is a multi-part message in MIME format.

------=_NextPart_000_00C0_01C4AEB4.7E2644C0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Re: If I know they should know!!!!!!!!!!!!!!!Helen
I have had exactly the same issue with my HR and have even had to face a =
disciplinary hearing in part because of this. If you wish to talk to me =
on the please let me know

shelley

--- Original Message -----=20
  From: Anne Harriss=20
  To: [log in to unmask]
  Sent: Thursday, September 16, 2004 9:52 AM
  Subject: Re: If I know they should know!!!!!!!!!!!!!!!


  on 16/9/04 8:45 am, Lisa Willis at [log in to unmask] wrote:


    Wouldn't life be easier without HR.=20

    I have always understood that you cannot disclose details about a =
patient without there permission.  The patient themselves, if they wish =
may tell HR, but may choose not to as they may feel they would  be =
treated with bias.=20

    It is difficult.  You can say they have a permanent restriction =
because of a medical condition without disclosing it, or are covered by =
the DDA, but I didn't think you had to give them details.=20

    Good LUck=20



    [log in to unmask] wrote:=20

      I'm asking for advice here. Could you tell me where i stand?I have =
an HR dept who are saying that if I know health info about an employee I =
am obliged to disclose this to them because if i didn't disclose it as =
soon as i learned of it they the employer would be liable when/if the =
employee's health became worse as a result of work. They say I am =
obliged by law under duty of care to inform the HR dept of this =
employees health issue(s) regardless of whether I have permission or no. =
Basically they say if I am aware of the info  the employer would be =
deemed to have known about it and would therefore be vulnerable / liable =
if they were do nothing about it and things deteriorate healthwise for =
the employee. I have said that if i deemed the info important enough to =
to feel the Co. should know then i would discuss it furthger with the =
employee and try and obtain permission to disclose it thus helping the =
employee at the same time. But if i don't get that permission then i =
could not disclose. Clarification would be very helpful. Many =
thanksHelen~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

      For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

      For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20


  This has been, and always will be, a difficulty for OHNs. I can see =
the problem form both sides  but OHNs are bound by a professional code =
of conduct and a clause within that code on confidentiality.=20

  One way of dealing with this is that HR can be informed of the =
implications of a health condition which may put the health and safety =
of the employee, or others, at risk without revealing specific details =
such as the diagnosis.  For example an example from my own practice =
experience: A company driver revealed to me  that they had a drink =
problem had been coming to work under the influence of alcohol. They now =
 intended to seek treatment from their GP and the assistance of =
Alcoholics Anonymous. I discussed with that employee the health and =
safety issues and the duty of care of all parties as he was employed to =
undertake driving duties. I outlined my responsibility to advise =
management that the client had a health problem which would affect their =
ability to drive. Until that issue was resolved  they are not fit to =
undertake driving duties. I gave the client the opportunity to see the =
letter I wrote to management in order that they were aware that no =
specific confidential medical information had been revealed. All that =
had been revealed were implications. It was likely that the manager =
suspected an alcohol problem due to their attendance behaviour  but the =
ball was then in the manager's court.=20

  I hope this is helpful

  Anne ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_00C0_01C4AEB4.7E2644C0
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><TITLE>Re: If I know they should know!!!!!!!!!!!!!!!</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1106" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>Helen</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>I have had exactly the same issue with =
my HR and=20
have even had to face a disciplinary hearing in part because of this. If =
you=20
wish to talk to me on the please let me know</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>shelley</FONT></DIV>
<DIV>&nbsp;</DIV>
<DIV>--- Original Message ----- </DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask] =
href=3D"mailto:[log in to unmask]">Anne=20
  Harriss</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Thursday, September 16, =
2004 9:52=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: If I know they =
should=20
  know!!!!!!!!!!!!!!!</DIV>
  <DIV><BR></DIV>on 16/9/04 8:45 am, Lisa Willis at <A=20
  href=3D"mailto:[log in to unmask]">[log in to unmask]</A>=20
  wrote:<BR><BR>
  <BLOCKQUOTE>Wouldn't life be easier without HR. <BR><BR>I have always=20
    understood that you cannot disclose details about a patient without =
there=20
    permission. &nbsp;The patient themselves, if they wish may tell HR, =
but may=20
    choose not to as they may feel they would &nbsp;be treated with =
bias.=20
    <BR><BR>It is difficult. &nbsp;You can say they have a permanent =
restriction=20
    because of a medical condition without disclosing it, or are covered =
by the=20
    DDA, but I didn't think you had to give them details. <BR><BR>Good =
LUck=20
    <BR><BR><BR><BR>[log in to unmask] wrote: <BR>
    <BLOCKQUOTE><FONT size=3D2><FONT face=3DArial>I'm asking for advice =
here.=20
      Could you tell me where i stand?I have an HR dept who are saying =
that if I=20
      know health info about an employee I am obliged to disclose this =
to them=20
      because if i didn't disclose it as soon as i learned of it they =
the=20
      employer would be liable when/if the employee's health became =
worse as a=20
      result of work. They say I am obliged by law under duty of care to =
inform=20
      the HR dept of this employees health issue(s) regardless of =
whether I have=20
      permission or no.</FONT></FONT> <FONT size=3D2><FONT =
face=3DArial>Basically=20
      they say if I am aware of the info &nbsp;the employer would be =
deemed to=20
      have known about it and would therefore be vulnerable / liable if =
they=20
      were do nothing about it and things deteriorate healthwise for the =

      employee.</FONT></FONT> <FONT size=3D2><FONT face=3DArial>I have =
said that if=20
      i deemed the info important enough to to feel the Co. should know =
then i=20
      would discuss it furthger with the employee and try and obtain =
permission=20
      to disclose it thus helping the employee at the same time. But if =
i don't=20
      get that permission then i could not disclose.</FONT></FONT> <FONT =

      size=3D2><FONT face=3DArial>Clarification would be very =
helpful.</FONT></FONT>=20
      <FONT size=3D2><FONT face=3DArial>Many=20
      thanksHelen</FONT></FONT>~~~~~~~~~~~~~~~ Please remove this footer =
before=20
      replying. <BR><BR>For list archives and documents, go to=20
      http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
      <BR><BR>For jobs in Occupational Health, go to=20
      =
http://uk.groups.yahoo.com/group/OHJobs/<BR></BLOCKQUOTE>~~~~~~~~~~~~~~~ =

    Please remove this footer before replying. <BR><BR>For list archives =
and=20
    documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html for =
list=20
    archives <BR><BR>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ <BR></BLOCKQUOTE><BR>This =
has been,=20
  and always will be, a difficulty for OHNs. I can see the problem form =
both=20
  sides &nbsp;but OHNs are bound by a professional code of conduct and a =
clause=20
  within that code on confidentiality. <BR><BR>One way of dealing with =
this is=20
  that HR can be informed of the<B> implications</B> of a health =
condition which=20
  may put the health and safety of the employee, or others, at risk =
without=20
  revealing specific details such as the diagnosis. &nbsp;For example an =
example=20
  from my own practice experience: A company driver revealed to me =
&nbsp;that=20
  they had a drink problem had been coming to work under the influence =
of=20
  alcohol. They now &nbsp;intended to seek treatment from their GP and =
the=20
  assistance of Alcoholics Anonymous. I discussed with that employee the =
health=20
  and safety issues and the duty of care of all parties as he was =
employed to=20
  undertake driving duties. I outlined my responsibility to advise =
management=20
  that the client had a health problem which would affect their ability =
to=20
  drive. Until that issue was resolved &nbsp;they are not fit to =
undertake=20
  driving duties. I gave the client the opportunity to see the letter I =
wrote to=20
  management in order that they were aware that no specific confidential =
medical=20
  information had been revealed. All that had been revealed were =
implications.=20
  It was likely that the manager suspected an alcohol problem due to =
their=20
  attendance behaviour &nbsp;but the ball was then in the manager's =
court.=20
  <BR><BR>I hope this is helpful<BR><BR>Anne ~~~~~~~~~~~~~~~ Please =
remove this=20
  footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_00C0_01C4AEB4.7E2644C0--
=========================================================================
Date:         Sun, 10 Oct 2004 13:51:41 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sharon JOnes <[log in to unmask]>
Subject:      Working with Antimony

Dear List
Do any of you have any experience of health screening for workers exposed
to airbourne Antimony? I am trying to find information on blood tests and
general health implications

Thanks if anyone can help
Sharon

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sun, 10 Oct 2004 16:30:11 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Working with Antimony
MIME-Version: 1.0
Content-Type: text/plain; charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

Go to www.hsebooks.co.uk and search for Antimony - you will get 'Antimony
and its compounds' EH 19 1997 price =A33.00  the abstract is below:

      Guidance note, environmental hygiene 19. supersedes the 1978 editio=
n
entitled, 'Antimony - health and safety precautions'.
      Abstract Provides guidance regarding the possible health hazards wh=
ich
could result from exposure to antimony and its compounds. It gives advice=
 on
the precautions that may be needed to prevent or adequately control expos=
ure
as required by the Control of Substances Hazardous to Health Regulations
1994 (COSHH). Aimed at employers in the plastics, alloy manufacturing, an=
d
chemicals industries. Other groups such as employees and health and safet=
y
professionals will also find it useful. Contents: Occurrence, properties =
and
use; Effects on health; Assessment; Prevention and control of exposure;
Maintenance, examination and testing of control measures; Monitoring
exposure; Health surveillance; Information, instruction and training; Saf=
ety
representatives; Further information


Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027







----- Original Message -----=20
From: "Sharon JOnes" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, October 10, 2004 1:51 PM
Subject: Working with Antimony


> Dear List
> Do any of you have any experience of health screening for workers expos=
ed
> to airbourne Antimony? I am trying to find information on blood tests a=
nd
> general health implications
>
> Thanks if anyone can help
> Sharon
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.762 / Virus Database: 510 - Release Date: 13/09/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sun, 10 Oct 2004 18:43:25 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Julia J Collins <[log in to unmask]>
Subject:      Community Health Care Degree

Hi everyone

I'm new to JISCmail and have just joined today. I have worked in
occupational health for sixteen years for a large company making aircraft.
I've decided to finally do the degree and want to make new friends and
collegues along the way. Is there anyone out there who feels the same way
as I do at starting the course or someone who remembers what it's like!

Would like to hear from you

Julia

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sun, 10 Oct 2004 14:09:57 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
Subject:      Re: Community Health Care Degree
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1097431797"

-------------------------------1097431797
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Hello Julia,

enjoy the course is my first advice. I am very new to this arena of  nursing
and found it amazing to listen to experts in the field, and being able o  pick
their brains was invaluable. I have to say that i still do this to a few
even now (thank-you Mr Loach).

this list too is superb but all i'd say is don't be too serious and
certainly not too humourous or you may offend folks (I speak from personal
experience).

The degree is what you make it, and with your past experience  you'll no
doubt give as much as yet "take". Some of the modules on my particular  course
were a bit fluffy and not really with an OH basis, although the  assignments
could have an OH slant, but even now they offered little. I guess  the issue here
was that I knew nowt about OH (and still don't know a lot) and i  was
expecting (rather silly in hindsight) the course to teach me about OH.  Obviously no
course can do this, and experience means everything.

The qualification has and does open doors, but my own personal view  is that
experience is more important that a few letters and a surfikat (for  those
Steve Wright fans). I know this topic has been discussed at length on the  list
before.

And finally, I have been very quiet of late due to a poorly PC. For  those of
you with Windows XP DO NOT download service pack 2, as it may crash  your
system too, and loose absolutely everything on your pc.

Take care y'all

Glenn

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1097431797
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2600.0" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #000000; FONT-FAMILY: Comic Sans MS"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3D"Comic Sans MS" color=3D#000000 size=3D3>
<DIV><STRONG>Hello Julia,</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>enjoy the course is my first advice. I am very new to this aren=
a of=20
nursing and found it amazing to listen to experts in the field, and being ab=
le o=20
pick their brains was invaluable. I have to say that i still do this to a fe=
w=20
even now (thank-you Mr Loach).</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>this list too is superb but all i'd say is don't be too serious=
 and=20
certainly not too humourous or you may offend folks (I speak from personal=20
experience).</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>The degree is what you make it, and with your past experience=20
you'll no doubt give as much as yet "take". Some of the modules on my partic=
ular=20
course were a bit fluffy and not really with an OH basis, although the=20
assignments could have an OH slant, but even now they offered little. I gues=
s=20
the issue here was that I knew nowt about OH (and still don't know a lot) an=
d i=20
was expecting (rather silly in hindsight) the course to teach me about OH.=20
Obviously no course can do this, and experience means everything.</STRONG></=
DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>The qualification has and does open doors, but my own personal=20=
view=20
is that experience is more important that a few letters and a surfikat (for=20
those Steve Wright fans). I know this topic has been discussed at length on=20=
the=20
list before.</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>And finally, I have been very quiet of late due to a poorly PC.=
 For=20
those of you with Windows XP DO NOT download service pack 2, as it may crash=
=20
your system too, and loose absolutely everything on your pc.</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Take care y'all</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Glenn</STRONG></DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1097431797--
=========================================================================
Date:         Mon, 11 Oct 2004 10:19:40 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Fields Shirley <[log in to unmask]>
Subject:      Epinet Database for Needlestick injuries
MIME-Version: 1.0
Content-Type: multipart/related; type="multipart/alternative";
              boundary="----_=_NextPart_001_01C4AF73.6FD8344D"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4AF73.6FD8344D
Content-Type: multipart/alternative;
        boundary="----_=_NextPart_002_01C4AF73.6FD8344D"


------_=_NextPart_002_01C4AF73.6FD8344D
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

For attention of NHS Colleagues
=20
We are currently looking into getting the Epinet database for recording =
needlestick injuries and I am interested in hearing how other NHS OH =
service use the system in conjunction with their normal needlestick =
injury reporting system. Are you happy with the Epinet system?
=20
Thanks
=20
Shirley Fields
Occupational Health Manager
Burton Hospitals NHS Trust
Queen's Hospital
Burton on Trent
DE13 0RB
=20
01283 511511 ext 2372


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_002_01C4AF73.6FD8344D
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><TITLE>Message</TITLE>
<META content=3D"text/html; charset=3Diso-8859-1" =
http-equiv=3DContent-Type>
<STYLE>P.msoNormal {
        COLOR: black; FONT-FAMILY: "MS Sans Serif", "sans serif"; FONT-SIZE: =
12pt; FONT-WEIGHT: normal; MARGIN: 0in 0in 0pt
}
LI.msoNormal {
        COLOR: black; FONT-FAMILY: "MS Sans Serif", "sans serif"; FONT-SIZE: =
12pt; FONT-WEIGHT: normal; MARGIN: 0in 0in 0pt
}
BODY {
        COLOR: black; FONT-FAMILY: "MS Sans Serif", "sans serif"; FONT-SIZE: =
12pt; FONT-WEIGHT: normal; MARGIN-LEFT: 50px
}
HR {
        COLOR: #00ffff; HEIGHT: 1px; WIDTH: 100%
}
</STYLE>

<META content=3D"MSHTML 5.00.3526.800" name=3DGENERATOR></HEAD>
<BODY background=3Dcid:246451509@11102004-046F bgColor=3D#ffffff=20
style=3D"COLOR: #000000; FONT-FAMILY: Arial">
<DIV><FONT face=3D'"MS Sans Serif"'><SPAN class=3D246451509-11102004>For =
attention=20
of NHS Colleagues</SPAN></FONT></DIV>
<DIV><FONT face=3D'"MS Sans Serif"'><SPAN=20
class=3D246451509-11102004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3D'"MS Sans Serif"'><SPAN class=3D246451509-11102004>We =
are=20
currently looking into getting the Epinet database for recording =
needlestick=20
injuries and I am interested in hearing how other NHS OH service use the =
system=20
in conjunction with their normal needlestick injury reporting system. =
Are you=20
happy with the Epinet system?</SPAN></FONT></DIV>
<DIV><FONT face=3D'"MS Sans Serif"'><SPAN=20
class=3D246451509-11102004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3D'"MS Sans Serif"'><SPAN=20
class=3D246451509-11102004>Thanks</SPAN></FONT></DIV>
<DIV>&nbsp;</DIV>
<DIV align=3Dleft><EM><FONT face=3D"Arial Black" size=3D2>Shirley=20
Fields</FONT></EM></DIV>
<DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>Occupational =
Health=20
Manager</EM></FONT></DIV>
<DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>Burton =
Hospitals NHS=20
Trust</EM></FONT></DIV>
<DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>Queen's=20
Hospital</EM></FONT></DIV>
<DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>Burton on=20
Trent</EM></FONT></DIV>
<DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>DE13 =
0RB</EM></FONT></DIV>
<DIV align=3Dleft>&nbsp;</DIV>
<DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>01283 511511 =
ext=20
2372</EM></FONT></DIV>
<P></P></BODY></HTML>
=00
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_002_01C4AF73.6FD8344D--

------_=_NextPart_001_01C4AF73.6FD8344D
Content-Type: image/jpeg;
        name="Notebook.jpg"
Content-Transfer-Encoding: base64
Content-ID: <246451509@11102004-046F>
Content-Description: Notebook.jpg
Content-Location: Notebook.jpg
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------_=_NextPart_001_01C4AF73.6FD8344D--
=========================================================================
Date:         Mon, 11 Oct 2004 10:33:15 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Hair <[log in to unmask]>
MIME-Version: 1.0
MIME-Version: 1.0
Content-Type: text/html; charset=ISO-8859-1
Content-Transfer-Encoding: base64

PEZPTlQgZmFjZT0iRGVmYXVsdCBTYW5zIFNlcmlmLCBWZXJkYW5hLCBBcmlhbCwgSGVsdmV0aWNh
LCBzYW5zLXNlcmlmIiBzaXplPTI+PGRpdj5DYW4gYW55Ym9keSBhZHZpc2UgbWUgYXMgdG8gdGhl
IHBvc3NpYmxlIGFmZmVjdHMgb2YgYWN1dGUgcGNiIG9yIGRpb3hpbiBleHBvc3VyZS4gSXQgd2Fz
IGEgb25lIG9mZiBjb250YWN0IHBvc3NpYmx5IGZvciBhYm91dCA1IGhvdXJzIGluIGEgZ3JvdXAg
b2YgZmlyZWZpZ2h0ZXJzLCBhcyBmYXIgYXMgaSBhbSBhd2FyZSB0aGV5IGFyZSBhbGwgYXN5bXB0
b21hdGljIHVwIHVudGlsIG5vdy5BbnkgaGVscCB3b3VsZCBiZSBhcHByZWNpYXRlZDwvZGl2PjxE
SVY+Jm5ic3A7PC9ESVY+PERJVj5jaGVlcnM8L0RJVj48RElWPlBhdWwgSGFpcjwvRElWPjxESVY+
T0ggQWR2aXNlciBORlJTPC9ESVY+PC9GT05UPg==
=========================================================================
Date:         Mon, 11 Oct 2004 10:46:22 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Fearnley Debbie (RBT) Mid Cheshire Tr"
              <[log in to unmask]>
Subject:      Re: Epinet Database for Needlestick injuries
MIME-Version: 1.0
Content-Type: multipart/related; type="multipart/alternative";
              boundary="----_=_NextPart_001_01C4AF77.2A771E17"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4AF77.2A771E17
Content-Type: multipart/alternative;
        boundary="----_=_NextPart_002_01C4AF77.2A771E17"


------_=_NextPart_002_01C4AF77.2A771E17
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Shirley
I have been trying to make contact with a sales rep for Epinet for =
twelve months now. I have tried the contact numbers displayed on their =
website to no avail, I have contacted the RCN who stae they have not =
heard of the system.
If you are sucessful in contacting them please let me have a contact =
number.
Regards
Debbie

-----Original Message-----
From: Fields Shirley [mailto:[log in to unmask]]
Sent: 11 October 2004 10:20
To: [log in to unmask]
Subject: Epinet Database for Needlestick injuries


For attention of NHS Colleagues
=20
We are currently looking into getting the Epinet database for recording =
needlestick injuries and I am interested in hearing how other NHS OH =
service use the system in conjunction with their normal needlestick =
injury reporting system. Are you happy with the Epinet system?
=20
Thanks
=20
Shirley Fields
Occupational Health Manager
Burton Hospitals NHS Trust
Queen's Hospital
Burton on Trent
DE13 0RB
=20
01283 511511 ext 2372



~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_002_01C4AF77.2A771E17
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<TITLE>Message</TITLE>

<STYLE>P.msoNormal {
        COLOR: black; FONT-FAMILY: "MS Sans Serif", "sans serif"; =
FONT-SIZE: 12pt; FONT-WEIGHT: normal; MARGIN: 0in 0in 0pt
}
LI.msoNormal {
        COLOR: black; FONT-FAMILY: "MS Sans Serif", "sans serif"; =
FONT-SIZE: 12pt; FONT-WEIGHT: normal; MARGIN: 0in 0in 0pt
}
BODY {
        COLOR: black; FONT-FAMILY: "MS Sans Serif", "sans serif"; =
FONT-SIZE: 12pt; FONT-WEIGHT: normal; MARGIN-LEFT: 50px
}
HR {
        COLOR: #00ffff; HEIGHT: 1px; WIDTH: 100%
}
</STYLE>

<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR></HEAD>
<BODY style=3D"COLOR: #000000; FONT-FAMILY: Arial" bgColor=3D#ffffff=20
background=3Dcid:165154409@11102004-2ce1>
<DIV><SPAN class=3D165154409-11102004><FONT =
size=3D2>Shirley</FONT></SPAN></DIV>
<DIV><SPAN class=3D165154409-11102004><FONT size=3D2>I have been trying =
to make=20
contact with a sales rep for Epinet for twelve months now. I have tried =
the=20
contact numbers displayed on their website to no avail, I have contacted =
the RCN=20
who stae they have not heard of the system.</FONT></SPAN></DIV>
<DIV><SPAN class=3D165154409-11102004><FONT size=3D2>If you are =
sucessful in=20
contacting them please let me have a contact number.</FONT></SPAN></DIV>
<DIV><SPAN class=3D165154409-11102004><FONT =
size=3D2>Regards</FONT></SPAN></DIV>
<DIV><SPAN class=3D165154409-11102004><FONT =
size=3D2>Debbie</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> Fields Shirley=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 11 =
October=20
  2004 10:20<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Epinet=20
  Database for Needlestick injuries<BR><BR></FONT></DIV>
  <DIV><FONT face=3D'"MS Sans Serif"'><SPAN =
class=3D246451509-11102004>For attention=20
  of NHS Colleagues</SPAN></FONT></DIV>
  <DIV><FONT face=3D'"MS Sans Serif"'><SPAN=20
  class=3D246451509-11102004></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT face=3D'"MS Sans Serif"'><SPAN =
class=3D246451509-11102004>We are=20
  currently looking into getting the Epinet database for recording =
needlestick=20
  injuries and I am interested in hearing how other NHS OH service use =
the=20
  system in conjunction with their normal needlestick injury reporting =
system.=20
  Are you happy with the Epinet system?</SPAN></FONT></DIV>
  <DIV><FONT face=3D'"MS Sans Serif"'><SPAN=20
  class=3D246451509-11102004></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT face=3D'"MS Sans Serif"'><SPAN=20
  class=3D246451509-11102004>Thanks</SPAN></FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV align=3Dleft><EM><FONT face=3D"Arial Black" size=3D2>Shirley=20
  Fields</FONT></EM></DIV>
  <DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>Occupational =
Health=20
  Manager</EM></FONT></DIV>
  <DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>Burton =
Hospitals NHS=20
  Trust</EM></FONT></DIV>
  <DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>Queen's=20
  Hospital</EM></FONT></DIV>
  <DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>Burton on=20
  Trent</EM></FONT></DIV>
  <DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>DE13 =
0RB</EM></FONT></DIV>
  <DIV align=3Dleft>&nbsp;</DIV>
  <DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>01283 511511 =
ext=20
  2372</EM></FONT></DIV>
  <P></P>~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_002_01C4AF77.2A771E17--

------_=_NextPart_001_01C4AF77.2A771E17
Content-Type: image/jpeg;
        name="Notebook.jpg"
Content-Transfer-Encoding: base64
Content-ID: <165154409@11102004-2ce1>
Content-Description: Notebook.jpg
Content-Location: Notebook.jpg
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------_=_NextPart_001_01C4AF77.2A771E17--
=========================================================================
Date:         Mon, 11 Oct 2004 09:18:48 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Collins, Julia (UK)" <[log in to unmask]>
Subject:      Re: Community Health Care Degree
MIME-version: 1.0
Content-type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4AF6A.EF42546C"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4AF6A.EF42546C
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable


Hello Glenn
=0D
Thank you for your email I appreciate it.
=0D
I agree with what your saying about the course and hopefully when I've=
 stopped panicking I will enjoy the next two years. Like you say experience=
 is more important than a few letters at the end of your name but if you=
 want the doors to open that's what there looking for - not that I intend=
 to leave my present employer by choice!=0D
=0D
Thank you again and will be in touch
=0D
=0D
Julia

=0D
=0D
=0D
[Collins, Julia (UK)]=0D
=0D
=0D
 -----Original Message-----
From: Glenn Raybone [mailto:[log in to unmask]]
Sent: 10 October 2004 19:10
To: [log in to unmask]
Subject: Re: Community Health Care Degree



*** WARNING *** This mail has originated outside your organization, either=
 from an external partner or the Global Internet. Keep this in mind if you=
 answer this message. =0D

Hello Julia,
=0D
enjoy the course is my first advice. I am very new to this arena of nursing=
 and found it amazing to listen to experts in the field, and being able o=
 pick their brains was invaluable. I have to say that i still do this to a=
 few even now (thank-you Mr Loach).
=0D
this list too is superb but all i'd say is don't be too serious and=
 certainly not too humourous or you may offend folks (I speak from personal=
 experience).
=0D
The degree is what you make it, and with your past experience you'll no=
 doubt give as much as yet "take". Some of the modules on my particular=
 course were a bit fluffy and not really with an OH basis, although the=
 assignments could have an OH slant, but even now they offered little. I=
 guess the issue here was that I knew nowt about OH (and still don't know a=
 lot) and i was expecting (rather silly in hindsight) the course to teach=
 me about OH. Obviously no course can do this, and experience means=
 everything.
=0D
The qualification has and does open doors, but my own personal view is that=
 experience is more important that a few letters and a surfikat (for those=
 Steve Wright fans). I know this topic has been discussed at length on the=
 list before.
=0D
And finally, I have been very quiet of late due to a poorly PC. For those=
 of you with Windows XP DO NOT download service pack 2, as it may crash=
 your system too, and loose absolutely everything on your pc.
=0D
Take care y'all
=0D
Glenn
~~~~~~~~~~~~~~~ Please remove this footer before replying.=0D

For list archives and documents, go to=
 http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=0D


For jobs in Occupational Health, go to=
 http://uk.groups.yahoo.com/group/OHJobs/=0D



********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4AF6A.EF42546C
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; charset=
=3Diso-8859-1">


<META content=3D"MSHTML 5.00.2919.6307" name=3DGENERATOR></HEAD>
<BODY bottomMargin=3D7 id=3Drole_body leftMargin=3D7 rightMargin=3D7=0D
style=3D"COLOR: #000000; FONT-FAMILY: Comic Sans MS; FONT-SIZE: 12pt"=
 topMargin=3D7>
<DIV><SPAN class=3D707343507-11102004><STRONG>Hello=
 Glenn</STRONG></SPAN></DIV>
<DIV><SPAN class=3D707343507-11102004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D707343507-11102004><STRONG>Thank you for your email I=0D
appreciate it.</STRONG></SPAN></DIV>
<DIV><SPAN class=3D707343507-11102004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D707343507-11102004><STRONG>I agree with what your saying=
 about=0D
the course and hopefully when I've stopped panicking I will enjoy the next=
 two=0D
years. Like you say experience is more important than a few letters at the=
 end=0D
of your name but if you want the doors to open that's what there looking=
 for -=0D
not that I intend to leave my present employer by choice!=
 </STRONG></SPAN></DIV>
<DIV><SPAN class=3D707343507-11102004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D707343507-11102004><STRONG>Thank you again and will be=
 in=0D
touch</STRONG></SPAN></DIV>
<DIV><SPAN class=3D707343507-11102004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D707343507-11102004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D707343507-11102004><STRONG>Julia</STRONG></SPAN></DIV>
<DIV><SPAN class=3D707343507-11102004></SPAN><FONT face=3DTahoma size=
=3D2><BR><SPAN=0D
class=3D707343507-11102004><FONT face=3D"Comic Sans MS"=0D
size=3D3></FONT></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3DTahoma size=3D2><SPAN class=3D707343507-11102004><FONT=0D
face=3D"Comic Sans MS" size=3D3></FONT></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3DTahoma size=3D2><SPAN class=3D707343507-11102004><FONT=0D
face=3D"Comic Sans MS" size=3D3></FONT></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3DTahoma size=3D2><SPAN class=3D707343507-11102004><FONT=0D
face=3D"Comic Sans MS" size=3D3>[Collins, Julia=0D
(UK)]&nbsp;</FONT></SPAN></FONT></DIV>
<DIV><FONT face=3DTahoma size=3D2><SPAN=0D
class=3D707343507-11102004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3DTahoma size=3D2><SPAN=0D
class=3D707343507-11102004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3DTahoma size=3D2><SPAN=0D
class=3D707343507-11102004>&nbsp;</SPAN>-----Original=
 Message-----<BR><B>From:</B>=0D
Glenn Raybone [mailto:[log in to unmask]]<BR><B>Sent:</B> 10 October=
 2004=0D
19:10<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re:=
 Community=0D
Health Care Degree<BR><BR></DIV>
<BLOCKQUOTE style=3D"MARGIN-RIGHT: 0px"></FONT>
  <TABLE>
    <TBODY>
    <TR>
      <TD bgColor=3D#ffffff>*** WARNING *** This mail has originated=
 outside=0D
        your organization, either from an external partner or the Global=0D
        Internet. Keep this in mind if you answer this message.=0D
  </TD></TR></TBODY></TABLE><!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0=
 Transitional//EN">
  <META content=3D"MSHTML 6.00.2600.0" name=3DGENERATOR><FONT face=3D"Comic=
 Sans MS"=0D
  id=3Drole_document size=3D3>
  <DIV><STRONG>Hello Julia,</STRONG></DIV>
  <DIV><STRONG></STRONG>&nbsp;</DIV>
  <DIV><STRONG>enjoy the course is my first advice. I am very new to this=
 arena=0D
  of nursing and found it amazing to listen to experts in the field, and=
 being=0D
  able o pick their brains was invaluable. I have to say that i still do=
 this to=0D
  a few even now (thank-you Mr Loach).</STRONG></DIV>
  <DIV><STRONG></STRONG>&nbsp;</DIV>
  <DIV><STRONG>this list too is superb but all i'd say is don't be too=
 serious=0D
  and certainly not too humourous or you may offend folks (I speak from=
 personal=0D
  experience).</STRONG></DIV>
  <DIV><STRONG></STRONG>&nbsp;</DIV>
  <DIV><STRONG>The degree is what you make it, and with your past=
 experience=0D
  you'll no doubt give as much as yet "take". Some of the modules on my=0D
  particular course were a bit fluffy and not really with an OH basis,=
 although=0D
  the assignments could have an OH slant, but even now they offered little.=
 I=0D
  guess the issue here was that I knew nowt about OH (and still don't know=
 a=0D
  lot) and i was expecting (rather silly in hindsight) the course to teach=
 me=0D
  about OH. Obviously no course can do this, and experience means=0D
  everything.</STRONG></DIV>
  <DIV><STRONG></STRONG>&nbsp;</DIV>
  <DIV><STRONG>The qualification has and does open doors, but my own=
 personal=0D
  view is that experience is more important that a few letters and a=
 surfikat=0D
  (for those Steve Wright fans). I know this topic has been discussed at=
 length=0D
  on the list before.</STRONG></DIV>
  <DIV><STRONG></STRONG>&nbsp;</DIV>
  <DIV><STRONG>And finally, I have been very quiet of late due to a poorly=
 PC.=0D
  For those of you with Windows XP DO NOT download service pack 2, as it=
 may=0D
  crash your system too, and loose absolutely everything on your=0D
  pc.</STRONG></DIV>
  <DIV><STRONG></STRONG>&nbsp;</DIV>
  <DIV><STRONG>Take care y'all</STRONG></DIV>
  <DIV><STRONG></STRONG>&nbsp;</DIV>
  <DIV><STRONG>Glenn</STRONG></DIV></FONT>~~~~~~~~~~~~~~~ Please remove=
 this=0D
  footer before replying.=0D
  <P>For list archives and documents, go to=0D
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=0D
  <P>For jobs in Occupational Health, go to=0D
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE></BODY></HTML>

<table><tr><td bgcolor=3D#ffffff><font color=
=3D#000000>****************************************************************=
****<br>This email and any attachments are confidential to the=
 intended<br>recipient and may also be privileged. If you are not the=
 intended<br>recipient please delete it from your system and notify the=
 sender.<br>You should not copy it or use it for any purpose nor disclose=
 or<br>distribute its contents to any other=
 person.<br>***************************************************************=
*****<br></font></td></tr></table>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4AF6A.EF42546C--
=========================================================================
Date:         Mon, 11 Oct 2004 10:25:54 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Robert Dunn
              <[log in to unmask]>
Organization: University of Oxford
Subject:      Re: Epinet Database for Needlestick injuries
MIME-Version: 1.0
Content-Type: multipart/related; type="multipart/alternative";
              boundary="----=_NextPart_000_00A5_01C4AF7C.B0900310"

This is a multi-part message in MIME format.

------=_NextPart_000_00A5_01C4AF7C.B0900310
Content-Type: multipart/alternative;
        boundary="----=_NextPart_001_00A6_01C4AF7C.B0900310"


------=_NextPart_001_00A6_01C4AF7C.B0900310
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

MessageShirley, I tried on successive occasions over a period of about 6 =
weeks, in early 2003 to get the Epinet people to respond to me, as we =
were thinking of using it here in Oxford...... to date I have not heard =
from them!   I wish you luck.  Bob
  ----- Original Message -----=20
  From: Fields Shirley=20
  To: [log in to unmask]
  Sent: Monday, October 11, 2004 10:19 AM
  Subject: Epinet Database for Needlestick injuries


  For attention of NHS Colleagues

  We are currently looking into getting the Epinet database for =
recording needlestick injuries and I am interested in hearing how other =
NHS OH service use the system in conjunction with their normal =
needlestick injury reporting system. Are you happy with the Epinet =
system?

  Thanks

  Shirley Fields
  Occupational Health Manager
  Burton Hospitals NHS Trust
  Queen's Hospital
  Burton on Trent
  DE13 0RB

  01283 511511 ext 2372

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_001_00A6_01C4AF7C.B0900310
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><TITLE>Message</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<STYLE>P.msoNormal {
        FONT-WEIGHT: normal; FONT-SIZE: 12pt; MARGIN: 0in 0in 0pt; COLOR: =
black; FONT-FAMILY: "MS Sans Serif", "sans serif"
}
LI.msoNormal {
        FONT-WEIGHT: normal; FONT-SIZE: 12pt; MARGIN: 0in 0in 0pt; COLOR: =
black; FONT-FAMILY: "MS Sans Serif", "sans serif"
}
BODY {
        FONT-WEIGHT: normal; FONT-SIZE: 12pt; MARGIN-LEFT: 50px; COLOR: black; =
FONT-FAMILY: "MS Sans Serif", "sans serif"
}
HR {
        WIDTH: 100%; COLOR: #00ffff; HEIGHT: 1px
}
</STYLE>

<META content=3D"MSHTML 6.00.2900.2180" name=3DGENERATOR></HEAD>
<BODY style=3D"COLOR: #000000; FONT-FAMILY: Arial" bgColor=3D#ffffff=20
background=3Dcid:00a401c4af74$4ec6b910$c85301a3@jhuoh>
<DIV><FONT size=3D2>Shirley, I tried on successive occasions over a =
period of=20
about 6 weeks,&nbsp;in early 2003&nbsp;to get the&nbsp;Epinet people to =
respond=20
to me, as we were thinking of using it here in Oxford...... to date I =
have not=20
heard from them!&nbsp;&nbsp; I wish you luck.&nbsp; Bob</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:Shirley.Fields@BURTONH-TR.WMIDS.NHS.UK">Fields =
Shirley</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, October 11, 2004 =
10:19=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Epinet Database for =
Needlestick=20
  injuries</DIV>
  <DIV><BR></DIV>
  <DIV><FONT face=3D'"MS Sans Serif"'><SPAN =
class=3D246451509-11102004>For attention=20
  of NHS Colleagues</SPAN></FONT></DIV>
  <DIV><FONT face=3D'"MS Sans Serif"'><SPAN=20
  class=3D246451509-11102004></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT face=3D'"MS Sans Serif"'><SPAN =
class=3D246451509-11102004>We are=20
  currently looking into getting the Epinet database for recording =
needlestick=20
  injuries and I am interested in hearing how other NHS OH service use =
the=20
  system in conjunction with their normal needlestick injury reporting =
system.=20
  Are you happy with the Epinet system?</SPAN></FONT></DIV>
  <DIV><FONT face=3D'"MS Sans Serif"'><SPAN=20
  class=3D246451509-11102004></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT face=3D'"MS Sans Serif"'><SPAN=20
  class=3D246451509-11102004>Thanks</SPAN></FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV align=3Dleft><EM><FONT face=3D"Arial Black" size=3D2>Shirley=20
  Fields</FONT></EM></DIV>
  <DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>Occupational =
Health=20
  Manager</EM></FONT></DIV>
  <DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>Burton =
Hospitals NHS=20
  Trust</EM></FONT></DIV>
  <DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>Queen's=20
  Hospital</EM></FONT></DIV>
  <DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>Burton on=20
  Trent</EM></FONT></DIV>
  <DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>DE13 =
0RB</EM></FONT></DIV>
  <DIV align=3Dleft>&nbsp;</DIV>
  <DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>01283 511511 =
ext=20
  2372</EM></FONT></DIV>
  <P></P>~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_001_00A6_01C4AF7C.B0900310--

------=_NextPart_000_00A5_01C4AF7C.B0900310
Content-Type: image/jpeg;
        name="Notebook.jpg"
Content-Transfer-Encoding: base64
Content-ID: <00a401c4af74$4ec6b910$c85301a3@jhuoh>
Content-Location: Notebook.jpg
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------=_NextPart_000_00A5_01C4AF7C.B0900310--
=========================================================================
Date:         Mon, 11 Oct 2004 11:43:27 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lindsey Hall <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0018_01C4AF87.85981980"

This is a multi-part message in MIME format.

------=_NextPart_000_0018_01C4AF87.85981980
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Paul

I suggest you contact the Chemical Hazards and Poisons Division of the =
Health Protection Agency in the first instance.  They should be able to =
help directly (they are based in Cardiff) or will be able to direct you =
to a local regional service provider.  The phone number is 08701 545654. =
Alternatively, you should be able to get some advice (or a number of =
someone who can provide this) from your local A&E.  Either route may =
well lead you to the same person.=20

Hope this helps

Lindsey Hall
Head of Nursing Services
AXA PPP Healthcare Occupational Health Services



  ----- Original Message -----=20
  From: Paul Hair=20
  To: [log in to unmask]
  Sent: Monday, October 11, 2004 10:33 AM


  Can anybody advise me as to the possible affects of acute pcb or =
dioxin exposure. It was a one off contact possibly for about 5 hours in =
a group of firefighters, as far as i am aware they are all asymptomatic =
up until now.Any help would be appreciated

  cheers
  Paul Hair
  OH Adviser NFRS

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_0018_01C4AF87.85981980
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1106" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>Paul</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>I suggest you contact the Chemical =
Hazards and=20
Poisons Division of the Health Protection Agency in the first =
instance.&nbsp;=20
They should be able to help directly (they are based in Cardiff) or will =
be able=20
to direct you to a local regional service provider.&nbsp; The phone =
number is=20
08701 545654. Alternatively, you&nbsp;should be able to get some =
advice&nbsp;(or=20
a number&nbsp;of someone who can provide this) from your local A&amp;E.=20
&nbsp;Either route may well lead you to the same person. </FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Hope this helps</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Lindsey Hall</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Head of Nursing Services</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>AXA PPP Healthcare Occupational Health=20
Services</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Paul Hair</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, October 11, 2004 =
10:33=20
  AM</DIV>
  <DIV><BR></DIV><FONT=20
  face=3D"Default Sans Serif, Verdana, Arial, Helvetica, sans-serif" =
size=3D2>
  <DIV>Can anybody advise me as to the possible affects of acute pcb or =
dioxin=20
  exposure. It was a one off contact possibly for about 5 hours in a =
group of=20
  firefighters, as far as i am aware they are all asymptomatic up until =
now.Any=20
  help would be appreciated</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>cheers</DIV>
  <DIV>Paul Hair</DIV>
  <DIV>OH Adviser NFRS</DIV></BLOCKQUOTE></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0018_01C4AF87.85981980--
=========================================================================
Date:         Mon, 11 Oct 2004 15:43:22 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Epinet Database for Needlestick injuries
Comments: cc: [log in to unmask]
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_00A9_01C4AFA9.0A3DE9A0"

This is a multi-part message in MIME format.

------=_NextPart_000_00A9_01C4AFA9.0A3DE9A0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

MessageDear All
I am copying this email to Linda Watson, Senior Research Fellow at the =
Royal College of Nursing as she spoke at a conference about her work on =
EPINet - which stands for Exposure Prevention Information Network. Linda =
is involved with a study that aims to describe the pattern of sharps =
injuries being experienced in participating Trusts. The information =
gathered serves to inform the where, when, how and why needlestick =
injuries occur. You can also contact Linda on 01865 228407

You may also find the systematic review essay 'Needlestick Injuries' =
which you can download from www.ebandolier.com useful...............

Good luck,


  ----- Original Message -----=20
  From: Fearnley Debbie (RBT) Mid Cheshire Tr=20
  To: [log in to unmask]
  Sent: Monday, October 11, 2004 10:46 AM
  Subject: Re: Epinet Database for Needlestick injuries


  Shirley
  I have been trying to make contact with a sales rep for Epinet for =
twelve months now. I have tried the contact numbers displayed on their =
website to no avail, I have contacted the RCN who stae they have not =
heard of the system.
  If you are sucessful in contacting them please let me have a contact =
number.
  Regards
  Debbie
    -----Original Message-----
    From: Fields Shirley [mailto:[log in to unmask]]
    Sent: 11 October 2004 10:20
    To: [log in to unmask]
    Subject: Epinet Database for Needlestick injuries


    For attention of NHS Colleagues

    We are currently looking into getting the Epinet database for =
recording needlestick injuries and I am interested in hearing how other =
NHS OH service use the system in conjunction with their normal =
needlestick injury reporting system. Are you happy with the Epinet =
system?

    Thanks

    Shirley Fields
    Occupational Health Manager
    Burton Hospitals NHS Trust
    Queen's Hospital
    Burton on Trent
    DE13 0RB

    01283 511511 ext 2372

    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20


  ---
  Outgoing mail is certified Virus Free.
  Checked by AVG anti-virus system (http://www.grisoft.com).
  Version: 6.0.762 / Virus Database: 510 - Release Date: 13/09/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_00A9_01C4AFA9.0A3DE9A0
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><TITLE>Message</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<STYLE>P.msoNormal {
        FONT-WEIGHT: normal; FONT-SIZE: 12pt; MARGIN: 0in 0in 0pt; COLOR: =
black; FONT-FAMILY: "MS Sans Serif", "sans serif"
}
LI.msoNormal {
        FONT-WEIGHT: normal; FONT-SIZE: 12pt; MARGIN: 0in 0in 0pt; COLOR: =
black; FONT-FAMILY: "MS Sans Serif", "sans serif"
}
BODY {
        FONT-WEIGHT: normal; FONT-SIZE: 12pt; MARGIN-LEFT: 50px; COLOR: black; =
FONT-FAMILY: "MS Sans Serif", "sans serif"
}
HR {
        WIDTH: 100%; COLOR: #00ffff; HEIGHT: 1px
}
</STYLE>

<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR></HEAD>
<BODY style=3D"COLOR: #000000; FONT-FAMILY: Arial" bgColor=3D#ffffff=20
background=3Dcid:165154409@11102004-2ce1>
<DIV><FONT size=3D2>Dear All</FONT></DIV>
<DIV><FONT size=3D2>I am copying this email to Linda Watson, Senior =
Research=20
Fellow at the Royal College of Nursing as she spoke at a conference =
about her=20
work on EPINet - which stands for Exposure Prevention Information =
Network. Linda=20
is involved with a study that aims to describe the pattern of sharps =
injuries=20
being experienced in participating Trusts. The information gathered =
serves to=20
inform the where, when, how and why needlestick injuries occur. You can =
also=20
contact&nbsp;Linda on 01865 228407</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>You may also find the systematic review essay =
'Needlestick=20
Injuries' which you can download from <A=20
href=3D"http://www.ebandolier.com">www.ebandolier.com</A>=20
useful...............</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Good luck,</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Fearnley Debbie (RBT) Mid =
Cheshire=20
  Tr</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, October 11, 2004 =
10:46=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Epinet Database =
for=20
  Needlestick injuries</DIV>
  <DIV><BR></DIV>
  <DIV><SPAN class=3D165154409-11102004><FONT =
size=3D2>Shirley</FONT></SPAN></DIV>
  <DIV><SPAN class=3D165154409-11102004><FONT size=3D2>I have been =
trying to make=20
  contact with a sales rep for Epinet for twelve months now. I have =
tried the=20
  contact numbers displayed on their website to no avail, I have =
contacted the=20
  RCN who stae they have not heard of the system.</FONT></SPAN></DIV>
  <DIV><SPAN class=3D165154409-11102004><FONT size=3D2>If you are =
sucessful in=20
  contacting them please let me have a contact =
number.</FONT></SPAN></DIV>
  <DIV><SPAN class=3D165154409-11102004><FONT =
size=3D2>Regards</FONT></SPAN></DIV>
  <DIV><SPAN class=3D165154409-11102004><FONT =
size=3D2>Debbie</FONT></SPAN></DIV>
  <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
    <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
    size=3D2>-----Original Message-----<BR><B>From:</B> Fields Shirley=20
    [mailto:[log in to unmask]]<BR><B>Sent:</B> 11 =
October=20
    2004 10:20<BR><B>To:</B> =
[log in to unmask]<BR><B>Subject:</B> Epinet=20
    Database for Needlestick injuries<BR><BR></FONT></DIV>
    <DIV><FONT face=3D'"MS Sans Serif"'><SPAN =
class=3D246451509-11102004>For=20
    attention of NHS Colleagues</SPAN></FONT></DIV>
    <DIV><FONT face=3D'"MS Sans Serif"'><SPAN=20
    class=3D246451509-11102004></SPAN></FONT>&nbsp;</DIV>
    <DIV><FONT face=3D'"MS Sans Serif"'><SPAN =
class=3D246451509-11102004>We are=20
    currently looking into getting the Epinet database for recording =
needlestick=20
    injuries and I am interested in hearing how other NHS OH service use =
the=20
    system in conjunction with their normal needlestick injury reporting =
system.=20
    Are you happy with the Epinet system?</SPAN></FONT></DIV>
    <DIV><FONT face=3D'"MS Sans Serif"'><SPAN=20
    class=3D246451509-11102004></SPAN></FONT>&nbsp;</DIV>
    <DIV><FONT face=3D'"MS Sans Serif"'><SPAN=20
    class=3D246451509-11102004>Thanks</SPAN></FONT></DIV>
    <DIV>&nbsp;</DIV>
    <DIV align=3Dleft><EM><FONT face=3D"Arial Black" size=3D2>Shirley=20
    Fields</FONT></EM></DIV>
    <DIV align=3Dleft><FONT face=3D"Arial Black" =
size=3D2><EM>Occupational Health=20
    Manager</EM></FONT></DIV>
    <DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>Burton =
Hospitals NHS=20
    Trust</EM></FONT></DIV>
    <DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>Queen's=20
    Hospital</EM></FONT></DIV>
    <DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>Burton on=20
    Trent</EM></FONT></DIV>
    <DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>DE13=20
    0RB</EM></FONT></DIV>
    <DIV align=3Dleft>&nbsp;</DIV>
    <DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>01283 =
511511 ext=20
    2372</EM></FONT></DIV>
    <P></P>~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE>~~~~~~~~~~~~~~~ =

  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/=20
  <P><BR>---<BR>Outgoing mail is certified Virus Free.<BR>Checked by AVG =

  anti-virus system (<A=20
  =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.762=20
  / Virus Database: 510 - Release Date: =
13/09/2004</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_00A9_01C4AFA9.0A3DE9A0--
=========================================================================
Date:         Mon, 11 Oct 2004 16:01:54 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Darcy <[log in to unmask]>
Subject:      Re: Epinet Database for Needlestick injuries
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Dear all,

I've been given another contact at Becton-Dickson by Jill Thornton at
the RCN.  I'll update the list if I receive a response.

Regards



Paul D'Arcy,
Occupational Health Manager (Acting)

Occupational Health
Hammersmith Hospital

Developing And Supporting People To Make Healthcare Better

Direct Line  020 8383 1024
Internal Ext 31024


>>> [log in to unmask]
11/10/2004 >>>
MessageShirley, I tried on successive occasions over a period of about
6 weeks, in early 2003 to get the Epinet people to respond to me, as we
were thinking of using it here in Oxford...... to date I have not heard
from them!   I wish you luck.  Bob
  ----- Original Message -----
  From: Fields Shirley
  To: [log in to unmask]
  Sent: Monday, October 11, 2004 10:19 AM
  Subject: Epinet Database for Needlestick injuries


  For attention of NHS Colleagues

  We are currently looking into getting the Epinet database for
recording needlestick injuries and I am interested in hearing how other
NHS OH service use the system in conjunction with their normal
needlestick injury reporting system. Are you happy with the Epinet
system?

  Thanks

  Shirley Fields
  Occupational Health Manager
  Burton Hospitals NHS Trust
  Queen's Hospital
  Burton on Trent
  DE13 0RB

  01283 511511 ext 2372

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.
  For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

  For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Hammersmith Hospitals NHS Trust IT department on 020 8746 5555. Please also delete the message from your computer.

**
*

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 12 Oct 2004 15:54:54 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Mandy Brennan <[log in to unmask]>
Subject:      Re: Community Health Care Degree
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Yes this list gives you an instant OH community
Good Luck with the degree
regards
Mandy Brennan

-----Original Message-----
From: Julia J Collins [mailto:[log in to unmask]]
Sent: 10 October 2004 18:43
To: [log in to unmask]
Subject: Community Health Care Degree


Hi everyone

I'm new to JISCmail and have just joined today. I have worked in
occupational health for sixteen years for a large company making aircraft.
I've decided to finally do the degree and want to make new friends and
collegues along the way. Is there anyone out there who feels the same way
as I do at starting the course or someone who remembers what it's like!

Would like to hear from you

Julia

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 12 Oct 2004 11:57:54 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chris Packham <[log in to unmask]>
Subject:      Gloves
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

For those who have to specify chemical protective gloves it may be relevant
that an updated version of "Protective Gloves For Occupational Use" (Anders
Boman, Tuula Estalnder, Jan E. Wahlberg, Howard I. Maibach eds) has just
been published by CRC Press, ISBN 0-8493-1558-1. This is probably the most
comprehensive book on this subject with an extensive list of contributors.
Regards
Chris Packham

EnviroDerm Services
Solutions in skin management
For information on skin management, technical bulletins and information
about our support services visit our website (www.enviroderm.co.uk)
For immediate help e-mail us at [log in to unmask] or phone on +44 1386
832 311

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 12 Oct 2004 16:03:14 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jo Jenkins <[log in to unmask]>
Subject:      Jo Jenkins/UK/CAMPSOUP/CSC is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

I will be out of the office starting  12/10/2004 and will not return until
13/10/2004.

Please forward your message to Rachel Sturman who may be able to help you.



**********************************************************************
This e-mail and any files transmitted with it may contain
confidential information and is intended solely for use by
the individual to whom it is addressed.  If you received
this e-mail in error, please notify the sender, do not
disclose its contents to others and delete it from your
system.

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

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 14 Oct 2004 10:39:38 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Bradley, Paul (Sandiway)" <[log in to unmask]>
Subject:      Employment agencies - contract for services
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4B1D1.B8E85894"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4B1D1.B8E85894
Content-Type: text/plain;
        charset="iso-8859-1"

Morning all,

I am hoping that you may be able to help me with this issue.  Our business
is currently putting in place an OH service for our employees and part of
this is the provision of health surveillance for those identified as
requiring it.  Part of our business is an employment agency that places
people in other parts of the business.  Now, strictly speaking these people
work under a 'contract for services', rather than a 'contract of service' as
normal employees.  As such they are not classed as employees but assignees.

This is a really grey area and much confusion has been generated from the
courts about the status of those working under a contract for services.  The
company is keen for these workers not to be classed as employees, however
for the purposes of health and safety they clearly have been in terms of the
provision of PPE etc.  My question is this, should health surveillance also
be provided to this group, who in reality are also on the books of other
employment agencies and can work with us for varying lengths of time, or
anywhere they want.  The argument being that the more this group is treated
as an employee the more likely they are to viewed as one and all that
entails.  The business is keen not to confer employment rights where it
doesn't have to.

I would be grateful to hear from others who have faced with this situation
and how this was resolved.

Many thanks

Paul

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4B1D1.B8E85894
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version =
5.5.2658.2">
<TITLE>Employment agencies - contract for services</TITLE>
</HEAD>
<BODY>

<P><FONT SIZE=3D2 FACE=3D"Arial">Morning all,</FONT>
</P>

<P><FONT SIZE=3D2 FACE=3D"Arial">I am hoping that you may be able to =
help me with this issue.&nbsp; Our business is currently putting in =
place an OH service for our employees and part of this is the provision =
of health surveillance for those identified as requiring it.&nbsp; Part =
of our business is an employment agency that places people in other =
parts of the business.&nbsp; Now, strictly speaking these people work =
under a 'contract for services', rather than a 'contract of service' as =
normal employees.&nbsp; As such they are not classed as employees but =
assignees.</FONT></P>

<P><FONT SIZE=3D2 FACE=3D"Arial">This is a really grey area and much =
confusion has been generated from the courts about the status of those =
working under a contract for services.&nbsp; The company is keen for =
these workers not to be classed as employees, however for the purposes =
of health and safety they clearly have been in terms of the provision =
of PPE etc.&nbsp; My question is this, should health surveillance also =
be provided to this group, who in reality are also on the books of =
other employment agencies and can work with us for varying lengths of =
time, or anywhere they want.&nbsp; The argument being that the more =
this group is treated as an employee the more likely they are to viewed =
as one and all that entails.&nbsp; The business is keen not to confer =
employment rights where it doesn't have to.</FONT></P>

<P><FONT SIZE=3D2 FACE=3D"Arial">I would be grateful to hear from =
others who have faced with this situation and how this was =
resolved.</FONT>
</P>

<P><FONT SIZE=3D2 FACE=3D"Arial">Many thanks</FONT>
</P>

<P><FONT SIZE=3D2 FACE=3D"Arial">Paul </FONT>
</P>

</BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4B1D1.B8E85894--
=========================================================================
Date:         Sun, 17 Oct 2004 07:21:04 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jean Piernicki <[log in to unmask]>
Subject:      Re: Employment agencies - contract for services
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1098012064"

-------------------------------1098012064
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

HI Paul
I think this is becoming a more common senario.
I have recently worked in a similar situation. The "parent company" also  ran
the agency and from the agency supplied people to work in the parent
company! They were also very keen to keep the two sets of workers separate. The  only
health survellance we did on agency staff were when workers were going to  be
working with specialist substances that would be difficult/impossible to  get
health survellance from another source. We had a separate arrangement with
the agency and they had to pay for and supply details of those workers to have
health survellance. The bonus was less people were exposed as they didn't
want  to incure unnecessary costs and so used permanent staff wherever possible.
As you say a real minefield.
Regards

Jean

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1098012064
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY:=20=
Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3DArial color=3D#000000 size=3D2>
<DIV>HI Paul</DIV>
<DIV>I think this is becoming a more common senario. </DIV>
<DIV>I have recently worked in a similar situation. The "parent company" als=
o=20
ran the agency and from the agency supplied people to work in the parent=20
company! They were also very keen to keep the two sets of workers separate.=20=
The=20
only health survellance we did on agency staff were when workers were going=20=
to=20
be working&nbsp;with specialist substances that would be difficult/impossibl=
e to=20
get health survellance from another source. We had a separate arrangement wi=
th=20
the agency and they had to pay for and supply details of those workers to ha=
ve=20
health survellance. The bonus was less people were exposed as they didn't wa=
nt=20
to incure unnecessary costs and so used permanent staff wherever possible.</=
DIV>
<DIV>As you say a real minefield. </DIV>
<DIV>Regards</DIV>
<DIV>&nbsp;</DIV>
<DIV>Jean</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1098012064--
=========================================================================
Date:         Mon, 18 Oct 2004 01:00:57 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Donna Dixon <[log in to unmask]>
Subject:      Donna Dixon/National Britannia is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=iso-8859-1
Content-transfer-encoding: quoted-printable

I will be out of the office starting  15/10/2004 and will not return un=
til
25/10/2004.

Thank you for your email.  I am now on annual leave until Monday 25th
October.  If you require assistance, please call client support on 0292=
0
852852 who will put you in touch with one of the regional operations
managers.  Thank you

This transmission has been issued for the  information of the addressee=

only and contains information which is  confidential.=A0 Accordingly, i=
t
should not be altered in any way or copied  or otherwise reproduced in =
any
form, nor should its existence or contents be  disclosed to any other
person.=A0 If you are not the  intended recipient of this transmission =
or any
attachment, please reply  immediately.
=

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 18 Oct 2004 10:38:01 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Richardson <[log in to unmask]>
Subject:      =?iso-8859-1?Q?Openings?=
Content-Type: text/plain; charset="iso-8859-1"
Mime-Version: 1.0
Content-Transfer-Encoding: 8bit

Hi Folks,
Just thought I would let you know that there is a Group Health and
safety manager position going, and also a Training Manager vacancy with
my employer. Any interest just drop me a line.
Regards
Paul
--
Paul G Richardson BA RGN OND

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 18 Oct 2004 11:59:41 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jay Chapman <[log in to unmask]>
Subject:      Re: Openings
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Hello Paul

Where are you situated geographically?

Jay
----- Original Message -----
From: "Paul Richardson" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, October 18, 2004 9:38 AM
Subject: Openings


> Hi Folks,
> Just thought I would let you know that there is a Group Health and
> safety manager position going, and also a Training Manager vacancy with
> my employer. Any interest just drop me a line.
> Regards
> Paul
> --
> Paul G Richardson BA RGN OND
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 18 Oct 2004 13:50:02 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Richardson <[log in to unmask]>
Subject:      =?iso-8859-1?Q?Re:_Openings?=
Content-Type: text/plain; charset="iso-8859-1"
Mime-Version: 1.0
Content-Transfer-Encoding: 8bit

Jay,
We(Hotel Group) are situated in Central London NW1.
Paul

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 18 Oct 2004 15:08:15 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jay Chapman <[log in to unmask]>
Subject:      Re: Openings
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Thank you Paul - unfortunately it's a bit out of my area but thanks for
replying.

Jay
----- Original Message -----
From: "Paul Richardson" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, October 18, 2004 12:50 PM
Subject: Re: Openings


> Jay,
> We(Hotel Group) are situated in Central London NW1.
> Paul
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 19 Oct 2004 15:49:18 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Flower, Sarah" <[log in to unmask]>
Subject:      Return to Work
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4B5EA.CFCC9F03"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4B5EA.CFCC9F03
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

All

Please could somebody advise on whether the M3 form must have a stipulated =
date stating when the individual is to return to work after a certified abs=
ence, and in the absence of a date, is the individual able to return after =
the stated time on the sick note ie a week, month etc.

Any clarification on this would be really useful .

Kind regards

Sarah
Occupational Health Adviser
H.J.Heinz Company Ltd.

 =20


***************************************************************************=
********
This email is not intended to create a contract or an offer of acceptance o=
r other legally binding commitment, unless that is expressly stated to be t=
he case in the email. If the email does expressly state that a contract is =
created, then any contract for sale of goods will (unless expressly stated =
otherwise) be subject to the relevant H.J. Heinz's Standard Conditions of S=
ale applicable to that type of goods which are set out at www.heinzcustomer=
s.co.uk

This email and any attachments are confidential and solely for the use of t=
he intended recipient.  They may contain material protected by legal profes=
sional or other privilege.  If you are not the intended recipient or the pe=
rson responsible for delivering to the intended recipient, you are not auth=
orised to and must not disclose, copy, distribute or retain this email or i=
ts attachments.  Although this email and its attachments are believed to be=
 free of any virus or other defect, it is the responsibility of the recipie=
nt to ensure that they are virus free and no responsibility is accepted by =
the company for any loss or damage arising from receipt or use thereof.

***************************************************************************=
********
hjdisclaimer


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4B5EA.CFCC9F03
Content-Type: text/html; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; charset=3Diso-8859-=
1">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version 6.0.6487.1">
<TITLE>Return to Work</TITLE>
</HEAD>
<BODY>
<!-- Converted from text/rtf format -->

<P><FONT SIZE=3D2 FACE=3D"Arial">All</FONT>
</P>

<P><FONT SIZE=3D2 FACE=3D"Arial">Please could somebody advise on whether th=
e M3 form must have a stipulated date stating when the individual is to ret=
urn to work after a certified absence, and in the absence of a date, is the=
 individual able to return after the stated time on the sick note ie a week=
, month etc.</FONT></P>

<P><FONT SIZE=3D2 FACE=3D"Arial">Any clarification on this would be really =
useful .</FONT>
</P>

<P><FONT SIZE=3D2 FACE=3D"Arial">Kind regards</FONT>
</P>

<P><FONT SIZE=3D2 FACE=3D"Arial">Sarah</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Arial">Occupational Health Adviser</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Arial">H.J.Heinz Company Ltd.</FONT>
</P>

<P><FONT SIZE=3D2 FACE=3D"Arial">&nbsp; </FONT>
</P>

<FONT SIZE=3D3><BR>
<BR>
***************************************************************************=
********<BR>
This email is not intended to create a contract or an offer of acceptance o=
r other legally binding commitment, unless that is expressly stated to be t=
he case in the email. If the email does expressly state that a contract is =
created, then any contract for sale of goods will (unless expressly stated =
otherwise) be subject to the relevant H.J. Heinz's Standard Conditions of S=
ale applicable to that type of goods which are set out at www.heinzcustomer=
s.co.uk<BR>
<BR>
This email and any attachments are confidential and solely for the use of t=
he intended recipient.  They may contain material protected by legal profes=
sional or other privilege.  If you are not the intended recipient or the pe=
rson responsible for delivering to the intended recipient, you are not auth=
orised to and must not disclose, copy, distribute or retain this email or i=
ts attachments.  Although this email and its attachments are believed to be=
 free of any virus or other defect, it is the responsibility of the recipie=
nt to ensure that they are virus free and no responsibility is accepted by =
the company for any loss or damage arising from receipt or use thereof.<BR>
<BR>
***************************************************************************=
********<BR>
hjdisclaimer<BR>
</FONT>
</BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4B5EA.CFCC9F03--
=========================================================================
Date:         Tue, 19 Oct 2004 16:47:33 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Bradley, Paul (Sandiway)" <[log in to unmask]>
Subject:      Re: Return to Work
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4B5F2.C9123BE8"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4B5F2.C9123BE8
Content-Type: text/plain;
        charset="iso-8859-1"

Sarah,

This link leads to a really useful document that may provide you with the
answers you need.

http://www.dwp.gov.uk/medical/medicalib204/ib204-june04/ib204.pdf
<http://www.dwp.gov.uk/medical/medicalib204/ib204-june04/ib204.pdf>

Regards

Paul

-----Original Message-----
From: Flower, Sarah [mailto:[log in to unmask]]
Sent: 19 October 2004 15:49
To: [log in to unmask]
Subject: Return to Work



All

Please could somebody advise on whether the M3 form must have a stipulated
date stating when the individual is to return to work after a certified
absence, and in the absence of a date, is the individual able to return
after the stated time on the sick note ie a week, month etc.

Any clarification on this would be really useful .

Kind regards

Sarah
Occupational Health Adviser
H.J.Heinz Company Ltd.





****************************************************************************
*******
This email is not intended to create a contract or an offer of acceptance or
other legally binding commitment, unless that is expressly stated to be the
case in the email. If the email does expressly state that a contract is
created, then any contract for sale of goods will (unless expressly stated
otherwise) be subject to the relevant H.J. Heinz's Standard Conditions of
Sale applicable to that type of goods which are set out at
www.heinzcustomers.co.uk

This email and any attachments are confidential and solely for the use of
the intended recipient. They may contain material protected by legal
professional or other privilege. If you are not the intended recipient or
the person responsible for delivering to the intended recipient, you are not
authorised to and must not disclose, copy, distribute or retain this email
or its attachments. Although this email and its attachments are believed to
be free of any virus or other defect, it is the responsibility of the
recipient to ensure that they are virus free and no responsibility is
accepted by the company for any loss or damage arising from receipt or use
thereof.

****************************************************************************
*******
hjdisclaimer
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4B5F2.C9123BE8
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<TITLE>Return to Work</TITLE>

<META content=3D"MSHTML 5.50.4937.800" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D138244615-19102004><FONT face=3DArial =
color=3D#0000ff=20
size=3D2>Sarah,</FONT></SPAN></DIV>
<DIV><SPAN class=3D138244615-19102004><FONT face=3DArial =
color=3D#0000ff=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D138244615-19102004><FONT face=3DArial =
color=3D#0000ff size=3D2>This=20
link leads to a really useful document that may provide you with the =
answers you=20
need.</FONT></SPAN></DIV>
<DIV><SPAN class=3D138244615-19102004><FONT face=3DArial =
color=3D#0000ff=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D138244615-19102004><FONT face=3DArial =
color=3D#0000ff size=3D2><A=20
href=3D"http://www.dwp.gov.uk/medical/medicalib204/ib204-june04/ib204.pd=
f">http://www.dwp.gov.uk/medical/medicalib204/ib204-june04/ib204.pdf</A>=
</FONT></SPAN></DIV>
<DIV><SPAN class=3D138244615-19102004><FONT face=3DArial =
color=3D#0000ff=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D138244615-19102004><FONT face=3DArial =
color=3D#0000ff=20
size=3D2>Regards</FONT></SPAN></DIV>
<DIV><SPAN class=3D138244615-19102004><FONT face=3DArial =
color=3D#0000ff=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D138244615-19102004><FONT face=3DArial =
color=3D#0000ff=20
size=3D2>Paul</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> Flower, Sarah=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 19 October 2004=20
  15:49<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Return to=20
  Work<BR><BR></FONT></DIV><!-- Converted from text/rtf format -->
  <P><FONT face=3DArial size=3D2>All</FONT> </P>
  <P><FONT face=3DArial size=3D2>Please could somebody advise on =
whether the M3 form=20
  must have a stipulated date stating when the individual is to return =
to work=20
  after a certified absence, and in the absence of a date, is the =
individual=20
  able to return after the stated time on the sick note ie a week, =
month=20
  etc.</FONT></P>
  <P><FONT face=3DArial size=3D2>Any clarification on this would be =
really useful=20
  .</FONT> </P>
  <P><FONT face=3DArial size=3D2>Kind regards</FONT> </P>
  <P><FONT face=3DArial size=3D2>Sarah</FONT> <BR><FONT face=3DArial=20
  size=3D2>Occupational Health Adviser</FONT> <BR><FONT face=3DArial=20
  size=3D2>H.J.Heinz Company Ltd.</FONT> </P>
  <P><FONT face=3DArial size=3D2>&nbsp; </FONT></P><FONT=20
  =
size=3D3><BR><BR>*******************************************************=
****************************<BR>This=20
  email is not intended to create a contract or an offer of acceptance =
or other=20
  legally binding commitment, unless that is expressly stated to be the =
case in=20
  the email. If the email does expressly state that a contract is =
created, then=20
  any contract for sale of goods will (unless expressly stated =
otherwise) be=20
  subject to the relevant H.J. Heinz's Standard Conditions of Sale =
applicable to=20
  that type of goods which are set out at =
www.heinzcustomers.co.uk<BR><BR>This=20
  email and any attachments are confidential and solely for the use of =
the=20
  intended recipient. They may contain material protected by legal =
professional=20
  or other privilege. If you are not the intended recipient or the =
person=20
  responsible for delivering to the intended recipient, you are not =
authorised=20
  to and must not disclose, copy, distribute or retain this email or =
its=20
  attachments. Although this email and its attachments are believed to =
be free=20
  of any virus or other defect, it is the responsibility of the =
recipient to=20
  ensure that they are virus free and no responsibility is accepted by =
the=20
  company for any loss or damage arising from receipt or use=20
  =
thereof.<BR><BR>********************************************************=
***************************<BR>hjdisclaimer<BR></FONT>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4B5F2.C9123BE8--
=========================================================================
Date:         Tue, 19 Oct 2004 16:49:25 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Swann, Alan B" <[log in to unmask]>
Subject:      Re: Return to Work
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4B5F3.35729CF8"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4B5F3.35729CF8
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

See http://www.dwp.gov.uk/medical/guides_new.asp for the specific
guidance issued by the Department of work & Pensions.
=20
A GP cannot issue a closed certificate (i.e. giving a definite return
date) more than two weeks into the future. Also the guidance says than
when the GP thinks the patient will be fit within 2 weeks, that they
should issue a closed, rather than open (time interval) certificate.=20
The time interval is supposed to be the time to when the doctor next
intends to review his patient's condition.
The guidance states that:=20
For medical conditions where clinical progress and outcome are not
straightforward and you issue an open medical statement you will need to
review the patient again and provide them with a closed statement giving
a date on which they will become fit to resume work.
This is open to interpretation, given that most absences are for
straighforward conditions where progress towards health & fitness is
straightforward.
=20
My usual practice, when approached by HR officers or managers anxious
about letting someone back to work without clearance from their doctors
is to ask about the diagnosis given on previous certificates, the job
plus hazards within the job and then give common sense advice (& in the
process relieve anxiety by taking responsibility for the decision). If
there is conceivable risk posed by the job (e.g. driving) then I'll see
the person before giving clearance. More often than not, there is no
reason for anxiety. & it's uncommon to find someone comming back
dangerously soon.

                                        =20

                                        .=20

        -----Original Message-----
        From: Flower, Sarah [mailto:[log in to unmask]]=20
        Sent: 19 October 2004 15:49
        To: [log in to unmask]
        Subject: Return to Work
=09
=09

        All=20

        Please could somebody advise on whether the M3 form must have a
stipulated date stating when the individual is to return to work after a
certified absence, and in the absence of a date, is the individual able
to return after the stated time on the sick note ie a week, month etc.

        Any clarification on this would be really useful .=20

        Kind regards=20

        Sarah=20
        Occupational Health Adviser=20
        H.J.Heinz Company Ltd.=20

         =20

=09
=09
=09
************************************************************************
***********
        This email is not intended to create a contract or an offer of
acceptance or other legally binding commitment, unless that is expressly
stated to be the case in the email. If the email does expressly state
that a contract is created, then any contract for sale of goods will
(unless expressly stated otherwise) be subject to the relevant H.J.
Heinz's Standard Conditions of Sale applicable to that type of goods
which are set out at www.heinzcustomers.co.uk
=09
        This email and any attachments are confidential and solely for
the use of the intended recipient. They may contain material protected
by legal professional or other privilege. If you are not the intended
recipient or the person responsible for delivering to the intended
recipient, you are not authorised to and must not disclose, copy,
distribute or retain this email or its attachments. Although this email
and its attachments are believed to be free of any virus or other
defect, it is the responsibility of the recipient to ensure that they
are virus free and no responsibility is accepted by the company for any
loss or damage arising from receipt or use thereof.
=09
=09
************************************************************************
***********
        hjdisclaimer
        ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

        For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

        For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4B5F3.35729CF8
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD><TITLE>Message</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dus-ascii">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D649493315-19102004><FONT face=3DArial color=3D#0000ff =
size=3D2>See <A=20
href=3D"http://www.dwp.gov.uk/medical/guides_new.asp">http://www.dwp.gov.=
uk/medical/guides_new.asp</A>&nbsp;for=20
the specific guidance issued by the Department of work &amp;=20
Pensions.</FONT></SPAN></DIV>
<DIV><SPAN class=3D649493315-19102004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D649493315-19102004><FONT face=3DArial color=3D#0000ff =
size=3D2>A GP=20
cannot issue a closed certificate (i.e. giving a definite return date) =
more than=20
two weeks into the future. Also the guidance says than when the GP =
thinks the=20
patient will be fit within 2 weeks, that they should issue a closed, =
rather than=20
open (time interval) certificate. </FONT></SPAN></DIV>
<DIV><SPAN class=3D649493315-19102004><FONT face=3DArial color=3D#0000ff =
size=3D2>The=20
time interval is supposed to be the time to when the doctor next intends =
to=20
review his patient's condition.</FONT></SPAN></DIV>
<DIV><SPAN class=3D649493315-19102004><FONT face=3DArial color=3D#0000ff =
size=3D2>The=20
guidance states that:<EM> </EM></FONT></SPAN></DIV>
<DIV><SPAN class=3D649493315-19102004><FONT face=3DArial color=3D#0000ff =

size=3D2><EM>For medical conditions where clinical progress and outcome =
are not=20
straightforward and you issue an open medical statement you will need to =
review=20
the patient again and provide them with a closed statement giving a date =
on=20
which they will become fit to resume work.</EM></FONT></SPAN></DIV>
<DIV><SPAN class=3D649493315-19102004><FONT face=3DArial color=3D#0000ff =
size=3D2>This=20
is open to interpretation, given that most absences are for =
straighforward=20
conditions where progress towards health &amp; fitness is=20
straightforward.</FONT></SPAN></DIV>
<DIV><SPAN class=3D649493315-19102004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D649493315-19102004><FONT face=3DArial color=3D#0000ff =
size=3D2>My=20
usual practice, when approached by HR officers or managers anxious about =
letting=20
someone back to work without clearance from their doctors is to ask =
about the=20
diagnosis given on previous certificates, the job plus hazards within =
the job=20
and then give common sense advice (&amp; in the process relieve anxiety =
by=20
taking responsibility for the decision). If there is conceivable risk =
posed by=20
the job (e.g. driving) then I'll see the person before giving clearance. =
More=20
often than not, there is no reason for anxiety. &amp; it's uncommon to =
find=20
someone comming back dangerously soon.</DIV>
<DIR>
<DIR>
<DIR>
<DIR>
<DIR>
<DIR>
<DIR>
<DIR>
<DIR>
<DIR>
<P=20
align=3Djustify>&nbsp;</P></DIR></DIR></DIR></DIR></DIR></DIR></DIR></DIR=
></DIR></DIR></FONT></SPAN><SPAN=20
class=3D649493315-19102004><FONT face=3DArial color=3D#0000ff =
size=3D2><FONT=20
face=3D"Courier New PSMT,Courier New PSMT">
<DIR>
<DIR>
<DIR>
<DIR>
<DIR>
<DIR>
<DIR>
<DIR>
<DIR>
<DIR>
<P align=3Djustify>.=20
</P></DIR></DIR></DIR></DIR></DIR></DIR></DIR></DIR></DIR></DIR></FONT></=
FONT></SPAN>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV></DIV>
  <DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr =
align=3Dleft><FONT=20
  face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B> =
Flower, Sarah=20
  [mailto:[log in to unmask]] <BR><B>Sent:</B> 19 October 2004=20
  15:49<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Return to=20
  Work<BR><BR></FONT></DIV><!-- Converted from text/rtf format -->
  <P><FONT face=3DArial size=3D2>All</FONT> </P>
  <P><FONT face=3DArial size=3D2>Please could somebody advise on whether =
the M3 form=20
  must have a stipulated date stating when the individual is to return =
to work=20
  after a certified absence, and in the absence of a date, is the =
individual=20
  able to return after the stated time on the sick note ie a week, month =

  etc.</FONT></P>
  <P><FONT face=3DArial size=3D2>Any clarification on this would be =
really useful=20
  .</FONT> </P>
  <P><FONT face=3DArial size=3D2>Kind regards</FONT> </P>
  <P><FONT face=3DArial size=3D2>Sarah</FONT> <BR><FONT face=3DArial=20
  size=3D2>Occupational Health Adviser</FONT> <BR><FONT face=3DArial=20
  size=3D2>H.J.Heinz Company Ltd.</FONT> </P>
  <P><FONT face=3DArial size=3D2>&nbsp; </FONT></P><FONT=20
  =
size=3D3><BR><BR>********************************************************=
***************************<BR>This=20
  email is not intended to create a contract or an offer of acceptance =
or other=20
  legally binding commitment, unless that is expressly stated to be the =
case in=20
  the email. If the email does expressly state that a contract is =
created, then=20
  any contract for sale of goods will (unless expressly stated =
otherwise) be=20
  subject to the relevant H.J. Heinz's Standard Conditions of Sale =
applicable to=20
  that type of goods which are set out at =
www.heinzcustomers.co.uk<BR><BR>This=20
  email and any attachments are confidential and solely for the use of =
the=20
  intended recipient. They may contain material protected by legal =
professional=20
  or other privilege. If you are not the intended recipient or the =
person=20
  responsible for delivering to the intended recipient, you are not =
authorised=20
  to and must not disclose, copy, distribute or retain this email or its =

  attachments. Although this email and its attachments are believed to =
be free=20
  of any virus or other defect, it is the responsibility of the =
recipient to=20
  ensure that they are virus free and no responsibility is accepted by =
the=20
  company for any loss or damage arising from receipt or use=20
  =
thereof.<BR><BR>*********************************************************=
**************************<BR>hjdisclaimer<BR></FONT>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4B5F3.35729CF8--
=========================================================================
Date:         Wed, 20 Oct 2004 11:05:49 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Gill Cutcliffe <[log in to unmask]>
Subject:      Smoking Cessation

Hello All
Does anybody know of a scheme where employers encourage
smokers to quit by offering to pay for
prescriptions for NRT? We are considering implementing
such a scheme and dont really want to re-invent the wheel
if necesary.
We are not aiming to buy in the NRT though this was the first
consideration.
Thanks
Gill

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 20 Oct 2004 11:08:19 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lynn Holland <[log in to unmask]>
Subject:      Re: Smoking Cessation[Scanned]
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: base64
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=========================================================================
Date:         Wed, 20 Oct 2004 11:10:57 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Hair <[log in to unmask]>
Subject:      Re: Smoking Cessation
MIME-Version: 1.0
MIME-Version: 1.0
Content-Type: text/html; charset=ISO-8859-1
Content-Transfer-Encoding: base64

PEZPTlQgZmFjZT0iRGVmYXVsdCBTYW5zIFNlcmlmLCBWZXJkYW5hLCBBcmlhbCwgSGVsdmV0aWNh
LCBzYW5zLXNlcmlmIiBzaXplPTI+PGRpdj5Ob3R0aW5naGFtIE9jY3VwYXRpb25hbCBIZWFsdGgg
YXQgUXVlZW5zIG1lZGljYWwgY2VudHJlIHVzZWQgdG8gYmUgYWJsZSB0byBvZmZlciBzdWJzaWRp
c2VkIE5SVCB0aHJvdWdoIHRoZSBob3NwaXRhbCBwaGFybWFjeSwgbm90IHN1cmUgd2V0aGVyIHRo
ZXkgc3RpbGwgZG8gaXQgdGhvdWdoLjwvZGl2PjxESVY+aG9wZSB0aGlzIGhlbHBzPC9ESVY+PERJ
Vj4mbmJzcDs8L0RJVj48RElWPlBhdWwgSGFpcjwvRElWPjxESVY+TkZSUzwvRElWPjwvRk9OVD4=
=========================================================================
Date:         Wed, 20 Oct 2004 11:18:24 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Smoking Cessation
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

HI Gill

You might find it useful to liaise with your local smoking cessation
team from your LHB....they may be able to guide you re: this.

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/20/04 11:05am >>>
Hello All
Does anybody know of a scheme where employers encourage
smokers to quit by offering to pay for
prescriptions for NRT? We are considering implementing
such a scheme and dont really want to re-invent the wheel
if necesary.
We are not aiming to buy in the NRT though this was the first
consideration.
Thanks
Gill

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 20 Oct 2004 11:30:18 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         SBlair <[log in to unmask]>
Subject:      Re: Smoking Cessation
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Try  Primary Care Trust in Mid Devon we have Smoking Cessation and
Prevention lead person plus support workers. We have been able to call on
them for site visits for health promotion as well as refering personnel to
support group meetings. Hope this helps. Sian

-----Original Message-----
From: Gill Cutcliffe [mailto:[log in to unmask]]
Sent: 20 October 2004 11:06
To: [log in to unmask]
Subject: Smoking Cessation


Hello All
Does anybody know of a scheme where employers encourage
smokers to quit by offering to pay for
prescriptions for NRT? We are considering implementing
such a scheme and dont really want to re-invent the wheel
if necesary.
We are not aiming to buy in the NRT though this was the first
consideration.
Thanks
Gill

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


-----------------------------------------------------------------------
John Heathcoat and Company Ltd is registered in England No. 450787.
Registered Office: Westexe, Tiverton, Devon EX16 5LL.

This email is confidential and intended solely for the use of the
individual to whom it is addressed. Any views or opinions presented
are solely those of the author and do not necessarily represent those
of John Heathcoat and Company Ltd. If you are not the intended
recipient and have received this email in error, any use, dissemination,
forwarding, printing or copying of this email is strictly prohibited.
------------------------------------------------------------------------

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 20 Oct 2004 11:43:03 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sara Werry <[log in to unmask]>
Subject:      Re: Smoking Cessation
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit

Hi Gill

I think you will find that this has been taken over by your local PCT in
liaison with the local Public Health Director.

All GP practices should have level 2 advisers who have had specific
training in stopping smoking if NRT is advised then the GP prescribes it
with no charge to the patient.

For more hardened cases there are groups run by level 3 advisers in the
community.

This is being audited by the government and the paperwork for each case
is quite extensive.

This is really positive but the workplace seemed to be bypassed in this
strategy, I have trained as a level 2 adviser but still have to refer
staff to their GP for any prescriptions so it all becomes a bit
disjointed and at the end of the day it is probably better for all
concerned if they maintain support from one source.

Hope useful
Sara


Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579


-----Original Message-----
From: Gill Cutcliffe [mailto:[log in to unmask]]
Sent: 20 October 2004 11:06
To: [log in to unmask]
Subject: Smoking Cessation


Hello All
Does anybody know of a scheme where employers encourage
smokers to quit by offering to pay for
prescriptions for NRT? We are considering implementing
such a scheme and dont really want to re-invent the wheel
if necesary.
We are not aiming to buy in the NRT though this was the first
consideration. Thanks Gill

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 20 Oct 2004 13:40:08 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
Subject:      Re-sheathing needles

Hello all,

I've recently come across a practice whereby District Nurses draw up a
weeks supply of insulin in separate syringes for patients at home. Whilst
this is normal practice and supported by a policy my concern is that it
actually states that needles are re-sheathed before being placed in a
fridge. Re-sheathing is normally frowned upon, and this has only come to my
attention as a member of staff has sustained a needle-stick injury through
this practice.

What do others think? Does this happen in other areas?

Regards,

Glenn Raybone

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 20 Oct 2004 14:01:15 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Swann, Alan B" <[log in to unmask]>
Subject:      Re: Re-sheathing needles
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

As these will be needles that have been stuck only into an insulin =
bottle & not a patient, the key risk- transmission of blood-borne =
infections- won't be there. However, injury to finger & potentially =
dangerous accidental infection of insulin exists. Also, it gives mixed =
message when what is needed is a single, simple ,never re-sheath' =
message
Surely there are safer ways of achieving the aim: supplying the patients =
with 'ready-for-use' injections. Assuming the nurse is drawing up from a =
multi-dose vial, why not have a single, dedicated drawing-up needle that =
stays in the bung whilst the filled syringe is detached. A fresh, =
still-sheathed needle can then be put on ready for patient use. Might =
mean an extra 1-2 needles used per patient, but they ain't that =
expensive!
If this in impractical, then the nurse needs to adopt a no-touch =
technique for re-sheathing.

Dr. Alan Swann, BM, AFOM
Director of Occupational Health
Occupational Health Service
Imperial College London
Southside building
South Kensington Campus
London
SW7 2AZ
Tel: =A0=A0=A0=A0=A0 +44 (20) 7594 9385
Fax: =A0=A0=A0=A0 +44 (20) 7594 9407
 https://www.imperial.ac.uk/spectrum/occhealth=20


-----Original Message-----
From: Glenn Raybone [mailto:[log in to unmask]]=20
Sent: 20 October 2004 13:40
To: [log in to unmask]
Subject: Re-sheathing needles

Hello all,

I've recently come across a practice whereby District Nurses draw up a
weeks supply of insulin in separate syringes for patients at home. =
Whilst
this is normal practice and supported by a policy my concern is that it
actually states that needles are re-sheathed before being placed in a
fridge. Re-sheathing is normally frowned upon, and this has only come to =
my
attention as a member of staff has sustained a needle-stick injury =
through
this practice.

What do others think? Does this happen in other areas?

Regards,

Glenn Raybone

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 20 Oct 2004 14:10:18 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Anne Harriss <[log in to unmask]>
Subject:      Re: Re-sheathing needles
In-Reply-To:  <[log in to unmask]>
Mime-version: 1.0
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

on 20/10/04 1:40 pm, Glenn Raybone at [log in to unmask] wrote:

> Hello all,
>
> I've recently come across a practice whereby District Nurses draw up a
> weeks supply of insulin in separate syringes for patients at home. Whilst
> this is normal practice and supported by a policy my concern is that it
> actually states that needles are re-sheathed before being placed in a
> fridge. Re-sheathing is normally frowned upon, and this has only come to my
> attention as a member of staff has sustained a needle-stick injury through
> this practice.
>
> What do others think? Does this happen in other areas?
>
> Regards,
>
> Glenn Raybone
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
I agree with you Glenn. Health care staff should not be re-sheathing needles
as that is an accident waiting to happen as this needle stick incident has
demonstrated.

Anne Harriss

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 20 Oct 2004 14:09:17 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Robert Dunn
              <[log in to unmask]>
Organization: University of Oxford
Subject:      Re: Re-sheathing needles
MIME-Version: 1.0
Content-Type: text/plain; format=flowed; charset="iso-8859-1";
              reply-type=original
Content-Transfer-Encoding: 7bit

Glenn,

Having been a District Nurse I sympathise with what they do.  I know from
experience that although not desirable there is no option to do otherwise in
these cases.  The needles are still 'sterile' and would definitely not be
contaminated with BBV's.

Ideally the nurses should remove the needle and replace it with a fresh
one.... however, this is not possible with the insulin syringes that have an
integral needle.  It is all down to risk assessment, and I would have
thought that overall the risk is very, very low.

Regards, Bob

----- Original Message -----
From: "Glenn Raybone" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, October 20, 2004 1:40 PM
Subject: Re-sheathing needles


> Hello all,
>
> I've recently come across a practice whereby District Nurses draw up a
> weeks supply of insulin in separate syringes for patients at home. Whilst
> this is normal practice and supported by a policy my concern is that it
> actually states that needles are re-sheathed before being placed in a
> fridge. Re-sheathing is normally frowned upon, and this has only come to
> my
> attention as a member of staff has sustained a needle-stick injury through
> this practice.
>
> What do others think? Does this happen in other areas?
>
> Regards,
>
> Glenn Raybone
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 20 Oct 2004 14:45:12 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sara Werry <[log in to unmask]>
Subject:      Re: Re-sheathing needles
In-Reply-To:  <000901c4b6a6$01637c60$c85301a3@jhuoh>
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit

Hi

What risk is a sterile needle....We have probably got so used to
thinking of needles as a major hazard when really it is the hazard they
are transporting that is the risk.

Sara


Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579


-----Original Message-----
From: Robert Dunn
[mailto:[log in to unmask]]

Sent: 20 October 2004 14:09
To: [log in to unmask]
Subject: Re: Re-sheathing needles


Glenn,

Having been a District Nurse I sympathise with what they do.  I know
from experience that although not desirable there is no option to do
otherwise in these cases.  The needles are still 'sterile' and would
definitely not be contaminated with BBV's.

Ideally the nurses should remove the needle and replace it with a fresh
one.... however, this is not possible with the insulin syringes that
have an integral needle.  It is all down to risk assessment, and I would
have thought that overall the risk is very, very low.

Regards, Bob

----- Original Message -----
From: "Glenn Raybone" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, October 20, 2004 1:40 PM
Subject: Re-sheathing needles


> Hello all,
>
> I've recently come across a practice whereby District Nurses draw up a

> weeks supply of insulin in separate syringes for patients at home.
> Whilst this is normal practice and supported by a policy my concern is

> that it actually states that needles are re-sheathed before being
> placed in a fridge. Re-sheathing is normally frowned upon, and this
> has only come to my attention as a member of staff has sustained a
> needle-stick injury through this practice.
>
> What do others think? Does this happen in other areas?
>
> Regards,
>
> Glenn Raybone
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 20 Oct 2004 16:04:25 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         OHNet <[log in to unmask]>
Subject:      Re: Re-sheathing needles
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

We ahve an area where re-sheathing is carried out.

Again there is no patient contact, it happens in the pharmacy when the tech
is making up cytotoxic therapy within an isolation chamber. The reality is
that if they do not resheath in this circumstance there will be a number of
sharps lying in the tray while they are working, which is obviously more
hazardos than re-sheathing.

Aw ra Best

Craig
----- Original Message -----
From: "Glenn Raybone" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, October 20, 2004 1:40 PM
Subject: Re-sheathing needles


> Hello all,
>
> I've recently come across a practice whereby District Nurses draw up a
> weeks supply of insulin in separate syringes for patients at home. Whilst
> this is normal practice and supported by a policy my concern is that it
> actually states that needles are re-sheathed before being placed in a
> fridge. Re-sheathing is normally frowned upon, and this has only come to
my
> attention as a member of staff has sustained a needle-stick injury through
> this practice.
>
> What do others think? Does this happen in other areas?
>
> Regards,
>
> Glenn Raybone
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 20 Oct 2004 16:30:31 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Darcy <[log in to unmask]>
Subject:      EPINet
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Dear all NHS colleagues,

Good news.  Becton Dickson are willing to travel to NHS OH sites and
install EPINet free of charge.  The system requires Microsoft Access to
run and can be networked if required.

The contact person is called Summa Davies on 01865 781 609 or email her
on
[log in to unmask]

I'm not sure what training or additional support there is yet.

Regards

Paul



Paul D'Arcy,
Occupational Health Manager (Acting)

Occupational Health
Hammersmith Hospital

Developing And Supporting People To Make Healthcare Better

Direct Line  020 8383 1024
Internal Ext 31024



*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Hammersmith Hospitals NHS Trust IT department on 020 8746 5555. Please also delete the message from your computer.

**
*

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 20 Oct 2004 16:50:13 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Anne Harriss <[log in to unmask]>
Subject:      Re: Re-sheathing needles
In-Reply-To:  <[log in to unmask]>
Mime-version: 1.0
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

on 20/10/04 2:45 pm, Sara Werry at [log in to unmask] wrote:

> Hi
>
> What risk is a sterile needle....We have probably got so used to
> thinking of needles as a major hazard when really it is the hazard they
> are transporting that is the risk.
>
> Sara
>
>
> Sara Werry
> Occupational Health Adviser
> Occupational Health Service
> University of East Anglia
> Norwich, NR4 7TJ
> Tel: (01603) 592174
> Fax: (01603) 506579
>
>
> -----Original Message-----
> From: Robert Dunn
> [mailto:[log in to unmask]]
>
> Sent: 20 October 2004 14:09
> To: [log in to unmask]
> Subject: Re: Re-sheathing needles
>
>
> Glenn,
>
> Having been a District Nurse I sympathise with what they do.  I know
> from experience that although not desirable there is no option to do
> otherwise in these cases.  The needles are still 'sterile' and would
> definitely not be contaminated with BBV's.
>
> Ideally the nurses should remove the needle and replace it with a fresh
> one.... however, this is not possible with the insulin syringes that
> have an integral needle.  It is all down to risk assessment, and I would
> have thought that overall the risk is very, very low.
>
> Regards, Bob
>
> ----- Original Message -----
> From: "Glenn Raybone" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Wednesday, October 20, 2004 1:40 PM
> Subject: Re-sheathing needles
>
>
>> Hello all,
>>
>> I've recently come across a practice whereby District Nurses draw up a
>
>> weeks supply of insulin in separate syringes for patients at home.
>> Whilst this is normal practice and supported by a policy my concern is
>
>> that it actually states that needles are re-sheathed before being
>> placed in a fridge. Re-sheathing is normally frowned upon, and this
>> has only come to my attention as a member of staff has sustained a
>> needle-stick injury through this practice.
>>
>> What do others think? Does this happen in other areas?
>>
>> Regards,
>>
>> Glenn Raybone
>>
>> ~~~~~~~~~~~~~~~
>> Please remove this footer before replying.
>>
>> For list archives and documents, go to
>> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>>
>> For jobs in Occupational Health, go to
>> http://uk.groups.yahoo.com/group/OHJobs/
>>
>>
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
Have I missed something here? After reading a couple of replies perhaps I
missed "the point" (no pun intended). I made the assumption that the needle
is re-sheathed and then reused for the same patient for the rest of the week
or for as long as the needle remains sharp.

A similar practice  was introduced as a trial on the endocrine unit on which
I worked prior to my move into OH. The practice was stopped due to the risk
of needle stick incidents. If the aim of the exercise is as I have outlined
above then the needle would not be sterile after injection 1 on day 1 and
staff would be at risk of infection from that stage onwards. If the needle
is only used to draw up the insulin then the only saving is one needle. I am
not sure of the unit cost but I presume it is of the order of pence. In
addition, as Alan stated it is also giving mixed messages.

Anne

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 20 Oct 2004 16:48:00 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Robert Dunn
              <[log in to unmask]>
Organization: University of Oxford
Subject:      Re: EPINet
MIME-Version: 1.0
Content-Type: text/plain; format=flowed; charset="iso-8859-1";
              reply-type=original
Content-Transfer-Encoding: 7bit

Excuse me Paul, please do not forget that there are a fair number of us out
here that are involved in needlestick situations (medical students,
researchers etc) who could also make use of this software.  Needlestick
injuries are not just the domain of the NHS!!

Regards, Bob

----- Original Message -----
From: "Paul Darcy" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, October 20, 2004 4:30 PM
Subject: EPINet


> Dear all NHS colleagues,
>
> Good news.  Becton Dickson are willing to travel to NHS OH sites and
> install EPINet free of charge.  The system requires Microsoft Access to
> run and can be networked if required.
>
> The contact person is called Summa Davies on 01865 781 609 or email her
> on
> [log in to unmask]
>
> I'm not sure what training or additional support there is yet.
>
> Regards
>
> Paul
>
>
>
> Paul D'Arcy,
> Occupational Health Manager (Acting)
>
> Occupational Health
> Hammersmith Hospital
>
> Developing And Supporting People To Make Healthcare Better
>
> Direct Line  020 8383 1024
> Internal Ext 31024
>
>
>
> *
> **
>
> Confidentiality Notice
>
> The contents of this e-mail are confidential to the ordinary user of the
> e-mail address to which it is addressed and may also be privileged. If you
> are not the addressee of this e-mail you may not copy, forward, disclose
> or otherwise use it in any form whatsoever. If you have received this
> e-mail in error please telephone the Hammersmith Hospitals NHS Trust IT
> department on 020 8746 5555. Please also delete the message from your
> computer.
>
> **
> *
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 20 Oct 2004 19:23:56 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Helen Hannar <[log in to unmask]>
Subject:      Re: Smoking Cessation
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_196287_2802342.1098293036965"

------=_Part_196287_2802342.1098293036965
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

We accessed the smoking cessation advisor at our local PCT Health Promotion Unit. They came onsite for sessions for staff and also provide session out of hours at local GP surgeries. The NRT comes on prescription, and in our area employees paid for 2 out of the 5 recommended prescriptions.
The only cost to the employer was the use of facilities for the sessions onsite, plus the 1/2 hour from production for the staff who attended.
Hope this helps.
Helen





> Message date : Oct 20 2004, 11:06 AM
> From : "Gill Cutcliffe"
> To : [log in to unmask]
> Copy to :
> Subject : Smoking Cessation
> Hello All
> Does anybody know of a scheme where employers encourage
> smokers to quit by offering to pay for
> prescriptions for NRT? We are considering implementing
> such a scheme and dont really want to re-invent the wheel
> if necesary.
> We are not aiming to buy in the NRT though this was the first
> consideration.
> Thanks
> Gill
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>



Helen Hannar
OH Advisor

OHServices (NE).
Tel:- 01388 777962
Mob:- 07950 154541
Fax:- 01388 777962

--

Whatever you Wanadoo:
http://www.wanadoo.co.uk/time/

This email has been checked for most known viruses - find out more at: http://www.wanadoo.co.uk/help/id/7098.htm

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_196287_2802342.1098293036965
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<P>We accessed the smoking cessation advisor at our local PCT Health Promot=
ion Unit. They came onsite for sessions for staff and also provide session =
out of hours at local GP surgeries. The NRT comes on prescription, and in o=
ur area employees paid for 2 out of the 5 recommended prescriptions.</P>
<P>The only cost to the employer was the use of facilities for the sessions=
 onsite, plus the 1/2 hour from production for the staff who attended.</P>
<P>Hope this helps.</P>
<P>Helen<BR><BR><BR><BR><BR></P>
<BLOCKQUOTE style=3D"PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #ff0=
000 2px solid">&gt; Message date : Oct 20 2004, 11:06 AM<BR>&gt; From : "Gi=
ll Cutcliffe" <[log in to unmask]><BR>&gt; To : OCC-HEALTH@JISCM=
AIL.AC.UK<BR>&gt; Copy to : <BR>&gt; Subject : Smoking Cessation<BR>&gt; He=
llo All<BR>&gt; Does anybody know of a scheme where employers encourage<BR>=
&gt; smokers to quit by offering to pay for<BR>&gt; prescriptions for NRT? =
We are considering implementing<BR>&gt; such a scheme and dont really want =
to re-invent the wheel<BR>&gt; if necesary.<BR>&gt; We are not aiming to bu=
y in the NRT though this was the first<BR>&gt; consideration.<BR>&gt; Thank=
s<BR>&gt; Gill<BR>&gt; <BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove this =
footer before replying.<BR>&gt; <BR>&gt; For list archives and documents, g=
o to<BR>&gt; http://www.jiscmail.ac.uk/lists/occ-health.html for list archi=
ves<BR>&gt; <BR>&gt; For jobs in Occupational Health, go to<BR>&gt; http://=
uk.groups.yahoo.com/group/OHJobs/<BR>&gt; </BLOCKQUOTE>
<P><BR><BR></P>
<P><STRONG>Helen Hannar <BR>OH Advisor <BR><BR>OHServices (NE). <BR>Tel:- 0=
1388 777962 <BR>Mob:- 07950 154541 <BR>Fax:- 01388 777962</STRONG></P><BR><=
BR><hr size=3D"1">Whatever you <a href=3D"http://www.wanadoo.co.uk/time/" t=
arget=3D"_blank">Wanadoo</a><br><br>This email has been checked for most kn=
own viruses - find out more <a href=3D"http://www.wanadoo.co.uk/help/id/709=
8.htm" target=3D"_blank">here</a>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_196287_2802342.1098293036965--
=========================================================================
Date:         Wed, 20 Oct 2004 16:08:39 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
Subject:      Re: Re-sheathing needles
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1098302919"

-------------------------------1098302919
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit


In a message dated 20/10/2004 15:15:34 GMT Daylight Time, [log in to unmask]
writes:

What  risk is a sterile needle....We have probably got so used to
thinking of  needles as a major hazard when really it is the hazard they
are  transporting that is the risk.



I can see what you're saying but I for one don't think advocating
re-sheathing of needles, used or otherwise, to be good practice. Even a clean  needle is
unpleasant unless of course having piercings "floats your boat" as it  were.

I just find it odd that we are constantly educating staff about  re-sheathing
and then this practice is going on 'under our noses' backed with a  policy.
Maybe as Bob says it's the only option in this situation.

Thanks all for the replies

Glenn

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1098302919
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2600.0" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #000000; FONT-FAMILY: Comic Sans MS"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3D"Comic Sans MS" color=3D#000000 size=3D3>
<DIV>
<DIV>In a message dated 20/10/2004 15:15:34 GMT Daylight Time, [log in to unmask]
C.UK=20
writes:</DIV>
<BLOCKQUOTE style=3D"PADDING-LEFT: 0px; MARGIN-LEFT: 0px"><FONT=20
  style=3D"BACKGROUND-COLOR: transparent" face=3DArial color=3D#000000 size=
=3D2>What=20
  risk is a sterile needle....We have probably got so used to<BR>thinking of=
=20
  needles as a major hazard when really it is the hazard they<BR>are=20
  transporting that is the risk.<BR></FONT></BLOCKQUOTE></DIV>
<DIV></DIV>
<DIV><STRONG>I can see what you're saying but I for one don't think advocati=
ng=20
re-sheathing of needles, used or otherwise, to be good practice. Even a clea=
n=20
needle is unpleasant unless of course having piercings "floats your boat" as=
 it=20
were.</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>I just find it odd that we are constantly educating staff about=
=20
re-sheathing and then this practice is going on 'under our noses' backed wit=
h a=20
policy. Maybe as Bob says it's the only option in this situation.</STRONG></=
DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Thanks all for the replies</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Glenn</STRONG></DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1098302919--
=========================================================================
Date:         Wed, 20 Oct 2004 16:20:56 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Gina Jones <[log in to unmask]>
Subject:      drawing up insulin
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1098303656"

-------------------------------1098303656
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

regarding the practice of drawing up insulin for patients, is it not
possible for these patients to convert to pre filled insulin pens. i,m sure a
patient who is unable to set the dial would also be unable to inject themselves
also.just a suggestion that sounds sense to me but then i have never worked  in
the community.
Gina

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1098303656
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #8080ff; FONT-FAMILY: Comic Sans MS"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3D"Comic Sans MS" color=3D#8080ff size=3D3>
<DIV>regarding the practice of drawing up insulin for patients, is it not=20
possible for these patients to convert to pre filled insulin pens. i,m sure=20=
a=20
patient who is unable to set the dial would also be unable to inject themsel=
ves=20
also.just a suggestion that sounds sense to me&nbsp;but then i have never wo=
rked=20
in the community.</DIV>
<DIV>Gina</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1098303656--
=========================================================================
Date:         Wed, 20 Oct 2004 21:21:56 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Neil Loach <[log in to unmask]>
Subject:      Re: Re-sheathing needles
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

I work for a PCT in North Warwickshire and all our OH Nurses are level 2
trained. We prescribe the patches and these are free for one NHS contract we
deliver to but not for the PCT staff. A bit disjointed but it does work.

The patches are free for the NHS contract staff but not for own who have to
go to their GP. In this case we offer one to one support if needed.

Neil Loach
----- Original Message -----
From: "Sara Werry" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, October 20, 2004 2:45 PM
Subject: Re: Re-sheathing needles


> Hi
>
> What risk is a sterile needle....We have probably got so used to
> thinking of needles as a major hazard when really it is the hazard they
> are transporting that is the risk.
>
> Sara
>
>
> Sara Werry
> Occupational Health Adviser
> Occupational Health Service
> University of East Anglia
> Norwich, NR4 7TJ
> Tel: (01603) 592174
> Fax: (01603) 506579
>
>
> -----Original Message-----
> From: Robert Dunn
> [mailto:[log in to unmask]]
>
> Sent: 20 October 2004 14:09
> To: [log in to unmask]
> Subject: Re: Re-sheathing needles
>
>
> Glenn,
>
> Having been a District Nurse I sympathise with what they do.  I know
> from experience that although not desirable there is no option to do
> otherwise in these cases.  The needles are still 'sterile' and would
> definitely not be contaminated with BBV's.
>
> Ideally the nurses should remove the needle and replace it with a fresh
> one.... however, this is not possible with the insulin syringes that
> have an integral needle.  It is all down to risk assessment, and I would
> have thought that overall the risk is very, very low.
>
> Regards, Bob
>
> ----- Original Message -----
> From: "Glenn Raybone" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Wednesday, October 20, 2004 1:40 PM
> Subject: Re-sheathing needles
>
>
> > Hello all,
> >
> > I've recently come across a practice whereby District Nurses draw up a
>
> > weeks supply of insulin in separate syringes for patients at home.
> > Whilst this is normal practice and supported by a policy my concern is
>
> > that it actually states that needles are re-sheathed before being
> > placed in a fridge. Re-sheathing is normally frowned upon, and this
> > has only come to my attention as a member of staff has sustained a
> > needle-stick injury through this practice.
> >
> > What do others think? Does this happen in other areas?
> >
> > Regards,
> >
> > Glenn Raybone
> >
> > ~~~~~~~~~~~~~~~
> > Please remove this footer before replying.
> >
> > For list archives and documents, go to
> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> > For jobs in Occupational Health, go to
> > http://uk.groups.yahoo.com/group/OHJobs/
> >
> >
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 07:53:02 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Kerry McNeil <[log in to unmask]>
Subject:      Room Lighting for DSE Users

Dear All
Please could I ask if any of you have had experience of assessing overhead
lighting for DSE users? I am assessing a large office and some areas are
much brighter than others (Between 250-550 lux)

From what I can see, 500 lux is considered suitable for DSE use but the
employees in the areas with this level of light are complaining that it is
too bright and that they are getting headaches.

Does anyone have any suggestions as to what level of lighting they have
found to be comfortable?

Thanks for anyone that can help
Best Wishes
Kerry McNeil

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 08:26:26 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Angela Southworth <[log in to unmask]>
Subject:      Re: Smoking Cessation
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

Hi Gill,

Have you considered becoming a smoking cessation counsellor, then you can
offer the weekly sessions at work and also write to the Gp's to enable them
to get patches or zyban on prescription.  You would get prescriptions for 1
months supply of whatever for the cost of a prescription.  I did mine in
Lancashire and the course was free - 3 days initially and another day a few
months later.
Angela Southworth
OCCUPATIONAL HEALTH

Ext: 1294



**********************************************************************
This email and any files transmitted with it are confidential to Polyflor 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 Polyflor System Manager at [log in to unmask]

This e-mail has been checked for viruses using Sophos Anti-Virus.

www.polyflor.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 09:54:12 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         =?iso-8859-1?Q?Samantha_=A0Chapman?= <[log in to unmask]>
Subject:      Management Referrals
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_48972_33196378.1098345251994"

------=_Part_48972_33196378.1098345251994
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

I would be very interested to know how long employees wait for appointments once you receive a management referral for them.
I ask this as some of our managers seem to expect we see them the same day!
Thanks for your help
Sam Chapman

--

Whatever you Wanadoo:
http://www.wanadoo.co.uk/time/

This email has been checked for most known viruses - find out more at: http://www.wanadoo.co.uk/help/id/7098.htm

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_48972_33196378.1098345251994
Content-Type: text/html
Content-Transfer-Encoding: 7bit

<P>I would be very interested to know how long employees wait for appointments once you receive a management referral for them.</P>
<P>I ask this as some of our managers seem to expect we see them the same day!</P>
<P>Thanks for your help</P>
<P>Sam Chapman</P><BR><BR><hr size="1">Whatever you <a href="http://www.wanadoo.co.uk/time/" target="_blank">Wanadoo</a><br><br>This email has been checked for most known viruses - find out more <a href="http://www.wanadoo.co.uk/help/id/7098.htm" target="_blank">here</a>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_48972_33196378.1098345251994--
=========================================================================
Date:         Thu, 21 Oct 2004 09:00:27 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Porter Suzanne <[log in to unmask]>
Subject:      Re: Management Referrals
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4B744.06B70AD6"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4B744.06B70AD6
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Samantha
=20
Depending on the complexity of the referral or whether they need to see =
an OH nurse, physician or consultant, they can wait anything up to a =
month to be seen. That is not our standard though it just seems to be =
the case these days. It actually takes longer for staff to be seen by me =
than it does our OHP!
=20
Su

-----Original Message-----
From: Samantha  Chapman [mailto:[log in to unmask]]
Sent: 21 October 2004 08:54
To: [log in to unmask]
Subject: Management Referrals



I would be very interested to know how long employees wait for =
appointments once you receive a management referral for them.

I ask this as some of our managers seem to expect we see them the same =
day!

Thanks for your help

Sam Chapman



  _____ =20

Whatever you Wanadoo <http://www.wanadoo.co.uk/time/>=20

This email has been checked for most known viruses - find out more here =
<http://www.wanadoo.co.uk/help/id/7098.htm>  ~~~~~~~~~~~~~~~ Please =
remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4B744.06B70AD6
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D053215707-21102004><FONT face=3DArial color=3D#0000ff =

size=3D2>Samantha</FONT></SPAN></DIV>
<DIV><SPAN class=3D053215707-21102004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D053215707-21102004><FONT face=3DArial color=3D#0000ff =

size=3D2>Depending on the complexity of the referral or whether they =
need to see=20
an OH nurse, physician or consultant, they can wait anything up to a =
month to be=20
seen. That is not our standard though it just seems to be the case these =
days.=20
It actually takes longer for staff to be seen by me than it does our=20
OHP!</FONT></SPAN></DIV>
<DIV><SPAN class=3D053215707-21102004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D053215707-21102004><FONT face=3DArial color=3D#0000ff =

size=3D2>Su</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> Samantha =
&nbsp;Chapman=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 21 October 2004=20
  08:54<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Management=20
  Referrals<BR><BR></FONT></DIV>
  <P>I would be very interested to know how long employees wait for =
appointments=20
  once you receive a management referral for them.</P>
  <P>I ask this as some of our managers seem to expect we see them the =
same=20
  day!</P>
  <P>Thanks for your help</P>
  <P>Sam Chapman</P><BR><BR>
  <HR SIZE=3D1>
  Whatever you <A href=3D"http://www.wanadoo.co.uk/time/"=20
  target=3D_blank>Wanadoo</A><BR><BR>This email has been checked for =
most known=20
  viruses - find out more <A =
href=3D"http://www.wanadoo.co.uk/help/id/7098.htm"=20
  target=3D_blank>here</A> ~~~~~~~~~~~~~~~ Please remove this footer =
before=20
  replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4B744.06B70AD6--
=========================================================================
Date:         Thu, 21 Oct 2004 09:11:10 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Kinselley, Gillian E" <[log in to unmask]>
Subject:      Re: Room Lighting for DSE Users
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

From my experience the light levels depend on the individual, if they wear
glasses, if there whole ergo posture is correct.  For our assessments we
also discuss fluid intake - people tend to be dehydrated, come to work
without breakfast, work through lunch, live on crisps and then blame the
lights for there headache so I think its difficult to give an exact light
level but as near to 'day light' as possible.

Gill

-----Original Message-----
From: Kerry McNeil [mailto:[log in to unmask]]
Sent: 21 October 2004 07:53
To: [log in to unmask]
Subject: Room Lighting for DSE Users


Dear All
Please could I ask if any of you have had experience of assessing overhead
lighting for DSE users? I am assessing a large office and some areas are
much brighter than others (Between 250-550 lux)

From what I can see, 500 lux is considered suitable for DSE use but the
employees in the areas with this level of light are complaining that it is
too bright and that they are getting headaches.

Does anyone have any suggestions as to what level of lighting they have
found to be comfortable?

Thanks for anyone that can help
Best Wishes
Kerry McNeil

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


.sophos.3.86.10.20.


Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 09:11:48 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Robert Dunn
              <[log in to unmask]>
Organization: University of Oxford
Subject:      Re: Management Referrals
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_009B_01C4B74D.FE90BE00"

This is a multi-part message in MIME format.

------=_NextPart_000_009B_01C4B74D.FE90BE00
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hi Samantha, our waiting period for appointments is dependant on whether =
a nurse advisor needs to see them (average wait - very urgent within =
24-48 hours, urgent 3-4 days, non-urgent 5-10 days), or whether a =
physician needs to see them (urgent within 1-3 working days, non-urgent =
within 1-4 weeks).  My non-urgent physician wait time as of today is =
sometime during the second week in November.  I hope this info helps.  =
Regards, Bob
  ----- Original Message -----=20
  From: Samantha  Chapman=20
  To: [log in to unmask]
  Sent: Thursday, October 21, 2004 8:54 AM
  Subject: Management Referrals


  I would be very interested to know how long employees wait for =
appointments once you receive a management referral for them.

  I ask this as some of our managers seem to expect we see them the same =
day!

  Thanks for your help

  Sam Chapman




-------------------------------------------------------------------------=
-----
  Whatever you Wanadoo

  This email has been checked for most known viruses - find out more =
here ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_009B_01C4B74D.FE90BE00
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>Hi Samantha, our waiting period for =
appointments is=20
dependant on whether a nurse advisor needs to see them (average wait - =
very=20
urgent within 24-48 hours, urgent&nbsp;3-4 days, non-urgent 5-10 days), =
or=20
whether a physician needs to see them (urgent within 1-3 working days,=20
non-urgent within 1-4 weeks).&nbsp; My non-urgent physician wait time as =
of=20
today is sometime during the second week in November.&nbsp; I hope this =
info=20
helps.&nbsp; Regards, Bob</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask] =
href=3D"mailto:[log in to unmask]">Samantha=20
  &nbsp;Chapman</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Thursday, October 21, =
2004 8:54=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Management =
Referrals</DIV>
  <DIV><BR></DIV>
  <P>I would be very interested to know how long employees wait for =
appointments=20
  once you receive a management referral for them.</P>
  <P>I ask this as some of our managers seem to expect we see them the =
same=20
  day!</P>
  <P>Thanks for your help</P>
  <P>Sam Chapman</P><BR><BR>
  <HR SIZE=3D1>
  Whatever you <A href=3D"http://www.wanadoo.co.uk/time/"=20
  target=3D_blank>Wanadoo</A><BR><BR>This email has been checked for =
most known=20
  viruses - find out more <A =
href=3D"http://www.wanadoo.co.uk/help/id/7098.htm"=20
  target=3D_blank>here</A> ~~~~~~~~~~~~~~~ Please remove this footer =
before=20
  replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_009B_01C4B74D.FE90BE00--
=========================================================================
Date:         Thu, 21 Oct 2004 09:17:31 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Robert Dunn
              <[log in to unmask]>
Organization: University of Oxford
Subject:      Re: Room Lighting for DSE Users
MIME-Version: 1.0
Content-Type: text/plain; format=flowed; charset="iso-8859-1";
              reply-type=original
Content-Transfer-Encoding: 7bit

Gillian, I have found that one point to bear in mind with lighting levels
for DSE users is whether or not they are using standard CRT (television type
screens) or the TFT (flat screens).  The TFT screens are normally slightly
brighter in themselves, therefore the room levels can afford to be a bit
less to compensate.  Do the users know how to reduce the brightness/contrast
of their screens (both types) to suite themselves??.

Regards, Bob

----- Original Message -----
From: "Kinselley, Gillian E" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, October 21, 2004 9:11 AM
Subject: Re: Room Lighting for DSE Users


> From my experience the light levels depend on the individual, if they wear
> glasses, if there whole ergo posture is correct.  For our assessments we
> also discuss fluid intake - people tend to be dehydrated, come to work
> without breakfast, work through lunch, live on crisps and then blame the
> lights for there headache so I think its difficult to give an exact light
> level but as near to 'day light' as possible.
>
> Gill
>
> -----Original Message-----
> From: Kerry McNeil [mailto:[log in to unmask]]
> Sent: 21 October 2004 07:53
> To: [log in to unmask]
> Subject: Room Lighting for DSE Users
>
>
> Dear All
> Please could I ask if any of you have had experience of assessing overhead
> lighting for DSE users? I am assessing a large office and some areas are
> much brighter than others (Between 250-550 lux)
>
> From what I can see, 500 lux is considered suitable for DSE use but the
> employees in the areas with this level of light are complaining that it is
> too bright and that they are getting headaches.
>
> Does anyone have any suggestions as to what level of lighting they have
> found to be comfortable?
>
> Thanks for anyone that can help
> Best Wishes
> Kerry McNeil
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>
> .sophos.3.86.10.20.
>
>
> Emails aren't always secure, and they may be intercepted or changed after
> they've been sent. Abbey doesn't accept liability if this happens. If you
> think someone may have interfered with this email, please get in touch
> with the sender another way.
>
> This message doesn't create or change any contract. Abbey doesn't accept
> responsibility for damage caused by any viruses contained in this email or
> its attachments. Emails may be monitored.
>
> If you've received this email by mistake, please let the sender know at
> once that it's gone to the wrong person and then destroy it without
> copying, using, or telling anyone about its contents.
>
> Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg.
> No. 3839455 are registered in England and have their Registered Offices at
> Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.
>
> Abbey National plc and Inscape Investments Limited are authorised and
> regulated by the Financial Services Authority. Abbey National plc only
> advises on its own life assurance, pension and collective investment
> scheme products. Inscape Investments Limited is a member of the Abbey
> Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are
> registered trademarks of Abbey National plc.
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 09:18:38 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Duncan Abbott <[log in to unmask]>
Subject:      Re: Room Lighting for DSE Users
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Those staff with 500 lux are they using CRT monitors or flat screens. For
CRT monitors the recommended light level is 250-500 lux. For flat screens it
can be anywhere between 300 - 1000 lux.

What are the over head lights (CAT 3 or similar), are they highly
reflective. If they are try changing the tubes or placing diffuser over the
light fittings to give a diffused balanced light.

Is there a need for different light levels, as some people may not be
getting enough light!

Out of interest there will be an article in EZ-1 ergonomics on lighting for
visually impaired in the November or December issue.

Duncan Abbott
enricoSmog ergonomic practitioners
www.enricosmog.com






----- Original Message -----
From: "Kerry McNeil" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, October 21, 2004 7:53 AM
Subject: Room Lighting for DSE Users


> Dear All
> Please could I ask if any of you have had experience of assessing overhead
> lighting for DSE users? I am assessing a large office and some areas are
> much brighter than others (Between 250-550 lux)
>
> From what I can see, 500 lux is considered suitable for DSE use but the
> employees in the areas with this level of light are complaining that it is
> too bright and that they are getting headaches.
>
> Does anyone have any suggestions as to what level of lighting they have
> found to be comfortable?
>
> Thanks for anyone that can help
> Best Wishes
> Kerry McNeil
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 10:18:11 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sue Summers-Coles <[log in to unmask]>
Subject:      Re: Room Lighting for DSE Users
MIME-Version: 1.0
Content-type: text/plain; charset=us-ascii

Hi Kerry

HSG38 Lighting at Work recommends 200 lux average and 100 lux minimum for
normal offices. For drawing offices and those where workers are looking at
fine detail an average of 500 lux and minimum 200 is recommended.  These
illuminances have been chosen on grounds of health (avoidance of visual
fatigue) although they will provide adequate levels to minimise risk of
accidents.
The publication provides a lot more info on risk assessment of lighting and
suggests suitable control measures.

Regards
Sue



______________________________________________________________________


   IMPORTANT
   The information contained in this e-mail and in any
   attachments is intended only for the named recipient or
   entity. The e-mail and any attachments may contain legally
   privileged or confidential information and may not be
   disclosed to anyone else. If you are not the intended
   recipient, please notify us immediately on 01789-202121
   and delete the material from any computer that may contain
   it and destroy any printed copies you may have made. We
   accept no liability for any direct, indirect or
   consequential loss or damage arising from any action taken
   in reliance on or use of the information contained in this
   e-mail and give no warranty or representation as to its
   accuracy or reliability.

   NFU Mutual has the facility to monitor and read both
   incoming and outgoing communications by e-mail and these
   may be intercepted by its automated e-mail administrators.
   NFU Mutual will not accept e-mail communications found to
   contain viruses.

   Parent Company: The National Farmers Union Mutual Insurance
   Society Ltd
   (No. 111982). Authorised and regulated by the Financial
   Services Authority for Life, Pension and Investment business.
   Registered in England
   Registered office : Tiddington Road, Stratford-upon-Avon,
   CV37 7BJ.
   Tel: 01789 204211
   NFU Mutual is a member of the General Insurance Standards
   Council, ABI and FOS.


   http://www.nfumutual.co.uk

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 11:21:20 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Kinselley, Gillian E" <[log in to unmask]>
Subject:      Re: Room Lighting for DSE Users
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Bob,
we have a large variety of screens and all are given advice on the working
of the brightness and contrast - we also give guidance on font size, colour,
background colour etc.  We try to encourage individuals to try different
options and learn to understand their settings on the computer and if all
else fails look at reduce or higher lighting depending on the environment
and other users.

Gill

-----Original Message-----
From: Robert Dunn
[mailto:[log in to unmask]]
Sent: 21 October 2004 09:18
To: [log in to unmask]
Subject: Re: Room Lighting for DSE Users


Gillian, I have found that one point to bear in mind with lighting levels
for DSE users is whether or not they are using standard CRT (television type
screens) or the TFT (flat screens).  The TFT screens are normally slightly
brighter in themselves, therefore the room levels can afford to be a bit
less to compensate.  Do the users know how to reduce the brightness/contrast
of their screens (both types) to suite themselves??.

Regards, Bob

----- Original Message -----
From: "Kinselley, Gillian E" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, October 21, 2004 9:11 AM
Subject: Re: Room Lighting for DSE Users


> From my experience the light levels depend on the individual, if they wear
> glasses, if there whole ergo posture is correct.  For our assessments we
> also discuss fluid intake - people tend to be dehydrated, come to work
> without breakfast, work through lunch, live on crisps and then blame the
> lights for there headache so I think its difficult to give an exact light
> level but as near to 'day light' as possible.
>
> Gill
>
> -----Original Message-----
> From: Kerry McNeil [mailto:[log in to unmask]]
> Sent: 21 October 2004 07:53
> To: [log in to unmask]
> Subject: Room Lighting for DSE Users
>
>
> Dear All
> Please could I ask if any of you have had experience of assessing overhead
> lighting for DSE users? I am assessing a large office and some areas are
> much brighter than others (Between 250-550 lux)
>
> From what I can see, 500 lux is considered suitable for DSE use but the
> employees in the areas with this level of light are complaining that it is
> too bright and that they are getting headaches.
>
> Does anyone have any suggestions as to what level of lighting they have
> found to be comfortable?
>
> Thanks for anyone that can help
> Best Wishes
> Kerry McNeil
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>
> .sophos.3.86.10.20.
>
>
> Emails aren't always secure, and they may be intercepted or changed after
> they've been sent. Abbey doesn't accept liability if this happens. If you
> think someone may have interfered with this email, please get in touch
> with the sender another way.
>
> This message doesn't create or change any contract. Abbey doesn't accept
> responsibility for damage caused by any viruses contained in this email or
> its attachments. Emails may be monitored.
>
> If you've received this email by mistake, please let the sender know at
> once that it's gone to the wrong person and then destroy it without
> copying, using, or telling anyone about its contents.
>
> Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg.
> No. 3839455 are registered in England and have their Registered Offices at
> Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.
>
> Abbey National plc and Inscape Investments Limited are authorised and
> regulated by the Financial Services Authority. Abbey National plc only
> advises on its own life assurance, pension and collective investment
> scheme products. Inscape Investments Limited is a member of the Abbey
> Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are
> registered trademarks of Abbey National plc.
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 11:48:06 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         MARGARET MERCER <[log in to unmask]>
Subject:      Re: Electronic OH records
In-Reply-To:  <00ac01c4afa0$a8b52b10$4b469b51@gh0953f0versng>
MIME-Version: 1.0
Content-Type: multipart/alternative; boundary="0-1407522008-1098355686=:74541"
Content-Transfer-Encoding: 8bit

--0-1407522008-1098355686=:74541
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 8bit


Dear everyone,

Thanks for your recent help with noise and audiometry.

Has anyone come across and OH electronics record package or a similar record package that can be used via the internet or an extranet please?

Best wishes
Margaret





~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--0-1407522008-1098355686=:74541
Content-Type: text/html; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

<DIV><BR>Dear everyone,</DIV>
<DIV>&nbsp;</DIV>
<DIV>Thanks for your recent help with noise and audiometry.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Has anyone come across and OH electronics record package or a similar record package that can be used via the internet or an extranet please?</DIV>
<DIV>&nbsp;</DIV>
<DIV>Best wishes</DIV>
<DIV>Margaret<BR></DIV>
<BLOCKQUOTE class=replbq style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #1010ff 2px solid">
<DIV><FONT size=2></FONT>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<BLOCKQUOTE dir=ltr style="PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
<DIV>&nbsp;</DIV></BLOCKQUOTE></BLOCKQUOTE>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-1407522008-1098355686=:74541--
=========================================================================
Date:         Thu, 21 Oct 2004 13:03:01 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      clean needle injury
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

There may not be any transmission of pathogen when a  needlestick injury
occurs with a clean needle, but a breech of the skin occurrs, whcih may let
in pathogens if a splash  incident occurs afterwards (how may people would
put a plaster on?)
Bw
Diane

_________________________________________________________________
Express yourself with cool new emoticons http://www.msn.co.uk/specials/myemo

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 13:12:09 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: clean needle injury
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

HI all

Does anyone out there have any information they would be willing to
share on overseas travel guidelines in relation to Occ Health?

Pre and post travel health checks, recouperation after long haul
lfights / returning from a country with significant time difference etc
etc.

I would be grateful for any informatiom.

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:03pm >>>
There may not be any transmission of pathogen when a  needlestick
injury
occurs with a clean needle, but a breech of the skin occurrs, whcih may
let
in pathogens if a splash  incident occurs afterwards (how may people
would
put a plaster on?)
Bw
Diane

_________________________________________________________________
Express yourself with cool new emoticons
http://www.msn.co.uk/specials/myemo

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 13:22:34 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Nicola Johns <[log in to unmask]>
Subject:      Re: clean needle injury
MIME-Version: 1.0
Content-Type: text/plain; charset="utf-8"
Content-Transfer-Encoding: quoted-printable

Hi Tracie,

I have purchased an excellent book "Immunization Childhood and Travel Hea=
lth" (Fourth Edition) by George C. Kassianos. It cost about =C2=A330, but=
 gives excellent advice on all these areas.
Hope it helps

Nicky Johns

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]=20
Sent: 21 October 2004 13:12
To: [log in to unmask]
Subject: Re: clean needle injury


HI all

Does anyone out there have any information they would be willing to
share on overseas travel guidelines in relation to Occ Health?

Pre and post travel health checks, recouperation after long haul
lfights / returning from a country with significant time difference etc
etc.

I would be grateful for any informatiom.

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:03pm >>>
There may not be any transmission of pathogen when a  needlestick
injury
occurs with a clean needle, but a breech of the skin occurrs, whcih may
let
in pathogens if a splash  incident occurs afterwards (how may people
would
put a plaster on?)
Bw
Diane

_________________________________________________________________
Express yourself with cool new emoticons
http://www.msn.co.uk/specials/myemo

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


Swansea College=0ATycoch Road, Tycoch, Swansea. SA2 9EB=0Awebsite: http:/=
/www.swancoll.ac.uk=0A***************************************************=
*************************************************************************=
**************=0AThe information contained in this message is intended fo=
r the addressee only and may contain confidential and/or =0Aprivileged in=
formation. If you are not the addressee, please delete this message and n=
otify the sender; you should not=0Acopy or distribute this message or dis=
close its contents to anyone without the express permission of the author=
 who =0Ais the copyright holder.=0A**************************************=
*************************************************************************=
***************************=0A

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 13:33:05 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Room Lighting for DSE Users
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Does anyone have any info re: Hep B vaccines not being effective in the
over 30 yr olds??

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 09:18am >>>
Those staff with 500 lux are they using CRT monitors or flat screens.
For
CRT monitors the recommended light level is 250-500 lux. For flat
screens it
can be anywhere between 300 - 1000 lux.

What are the over head lights (CAT 3 or similar), are they highly
reflective. If they are try changing the tubes or placing diffuser over
the
light fittings to give a diffused balanced light.

Is there a need for different light levels, as some people may not be
getting enough light!

Out of interest there will be an article in EZ-1 ergonomics on lighting
for
visually impaired in the November or December issue.

Duncan Abbott
enricoSmog ergonomic practitioners
www.enricosmog.com






----- Original Message -----
From: "Kerry McNeil" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, October 21, 2004 7:53 AM
Subject: Room Lighting for DSE Users


> Dear All
> Please could I ask if any of you have had experience of assessing
overhead
> lighting for DSE users? I am assessing a large office and some areas
are
> much brighter than others (Between 250-550 lux)
>
> From what I can see, 500 lux is considered suitable for DSE use but
the
> employees in the areas with this level of light are complaining that
it is
> too bright and that they are getting headaches.
>
> Does anyone have any suggestions as to what level of lighting they
have
> found to be comfortable?
>
> Thanks for anyone that can help
> Best Wishes
> Kerry McNeil
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 13:26:34 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Nicola Johns <[log in to unmask]>
Subject:      Re: clean needle injury
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

Hi Tracie,
Further to my previous email, I also have copies of Immunisation against
Infectious Disease and Health Information for Overseas Travel, both
produced by Department of Health, available from The Stationary Office.
Nicky Johns

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]=20
Sent: 21 October 2004 13:12
To: [log in to unmask]
Subject: Re: clean needle injury


HI all

Does anyone out there have any information they would be willing to
share on overseas travel guidelines in relation to Occ Health?

Pre and post travel health checks, recouperation after long haul
lfights / returning from a country with significant time difference etc
etc.

I would be grateful for any informatiom.

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:03pm >>>
There may not be any transmission of pathogen when a  needlestick
injury
occurs with a clean needle, but a breech of the skin occurrs, whcih may
let
in pathogens if a splash  incident occurs afterwards (how may people
would
put a plaster on?)
Bw
Diane

_________________________________________________________________
Express yourself with cool new emoticons
http://www.msn.co.uk/specials/myemo

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 13:43:53 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: clean needle injury
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Nicky

Is this a green book?

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:26pm >>>
Hi Tracie,
Further to my previous email, I also have copies of Immunisation
against
Infectious Disease and Health Information for Overseas Travel, both
produced by Department of Health, available from The Stationary
Office.
Nicky Johns

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: 21 October 2004 13:12
To: [log in to unmask]
Subject: Re: clean needle injury


HI all

Does anyone out there have any information they would be willing to
share on overseas travel guidelines in relation to Occ Health?

Pre and post travel health checks, recouperation after long haul
lfights / returning from a country with significant time difference
etc
etc.

I would be grateful for any informatiom.

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:03pm >>>
There may not be any transmission of pathogen when a  needlestick
injury
occurs with a clean needle, but a breech of the skin occurrs, whcih
may
let
in pathogens if a splash  incident occurs afterwards (how may people
would
put a plaster on?)
Bw
Diane

_________________________________________________________________
Express yourself with cool new emoticons
http://www.msn.co.uk/specials/myemo

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 13:43:23 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: clean needle injury
Mime-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
Content-Transfer-Encoding: quoted-printable
Content-Disposition: inline

Thanks Nicky, have you decided where you want to meet


Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:22pm >>>
Hi Tracie,

I have purchased an excellent book "Immunization Childhood and Travel =
Health" (Fourth Edition) by George C. Kassianos. It cost about =A330, but =
gives excellent advice on all these areas.
Hope it helps

Nicky Johns

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]=20
Sent: 21 October 2004 13:12
To: [log in to unmask]
Subject: Re: clean needle injury


HI all

Does anyone out there have any information they would be willing to
share on overseas travel guidelines in relation to Occ Health?

Pre and post travel health checks, recouperation after long haul
lfights / returning from a country with significant time difference etc
etc.

I would be grateful for any informatiom.

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:03pm >>>
There may not be any transmission of pathogen when a  needlestick
injury
occurs with a clean needle, but a breech of the skin occurrs, whcih may
let
in pathogens if a splash  incident occurs afterwards (how may people
would
put a plaster on?)
Bw
Diane

_________________________________________________________________
Express yourself with cool new emoticons
http://www.msn.co.uk/specials/myemo=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20


Swansea College
Tycoch Road, Tycoch, Swansea. SA2 9EB
website: http://www.swancoll.ac.uk=20
***************************************************************************=
***************************************************************
The information contained in this message is intended for the addressee =
only and may contain confidential and/or=20
privileged information. If you are not the addressee, please delete this =
message and notify the sender; you should not
copy or distribute this message or disclose its contents to anyone without =
the express permission of the author who=20
is the copyright holder.
***************************************************************************=
***************************************************************


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 13:48:51 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Nicola Johns <[log in to unmask]>
Subject:      Re: clean needle injury
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hi Tracie,
I don't mind, but will have a similar problem with regards interruption =
if I am on site. Can you think of anywhere suitable to meet, otherwise I =
am happy for you to come here, although it is quite a long drive.
Nicky

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]=20
Sent: 21 October 2004 13:43
To: [log in to unmask]
Subject: Re: clean needle injury


Thanks Nicky, have you decided where you want to meet


Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:22pm >>>
Hi Tracie,

I have purchased an excellent book "Immunization Childhood and Travel =
Health" (Fourth Edition) by George C. Kassianos. It cost about =A330, =
but gives excellent advice on all these areas.
Hope it helps

Nicky Johns

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]=20
Sent: 21 October 2004 13:12
To: [log in to unmask]
Subject: Re: clean needle injury


HI all

Does anyone out there have any information they would be willing to
share on overseas travel guidelines in relation to Occ Health?

Pre and post travel health checks, recouperation after long haul
lfights / returning from a country with significant time difference etc
etc.

I would be grateful for any informatiom.

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:03pm >>>
There may not be any transmission of pathogen when a  needlestick
injury
occurs with a clean needle, but a breech of the skin occurrs, whcih may
let
in pathogens if a splash  incident occurs afterwards (how may people
would
put a plaster on?)
Bw
Diane

_________________________________________________________________
Express yourself with cool new emoticons
http://www.msn.co.uk/specials/myemo=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20


Swansea College
Tycoch Road, Tycoch, Swansea. SA2 9EB
website: http://www.swancoll.ac.uk=20
*************************************************************************=
*****************************************************************
The information contained in this message is intended for the addressee =
only and may contain confidential and/or=20
privileged information. If you are not the addressee, please delete this =
message and notify the sender; you should not
copy or distribute this message or disclose its contents to anyone =
without the express permission of the author who=20
is the copyright holder.
*************************************************************************=
*****************************************************************


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 13:50:40 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Nicola Johns <[log in to unmask]>
Subject:      Re: clean needle injury
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

Yes sorry, meant to include in the email it is what is referred to as
"The Green Book". I think it is due a new edition shortly, if it is not
out already.
Nicky=20

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]=20
Sent: 21 October 2004 13:44
To: [log in to unmask]
Subject: Re: clean needle injury


Nicky

Is this a green book?

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:26pm >>>
Hi Tracie,
Further to my previous email, I also have copies of Immunisation
against
Infectious Disease and Health Information for Overseas Travel, both
produced by Department of Health, available from The Stationary
Office.
Nicky Johns

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: 21 October 2004 13:12
To: [log in to unmask]
Subject: Re: clean needle injury


HI all

Does anyone out there have any information they would be willing to
share on overseas travel guidelines in relation to Occ Health?

Pre and post travel health checks, recouperation after long haul
lfights / returning from a country with significant time difference
etc
etc.

I would be grateful for any informatiom.

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:03pm >>>
There may not be any transmission of pathogen when a  needlestick
injury
occurs with a clean needle, but a breech of the skin occurrs, whcih
may
let
in pathogens if a splash  incident occurs afterwards (how may people
would
put a plaster on?)
Bw
Diane

_________________________________________________________________
Express yourself with cool new emoticons
http://www.msn.co.uk/specials/myemo

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 14:24:28 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: clean needle injury
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Yes, I have it and the 2nd edition is due out next Easter ish.

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:50pm >>>
Yes sorry, meant to include in the email it is what is referred to as
"The Green Book". I think it is due a new edition shortly, if it is
not
out already.
Nicky

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: 21 October 2004 13:44
To: [log in to unmask]
Subject: Re: clean needle injury


Nicky

Is this a green book?

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:26pm >>>
Hi Tracie,
Further to my previous email, I also have copies of Immunisation
against
Infectious Disease and Health Information for Overseas Travel, both
produced by Department of Health, available from The Stationary
Office.
Nicky Johns

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: 21 October 2004 13:12
To: [log in to unmask]
Subject: Re: clean needle injury


HI all

Does anyone out there have any information they would be willing to
share on overseas travel guidelines in relation to Occ Health?

Pre and post travel health checks, recouperation after long haul
lfights / returning from a country with significant time difference
etc
etc.

I would be grateful for any informatiom.

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:03pm >>>
There may not be any transmission of pathogen when a  needlestick
injury
occurs with a clean needle, but a breech of the skin occurrs, whcih
may
let
in pathogens if a splash  incident occurs afterwards (how may people
would
put a plaster on?)
Bw
Diane

_________________________________________________________________
Express yourself with cool new emoticons
http://www.msn.co.uk/specials/myemo

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 14:25:44 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: clean needle injury
Mime-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
Content-Transfer-Encoding: quoted-printable
Content-Disposition: inline

Perhaps we can meet in a travel lodge cafe or something similar.
I will e-mail you personally from the 1st Nov as I am off until then....hav=
e a think and will speak soon. Thanks for the info.

Tracie

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:48pm >>>
Hi Tracie,
I don't mind, but will have a similar problem with regards interruption if =
I am on site. Can you think of anywhere suitable to meet, otherwise I am =
happy for you to come here, although it is quite a long drive.
Nicky

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]=20
Sent: 21 October 2004 13:43
To: [log in to unmask]
Subject: Re: clean needle injury


Thanks Nicky, have you decided where you want to meet


Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:22pm >>>
Hi Tracie,

I have purchased an excellent book "Immunization Childhood and Travel =
Health" (Fourth Edition) by George C. Kassianos. It cost about =A330, but =
gives excellent advice on all these areas.
Hope it helps

Nicky Johns

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]=20
Sent: 21 October 2004 13:12
To: [log in to unmask]
Subject: Re: clean needle injury


HI all

Does anyone out there have any information they would be willing to
share on overseas travel guidelines in relation to Occ Health?

Pre and post travel health checks, recouperation after long haul
lfights / returning from a country with significant time difference etc
etc.

I would be grateful for any informatiom.

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:03pm >>>
There may not be any transmission of pathogen when a  needlestick
injury
occurs with a clean needle, but a breech of the skin occurrs, whcih may
let
in pathogens if a splash  incident occurs afterwards (how may people
would
put a plaster on?)
Bw
Diane

_________________________________________________________________
Express yourself with cool new emoticons
http://www.msn.co.uk/specials/myemo=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20


Swansea College
Tycoch Road, Tycoch, Swansea. SA2 9EB
website: http://www.swancoll.ac.uk=20
***************************************************************************=
***************************************************************
The information contained in this message is intended for the addressee =
only and may contain confidential and/or=20
privileged information. If you are not the addressee, please delete this =
message and notify the sender; you should not
copy or distribute this message or disclose its contents to anyone without =
the express permission of the author who=20
is the copyright holder.
***************************************************************************=
***************************************************************


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 14:48:06 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Nicola Johns <[log in to unmask]>
Subject:      Re: clean needle injury
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Sounds good, have a nice break
Nicky

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]=20
Sent: 21 October 2004 14:26
To: [log in to unmask]
Subject: Re: clean needle injury


Perhaps we can meet in a travel lodge cafe or something similar.
I will e-mail you personally from the 1st Nov as I am off until =
then....have a think and will speak soon. Thanks for the info.

Tracie

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:48pm >>>
Hi Tracie,
I don't mind, but will have a similar problem with regards interruption =
if I am on site. Can you think of anywhere suitable to meet, otherwise I =
am happy for you to come here, although it is quite a long drive.
Nicky

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]=20
Sent: 21 October 2004 13:43
To: [log in to unmask]
Subject: Re: clean needle injury


Thanks Nicky, have you decided where you want to meet


Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:22pm >>>
Hi Tracie,

I have purchased an excellent book "Immunization Childhood and Travel =
Health" (Fourth Edition) by George C. Kassianos. It cost about =A330, =
but gives excellent advice on all these areas.
Hope it helps

Nicky Johns

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]=20
Sent: 21 October 2004 13:12
To: [log in to unmask]
Subject: Re: clean needle injury


HI all

Does anyone out there have any information they would be willing to
share on overseas travel guidelines in relation to Occ Health?

Pre and post travel health checks, recouperation after long haul
lfights / returning from a country with significant time difference etc
etc.

I would be grateful for any informatiom.

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 01:03pm >>>
There may not be any transmission of pathogen when a  needlestick
injury
occurs with a clean needle, but a breech of the skin occurrs, whcih may
let
in pathogens if a splash  incident occurs afterwards (how may people
would
put a plaster on?)
Bw
Diane

_________________________________________________________________
Express yourself with cool new emoticons
http://www.msn.co.uk/specials/myemo=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20


Swansea College
Tycoch Road, Tycoch, Swansea. SA2 9EB
website: http://www.swancoll.ac.uk=20
*************************************************************************=
*****************************************************************
The information contained in this message is intended for the addressee =
only and may contain confidential and/or=20
privileged information. If you are not the addressee, please delete this =
message and notify the sender; you should not
copy or distribute this message or disclose its contents to anyone =
without the express permission of the author who=20
is the copyright holder.
*************************************************************************=
*****************************************************************


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 16:25:08 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Room Lighting for DSE Users
MIME-Version: 1.0
Content-Type: multipart/mixed;
              boundary="----=_NextPart_000_0090_01C4B78A.87A45440"

This is a multi-part message in MIME format.

------=_NextPart_000_0090_01C4B78A.87A45440
Content-Type: multipart/alternative;
        boundary="----=_NextPart_001_0091_01C4B78A.87A45440"


------=_NextPart_001_0091_01C4B78A.87A45440
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Kerry, Sue et al

I agree with your recommendation of HSG38. The HSE DSE L26 recommends =
the Chartered Institute of Building Services Engineers book Lighting =
Guide: The visual environment for display screen use LG03 - however it =
costs =A342.00 but you can download free the update for nothing - I =
attach it here and hope you enjoy the read!!!! You could go to their =
website www.cibse.org The whole business of lighting levels is a lot =
more than just what the bulb emits and what type of screen you have. =
Decor, natural light, seasons, cleanliness of fittings, type of =
fittings, position of desks and furniture, size of rooms - so much =
affects lighting levels.............. Lux levels are not the only factor =
to take into account and I reinforce the risk assessment aspect taking =
all things into account.

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027






----- Original Message -----=20
From: "Sue Summers-Coles" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, October 21, 2004 10:18 AM
Subject: Re: Room Lighting for DSE Users


> Hi Kerry
>=20
> HSG38 Lighting at Work recommends 200 lux average and 100 lux minimum =
for
> normal offices. For drawing offices and those where workers are =
looking at
> fine detail an average of 500 lux and minimum 200 is recommended.  =
These
> illuminances have been chosen on grounds of health (avoidance of =
visual
> fatigue) although they will provide adequate levels to minimise risk =
of
> accidents.
> The publication provides a lot more info on risk assessment of =
lighting and
> suggests suitable control measures.
>=20
> Regards
> Sue
>=20
>=20
>=20
> ______________________________________________________________________
>=20
>=20
>    IMPORTANT
>    The information contained in this e-mail and in any
>    attachments is intended only for the named recipient or
>    entity. The e-mail and any attachments may contain legally
>    privileged or confidential information and may not be
>    disclosed to anyone else. If you are not the intended
>    recipient, please notify us immediately on 01789-202121
>    and delete the material from any computer that may contain
>    it and destroy any printed copies you may have made. We
>    accept no liability for any direct, indirect or
>    consequential loss or damage arising from any action taken
>    in reliance on or use of the information contained in this
>    e-mail and give no warranty or representation as to its
>    accuracy or reliability.
>=20
>    NFU Mutual has the facility to monitor and read both
>    incoming and outgoing communications by e-mail and these
>    may be intercepted by its automated e-mail administrators.
>    NFU Mutual will not accept e-mail communications found to
>    contain viruses.
>=20
>    Parent Company: The National Farmers Union Mutual Insurance
>    Society Ltd
>    (No. 111982). Authorised and regulated by the Financial
>    Services Authority for Life, Pension and Investment business.
>    Registered in England
>    Registered office : Tiddington Road, Stratford-upon-Avon,
>    CV37 7BJ.
>    Tel: 01789 204211
>    NFU Mutual is a member of the General Insurance Standards
>    Council, ABI and FOS.
>=20
>=20
>    http://www.nfumutual.co.uk
>=20
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>=20
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>=20
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_001_0091_01C4B78A.87A45440
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1476" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY>
<DIV><FONT size=3D2>Kerry, Sue et al</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>I agree with your recommendation of HSG38. The HSE =
DSE L26=20
recommends the Chartered Institute of Building Services Engineers book=20
<EM>Lighting Guide: The visual environment for display screen use</EM> =
LG03 -=20
however it costs =A342.00 but you can download free the update for =
nothing - I=20
attach it here and hope you enjoy the read!!!! You could go to their =
website <A=20
href=3D"http://www.cibse.org">www.cibse.org</A>&nbsp;The whole business =
of=20
lighting levels is a lot more than just what the bulb emits and what =
type of=20
screen you have. Decor, natural light, seasons, cleanliness of fittings, =
type of=20
fittings, position of desks and furniture, size of rooms - so much =
affects=20
lighting levels.............. Lux levels are not the only factor to take =
into=20
account and I reinforce the risk assessment aspect taking all things =
into=20
account.</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health =
&amp;=20
Education<BR>Consultant Editor, OH Journal<BR><A=20
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>----- Original Message ----- </FONT></DIV>
<DIV>
<DIV><FONT size=3D2>From: "Sue Summers-Coles" &lt;</FONT><A=20
href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><FONT=20
size=3D2>&gt;</FONT></DIV>
<DIV><FONT size=3D2>To: &lt;</FONT><A=20
href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
<DIV><FONT size=3D2>Sent: Thursday, October 21, 2004 10:18 =
AM</FONT></DIV>
<DIV><FONT size=3D2>Subject: Re: Room Lighting for DSE =
Users</FONT></DIV></DIV>
<DIV><FONT size=3D2><BR></FONT></DIV>
<DIV><FONT size=3D2>&gt; Hi Kerry<BR>&gt; <BR>&gt; HSG38 Lighting at =
Work=20
recommends 200 lux average and 100 lux minimum for<BR>&gt; normal =
offices. For=20
drawing offices and those where workers are looking at<BR>&gt; fine =
detail an=20
average of 500 lux and minimum 200 is recommended.&nbsp; These<BR>&gt;=20
illuminances have been chosen on grounds of health (avoidance of =
visual<BR>&gt;=20
fatigue) although they will provide adequate levels to minimise risk =
of<BR>&gt;=20
accidents.<BR>&gt; The publication provides a lot more info on risk =
assessment=20
of lighting and<BR>&gt; suggests suitable control measures.<BR>&gt; =
<BR>&gt;=20
Regards<BR>&gt; Sue<BR>&gt; <BR>&gt; <BR>&gt; <BR>&gt;=20
______________________________________________________________________<BR=
>&gt;=20
<BR>&gt; <BR>&gt; &nbsp;&nbsp; IMPORTANT<BR>&gt; &nbsp;&nbsp; The =
information=20
contained in this e-mail and in any<BR>&gt; &nbsp;&nbsp; attachments is =
intended=20
only for the named recipient or<BR>&gt; &nbsp;&nbsp; entity. The e-mail =
and any=20
attachments may contain legally<BR>&gt; &nbsp;&nbsp; privileged or =
confidential=20
information and may not be<BR>&gt; &nbsp;&nbsp; disclosed to anyone =
else. If you=20
are not the intended<BR>&gt; &nbsp;&nbsp; recipient, please notify us=20
immediately on 01789-202121<BR>&gt; &nbsp;&nbsp; and delete the material =
from=20
any computer that may contain<BR>&gt; &nbsp;&nbsp; it and destroy any =
printed=20
copies you may have made. We<BR>&gt; &nbsp;&nbsp; accept no liability =
for any=20
direct, indirect or<BR>&gt; &nbsp;&nbsp; consequential loss or damage =
arising=20
from any action taken<BR>&gt; &nbsp;&nbsp; in reliance on or use of the=20
information contained in this<BR>&gt; &nbsp;&nbsp; e-mail and give no =
warranty=20
or representation as to its<BR>&gt; &nbsp;&nbsp; accuracy or=20
reliability.<BR>&gt; <BR>&gt; &nbsp;&nbsp; NFU Mutual has the facility =
to=20
monitor and read both<BR>&gt; &nbsp;&nbsp; incoming and outgoing =
communications=20
by e-mail and these<BR>&gt; &nbsp;&nbsp; may be intercepted by its =
automated=20
e-mail administrators.<BR>&gt; &nbsp;&nbsp; NFU Mutual will not accept =
e-mail=20
communications found to<BR>&gt; &nbsp;&nbsp; contain viruses.<BR>&gt; =
<BR>&gt;=20
&nbsp;&nbsp; Parent Company: The National Farmers Union Mutual =
Insurance<BR>&gt;=20
&nbsp;&nbsp; Society Ltd<BR>&gt; &nbsp;&nbsp; (No. 111982). Authorised =
and=20
regulated by the Financial<BR>&gt; &nbsp;&nbsp; Services Authority for =
Life,=20
Pension and Investment business.<BR>&gt; &nbsp;&nbsp; Registered in=20
England<BR>&gt; &nbsp;&nbsp; Registered office : Tiddington Road,=20
Stratford-upon-Avon,<BR>&gt; &nbsp;&nbsp; CV37 7BJ.<BR>&gt; &nbsp;&nbsp; =
Tel:=20
01789 204211<BR>&gt; &nbsp;&nbsp; NFU Mutual is a member of the General=20
Insurance Standards<BR>&gt; &nbsp;&nbsp; Council, ABI and FOS.<BR>&gt; =
<BR>&gt;=20
<BR>&gt; &nbsp;&nbsp; </FONT><A =
href=3D"http://www.nfumutual.co.uk"><FONT=20
size=3D2>http://www.nfumutual.co.uk</FONT></A><BR><FONT size=3D2>&gt; =
<BR>&gt;=20
~~~~~~~~~~~~~~~<BR>&gt; Please remove this footer before =
replying.<BR>&gt;=20
<BR>&gt; For list archives and documents, go to<BR>&gt; </FONT><A=20
href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT=20
size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =
size=3D2>=20
for list archives<BR>&gt; <BR>&gt; For jobs in Occupational Health, go=20
to<BR>&gt; </FONT><A =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT =
color=3D#0000ff=20
size=3D2></FONT></U></DIV>
<DIV>&nbsp;</DIV>
<DIV><U><FONT color=3D#0000ff size=3D2><BR>---<BR>Outgoing mail is =
certified Virus=20
Free.<BR>Checked by AVG anti-virus system (<A=20
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.778 /=20
Virus Database: 525 - Release Date: =
15/10/2004</FONT></U></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_001_0091_01C4B78A.87A45440--

------=_NextPart_000_0090_01C4B78A.87A45440
Content-Type: application/pdf;
        name="Lighting LG3update.pdf"
Content-Transfer-Encoding: base64
Content-Disposition: attachment;
        filename="Lighting LG3update.pdf"
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------=_NextPart_000_0090_01C4B78A.87A45440--
=========================================================================
Date:         Thu, 21 Oct 2004 16:28:48 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: clean needle injury
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Just to say I have devised and am chairing a conference on Business Travel
in December. Contact me direct for more details. I have some money off
vouchers.....

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027



----- Original Message -----
From: "Tracie McKelvie" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, October 21, 2004 1:12 PM
Subject: Re: clean needle injury


> HI all
>
> Does anyone out there have any information they would be willing to
> share on overseas travel guidelines in relation to Occ Health?
>
> Pre and post travel health checks, recouperation after long haul
> lfights / returning from a country with significant time difference etc
> etc.
>
> I would be grateful for any informatiom.
>
> Rgds
>
> Tracie Mckelvie
> Occupational Health Nurse / Adviser
> Pembrokeshire College
> Merlins Bridge
> Haverfordwest
> Pembs.
> SA61 1SZ
>
> TEL: 01437 765247 Ext 393
> FAX: 01437 767279
> E-mail: [log in to unmask]
>
>
> >>> [log in to unmask] 10/21/04 01:03pm >>>
> There may not be any transmission of pathogen when a  needlestick
> injury
> occurs with a clean needle, but a breech of the skin occurrs, whcih may
> let
> in pathogens if a splash  incident occurs afterwards (how may people
> would
> put a plaster on?)
> Bw
> Diane
>
> _________________________________________________________________
> Express yourself with cool new emoticons
> http://www.msn.co.uk/specials/myemo
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 16:33:35 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      From www.ebandolier.com
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Older people have less response to recombinant hepatitis B vaccine


Clinical bottom line
Older people have a lower response to hepatitis B vaccine, even when the
definition of older is as young as 30 years.


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

Reference
DN Fisman et al. The effect of age on immunologic response to recombinant
hepatitis B vaccine: a meta-analysis. Clinical Infectious Diseases 2002 35:
1368-1375.
Meta-analysis
The search of MEDLINE and the Cochrane Library looked for human studies
involving individuals aged 19 years or older and published in English.
Randomised trials and observational studies were eligible if they use
standard recombinant hepatitis B vaccines. Recipients could be healthy
individuals and individuals with comorbid illnesses, but studies with only
individuals (students, military recruits) less than 30 years of age were not
included. Studies additionally had to have examined age as a variable for
immulogical response.

The description of "older" was that used in each study. If stratified by
age, 40 years was used as a default definition.

Results
There were 24 studies with 11,000 subjects. The results for all studies and
higher quality studies are shown in Table 1.

Table 1: Relative risk of nonresponse
      Analysis
     Relative risk (95% CI)

      All studies 1.8 (1.5 to 2.1)

      Higher quality studies 1.6 (1.2 to 2.2)


Comment
This review does all sorts of things to do with heterogeneity and
publication bias, much of which is unnecessary. What they do not give are
the actual rates of nonresponse in younger or older people. This is a shame,
because a relative risk without this information is quite useless. What we
have are the results of the search, so that if necessary we could pull the
papers and find that information.


Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027
----- Original Message -----
From: "Tracie McKelvie" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, October 21, 2004 1:33 PM
Subject: Re: Room Lighting for DSE Users


> Does anyone have any info re: Hep B vaccines not being effective in the
> over 30 yr olds??
>
> Rgds
>
> Tracie Mckelvie
> Occupational Health Nurse / Adviser
> Pembrokeshire College
> Merlins Bridge
> Haverfordwest
> Pembs.
> SA61 1SZ
>
> TEL: 01437 765247 Ext 393
> FAX: 01437 767279
> E-mail: [log in to unmask]
>
>
> >>> [log in to unmask] 10/21/04 09:18am >>>
> Those staff with 500 lux are they using CRT monitors or flat screens.
> For
> CRT monitors the recommended light level is 250-500 lux. For flat
> screens it
> can be anywhere between 300 - 1000 lux.
>
> What are the over head lights (CAT 3 or similar), are they highly
> reflective. If they are try changing the tubes or placing diffuser over
> the
> light fittings to give a diffused balanced light.
>
> Is there a need for different light levels, as some people may not be
> getting enough light!
>
> Out of interest there will be an article in EZ-1 ergonomics on lighting
> for
> visually impaired in the November or December issue.
>
> Duncan Abbott
> enricoSmog ergonomic practitioners
> www.enricosmog.com
>
>
>
>
>
>
> ----- Original Message -----
> From: "Kerry McNeil" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Thursday, October 21, 2004 7:53 AM
> Subject: Room Lighting for DSE Users
>
>
> > Dear All
> > Please could I ask if any of you have had experience of assessing
> overhead
> > lighting for DSE users? I am assessing a large office and some areas
> are
> > much brighter than others (Between 250-550 lux)
> >
> > From what I can see, 500 lux is considered suitable for DSE use but
> the
> > employees in the areas with this level of light are complaining that
> it is
> > too bright and that they are getting headaches.
> >
> > Does anyone have any suggestions as to what level of lighting they
> have
> > found to be comfortable?
> >
> > Thanks for anyone that can help
> > Best Wishes
> > Kerry McNeil
> >
> > ~~~~~~~~~~~~~~~
> > Please remove this footer before replying.
> >
> > For list archives and documents, go to
> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> > For jobs in Occupational Health, go to
> > http://uk.groups.yahoo.com/group/OHJobs/
> >
> >
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 16:53:35 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         heather bearpark <[log in to unmask]>
Subject:      Green book link
Mime-Version: 1.0
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<html><div style=3D'background-color:'><P><A href=3D"http://www.dh.gov.uk=
/PublicationsAndStatistics/Publications/PublicationsPolicyAndGuidance/Pub=
licationsPolicyAndGuidanceArticle/fs/en?CONTENT_ID=3D4072977&amp;chk=3D87=
uz6M">http://www.dh.gov.uk/PublicationsAndStatistics/Publications/Publica=
tionsPolicyAndGuidance/PublicationsPolicyAndGuidanceArticle/fs/en?CONTENT=
_ID=3D4072977&amp;chk=3D87uz6M</A><BR><BR></P>follow this link to online =
Green Book including new chapters<BR><BR><BR>
<DIV>
<DIV>Regards </DIV>Heather Bearpark </DIV></div><br clear=3Dall><hr>Enjoy=
 the awesome learning power of Encarta=AE at your fingertips when you sub=
scribe to  <a href=3D"http://g.msn.com/8HMBENUK/2737??PS=3D47575" target=3D=
"_top">MSN=AE Encarta Premium.</a> </html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 17:03:10 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         OHNet <[log in to unmask]>
Subject:      Re: Management Referrals
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_001B_01C4B78F.D8205360"

This is a multi-part message in MIME format.

------=_NextPart_000_001B_01C4B78F.D8205360
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Same here.

OHN we can usually see them within a 24-48 hours

OHP our policy states within 4 weeks

Regards

Craig
  ----- Original Message -----=20
  From: Samantha  Chapman=20
  To: [log in to unmask]
  Sent: Thursday, October 21, 2004 8:54 AM
  Subject: Management Referrals


  I would be very interested to know how long employees wait for =
appointments once you receive a management referral for them.

  I ask this as some of our managers seem to expect we see them the same =
day!

  Thanks for your help

  Sam Chapman




-------------------------------------------------------------------------=
-----
  Whatever you Wanadoo

  This email has been checked for most known viruses - find out more =
here ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001B_01C4B78F.D8205360
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>Same here.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>OHN we can usually see them within a =
24-48=20
hours</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>OHP our policy states within 4 =
weeks</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Regards</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Craig</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask] =
href=3D"mailto:[log in to unmask]">Samantha=20
  &nbsp;Chapman</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Thursday, October 21, =
2004 8:54=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Management =
Referrals</DIV>
  <DIV><BR></DIV>
  <P>I would be very interested to know how long employees wait for =
appointments=20
  once you receive a management referral for them.</P>
  <P>I ask this as some of our managers seem to expect we see them the =
same=20
  day!</P>
  <P>Thanks for your help</P>
  <P>Sam Chapman</P><BR><BR>
  <HR SIZE=3D1>
  Whatever you <A href=3D"http://www.wanadoo.co.uk/time/"=20
  target=3D_blank>Wanadoo</A><BR><BR>This email has been checked for =
most known=20
  viruses - find out more <A =
href=3D"http://www.wanadoo.co.uk/help/id/7098.htm"=20
  target=3D_blank>here</A> ~~~~~~~~~~~~~~~ Please remove this footer =
before=20
  replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001B_01C4B78F.D8205360--
=========================================================================
Date:         Thu, 21 Oct 2004 16:24:55 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Gill Cutcliffe <[log in to unmask]>
Subject:      Re: Smoking Cessation

Thanks for your comments, some really useful info.
We actually have 2 fully qualified smoking cessation advisors onsite
already and run group or individual consultations. We then send letters to
gps who issue the prescriptions. The employee then normally pays the cost
of the prescription for thier NRT or zyban. The only change to this cycle
we would like is to foot the bill for the prescription. Since we dont give
out cash from our dept our thoughts are to possibly dispensing the NRT
through our sessions on site, possibly liasing with the local chemist.
The local smoking cessation co-ordinator is on board but she has not heard
of a scheme like this where the employer pays for the prescriptions.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 21 Oct 2004 19:03:57 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jacqui Livock <[log in to unmask]>
Subject:      Re: Green book link

hi there
besides the green book being available on line,

there is also a magazine which is free to community nurses called nursing
in practice by campden publishing. the issue from april 2004(i think) had
some excellent articles on travel health.i picked it up at the RCN
congress.

it is a subscription only journal and you can register for it at
http://www.nipevents.com/journal.asp

not every thing in it is relevant to OH (but then few nursing publications
are) however the lady who gave me it tells me it only publishes topics
that the readers ask for, for each article there is contact details and
manufacturers details in the pages between.

might be worth a look for the travel.

there is also a good paragraph in last weeks nursing standard about GPs
charging for travel vaccines...that is worth a look (we all need a little
leverage now and again!)
jacqui

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 22 Oct 2004 08:40:30 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jeanette Hogg <[log in to unmask]>
Subject:      prescribing

I have just completed my extended prescribing course and wonder is there
anyone else out there who is nurse prescribing in occupational health?

Thanks Jeanette

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 22 Oct 2004 09:18:48 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Darcy <[log in to unmask]>
Subject:      Re: prescribing
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Dear Jeanette,

What do you prescribe?  We administer vaccines and HIV prophylaxis by
using patient group directions.  I cannot think of any chronic disease
management that we would need to be involved with but this sounds like
an interesting development.

Best wishes

.


Paul D'Arcy,
Occupational Health Manager (Acting)

Occupational Health
Hammersmith Hospital

Developing And Supporting People To Make Healthcare Better

Direct Line  020 8383 1024
Internal Ext 31024


>>> [log in to unmask] 22/10/2004 >>>
I have just completed my extended prescribing course and wonder is
there
anyone else out there who is nurse prescribing in occupational health?

Thanks Jeanette

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Hammersmith Hospitals NHS Trust IT department on 020 8746 5555. Please also delete the message from your computer.

**
*

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 22 Oct 2004 09:24:55 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: prescribing
MIME-Version: 1.0
Content-Type: text/plain; charset="Windows-1252"
Content-Transfer-Encoding: 7bit

Just interested to know what you are prescribing and in what sort of
context? I thought it had been agreed by OH nurses that there was no need
for OH nurses to prescribe - so I am really interested to know - are there
others out there as well who would be interested to know?

Regards, Greta

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


----- Original Message -----
From: "Jeanette Hogg" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, October 22, 2004 8:40 AM
Subject: prescribing


> I have just completed my extended prescribing course and wonder is there
> anyone else out there who is nurse prescribing in occupational health?
>
> Thanks Jeanette
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 22 Oct 2004 09:27:37 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hogg Jeanette (5EG) North Eastern Derbyshire PCT"
              <[log in to unmask]>
Subject:      Re: prescribing
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Mainly for skin problems, it has potential for NRT for smoking cessation and
minor infections  for cross infection purposes.  That's the plan, I havent
started as yet.

-----Original Message-----
From: Paul Darcy [mailto:[log in to unmask]]
Sent: 22 October 2004 09:19
To: [log in to unmask]
Subject: Re: prescribing


Dear Jeanette,

What do you prescribe?  We administer vaccines and HIV prophylaxis by
using patient group directions.  I cannot think of any chronic disease
management that we would need to be involved with but this sounds like
an interesting development.

Best wishes

.


Paul D'Arcy,
Occupational Health Manager (Acting)

Occupational Health
Hammersmith Hospital

Developing And Supporting People To Make Healthcare Better

Direct Line  020 8383 1024
Internal Ext 31024


>>> [log in to unmask] 22/10/2004 >>>
I have just completed my extended prescribing course and wonder is
there
anyone else out there who is nurse prescribing in occupational health?

Thanks Jeanette

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of the
e-mail address to which it is addressed and may also be privileged. If you
are not the addressee of this e-mail you may not copy, forward, disclose or
otherwise use it in any form whatsoever. If you have received this e-mail in
error please telephone the Hammersmith Hospitals NHS Trust IT department on
020 8746 5555. Please also delete the message from your computer.

**
*

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 22 Oct 2004 09:44:58 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hogg Jeanette (5EG) North Eastern Derbyshire PCT"
              <[log in to unmask]>
Subject:      Re: prescribing
MIME-Version: 1.0
Content-Type: text/plain; charset="windows-1252"

Who agreed there is no need? It depends how far you feel GP's are equipped
to manage work related skin complaints etc and other occupationally related
complaints, and also how closely you are aligned to infection control and
primary care. It is my experience that steroids are often prescribed without
emolients or any of the occupational factors considered and that GPs welcome
our advice and intervention.  The move towards developing nurse roles in
terms of first contact care and nurse practitioners really made me think
about how we could act more effectively in practice. I think it may be
different outside of the NHS setting, and I peronally felt the need to know
more clinically about the advice we give as specialist advisors and enhance
the outcome for the patient.

Regards Jeanette

-----Original Message-----
From: Greta Thornbory [mailto:[log in to unmask]]
Sent: 22 October 2004 09:25
To: [log in to unmask]
Subject: Re: prescribing


Just interested to know what you are prescribing and in what sort of
context? I thought it had been agreed by OH nurses that there was no need
for OH nurses to prescribe - so I am really interested to know - are there
others out there as well who would be interested to know?

Regards, Greta

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


----- Original Message -----
From: "Jeanette Hogg" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, October 22, 2004 8:40 AM
Subject: prescribing


> I have just completed my extended prescribing course and wonder is there
> anyone else out there who is nurse prescribing in occupational health?
>
> Thanks Jeanette
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 22 Oct 2004 10:04:40 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Anne Harriss <[log in to unmask]>
Subject:      Re: prescribing
In-Reply-To:  <[log in to unmask]>
Mime-version: 1.0
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

on 22/10/04 9:44 am, Hogg Jeanette (5EG) North Eastern Derbyshire PCT at
[log in to unmask] wrote:

> Who agreed there is no need? It depends how far you feel GP's are equipped
> to manage work related skin complaints etc and other occupationally related
> complaints, and also how closely you are aligned to infection control and
> primary care. It is my experience that steroids are often prescribed without
> emolients or any of the occupational factors considered and that GPs welcome
> our advice and intervention.  The move towards developing nurse roles in
> terms of first contact care and nurse practitioners really made me think
> about how we could act more effectively in practice. I think it may be
> different outside of the NHS setting, and I peronally felt the need to know
> more clinically about the advice we give as specialist advisors and enhance
> the outcome for the patient.
>
> Regards Jeanette
>
> -----Original Message-----
> From: Greta Thornbory [mailto:[log in to unmask]]
> Sent: 22 October 2004 09:25
> To: [log in to unmask]
> Subject: Re: prescribing
>
>
> Just interested to know what you are prescribing and in what sort of
> context? I thought it had been agreed by OH nurses that there was no need
> for OH nurses to prescribe - so I am really interested to know - are there
> others out there as well who would be interested to know?
>
> Regards, Greta
>
> Greta Thornbory
> Consultant, Occupational Health & Education
> Consultant Editor, OH Journal
> www.gtenterprises-uk.com
> Tel: 01235 770156
> Mob: 07778 518 027
>
>
> ----- Original Message -----
> From: "Jeanette Hogg" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Friday, October 22, 2004 8:40 AM
> Subject: prescribing
>
>
>> I have just completed my extended prescribing course and wonder is there
>> anyone else out there who is nurse prescribing in occupational health?
>>
>> Thanks Jeanette
>>
>> ~~~~~~~~~~~~~~~
>> Please remove this footer before replying.
>>
>> For list archives and documents, go to
>> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>>
>> For jobs in Occupational Health, go to
>> http://uk.groups.yahoo.com/group/OHJobs/
>
>
> ---
> Outgoing mail is certified Virus Free.
> Checked by AVG anti-virus system (http://www.grisoft.com).
> Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
I can see where you are coming from with regard to skin conditions not
necessarily getting the optimum treatment. One niggle I have is that there
could be a temptation to treat rather than get to the bottom of what is
causing the problem in the first place. Our focus should be preventing
exposure.

Just a thought

Anne

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 22 Oct 2004 14:32:46 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
Subject:      Re: prescribing
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1098469966"

-------------------------------1098469966
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

I know of someone who prescribes, or started the course anyway. But  didn't
we discuss this on the list before and i thought the general consensus  was
that there was no real indication for OH professionals to be able to  prescribe.

Saying that, our Trust has now decided that we must get individual
prescriptions for staff for topical treatments (scabies/MRSA) rather than giving  ot
out with advice as before. Now that surely is a place for nurse  prescribing.

Whilst I'm here does anyone have a PGD for the Varicella vaccine  they'd be
willing to let me have please?

Regards,

Glenn

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1098469966
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2600.0" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #000000; FONT-FAMILY: Comic Sans MS"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3D"Comic Sans MS" color=3D#000000 size=3D3>
<DIV><STRONG>I know of someone who prescribes, or started the course anyway.=
 But=20
didn't we discuss this on the list before and i thought the general consensu=
s=20
was that there was no real indication for OH professionals to be able to=20
prescribe.</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Saying that, our Trust has now decided that we must get individ=
ual=20
prescriptions for staff for topical treatments (scabies/MRSA) rather than gi=
ving=20
ot out with advice as before. Now that surely is a place for nurse=20
prescribing.</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Whilst I'm here does anyone have a PGD for the Varicella vaccin=
e=20
they'd be willing to let me have please?</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Regards,</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Glenn</STRONG></DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1098469966--
=========================================================================
Date:         Sat, 23 Oct 2004 00:00:38 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: prescribing
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0016_01C4B893.547259A0"

This is a multi-part message in MIME format.

------=_NextPart_000_0016_01C4B893.547259A0
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

You asked who agreed there is no need?  - I understood that the RCN =
Society of Occupational Health Nursing debated this topic at their =
conference a last year and that the consensus was that treatment, and =
therefore the prescribing of medicines, was probably not an OHN role. =
See Occupational Health journal February 2004 article written by Jan Maw =
-'Too much to handle'=20

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027

----- Original Message -----=20
From: "Hogg Jeanette (5EG) North Eastern Derbyshire PCT" =
<[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, October 22, 2004 9:44 AM
Subject: Re: prescribing


> Who agreed there is no need? It depends how far you feel GP's are =
equipped
> to manage work related skin complaints etc and other occupationally =
related
> complaints, and also how closely you are aligned to infection control =
and
> primary care. It is my experience that steroids are often prescribed =
without
> emolients or any of the occupational factors considered and that GPs =
welcome
> our advice and intervention.  The move towards developing nurse roles =
in
> terms of first contact care and nurse practitioners really made me =
think
> about how we could act more effectively in practice. I think it may be
> different outside of the NHS setting, and I peronally felt the need to =
know
> more clinically about the advice we give as specialist advisors and =
enhance
> the outcome for the patient.
>=20
> Regards Jeanette
>=20
> -----Original Message-----
> From: Greta Thornbory [mailto:[log in to unmask]]
> Sent: 22 October 2004 09:25
> To: [log in to unmask]
> Subject: Re: prescribing
>=20
>=20
> Just interested to know what you are prescribing and in what sort of
> context? I thought it had been agreed by OH nurses that there was no =
need
> for OH nurses to prescribe - so I am really interested to know - are =
there
> others out there as well who would be interested to know?
>=20
> Regards, Greta
>=20
> Greta Thornbory
> Consultant, Occupational Health & Education
> Consultant Editor, OH Journal
> www.gtenterprises-uk.com
> Tel: 01235 770156
> Mob: 07778 518 027
>=20
>=20
> ----- Original Message -----
> From: "Jeanette Hogg" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Friday, October 22, 2004 8:40 AM
> Subject: prescribing
>=20
>=20
> > I have just completed my extended prescribing course and wonder is =
there
> > anyone else out there who is nurse prescribing in occupational =
health?
> >
> > Thanks Jeanette
> >
> > ~~~~~~~~~~~~~~~
> > Please remove this footer before replying.
> >
> > For list archives and documents, go to
> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> > For jobs in Occupational Health, go to
> > http://uk.groups.yahoo.com/group/OHJobs/
>=20
>=20
> ---
> Outgoing mail is certified Virus Free.
> Checked by AVG anti-virus system (http://www.grisoft.com).
> Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004
>=20
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>=20
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>=20
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>=20
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>=20
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>=20
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.778 / Virus Database: 525 - Release Date: 16/10/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_0016_01C4B893.547259A0
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dwindows-1252">
<META content=3D"MSHTML 6.00.2800.1476" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY>
<DIV><FONT size=3D2>You asked who agreed there is no need?&nbsp; - I =
understood=20
that the RCN Society of Occupational Health Nursing debated this topic =
at their=20
conference a&nbsp;last year&nbsp;and that the consensus was that =
treatment, and=20
therefore the prescribing&nbsp;of medicines, was probably not an OHN =
role. See=20
Occupational Health journal February 2004 article written by Jan Maw =
-'Too much=20
to handle' </FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health =
&amp;=20
Education<BR>Consultant Editor, OH Journal<BR><A=20
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>----- Original Message ----- </FONT>
<DIV><FONT size=3D2>From: "Hogg Jeanette (5EG) North Eastern Derbyshire =
PCT"=20
&lt;</FONT><A href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
<DIV><FONT size=3D2>To: &lt;</FONT><A=20
href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
<DIV><FONT size=3D2>Sent: Friday, October 22, 2004 9:44 AM</FONT></DIV>
<DIV><FONT size=3D2>Subject: Re: prescribing</FONT></DIV></DIV>
<DIV><FONT size=3D2><BR></FONT></DIV>
<DIV><FONT size=3D2>&gt; Who agreed there is no need? It depends how far =
you feel=20
GP's are equipped<BR>&gt; to manage work related skin complaints etc and =
other=20
occupationally related<BR>&gt; complaints, and also how closely you are =
aligned=20
to infection control and<BR>&gt; primary care. It is my experience that =
steroids=20
are often prescribed without<BR>&gt; emolients or any of the =
occupational=20
factors considered and that GPs welcome<BR>&gt; our advice and=20
intervention.&nbsp; The move towards developing nurse roles in<BR>&gt; =
terms of=20
first contact care and nurse practitioners really made me think<BR>&gt; =
about=20
how we could act more effectively in practice. I think it may be<BR>&gt; =

different outside of the NHS setting, and I peronally felt the need to=20
know<BR>&gt; more clinically about the advice we give as specialist =
advisors and=20
enhance<BR>&gt; the outcome for the patient.<BR>&gt; <BR>&gt; Regards=20
Jeanette<BR>&gt; <BR>&gt; -----Original Message-----<BR>&gt; From: Greta =

Thornbory [mailto:[log in to unmask]]<BR>&gt; Sent: 22 October =
2004=20
09:25<BR>&gt; To: </FONT><A =
href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><BR><FONT size=3D2>&gt; =
Subject: Re:=20
prescribing<BR>&gt; <BR>&gt; <BR>&gt; Just interested to know what you =
are=20
prescribing and in what sort of<BR>&gt; context? I thought it had been =
agreed by=20
OH nurses that there was no need<BR>&gt; for OH nurses to prescribe - so =
I am=20
really interested to know - are there<BR>&gt; others out there as well =
who would=20
be interested to know?<BR>&gt; <BR>&gt; Regards, Greta<BR>&gt; <BR>&gt; =
Greta=20
Thornbory<BR>&gt; Consultant, Occupational Health &amp; =
Education<BR>&gt;=20
Consultant Editor, OH Journal<BR>&gt; </FONT><A=20
href=3D"http://www.gtenterprises-uk.com"><FONT=20
size=3D2>www.gtenterprises-uk.com</FONT></A><BR><FONT size=3D2>&gt; Tel: =
01235=20
770156<BR>&gt; Mob: 07778 518 027<BR>&gt; <BR>&gt; <BR>&gt; ----- =
Original=20
Message -----<BR>&gt; From: "Jeanette Hogg" &lt;</FONT><A=20
href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;<BR>&gt; To:=20
&lt;</FONT><A href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><FONT size=3D2>&gt;<BR>&gt; =
Sent:=20
Friday, October 22, 2004 8:40 AM<BR>&gt; Subject: prescribing<BR>&gt; =
<BR>&gt;=20
<BR>&gt; &gt; I have just completed my extended prescribing course and =
wonder is=20
there<BR>&gt; &gt; anyone else out there who is nurse prescribing in=20
occupational health?<BR>&gt; &gt;<BR>&gt; &gt; Thanks Jeanette<BR>&gt;=20
&gt;<BR>&gt; &gt; ~~~~~~~~~~~~~~~<BR>&gt; &gt; Please remove this footer =
before=20
replying.<BR>&gt; &gt;<BR>&gt; &gt; For list archives and documents, go=20
to<BR>&gt; &gt; </FONT><A=20
href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT=20
size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =
size=3D2>=20
for list archives<BR>&gt; &gt;<BR>&gt; &gt; For jobs in Occupational =
Health, go=20
to<BR>&gt; &gt; </FONT><A =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><BR><FONT =
size=3D2>&gt;=20
<BR>&gt; <BR>&gt; ---<BR>&gt; Outgoing mail is certified Virus =
Free.<BR>&gt;=20
Checked by AVG anti-virus system (</FONT><A =
href=3D"http://www.grisoft.com"><FONT=20
size=3D2>http://www.grisoft.com</FONT></A><FONT size=3D2>).<BR>&gt; =
Version: 6.0.778=20
/ Virus Database: 525 - Release Date: 15/10/2004<BR>&gt; <BR>&gt;=20
~~~~~~~~~~~~~~~<BR>&gt; Please remove this footer before =
replying.<BR>&gt;=20
<BR>&gt; For list archives and documents, go to<BR>&gt; </FONT><A=20
href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT=20
size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =
size=3D2>=20
for list archives<BR>&gt; <BR>&gt; For jobs in Occupational Health, go=20
to<BR>&gt; </FONT><A =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><BR><FONT =
size=3D2>&gt;=20
<BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove this footer before=20
replying.<BR>&gt; <BR>&gt; For list archives and documents, go =
to<BR>&gt;=20
</FONT><A href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT =

size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =
size=3D2>=20
for list archives<BR>&gt; <BR>&gt; For jobs in Occupational Health, go=20
to<BR>&gt; </FONT><A =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT =
color=3D#0000ff=20
size=3D2></FONT></U></DIV>
<DIV>&nbsp;</DIV>
<DIV><U><FONT color=3D#0000ff size=3D2><BR>---<BR>Outgoing mail is =
certified Virus=20
Free.<BR>Checked by AVG anti-virus system (<A=20
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.778 /=20
Virus Database: 525 - Release Date: =
16/10/2004</FONT></U></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0016_01C4B893.547259A0--
=========================================================================
Date:         Sat, 23 Oct 2004 06:51:18 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      nurse prescribing
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

I get the feeling this is more of an issue for NHS OH department than
elsewhere.
I did note that one of the job requirements for the Nurse Consultant post in
Stoke on Trent was the posession of ,or willingness to undertake the Nurse
Prescibing  Course.

I know I attended a lecture by Jan Maw at the AOHNP Synposium in 2003 where
this was dicussed thouroughly-and I think the general  consensus there was
that PGDs could cover pretty well everything that most OH nurses needed, and
that one would have to learn and maintain expertise about a lot of drugs
that  one would not be likely to prescibe(except perhaps for  personnal
use!)

I think for many of us ther would be difficulty in having the appropriate
medical support while undertaking the training (am I correct in saying that
one has ot identify a medic to oversee/asssit during the course)

Having said that I would find it quite a challenge and think that employers
might perceive it to be of benefit. I would like to hear what was involved
and if you found it relvant. My concern is that there would be pressure from
management (in the non-nhs sector) to be a mini GP and prescribe for the
coughs and colds, to reduce sickness absence..or to reduce absence by
reducing the need to visit GP  by providing prescriptions for on going
treatments.
An interesting topic-

And with  regards to skin .. where i am currently working (a university) we
can refer directly to a skin specialist , however I had not considered that
we might set up a PGD for skin care products..

With regards to the varicella PGD- try the drug rep- i got a disc last year
with a lot of PGDs on, but i am not sure if the was one for varicella...

BW

Diane

_________________________________________________________________
Express yourself with cool new emoticons http://www.msn.co.uk/specials/myemo

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sat, 23 Oct 2004 12:17:44 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lindsey Hall <[log in to unmask]>
Subject:      Re: nurse prescribing - NHS v Non NHS
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Dear all

The prescribing debate has been around a while and I would agree with Diane
that it does seem to be more of an issue for the NHS than non NHS - which
leads me to the question, why?

Why should the NHS be different to non NHS?  There are enormous differences
in the environments we all work in.  There is a huge difference between
manufacturing engineering and an investment bank,  between regulatory
organisations and a healthcare setting.  BUT, without fail, all these places
have the following
-    an employee population who usually require some sort of assessment
before they start working there
-    employees who sometimes need regular health assessment as they might be
exposed to damaging substances or work in safety critical situations - even
investment banks can have facilities and catering staff.
-    have an HR and management community that require advice because some
employees go off sick for a variety of reasons
-    have a whole range of other issues which we advise about in relation to
health and work.

Having worked in NHS and non NHS, I can't see a reason why we should
prescribe anything, because I can't see a reason for us to treat anything
other than the most basic condition which should be covered by PGDs. At
present, our skills lie elsewhere.

In order to prescribe,  we would be crossing a fundamental line in our role
from adviser to provider of treatment.  If (god forbid) we are going to be
the first line providers of sicknotes in the future, then it could be
logical step for us to provide treatment to combat the reason for the
sickness. But this is taking us into the realms of the GP and is a huge step
to take.  When viewed in terms of clinical value to an employee and clinical
competence of the nurse prescriber, it may be right to develop our skills in
this direction. When viewed in economic terms, particularly regarding the
level of OH resource in the UK, it is a massive issue.   However it should
be an issue for either all of us, or for individual organisations, not neces
sarily just for certain sectors of industry and commerce.

Thanks

Lindsey Hall
Head of Nursing Services
AXA PPP Healthcare

----- Original Message -----
From: "Diane Romano-Woodward" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Saturday, October 23, 2004 6:51 AM
Subject: nurse prescribing


> I get the feeling this is more of an issue for NHS OH department than
> elsewhere.
> I did note that one of the job requirements for the Nurse Consultant post
in
> Stoke on Trent was the posession of ,or willingness to undertake the Nurse
> Prescibing  Course.
>
> I know I attended a lecture by Jan Maw at the AOHNP Synposium in 2003
where
> this was dicussed thouroughly-and I think the general  consensus there was
> that PGDs could cover pretty well everything that most OH nurses needed,
and
> that one would have to learn and maintain expertise about a lot of drugs
> that  one would not be likely to prescibe(except perhaps for  personnal
> use!)
>
> I think for many of us ther would be difficulty in having the appropriate
> medical support while undertaking the training (am I correct in saying
that
> one has ot identify a medic to oversee/asssit during the course)
>
> Having said that I would find it quite a challenge and think that
employers
> might perceive it to be of benefit. I would like to hear what was involved
> and if you found it relvant. My concern is that there would be pressure
from
> management (in the non-nhs sector) to be a mini GP and prescribe for the
> coughs and colds, to reduce sickness absence..or to reduce absence by
> reducing the need to visit GP  by providing prescriptions for on going
> treatments.
> An interesting topic-
>
> And with  regards to skin .. where i am currently working (a university)
we
> can refer directly to a skin specialist , however I had not considered
that
> we might set up a PGD for skin care products..
>
> With regards to the varicella PGD- try the drug rep- i got a disc last
year
> with a lot of PGDs on, but i am not sure if the was one for varicella...
>
> BW
>
> Diane
>
> _________________________________________________________________
> Express yourself with cool new emoticons
http://www.msn.co.uk/specials/myemo
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 25 Oct 2004 08:30:18 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: clean needle injury
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

I am still interested in this conference Greta - please let me know as soon
as you have dates, venue etc.
Thanks
Lynda

-----Original Message-----
From: Greta Thornbory [mailto:[log in to unmask]]
Sent: Thursday, October 21, 2004 4:29 PM
To: [log in to unmask]
Subject: Re: clean needle injury


Just to say I have devised and am chairing a conference on Business Travel
in December. Contact me direct for more details. I have some money off
vouchers.....

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027



----- Original Message -----
From: "Tracie McKelvie" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, October 21, 2004 1:12 PM
Subject: Re: clean needle injury


> HI all
>
> Does anyone out there have any information they would be willing to
> share on overseas travel guidelines in relation to Occ Health?
>
> Pre and post travel health checks, recouperation after long haul
> lfights / returning from a country with significant time difference etc
> etc.
>
> I would be grateful for any informatiom.
>
> Rgds
>
> Tracie Mckelvie
> Occupational Health Nurse / Adviser
> Pembrokeshire College
> Merlins Bridge
> Haverfordwest
> Pembs.
> SA61 1SZ
>
> TEL: 01437 765247 Ext 393
> FAX: 01437 767279
> E-mail: [log in to unmask]
>
>
> >>> [log in to unmask] 10/21/04 01:03pm >>>
> There may not be any transmission of pathogen when a  needlestick
> injury
> occurs with a clean needle, but a breech of the skin occurrs, whcih may
> let
> in pathogens if a splash  incident occurs afterwards (how may people
> would
> put a plaster on?)
> Bw
> Diane
>
> _________________________________________________________________
> Express yourself with cool new emoticons
> http://www.msn.co.uk/specials/myemo
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 25 Oct 2004 11:42:54 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandy Rawlinson-Wallis <[log in to unmask]>
Subject:      Re: Smoking Cessation
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Yes I am a Cessation of Smoking Advisor and the occ health nurse of the
council. I went on a training day with the waltham forest and redbridge
cessation of smoking association and it works well. I have helped many
employees to give up.

-----Original Message-----
From: Gill Cutcliffe [mailto:[log in to unmask]]
Sent: 20 October 2004 11:06 am
To: [log in to unmask]
Subject: Smoking Cessation


Hello All
Does anybody know of a scheme where employers encourage
smokers to quit by offering to pay for
prescriptions for NRT? We are considering implementing
such a scheme and dont really want to re-invent the wheel
if necesary.
We are not aiming to buy in the NRT though this was the first
consideration.
Thanks
Gill

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 25 Oct 2004 16:13:51 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Fearnley Debbie (RBT) Mid Cheshire Tr"
              <[log in to unmask]>
Subject:      re : Insomia
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4BAA5.3C32DAD4"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4BAA5.3C32DAD4
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable


Does anyone know of any organisation/clinic etc who are offering =
services to help those will sleep disorders?
Regards
Debbie

Debbie Fearnley
Head of Occupational Health
Mid Cheshire Hospitals NHS Trust
Leighton Hospital
Middlewich Road
Crewe
Cheshire
CW2 5ED

Telephone: 01270 612372
Fax: 01270 612372


Important Notice

If you have received this e-mail in error, please notify the sender and =
delete the e-mail and all attachments immediately. This e-mail =
(including any attachments) may contain confidential and/or privileged =
information. If you are not the intended recipient, any reliance on, =
use, disclosure, dissemination, distribution or copying of this e-mail =
or attachments is strictly prohibited. Mid Cheshire Hospitals NHS Trust =
has checked for viruses but the contents of an attachment may still =
contain software viruses, which could damage your computer system. Mid =
Cheshire Hospitals NHS Trust does not accept liability for any damage =
you sustain as a result of a virus introduced by this e-mail or any =
attachment and you are advised to use up-to-date virus checking =
software. E-mail transmission cannot be guaranteed to be secure or error =
free.

This e-mail is not intended, nor should it be taken to create any legal =
relations, contractual or otherwise. Any views or opinions expressed =
within this e-mail or attachment are solely those of the sender, and do =
not necessarily represent those of Mid Cheshire Hospitals NHS Trust, =
unless otherwise specifically stated. If verification is required, =
please request a hard copy version. Mid Cheshire Hospitals NHS Trust is =
not bound by or liable for any opinion, contractor or offer to contract =
expressed in any e-mail.=20



~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BAA5.3C32DAD4
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version =
6.5.7226.0">
<TITLE>re : Insomia</TITLE>
</HEAD>
<BODY>
<!-- Converted from text/rtf format -->
<BR>

<P><FONT SIZE=3D2 FACE=3D"Arial">Does anyone know of any =
organisation/clinic etc who are offering services to help those will =
sleep disorders?</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Arial">Regards</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Arial">Debbie</FONT>
</P>

<P><FONT SIZE=3D2 FACE=3D"Arial">Debbie Fearnley</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Arial">Head of Occupational Health</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Arial">Mid Cheshire Hospitals NHS =
Trust</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Arial">Leighton Hospital</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Arial">Middlewich Road</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Arial">Crewe</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Arial">Cheshire</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Arial">CW2 5ED</FONT>
</P>

<P><FONT SIZE=3D2 FACE=3D"Arial">Telephone: 01270 612372</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Arial">Fax: 01270 612372</FONT>
</P>
<BR>

<P><U><B><I><FONT SIZE=3D2 FACE=3D"Arial">Important =
Notice</FONT></I></B></U>
</P>

<P><FONT SIZE=3D2 FACE=3D"Arial">If you have received this e-mail in =
error, please notify the sender and delete the e-mail and all =
attachments immediately. This e-mail (including any attachments) may =
contain confidential and/or privileged information. If you are not the =
intended recipient, any reliance on, use, disclosure, dissemination, =
distribution or copying of this e-mail or attachments is strictly =
prohibited. Mid Cheshire Hospitals NHS Trust has checked for viruses but =
the contents of an attachment may still contain software viruses, which =
could damage your computer system. Mid Cheshire Hospitals NHS Trust does =
not accept liability for any damage you sustain as a result of a virus =
introduced by this e-mail or any attachment and you are advised to use =
up-to-date virus checking software. E-mail transmission cannot be =
guaranteed to be secure or error free.</FONT></P>

<P><FONT SIZE=3D2 FACE=3D"Arial">This e-mail is not intended, nor should =
it be taken to create any legal relations, contractual or otherwise. Any =
views or opinions expressed within this e-mail or attachment are solely =
those of the sender, and do not necessarily represent those of Mid =
Cheshire Hospitals NHS Trust, unless otherwise specifically stated. If =
verification is required, please request a hard copy version. Mid =
Cheshire Hospitals NHS Trust is not bound by or liable for any opinion, =
contractor or offer to contract expressed in any e-mail. </FONT></P>
<BR>

</BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4BAA5.3C32DAD4--
=========================================================================
Date:         Mon, 25 Oct 2004 16:27:57 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Clayton.Mary" <[log in to unmask]>
Subject:      Re: re : Insomia
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4BAA7.348D0B60"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4BAA7.348D0B60
Content-Type: text/plain

Debbie,
I believe Wythenshawe  Hospital ran a "Sleep  Clinic". I think it still
does.
Regards,

Mary
Mary Clayton
SWBH NHS Trust

-----Original Message-----
From: Fearnley Debbie (RBT) Mid Cheshire Tr
[mailto:[log in to unmask]]
Sent: 25 October 2004 16:14
To: [log in to unmask]
Subject: re : Insomia


Does anyone know of any organisation/clinic etc who are offering services to
help those will sleep disorders?
Regards
Debbie
Debbie Fearnley
Head of Occupational Health
Mid Cheshire Hospitals NHS Trust
Leighton Hospital
Middlewich Road
Crewe
Cheshire
CW2 5ED
Telephone: 01270 612372
Fax: 01270 612372

Important Notice
If you have received this e-mail in error, please notify the sender and
delete the e-mail and all attachments immediately. This e-mail (including
any attachments) may contain confidential and/or privileged information. If
you are not the intended recipient, any reliance on, use, disclosure,
dissemination, distribution or copying of this e-mail or attachments is
strictly prohibited. Mid Cheshire Hospitals NHS Trust has checked for
viruses but the contents of an attachment may still contain software
viruses, which could damage your computer system. Mid Cheshire Hospitals NHS
Trust does not accept liability for any damage you sustain as a result of a
virus introduced by this e-mail or any attachment and you are advised to use
up-to-date virus checking software. E-mail transmission cannot be guaranteed
to be secure or error free.
This e-mail is not intended, nor should it be taken to create any legal
relations, contractual or otherwise. Any views or opinions expressed within
this e-mail or attachment are solely those of the sender, and do not
necessarily represent those of Mid Cheshire Hospitals NHS Trust, unless
otherwise specifically stated. If verification is required, please request a
hard copy version. Mid Cheshire Hospitals NHS Trust is not bound by or
liable for any opinion, contractor or offer to contract expressed in any
e-mail.

~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BAA7.348D0B60
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<html xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns:st1=3D"urn:schemas-microsoft-com:office:smarttags" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">


<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 10">
<meta name=3DOriginator content=3D"Microsoft Word 10">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C4BAAF.92F21BC0">
<title>re : Insomia</title>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"PlaceType"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"PlaceName"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"place"/>
<!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if !mso]>
<style>
st1\:*{behavior:url(#default#ieooui) }
</style>
<![endif]-->
<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;
        mso-font-charset:0;
        mso-generic-font-family:swiss;
        mso-font-pitch:variable;
        mso-font-signature:1627421319 -2147483648 8 0 66047 0;}
@font-face
        {font-family:"Monotype Corsiva";
        panose-1:3 1 1 1 1 2 1 1 1 1;
        mso-font-charset:0;
        mso-generic-font-family:script;
        mso-font-pitch:variable;
        mso-font-signature:647 0 0 0 159 0;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;
        text-underline:single;}
p
        {mso-margin-top-alt:auto;
        margin-right:0cm;
        mso-margin-bottom-alt:auto;
        margin-left:0cm;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
span.EmailStyle18
        {mso-style-type:personal-reply;
        mso-style-noshow:yes;
        mso-ansi-font-size:14.0pt;
        mso-bidi-font-size:14.0pt;
        font-family:"Monotype Corsiva";
        mso-ascii-font-family:"Monotype Corsiva";
        mso-hansi-font-family:"Monotype Corsiva";
        mso-bidi-font-family:Arial;
        color:navy;}
span.SpellE
        {mso-style-name:"";
        mso-spl-e:yes;}
span.GramE
        {mso-style-name:"";
        mso-gram-e:yes;}
@page Section1
        {size:612.0pt 792.0pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;
        mso-header-margin:35.4pt;
        mso-footer-margin:35.4pt;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]-->
</head>

<body lang=3DEN-US link=3Dblue vlink=3Dpurple =
style=3D'tab-interval:36.0pt'>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'><!-- Converted from text/rtf format =
-->Debbie,<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'>I believe =
</span></font><st1:place><st1:PlaceName><span
  class=3DGramE><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
  style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
  =
Arial;color:navy'>Wythenshawe</span></font></span></st1:PlaceName><span
 class=3DGramE><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
 style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
 Arial;color:navy'> <span =
style=3D'mso-spacerun:yes'>&nbsp;</span></span></font></span><st1:PlaceT=
ype><span
  class=3DGramE><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
  style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
  =
Arial;color:navy'>Hospital</span></font></span></st1:PlaceType></st1:pla=
ce><font
size=3D4 color=3Dnavy face=3D"Monotype Corsiva"><span =
style=3D'font-size:14.0pt;
font-family:"Monotype Corsiva";mso-bidi-font-family:Arial;color:navy'> =
ran a "Sleep
<span style=3D'mso-spacerun:yes'>&nbsp;</span>Clinic". I think it still =
does.<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'>Regards,<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'>Mary<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'>Mary Clayton<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'>SWBH NHS Trust<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DTahoma><span
style=3D'font-size:10.0pt;font-family:Tahoma'>-----Original =
Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Fearnley Debbie =
(RBT) Mid
Cheshire Tr [mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 25 October 2004 =
16:14<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> re : =
Insomia</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D2 face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial'>Does anyone know of any organisation/clinic =
etc who
are offering services to help those will sleep disorders?</span></font> =
<br>
<font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'>Regards</span></font>
<br>
<font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'>Debbie</span></font>
<o:p></o:p></p>

<p style=3D'margin-left:36.0pt'><font size=3D2 face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial'>Debbie Fearnley</span></font> <br>
<font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'>Head
of Occupational Health</span></font> <br>
<font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'>Mid
Cheshire Hospitals NHS Trust</span></font> <br>
<font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'>Leighton
Hospital</span></font> <br>
<font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'>Middlewich
Road</span></font> <br>
<font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'>Crewe</span></font>
<br>
<font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'>Cheshire</span></font>
<br>
<font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'>CW2
5ED</span></font> <o:p></o:p></p>

<p style=3D'margin-left:36.0pt'><font size=3D2 face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial'>Telephone: 01270 612372</span></font> <br>
<font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'>Fax:
01270 612372</span></font> <o:p></o:p></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><b><i><u><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;font-weight:bold;font-style:=
italic'>Important
Notice</span></font></u></i></b> <o:p></o:p></p>

<p style=3D'margin-left:36.0pt'><font size=3D2 face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial'>If you have received this e-mail in error, =
please
notify the sender and delete the e-mail and all attachments =
immediately. This
e-mail (including any attachments) may contain confidential and/or =
privileged
information. If you are not the intended recipient, any reliance on, =
use,
disclosure, dissemination, distribution or copying of this e-mail or
attachments is strictly prohibited. Mid Cheshire Hospitals NHS Trust =
has
checked for viruses but the contents of an attachment may still contain
software viruses, which could damage your computer system. Mid Cheshire
Hospitals NHS Trust does not accept liability for any damage you =
sustain as a
result of a virus introduced by this e-mail or any attachment and you =
are
advised to use up-to-date virus checking software. E-mail transmission =
cannot
be guaranteed to be secure or error free.</span></font><o:p></o:p></p>

<p style=3D'margin-left:36.0pt'><font size=3D2 face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial'>This e-mail is not intended, nor should it be =
taken
to create any legal relations, contractual or otherwise. Any views or =
opinions
expressed within this e-mail or attachment are solely those of the =
sender, and
do not necessarily represent those of Mid Cheshire Hospitals NHS Trust, =
unless
otherwise specifically stated. If verification is required, please =
request a
hard copy version. Mid Cheshire Hospitals NHS Trust is not bound by or =
liable
for any opinion, contractor or offer to contract expressed in any =
e-mail. </span></font><o:p></o:p></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4BAA7.348D0B60--
=========================================================================
Date:         Mon, 25 Oct 2004 16:36:10 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sara Werry <[log in to unmask]>
Subject:      Re: re : Insomia
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0023_01C4BAB0.CE132C70"

This is a multi-part message in MIME format.

------=_NextPart_000_0023_01C4BAB0.CE132C70
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: 7bit

Hi

I have requested a report from a sleep disturbance clinic based at
Addenbrookes in Cambridge, it was a year or so ago and I think it may of
been more for sleep walking etc, but may be a useful contact.

Sara


Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579

-----Original Message-----
From: Fearnley Debbie (RBT) Mid Cheshire Tr
[mailto:[log in to unmask]]
Sent: 25 October 2004 16:14
To: [log in to unmask]
Subject: re : Insomia




Does anyone know of any organisation/clinic etc who are offering
services to help those will sleep disorders?
Regards
Debbie

Debbie Fearnley
Head of Occupational Health
Mid Cheshire Hospitals NHS Trust
Leighton Hospital
Middlewich Road
Crewe
Cheshire
CW2 5ED

Telephone: 01270 612372
Fax: 01270 612372


Important Notice

If you have received this e-mail in error, please notify the sender and
delete the e-mail and all attachments immediately. This e-mail
(including any attachments) may contain confidential and/or privileged
information. If you are not the intended recipient, any reliance on,
use, disclosure, dissemination, distribution or copying of this e-mail
or attachments is strictly prohibited. Mid Cheshire Hospitals NHS Trust
has checked for viruses but the contents of an attachment may still
contain software viruses, which could damage your computer system. Mid
Cheshire Hospitals NHS Trust does not accept liability for any damage
you sustain as a result of a virus introduced by this e-mail or any
attachment and you are advised to use up-to-date virus checking
software. E-mail transmission cannot be guaranteed to be secure or error
free.

This e-mail is not intended, nor should it be taken to create any legal
relations, contractual or otherwise. Any views or opinions expressed
within this e-mail or attachment are solely those of the sender, and do
not necessarily represent those of Mid Cheshire Hospitals NHS Trust,
unless otherwise specifically stated. If verification is required,
please request a hard copy version. Mid Cheshire Hospitals NHS Trust is
not bound by or liable for any opinion, contractor or offer to contract
expressed in any e-mail.


~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0023_01C4BAB0.CE132C70
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">
<TITLE>Message</TITLE>

<META content=3D"MSHTML 5.50.4134.600" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D372413115-25102004><FONT face=3DArial color=3D#0000ff =

size=3D2>Hi</FONT></SPAN></DIV>
<DIV><SPAN class=3D372413115-25102004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D372413115-25102004><FONT face=3DArial color=3D#0000ff =
size=3D2>I have=20
requested a report from a sleep disturbance clinic based at Addenbrookes =
in=20
Cambridge, it was a year or so ago and I think it may of been more for =
sleep=20
walking etc, but may be a useful contact.</FONT></SPAN></DIV>
<DIV><SPAN class=3D372413115-25102004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D372413115-25102004><FONT face=3DArial color=3D#0000ff =

size=3D2>Sara</FONT></SPAN></DIV>
<DIV>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Sara Werry</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Adviser</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Service</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>University of East =
Anglia</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Norwich, NR4 7TJ</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Tel: (01603) 592174</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Fax: (01603) 506579</FONT></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV></DIV>
  <DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr =
align=3Dleft><FONT=20
  face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B> =
Fearnley Debbie=20
  (RBT) Mid Cheshire Tr [mailto:[log in to unmask]] =
<BR><B>Sent:</B> 25=20
  October 2004 16:14<BR><B>To:</B> =
[log in to unmask]<BR><B>Subject:</B>=20
  re : Insomia<BR><BR></FONT></DIV><!-- Converted from text/rtf format =
--><BR>
  <P><FONT face=3DArial size=3D2>Does anyone know of any =
organisation/clinic etc who=20
  are offering services to help those will sleep disorders?</FONT> =
<BR><FONT=20
  face=3DArial size=3D2>Regards</FONT> <BR><FONT face=3DArial =
size=3D2>Debbie</FONT>=20
</P>
  <P><FONT face=3DArial size=3D2>Debbie Fearnley</FONT> <BR><FONT =
face=3DArial=20
  size=3D2>Head of Occupational Health</FONT> <BR><FONT face=3DArial =
size=3D2>Mid=20
  Cheshire Hospitals NHS Trust</FONT> <BR><FONT face=3DArial =
size=3D2>Leighton=20
  Hospital</FONT> <BR><FONT face=3DArial size=3D2>Middlewich Road</FONT> =
<BR><FONT=20
  face=3DArial size=3D2>Crewe</FONT> <BR><FONT face=3DArial =
size=3D2>Cheshire</FONT>=20
  <BR><FONT face=3DArial size=3D2>CW2 5ED</FONT> </P>
  <P><FONT face=3DArial size=3D2>Telephone: 01270 612372</FONT> =
<BR><FONT face=3DArial=20
  size=3D2>Fax: 01270 612372</FONT> </P><BR>
  <P><U><B><I><FONT face=3DArial size=3D2>Important =
Notice</FONT></I></B></U> </P>
  <P><FONT face=3DArial size=3D2>If you have received this e-mail in =
error, please=20
  notify the sender and delete the e-mail and all attachments =
immediately. This=20
  e-mail (including any attachments) may contain confidential and/or =
privileged=20
  information. If you are not the intended recipient, any reliance on, =
use,=20
  disclosure, dissemination, distribution or copying of this e-mail or=20
  attachments is strictly prohibited. Mid Cheshire Hospitals NHS Trust =
has=20
  checked for viruses but the contents of an attachment may still =
contain=20
  software viruses, which could damage your computer system. Mid =
Cheshire=20
  Hospitals NHS Trust does not accept liability for any damage you =
sustain as a=20
  result of a virus introduced by this e-mail or any attachment and you =
are=20
  advised to use up-to-date virus checking software. E-mail transmission =
cannot=20
  be guaranteed to be secure or error free.</FONT></P>
  <P><FONT face=3DArial size=3D2>This e-mail is not intended, nor should =
it be taken=20
  to create any legal relations, contractual or otherwise. Any views or =
opinions=20
  expressed within this e-mail or attachment are solely those of the =
sender, and=20
  do not necessarily represent those of Mid Cheshire Hospitals NHS =
Trust, unless=20
  otherwise specifically stated. If verification is required, please =
request a=20
  hard copy version. Mid Cheshire Hospitals NHS Trust is not bound by or =
liable=20
  for any opinion, contractor or offer to contract expressed in any =
e-mail.=20
  </FONT></P><BR>~~~~~~~~~~~~~~~ Please remove this footer before =
replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0023_01C4BAB0.CE132C70--
=========================================================================
Date:         Mon, 25 Oct 2004 16:43:40 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Muir, Jackie" <[log in to unmask]>
Subject:      Re: re : Insomia
MIME-Version: 1.0
Content-Type: multipart/mixed; boundary="----_=_NextPart_000_01C4BAA9.1A9D5758"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_000_01C4BAA9.1A9D5758
Content-Type: multipart/alternative; boundary="----_=_NextPart_001_01C4BAA9.1A9D5758"


------_=_NextPart_001_01C4BAA9.1A9D5758
Content-Type: text/plain; charset="iso-8859-1"

Try searching the internet - there are a lot of hospitals who deal with
sleep disorders. We have people all over the country with sleep disorders St
Georges Hospital Tooting is one that springs to mind as we were dealing with
a pre-employment case who goes there today.

Regards

Jackie Muir BA RGN SP(OH) MIOSH
Occupational Health Consultant (Technical Support)
Occupational Health & Safety
Abbey House
AHM 406
Tel: 01908-343184
Fax: 01908-343855
Mobile: 07703-517098
E-mail: [log in to unmask]

-----Original Message-----
From: Fearnley Debbie (RBT) Mid Cheshire Tr
[mailto:[log in to unmask]]
Sent: 25 October 2004 16:14
To: [log in to unmask]
Subject: re : Insomia




Does anyone know of any organisation/clinic etc who are offering services to
help those will sleep disorders?
Regards
Debbie

Debbie Fearnley
Head of Occupational Health
Mid Cheshire Hospitals NHS Trust
Leighton Hospital
Middlewich Road
Crewe
Cheshire
CW2 5ED

Telephone: 01270 612372
Fax: 01270 612372


Important Notice

If you have received this e-mail in error, please notify the sender and
delete the e-mail and all attachments immediately. This e-mail (including
any attachments) may contain confidential and/or privileged information. If
you are not the intended recipient, any reliance on, use, disclosure,
dissemination, distribution or copying of this e-mail or attachments is
strictly prohibited. Mid Cheshire Hospitals NHS Trust has checked for
viruses but the contents of an attachment may still contain software
viruses, which could damage your computer system. Mid Cheshire Hospitals NHS
Trust does not accept liability for any damage you sustain as a result of a
virus introduced by this e-mail or any attachment and you are advised to use
up-to-date virus checking software. E-mail transmission cannot be guaranteed
to be secure or error free.

This e-mail is not intended, nor should it be taken to create any legal
relations, contractual or otherwise. Any views or opinions expressed within
this e-mail or attachment are solely those of the sender, and do not
necessarily represent those of Mid Cheshire Hospitals NHS Trust, unless
otherwise specifically stated. If verification is required, please request a
hard copy version. Mid Cheshire Hospitals NHS Trust is not bound by or
liable for any opinion, contractor or offer to contract expressed in any
e-mail.




.sophos.3.86.10.05.
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BAA9.1A9D5758
Content-Type: text/html; charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">
<TITLE>re : Insomia</TITLE>

<META content="MSHTML 6.00.2800.1106" name=GENERATOR></HEAD>
<BODY>
<DIV><SPAN class=662334115-25102004><FONT face=Arial color=#0000ff size=2>Try
searching the internet - there are a lot of hospitals who deal with sleep
disorders. We have people all over the country with sleep disorders St Georges
Hospital Tooting is one that springs to mind as we were dealing with a
pre-employment case who goes there today.</FONT></SPAN></DIV>
<DIV><SPAN class=662334115-25102004><FONT face=Arial color=#0000ff
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=662334115-25102004><FONT face=Arial color=#0000ff
size=2>Regards</FONT></SPAN></DIV>
<DIV><SPAN class=662334115-25102004><FONT face=Arial color=#0000ff
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=662334115-25102004>
<P><FONT face="Abbey Light" color=#ff00ff size=5>Jackie Muir</FONT>&nbsp;<SPAN
class=662334115-25102004><FONT face="Abbey Light" color=#ff00ff size=5>BA RGN
SP(OH) MIOSH</FONT></SPAN><BR><FONT face="Abbey Light" size=5>Occupational
Health Consultant (Technical<SPAN class=662334115-25102004>
Support</SPAN>)</FONT> <BR><FONT face="Abbey Light" size=5>Occupational Health
&amp; Safety </FONT><BR><FONT face="Abbey Light" size=5>Abbey House</FONT>
<BR><FONT face="Abbey Light" size=5>AHM 406</FONT> <BR><FONT face="Abbey Light"
size=5>Tel: 01908-343184</FONT> <BR><FONT face="Abbey Light" size=5>Fax:
01908-343855</FONT> <BR><FONT face=Tahoma size=5>Mobile: 07703-517098</FONT>
<BR><FONT face=Tahoma size=5>E-mail: [log in to unmask]</FONT>
</P></SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> Fearnley Debbie (RBT) Mid
  Cheshire Tr [mailto:[log in to unmask]]<BR><B>Sent:</B> 25 October
  2004 16:14<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> re :
  Insomia<BR><BR></FONT></DIV><!-- Converted from text/rtf format --><BR>
  <P><FONT face=Arial size=2>Does anyone know of any organisation/clinic etc who
  are offering services to help those will sleep disorders?</FONT> <BR><FONT
  face=Arial size=2>Regards</FONT> <BR><FONT face=Arial size=2>Debbie</FONT>
</P>
  <P><FONT face=Arial size=2>Debbie Fearnley</FONT> <BR><FONT face=Arial
  size=2>Head of Occupational Health</FONT> <BR><FONT face=Arial size=2>Mid
  Cheshire Hospitals NHS Trust</FONT> <BR><FONT face=Arial size=2>Leighton
  Hospital</FONT> <BR><FONT face=Arial size=2>Middlewich Road</FONT> <BR><FONT
  face=Arial size=2>Crewe</FONT> <BR><FONT face=Arial size=2>Cheshire</FONT>
  <BR><FONT face=Arial size=2>CW2 5ED</FONT> </P>
  <P><FONT face=Arial size=2>Telephone: 01270 612372</FONT> <BR><FONT face=Arial
  size=2>Fax: 01270 612372</FONT> </P><BR>
  <P><U><B><I><FONT face=Arial size=2>Important Notice</FONT></I></B></U> </P>
  <P><FONT face=Arial size=2>If you have received this e-mail in error, please
  notify the sender and delete the e-mail and all attachments immediately. This
  e-mail (including any attachments) may contain confidential and/or privileged
  information. If you are not the intended recipient, any reliance on, use,
  disclosure, dissemination, distribution or copying of this e-mail or
  attachments is strictly prohibited. Mid Cheshire Hospitals NHS Trust has
  checked for viruses but the contents of an attachment may still contain
  software viruses, which could damage your computer system. Mid Cheshire
  Hospitals NHS Trust does not accept liability for any damage you sustain as a
  result of a virus introduced by this e-mail or any attachment and you are
  advised to use up-to-date virus checking software. E-mail transmission cannot
  be guaranteed to be secure or error free.</FONT></P>
  <P><FONT face=Arial size=2>This e-mail is not intended, nor should it be taken
  to create any legal relations, contractual or otherwise. Any views or opinions
  expressed within this e-mail or attachment are solely those of the sender, and
  do not necessarily represent those of Mid Cheshire Hospitals NHS Trust, unless
  otherwise specifically stated. If verification is required, please request a
  hard copy version. Mid Cheshire Hospitals NHS Trust is not bound by or liable
  for any opinion, contractor or offer to contract expressed in any e-mail.
  </FONT></P><BR><CODE><FONT
  size=3><BR><BR>.sophos.3.86.10.05.<BR></FONT></CODE>~~~~~~~~~~~~~~~ Please
  remove this footer before replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE><CODE><FONT SIZE=3><BR>
<BR>
Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.<BR>
<BR>
This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.<BR>
<BR>
If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.<BR>
<BR>
Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.<BR>
<BR>
Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc. <BR>
</FONT></CODE>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BAA9.1A9D5758--

------_=_NextPart_000_01C4BAA9.1A9D5758
Content-Type: application/octet-stream;
        name="Muir, Jackie.vcf"
Content-Disposition: attachment;
        filename="Muir, Jackie.vcf"

BEGIN:VCARD
VERSION:2.1
N:Muir;Jackie
FN:Muir, Jackie
EMAIL;PREF;INTERNET:[log in to unmask]
REV:20040413T152512Z
END:VCARD

------_=_NextPart_000_01C4BAA9.1A9D5758--
=========================================================================
Date:         Mon, 25 Oct 2004 17:29:25 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandra Edwards <[log in to unmask]>
Subject:      Medicals for " lollypop men & ladies"
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Hello All,

Was wondering if any body out there had any experience in screening these
employees either as pre employment or on going health surveillance, and if
you had a policy or protocol we could plagiarise. Interested in what you
include and whether you put an age exclusion on, also if you find a health
problem what you do with that information.

Best regards,


Sandra Elizabeth Edwards
Occupational Health Advisor

Employee Health and Well Being Service

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 25 Oct 2004 19:12:45 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Nicky Curtis <[log in to unmask]>
Subject:      Educational Psychologist
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_000A_01C4BAC6.9D1952F0"

------=_NextPart_000_000A_01C4BAC6.9D1952F0
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: 7bit

Hello

My client has asked me to source an educational psychologist to assess
the needs of an applicant who has failed the first part of a job related
training course.  He has dyslexia and upon meeting with his mentor has
identified that he felt he struggled with written tests.  The client
would like to arrange to assess the content and format of their training
curriculum to make sure it meets the needs of not only this individual,
but other future candidates who may have dyslexia.

I have of course told my client that this is not my field of specialism,
but have offered to try and help them source an appropriate
professional.  Does any one out there know of a suitable expert in this
field of practice? Any advice or other suggestions much appreciated,

Nicola Curtis

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_000A_01C4BAC6.9D1952F0
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<html xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:w=3D"urn:sch=
emas-microsoft-com:office:word" xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; charset=3Dus-ascii">


<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 10">
<meta name=3DOriginator content=3D"Microsoft Word 10">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C4BAC6.9BE4A380">
<!--[if gte mso 9]><xml>=7F <o:OfficeDocumentSettings>=7F  <o:DoNotRelyOnCSS=
/>=7F </o:OfficeDocumentSettings>=7F</xml><![endif]--><!--[if gte mso 9]><xm=
l>=7F <w:WordDocument>=7F  <w:SpellingState>Clean</w:SpellingState>=7F  <w:G=
rammarState>Clean</w:GrammarState>=7F  <w:DocumentKind>DocumentEmail</w:Docu=
mentKind>=7F  <w:EnvelopeVis/>=7F  <w:Compatibility>=7F   <w:BreakWrappedTab=
les/>=7F   <w:SnapToGridInCell/>=7F   <w:WrapTextWithPunct/>=7F   <w:UseAsia=
nBreakRules/>=7F   <w:UseFELayout/>=7F  </w:Compatibility>=7F  <w:BrowserLev=
el>MicrosoftInternetExplorer4</w:BrowserLevel>=7F </w:WordDocument>=7F</xml>=
<![endif]-->
<style>
<!--=7F /* Font Definitions */=7F @font-face=7F=09{font-family:SimSun;=7F=09=
panose-1:2 1 6 0 3 1 1 1 1 1;=7F=09mso-font-alt:\5B8B\4F53;=7F=09mso-font-ch=
arset:134;=7F=09mso-generic-font-family:auto;=7F=09mso-font-pitch:variable;=7F=
=09mso-font-signature:3 135135232 16 0 262145 0;}=7F@font-face=7F=09{font-fa=
mily:"\@SimSun";=7F=09panose-1:2 1 6 0 3 1 1 1 1 1;=7F=09mso-font-charset:13=
4;=7F=09mso-generic-font-family:auto;=7F=09mso-font-pitch:variable;=7F=09mso=
-font-signature:3 135135232 16 0 262145 0;}=7F /* Style Definitions */=7F p.=
MsoNormal, li.MsoNormal, div.MsoNormal=7F=09{mso-style-parent:"";=7F=09margi=
n:0cm;=7F=09margin-bottom:.0001pt;=7F=09mso-pagination:widow-orphan;=7F=09fo=
nt-size:12.0pt;=7F=09font-family:"Times New Roman";=7F=09mso-fareast-font-fa=
mily:SimSun;}=7Fa:link, span.MsoHyperlink=7F=09{color:blue;=7F=09text-decora=
tion:underline;=7F=09text-underline:single;}=7Fa:visited, span.MsoHyperlinkF=
ollowed=7F=09{color:purple;=7F=09text-decoration:underline;=7F=09text-underl=
ine:single;}=7Fspan.EmailStyle17=7F=09{mso-style-type:personal-compose;=7F=09=
mso-style-noshow:yes;=7F=09mso-ansi-font-size:10.0pt;=7F=09mso-bidi-font-siz=
e:10.0pt;=7F=09font-family:Arial;=7F=09mso-ascii-font-family:Arial;=7F=09mso=
-hansi-font-family:Arial;=7F=09mso-bidi-font-family:Arial;=7F=09color:window=
text;}=7Fspan.SpellE=7F=09{mso-style-name:"";=7F=09mso-spl-e:yes;}=7F@page S=
ection1=7F=09{size:612.0pt 792.0pt;=7F=09margin:72.0pt 90.0pt 72.0pt 90.0pt;=7F=
=09mso-header-margin:35.4pt;=7F=09mso-footer-margin:35.4pt;=7F=09mso-paper-s=
ource:0;}=7Fdiv.Section1=7F=09{page:Section1;}=7F-->
</style>
<!--[if gte mso 10]>=7F<style>=7F /* Style Definitions */ =7F table.MsoNorma=
lTable=7F=09{mso-style-name:"Table Normal";=7F=09mso-tstyle-rowband-size:0;=7F=
=09mso-tstyle-colband-size:0;=7F=09mso-style-noshow:yes;=7F=09mso-style-pare=
nt:"";=7F=09mso-padding-alt:0cm 5.4pt 0cm 5.4pt;=7F=09mso-para-margin:0cm;=7F=
=09mso-para-margin-bottom:.0001pt;=7F=09mso-pagination:widow-orphan;=7F=09fo=
nt-size:10.0pt;=7F=09font-family:"Times New Roman";}=7F</style>=7F<![endif]-=
->
</head>

<body lang=3DEN-TT link=3Dblue vlink=3Dpurple style=3D'tab-interval:36.0pt'>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D2 face=3DArial><span lang=3DEN-GB style=3D=
'font-size: 10.0pt;font-family:Arial;mso-ansi-language:EN-GB'>Hello<o:p></o:=
p></span></font></p>

<p class=3DMsoNormal><font size=3D2 face=3DArial><span lang=3DEN-GB style=3D=
'font-size: 10.0pt;font-family:Arial;mso-ansi-language:EN-GB'><o:p>&nbsp;</o=
:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 face=3DArial><span lang=3DEN-GB style=3D=
'font-size: 10.0pt;font-family:Arial;mso-ansi-language:EN-GB'>My client has=20=
asked me to
source an educational psychologist to assess the needs of an applicant who h=
as
failed the first part of a job related training course.<span style=3D'mso-sp=
acerun:yes'>&nbsp; </span>He has dyslexia and upon meeting with
his mentor has identified that he felt he struggled with written tests.<span=
 style=3D'mso-spacerun:yes'>&nbsp; </span>The client would like to arrange t=
o
assess the content and format of their training curriculum to make sure it
meets the needs of not only this individual, but other future candidates who
may have dyslexia.<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 face=3DArial><span lang=3DEN-GB style=3D=
'font-size: 10.0pt;font-family:Arial;mso-ansi-language:EN-GB'><o:p>&nbsp;</o=
:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 face=3DArial><span lang=3DEN-GB style=3D=
'font-size: 10.0pt;font-family:Arial;mso-ansi-language:EN-GB'>I have of cour=
se told my
client that this is not my field of <span class=3DSpellE>specialism</span>,=20=
but have
offered to try and help them source an appropriate professional.<span style=3D=
'mso-spacerun:yes'>&nbsp; </span>Does any one out there know of a suitable
expert in this field of practice? Any advice or other suggestions much appre=
ciated,<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 face=3DArial><span lang=3DEN-GB style=3D=
'font-size: 10.0pt;font-family:Arial;mso-ansi-language:EN-GB'><o:p>&nbsp;</o=
:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 face=3DArial><span lang=3DEN-GB style=3D=
'font-size: 10.0pt;font-family:Arial;mso-ansi-language:EN-GB'>Nicola Curtis<=
o:p></o:p></span></font></p>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_000A_01C4BAC6.9D1952F0--
=========================================================================
Date:         Mon, 25 Oct 2004 19:27:47 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Educational Psychologist
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0249_01C4BAC8.B5980180"

This is a multi-part message in MIME format.

------=_NextPart_000_0249_01C4BAC8.B5980180
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Try the British Dyslexia Association - www.bda-dyslexia.org.uk They have =
a specific section for employment

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


  ----- Original Message -----=20
  From: Nicky Curtis=20
  To: [log in to unmask]
  Sent: Monday, October 25, 2004 7:12 PM
  Subject: Educational Psychologist


  Hello

  =20

  My client has asked me to source an educational psychologist to assess =
the needs of an applicant who has failed the first part of a job related =
training course.  He has dyslexia and upon meeting with his mentor has =
identified that he felt he struggled with written tests.  The client =
would like to arrange to assess the content and format of their training =
curriculum to make sure it meets the needs of not only this individual, =
but other future candidates who may have dyslexia.

  =20

  I have of course told my client that this is not my field of =
specialism, but have offered to try and help them source an appropriate =
professional.  Does any one out there know of a suitable expert in this =
field of practice? Any advice or other suggestions much appreciated,

  =20

  Nicola Curtis

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20


  ---
  Outgoing mail is certified Virus Free.
  Checked by AVG anti-virus system (http://www.grisoft.com).
  Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0249_01C4BAC8.B5980180
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns=3D"http://www.w3.org/TR/REC-html40" xmlns:o =3D=20
"urn:schemas-microsoft-com:office:office" xmlns:w =3D=20
"urn:schemas-microsoft-com:office:word"><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3DWord.Document name=3DProgId>
<META content=3D"MSHTML 6.00.2800.1476" name=3DGENERATOR>
<META content=3D"Microsoft Word 10" name=3DOriginator><LINK=20
href=3D"cid:filelist.xml@01C4BAC6.9BE4A380" rel=3DFile-List><!--[if gte =
mso 9]><xml>=7F <o:OfficeDocumentSettings>=7F  <o:DoNotRelyOnCSS/>=7F =
</o:OfficeDocumentSettings>=7F</xml><![endif]--><!--[if gte mso =
9]><xml>=7F <w:WordDocument>=7F  =
<w:SpellingState>Clean</w:SpellingState>=7F  =
<w:GrammarState>Clean</w:GrammarState>=7F  =
<w:DocumentKind>DocumentEmail</w:DocumentKind>=7F  <w:EnvelopeVis/>=7F  =
<w:Compatibility>=7F   <w:BreakWrappedTables/>=7F   =
<w:SnapToGridInCell/>=7F   <w:WrapTextWithPunct/>=7F   =
<w:UseAsianBreakRules/>=7F   <w:UseFELayout/>=7F  </w:Compatibility>=7F  =
<w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>=7F =
</w:WordDocument>=7F</xml><![endif]-->
<STYLE>UNKNOWN {
        FONT-FAMILY: SimSun; panose-1: 2 1 6 0 3 1 1 1 1 1; mso-font-alt: =
&#23435;&#20307;; mso-font-charset: 134; mso-generic-font-family: auto; =
mso-font-pitch: variable; mso-font-signature: 3 135135232 16 0 262145 0
}
UNKNOWN {
        FONT-FAMILY: "@SimSun"; panose-1: 2 1 6 0 3 1 1 1 1 1; =
mso-font-charset: 134; mso-generic-font-family: auto; mso-font-pitch: =
variable; mso-font-signature: 3 135135232 16 0 262145 0
}
UNKNOWN {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: SimSun
}
UNKNOWN {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
UNKNOWN {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
UNKNOWN {
        COLOR: windowtext; FONT-FAMILY: Arial; mso-style-type: =
personal-compose; mso-style-noshow: yes; mso-ansi-font-size: 10.0pt; =
mso-bidi-font-size: 10.0pt; mso-ascii-font-family: Arial; =
mso-hansi-font-family: Arial; mso-bidi-font-family: Arial
}
UNKNOWN {
        mso-style-name: ""; mso-spl-e: yes
}
UNKNOWN {
        MARGIN: 72pt 90pt; size: 612.0pt 792.0pt; mso-header-margin: 35.4pt; =
mso-footer-margin: 35.4pt; mso-paper-source: 0
}
UNKNOWN {
        page: Section1
}
</STYLE>
<!--[if gte mso 10]>=7F<style>=7F /* Style Definitions */ =7F =
table.MsoNormalTable=7F {mso-style-name:"Table Normal";=7F      =
mso-tstyle-rowband-size:0;=7F   mso-tstyle-colband-size:0;=7F   =
mso-style-noshow:yes;=7F        mso-style-parent:"";=7F mso-padding-alt:0cm =
5.4pt 0cm 5.4pt;=7F     mso-para-margin:0cm;=7F =
mso-para-margin-bottom:.0001pt;=7F      mso-pagination:widow-orphan;=7F =
font-size:10.0pt;=7F    font-family:"Times New =
Roman";}=7F</style>=7F<![endif]--></HEAD>
<BODY lang=3DEN-TT style=3D"tab-interval: 36.0pt" vLink=3Dpurple =
link=3Dblue=20
bgColor=3D#ffffff>
<DIV><FONT size=3D2>Try the British Dyslexia Association - <A=20
href=3D"http://www.bda-dyslexia.org.uk">www.bda-dyslexia.org.uk</A>&nbsp;=
They have=20
a specific section for employment</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health =
&amp;=20
Education<BR>Consultant Editor, OH Journal<BR><A=20
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask] =
href=3D"mailto:[log in to unmask]">Nicky=20
  Curtis</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, October 25, 2004 =
7:12=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Educational =
Psychologist</DIV>
  <DIV><BR></DIV>
  <DIV class=3DSection1>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: =
EN-GB">Hello<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: =
EN-GB"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: =
EN-GB">My=20
  client has asked me to source an educational psychologist to assess =
the needs=20
  of an applicant who has failed the first part of a job related =
training=20
  course.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>He has dyslexia =
and upon=20
  meeting with his mentor has identified that he felt he struggled with =
written=20
  tests.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>The client would =
like to=20
  arrange to assess the content and format of their training curriculum =
to make=20
  sure it meets the needs of not only this individual, but other future=20
  candidates who may have dyslexia.<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: =
EN-GB"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: =
EN-GB">I have=20
  of course told my client that this is not my field of <SPAN=20
  class=3DSpellE>specialism</SPAN>, but have offered to try and help =
them source=20
  an appropriate professional.<SPAN style=3D"mso-spacerun: yes">&nbsp; =
</SPAN>Does=20
  any one out there know of a suitable expert in this field of practice? =
Any=20
  advice or other suggestions much =
appreciated,<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: =
EN-GB"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: =
EN-GB">Nicola=20
  Curtis<o:p></o:p></SPAN></FONT></P></DIV>~~~~~~~~~~~~~~~ Please remove =
this=20
  footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/=20
  <P><BR>---<BR>Outgoing mail is certified Virus Free.<BR>Checked by AVG =

  anti-virus system (<A=20
  =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.778=20
  / Virus Database: 525 - Release Date: =
15/10/2004</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0249_01C4BAC8.B5980180--
=========================================================================
Date:         Mon, 25 Oct 2004 19:20:58 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         James Beresford <[log in to unmask]>
Subject:      Re: re : Insomia & Sleep disorders
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

Yes.

The Respiratory Sleep and Support Centre at Papworth Hospital, which takes
"patients" from all over the UK and which offers excellent advice.


With kind regards,

James

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 25 Oct 2004 23:04:02 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jo Jenkins <[log in to unmask]>
Subject:      Jo Jenkins/UK/CAMPSOUP/CSC is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

I will be out of the office starting  25/10/2004 and will not return until
27/10/2004.

Please forward your message to Rachel Sturman who may be able to help you.



**********************************************************************
This e-mail and any files transmitted with it may contain
confidential information and is intended solely for use by
the individual to whom it is addressed.  If you received
this e-mail in error, please notify the sender, do not
disclose its contents to others and delete it from your
system.

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

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 26 Oct 2004 08:32:52 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Aziz, Bashyr" <[log in to unmask]>
Subject:      Re: Educational Psychologist
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4BB2E.00639048"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4BB2E.00639048
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hi Nicky
Try accessing one through your local Disability Employment Advisor, whom =
you should be able to contact through Employment Services.
=20
Bashyr Aziz                =20
-----Original Message-----
From: Nicky Curtis [mailto:[log in to unmask]]
Sent: 25 October 2004 19:13
To: [log in to unmask]
Subject: Educational Psychologist


   My client has asked me to source an educational psychologist to =
assess the needs of an applicant who has failed the first part of a job =
related training course.  He has dyslexia and upon meeting with his =
mentor has identified that he felt he struggled with written tests.  The =
client would like to arrange to assess the content and format of their =
training curriculum to make sure it meets the needs of not only this =
individual, but other future candidates who may have dyslexia.
 =20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BB2E.00639048
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns=3D"http://www.w3.org/TR/REC-html40" xmlns:o =3D=20
"urn:schemas-microsoft-com:office:office" xmlns:w =3D=20
"urn:schemas-microsoft-com:office:word"><HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<META content=3DWord.Document name=3DProgId>
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<META content=3D"Microsoft Word 10" name=3DOriginator><LINK=20
href=3D"cid:filelist.xml@01C4BAC6.9BE4A380" rel=3DFile-List><!--[if gte =
mso 9]><xml>=7F <o:OfficeDocumentSettings>=7F  <o:DoNotRelyOnCSS/>=7F =
</o:OfficeDocumentSettings>=7F</xml><![endif]--><!--[if gte mso =
9]><xml>=7F <w:WordDocument>=7F  =
<w:SpellingState>Clean</w:SpellingState>=7F  =
<w:GrammarState>Clean</w:GrammarState>=7F  =
<w:DocumentKind>DocumentEmail</w:DocumentKind>=7F  <w:EnvelopeVis/>=7F  =
<w:Compatibility>=7F   <w:BreakWrappedTables/>=7F   =
<w:SnapToGridInCell/>=7F   <w:WrapTextWithPunct/>=7F   =
<w:UseAsianBreakRules/>=7F   <w:UseFELayout/>=7F  </w:Compatibility>=7F  =
<w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>=7F =
</w:WordDocument>=7F</xml><![endif]-->
<STYLE>UNKNOWN {
        FONT-FAMILY: SimSun; panose-1: 2 1 6 0 3 1 1 1 1 1; mso-font-alt: =
&#23435;&#20307;; mso-font-charset: 134; mso-generic-font-family: auto; =
mso-font-pitch: variable; mso-font-signature: 3 135135232 16 0 262145 0
}
UNKNOWN {
        FONT-FAMILY: "@SimSun"; panose-1: 2 1 6 0 3 1 1 1 1 1; =
mso-font-charset: 134; mso-generic-font-family: auto; mso-font-pitch: =
variable; mso-font-signature: 3 135135232 16 0 262145 0
}
UNKNOWN {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: SimSun
}
UNKNOWN {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
UNKNOWN {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
UNKNOWN {
        COLOR: windowtext; FONT-FAMILY: Arial; mso-style-type: =
personal-compose; mso-style-noshow: yes; mso-ansi-font-size: 10.0pt; =
mso-bidi-font-size: 10.0pt; mso-ascii-font-family: Arial; =
mso-hansi-font-family: Arial; mso-bidi-font-family: Arial
}
UNKNOWN {
        mso-style-name: ""; mso-spl-e: yes
}
UNKNOWN {
        MARGIN: 72pt 90pt; size: 612.0pt 792.0pt; mso-header-margin: 35.4pt; =
mso-footer-margin: 35.4pt; mso-paper-source: 0
}
UNKNOWN {
        page: Section1
}
</STYLE>
<!--[if gte mso 10]>=7F<style>=7F /* Style Definitions */ =7F =
table.MsoNormalTable=7F {mso-style-name:"Table Normal";=7F      =
mso-tstyle-rowband-size:0;=7F   mso-tstyle-colband-size:0;=7F   =
mso-style-noshow:yes;=7F        mso-style-parent:"";=7F mso-padding-alt:0cm =
5.4pt 0cm 5.4pt;=7F     mso-para-margin:0cm;=7F =
mso-para-margin-bottom:.0001pt;=7F      mso-pagination:widow-orphan;=7F =
font-size:10.0pt;=7F    font-family:"Times New =
Roman";}=7F</style>=7F<![endif]--></HEAD>
<BODY lang=3DEN-TT style=3D"tab-interval: 36.0pt" vLink=3Dpurple =
link=3Dblue>
<DIV><SPAN class=3D750253107-26102004><FONT face=3DArial color=3D#0000ff =
size=3D2>Hi=20
Nicky</FONT></SPAN></DIV>
<DIV><SPAN class=3D750253107-26102004><FONT face=3DArial color=3D#0000ff =
size=3D2>Try=20
accessing one through your local Disability Employment Advisor, whom you =
should=20
be able to contact through Employment Services.</FONT></SPAN></DIV>
<DIV>&nbsp;</DIV>
<P><B><FONT face=3DArial color=3D#0000ff>Bashyr=20
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;</FONT></B>&nbsp;<FONT=20
face=3DArial color=3D#0000ff><SPAN class=3D750253107-26102004><STRONG>=20
</STRONG></SPAN></FONT></P>
<P><FONT face=3DArial color=3D#0000ff><SPAN=20
class=3D750253107-26102004></SPAN></FONT><FONT face=3DTahoma =
size=3D2>-----Original=20
Message-----<BR><B>From:</B> Nicky Curtis=20
[mailto:[log in to unmask]]<BR><B>Sent:</B> 25 October 2004=20
19:13<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Educational=20
Psychologist<BR><BR></P></FONT>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #0000ff 2px =
solid; MARGIN-RIGHT: 0px">
  <DIV class=3DSection1>
  <P class=3DMsoNormal><FONT color=3D#0000ff><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: =
EN-GB"><SPAN=20
  class=3D750253107-26102004>&nbsp; &nbsp;</SPAN></SPAN></FONT><SPAN =
lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: =
EN-GB">My=20
  client has asked me to source an educational psychologist to assess =
the needs=20
  of an applicant who has failed the first part of a job related =
training=20
  course.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>He has dyslexia =
and upon=20
  meeting with his mentor has identified that he felt he struggled with =
written=20
  tests.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>The client would =
like to=20
  arrange to assess the content and format of their training curriculum =
to make=20
  sure it meets the needs of not only this individual, but other future=20
  candidates who may have dyslexia.<o:p></o:p></SPAN></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: =
EN-GB"><o:p>&nbsp;</o:p></SPAN></FONT><SPAN=20
  lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: =
EN-GB"><SPAN=20
  class=3D750253107-26102004><FONT=20
  =
color=3D#0000ff>&nbsp;</FONT></SPAN></SPAN></P></DIV></BLOCKQUOTE></BODY>=
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BB2E.00639048--
=========================================================================
Date:         Tue, 26 Oct 2004 09:02:09 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Kinselley, Gillian E" <[log in to unmask]>
Subject:      Re: Educational Psychologist
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4BB32.17B2E358"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4BB32.17B2E358
Content-Type: text/plain; charset="iso-8859-1"

Here are a couple of contacts you may like to try:-
British Dyslexia Association Tel 0118 9668271
The Dyslexia Institute tel 01784 222300
Adult Dyslexia Org Tel 0207 9249559

However have a chat with the individual as the person tends to know their
own weakness and strengths and items that are available to assist.  We tend
to use 'text to speach' and also softwear dictionaries but this all depends
on the individual and what they require..often its just extra time and
supportive encouragement to carry out the task or training course.

I am not sure where you are but in Milton Keynes we have a Dyslexia
Association and their contact is 01908 582900

Gill





 -----Original Message-----
From: Nicky Curtis [mailto:[log in to unmask]]
Sent: 25 October 2004 19:13
To: [log in to unmask]
Subject: Educational Psychologist


Hello

My client has asked me to source an educational psychologist to assess the
needs of an applicant who has failed the first part of a job related
training course.  He has dyslexia and upon meeting with his mentor has
identified that he felt he struggled with written tests.  The client would
like to arrange to assess the content and format of their training
curriculum to make sure it meets the needs of not only this individual, but
other future candidates who may have dyslexia.

I have of course told my client that this is not my field of specialism, but
have offered to try and help them source an appropriate professional.  Does
any one out there know of a suitable expert in this field of practice? Any
advice or other suggestions much appreciated,

Nicola Curtis


.sophos.3.86.10.25.
~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BB32.17B2E358
Content-Type: text/html; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns=3D"http://www.w3.org/TR/REC-html40" xmlns:o =3D=20
"urn:schemas-microsoft-com:office:office" xmlns:w =3D=20
"urn:schemas-microsoft-com:office:word"><HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; charset=3Diso-8859-=
1">


<META content=3DWord.Document name=3DProgId>
<META content=3D"MSHTML 6.00.2800.1106" name=3DGENERATOR>
<META content=3D"Microsoft Word 10" name=3DOriginator><LINK=20
href=3D"cid:filelist.xml@01C4BAC6.9BE4A380" rel=3DFile-List><!--[if gte mso=
 9]><xml>=7F <o:OfficeDocumentSettings>=7F  <o:DoNotRelyOnCSS/>=7F </o:Offi=
ceDocumentSettings>=7F</xml><![endif]--><!--[if gte mso 9]><xml>=7F <w:Word=
Document>=7F  <w:SpellingState>Clean</w:SpellingState>=7F  <w:GrammarState>=
Clean</w:GrammarState>=7F  <w:DocumentKind>DocumentEmail</w:DocumentKind>=
=7F  <w:EnvelopeVis/>=7F  <w:Compatibility>=7F   <w:BreakWrappedTables/>=7F=
   <w:SnapToGridInCell/>=7F   <w:WrapTextWithPunct/>=7F   <w:UseAsianBreakR=
ules/>=7F   <w:UseFELayout/>=7F  </w:Compatibility>=7F  <w:BrowserLevel>Mic=
rosoftInternetExplorer4</w:BrowserLevel>=7F </w:WordDocument>=7F</xml><![en=
dif]-->
<STYLE>UNKNOWN {
        FONT-FAMILY: SimSun; panose-1: 2 1 6 0 3 1 1 1 1 1; mso-font-alt: &#23435;=
&#20307;; mso-font-charset: 134; mso-generic-font-family: auto; mso-font-pi=
tch: variable; mso-font-signature: 3 135135232 16 0 262145 0
}
UNKNOWN {
        FONT-FAMILY: "@SimSun"; panose-1: 2 1 6 0 3 1 1 1 1 1; mso-font-charset: 1=
34; mso-generic-font-family: auto; mso-font-pitch: variable; mso-font-signa=
ture: 3 135135232 16 0 262145 0
}
UNKNOWN {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; mso-=
style-parent: ""; mso-pagination: widow-orphan; mso-fareast-font-family: Si=
mSun
}
UNKNOWN {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
UNKNOWN {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
UNKNOWN {
        COLOR: windowtext; FONT-FAMILY: Arial; mso-style-type: personal-compose; m=
so-style-noshow: yes; mso-ansi-font-size: 10.0pt; mso-bidi-font-size: 10.0p=
t; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-fon=
t-family: Arial
}
UNKNOWN {
        mso-style-name: ""; mso-spl-e: yes
}
UNKNOWN {
        MARGIN: 72pt 90pt; size: 612.0pt 792.0pt; mso-header-margin: 35.4pt; mso-f=
ooter-margin: 35.4pt; mso-paper-source: 0
}
UNKNOWN {
        page: Section1
}
</STYLE>
<!--[if gte mso 10]>=7F<style>=7F /* Style Definitions */ =7F table.MsoNorm=
alTable=7F      {mso-style-name:"Table Normal";=7F      mso-tstyle-rowband-size:0;=7F=
        mso-tstyle-colband-size:0;=7F   mso-style-noshow:yes;=7F        mso-style-parent:""=
;=7F    mso-padding-alt:0cm 5.4pt 0cm 5.4pt;=7F mso-para-margin:0cm;=7F mso-pa=
ra-margin-bottom:.0001pt;=7F    mso-pagination:widow-orphan;=7F font-size:10.0=
pt;=7F  font-family:"Times New Roman";}=7F</style>=7F<![endif]--></HEAD>
<BODY lang=3DEN-TT style=3D"tab-interval: 36.0pt" vLink=3Dpurple link=3Dblu=
e>
<DIV><SPAN class=3D367114607-26102004><FONT face=3DArial color=3D#0000ff si=
ze=3D2>Here=20
are a couple of contacts you may like to try:-</FONT></SPAN></DIV>
<DIV><SPAN class=3D367114607-26102004><FONT face=3DArial color=3D#0000ff=20
size=3D2>British Dyslexia Association Tel 0118 9668271</FONT></SPAN></DIV>
<DIV><SPAN class=3D367114607-26102004></SPAN><FONT face=3DTahoma><SPAN=20
class=3D367114607-26102004><FONT face=3DArial color=3D#0000ff size=3D2>The =
Dyslexia=20
Institute tel 01784 222300</FONT></SPAN></FONT></DIV>
<DIV><FONT face=3DTahoma><SPAN class=3D367114607-26102004><FONT face=3DAria=
l=20
color=3D#0000ff size=3D2>Adult Dyslexia Org Tel 0207=20
9249559</FONT></SPAN></FONT></DIV>
<DIV><FONT face=3DTahoma><SPAN class=3D367114607-26102004><FONT face=3DAria=
l=20
color=3D#0000ff size=3D2></FONT></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3DTahoma><SPAN class=3D367114607-26102004><FONT face=3DAria=
l=20
color=3D#0000ff size=3D2>However have a chat with the individual as the per=
son tends=20
to know their own weakness and strengths and items that are available to=20
assist.&nbsp; We tend to use 'text to speach' and also softwear dictionarie=
s but=20
this all depends on the individual and what they require..often its just ex=
tra=20
time and supportive encouragement to carry out the task or training=20
course.</FONT></SPAN></FONT></DIV>
<DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN=20
class=3D367114607-26102004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN class=3D367114607-26=
102004>I am=20
not sure where you are but in Milton Keynes we have a Dyslexia Association =
and=20
their contact is 01908 582900</SPAN></FONT></DIV>
<DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN=20
class=3D367114607-26102004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN=20
class=3D367114607-26102004>Gill</SPAN></FONT></DIV>
<DIV><FONT face=3DTahoma><SPAN class=3D367114607-26102004></SPAN></FONT>&nb=
sp;</DIV>
<DIV><FONT face=3DTahoma><SPAN class=3D367114607-26102004></SPAN></FONT>&nb=
sp;</DIV>
<DIV><FONT face=3DTahoma><SPAN class=3D367114607-26102004></SPAN></FONT>&nb=
sp;</DIV>
<DIV><FONT face=3DTahoma><SPAN class=3D367114607-26102004></SPAN></FONT>&nb=
sp;</DIV>
<DIV><FONT face=3DTahoma><SPAN class=3D367114607-26102004></SPAN></FONT>&nb=
sp;</DIV>
<DIV><FONT face=3DTahoma><SPAN class=3D367114607-26102004></SPAN><FONT size=
=3D2><SPAN=20
class=3D367114607-26102004>&nbsp;</SPAN>-----Original Message-----<BR><B>Fr=
om:</B>=20
Nicky Curtis [mailto:[log in to unmask]]<BR><B>Sent:</B> 25 October 2004=
 19:13<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Education=
al=20
Psychologist<BR><BR></DIV></FONT></FONT>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DSection1>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: EN-GB">H=
ello<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: EN-GB"><=
o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: EN-GB">M=
y=20
  client has asked me to source an educational psychologist to assess the n=
eeds=20
  of an applicant who has failed the first part of a job related training=
   course.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>He has dyslexia a=
nd upon=20
  meeting with his mentor has identified that he felt he struggled with wri=
tten=20
  tests.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>The client would li=
ke to=20
  arrange to assess the content and format of their training curriculum to =
make=20
  sure it meets the needs of not only this individual, but other future=20
  candidates who may have dyslexia.<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: EN-GB"><=
o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: EN-GB">I=
 have=20
  of course told my client that this is not my field of <SPAN=20
  class=3DSpellE>specialism</SPAN>, but have offered to try and help them s=
ource=20
  an appropriate professional.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SP=
AN>Does=20
  any one out there know of a suitable expert in this field of practice? An=
y=20
  advice or other suggestions much appreciated,<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: EN-GB"><=
o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: EN-GB">N=
icola=20
  Curtis<o:p></o:p></SPAN></FONT></P></DIV><CODE><FONT=20
  size=3D3><BR><BR>.sophos.3.86.10.25.<BR></FONT></CODE>~~~~~~~~~~~~~~~ Ple=
ase=20
  remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE><CODE><FONT SIZ=
E=3D3><BR>
<BR>
Emails aren't always secure, and they may be intercepted or changed after t=
hey've been sent. Abbey doesn't accept liability if this happens. If you th=
ink someone may have interfered with this email, please get in touch with t=
he sender another way.<BR>
<BR>
This message doesn't create or change any contract. Abbey doesn't accept re=
sponsibility for damage caused by any viruses contained in this email or it=
s attachments. Emails may be monitored.<BR>
<BR>
If you've received this email by mistake, please let the sender know at onc=
e that it's gone to the wrong person and then destroy it without copying, u=
sing, or telling anyone about its contents.<BR>
<BR>
Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No=
. 3839455 are registered in England and have their Registered Offices at Ab=
bey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.<BR>
<BR>
Abbey National plc and Inscape Investments Limited are authorised and regul=
ated by the Financial Services Authority. Abbey National plc only advises o=
n its own life assurance, pension and collective investment scheme products=
. Inscape Investments Limited is a member of the Abbey Marketing Group and =
provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks =
of Abbey National plc. <BR>
</FONT></CODE>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BB32.17B2E358--
=========================================================================
Date:         Tue, 26 Oct 2004 09:53:43 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Amanda Turner <[log in to unmask]>
Subject:      ear syringing and audio
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4BB39.4BE55FF0"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4BB39.4BE55FF0
Content-Type: text/plain;
        charset="iso-8859-1"

I have recently been shown a document which advocates ear syringing, if wax
is present, prior to audiometry.  I am sure that I have read some research
that indicates that syringing is not indicative pre audio and should only be
performed if the audiometry test results show a significant loss. (I hasten
to add ear syringing is not carried out within the Occ Health dept)  In
order to present my case does anyone know where I might find the information
required.
Many thanks

Amanda Turner


********  DISCLAIMER  ********

The contents and any attachments of this electronic mail message are
confidential and intended only for the named addressees.

Dissemination, forwarding, publication or other use of the message or
attachments by any unauthorised person is strictly prohibited. Unless stated
to the contrary, any opinions expressed in this message are personal and may
not be attributed to Grampian Country Food Group Limited or any Grampian
Country Food Group company.

Internet e-mails are not necessarily secure. Grampian Country Food Group
does not accept responsibility for changes made to this message after it was
sent.
***********************************


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BB39.4BE55FF0
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version =
5.5.2653.12">
<TITLE>ear syringing and audio</TITLE>
</HEAD>
<BODY>

<P><FONT SIZE=3D2 FACE=3D"Arial">I have recently been shown a document =
which advocates ear syringing, if wax is present, prior to =
audiometry.&nbsp; I am sure that I have read some research that =
indicates that syringing is not indicative pre audio and should only be =
performed if the audiometry test results show a significant loss. (I =
hasten to add ear syringing is not carried out within the Occ Health =
dept)&nbsp; In order to present my case does anyone know where I might =
find the information required.</FONT></P>

<P><FONT SIZE=3D2 FACE=3D"Arial">Many thanks</FONT>
</P>

<P><FONT SIZE=3D2 FACE=3D"Arial">Amanda Turner</FONT>
</P>
<BR>

<P><B><FONT SIZE=3D2 FACE=3D"Arial">********&nbsp; DISCLAIMER&nbsp; =
******** </FONT></B>
</P>

<P><B><FONT SIZE=3D2 FACE=3D"Arial">The contents and any attachments of =
this electronic mail message are confidential and intended only for the =
named addressees.</FONT></B></P>

<P><B><FONT SIZE=3D2 FACE=3D"Arial">Dissemination, forwarding, =
publication or other use of the message or attachments by any =
unauthorised person is strictly prohibited. Unless stated to the =
contrary, any opinions expressed in this message are personal and may =
not be attributed to Grampian Country Food Group Limited or any =
Grampian Country Food Group company.</FONT></B></P>

<P><B><FONT SIZE=3D2 FACE=3D"Arial">Internet e-mails are not =
necessarily secure. Grampian Country Food Group does not accept =
responsibility for changes made to this message after it was sent. =
</FONT></B></P>

<P><B><FONT SIZE=3D2 FACE=3D"Arial">*********************************** =
</FONT></B>
</P>

</BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4BB39.4BE55FF0--
=========================================================================
Date:         Tue, 26 Oct 2004 10:13:13 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Muir, Jackie" <[log in to unmask]>
Subject:      Re: Educational Psychologist
MIME-Version: 1.0
Content-Type: multipart/mixed; boundary="----_=_NextPart_000_01C4BB3B.48AD0B42"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_000_01C4BB3B.48AD0B42
Content-Type: multipart/alternative; boundary="----_=_NextPart_001_01C4BB3B.48AD0B42"


------_=_NextPart_001_01C4BB3B.48AD0B42
Content-Type: text/plain; charset="iso-8859-1"

Same as advised by Gill Kinselley, an assessment should be arranged with one
of the organisations identified (The Dyslexia Institute have several
locations and the ADA is also very helpful) to give an idea of what the
level of the problem is and then a solution can be identified - and there
are lots of solutions out there to support people. Do remember the
individual's input as they may have been using support at home or in a
previous role.

Regards

Jackie Muir BA RGN SP(OH) MIOSH
Occupational Health Consultant (Technical Support)
Occupational Health & Safety
Abbey House
AHM 406
Tel: 01908-343184
Fax: 01908-343855
Mobile: 07703-517098
E-mail: [log in to unmask]
-----Original Message-----
From: Nicky Curtis [mailto:[log in to unmask]]
Sent: 25 October 2004 19:13
To: [log in to unmask]
Subject: Educational Psychologist


Hello

My client has asked me to source an educational psychologist to assess the
needs of an applicant who has failed the first part of a job related
training course.  He has dyslexia and upon meeting with his mentor has
identified that he felt he struggled with written tests.  The client would
like to arrange to assess the content and format of their training
curriculum to make sure it meets the needs of not only this individual, but
other future candidates who may have dyslexia.

I have of course told my client that this is not my field of specialism, but
have offered to try and help them source an appropriate professional.  Does
any one out there know of a suitable expert in this field of practice? Any
advice or other suggestions much appreciated,

Nicola Curtis


.sophos.3.86.10.25.
~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BB3B.48AD0B42
Content-Type: text/html; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns=3D"http://www.w3.org/TR/REC-html40" xmlns:o =3D=20
"urn:schemas-microsoft-com:office:office" xmlns:w =3D=20
"urn:schemas-microsoft-com:office:word"><HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; charset=3Diso-8859-=
1">


<META content=3DWord.Document name=3DProgId>
<META content=3D"MSHTML 6.00.2800.1106" name=3DGENERATOR>
<META content=3D"Microsoft Word 10" name=3DOriginator><LINK=20
href=3D"cid:filelist.xml@01C4BAC6.9BE4A380" rel=3DFile-List><!--[if gte mso=
 9]><xml>=7F <o:OfficeDocumentSettings>=7F  <o:DoNotRelyOnCSS/>=7F </o:Offi=
ceDocumentSettings>=7F</xml><![endif]--><!--[if gte mso 9]><xml>=7F <w:Word=
Document>=7F  <w:SpellingState>Clean</w:SpellingState>=7F  <w:GrammarState>=
Clean</w:GrammarState>=7F  <w:DocumentKind>DocumentEmail</w:DocumentKind>=
=7F  <w:EnvelopeVis/>=7F  <w:Compatibility>=7F   <w:BreakWrappedTables/>=7F=
   <w:SnapToGridInCell/>=7F   <w:WrapTextWithPunct/>=7F   <w:UseAsianBreakR=
ules/>=7F   <w:UseFELayout/>=7F  </w:Compatibility>=7F  <w:BrowserLevel>Mic=
rosoftInternetExplorer4</w:BrowserLevel>=7F </w:WordDocument>=7F</xml><![en=
dif]-->
<STYLE>UNKNOWN {
        FONT-FAMILY: SimSun; panose-1: 2 1 6 0 3 1 1 1 1 1; mso-font-alt: &#23435;=
&#20307;; mso-font-charset: 134; mso-generic-font-family: auto; mso-font-pi=
tch: variable; mso-font-signature: 3 135135232 16 0 262145 0
}
UNKNOWN {
        FONT-FAMILY: "@SimSun"; panose-1: 2 1 6 0 3 1 1 1 1 1; mso-font-charset: 1=
34; mso-generic-font-family: auto; mso-font-pitch: variable; mso-font-signa=
ture: 3 135135232 16 0 262145 0
}
UNKNOWN {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; mso-=
style-parent: ""; mso-pagination: widow-orphan; mso-fareast-font-family: Si=
mSun
}
UNKNOWN {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
UNKNOWN {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
UNKNOWN {
        COLOR: windowtext; FONT-FAMILY: Arial; mso-style-type: personal-compose; m=
so-style-noshow: yes; mso-ansi-font-size: 10.0pt; mso-bidi-font-size: 10.0p=
t; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-fon=
t-family: Arial
}
UNKNOWN {
        mso-style-name: ""; mso-spl-e: yes
}
UNKNOWN {
        MARGIN: 72pt 90pt; size: 612.0pt 792.0pt; mso-header-margin: 35.4pt; mso-f=
ooter-margin: 35.4pt; mso-paper-source: 0
}
UNKNOWN {
        page: Section1
}
</STYLE>
<!--[if gte mso 10]>=7F<style>=7F /* Style Definitions */ =7F table.MsoNorm=
alTable=7F      {mso-style-name:"Table Normal";=7F      mso-tstyle-rowband-size:0;=7F=
        mso-tstyle-colband-size:0;=7F   mso-style-noshow:yes;=7F        mso-style-parent:""=
;=7F    mso-padding-alt:0cm 5.4pt 0cm 5.4pt;=7F mso-para-margin:0cm;=7F mso-pa=
ra-margin-bottom:.0001pt;=7F    mso-pagination:widow-orphan;=7F font-size:10.0=
pt;=7F  font-family:"Times New Roman";}=7F</style>=7F<![endif]--></HEAD>
<BODY lang=3DEN-TT style=3D"tab-interval: 36.0pt" vLink=3Dpurple link=3Dblu=
e>
<DIV><SPAN class=3D975560709-26102004><FONT face=3DArial color=3D#0000ff si=
ze=3D2>Same=20
as advised by Gill Kinselley, an assessment should be arranged with one of =
the=20
organisations identified (The Dyslexia Institute have several locations and=
 the=20
ADA is also very helpful) to give an idea of what the level of the problem =
is=20
and then a solution can be identified - and there are lots of solutions out=
 there to support people. Do remember the individual's input as they may ha=
ve=20
been using support at home or in a previous role.</FONT></SPAN></DIV>
<DIV><SPAN class=3D975560709-26102004><FONT face=3DArial color=3D#0000ff=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D975560709-26102004><FONT face=3DArial color=3D#0000ff=20
size=3D2>Regards</FONT></SPAN></DIV>
<DIV><SPAN class=3D975560709-26102004><FONT face=3DArial color=3D#0000ff=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D975560709-26102004>
<P><FONT face=3D"Abbey Light" color=3D#ff00ff size=3D5>Jackie Muir</FONT>&n=
bsp;<SPAN=20
class=3D975560709-26102004><FONT face=3D"Abbey Light" color=3D#ff00ff size=
=3D5>BA RGN=20
SP(OH) MIOSH</FONT></SPAN><BR><FONT face=3D"Abbey Light" size=3D5>Occupatio=
nal=20
Health Consultant (Technical<SPAN class=3D975560709-26102004>=20
Support</SPAN>)</FONT> <BR><FONT face=3D"Abbey Light" size=3D5>Occupational=
 Health=20
&amp; Safety </FONT><BR><FONT face=3D"Abbey Light" size=3D5>Abbey House</FO=
NT>=20
<BR><FONT face=3D"Abbey Light" size=3D5>AHM 406</FONT> <BR><FONT face=3D"Ab=
bey Light"=20
size=3D5>Tel: 01908-343184</FONT> <BR><FONT face=3D"Abbey Light" size=3D5>F=
ax:=20
01908-343855</FONT> <BR><FONT face=3DTahoma size=3D5>Mobile: 07703-517098</=
FONT>=20
<BR><FONT face=3DTahoma size=3D5>E-mail: [log in to unmask]</FONT>=20
</P></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT face=3DTah=
oma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> Nicky Curtis=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 25 October 2004=20
  19:13<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Educatio=
nal=20
  Psychologist<BR><BR></FONT></DIV>
  <DIV class=3DSection1>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: EN-GB">H=
ello<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: EN-GB"><=
o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: EN-GB">M=
y=20
  client has asked me to source an educational psychologist to assess the n=
eeds=20
  of an applicant who has failed the first part of a job related training=
   course.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>He has dyslexia a=
nd upon=20
  meeting with his mentor has identified that he felt he struggled with wri=
tten=20
  tests.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>The client would li=
ke to=20
  arrange to assess the content and format of their training curriculum to =
make=20
  sure it meets the needs of not only this individual, but other future=20
  candidates who may have dyslexia.<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: EN-GB"><=
o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: EN-GB">I=
 have=20
  of course told my client that this is not my field of <SPAN=20
  class=3DSpellE>specialism</SPAN>, but have offered to try and help them s=
ource=20
  an appropriate professional.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SP=
AN>Does=20
  any one out there know of a suitable expert in this field of practice? An=
y=20
  advice or other suggestions much appreciated,<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: EN-GB"><=
o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: EN-GB">N=
icola=20
  Curtis<o:p></o:p></SPAN></FONT></P></DIV><CODE><FONT=20
  size=3D3><BR><BR>.sophos.3.86.10.25.<BR></FONT></CODE>~~~~~~~~~~~~~~~ Ple=
ase=20
  remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE><CODE><FONT SIZ=
E=3D3><BR>
<BR>
Emails aren't always secure, and they may be intercepted or changed after t=
hey've been sent. Abbey doesn't accept liability if this happens. If you th=
ink someone may have interfered with this email, please get in touch with t=
he sender another way.<BR>
<BR>
This message doesn't create or change any contract. Abbey doesn't accept re=
sponsibility for damage caused by any viruses contained in this email or it=
s attachments. Emails may be monitored.<BR>
<BR>
If you've received this email by mistake, please let the sender know at onc=
e that it's gone to the wrong person and then destroy it without copying, u=
sing, or telling anyone about its contents.<BR>
<BR>
Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No=
. 3839455 are registered in England and have their Registered Offices at Ab=
bey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.<BR>
<BR>
Abbey National plc and Inscape Investments Limited are authorised and regul=
ated by the Financial Services Authority. Abbey National plc only advises o=
n its own life assurance, pension and collective investment scheme products=
. Inscape Investments Limited is a member of the Abbey Marketing Group and =
provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks =
of Abbey National plc. <BR>
</FONT></CODE>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BB3B.48AD0B42--

------_=_NextPart_000_01C4BB3B.48AD0B42
Content-Type: application/octet-stream;
        name="Muir, Jackie.vcf"
Content-Disposition: attachment;
        filename="Muir, Jackie.vcf"

BEGIN:VCARD
VERSION:2.1
N:Muir;Jackie
FN:Muir, Jackie
EMAIL;PREF;INTERNET:[log in to unmask]
REV:20040413T152512Z
END:VCARD

------_=_NextPart_000_01C4BB3B.48AD0B42--
=========================================================================
Date:         Tue, 26 Oct 2004 10:26:45 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: ear syringing and audio
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4BB3D.E9749F70"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4BB3D.E9749F70
Content-Type: text/plain;
        charset="iso-8859-1"

My understanding from my audiometry training is that audiometry is OK if you
can see 10% of the ear drum, otherwise send them to their GP for syringing
before performing audiometry.
Lynda

-----Original Message-----
From: Amanda Turner [mailto:[log in to unmask]]
Sent: Tuesday, October 26, 2004 9:54 AM
To: [log in to unmask]
Subject: ear syringing and audio



I have recently been shown a document which advocates ear syringing, if wax
is present, prior to audiometry.  I am sure that I have read some research
that indicates that syringing is not indicative pre audio and should only be
performed if the audiometry test results show a significant loss. (I hasten
to add ear syringing is not carried out within the Occ Health dept)  In
order to present my case does anyone know where I might find the information
required.

Many thanks

Amanda Turner


********  DISCLAIMER  ********

The contents and any attachments of this electronic mail message are
confidential and intended only for the named addressees.

Dissemination, forwarding, publication or other use of the message or
attachments by any unauthorised person is strictly prohibited. Unless stated
to the contrary, any opinions expressed in this message are personal and may
not be attributed to Grampian Country Food Group Limited or any Grampian
Country Food Group company.

Internet e-mails are not necessarily secure. Grampian Country Food Group
does not accept responsibility for changes made to this message after it was
sent.

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

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BB3D.E9749F70
Content-Type: text/html;
        charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">
<TITLE>ear syringing and audio</TITLE>

<META content="MSHTML 5.50.4943.2100" name=GENERATOR></HEAD>
<BODY>
<DIV><SPAN class=369543209-26102004><FONT face=Arial color=#0000ff size=2>My
understanding from my audiometry training is that audiometry is OK if you can
see 10% of the ear drum, otherwise send them to their GP for syringing before
performing audiometry.</FONT></SPAN></DIV>
<DIV><SPAN class=369543209-26102004><FONT face=Arial color=#0000ff
size=2>Lynda</FONT></SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> Amanda Turner
  [mailto:[log in to unmask]]<BR><B>Sent:</B> Tuesday, October 26, 2004 9:54
  AM<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> ear syringing
  and audio<BR><BR></FONT></DIV>
  <P><FONT face=Arial size=2>I have recently been shown a document which
  advocates ear syringing, if wax is present, prior to audiometry.&nbsp; I am
  sure that I have read some research that indicates that syringing is not
  indicative pre audio and should only be performed if the audiometry test
  results show a significant loss. (I hasten to add ear syringing is not carried
  out within the Occ Health dept)&nbsp; In order to present my case does anyone
  know where I might find the information required.</FONT></P>
  <P><FONT face=Arial size=2>Many thanks</FONT> </P>
  <P><FONT face=Arial size=2>Amanda Turner</FONT> </P><BR>
  <P><B><FONT face=Arial size=2>********&nbsp; DISCLAIMER&nbsp; ********
  </FONT></B></P>
  <P><B><FONT face=Arial size=2>The contents and any attachments of this
  electronic mail message are confidential and intended only for the named
  addressees.</FONT></B></P>
  <P><B><FONT face=Arial size=2>Dissemination, forwarding, publication or other
  use of the message or attachments by any unauthorised person is strictly
  prohibited. Unless stated to the contrary, any opinions expressed in this
  message are personal and may not be attributed to Grampian Country Food Group
  Limited or any Grampian Country Food Group company.</FONT></B></P>
  <P><B><FONT face=Arial size=2>Internet e-mails are not necessarily secure.
  Grampian Country Food Group does not accept responsibility for changes made to
  this message after it was sent. </FONT></B></P>
  <P><B><FONT face=Arial size=2>***********************************
  </FONT></B></P>~~~~~~~~~~~~~~~ Please remove this footer before replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BB3D.E9749F70--
=========================================================================
Date:         Tue, 26 Oct 2004 10:34:24 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandra Edwards <[log in to unmask]>
Subject:      Re: Educational Psychologist
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4BB3E.FAD803E6"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4BB3E.FAD803E6
Content-Type: text/plain;
        charset="iso-8859-1"

Hello Nicky,

A most useful company to contact is a company called REMPLOY Interwork, they
provide a service that is designed to provide practical advice and support
in situations where health or disability factors seriously affect a persons
ability to continue in their job. They will work with the employee, HR and
management to give the most appropriate recommendations.

The contact number to find an advisor in your area is 0845 845 2211 or
Email: [log in to unmask] <mailto:[log in to unmask]>

Best regards,

Sandra Elizabeth Edwards
Occupational Health Advisor
Employee Health and Well Being Service

-----Original Message-----
From: Aziz, Bashyr [mailto:[log in to unmask]]
Sent: Tuesday, October 26, 2004 8:33 AM
To: [log in to unmask]
Subject: Re: Educational Psychologist


Hi Nicky
Try accessing one through your local Disability Employment Advisor, whom you
should be able to contact through Employment Services.

Bashyr Aziz
-----Original Message-----
From: Nicky Curtis [mailto:[log in to unmask]]
Sent: 25 October 2004 19:13
To: [log in to unmask]
Subject: Educational Psychologist


   My client has asked me to source an educational psychologist to assess
the needs of an applicant who has failed the first part of a job related
training course.  He has dyslexia and upon meeting with his mentor has
identified that he felt he struggled with written tests.  The client would
like to arrange to assess the content and format of their training
curriculum to make sure it meets the needs of not only this individual, but
other future candidates who may have dyslexia.

~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BB3E.FAD803E6
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns=3D"http://www.w3.org/TR/REC-html40" xmlns:o =3D=20
"urn:schemas-microsoft-com:office:office" xmlns:w =3D=20
"urn:schemas-microsoft-com:office:word"><HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<META content=3DWord.Document name=3DProgId>
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<META content=3D"Microsoft Word 10" name=3DOriginator><LINK=20
href=3D"cid:filelist.xml@01C4BAC6.9BE4A380" rel=3DFile-List><!--[if gte =
mso 9]><xml>=7F <o:OfficeDocumentSettings>=7F  <o:DoNotRelyOnCSS/>=7F =
</o:OfficeDocumentSettings>=7F</xml><![endif]--><!--[if gte mso =
9]><xml>=7F <w:WordDocument>=7F  =
<w:SpellingState>Clean</w:SpellingState>=7F  =
<w:GrammarState>Clean</w:GrammarState>=7F  =
<w:DocumentKind>DocumentEmail</w:DocumentKind>=7F  <w:EnvelopeVis/>=7F  =
<w:Compatibility>=7F   <w:BreakWrappedTables/>=7F   =
<w:SnapToGridInCell/>=7F   <w:WrapTextWithPunct/>=7F   =
<w:UseAsianBreakRules/>=7F   <w:UseFELayout/>=7F  </w:Compatibility>=7F =
 <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>=7F =
</w:WordDocument>=7F</xml><![endif]-->
<STYLE>UNKNOWN {
        FONT-FAMILY: SimSun; panose-1: 2 1 6 0 3 1 1 1 1 1; =
mso-font-alt: &#23435;&#20307;; mso-font-charset: 134; =
mso-generic-font-family: auto; mso-font-pitch: variable; =
mso-font-signature: 3 135135232 16 0 262145 0
}
UNKNOWN {
        FONT-FAMILY: "@SimSun"; panose-1: 2 1 6 0 3 1 1 1 1 1; =
mso-font-charset: 134; mso-generic-font-family: auto; mso-font-pitch: =
variable; mso-font-signature: 3 135135232 16 0 262145 0
}
UNKNOWN {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New =
Roman"; mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: SimSun
}
UNKNOWN {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
UNKNOWN {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: =
single
}
UNKNOWN {
        COLOR: windowtext; FONT-FAMILY: Arial; mso-style-type: =
personal-compose; mso-style-noshow: yes; mso-ansi-font-size: 10.0pt; =
mso-bidi-font-size: 10.0pt; mso-ascii-font-family: Arial; =
mso-hansi-font-family: Arial; mso-bidi-font-family: Arial
}
UNKNOWN {
        mso-style-name: ""; mso-spl-e: yes
}
UNKNOWN {
        MARGIN: 72pt 90pt; size: 612.0pt 792.0pt; mso-header-margin: =
35.4pt; mso-footer-margin: 35.4pt; mso-paper-source: 0
}
UNKNOWN {
        page: Section1
}
</STYLE>
<!--[if gte mso 10]>=7F<style>=7F /* Style Definitions */ =7F =
table.MsoNormalTable=7F {mso-style-name:"Table Normal";=7F      =
mso-tstyle-rowband-size:0;=7F   mso-tstyle-colband-size:0;=7F   =
mso-style-noshow:yes;=7F        mso-style-parent:"";=7F =
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;=7F     mso-para-margin:0cm;=7F =
mso-para-margin-bottom:.0001pt;=7F      mso-pagination:widow-orphan;=7F =
font-size:10.0pt;=7F    font-family:"Times New =
Roman";}=7F</style>=7F<![endif]--></HEAD>
<BODY lang=3DEN-TT style=3D"tab-interval: 36.0pt" vLink=3Dpurple =
link=3Dblue>
<DIV><FONT face=3D"Calisto MT" color=3D#800080 size=3D4><SPAN=20
class=3D790301809-26102004>Hello Nicky, </SPAN></FONT></DIV>
<DIV><FONT face=3D"Calisto MT" color=3D#800080 size=3D4><SPAN=20
class=3D790301809-26102004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Calisto MT" color=3D#800080 size=3D4><SPAN=20
class=3D790301809-26102004>A most useful company to contact is a =
company called=20
REMPLOY Interwork, they provide a service that is designed to provide =
practical=20
advice and support in situations where health or disability factors =
seriously=20
affect a persons ability to continue in their job. They will work with =
the=20
employee, HR and management to give the most appropriate =
recommendations.=20
</SPAN></FONT></DIV>
<DIV><FONT face=3D"Calisto MT" color=3D#800080 size=3D4><SPAN=20
class=3D790301809-26102004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Calisto MT" color=3D#800080 size=3D4><SPAN=20
class=3D790301809-26102004>The contact number to find an advisor in =
your area is=20
0845 845 2211 or Email: <A=20
href=3D"mailto:[log in to unmask]">[log in to unmask]</A></SPAN></=
FONT></DIV>
<DIV>&nbsp;</DIV>
<P><FONT face=3DAlgerian color=3D#800080>Best regards,</FONT> </P><BR>
<P><FONT face=3DAlgerian color=3D#800080>Sandra Elizabeth =
Edwards</FONT> <BR><FONT=20
face=3DAlgerian color=3D#800080>Occupational Health Advisor</FONT> </P>
<P><FONT face=3DAlgerian color=3D#800080>Employee Health and Well Being =

Service</FONT> <BR></P>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> Aziz, Bashyr=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> Tuesday, October 26, 2004 =
8:33=20
  AM<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
Educational=20
  Psychologist<BR><BR></FONT></DIV>
  <DIV><SPAN class=3D750253107-26102004><FONT face=3DArial =
color=3D#0000ff size=3D2>Hi=20
  Nicky</FONT></SPAN></DIV>
  <DIV><SPAN class=3D750253107-26102004><FONT face=3DArial =
color=3D#0000ff size=3D2>Try=20
  accessing one through your local Disability Employment Advisor, whom =
you=20
  should be able to contact through Employment =
Services.</FONT></SPAN></DIV>
  <DIV>&nbsp;</DIV>
  <P><B><FONT face=3DArial color=3D#0000ff>Bashyr=20
  =
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;</FONT></B>&nbsp;<FONT=20
  face=3DArial color=3D#0000ff><SPAN =
class=3D750253107-26102004><STRONG>=20
  </STRONG></SPAN></FONT></P>
  <P><FONT face=3DArial color=3D#0000ff><SPAN=20
  class=3D750253107-26102004></SPAN></FONT><FONT face=3DTahoma =
size=3D2>-----Original=20
  Message-----<BR><B>From:</B> Nicky Curtis=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 25 October 2004=20
  19:13<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Educational=20
  Psychologist<BR><BR></P></FONT>
  <BLOCKQUOTE dir=3Dltr=20
  style=3D"PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #0000ff =
2px solid; MARGIN-RIGHT: 0px">
    <DIV class=3DSection1>
    <P class=3DMsoNormal><FONT color=3D#0000ff><SPAN lang=3DEN-GB=20
    style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: =
EN-GB"><SPAN=20
    class=3D750253107-26102004>&nbsp; &nbsp;</SPAN></SPAN></FONT><SPAN =
lang=3DEN-GB=20
    style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: =
EN-GB">My=20
    client has asked me to source an educational psychologist to assess =
the=20
    needs of an applicant who has failed the first part of a job =
related=20
    training course.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>He =
has=20
    dyslexia and upon meeting with his mentor has identified that he =
felt he=20
    struggled with written tests.<SPAN style=3D"mso-spacerun: =
yes">&nbsp;=20
    </SPAN>The client would like to arrange to assess the content and =
format of=20
    their training curriculum to make sure it meets the needs of not =
only this=20
    individual, but other future candidates who may have=20
    dyslexia.<o:p></o:p></SPAN></P>
    <P class=3DMsoNormal><FONT face=3DArial size=3D2><SPAN lang=3DEN-GB =

    style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: =
EN-GB"><o:p>&nbsp;</o:p></SPAN></FONT><SPAN=20
    lang=3DEN-GB=20
    style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-ansi-language: =
EN-GB"><SPAN=20
    class=3D750253107-26102004><FONT=20
    =
color=3D#0000ff>&nbsp;</FONT></SPAN></SPAN></P></DIV></BLOCKQUOTE>~~~~~~=
~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BB3E.FAD803E6--
=========================================================================
Date:         Tue, 26 Oct 2004 10:48:58 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jeanette Hogg <[log in to unmask]>
Subject:      prescribing

Thanks to everyone for your responses about prescribing.  I appreciate
everyone's view on this but would just like to highlight a few issues.
Prescribing is not just about writing a script - that's the easy bit. If
its one thing that the course taught me its that we should keep focus on
our nursing clinical skills and knowledge. During consultation if we advise
regarding medication, treatment options and or distribute under PGD's or
standing orders we are effectively prescribing and are accountable for
those decisions and the advice given to the patient. So we should be
keeping up to date with drugs and medications that we come across as
advsiors/nurses. The course greatly enhanced my understanding of how
medicines affect patient outcomes, improved my consultation skills by an
increased knowledge into pharmocology and pharmacokinetics.  How many
patient's do we see on pain control, antidepressants etc. Do we really know
enough about that treatment and it's effects to aid our decisions on how
and when clients will respond effectively and acheive a return to good
health? We are community/primary care workers in many ways and I have a far
better rappor with GP's because I understand to some extent their treatment
regimes and options for their patients and work with them.

When do we need an occupational physician? Usually when diagnosis,
medicines, investigations etc are involved in case management.I don't think
we can categorically say that prescribing is not for us as advisors because
if we do we are missing out on the development of nursing roles which are
rapidly moving forward in terms of clinical skills that we rely on
physicians for. So to dismiss this development will leave us behind in the
nursing world.  There are many experienced and highly clinically skilled
nurse practitioners out there who work in primary care and could very
easily move into occupational health. Its not about replacing physicians,
but I do feel we need to keep up and be more effective - a qualification in
Occhealth alone may not be enough. Medicines management is part of that
nursing even in an advisory capacity. Just food for thought.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 26 Oct 2004 11:09:37 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Evans, Catherine" <[log in to unmask]>
Subject:      Re: prescribing
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Jeanette, I share your views and support the benefits of nurse =
prescribing courses. Writing the prescription is not the be all and end =
all of prescribing. The knowledge base informing the rationale of =
treatment regimens improves clinical care & management and can enhance =
patient understanding and concordance when used effectively. I'm =
certainly glad to have completed the course.=20
Cath Evans (Student Health Services - LJMU)

-----Original Message-----
From: Jeanette Hogg [mailto:[log in to unmask]]
Sent: 26 October 2004 10:49
To: [log in to unmask]
Subject: prescribing


Thanks to everyone for your responses about prescribing.  I appreciate
everyone's view on this but would just like to highlight a few issues.
Prescribing is not just about writing a script - that's the easy bit. If
its one thing that the course taught me its that we should keep focus on
our nursing clinical skills and knowledge. During consultation if we =
advise
regarding medication, treatment options and or distribute under PGD's or
standing orders we are effectively prescribing and are accountable for
those decisions and the advice given to the patient. So we should be
keeping up to date with drugs and medications that we come across as
advsiors/nurses. The course greatly enhanced my understanding of how
medicines affect patient outcomes, improved my consultation skills by an
increased knowledge into pharmocology and pharmacokinetics.  How many
patient's do we see on pain control, antidepressants etc. Do we really =
know
enough about that treatment and it's effects to aid our decisions on how
and when clients will respond effectively and acheive a return to good
health? We are community/primary care workers in many ways and I have a =
far
better rappor with GP's because I understand to some extent their =
treatment
regimes and options for their patients and work with them.

When do we need an occupational physician? Usually when diagnosis,
medicines, investigations etc are involved in case management.I don't =
think
we can categorically say that prescribing is not for us as advisors =
because
if we do we are missing out on the development of nursing roles which =
are
rapidly moving forward in terms of clinical skills that we rely on
physicians for. So to dismiss this development will leave us behind in =
the
nursing world.  There are many experienced and highly clinically skilled
nurse practitioners out there who work in primary care and could very
easily move into occupational health. Its not about replacing =
physicians,
but I do feel we need to keep up and be more effective - a qualification =
in
Occhealth alone may not be enough. Medicines management is part of that
nursing even in an advisory capacity. Just food for thought.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 26 Oct 2004 11:35:15 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         SBlair <[log in to unmask]>
Subject:      Re: re : Insomia
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="--=_NextPart_ST_11_31_23_Tuesday_October_26_2004_15284"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

----=_NextPart_ST_11_31_23_Tuesday_October_26_2004_15284
Content-Type: text/plain;
        charset="iso-8859-1"

Another source of information is The Royal College of Psychiatrists.
www.rcpsych.ac.uk/info/help/sleep/index.htm
<http://www.rcpsych.ac.uk/info/help/sleep/index.htm>

-----Original Message-----
From: Fearnley Debbie (RBT) Mid Cheshire Tr
[mailto:[log in to unmask]]
Sent: 25 October 2004 16:14
To: [log in to unmask]
Subject: re : Insomia




Does anyone know of any organisation/clinic etc who are offering services to
help those will sleep disorders?
Regards
Debbie

Debbie Fearnley
Head of Occupational Health
Mid Cheshire Hospitals NHS Trust
Leighton Hospital
Middlewich Road
Crewe
Cheshire
CW2 5ED

Telephone: 01270 612372
Fax: 01270 612372


Important Notice

If you have received this e-mail in error, please notify the sender and
delete the e-mail and all attachments immediately. This e-mail (including
any attachments) may contain confidential and/or privileged information. If
you are not the intended recipient, any reliance on, use, disclosure,
dissemination, distribution or copying of this e-mail or attachments is
strictly prohibited. Mid Cheshire Hospitals NHS Trust has checked for
viruses but the contents of an attachment may still contain software
viruses, which could damage your computer system. Mid Cheshire Hospitals NHS
Trust does not accept liability for any damage you sustain as a result of a
virus introduced by this e-mail or any attachment and you are advised to use
up-to-date virus checking software. E-mail transmission cannot be guaranteed
to be secure or error free.

This e-mail is not intended, nor should it be taken to create any legal
relations, contractual or otherwise. Any views or opinions expressed within
this e-mail or attachment are solely those of the sender, and do not
necessarily represent those of Mid Cheshire Hospitals NHS Trust, unless
otherwise specifically stated. If verification is required, please request a
hard copy version. Mid Cheshire Hospitals NHS Trust is not bound by or
liable for any opinion, contractor or offer to contract expressed in any
e-mail.


~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


-----------------------------------------------------------------------
John Heathcoat and Company Ltd is registered in England No. 450787.
Registered Office: Westexe, Tiverton, Devon EX16 5LL.

This email is confidential and intended solely for the use of the
individual to whom it is addressed. Any views or opinions presented
are solely those of the author and do not necessarily represent those
of John Heathcoat and Company Ltd. If you are not the intended
recipient and have received this email in error, any use, dissemination,
forwarding, printing or copying of this email is strictly prohibited.
------------------------------------------------------------------------

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

----=_NextPart_ST_11_31_23_Tuesday_October_26_2004_15284
Content-Type: text/html;
        charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">
<TITLE>re : Insomia</TITLE>

<META content="MSHTML 5.00.2919.6307" name=GENERATOR></HEAD>
<BODY>
<DIV><FONT color=#0000ff face=Arial size=2><SPAN
class=920084610-26102004>Another source of information is The Royal College of
Psychiatrists. <A
href="http://www.rcpsych.ac.uk/info/help/sleep/index.htm">www.rcpsych.ac.uk/info/help/sleep/index.htm</A></SPAN></FONT></DIV>
<BLOCKQUOTE style="MARGIN-RIGHT: 0px">
  <DIV align=left class=OutlookMessageHeader dir=ltr><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> Fearnley Debbie (RBT) Mid
  Cheshire Tr [mailto:[log in to unmask]]<BR><B>Sent:</B> 25 October
  2004 16:14<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> re :
  Insomia<BR><BR></DIV></FONT><!-- Converted from text/rtf format --><BR>
  <P><FONT face=Arial size=2>Does anyone know of any organisation/clinic etc who
  are offering services to help those will sleep disorders?</FONT> <BR><FONT
  face=Arial size=2>Regards</FONT> <BR><FONT face=Arial size=2>Debbie</FONT>
</P>
  <P><FONT face=Arial size=2>Debbie Fearnley</FONT> <BR><FONT face=Arial
  size=2>Head of Occupational Health</FONT> <BR><FONT face=Arial size=2>Mid
  Cheshire Hospitals NHS Trust</FONT> <BR><FONT face=Arial size=2>Leighton
  Hospital</FONT> <BR><FONT face=Arial size=2>Middlewich Road</FONT> <BR><FONT
  face=Arial size=2>Crewe</FONT> <BR><FONT face=Arial size=2>Cheshire</FONT>
  <BR><FONT face=Arial size=2>CW2 5ED</FONT> </P>
  <P><FONT face=Arial size=2>Telephone: 01270 612372</FONT> <BR><FONT face=Arial
  size=2>Fax: 01270 612372</FONT> </P><BR>
  <P><U><B><I><FONT face=Arial size=2>Important Notice</FONT></I></B></U> </P>
  <P><FONT face=Arial size=2>If you have received this e-mail in error, please
  notify the sender and delete the e-mail and all attachments immediately. This
  e-mail (including any attachments) may contain confidential and/or privileged
  information. If you are not the intended recipient, any reliance on, use,
  disclosure, dissemination, distribution or copying of this e-mail or
  attachments is strictly prohibited. Mid Cheshire Hospitals NHS Trust has
  checked for viruses but the contents of an attachment may still contain
  software viruses, which could damage your computer system. Mid Cheshire
  Hospitals NHS Trust does not accept liability for any damage you sustain as a
  result of a virus introduced by this e-mail or any attachment and you are
  advised to use up-to-date virus checking software. E-mail transmission cannot
  be guaranteed to be secure or error free.</FONT></P>
  <P><FONT face=Arial size=2>This e-mail is not intended, nor should it be taken
  to create any legal relations, contractual or otherwise. Any views or opinions
  expressed within this e-mail or attachment are solely those of the sender, and
  do not necessarily represent those of Mid Cheshire Hospitals NHS Trust, unless
  otherwise specifically stated. If verification is required, please request a
  hard copy version. Mid Cheshire Hospitals NHS Trust is not bound by or liable
  for any opinion, contractor or offer to contract expressed in any e-mail.
  </FONT></P><BR>~~~~~~~~~~~~~~~ Please remove this footer before replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE><br><br>-----------------------------------------------------------------------<br>John Heathcoat and Company Ltd is registered in England No. 450787.<br>Registered Office: Westexe, Tiverton, Devon EX16 5LL.<br><br>This email is confidential and intended solely for the use of the <br>individual to whom it is addressed. Any views or opinions presented<br>are solely those of the author and do not necessarily represent those<br>of John Heathcoat and Company Ltd. If you are not the intended <br>recipient and have received this email in error, any use, dissemination,<br>forwarding, printing or copying of this email is strictly prohibited.<br>------------------------------------------------------------------------<br></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

----=_NextPart_ST_11_31_23_Tuesday_October_26_2004_15284--
=========================================================================
Date:         Tue, 26 Oct 2004 11:44:20 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Bray, Charlotte" <[log in to unmask]>
Subject:      Recall system for Travel Vaccinations
MIME-Version: 1.0
Content-Type: text/plain
Content-Transfer-Encoding: 7bit

Dear List,

I have been asked to provide a recall system for all our employees who have
travel vaccinations.
Has anybody else ever been asked to provide such a service?
I am trying to avoid implementing this as I think the onus needs to be on
the individual to take responsibility for their own health.
Any thoughts or comments to build my argument would be appreciated.

Many Thanks
Charlotte

Occupational Health Manager
7 th Floor Lehman Brothers
Tel ; 0207 102 8628


------------------------------------------------------------------------------
This message is intended only for the personal and confidential use of the
designated recipient(s) named above.  If you are not the intended recipient of
this message you are hereby notified that any review, dissemination,
distribution or copying of this message is strictly prohibited.  This
communication is for information purposes only and should not be regarded as
an offer to sell or as a solicitation of an offer to buy any financial
product, an official confirmation of any transaction, or as an official
statement of Lehman Brothers.  Email transmission cannot be guaranteed to be
secure or error-free.  Therefore, we do not represent that this information is
complete or accurate and it should not be relied upon as such.  All
information is subject to change without notice.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 26 Oct 2004 11:05:22 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "SURGERY, GBR-Sutton" <[log in to unmask]>
Subject:      Manual handling
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Dear members

Myself and two other work colleagues have recently attended a Manual
Handling Trainer and Assessors course.  We are now in the process of
developing a manual handling training course for our employees using a
PowerPoint presentation and practical sessions.
Are any of you involved in this and if so would you be happy to share any
information on the content of your sessions?

Regards

Jill Rossiter

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 26 Oct 2004 12:09:54 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Clayton.Mary" <[log in to unmask]>
Subject:      Re: Recall system for Travel Vaccinations
MIME-Version: 1.0
Content-Type: text/plain

I have managed such a recall list in a previous employment. It applied only
to those employees who were required to travel on business and where
vaccination was identified as part of the risk assessment. However the
responsibility to attend for booster/additional vaccination remained with
the employee. Hope this helps.

Mary



-----Original Message-----
From: Bray, Charlotte [mailto:[log in to unmask]]
Sent: 26 October 2004 11:44
To: [log in to unmask]
Subject: Recall system for Travel Vaccinations

Dear List,

I have been asked to provide a recall system for all our employees who have
travel vaccinations.
Has anybody else ever been asked to provide such a service?
I am trying to avoid implementing this as I think the onus needs to be on
the individual to take responsibility for their own health.
Any thoughts or comments to build my argument would be appreciated.

Many Thanks
Charlotte

Occupational Health Manager
7 th Floor Lehman Brothers
Tel ; 0207 102 8628


----------------------------------------------------------------------------
--
This message is intended only for the personal and confidential use of the
designated recipient(s) named above.  If you are not the intended recipient
of
this message you are hereby notified that any review, dissemination,
distribution or copying of this message is strictly prohibited.  This
communication is for information purposes only and should not be regarded as
an offer to sell or as a solicitation of an offer to buy any financial
product, an official confirmation of any transaction, or as an official
statement of Lehman Brothers.  Email transmission cannot be guaranteed to be
secure or error-free.  Therefore, we do not represent that this information
is
complete or accurate and it should not be relied upon as such.  All
information is subject to change without notice.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 26 Oct 2004 15:52:14 +0200
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Catherine Cross <[log in to unmask]>
Subject:      Re: ear syringing and audio
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_13205_20399020.1098798734397"

------=_Part_13205_20399020.1098798734397
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

Amanda
I have just attended an audiometry course and the Audiologist did not advocate ear syringing saying it could cause more problems, you could not guarantee everyone was doing it correctly or safely.   They did advocate the use of ear drops or olive oil and if you could see 10% of the ear drum it was down to the individual practitioner if they wanted to test or not.
Cate




========================================
Message date : Oct 26 2004, 10:27 AM
From : "Hawkes, Lynda"

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 26 Oct 2004 15:00:23 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Nicola Johns <[log in to unmask]>
Subject:      Re: Manual handling
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

Hi,
I have recently attended a "Client Handling Trainer's Course", which
incorporated both Client & Manual Handling. I would be interested and
quite happy to share information regarding this.

Regards

Nicky Johns =20

-----Original Message-----
From: SURGERY, GBR-Sutton [mailto:[log in to unmask]]=20
Sent: 26 October 2004 11:05
To: [log in to unmask]
Subject: Manual handling


Dear members

Myself and two other work colleagues have recently attended a Manual
Handling Trainer and Assessors course.  We are now in the process of
developing a manual handling training course for our employees using a
PowerPoint presentation and practical sessions.
Are any of you involved in this and if so would you be happy to share
any
information on the content of your sessions?

Regards

Jill Rossiter

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


Swansea College=0ATycoch Road, Tycoch, Swansea. SA2 9EB=0Awebsite: http:/=
/www.swancoll.ac.uk=0A***************************************************=
*************************************************************************=
**************=0AThe information contained in this message is intended fo=
r the addressee only and may contain confidential and/or =0Aprivileged in=
formation. If you are not the addressee, please delete this message and n=
otify the sender; you should not=0Acopy or distribute this message or dis=
close its contents to anyone without the express permission of the author=
 who =0Ais the copyright holder.=0A**************************************=
*************************************************************************=
***************************=0A

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 26 Oct 2004 15:21:21 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Prout, Kleea" <[log in to unmask]>
Subject:      Re: Recall system for Travel Vaccinations
MIME-Version: 1.0
Content-Type: text/plain

Before reading this message, please check that it is addressed to you.
If not, you should delete it immediately as its contents may be confidential
and its disclosure, copying or distribution unlawful.

C. &  J. Clark International Limited takes steps to prevent the transmission
of electronic viruses but responsibility for screening incoming messages and
the risk of such transmission lies with the recipient.

C. &  J. Clark International Limited Registered Office:
40 High Street, Street, Somerset BA16 0YA.
Registered in England and Wales Company No. 141015
________________________________________

Charlotte
Although the onus is on the individual to take responsibility for their own
health, the buck stops with the employer if the correct policies and
procedures are not in place to protect employees.
I think the Employer should make it clear to all concerned where their
responsibilities lie, otherwise you will spend your life chasing after
individuals and that is not a cost effective exercise for OH!

We have a policy on 'Management of Travel Safety & Health', outlining the
responsibilities of Directors, Managers, OH and Employees.

Employees have to see OH each time before they travel outside of Europe.
Employees are issued with a vaccination history card at the first visit,
containing the due date of boosters. This is when it becomes their
responsibility to ensure they keep their immunisation up to date.

They also have to comply with any instructions or precautionary measures
associated with business travel introduced by the company to safeguard their
health and safety
They are not allowed to take part in high risk leisure activities while on
company business etc etc.

Good Luck!

Kleea Prout
C & J Clark International



-----Original Message-----
From: Bray, Charlotte [mailto:[log in to unmask]]
Sent: 26 October 2004 11:44
To: [log in to unmask]
Subject: Recall system for Travel Vaccinations

Dear List,

I have been asked to provide a recall system for all our employees who have
travel vaccinations.
Has anybody else ever been asked to provide such a service?
I am trying to avoid implementing this as I think the onus needs to be on
the individual to take responsibility for their own health.
Any thoughts or comments to build my argument would be appreciated.

Many Thanks
Charlotte

Occupational Health Manager
7 th Floor Lehman Brothers
Tel ; 0207 102 8628

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 26 Oct 2004 15:25:00 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: prescribing
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_000F_01C4BB6F.F55D8F90"

This is a multi-part message in MIME format.

------=_NextPart_000_000F_01C4BB6F.F55D8F90
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

I am very interested in your views and rationale for nurse prescribing =
in occupational health especially as during the 90s OH people at the RCN =
fought to stop the nurse prescribing module being a compulsory module of =
the OH degree course - it was supported by the (practicing) OH nurses on =
the curriculum development group. This was at the time when OH nurses =
and the first ever Nurse Practitioner courses were running in tandem =
under the direction of Barbara Stillwell, who pioneered nurse =
practitioners in the UK. Nurse practitioners are vital to today's =
primary and community care, however, OH nurses are not nurse =
practitioners. I definitely agree that we should keep up-to-date in =
every aspect of practice that we use in OH and should understand =
treatment regimes, it is an NMC and professional requirement to do so - =
but it is not necessary to study a specific pharmacology/nurse =
prescribing course to do this.

I am concerned too that you comment about the need for an OH physician =
and I wonder if you are suggesting that we should take on their role? To =
me nursing and medicine are two distinct professions which complement =
each other. However, I am not saying that nurses should not prescribe =
but there has to be a distinct need to do so, particularly in OH.  It =
would be awful to think that nurse prescribing was a 'development' of =
nursing practice. To me it would be a return to the days of yesteryear =
when OH departments kept a pharmacy stock - e.g. Ford motor Co.OH dept. =
kept 250 medicines ranging from antibiotics to antidepressants not to =
mention digoxin!! A well known sweet manufacturer from another planet =
kept about the same. How do I know this - I actually did my dissertation =
at the time on the use of medicines in OH.

Jan Maw said it all (OH Feb 04) 'If OHNs are to embrace nurse =
prescribing alongside their nursing colleagues greater evidence is =
needed to support the benefit's . At the moment there is no evidence =
base to support the practice. I believe we should be considering the =
ways in which we can obtain the evidence before we go down this road.

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


----- Original Message -----=20
From: "Jeanette Hogg" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, October 26, 2004 10:48 AM
Subject: prescribing


> Thanks to everyone for your responses about prescribing.  I appreciate
> everyone's view on this but would just like to highlight a few issues.
> Prescribing is not just about writing a script - that's the easy bit. =
If
> its one thing that the course taught me its that we should keep focus =
on
> our nursing clinical skills and knowledge. During consultation if we =
advise
> regarding medication, treatment options and or distribute under PGD's =
or
> standing orders we are effectively prescribing and are accountable for
> those decisions and the advice given to the patient. So we should be
> keeping up to date with drugs and medications that we come across as
> advsiors/nurses. The course greatly enhanced my understanding of how
> medicines affect patient outcomes, improved my consultation skills by =
an
> increased knowledge into pharmocology and pharmacokinetics.  How many
> patient's do we see on pain control, antidepressants etc. Do we really =
know
> enough about that treatment and it's effects to aid our decisions on =
how
> and when clients will respond effectively and acheive a return to good
> health? We are community/primary care workers in many ways and I have =
a far
> better rappor with GP's because I understand to some extent their =
treatment
> regimes and options for their patients and work with them.
>=20
> When do we need an occupational physician? Usually when diagnosis,
> medicines, investigations etc are involved in case management.I don't =
think
> we can categorically say that prescribing is not for us as advisors =
because
> if we do we are missing out on the development of nursing roles which =
are
> rapidly moving forward in terms of clinical skills that we rely on
> physicians for. So to dismiss this development will leave us behind in =
the
> nursing world.  There are many experienced and highly clinically =
skilled
> nurse practitioners out there who work in primary care and could very
> easily move into occupational health. Its not about replacing =
physicians,
> but I do feel we need to keep up and be more effective - a =
qualification in
> Occhealth alone may not be enough. Medicines management is part of =
that
> nursing even in an advisory capacity. Just food for thought.
>=20
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>=20
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>=20
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_000F_01C4BB6F.F55D8F90
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dwindows-1252">
<META content=3D"MSHTML 6.00.2800.1476" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY>
<DIV><FONT size=3D2>I am very interested in your views and rationale for =
nurse=20
prescribing in occupational health especially as during the 90s OH =
people at the=20
RCN fought to stop the nurse prescribing module being a compulsory =
module of the=20
OH degree course - it was supported by the (practicing) OH nurses on the =

curriculum development group. This was at the time when OH nurses and =
the first=20
ever Nurse Practitioner courses were running in tandem under the =
direction of=20
Barbara Stillwell, who pioneered nurse practitioners in the UK. Nurse=20
practitioners are vital to today's primary and community care, however, =
OH=20
nurses are not nurse practitioners.&nbsp;I&nbsp;definitely agree that we =
should=20
keep up-to-date in every aspect of practice that we use&nbsp;in OH and =
should=20
understand treatment regimes, it is an NMC and professional requirement =
to do=20
so&nbsp;- but it is not necessary to study a specific pharmacology/nurse =

prescribing course to do this.</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>I am concerned too that you comment about the need =
for an OH=20
physician and I wonder if you are suggesting that we should take on =
their role?=20
To me nursing and medicine are two distinct professions which complement =
each=20
other. However, I am not saying that nurses should not prescribe but =
there has=20
to be a distinct need to do so, particularly in OH. &nbsp;It would be =
awful to=20
think&nbsp;that nurse prescribing was a 'development' of nursing =
practice. To me=20
it would be a&nbsp;return to the days of yesteryear when OH departments =
kept a=20
pharmacy stock - e.g. Ford motor Co.OH dept.&nbsp;kept 250 medicines =
ranging=20
from antibiotics to antidepressants not to mention digoxin!! A well =
known sweet=20
manufacturer from another planet kept about the same. How do I know this =
- I=20
actually did my dissertation at the time on the use of&nbsp;medicines in =

OH.</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Jan Maw said it all (OH Feb 04) <EM>'If OHNs are to =
embrace=20
nurse prescribing alongside their nursing colleagues greater evidence is =
needed=20
to support the benefit's </EM>. At the moment there is no evidence base =
to=20
support the practice. I believe we should be considering the ways in =
which we=20
can obtain the evidence before we go down this road.</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health =
&amp;=20
Education<BR>Consultant Editor, OH Journal<BR><A=20
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>----- Original Message ----- </FONT>
<DIV><FONT size=3D2>From: "Jeanette Hogg" &lt;</FONT><A=20
href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
<DIV><FONT size=3D2>To: &lt;</FONT><A=20
href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
<DIV><FONT size=3D2>Sent: Tuesday, October 26, 2004 10:48 =
AM</FONT></DIV>
<DIV><FONT size=3D2>Subject: prescribing</FONT></DIV></DIV>
<DIV><FONT size=3D2><BR></FONT></DIV>
<DIV><FONT size=3D2>&gt; Thanks to everyone for your responses about=20
prescribing.&nbsp; I appreciate<BR>&gt; everyone's view on this but =
would just=20
like to highlight a few issues.<BR>&gt; Prescribing is not just about =
writing a=20
script - that's the easy bit. If<BR>&gt; its one thing that the course =
taught me=20
its that we should keep focus on<BR>&gt; our nursing clinical skills and =

knowledge. During consultation if we advise<BR>&gt; regarding =
medication,=20
treatment options and or distribute under PGD's or<BR>&gt; standing =
orders we=20
are effectively prescribing and are accountable for<BR>&gt; those =
decisions and=20
the advice given to the patient. So we should be<BR>&gt; keeping up to =
date with=20
drugs and medications that we come across as<BR>&gt; advsiors/nurses. =
The course=20
greatly enhanced my understanding of how<BR>&gt; medicines affect =
patient=20
outcomes, improved my consultation skills by an<BR>&gt; increased =
knowledge into=20
pharmocology and pharmacokinetics.&nbsp; How many<BR>&gt; patient's do =
we see on=20
pain control, antidepressants etc. Do we really know<BR>&gt; enough =
about that=20
treatment and it's effects to aid our decisions on how<BR>&gt; and when =
clients=20
will respond effectively and acheive a return to good<BR>&gt; health? We =
are=20
community/primary care workers in many ways and I have a far<BR>&gt; =
better=20
rappor with GP's because I understand to some extent their =
treatment<BR>&gt;=20
regimes and options for their patients and work with them.<BR>&gt; =
<BR>&gt; When=20
do we need an occupational physician? Usually when diagnosis,<BR>&gt; =
medicines,=20
investigations etc are involved in case management.I don't think<BR>&gt; =
we can=20
categorically say that prescribing is not for us as advisors =
because<BR>&gt; if=20
we do we are missing out on the development of nursing roles which =
are<BR>&gt;=20
rapidly moving forward in terms of clinical skills that we rely =
on<BR>&gt;=20
physicians for. So to dismiss this development will leave us behind in=20
the<BR>&gt; nursing world.&nbsp; There are many experienced and highly=20
clinically skilled<BR>&gt; nurse practitioners out there who work in =
primary=20
care and could very<BR>&gt; easily move into occupational health. Its =
not about=20
replacing physicians,<BR>&gt; but I do feel we need to keep up and be =
more=20
effective - a qualification in<BR>&gt; Occhealth alone may not be =
enough.=20
Medicines management is part of that<BR>&gt; nursing even in an advisory =

capacity. Just food for thought.<BR>&gt; <BR>&gt; =
~~~~~~~~~~~~~~~<BR>&gt; Please=20
remove this footer before replying.<BR>&gt; <BR>&gt; For list archives =
and=20
documents, go to<BR>&gt; </FONT><A=20
href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT=20
size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =
size=3D2>=20
for list archives<BR>&gt; <BR>&gt; For jobs in Occupational Health, go=20
to<BR>&gt; </FONT><A =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT =
color=3D#0000ff=20
size=3D2></FONT></U></DIV>
<DIV>&nbsp;</DIV>
<DIV><U><FONT color=3D#0000ff size=3D2><BR>---<BR>Outgoing mail is =
certified Virus=20
Free.<BR>Checked by AVG anti-virus system (<A=20
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.778 /=20
Virus Database: 525 - Release Date: =
15/10/2004</FONT></U></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_000F_01C4BB6F.F55D8F90--
=========================================================================
Date:         Tue, 26 Oct 2004 16:03:03 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hogg Jeanette (5EG) North Eastern Derbyshire PCT"
              <[log in to unmask]>
Subject:      Re: prescribing
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4BB6C.E43D4820"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4BB6C.E43D4820
Content-Type: text/plain;
        charset="windows-1252"

Thanks Greta for your reply.

I am not at all suggesting that we replace physicians at all or that people
stock medicines unecessarily, simply I found it useful to improve my
knowledge and wanted to share it to aim to be better at what we do in our
nurse led consultations. As I have already said, the update of knowledge was
the main gain for me which of course is a personal view and a personal
choice to do the course as it does enhance my practice, but everyone has
their different needs and approaches to practice,and I was not advocating it
be a curriculum item. I stick with my point about our advice in consultation
with clients.   I like to keep an open mind about all nursing practice but
will speak to Jan directly about her view as she did seem interested in what
I was saying on our last discussions.

[Hogg Jeanette (5EG) North Eastern Derbyshire PCT]  -----Original
Message-----
From: Greta Thornbory [mailto:[log in to unmask]]
Sent: 26 October 2004 15:25
To: [log in to unmask]
Subject: Re: prescribing



I am very interested in your views and rationale for nurse prescribing in
occupational health especially as during the 90s OH people at the RCN fought
to stop the nurse prescribing module being a compulsory module of the OH
degree course - it was supported by the (practicing) OH nurses on the
curriculum development group. This was at the time when OH nurses and the
first ever Nurse Practitioner courses were running in tandem under the
direction of Barbara Stillwell, who pioneered nurse practitioners in the UK.
Nurse practitioners are vital to today's primary and community care,
however, OH nurses are not nurse practitioners. I definitely agree that we
should keep up-to-date in every aspect of practice that we use in OH and
should understand treatment regimes, it is an NMC and professional
requirement to do so - but it is not necessary to study a specific
pharmacology/nurse prescribing course to do this.

I am concerned too that you comment about the need for an OH physician and I
wonder if you are suggesting that we should take on their role? To me
nursing and medicine are two distinct professions which complement each
other. However, I am not saying that nurses should not prescribe but there
has to be a distinct need to do so, particularly in OH.  It would be awful
to think that nurse prescribing was a 'development' of nursing practice. To
me it would be a return to the days of yesteryear when OH departments kept a
pharmacy stock - e.g. Ford motor Co.OH dept. kept 250 medicines ranging from
antibiotics to antidepressants not to mention digoxin!! A well known sweet
manufacturer from another planet kept about the same. How do I know this - I
actually did my dissertation at the time on the use of medicines in OH.

Jan Maw said it all (OH Feb 04) 'If OHNs are to embrace nurse prescribing
alongside their nursing colleagues greater evidence is needed to support the
benefit's . At the moment there is no evidence base to support the practice.
I believe we should be considering the ways in which we can obtain the
evidence before we go down this road.

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com <http://www.gtenterprises-uk.com>
Tel: 01235 770156
Mob: 07778 518 027


----- Original Message -----
From: "Jeanette Hogg" <  <mailto:[log in to unmask]>
[log in to unmask]>
To: <  <mailto:[log in to unmask]> [log in to unmask]>
Sent: Tuesday, October 26, 2004 10:48 AM
Subject: prescribing


> Thanks to everyone for your responses about prescribing.  I appreciate
> everyone's view on this but would just like to highlight a few issues.
> Prescribing is not just about writing a script - that's the easy bit. If
> its one thing that the course taught me its that we should keep focus on
> our nursing clinical skills and knowledge. During consultation if we
advise
> regarding medication, treatment options and or distribute under PGD's or
> standing orders we are effectively prescribing and are accountable for
> those decisions and the advice given to the patient. So we should be
> keeping up to date with drugs and medications that we come across as
> advsiors/nurses. The course greatly enhanced my understanding of how
> medicines affect patient outcomes, improved my consultation skills by an
> increased knowledge into pharmocology and pharmacokinetics.  How many
> patient's do we see on pain control, antidepressants etc. Do we really
know
> enough about that treatment and it's effects to aid our decisions on how
> and when clients will respond effectively and acheive a return to good
> health? We are community/primary care workers in many ways and I have a
far
> better rappor with GP's because I understand to some extent their
treatment
> regimes and options for their patients and work with them.
>
> When do we need an occupational physician? Usually when diagnosis,
> medicines, investigations etc are involved in case management.I don't
think
> we can categorically say that prescribing is not for us as advisors
because
> if we do we are missing out on the development of nursing roles which are
> rapidly moving forward in terms of clinical skills that we rely on
> physicians for. So to dismiss this development will leave us behind in the
> nursing world.  There are many experienced and highly clinically skilled
> nurse practitioners out there who work in primary care and could very
> easily move into occupational health. Its not about replacing physicians,
> but I do feel we need to keep up and be more effective - a qualification
in
> Occhealth alone may not be enough. Medicines management is part of that
> nursing even in an advisory capacity. Just food for thought.
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
>  <http://www.jiscmail.ac.uk/lists/occ-health.html>
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
>  <http://uk.groups.yahoo.com/group/OHJobs/>
http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system ( http://www.grisoft.com
<http://www.grisoft.com> ).
Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BB6C.E43D4820
Content-Type: text/html;
        charset="windows-1252"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=windows-1252">


<META content="MSHTML 6.00.2800.1276" name=GENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY>
<DIV><SPAN class=757344414-26102004><FONT face=Arial color=#0000ff size=2>Thanks
Greta for your reply. </FONT></SPAN></DIV>
<DIV><SPAN class=757344414-26102004><FONT face=Arial color=#0000ff
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=757344414-26102004><FONT face=Arial color=#0000ff size=2>I am
not at all suggesting that we replace physicians at all or that people stock
medicines unecessarily, simply I found it useful to improve my knowledge and
wanted to share it to aim to be better at what we do in our nurse led
consultations. As I have already said, the update of knowledge was the main gain
for me which of course is a personal view and a personal choice to do the course
as it does enhance my practice, but everyone has their different needs and
approaches to practice,and I was not advocating it be a curriculum item. I stick
with my point about our advice in consultation with clients.&nbsp;&nbsp; I like
to keep an open mind about all nursing practice but will speak to Jan directly
about her view as she did seem interested in what I was saying on our last
discussions.</FONT></SPAN></DIV>
<DIV><SPAN class=757344414-26102004></SPAN><FONT face=Tahoma><BR><FONT
size=2><SPAN class=757344414-26102004><FONT face=Arial color=#0000ff>[Hogg
Jeanette (5EG) North Eastern Derbyshire
PCT]&nbsp;&nbsp;</FONT></SPAN>-----Original Message-----<BR><B>From:</B> Greta
Thornbory [mailto:[log in to unmask]]<BR><B>Sent:</B> 26 October 2004
15:25<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re:
prescribing<BR><BR></FONT></DIV></FONT>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV><FONT size=2>I am very interested in your views and rationale for nurse
  prescribing in occupational health especially as during the 90s OH people at
  the RCN fought to stop the nurse prescribing module being a compulsory module
  of the OH degree course - it was supported by the (practicing) OH nurses on
  the curriculum development group. This was at the time when OH nurses and the
  first ever Nurse Practitioner courses were running in tandem under the
  direction of Barbara Stillwell, who pioneered nurse practitioners in the UK.
  Nurse practitioners are vital to today's primary and community care, however,
  OH nurses are not nurse practitioners.&nbsp;I&nbsp;definitely agree that we
  should keep up-to-date in every aspect of practice that we use&nbsp;in OH and
  should understand treatment regimes, it is an NMC and professional requirement
  to do so&nbsp;- but it is not necessary to study a specific pharmacology/nurse
  prescribing course to do this.</FONT></DIV>
  <DIV><FONT size=2></FONT>&nbsp;</DIV>
  <DIV><FONT size=2>I am concerned too that you comment about the need for an OH
  physician and I wonder if you are suggesting that we should take on their
  role? To me nursing and medicine are two distinct professions which complement
  each other. However, I am not saying that nurses should not prescribe but
  there has to be a distinct need to do so, particularly in OH. &nbsp;It would
  be awful to think&nbsp;that nurse prescribing was a 'development' of nursing
  practice. To me it would be a&nbsp;return to the days of yesteryear when OH
  departments kept a pharmacy stock - e.g. Ford motor Co.OH dept.&nbsp;kept 250
  medicines ranging from antibiotics to antidepressants not to mention digoxin!!
  A well known sweet manufacturer from another planet kept about the same. How
  do I know this - I actually did my dissertation at the time on the use
  of&nbsp;medicines in OH.</FONT></DIV>
  <DIV><FONT size=2></FONT>&nbsp;</DIV>
  <DIV><FONT size=2>Jan Maw said it all (OH Feb 04) <EM>'If OHNs are to embrace
  nurse prescribing alongside their nursing colleagues greater evidence is
  needed to support the benefit's </EM>. At the moment there is no evidence base
  to support the practice. I believe we should be considering the ways in which
  we can obtain the evidence before we go down this road.</FONT></DIV>
  <DIV><FONT size=2></FONT>&nbsp;</DIV>
  <DIV><FONT size=2>Greta Thornbory<BR>Consultant, Occupational Health &amp;
  Education<BR>Consultant Editor, OH Journal<BR><A
  href="http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>Tel:
  01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
  <DIV><FONT size=2></FONT>&nbsp;</DIV>
  <DIV><FONT size=2></FONT>&nbsp;</DIV>
  <DIV><FONT size=2>----- Original Message ----- </FONT>
  <DIV><FONT size=2>From: "Jeanette Hogg" &lt;</FONT><A
  href="mailto:[log in to unmask]"><FONT
  size=2>[log in to unmask]</FONT></A><FONT
size=2>&gt;</FONT></DIV>
  <DIV><FONT size=2>To: &lt;</FONT><A
  href="mailto:[log in to unmask]"><FONT
  size=2>[log in to unmask]</FONT></A><FONT size=2>&gt;</FONT></DIV>
  <DIV><FONT size=2>Sent: Tuesday, October 26, 2004 10:48 AM</FONT></DIV>
  <DIV><FONT size=2>Subject: prescribing</FONT></DIV></DIV>
  <DIV><FONT size=2><BR></FONT></DIV>
  <DIV><FONT size=2>&gt; Thanks to everyone for your responses about
  prescribing.&nbsp; I appreciate<BR>&gt; everyone's view on this but would just
  like to highlight a few issues.<BR>&gt; Prescribing is not just about writing
  a script - that's the easy bit. If<BR>&gt; its one thing that the course
  taught me its that we should keep focus on<BR>&gt; our nursing clinical skills
  and knowledge. During consultation if we advise<BR>&gt; regarding medication,
  treatment options and or distribute under PGD's or<BR>&gt; standing orders we
  are effectively prescribing and are accountable for<BR>&gt; those decisions
  and the advice given to the patient. So we should be<BR>&gt; keeping up to
  date with drugs and medications that we come across as<BR>&gt;
  advsiors/nurses. The course greatly enhanced my understanding of how<BR>&gt;
  medicines affect patient outcomes, improved my consultation skills by
  an<BR>&gt; increased knowledge into pharmocology and pharmacokinetics.&nbsp;
  How many<BR>&gt; patient's do we see on pain control, antidepressants etc. Do
  we really know<BR>&gt; enough about that treatment and it's effects to aid our
  decisions on how<BR>&gt; and when clients will respond effectively and acheive
  a return to good<BR>&gt; health? We are community/primary care workers in many
  ways and I have a far<BR>&gt; better rappor with GP's because I understand to
  some extent their treatment<BR>&gt; regimes and options for their patients and
  work with them.<BR>&gt; <BR>&gt; When do we need an occupational physician?
  Usually when diagnosis,<BR>&gt; medicines, investigations etc are involved in
  case management.I don't think<BR>&gt; we can categorically say that
  prescribing is not for us as advisors because<BR>&gt; if we do we are missing
  out on the development of nursing roles which are<BR>&gt; rapidly moving
  forward in terms of clinical skills that we rely on<BR>&gt; physicians for. So
  to dismiss this development will leave us behind in the<BR>&gt; nursing
  world.&nbsp; There are many experienced and highly clinically skilled<BR>&gt;
  nurse practitioners out there who work in primary care and could very<BR>&gt;
  easily move into occupational health. Its not about replacing
  physicians,<BR>&gt; but I do feel we need to keep up and be more effective - a
  qualification in<BR>&gt; Occhealth alone may not be enough. Medicines
  management is part of that<BR>&gt; nursing even in an advisory capacity. Just
  food for thought.<BR>&gt; <BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove this
  footer before replying.<BR>&gt; <BR>&gt; For list archives and documents, go
  to<BR>&gt; </FONT><A
  href="http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT
  size=2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT size=2>
  for list archives<BR>&gt; <BR>&gt; For jobs in Occupational Health, go
  to<BR>&gt; </FONT><A href="http://uk.groups.yahoo.com/group/OHJobs/"><FONT
  size=2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT
  color=#0000ff size=2></FONT></U></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><U><FONT color=#0000ff size=2><BR>---<BR>Outgoing mail is certified Virus
  Free.<BR>Checked by AVG anti-virus system (<A
  href="http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: 6.0.778
  / Virus Database: 525 - Release Date:
  15/10/2004</FONT></U></DIV>~~~~~~~~~~~~~~~ Please remove this footer before
  replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BB6C.E43D4820--
=========================================================================
Date:         Tue, 26 Oct 2004 15:44:26 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Bray, Charlotte" <[log in to unmask]>
Subject:      Re: Recall system for Travel Vaccinations
MIME-Version: 1.0
Content-Type: text/plain
Content-Transfer-Encoding: 7bit

Thank You, for your help and advice.

Charlotte

-----Original Message-----
From: Prout, Kleea [mailto:[log in to unmask]]
Sent: Tuesday, October 26, 2004 3:21 PM
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations


Before reading this message, please check that it is addressed to you. If
not, you should delete it immediately as its contents may be confidential
and its disclosure, copying or distribution unlawful.

C. &  J. Clark International Limited takes steps to prevent the transmission
of electronic viruses but responsibility for screening incoming messages and
the risk of such transmission lies with the recipient.

C. &  J. Clark International Limited Registered Office:
40 High Street, Street, Somerset BA16 0YA.
Registered in England and Wales Company No. 141015
________________________________________

Charlotte
Although the onus is on the individual to take responsibility for their own
health, the buck stops with the employer if the correct policies and
procedures are not in place to protect employees. I think the Employer
should make it clear to all concerned where their responsibilities lie,
otherwise you will spend your life chasing after individuals and that is not
a cost effective exercise for OH!

We have a policy on 'Management of Travel Safety & Health', outlining the
responsibilities of Directors, Managers, OH and Employees.

Employees have to see OH each time before they travel outside of Europe.
Employees are issued with a vaccination history card at the first visit,
containing the due date of boosters. This is when it becomes their
responsibility to ensure they keep their immunisation up to date.

They also have to comply with any instructions or precautionary measures
associated with business travel introduced by the company to safeguard their
health and safety They are not allowed to take part in high risk leisure
activities while on company business etc etc.

Good Luck!

Kleea Prout
C & J Clark International



-----Original Message-----
From: Bray, Charlotte [mailto:[log in to unmask]]
Sent: 26 October 2004 11:44
To: [log in to unmask]
Subject: Recall system for Travel Vaccinations

Dear List,

I have been asked to provide a recall system for all our employees who have
travel vaccinations. Has anybody else ever been asked to provide such a
service? I am trying to avoid implementing this as I think the onus needs to
be on the individual to take responsibility for their own health. Any
thoughts or comments to build my argument would be appreciated.

Many Thanks
Charlotte

Occupational Health Manager
7 th Floor Lehman Brothers
Tel ; 0207 102 8628

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


------------------------------------------------------------------------------
This message is intended only for the personal and confidential use of the designated recipient(s) named above.  If you are not the intended recipient of this message you are hereby notified that any review, dissemination, distribution or copying of this message is strictly prohibited.  This communication is for information purposes only and should not be regarded as an offer to sell or as a solicitation of an offer to buy any financial product, an official confirmation of any transaction, or as an official statement of Lehman Brothers.  Email transmission cannot be guaranteed to be secure or error-free.  Therefore, we do not represent that this information is complete or accurate and it should not be relied upon as such.  All information is subject to change without notice.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 26 Oct 2004 21:31:16 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Neil Loach <[log in to unmask]>
Subject:      Re: re : Insomia
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_00FA_01C4BBA3.2013FA20"

This is a multi-part message in MIME format.

------=_NextPart_000_00FA_01C4BBA3.2013FA20
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

re : InsomiaDr Adrian Williams at St Thomas's is the leading expert in =
sleep disorders.=20

He also sees private patients at the London Sleep Clinic.

The number can be found at www.bt.com

Neil Loach
  ----- Original Message -----=20
  From: SBlair=20
  To: [log in to unmask]
  Sent: Tuesday, October 26, 2004 11:35 AM
  Subject: Re: re : Insomia


  Another source of information is The Royal College of Psychiatrists. =
www.rcpsych.ac.uk/info/help/sleep/index.htm
    -----Original Message-----
    From: Fearnley Debbie (RBT) Mid Cheshire Tr =
[mailto:[log in to unmask]]
    Sent: 25 October 2004 16:14
    To: [log in to unmask]
    Subject: re : Insomia




    Does anyone know of any organisation/clinic etc who are offering =
services to help those will sleep disorders?=20
    Regards=20
    Debbie=20

    Debbie Fearnley=20
    Head of Occupational Health=20
    Mid Cheshire Hospitals NHS Trust=20
    Leighton Hospital=20
    Middlewich Road=20
    Crewe=20
    Cheshire=20
    CW2 5ED=20

    Telephone: 01270 612372=20
    Fax: 01270 612372=20



    Important Notice=20

    If you have received this e-mail in error, please notify the sender =
and delete the e-mail and all attachments immediately. This e-mail =
(including any attachments) may contain confidential and/or privileged =
information. If you are not the intended recipient, any reliance on, =
use, disclosure, dissemination, distribution or copying of this e-mail =
or attachments is strictly prohibited. Mid Cheshire Hospitals NHS Trust =
has checked for viruses but the contents of an attachment may still =
contain software viruses, which could damage your computer system. Mid =
Cheshire Hospitals NHS Trust does not accept liability for any damage =
you sustain as a result of a virus introduced by this e-mail or any =
attachment and you are advised to use up-to-date virus checking =
software. E-mail transmission cannot be guaranteed to be secure or error =
free.

    This e-mail is not intended, nor should it be taken to create any =
legal relations, contractual or otherwise. Any views or opinions =
expressed within this e-mail or attachment are solely those of the =
sender, and do not necessarily represent those of Mid Cheshire Hospitals =
NHS Trust, unless otherwise specifically stated. If verification is =
required, please request a hard copy version. Mid Cheshire Hospitals NHS =
Trust is not bound by or liable for any opinion, contractor or offer to =
contract expressed in any e-mail.=20


    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/



  =
-----------------------------------------------------------------------
  John Heathcoat and Company Ltd is registered in England No. 450787.
  Registered Office: Westexe, Tiverton, Devon EX16 5LL.

  This email is confidential and intended solely for the use of the=20
  individual to whom it is addressed. Any views or opinions presented
  are solely those of the author and do not necessarily represent those
  of John Heathcoat and Company Ltd. If you are not the intended=20
  recipient and have received this email in error, any use, =
dissemination,
  forwarding, printing or copying of this email is strictly prohibited.
  =
------------------------------------------------------------------------
  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_00FA_01C4BBA3.2013FA20
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><TITLE>re : Insomia</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>Dr Adrian Williams at St Thomas's is =
the leading=20
expert in sleep disorders. </FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>He also sees private patients at the =
London Sleep=20
Clinic.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>The number can be found at <A=20
href=3D"http://www.bt.com">www.bt.com</A></FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Neil Loach</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">SBlair</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Tuesday, October 26, 2004 =
11:35=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: re : Insomia</DIV>
  <DIV><BR></DIV>
  <DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN=20
  class=3D920084610-26102004>Another source of information is The Royal =
College of=20
  Psychiatrists. <A=20
  =
href=3D"http://www.rcpsych.ac.uk/info/help/sleep/index.htm">www.rcpsych.a=
c.uk/info/help/sleep/index.htm</A></SPAN></FONT></DIV>
  <BLOCKQUOTE style=3D"MARGIN-RIGHT: 0px">
    <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
    size=3D2>-----Original Message-----<BR><B>From:</B> Fearnley Debbie =
(RBT) Mid=20
    Cheshire Tr [mailto:[log in to unmask]]<BR><B>Sent:</B> 25 =
October=20
    2004 16:14<BR><B>To:</B> <A=20
    =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A><B=
R><B>Subject:</B>=20
    re : Insomia<BR><BR></DIV></FONT><!-- Converted from text/rtf format =
--><BR>
    <P><FONT face=3DArial size=3D2>Does anyone know of any =
organisation/clinic etc=20
    who are offering services to help those will sleep disorders?</FONT> =

    <BR><FONT face=3DArial size=3D2>Regards</FONT> <BR><FONT =
face=3DArial=20
    size=3D2>Debbie</FONT> </P>
    <P><FONT face=3DArial size=3D2>Debbie Fearnley</FONT> <BR><FONT =
face=3DArial=20
    size=3D2>Head of Occupational Health</FONT> <BR><FONT face=3DArial =
size=3D2>Mid=20
    Cheshire Hospitals NHS Trust</FONT> <BR><FONT face=3DArial =
size=3D2>Leighton=20
    Hospital</FONT> <BR><FONT face=3DArial size=3D2>Middlewich =
Road</FONT> <BR><FONT=20
    face=3DArial size=3D2>Crewe</FONT> <BR><FONT face=3DArial =
size=3D2>Cheshire</FONT>=20
    <BR><FONT face=3DArial size=3D2>CW2 5ED</FONT> </P>
    <P><FONT face=3DArial size=3D2>Telephone: 01270 612372</FONT> =
<BR><FONT=20
    face=3DArial size=3D2>Fax: 01270 612372</FONT> </P><BR>
    <P><U><B><I><FONT face=3DArial size=3D2>Important =
Notice</FONT></I></B></U> </P>
    <P><FONT face=3DArial size=3D2>If you have received this e-mail in =
error, please=20
    notify the sender and delete the e-mail and all attachments =
immediately.=20
    This e-mail (including any attachments) may contain confidential =
and/or=20
    privileged information. If you are not the intended recipient, any =
reliance=20
    on, use, disclosure, dissemination, distribution or copying of this =
e-mail=20
    or attachments is strictly prohibited. Mid Cheshire Hospitals NHS =
Trust has=20
    checked for viruses but the contents of an attachment may still =
contain=20
    software viruses, which could damage your computer system. Mid =
Cheshire=20
    Hospitals NHS Trust does not accept liability for any damage you =
sustain as=20
    a result of a virus introduced by this e-mail or any attachment and =
you are=20
    advised to use up-to-date virus checking software. E-mail =
transmission=20
    cannot be guaranteed to be secure or error free.</FONT></P>
    <P><FONT face=3DArial size=3D2>This e-mail is not intended, nor =
should it be=20
    taken to create any legal relations, contractual or otherwise. Any =
views or=20
    opinions expressed within this e-mail or attachment are solely those =
of the=20
    sender, and do not necessarily represent those of Mid Cheshire =
Hospitals NHS=20
    Trust, unless otherwise specifically stated. If verification is =
required,=20
    please request a hard copy version. Mid Cheshire Hospitals NHS Trust =
is not=20
    bound by or liable for any opinion, contractor or offer to contract=20
    expressed in any e-mail. </FONT></P><BR>~~~~~~~~~~~~~~~ Please =
remove this=20
    footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE><BR><BR>--------=
---------------------------------------------------------------<BR>John=20
  Heathcoat and Company Ltd is registered in England No. =
450787.<BR>Registered=20
  Office: Westexe, Tiverton, Devon EX16 5LL.<BR><BR>This email is =
confidential=20
  and intended solely for the use of the <BR>individual to whom it is =
addressed.=20
  Any views or opinions presented<BR>are solely those of the author and =
do not=20
  necessarily represent those<BR>of John Heathcoat and Company Ltd. If =
you are=20
  not the intended <BR>recipient and have received this email in error, =
any use,=20
  dissemination,<BR>forwarding, printing or copying of this email is =
strictly=20
  =
prohibited.<BR>----------------------------------------------------------=
--------------<BR>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_00FA_01C4BBA3.2013FA20--
=========================================================================
Date:         Wed, 27 Oct 2004 08:12:52 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: prescribing
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4BBF4.5FF01380"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4BBF4.5FF01380
Content-Type: text/plain;
        charset="windows-1252"

I have to agree with you Greta.  I too have worked in OH units where drugs
were freely distributed to employees.  At one place of work a member of
staff had returned from 2 days sick absence and at 08:00 asked me for some
medication.  I asked her why she had not brought anything in with her from
home as she had had the illness for 2 days already.  She replied that it was
better to get it from work, free of charge.  There was also an incident
where an agency nurse administered eucalyptus oil orally for a cold!!  I
fought long and hard to get rid of medicines in that factory and had the
union breathing down my neck as a result.  I do not administer medication at
my current places of work and I would never take a post in the future where
I was expected to do so.  In my opinion that is not what OH is for - it
would be taking a step backwards.  The only exception to that is, of course,
travel vaccinations, which are only administered whilst the OH Physician is
on site.

Lynda

-----Original Message-----
From: Greta Thornbory [mailto:[log in to unmask]]
Sent: Tuesday, October 26, 2004 3:25 PM
To: [log in to unmask]
Subject: Re: prescribing


I am very interested in your views and rationale for nurse prescribing in
occupational health especially as during the 90s OH people at the RCN fought
to stop the nurse prescribing module being a compulsory module of the OH
degree course - it was supported by the (practicing) OH nurses on the
curriculum development group. This was at the time when OH nurses and the
first ever Nurse Practitioner courses were running in tandem under the
direction of Barbara Stillwell, who pioneered nurse practitioners in the UK.
Nurse practitioners are vital to today's primary and community care,
however, OH nurses are not nurse practitioners. I definitely agree that we
should keep up-to-date in every aspect of practice that we use in OH and
should understand treatment regimes, it is an NMC and professional
requirement to do so - but it is not necessary to study a specific
pharmacology/nurse prescribing course to do this.

I am concerned too that you comment about the need for an OH physician and I
wonder if you are suggesting that we should take on their role? To me
nursing and medicine are two distinct professions which complement each
other. However, I am not saying that nurses should not prescribe but there
has to be a distinct need to do so, particularly in OH.  It would be awful
to think that nurse prescribing was a 'development' of nursing practice. To
me it would be a return to the days of yesteryear when OH departments kept a
pharmacy stock - e.g. Ford motor Co.OH dept. kept 250 medicines ranging from
antibiotics to antidepressants not to mention digoxin!! A well known sweet
manufacturer from another planet kept about the same. How do I know this - I
actually did my dissertation at the time on the use of medicines in OH.

Jan Maw said it all (OH Feb 04) 'If OHNs are to embrace nurse prescribing
alongside their nursing colleagues greater evidence is needed to support the
benefit's . At the moment there is no evidence base to support the practice.
I believe we should be considering the ways in which we can obtain the
evidence before we go down this road.

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com <http://www.gtenterprises-uk.com>
Tel: 01235 770156
Mob: 07778 518 027


----- Original Message -----
From: "Jeanette Hogg" <  <mailto:[log in to unmask]>
[log in to unmask]>
To: <  <mailto:[log in to unmask]> [log in to unmask]>
Sent: Tuesday, October 26, 2004 10:48 AM
Subject: prescribing


> Thanks to everyone for your responses about prescribing.  I appreciate
> everyone's view on this but would just like to highlight a few issues.
> Prescribing is not just about writing a script - that's the easy bit. If
> its one thing that the course taught me its that we should keep focus on
> our nursing clinical skills and knowledge. During consultation if we
advise
> regarding medication, treatment options and or distribute under PGD's or
> standing orders we are effectively prescribing and are accountable for
> those decisions and the advice given to the patient. So we should be
> keeping up to date with drugs and medications that we come across as
> advsiors/nurses. The course greatly enhanced my understanding of how
> medicines affect patient outcomes, improved my consultation skills by an
> increased knowledge into pharmocology and pharmacokinetics.  How many
> patient's do we see on pain control, antidepressants etc. Do we really
know
> enough about that treatment and it's effects to aid our decisions on how
> and when clients will respond effectively and acheive a return to good
> health? We are community/primary care workers in many ways and I have a
far
> better rappor with GP's because I understand to some extent their
treatment
> regimes and options for their patients and work with them.
>
> When do we need an occupational physician? Usually when diagnosis,
> medicines, investigations etc are involved in case management.I don't
think
> we can categorically say that prescribing is not for us as advisors
because
> if we do we are missing out on the development of nursing roles which are
> rapidly moving forward in terms of clinical skills that we rely on
> physicians for. So to dismiss this development will leave us behind in the
> nursing world.  There are many experienced and highly clinically skilled
> nurse practitioners out there who work in primary care and could very
> easily move into occupational health. Its not about replacing physicians,
> but I do feel we need to keep up and be more effective - a qualification
in
> Occhealth alone may not be enough. Medicines management is part of that
> nursing even in an advisory capacity. Just food for thought.
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
>  <http://www.jiscmail.ac.uk/lists/occ-health.html>
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
>  <http://uk.groups.yahoo.com/group/OHJobs/>
http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system ( http://www.grisoft.com
<http://www.grisoft.com> ).
Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BBF4.5FF01380
Content-Type: text/html;
        charset="windows-1252"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=windows-1252">


<META content="MSHTML 5.50.4943.2100" name=GENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY>
<DIV><SPAN class=982221207-27102004><FONT face=Arial color=#0000ff size=2>I have
to agree with you Greta.&nbsp; I too have worked in OH units where drugs were
freely distributed to employees.&nbsp; At one place of work a member of staff
had returned from 2 days sick absence and at 08:00 asked me for some
medication.&nbsp; I asked her why she had not brought anything in with her from
home as she had had the illness for 2 days already.&nbsp; She replied that it
was better to get it from work, free of charge.&nbsp; There was also an incident
where an agency nurse administered eucalyptus oil orally for a cold!!&nbsp; I
fought long and hard to get rid of medicines in that factory and had the union
breathing down my neck as a result.&nbsp; I do not administer medication at my
current places of work and I would never take a post in the future where I was
expected to do so.&nbsp; In my opinion that is not what OH is for - it would be
taking a step backwards.&nbsp; The only exception to that is, of course, travel
vaccinations, which are only administered whilst the OH Physician is on
site.</FONT></SPAN></DIV>
<DIV><SPAN class=982221207-27102004><FONT face=Arial color=#0000ff
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=982221207-27102004><FONT face=Arial color=#0000ff
size=2>Lynda</FONT></SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> Greta Thornbory
  [mailto:[log in to unmask]]<BR><B>Sent:</B> Tuesday, October 26, 2004
  3:25 PM<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re:
  prescribing<BR><BR></FONT></DIV>
  <DIV><FONT size=2>I am very interested in your views and rationale for nurse
  prescribing in occupational health especially as during the 90s OH people at
  the RCN fought to stop the nurse prescribing module being a compulsory module
  of the OH degree course - it was supported by the (practicing) OH nurses on
  the curriculum development group. This was at the time when OH nurses and the
  first ever Nurse Practitioner courses were running in tandem under the
  direction of Barbara Stillwell, who pioneered nurse practitioners in the UK.
  Nurse practitioners are vital to today's primary and community care, however,
  OH nurses are not nurse practitioners.&nbsp;I&nbsp;definitely agree that we
  should keep up-to-date in every aspect of practice that we use&nbsp;in OH and
  should understand treatment regimes, it is an NMC and professional requirement
  to do so&nbsp;- but it is not necessary to study a specific pharmacology/nurse
  prescribing course to do this.</FONT></DIV>
  <DIV><FONT size=2></FONT>&nbsp;</DIV>
  <DIV><FONT size=2>I am concerned too that you comment about the need for an OH
  physician and I wonder if you are suggesting that we should take on their
  role? To me nursing and medicine are two distinct professions which complement
  each other. However, I am not saying that nurses should not prescribe but
  there has to be a distinct need to do so, particularly in OH. &nbsp;It would
  be awful to think&nbsp;that nurse prescribing was a 'development' of nursing
  practice. To me it would be a&nbsp;return to the days of yesteryear when OH
  departments kept a pharmacy stock - e.g. Ford motor Co.OH dept.&nbsp;kept 250
  medicines ranging from antibiotics to antidepressants not to mention digoxin!!
  A well known sweet manufacturer from another planet kept about the same. How
  do I know this - I actually did my dissertation at the time on the use
  of&nbsp;medicines in OH.</FONT></DIV>
  <DIV><FONT size=2></FONT>&nbsp;</DIV>
  <DIV><FONT size=2>Jan Maw said it all (OH Feb 04) <EM>'If OHNs are to embrace
  nurse prescribing alongside their nursing colleagues greater evidence is
  needed to support the benefit's </EM>. At the moment there is no evidence base
  to support the practice. I believe we should be considering the ways in which
  we can obtain the evidence before we go down this road.</FONT></DIV>
  <DIV><FONT size=2></FONT>&nbsp;</DIV>
  <DIV><FONT size=2>Greta Thornbory<BR>Consultant, Occupational Health &amp;
  Education<BR>Consultant Editor, OH Journal<BR><A
  href="http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>Tel:
  01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
  <DIV><FONT size=2></FONT>&nbsp;</DIV>
  <DIV><FONT size=2></FONT>&nbsp;</DIV>
  <DIV><FONT size=2>----- Original Message ----- </FONT>
  <DIV><FONT size=2>From: "Jeanette Hogg" &lt;</FONT><A
  href="mailto:[log in to unmask]"><FONT
  size=2>[log in to unmask]</FONT></A><FONT
size=2>&gt;</FONT></DIV>
  <DIV><FONT size=2>To: &lt;</FONT><A
  href="mailto:[log in to unmask]"><FONT
  size=2>[log in to unmask]</FONT></A><FONT size=2>&gt;</FONT></DIV>
  <DIV><FONT size=2>Sent: Tuesday, October 26, 2004 10:48 AM</FONT></DIV>
  <DIV><FONT size=2>Subject: prescribing</FONT></DIV></DIV>
  <DIV><FONT size=2><BR></FONT></DIV>
  <DIV><FONT size=2>&gt; Thanks to everyone for your responses about
  prescribing.&nbsp; I appreciate<BR>&gt; everyone's view on this but would just
  like to highlight a few issues.<BR>&gt; Prescribing is not just about writing
  a script - that's the easy bit. If<BR>&gt; its one thing that the course
  taught me its that we should keep focus on<BR>&gt; our nursing clinical skills
  and knowledge. During consultation if we advise<BR>&gt; regarding medication,
  treatment options and or distribute under PGD's or<BR>&gt; standing orders we
  are effectively prescribing and are accountable for<BR>&gt; those decisions
  and the advice given to the patient. So we should be<BR>&gt; keeping up to
  date with drugs and medications that we come across as<BR>&gt;
  advsiors/nurses. The course greatly enhanced my understanding of how<BR>&gt;
  medicines affect patient outcomes, improved my consultation skills by
  an<BR>&gt; increased knowledge into pharmocology and pharmacokinetics.&nbsp;
  How many<BR>&gt; patient's do we see on pain control, antidepressants etc. Do
  we really know<BR>&gt; enough about that treatment and it's effects to aid our
  decisions on how<BR>&gt; and when clients will respond effectively and acheive
  a return to good<BR>&gt; health? We are community/primary care workers in many
  ways and I have a far<BR>&gt; better rappor with GP's because I understand to
  some extent their treatment<BR>&gt; regimes and options for their patients and
  work with them.<BR>&gt; <BR>&gt; When do we need an occupational physician?
  Usually when diagnosis,<BR>&gt; medicines, investigations etc are involved in
  case management.I don't think<BR>&gt; we can categorically say that
  prescribing is not for us as advisors because<BR>&gt; if we do we are missing
  out on the development of nursing roles which are<BR>&gt; rapidly moving
  forward in terms of clinical skills that we rely on<BR>&gt; physicians for. So
  to dismiss this development will leave us behind in the<BR>&gt; nursing
  world.&nbsp; There are many experienced and highly clinically skilled<BR>&gt;
  nurse practitioners out there who work in primary care and could very<BR>&gt;
  easily move into occupational health. Its not about replacing
  physicians,<BR>&gt; but I do feel we need to keep up and be more effective - a
  qualification in<BR>&gt; Occhealth alone may not be enough. Medicines
  management is part of that<BR>&gt; nursing even in an advisory capacity. Just
  food for thought.<BR>&gt; <BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove this
  footer before replying.<BR>&gt; <BR>&gt; For list archives and documents, go
  to<BR>&gt; </FONT><A
  href="http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT
  size=2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT size=2>
  for list archives<BR>&gt; <BR>&gt; For jobs in Occupational Health, go
  to<BR>&gt; </FONT><A href="http://uk.groups.yahoo.com/group/OHJobs/"><FONT
  size=2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT
  color=#0000ff size=2></FONT></U></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><U><FONT color=#0000ff size=2><BR>---<BR>Outgoing mail is certified Virus
  Free.<BR>Checked by AVG anti-virus system (<A
  href="http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: 6.0.778
  / Virus Database: 525 - Release Date:
  15/10/2004</FONT></U></DIV>~~~~~~~~~~~~~~~ Please remove this footer before
  replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BBF4.5FF01380--
=========================================================================
Date:         Wed, 27 Oct 2004 08:16:30 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Recall system for Travel Vaccinations
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Kleea,
Do you perform any kind of travel medical on your employees and if so, what
do you do please?
Lynda

-----Original Message-----
From: Prout, Kleea [mailto:[log in to unmask]]
Sent: Tuesday, October 26, 2004 3:21 PM
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations


Before reading this message, please check that it is addressed to you.
If not, you should delete it immediately as its contents may be confidential
and its disclosure, copying or distribution unlawful.

C. &  J. Clark International Limited takes steps to prevent the transmission
of electronic viruses but responsibility for screening incoming messages and
the risk of such transmission lies with the recipient.

C. &  J. Clark International Limited Registered Office:
40 High Street, Street, Somerset BA16 0YA.
Registered in England and Wales Company No. 141015
________________________________________

Charlotte
Although the onus is on the individual to take responsibility for their own
health, the buck stops with the employer if the correct policies and
procedures are not in place to protect employees.
I think the Employer should make it clear to all concerned where their
responsibilities lie, otherwise you will spend your life chasing after
individuals and that is not a cost effective exercise for OH!

We have a policy on 'Management of Travel Safety & Health', outlining the
responsibilities of Directors, Managers, OH and Employees.

Employees have to see OH each time before they travel outside of Europe.
Employees are issued with a vaccination history card at the first visit,
containing the due date of boosters. This is when it becomes their
responsibility to ensure they keep their immunisation up to date.

They also have to comply with any instructions or precautionary measures
associated with business travel introduced by the company to safeguard their
health and safety
They are not allowed to take part in high risk leisure activities while on
company business etc etc.

Good Luck!

Kleea Prout
C & J Clark International



-----Original Message-----
From: Bray, Charlotte [mailto:[log in to unmask]]
Sent: 26 October 2004 11:44
To: [log in to unmask]
Subject: Recall system for Travel Vaccinations

Dear List,

I have been asked to provide a recall system for all our employees who have
travel vaccinations.
Has anybody else ever been asked to provide such a service?
I am trying to avoid implementing this as I think the onus needs to be on
the individual to take responsibility for their own health.
Any thoughts or comments to build my argument would be appreciated.

Many Thanks
Charlotte

Occupational Health Manager
7 th Floor Lehman Brothers
Tel ; 0207 102 8628

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 27 Oct 2004 08:45:44 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         joan Twigger <[log in to unmask]>
Subject:      Re: prescribing
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII

I too have had a similar experience and agree with you and Greta  It has
taken over three years to bring everyone round to the idea that OH by
definition is not a treatment service. The fight has been long and hard but
worth it . Some die hard's still feel that I have taken away something that
was theirs as a right.



Joan Twigger
Occupational Health Advisor
3M Healthcare Limited
Tel:  01509 613720
Fax:  01509 613065
e-mail [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 27 Oct 2004 09:19:55 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "MASLEN-JONES David, Clinical Nurse Mgr"
              <[log in to unmask]>
Subject:      Re: prescribing
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hi Folks,

As I am sure you are all aware  we are all now registered on the third =
part of the NMC register as Public health nurses.

Interestingly if you look at the NHS plan and the Wanless report 2004 =
you will see that the government is taking OH down this public health =
pathway and future training proposals from the NMC are likely to reflect =
that!. Its about time we in OH woke up to what is happening!

I am not saying this is right, only that as regards prescribing we are =
being railroaded into an extended public health role which almost =
certainly will result in us all being required to prescribe in the =
future and yes, nurse prescribing is something which increases our =
knowledge base and skills=20



-----Original Message-----
From: joan Twigger [mailto:[log in to unmask]]
Sent: 27 October 2004 08:46
To: [log in to unmask]
Subject: Re: prescribing


I too have had a similar experience and agree with you and Greta  It has
taken over three years to bring everyone round to the idea that OH by
definition is not a treatment service. The fight has been long and hard =
but
worth it . Some die hard's still feel that I have taken away something =
that
was theirs as a right.



Joan Twigger
Occupational Health Advisor
3M Healthcare Limited
Tel:  01509 613720
Fax:  01509 613065
e-mail [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--=20
This email has been electronically scanned using=20
DynaComm i:mail filtering software.

If you have any questions please email=20
[log in to unmask]

Tony Daniel=20
Sam Shayer
Information Security Team

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 27 Oct 2004 09:41:52 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Robert Dunn
              <[log in to unmask]>
Organization: University of Oxford
Subject:      Re: prescribing
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_002E_01C4BC09.309A6990"

This is a multi-part message in MIME format.

------=_NextPart_000_002E_01C4BC09.309A6990
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

I'm probably going to ruffle a few feathers, however, I agree with =
Greta.  For OH Advisers to routinely prescribe would be a retrospective =
step back to the days where the nurse in industry was there to =
administer aspirin, tea and sympathy in varying amounts.  I have worked =
(indeed started my OH career) for multi-national organisations where a =
treatment service was the backbone of OH within the company.  Looking =
back I can firmly say that my assessment of that situation is that =
during those years true OH provision was sacrificed in the minds of =
management, unions and workforce to the level of the 'treatment nurse'!  =
OH has (thankfully) moved on, and we are where we are today only because =
we have lost the image of 'nursey' dishing out all manner of =
appropriate?? and inappropriate medication.  By all means use group =
protocols for vaccines and anaphylaxis treatment etc, but for goodness =
sake, leave prescribing to those who do it best, the physicians and =
pharmacists.  Horses for courses..... that's what I say!!
  ----- Original Message -----=20
  From: Greta Thornbory=20
  To: [log in to unmask]
  Sent: Tuesday, October 26, 2004 3:25 PM
  Subject: Re: prescribing


  I am very interested in your views and rationale for nurse prescribing =
in occupational health especially as during the 90s OH people at the RCN =
fought to stop the nurse prescribing module being a compulsory module of =
the OH degree course - it was supported by the (practicing) OH nurses on =
the curriculum development group. This was at the time when OH nurses =
and the first ever Nurse Practitioner courses were running in tandem =
under the direction of Barbara Stillwell, who pioneered nurse =
practitioners in the UK. Nurse practitioners are vital to today's =
primary and community care, however, OH nurses are not nurse =
practitioners. I definitely agree that we should keep up-to-date in =
every aspect of practice that we use in OH and should understand =
treatment regimes, it is an NMC and professional requirement to do so - =
but it is not necessary to study a specific pharmacology/nurse =
prescribing course to do this.

  I am concerned too that you comment about the need for an OH physician =
and I wonder if you are suggesting that we should take on their role? To =
me nursing and medicine are two distinct professions which complement =
each other. However, I am not saying that nurses should not prescribe =
but there has to be a distinct need to do so, particularly in OH.  It =
would be awful to think that nurse prescribing was a 'development' of =
nursing practice. To me it would be a return to the days of yesteryear =
when OH departments kept a pharmacy stock - e.g. Ford motor Co.OH dept. =
kept 250 medicines ranging from antibiotics to antidepressants not to =
mention digoxin!! A well known sweet manufacturer from another planet =
kept about the same. How do I know this - I actually did my dissertation =
at the time on the use of medicines in OH.

  Jan Maw said it all (OH Feb 04) 'If OHNs are to embrace nurse =
prescribing alongside their nursing colleagues greater evidence is =
needed to support the benefit's . At the moment there is no evidence =
base to support the practice. I believe we should be considering the =
ways in which we can obtain the evidence before we go down this road.

  Greta Thornbory
  Consultant, Occupational Health & Education
  Consultant Editor, OH Journal
  www.gtenterprises-uk.com
  Tel: 01235 770156
  Mob: 07778 518 027


  ----- Original Message -----=20
  From: "Jeanette Hogg" <[log in to unmask]>
  To: <[log in to unmask]>
  Sent: Tuesday, October 26, 2004 10:48 AM
  Subject: prescribing


  > Thanks to everyone for your responses about prescribing.  I =
appreciate
  > everyone's view on this but would just like to highlight a few =
issues.
  > Prescribing is not just about writing a script - that's the easy =
bit. If
  > its one thing that the course taught me its that we should keep =
focus on
  > our nursing clinical skills and knowledge. During consultation if we =
advise
  > regarding medication, treatment options and or distribute under =
PGD's or
  > standing orders we are effectively prescribing and are accountable =
for
  > those decisions and the advice given to the patient. So we should be
  > keeping up to date with drugs and medications that we come across as
  > advsiors/nurses. The course greatly enhanced my understanding of how
  > medicines affect patient outcomes, improved my consultation skills =
by an
  > increased knowledge into pharmocology and pharmacokinetics.  How =
many
  > patient's do we see on pain control, antidepressants etc. Do we =
really know
  > enough about that treatment and it's effects to aid our decisions on =
how
  > and when clients will respond effectively and acheive a return to =
good
  > health? We are community/primary care workers in many ways and I =
have a far
  > better rappor with GP's because I understand to some extent their =
treatment
  > regimes and options for their patients and work with them.
  >=20
  > When do we need an occupational physician? Usually when diagnosis,
  > medicines, investigations etc are involved in case management.I =
don't think
  > we can categorically say that prescribing is not for us as advisors =
because
  > if we do we are missing out on the development of nursing roles =
which are
  > rapidly moving forward in terms of clinical skills that we rely on
  > physicians for. So to dismiss this development will leave us behind =
in the
  > nursing world.  There are many experienced and highly clinically =
skilled
  > nurse practitioners out there who work in primary care and could =
very
  > easily move into occupational health. Its not about replacing =
physicians,
  > but I do feel we need to keep up and be more effective - a =
qualification in
  > Occhealth alone may not be enough. Medicines management is part of =
that
  > nursing even in an advisory capacity. Just food for thought.
  >=20
  > ~~~~~~~~~~~~~~~
  > Please remove this footer before replying.
  >=20
  > For list archives and documents, go to
  > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  >=20
  > For jobs in Occupational Health, go to
  > http://uk.groups.yahoo.com/group/OHJobs/


  ---
  Outgoing mail is certified Virus Free.
  Checked by AVG anti-virus system (http://www.grisoft.com).
  Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004
  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_002E_01C4BC09.309A6990
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dwindows-1252">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>
<DIV><FONT face=3DArial size=3D2>I'm probably going to ruffle a few =
feathers,=20
however, I agree with Greta.&nbsp; For OH Advisers to routinely =
prescribe would=20
be a retrospective step back to the days where the nurse in industry was =
there=20
to administer aspirin, tea and sympathy in varying amounts.&nbsp; I have =
worked=20
(indeed started my OH career) for multi-national organisations where a =
treatment=20
service was the backbone of OH within the company.&nbsp; Looking back I =
can=20
firmly say that my assessment of that situation&nbsp;is that during =
those years=20
true OH provision was sacrificed in the minds of management, unions and=20
workforce to the level of the 'treatment nurse'!&nbsp; OH has =
(thankfully) moved=20
on, and we are where we are today only because we have lost the image of =

'nursey' dishing out all manner of appropriate?? and inappropriate=20
medication.&nbsp; By all means use group protocols for vaccines and =
anaphylaxis=20
treatment etc, but for goodness sake, leave prescribing to those who do =
it best,=20
the physicians and pharmacists.&nbsp; Horses for courses..... that's =
what I=20
say!!</FONT></DIV></FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Greta Thornbory</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Tuesday, October 26, 2004 =
3:25=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: prescribing</DIV>
  <DIV><BR></DIV>
  <DIV><FONT size=3D2>I am very interested in your views and rationale =
for nurse=20
  prescribing in occupational health especially as during the 90s OH =
people at=20
  the RCN fought to stop the nurse prescribing module being a compulsory =
module=20
  of the OH degree course - it was supported by the (practicing) OH =
nurses on=20
  the curriculum development group. This was at the time when OH nurses =
and the=20
  first ever Nurse Practitioner courses were running in tandem under the =

  direction of Barbara Stillwell, who pioneered nurse practitioners in =
the UK.=20
  Nurse practitioners are vital to today's primary and community care, =
however,=20
  OH nurses are not nurse practitioners.&nbsp;I&nbsp;definitely agree =
that we=20
  should keep up-to-date in every aspect of practice that we use&nbsp;in =
OH and=20
  should understand treatment regimes, it is an NMC and professional =
requirement=20
  to do so&nbsp;- but it is not necessary to study a specific =
pharmacology/nurse=20
  prescribing course to do this.</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>I am concerned too that you comment about the need =
for an OH=20
  physician and I wonder if you are suggesting that we should take on =
their=20
  role? To me nursing and medicine are two distinct professions which =
complement=20
  each other. However, I am not saying that nurses should not prescribe =
but=20
  there has to be a distinct need to do so, particularly in OH. &nbsp;It =
would=20
  be awful to think&nbsp;that nurse prescribing was a 'development' of =
nursing=20
  practice. To me it would be a&nbsp;return to the days of yesteryear =
when OH=20
  departments kept a pharmacy stock - e.g. Ford motor Co.OH =
dept.&nbsp;kept 250=20
  medicines ranging from antibiotics to antidepressants not to mention =
digoxin!!=20
  A well known sweet manufacturer from another planet kept about the =
same. How=20
  do I know this - I actually did my dissertation at the time on the use =

  of&nbsp;medicines in OH.</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>Jan Maw said it all (OH Feb 04) <EM>'If OHNs are =
to embrace=20
  nurse prescribing alongside their nursing colleagues greater evidence =
is=20
  needed to support the benefit's </EM>. At the moment there is no =
evidence base=20
  to support the practice. I believe we should be considering the ways =
in which=20
  we can obtain the evidence before we go down this road.</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health =
&amp;=20
  Education<BR>Consultant Editor, OH Journal<BR><A=20
  =
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
  01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>----- Original Message ----- </FONT>
  <DIV><FONT size=3D2>From: "Jeanette Hogg" &lt;</FONT><A=20
  href=3D"mailto:[log in to unmask]"><FONT=20
  size=3D2>[log in to unmask]</FONT></A><FONT=20
size=3D2>&gt;</FONT></DIV>
  <DIV><FONT size=3D2>To: &lt;</FONT><A=20
  href=3D"mailto:[log in to unmask]"><FONT=20
  size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
  <DIV><FONT size=3D2>Sent: Tuesday, October 26, 2004 10:48 =
AM</FONT></DIV>
  <DIV><FONT size=3D2>Subject: prescribing</FONT></DIV></DIV>
  <DIV><FONT size=3D2><BR></FONT></DIV>
  <DIV><FONT size=3D2>&gt; Thanks to everyone for your responses about=20
  prescribing.&nbsp; I appreciate<BR>&gt; everyone's view on this but =
would just=20
  like to highlight a few issues.<BR>&gt; Prescribing is not just about =
writing=20
  a script - that's the easy bit. If<BR>&gt; its one thing that the =
course=20
  taught me its that we should keep focus on<BR>&gt; our nursing =
clinical skills=20
  and knowledge. During consultation if we advise<BR>&gt; regarding =
medication,=20
  treatment options and or distribute under PGD's or<BR>&gt; standing =
orders we=20
  are effectively prescribing and are accountable for<BR>&gt; those =
decisions=20
  and the advice given to the patient. So we should be<BR>&gt; keeping =
up to=20
  date with drugs and medications that we come across as<BR>&gt;=20
  advsiors/nurses. The course greatly enhanced my understanding of =
how<BR>&gt;=20
  medicines affect patient outcomes, improved my consultation skills by=20
  an<BR>&gt; increased knowledge into pharmocology and =
pharmacokinetics.&nbsp;=20
  How many<BR>&gt; patient's do we see on pain control, antidepressants =
etc. Do=20
  we really know<BR>&gt; enough about that treatment and it's effects to =
aid our=20
  decisions on how<BR>&gt; and when clients will respond effectively and =
acheive=20
  a return to good<BR>&gt; health? We are community/primary care workers =
in many=20
  ways and I have a far<BR>&gt; better rappor with GP's because I =
understand to=20
  some extent their treatment<BR>&gt; regimes and options for their =
patients and=20
  work with them.<BR>&gt; <BR>&gt; When do we need an occupational =
physician?=20
  Usually when diagnosis,<BR>&gt; medicines, investigations etc are =
involved in=20
  case management.I don't think<BR>&gt; we can categorically say that=20
  prescribing is not for us as advisors because<BR>&gt; if we do we are =
missing=20
  out on the development of nursing roles which are<BR>&gt; rapidly =
moving=20
  forward in terms of clinical skills that we rely on<BR>&gt; physicians =
for. So=20
  to dismiss this development will leave us behind in the<BR>&gt; =
nursing=20
  world.&nbsp; There are many experienced and highly clinically =
skilled<BR>&gt;=20
  nurse practitioners out there who work in primary care and could =
very<BR>&gt;=20
  easily move into occupational health. Its not about replacing=20
  physicians,<BR>&gt; but I do feel we need to keep up and be more =
effective - a=20
  qualification in<BR>&gt; Occhealth alone may not be enough. Medicines=20
  management is part of that<BR>&gt; nursing even in an advisory =
capacity. Just=20
  food for thought.<BR>&gt; <BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please =
remove this=20
  footer before replying.<BR>&gt; <BR>&gt; For list archives and =
documents, go=20
  to<BR>&gt; </FONT><A=20
  href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT=20
  =
size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =
size=3D2>=20
  for list archives<BR>&gt; <BR>&gt; For jobs in Occupational Health, go =

  to<BR>&gt; </FONT><A =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
  size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT=20
  color=3D#0000ff size=3D2></FONT></U></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><U><FONT color=3D#0000ff size=3D2><BR>---<BR>Outgoing mail is =
certified Virus=20
  Free.<BR>Checked by AVG anti-virus system (<A=20
  =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.778=20
  / Virus Database: 525 - Release Date:=20
  15/10/2004</FONT></U></DIV>~~~~~~~~~~~~~~~ Please remove this footer =
before=20
  replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_002E_01C4BC09.309A6990--
=========================================================================
Date:         Wed, 27 Oct 2004 09:56:11 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: prescribing
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_001C_01C4BC0B.30333160"

This is a multi-part message in MIME format.

------=_NextPart_000_001C_01C4BC0B.30333160
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

Hey Bob you forgot the bit about the management and unions wanting the =
treatment nurse cos her blue dress and frilly white hat instilled =
confidence in the workforce! Or did you refuse to wear yours?

  ----- Original Message -----=20
  From: Robert Dunn=20
  To: [log in to unmask]
  Sent: Wednesday, October 27, 2004 9:41 AM
  Subject: Re: prescribing


  I'm probably going to ruffle a few feathers, however, I agree with =
Greta.  For OH Advisers to routinely prescribe would be a retrospective =
step back to the days where the nurse in industry was there to =
administer aspirin, tea and sympathy in varying amounts.  I have worked =
(indeed started my OH career) for multi-national organisations where a =
treatment service was the backbone of OH within the company.  Looking =
back I can firmly say that my assessment of that situation is that =
during those years true OH provision was sacrificed in the minds of =
management, unions and workforce to the level of the 'treatment nurse'!  =
OH has (thankfully) moved on, and we are where we are today only because =
we have lost the image of 'nursey' dishing out all manner of =
appropriate?? and inappropriate medication.  By all means use group =
protocols for vaccines and anaphylaxis treatment etc, but for goodness =
sake, leave prescribing to those who do it best, the physicians and =
pharmacists.  Horses for courses..... that's what I say!!
    ----- Original Message -----=20
    From: Greta Thornbory=20
    To: [log in to unmask]
    Sent: Tuesday, October 26, 2004 3:25 PM
    Subject: Re: prescribing


    I am very interested in your views and rationale for nurse =
prescribing in occupational health especially as during the 90s OH =
people at the RCN fought to stop the nurse prescribing module being a =
compulsory module of the OH degree course - it was supported by the =
(practicing) OH nurses on the curriculum development group. This was at =
the time when OH nurses and the first ever Nurse Practitioner courses =
were running in tandem under the direction of Barbara Stillwell, who =
pioneered nurse practitioners in the UK. Nurse practitioners are vital =
to today's primary and community care, however, OH nurses are not nurse =
practitioners. I definitely agree that we should keep up-to-date in =
every aspect of practice that we use in OH and should understand =
treatment regimes, it is an NMC and professional requirement to do so - =
but it is not necessary to study a specific pharmacology/nurse =
prescribing course to do this.

    I am concerned too that you comment about the need for an OH =
physician and I wonder if you are suggesting that we should take on =
their role? To me nursing and medicine are two distinct professions =
which complement each other. However, I am not saying that nurses should =
not prescribe but there has to be a distinct need to do so, particularly =
in OH.  It would be awful to think that nurse prescribing was a =
'development' of nursing practice. To me it would be a return to the =
days of yesteryear when OH departments kept a pharmacy stock - e.g. Ford =
motor Co.OH dept. kept 250 medicines ranging from antibiotics to =
antidepressants not to mention digoxin!! A well known sweet manufacturer =
from another planet kept about the same. How do I know this - I actually =
did my dissertation at the time on the use of medicines in OH.

    Jan Maw said it all (OH Feb 04) 'If OHNs are to embrace nurse =
prescribing alongside their nursing colleagues greater evidence is =
needed to support the benefit's . At the moment there is no evidence =
base to support the practice. I believe we should be considering the =
ways in which we can obtain the evidence before we go down this road.

    Greta Thornbory
    Consultant, Occupational Health & Education
    Consultant Editor, OH Journal
    www.gtenterprises-uk.com
    Tel: 01235 770156
    Mob: 07778 518 027


    ----- Original Message -----=20
    From: "Jeanette Hogg" <[log in to unmask]>
    To: <[log in to unmask]>
    Sent: Tuesday, October 26, 2004 10:48 AM
    Subject: prescribing


    > Thanks to everyone for your responses about prescribing.  I =
appreciate
    > everyone's view on this but would just like to highlight a few =
issues.
    > Prescribing is not just about writing a script - that's the easy =
bit. If
    > its one thing that the course taught me its that we should keep =
focus on
    > our nursing clinical skills and knowledge. During consultation if =
we advise
    > regarding medication, treatment options and or distribute under =
PGD's or
    > standing orders we are effectively prescribing and are accountable =
for
    > those decisions and the advice given to the patient. So we should =
be
    > keeping up to date with drugs and medications that we come across =
as
    > advsiors/nurses. The course greatly enhanced my understanding of =
how
    > medicines affect patient outcomes, improved my consultation skills =
by an
    > increased knowledge into pharmocology and pharmacokinetics.  How =
many
    > patient's do we see on pain control, antidepressants etc. Do we =
really know
    > enough about that treatment and it's effects to aid our decisions =
on how
    > and when clients will respond effectively and acheive a return to =
good
    > health? We are community/primary care workers in many ways and I =
have a far
    > better rappor with GP's because I understand to some extent their =
treatment
    > regimes and options for their patients and work with them.
    >=20
    > When do we need an occupational physician? Usually when diagnosis,
    > medicines, investigations etc are involved in case management.I =
don't think
    > we can categorically say that prescribing is not for us as =
advisors because
    > if we do we are missing out on the development of nursing roles =
which are
    > rapidly moving forward in terms of clinical skills that we rely on
    > physicians for. So to dismiss this development will leave us =
behind in the
    > nursing world.  There are many experienced and highly clinically =
skilled
    > nurse practitioners out there who work in primary care and could =
very
    > easily move into occupational health. Its not about replacing =
physicians,
    > but I do feel we need to keep up and be more effective - a =
qualification in
    > Occhealth alone may not be enough. Medicines management is part of =
that
    > nursing even in an advisory capacity. Just food for thought.
    >=20
    > ~~~~~~~~~~~~~~~
    > Please remove this footer before replying.
    >=20
    > For list archives and documents, go to
    > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
    >=20
    > For jobs in Occupational Health, go to
    > http://uk.groups.yahoo.com/group/OHJobs/


    ---
    Outgoing mail is certified Virus Free.
    Checked by AVG anti-virus system (http://www.grisoft.com).
    Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004
    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001C_01C4BC0B.30333160
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dwindows-1252">
<META content=3D"MSHTML 6.00.2800.1476" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT size=3D2>Hey Bob you forgot the bit about the management and =
unions=20
wanting the treatment nurse cos her blue dress and frilly white hat =
instilled=20
confidence in the workforce! Or did you refuse to wear =
yours?</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]
AC.UK">Robert=20
  Dunn</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, October 27, =
2004 9:41=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: prescribing</DIV>
  <DIV><BR></DIV>
  <DIV><FONT face=3DArial size=3D2>
  <DIV><FONT face=3DArial size=3D2>I'm probably going to ruffle a few =
feathers,=20
  however, I agree with Greta.&nbsp; For OH Advisers to routinely =
prescribe=20
  would be a retrospective step back to the days where the nurse in =
industry was=20
  there to administer aspirin, tea and sympathy in varying =
amounts.&nbsp; I have=20
  worked (indeed started my OH career) for multi-national organisations =
where a=20
  treatment service was the backbone of OH within the company.&nbsp; =
Looking=20
  back I can firmly say that my assessment of that situation&nbsp;is =
that during=20
  those years true OH provision was sacrificed in the minds of =
management,=20
  unions and workforce to the level of the 'treatment nurse'!&nbsp; OH =
has=20
  (thankfully) moved on, and we are where we are today only because we =
have lost=20
  the image of 'nursey' dishing out all manner of appropriate?? and=20
  inappropriate medication.&nbsp; By all means use group protocols for =
vaccines=20
  and anaphylaxis treatment etc, but for goodness sake, leave =
prescribing to=20
  those who do it best, the physicians and pharmacists.&nbsp; Horses for =

  courses..... that's what I say!!</FONT></DIV></FONT></DIV>
  <BLOCKQUOTE dir=3Dltr=20
  style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
    <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
    <DIV=20
    style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
    <A [log in to unmask]
    href=3D"mailto:[log in to unmask]">Greta Thornbory</A> =
</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
    =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Tuesday, October 26, =
2004 3:25=20
    PM</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: =
prescribing</DIV>
    <DIV><BR></DIV>
    <DIV><FONT size=3D2>I am very interested in your views and rationale =
for nurse=20
    prescribing in occupational health especially as during the 90s OH =
people at=20
    the RCN fought to stop the nurse prescribing module being a =
compulsory=20
    module of the OH degree course - it was supported by the =
(practicing) OH=20
    nurses on the curriculum development group. This was at the time =
when OH=20
    nurses and the first ever Nurse Practitioner courses were running in =
tandem=20
    under the direction of Barbara Stillwell, who pioneered nurse =
practitioners=20
    in the UK. Nurse practitioners are vital to today's primary and =
community=20
    care, however, OH nurses are not nurse =
practitioners.&nbsp;I&nbsp;definitely=20
    agree that we should keep up-to-date in every aspect of practice =
that we=20
    use&nbsp;in OH and should understand treatment regimes, it is an NMC =
and=20
    professional requirement to do so&nbsp;- but it is not necessary to =
study a=20
    specific pharmacology/nurse prescribing course to do =
this.</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>I am concerned too that you comment about the =
need for an=20
    OH physician and I wonder if you are suggesting that we should take =
on their=20
    role? To me nursing and medicine are two distinct professions which=20
    complement each other. However, I am not saying that nurses should =
not=20
    prescribe but there has to be a distinct need to do so, particularly =
in OH.=20
    &nbsp;It would be awful to think&nbsp;that nurse prescribing was a=20
    'development' of nursing practice. To me it would be a&nbsp;return =
to the=20
    days of yesteryear when OH departments kept a pharmacy stock - e.g. =
Ford=20
    motor Co.OH dept.&nbsp;kept 250 medicines ranging from antibiotics =
to=20
    antidepressants not to mention digoxin!! A well known sweet =
manufacturer=20
    from another planet kept about the same. How do I know this - I =
actually did=20
    my dissertation at the time on the use of&nbsp;medicines in =
OH.</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>Jan Maw said it all (OH Feb 04) <EM>'If OHNs are =
to=20
    embrace nurse prescribing alongside their nursing colleagues greater =

    evidence is needed to support the benefit's </EM>. At the moment =
there is no=20
    evidence base to support the practice. I believe we should be =
considering=20
    the ways in which we can obtain the evidence before we go down this=20
    road.</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational =
Health &amp;=20
    Education<BR>Consultant Editor, OH Journal<BR><A=20
    =
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
    01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>----- Original Message ----- </FONT>
    <DIV><FONT size=3D2>From: "Jeanette Hogg" &lt;</FONT><A=20
    href=3D"mailto:[log in to unmask]"><FONT=20
    size=3D2>[log in to unmask]</FONT></A><FONT=20
    size=3D2>&gt;</FONT></DIV>
    <DIV><FONT size=3D2>To: &lt;</FONT><A=20
    href=3D"mailto:[log in to unmask]"><FONT=20
    size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
    <DIV><FONT size=3D2>Sent: Tuesday, October 26, 2004 10:48 =
AM</FONT></DIV>
    <DIV><FONT size=3D2>Subject: prescribing</FONT></DIV></DIV>
    <DIV><FONT size=3D2><BR></FONT></DIV>
    <DIV><FONT size=3D2>&gt; Thanks to everyone for your responses about =

    prescribing.&nbsp; I appreciate<BR>&gt; everyone's view on this but =
would=20
    just like to highlight a few issues.<BR>&gt; Prescribing is not just =
about=20
    writing a script - that's the easy bit. If<BR>&gt; its one thing =
that the=20
    course taught me its that we should keep focus on<BR>&gt; our =
nursing=20
    clinical skills and knowledge. During consultation if we =
advise<BR>&gt;=20
    regarding medication, treatment options and or distribute under =
PGD's=20
    or<BR>&gt; standing orders we are effectively prescribing and are=20
    accountable for<BR>&gt; those decisions and the advice given to the =
patient.=20
    So we should be<BR>&gt; keeping up to date with drugs and =
medications that=20
    we come across as<BR>&gt; advsiors/nurses. The course greatly =
enhanced my=20
    understanding of how<BR>&gt; medicines affect patient outcomes, =
improved my=20
    consultation skills by an<BR>&gt; increased knowledge into =
pharmocology and=20
    pharmacokinetics.&nbsp; How many<BR>&gt; patient's do we see on pain =

    control, antidepressants etc. Do we really know<BR>&gt; enough about =
that=20
    treatment and it's effects to aid our decisions on how<BR>&gt; and =
when=20
    clients will respond effectively and acheive a return to =
good<BR>&gt;=20
    health? We are community/primary care workers in many ways and I =
have a=20
    far<BR>&gt; better rappor with GP's because I understand to some =
extent=20
    their treatment<BR>&gt; regimes and options for their patients and =
work with=20
    them.<BR>&gt; <BR>&gt; When do we need an occupational physician? =
Usually=20
    when diagnosis,<BR>&gt; medicines, investigations etc are involved =
in case=20
    management.I don't think<BR>&gt; we can categorically say that =
prescribing=20
    is not for us as advisors because<BR>&gt; if we do we are missing =
out on the=20
    development of nursing roles which are<BR>&gt; rapidly moving =
forward in=20
    terms of clinical skills that we rely on<BR>&gt; physicians for. So =
to=20
    dismiss this development will leave us behind in the<BR>&gt; nursing =

    world.&nbsp; There are many experienced and highly clinically=20
    skilled<BR>&gt; nurse practitioners out there who work in primary =
care and=20
    could very<BR>&gt; easily move into occupational health. Its not =
about=20
    replacing physicians,<BR>&gt; but I do feel we need to keep up and =
be more=20
    effective - a qualification in<BR>&gt; Occhealth alone may not be =
enough.=20
    Medicines management is part of that<BR>&gt; nursing even in an =
advisory=20
    capacity. Just food for thought.<BR>&gt; <BR>&gt; =
~~~~~~~~~~~~~~~<BR>&gt;=20
    Please remove this footer before replying.<BR>&gt; <BR>&gt; For list =

    archives and documents, go to<BR>&gt; </FONT><A=20
    href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT=20
    =
size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =

    size=3D2> for list archives<BR>&gt; <BR>&gt; For jobs in =
Occupational Health,=20
    go to<BR>&gt; </FONT><A=20
    href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
    size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT =

    color=3D#0000ff size=3D2></FONT></U></DIV>
    <DIV>&nbsp;</DIV>
    <DIV><U><FONT color=3D#0000ff size=3D2><BR>---<BR>Outgoing mail is =
certified=20
    Virus Free.<BR>Checked by AVG anti-virus system (<A=20
    =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =

    6.0.778 / Virus Database: 525 - Release Date:=20
    15/10/2004</FONT></U></DIV>~~~~~~~~~~~~~~~ Please remove this footer =
before=20
    replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001C_01C4BC0B.30333160--
=========================================================================
Date:         Wed, 27 Oct 2004 10:09:38 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sara Werry <[log in to unmask]>
Subject:      Re: prescribing
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit

Hi All

In terms of public health and epidemiology OH should be looking at its
effectiveness in the public health arena, this would include assessing
the actual numbers benefiting from OH provision.

If OH is seen as a treatment service for individuals then the impact and
effectiveness of the service would be very limited and diluted.

This is going to be the same for other professionals public health i.e.
infection control nurses if they were caught up in individual
perscribing resources would become limited in managing
outbreaks/preventing disease etc.

All the best
Sara

Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579


-----Original Message-----
From: MASLEN-JONES David, Clinical Nurse Mgr
[mailto:[log in to unmask]]
Sent: 27 October 2004 09:20
To: [log in to unmask]
Subject: Re: prescribing


Hi Folks,

As I am sure you are all aware  we are all now registered on the third
part of the NMC register as Public health nurses.

Interestingly if you look at the NHS plan and the Wanless report 2004
you will see that the government is taking OH down this public health
pathway and future training proposals from the NMC are likely to reflect
that!. Its about time we in OH woke up to what is happening!

I am not saying this is right, only that as regards prescribing we are
being railroaded into an extended public health role which almost
certainly will result in us all being required to prescribe in the
future and yes, nurse prescribing is something which increases our
knowledge base and skills



-----Original Message-----
From: joan Twigger [mailto:[log in to unmask]]
Sent: 27 October 2004 08:46
To: [log in to unmask]
Subject: Re: prescribing


I too have had a similar experience and agree with you and Greta  It has
taken over three years to bring everyone round to the idea that OH by
definition is not a treatment service. The fight has been long and hard
but worth it . Some die hard's still feel that I have taken away
something that was theirs as a right.



Joan Twigger
Occupational Health Advisor
3M Healthcare Limited
Tel:  01509 613720
Fax:  01509 613065
e-mail [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--
This email has been electronically scanned using
DynaComm i:mail filtering software.

If you have any questions please email
[log in to unmask]

Tony Daniel
Sam Shayer
Information Security Team

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 27 Oct 2004 10:12:07 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Robert Dunn
              <[log in to unmask]>
Organization: University of Oxford
Subject:      Re: prescribing
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_004C_01C4BC0D.6A474970"

This is a multi-part message in MIME format.

------=_NextPart_000_004C_01C4BC0D.6A474970
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

No Greta, I never really bothered with the uniform, I could never get =
the frilly hat to stay on.... you see I never had enough hair for the =
grips to hold.   Now if you had mentioned stockings....
  ----- Original Message -----=20
  From: Greta Thornbory=20
  To: [log in to unmask]
  Sent: Wednesday, October 27, 2004 9:56 AM
  Subject: Re: prescribing


  Hey Bob you forgot the bit about the management and unions wanting the =
treatment nurse cos her blue dress and frilly white hat instilled =
confidence in the workforce! Or did you refuse to wear yours?

    ----- Original Message -----=20
    From: Robert Dunn=20
    To: [log in to unmask]
    Sent: Wednesday, October 27, 2004 9:41 AM
    Subject: Re: prescribing


    I'm probably going to ruffle a few feathers, however, I agree with =
Greta.  For OH Advisers to routinely prescribe would be a retrospective =
step back to the days where the nurse in industry was there to =
administer aspirin, tea and sympathy in varying amounts.  I have worked =
(indeed started my OH career) for multi-national organisations where a =
treatment service was the backbone of OH within the company.  Looking =
back I can firmly say that my assessment of that situation is that =
during those years true OH provision was sacrificed in the minds of =
management, unions and workforce to the level of the 'treatment nurse'!  =
OH has (thankfully) moved on, and we are where we are today only because =
we have lost the image of 'nursey' dishing out all manner of =
appropriate?? and inappropriate medication.  By all means use group =
protocols for vaccines and anaphylaxis treatment etc, but for goodness =
sake, leave prescribing to those who do it best, the physicians and =
pharmacists.  Horses for courses..... that's what I say!!
      ----- Original Message -----=20
      From: Greta Thornbory=20
      To: [log in to unmask]
      Sent: Tuesday, October 26, 2004 3:25 PM
      Subject: Re: prescribing


      I am very interested in your views and rationale for nurse =
prescribing in occupational health especially as during the 90s OH =
people at the RCN fought to stop the nurse prescribing module being a =
compulsory module of the OH degree course - it was supported by the =
(practicing) OH nurses on the curriculum development group. This was at =
the time when OH nurses and the first ever Nurse Practitioner courses =
were running in tandem under the direction of Barbara Stillwell, who =
pioneered nurse practitioners in the UK. Nurse practitioners are vital =
to today's primary and community care, however, OH nurses are not nurse =
practitioners. I definitely agree that we should keep up-to-date in =
every aspect of practice that we use in OH and should understand =
treatment regimes, it is an NMC and professional requirement to do so - =
but it is not necessary to study a specific pharmacology/nurse =
prescribing course to do this.

      I am concerned too that you comment about the need for an OH =
physician and I wonder if you are suggesting that we should take on =
their role? To me nursing and medicine are two distinct professions =
which complement each other. However, I am not saying that nurses should =
not prescribe but there has to be a distinct need to do so, particularly =
in OH.  It would be awful to think that nurse prescribing was a =
'development' of nursing practice. To me it would be a return to the =
days of yesteryear when OH departments kept a pharmacy stock - e.g. Ford =
motor Co.OH dept. kept 250 medicines ranging from antibiotics to =
antidepressants not to mention digoxin!! A well known sweet manufacturer =
from another planet kept about the same. How do I know this - I actually =
did my dissertation at the time on the use of medicines in OH.

      Jan Maw said it all (OH Feb 04) 'If OHNs are to embrace nurse =
prescribing alongside their nursing colleagues greater evidence is =
needed to support the benefit's . At the moment there is no evidence =
base to support the practice. I believe we should be considering the =
ways in which we can obtain the evidence before we go down this road.

      Greta Thornbory
      Consultant, Occupational Health & Education
      Consultant Editor, OH Journal
      www.gtenterprises-uk.com
      Tel: 01235 770156
      Mob: 07778 518 027


      ----- Original Message -----=20
      From: "Jeanette Hogg" <[log in to unmask]>
      To: <[log in to unmask]>
      Sent: Tuesday, October 26, 2004 10:48 AM
      Subject: prescribing


      > Thanks to everyone for your responses about prescribing.  I =
appreciate
      > everyone's view on this but would just like to highlight a few =
issues.
      > Prescribing is not just about writing a script - that's the easy =
bit. If
      > its one thing that the course taught me its that we should keep =
focus on
      > our nursing clinical skills and knowledge. During consultation =
if we advise
      > regarding medication, treatment options and or distribute under =
PGD's or
      > standing orders we are effectively prescribing and are =
accountable for
      > those decisions and the advice given to the patient. So we =
should be
      > keeping up to date with drugs and medications that we come =
across as
      > advsiors/nurses. The course greatly enhanced my understanding of =
how
      > medicines affect patient outcomes, improved my consultation =
skills by an
      > increased knowledge into pharmocology and pharmacokinetics.  How =
many
      > patient's do we see on pain control, antidepressants etc. Do we =
really know
      > enough about that treatment and it's effects to aid our =
decisions on how
      > and when clients will respond effectively and acheive a return =
to good
      > health? We are community/primary care workers in many ways and I =
have a far
      > better rappor with GP's because I understand to some extent =
their treatment
      > regimes and options for their patients and work with them.
      >=20
      > When do we need an occupational physician? Usually when =
diagnosis,
      > medicines, investigations etc are involved in case management.I =
don't think
      > we can categorically say that prescribing is not for us as =
advisors because
      > if we do we are missing out on the development of nursing roles =
which are
      > rapidly moving forward in terms of clinical skills that we rely =
on
      > physicians for. So to dismiss this development will leave us =
behind in the
      > nursing world.  There are many experienced and highly clinically =
skilled
      > nurse practitioners out there who work in primary care and could =
very
      > easily move into occupational health. Its not about replacing =
physicians,
      > but I do feel we need to keep up and be more effective - a =
qualification in
      > Occhealth alone may not be enough. Medicines management is part =
of that
      > nursing even in an advisory capacity. Just food for thought.
      >=20
      > ~~~~~~~~~~~~~~~
      > Please remove this footer before replying.
      >=20
      > For list archives and documents, go to
      > http://www.jiscmail.ac.uk/lists/occ-health.html for list =
archives
      >=20
      > For jobs in Occupational Health, go to
      > http://uk.groups.yahoo.com/group/OHJobs/


      ---
      Outgoing mail is certified Virus Free.
      Checked by AVG anti-virus system (http://www.grisoft.com).
      Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004
      ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
      For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

      For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_004C_01C4BC0D.6A474970
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dwindows-1252">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>No Greta, I never really bothered with =
the uniform,=20
I could never get the frilly hat to stay on.... you see I never had =
enough hair=20
for the grips to hold.&nbsp;&nbsp; Now if you had mentioned=20
stockings....</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Greta Thornbory</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, October 27, =
2004 9:56=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: prescribing</DIV>
  <DIV><BR></DIV>
  <DIV><FONT size=3D2>Hey Bob you forgot the bit about the management =
and unions=20
  wanting the treatment nurse cos her blue dress and frilly white hat =
instilled=20
  confidence in the workforce! Or did you refuse to wear =
yours?</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <BLOCKQUOTE dir=3Dltr=20
  style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
    <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
    <DIV=20
    style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
    <A =
[log in to unmask]
    =
href=3D"mailto:[log in to unmask]
AC.UK">Robert=20
    Dunn</A> </DIV>
    <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
    =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, October 27, =
2004 9:41=20
    AM</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: =
prescribing</DIV>
    <DIV><BR></DIV>
    <DIV><FONT face=3DArial size=3D2>
    <DIV><FONT face=3DArial size=3D2>I'm probably going to ruffle a few =
feathers,=20
    however, I agree with Greta.&nbsp; For OH Advisers to routinely =
prescribe=20
    would be a retrospective step back to the days where the nurse in =
industry=20
    was there to administer aspirin, tea and sympathy in varying =
amounts.&nbsp;=20
    I have worked (indeed started my OH career) for multi-national =
organisations=20
    where a treatment service was the backbone of OH within the =
company.&nbsp;=20
    Looking back I can firmly say that my assessment of that =
situation&nbsp;is=20
    that during those years true OH provision was sacrificed in the =
minds of=20
    management, unions and workforce to the level of the 'treatment=20
    nurse'!&nbsp; OH has (thankfully) moved on, and we are where we are =
today=20
    only because we have lost the image of 'nursey' dishing out all =
manner of=20
    appropriate?? and inappropriate medication.&nbsp; By all means use =
group=20
    protocols for vaccines and anaphylaxis treatment etc, but for =
goodness sake,=20
    leave prescribing to those who do it best, the physicians and=20
    pharmacists.&nbsp; Horses for courses..... that's what I=20
    say!!</FONT></DIV></FONT></DIV>
    <BLOCKQUOTE dir=3Dltr=20
    style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
      <DIV style=3D"FONT: 10pt arial">----- Original Message ----- =
</DIV>
      <DIV=20
      style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
      <A [log in to unmask]
      href=3D"mailto:[log in to unmask]">Greta Thornbory</A> =
</DIV>
      <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A=20
      [log in to unmask]
      =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A>=20
      </DIV>
      <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Tuesday, October 26, =
2004 3:25=20
      PM</DIV>
      <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: =
prescribing</DIV>
      <DIV><BR></DIV>
      <DIV><FONT size=3D2>I am very interested in your views and =
rationale for=20
      nurse prescribing in occupational health especially as during the =
90s OH=20
      people at the RCN fought to stop the nurse prescribing module =
being a=20
      compulsory module of the OH degree course - it was supported by =
the=20
      (practicing) OH nurses on the curriculum development group. This =
was at=20
      the time when OH nurses and the first ever Nurse Practitioner =
courses were=20
      running in tandem under the direction of Barbara Stillwell, who =
pioneered=20
      nurse practitioners in the UK. Nurse practitioners are vital to =
today's=20
      primary and community care, however, OH nurses are not nurse=20
      practitioners.&nbsp;I&nbsp;definitely agree that we should keep =
up-to-date=20
      in every aspect of practice that we use&nbsp;in OH and should =
understand=20
      treatment regimes, it is an NMC and professional requirement to do =

      so&nbsp;- but it is not necessary to study a specific =
pharmacology/nurse=20
      prescribing course to do this.</FONT></DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2>I am concerned too that you comment about the =
need for=20
      an OH physician and I wonder if you are suggesting that we should =
take on=20
      their role? To me nursing and medicine are two distinct =
professions which=20
      complement each other. However, I am not saying that nurses should =
not=20
      prescribe but there has to be a distinct need to do so, =
particularly in=20
      OH. &nbsp;It would be awful to think&nbsp;that nurse prescribing =
was a=20
      'development' of nursing practice. To me it would be a&nbsp;return =
to the=20
      days of yesteryear when OH departments kept a pharmacy stock - =
e.g. Ford=20
      motor Co.OH dept.&nbsp;kept 250 medicines ranging from antibiotics =
to=20
      antidepressants not to mention digoxin!! A well known sweet =
manufacturer=20
      from another planet kept about the same. How do I know this - I =
actually=20
      did my dissertation at the time on the use of&nbsp;medicines in=20
      OH.</FONT></DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2>Jan Maw said it all (OH Feb 04) <EM>'If OHNs =
are to=20
      embrace nurse prescribing alongside their nursing colleagues =
greater=20
      evidence is needed to support the benefit's </EM>. At the moment =
there is=20
      no evidence base to support the practice. I believe we should be=20
      considering the ways in which we can obtain the evidence before we =
go down=20
      this road.</FONT></DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational =
Health &amp;=20
      Education<BR>Consultant Editor, OH Journal<BR><A=20
      =
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
      01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2>----- Original Message ----- </FONT>
      <DIV><FONT size=3D2>From: "Jeanette Hogg" &lt;</FONT><A=20
      href=3D"mailto:[log in to unmask]"><FONT=20
      size=3D2>[log in to unmask]</FONT></A><FONT=20
      size=3D2>&gt;</FONT></DIV>
      <DIV><FONT size=3D2>To: &lt;</FONT><A=20
      href=3D"mailto:[log in to unmask]"><FONT=20
      size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
      <DIV><FONT size=3D2>Sent: Tuesday, October 26, 2004 10:48 =
AM</FONT></DIV>
      <DIV><FONT size=3D2>Subject: prescribing</FONT></DIV></DIV>
      <DIV><FONT size=3D2><BR></FONT></DIV>
      <DIV><FONT size=3D2>&gt; Thanks to everyone for your responses =
about=20
      prescribing.&nbsp; I appreciate<BR>&gt; everyone's view on this =
but would=20
      just like to highlight a few issues.<BR>&gt; Prescribing is not =
just about=20
      writing a script - that's the easy bit. If<BR>&gt; its one thing =
that the=20
      course taught me its that we should keep focus on<BR>&gt; our =
nursing=20
      clinical skills and knowledge. During consultation if we =
advise<BR>&gt;=20
      regarding medication, treatment options and or distribute under =
PGD's=20
      or<BR>&gt; standing orders we are effectively prescribing and are=20
      accountable for<BR>&gt; those decisions and the advice given to =
the=20
      patient. So we should be<BR>&gt; keeping up to date with drugs and =

      medications that we come across as<BR>&gt; advsiors/nurses. The =
course=20
      greatly enhanced my understanding of how<BR>&gt; medicines affect =
patient=20
      outcomes, improved my consultation skills by an<BR>&gt; increased=20
      knowledge into pharmocology and pharmacokinetics.&nbsp; How =
many<BR>&gt;=20
      patient's do we see on pain control, antidepressants etc. Do we =
really=20
      know<BR>&gt; enough about that treatment and it's effects to aid =
our=20
      decisions on how<BR>&gt; and when clients will respond effectively =
and=20
      acheive a return to good<BR>&gt; health? We are community/primary =
care=20
      workers in many ways and I have a far<BR>&gt; better rappor with =
GP's=20
      because I understand to some extent their treatment<BR>&gt; =
regimes and=20
      options for their patients and work with them.<BR>&gt; <BR>&gt; =
When do we=20
      need an occupational physician? Usually when diagnosis,<BR>&gt; =
medicines,=20
      investigations etc are involved in case management.I don't =
think<BR>&gt;=20
      we can categorically say that prescribing is not for us as =
advisors=20
      because<BR>&gt; if we do we are missing out on the development of =
nursing=20
      roles which are<BR>&gt; rapidly moving forward in terms of =
clinical skills=20
      that we rely on<BR>&gt; physicians for. So to dismiss this =
development=20
      will leave us behind in the<BR>&gt; nursing world.&nbsp; There are =
many=20
      experienced and highly clinically skilled<BR>&gt; nurse =
practitioners out=20
      there who work in primary care and could very<BR>&gt; easily move =
into=20
      occupational health. Its not about replacing physicians,<BR>&gt; =
but I do=20
      feel we need to keep up and be more effective - a qualification =
in<BR>&gt;=20
      Occhealth alone may not be enough. Medicines management is part of =

      that<BR>&gt; nursing even in an advisory capacity. Just food for=20
      thought.<BR>&gt; <BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove =
this=20
      footer before replying.<BR>&gt; <BR>&gt; For list archives and =
documents,=20
      go to<BR>&gt; </FONT><A=20
      href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT=20
      =
size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =

      size=3D2> for list archives<BR>&gt; <BR>&gt; For jobs in =
Occupational=20
      Health, go to<BR>&gt; </FONT><A=20
      href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
      =
size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT=20
      color=3D#0000ff size=3D2></FONT></U></DIV>
      <DIV>&nbsp;</DIV>
      <DIV><U><FONT color=3D#0000ff size=3D2><BR>---<BR>Outgoing mail is =
certified=20
      Virus Free.<BR>Checked by AVG anti-virus system (<A=20
      =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =

      6.0.778 / Virus Database: 525 - Release Date:=20
      15/10/2004</FONT></U></DIV>~~~~~~~~~~~~~~~ Please remove this =
footer=20
      before replying.=20
      <P>For list archives and documents, go to=20
      http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
      <P>For jobs in Occupational Health, go to=20
      http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE>~~~~~~~~~~~~~~~=20
    Please remove this footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_004C_01C4BC0D.6A474970--
=========================================================================
Date:         Wed, 27 Oct 2004 09:22:02 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Robert Dunn
              <[log in to unmask]>
Organization: University of Oxford
Subject:      Re: prescribing
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0043_01C4BC06.6B407AB0"

This is a multi-part message in MIME format.

------=_NextPart_000_0043_01C4BC06.6B407AB0
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

I'm probably going to ruffle a few feathers, however, I agree with =
Greta.  For OH Advisers to routinely prescribe would be a retrospective =
step back to the days where the nurse in industry was there to =
administer aspirin, tea and sympathy in varying amounts.  I have worked =
(indeed started my OH career) for multi-national organisations where a =
treatment service was the backbone of OH within the company.  Looking =
back I can firmly say that my assessment of that situation is that =
during those years true OH provision was sacrificed in the minds of =
management, unions and workforce to the level of the 'treatment nurse'!  =
OH has (thankfully) moved on, and we are where we are today only because =
we have lost the image of 'nursey' dishing out all manner of =
appropriate?? and inappropriate medication.  By all means use group =
protocols for vaccines and anaphylaxis treatment etc, but for goodness =
sake, leave prescribing to those who do it best, the physicians and =
pharmacists.  Horses for courses..... that's what I say!!
  ----- Original Message -----=20
  From: Greta Thornbory=20
  To: [log in to unmask]
  Sent: Tuesday, October 26, 2004 3:25 PM
  Subject: Re: prescribing


  I am very interested in your views and rationale for nurse prescribing =
in occupational health especially as during the 90s OH people at the RCN =
fought to stop the nurse prescribing module being a compulsory module of =
the OH degree course - it was supported by the (practicing) OH nurses on =
the curriculum development group. This was at the time when OH nurses =
and the first ever Nurse Practitioner courses were running in tandem =
under the direction of Barbara Stillwell, who pioneered nurse =
practitioners in the UK. Nurse practitioners are vital to today's =
primary and community care, however, OH nurses are not nurse =
practitioners. I definitely agree that we should keep up-to-date in =
every aspect of practice that we use in OH and should understand =
treatment regimes, it is an NMC and professional requirement to do so - =
but it is not necessary to study a specific pharmacology/nurse =
prescribing course to do this.

  I am concerned too that you comment about the need for an OH physician =
and I wonder if you are suggesting that we should take on their role? To =
me nursing and medicine are two distinct professions which complement =
each other. However, I am not saying that nurses should not prescribe =
but there has to be a distinct need to do so, particularly in OH.  It =
would be awful to think that nurse prescribing was a 'development' of =
nursing practice. To me it would be a return to the days of yesteryear =
when OH departments kept a pharmacy stock - e.g. Ford motor Co.OH dept. =
kept 250 medicines ranging from antibiotics to antidepressants not to =
mention digoxin!! A well known sweet manufacturer from another planet =
kept about the same. How do I know this - I actually did my dissertation =
at the time on the use of medicines in OH.

  Jan Maw said it all (OH Feb 04) 'If OHNs are to embrace nurse =
prescribing alongside their nursing colleagues greater evidence is =
needed to support the benefit's . At the moment there is no evidence =
base to support the practice. I believe we should be considering the =
ways in which we can obtain the evidence before we go down this road.

  Greta Thornbory
  Consultant, Occupational Health & Education
  Consultant Editor, OH Journal
  www.gtenterprises-uk.com
  Tel: 01235 770156
  Mob: 07778 518 027


  ----- Original Message -----=20
  From: "Jeanette Hogg" <[log in to unmask]>
  To: <[log in to unmask]>
  Sent: Tuesday, October 26, 2004 10:48 AM
  Subject: prescribing


  > Thanks to everyone for your responses about prescribing.  I =
appreciate
  > everyone's view on this but would just like to highlight a few =
issues.
  > Prescribing is not just about writing a script - that's the easy =
bit. If
  > its one thing that the course taught me its that we should keep =
focus on
  > our nursing clinical skills and knowledge. During consultation if we =
advise
  > regarding medication, treatment options and or distribute under =
PGD's or
  > standing orders we are effectively prescribing and are accountable =
for
  > those decisions and the advice given to the patient. So we should be
  > keeping up to date with drugs and medications that we come across as
  > advsiors/nurses. The course greatly enhanced my understanding of how
  > medicines affect patient outcomes, improved my consultation skills =
by an
  > increased knowledge into pharmocology and pharmacokinetics.  How =
many
  > patient's do we see on pain control, antidepressants etc. Do we =
really know
  > enough about that treatment and it's effects to aid our decisions on =
how
  > and when clients will respond effectively and acheive a return to =
good
  > health? We are community/primary care workers in many ways and I =
have a far
  > better rappor with GP's because I understand to some extent their =
treatment
  > regimes and options for their patients and work with them.
  >=20
  > When do we need an occupational physician? Usually when diagnosis,
  > medicines, investigations etc are involved in case management.I =
don't think
  > we can categorically say that prescribing is not for us as advisors =
because
  > if we do we are missing out on the development of nursing roles =
which are
  > rapidly moving forward in terms of clinical skills that we rely on
  > physicians for. So to dismiss this development will leave us behind =
in the
  > nursing world.  There are many experienced and highly clinically =
skilled
  > nurse practitioners out there who work in primary care and could =
very
  > easily move into occupational health. Its not about replacing =
physicians,
  > but I do feel we need to keep up and be more effective - a =
qualification in
  > Occhealth alone may not be enough. Medicines management is part of =
that
  > nursing even in an advisory capacity. Just food for thought.
  >=20
  > ~~~~~~~~~~~~~~~
  > Please remove this footer before replying.
  >=20
  > For list archives and documents, go to
  > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  >=20
  > For jobs in Occupational Health, go to
  > http://uk.groups.yahoo.com/group/OHJobs/


  ---
  Outgoing mail is certified Virus Free.
  Checked by AVG anti-virus system (http://www.grisoft.com).
  Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004
  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0043_01C4BC06.6B407AB0
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dwindows-1252">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>I'm probably going to ruffle a few =
feathers,=20
however, I agree with Greta.&nbsp; For OH Advisers to routinely =
prescribe would=20
be a retrospective step back to the days where the nurse in industry was =
there=20
to administer aspirin, tea and sympathy in varying amounts.&nbsp; I have =
worked=20
(indeed started my OH career) for multi-national organisations where a =
treatment=20
service was the backbone of OH within the company.&nbsp; Looking back I =
can=20
firmly say that my assessment of that situation&nbsp;is that during =
those years=20
true OH provision was sacrificed in the minds of management, unions and=20
workforce to the level of the 'treatment nurse'!&nbsp; OH has =
(thankfully) moved=20
on, and we are where we are today only because we have lost the image of =

'nursey' dishing out all manner of appropriate?? and inappropriate=20
medication.&nbsp; By all means use group protocols for vaccines and =
anaphylaxis=20
treatment etc, but for goodness sake, leave prescribing to those who do =
it best,=20
the physicians and pharmacists.&nbsp; Horses for courses..... that's =
what I=20
say!!</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Greta Thornbory</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Tuesday, October 26, 2004 =
3:25=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: prescribing</DIV>
  <DIV><BR></DIV>
  <DIV><FONT size=3D2>I am very interested in your views and rationale =
for nurse=20
  prescribing in occupational health especially as during the 90s OH =
people at=20
  the RCN fought to stop the nurse prescribing module being a compulsory =
module=20
  of the OH degree course - it was supported by the (practicing) OH =
nurses on=20
  the curriculum development group. This was at the time when OH nurses =
and the=20
  first ever Nurse Practitioner courses were running in tandem under the =

  direction of Barbara Stillwell, who pioneered nurse practitioners in =
the UK.=20
  Nurse practitioners are vital to today's primary and community care, =
however,=20
  OH nurses are not nurse practitioners.&nbsp;I&nbsp;definitely agree =
that we=20
  should keep up-to-date in every aspect of practice that we use&nbsp;in =
OH and=20
  should understand treatment regimes, it is an NMC and professional =
requirement=20
  to do so&nbsp;- but it is not necessary to study a specific =
pharmacology/nurse=20
  prescribing course to do this.</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>I am concerned too that you comment about the need =
for an OH=20
  physician and I wonder if you are suggesting that we should take on =
their=20
  role? To me nursing and medicine are two distinct professions which =
complement=20
  each other. However, I am not saying that nurses should not prescribe =
but=20
  there has to be a distinct need to do so, particularly in OH. &nbsp;It =
would=20
  be awful to think&nbsp;that nurse prescribing was a 'development' of =
nursing=20
  practice. To me it would be a&nbsp;return to the days of yesteryear =
when OH=20
  departments kept a pharmacy stock - e.g. Ford motor Co.OH =
dept.&nbsp;kept 250=20
  medicines ranging from antibiotics to antidepressants not to mention =
digoxin!!=20
  A well known sweet manufacturer from another planet kept about the =
same. How=20
  do I know this - I actually did my dissertation at the time on the use =

  of&nbsp;medicines in OH.</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>Jan Maw said it all (OH Feb 04) <EM>'If OHNs are =
to embrace=20
  nurse prescribing alongside their nursing colleagues greater evidence =
is=20
  needed to support the benefit's </EM>. At the moment there is no =
evidence base=20
  to support the practice. I believe we should be considering the ways =
in which=20
  we can obtain the evidence before we go down this road.</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health =
&amp;=20
  Education<BR>Consultant Editor, OH Journal<BR><A=20
  =
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
  01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>----- Original Message ----- </FONT>
  <DIV><FONT size=3D2>From: "Jeanette Hogg" &lt;</FONT><A=20
  href=3D"mailto:[log in to unmask]"><FONT=20
  size=3D2>[log in to unmask]</FONT></A><FONT=20
size=3D2>&gt;</FONT></DIV>
  <DIV><FONT size=3D2>To: &lt;</FONT><A=20
  href=3D"mailto:[log in to unmask]"><FONT=20
  size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
  <DIV><FONT size=3D2>Sent: Tuesday, October 26, 2004 10:48 =
AM</FONT></DIV>
  <DIV><FONT size=3D2>Subject: prescribing</FONT></DIV></DIV>
  <DIV><FONT size=3D2><BR></FONT></DIV>
  <DIV><FONT size=3D2>&gt; Thanks to everyone for your responses about=20
  prescribing.&nbsp; I appreciate<BR>&gt; everyone's view on this but =
would just=20
  like to highlight a few issues.<BR>&gt; Prescribing is not just about =
writing=20
  a script - that's the easy bit. If<BR>&gt; its one thing that the =
course=20
  taught me its that we should keep focus on<BR>&gt; our nursing =
clinical skills=20
  and knowledge. During consultation if we advise<BR>&gt; regarding =
medication,=20
  treatment options and or distribute under PGD's or<BR>&gt; standing =
orders we=20
  are effectively prescribing and are accountable for<BR>&gt; those =
decisions=20
  and the advice given to the patient. So we should be<BR>&gt; keeping =
up to=20
  date with drugs and medications that we come across as<BR>&gt;=20
  advsiors/nurses. The course greatly enhanced my understanding of =
how<BR>&gt;=20
  medicines affect patient outcomes, improved my consultation skills by=20
  an<BR>&gt; increased knowledge into pharmocology and =
pharmacokinetics.&nbsp;=20
  How many<BR>&gt; patient's do we see on pain control, antidepressants =
etc. Do=20
  we really know<BR>&gt; enough about that treatment and it's effects to =
aid our=20
  decisions on how<BR>&gt; and when clients will respond effectively and =
acheive=20
  a return to good<BR>&gt; health? We are community/primary care workers =
in many=20
  ways and I have a far<BR>&gt; better rappor with GP's because I =
understand to=20
  some extent their treatment<BR>&gt; regimes and options for their =
patients and=20
  work with them.<BR>&gt; <BR>&gt; When do we need an occupational =
physician?=20
  Usually when diagnosis,<BR>&gt; medicines, investigations etc are =
involved in=20
  case management.I don't think<BR>&gt; we can categorically say that=20
  prescribing is not for us as advisors because<BR>&gt; if we do we are =
missing=20
  out on the development of nursing roles which are<BR>&gt; rapidly =
moving=20
  forward in terms of clinical skills that we rely on<BR>&gt; physicians =
for. So=20
  to dismiss this development will leave us behind in the<BR>&gt; =
nursing=20
  world.&nbsp; There are many experienced and highly clinically =
skilled<BR>&gt;=20
  nurse practitioners out there who work in primary care and could =
very<BR>&gt;=20
  easily move into occupational health. Its not about replacing=20
  physicians,<BR>&gt; but I do feel we need to keep up and be more =
effective - a=20
  qualification in<BR>&gt; Occhealth alone may not be enough. Medicines=20
  management is part of that<BR>&gt; nursing even in an advisory =
capacity. Just=20
  food for thought.<BR>&gt; <BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please =
remove this=20
  footer before replying.<BR>&gt; <BR>&gt; For list archives and =
documents, go=20
  to<BR>&gt; </FONT><A=20
  href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT=20
  =
size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =
size=3D2>=20
  for list archives<BR>&gt; <BR>&gt; For jobs in Occupational Health, go =

  to<BR>&gt; </FONT><A =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
  size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT=20
  color=3D#0000ff size=3D2></FONT></U></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><U><FONT color=3D#0000ff size=3D2><BR>---<BR>Outgoing mail is =
certified Virus=20
  Free.<BR>Checked by AVG anti-virus system (<A=20
  =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.778=20
  / Virus Database: 525 - Release Date:=20
  15/10/2004</FONT></U></DIV>~~~~~~~~~~~~~~~ Please remove this footer =
before=20
  replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0043_01C4BC06.6B407AB0--
=========================================================================
Date:         Wed, 27 Oct 2004 10:20:04 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lynn Holland <[log in to unmask]>
Subject:      Re: prescribing[Scanned]
Content-Transfer-Encoding: 7bit
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4BC06.2479A72E"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4BC06.2479A72E
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: base64
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------_=_NextPart_001_01C4BC06.2479A72E
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<HTML xmlns:eXclaimer=3D"http://www.exclaimer.co.uk">
<HEAD>
<META http-equiv=3D"Content-Type" content=3D"text/html; =
charset=3DUTF-16">
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3DUTF-16">
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">


<meta name=3DGenerator content=3D"Microsoft Word 10 (filtered)">

<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {margin:0cm;
        margin-bottom:.0001pt;
        font-size:12.0pt;
        font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
        {color:blue;
        text-decoration:underline;}
p
        {margin-right:0cm;
        margin-left:0cm;
        font-size:12.0pt;
        font-family:"Times New Roman";}
span.EmailStyle19
        {font-family:Arial;
        color:navy;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;}
div.Section1
        {page:Section1;}
-->
</style>

</HEAD><BODY bgcolor=3Dwhite lang=3DEN-GB link=3Dblue vlink=3Dblue><DIV>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Bob</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>I am trying to work at home on a =
policy
and a vision of you in stockings has completely finished me =
off!!!!!</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>&nbsp;</span></font></p>

<div>

<p class=3DMsoNormal><strong><b><i><font size=3D2 color=3Dnavy =
face=3DArial><span
 =
style=3D'font-size:10.0pt;font-family:Arial;color:navy;font-style:italic'=
>Lynn
 Holland</span></font></i></b></strong></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Occupational Health =
Consultant</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Tempus Software =
Limited</span></font></p>

<p class=3DMsoNormal><font size=3D3 color=3Dnavy face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt;color:navy'>&nbsp;</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Tel: 07813008472 or email
[log in to unmask]</span></font></p>

</div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DTahoma><span
lang=3DEN-US style=3D'font-size:10.0pt;font-family:Tahoma'>-----Original
Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Robert Dunn
[mailto:[log in to unmask]] =
<br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 27 October 2004 =
10:12<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Re: =
prescribing[Scanned]</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>No Greta, I never really =
bothered
with the uniform, I could never get the frilly hat to stay on.... you =
see I
never had enough hair for the grips to hold.&nbsp;&nbsp; Now if you had
mentioned stockings....</span></font></p>

</div>

<blockquote style=3D'border:none;border-left:solid black =
1.5pt;padding:0cm 0cm 0cm 4.0pt;
margin-left:3.75pt;margin-top:5.0pt;margin-right:0cm;margin-bottom:5.0pt'=
>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>----- Original Message =
----- </span></font></p>

</div>

<div style=3D'font-color:black'>

<p class=3DMsoNormal =
style=3D'margin-left:36.0pt;background:#E4E4E4'><b><font
size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;font-weight:
bold'>From:</span></font></b><font size=3D2 face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial'> <a =
href=3D"mailto:[log in to unmask]"
title=3D"[log in to unmask]">Greta Thornbory</a> =
</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><b><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;font-weight:bold'>To:</span><=
/font></b><font
size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'> <a
href=3D"mailto:[log in to unmask]" =
title=3D"[log in to unmask]">[log in to unmask]</a>
</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><b><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;font-weight:bold'>Sent:</span=
></font></b><font
size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'> Wednesday,
October 27, 2004 9:56 AM</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><b><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;font-weight:bold'>Subject:</s=
pan></font></b><font
size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'> Re:
prescribing</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>Hey Bob you =
forgot the
bit about the management and unions wanting the treatment nurse cos her =
blue
dress and frilly white hat instilled confidence in the workforce! Or did =
you
refuse to wear yours?</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<blockquote style=3D'border:none;border-left:solid black =
1.5pt;padding:0cm 0cm 0cm 4.0pt;
margin-left:3.75pt;margin-top:5.0pt;margin-right:0cm;margin-bottom:5.0pt'=
>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>----- Original Message =
----- </span></font></p>

</div>

<div style=3D'font-color:black'>

<p class=3DMsoNormal =
style=3D'margin-left:36.0pt;background:#E4E4E4'><b><font
size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;font-weight:
bold'>From:</span></font></b><font size=3D2 face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial'> <a
href=3D"mailto:[log in to unmask]
AC.UK"
title=3D"[log in to unmask]"=
>Robert
Dunn</a> </span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><b><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;font-weight:bold'>To:</span><=
/font></b><font
size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'> <a
href=3D"mailto:[log in to unmask]" =
title=3D"[log in to unmask]">[log in to unmask]</a>
</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><b><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;font-weight:bold'>Sent:</span=
></font></b><font
size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'> Wednesday,
October 27, 2004 9:41 AM</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><b><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;font-weight:bold'>Subject:</s=
pan></font></b><font
size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'> Re:
prescribing</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>I'm probably going to =
ruffle a few
feathers, however, I agree with Greta.&nbsp; For OH Advisers to =
routinely
prescribe would be a retrospective step back to the days where the nurse =
in
industry was there to administer aspirin, tea and sympathy in varying
amounts.&nbsp; I have worked (indeed started my OH career) for =
multi-national organisations
where a treatment service was the backbone of OH within the =
company.&nbsp;
Looking back I can firmly say that my assessment of that =
situation&nbsp;is that
during those years true OH provision was sacrificed in the minds of =
management,
unions and workforce to the level of the 'treatment nurse'!&nbsp; OH has
(thankfully) moved on, and we are where we are today only because we =
have lost
the image of 'nursey' dishing out all manner of appropriate?? and =
inappropriate
medication.&nbsp; By all means use group protocols for vaccines and =
anaphylaxis
treatment etc, but for goodness sake, leave prescribing to those who do =
it
best, the physicians and pharmacists.&nbsp; Horses for courses..... =
that's what
I say!!</span></font></p>

</div>

</div>

<blockquote style=3D'border:none;border-left:solid black =
1.5pt;padding:0cm 0cm 0cm 4.0pt;
margin-left:3.75pt;margin-top:5.0pt;margin-right:0cm;margin-bottom:5.0pt'=
>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>----- Original Message =
----- </span></font></p>

</div>

<div style=3D'font-color:black'>

<p class=3DMsoNormal =
style=3D'margin-left:36.0pt;background:#E4E4E4'><b><font
size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;font-weight:
bold'>From:</span></font></b><font size=3D2 face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial'> <a =
href=3D"mailto:[log in to unmask]"
title=3D"[log in to unmask]">Greta Thornbory</a> =
</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><b><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;font-weight:bold'>To:</span><=
/font></b><font
size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'> <a
href=3D"mailto:[log in to unmask]" =
title=3D"[log in to unmask]">[log in to unmask]</a>
</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><b><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;font-weight:bold'>Sent:</span=
></font></b><font
size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'> Tuesday,
October 26, 2004 3:25 PM</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><b><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;font-weight:bold'>Subject:</s=
pan></font></b><font
size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'> Re:
prescribing</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>I am very =
interested in
your views and rationale for nurse prescribing in occupational health
especially as during the 90s OH people at the RCN fought to stop the =
nurse
prescribing module being a compulsory module of the OH degree course - =
it was
supported by the (practicing) OH nurses on the curriculum development =
group.
This was at the time when OH nurses and the first ever Nurse =
Practitioner
courses were running in tandem under the direction of Barbara Stillwell, =
who
pioneered nurse practitioners in the UK. Nurse practitioners are vital =
to
today's primary and community care, however, OH nurses are not nurse
practitioners.&nbsp;I&nbsp;definitely agree that we should keep =
up-to-date in
every aspect of practice that we use&nbsp;in OH and should understand =
treatment
regimes, it is an NMC and professional requirement to do so&nbsp;- but =
it is
not necessary to study a specific pharmacology/nurse prescribing course =
to do
this.</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>I am concerned =
too that
you comment about the need for an OH physician and I wonder if you are
suggesting that we should take on their role? To me nursing and medicine =
are
two distinct professions which complement each other. However, I am not =
saying
that nurses should not prescribe but there has to be a distinct need to =
do so,
particularly in OH. &nbsp;It would be awful to think&nbsp;that nurse
prescribing was a 'development' of nursing practice. To me it would be
a&nbsp;return to the days of yesteryear when OH departments kept a =
pharmacy
stock - e.g. Ford motor Co.OH dept.&nbsp;kept 250 medicines ranging from
antibiotics to antidepressants not to mention digoxin!! A well known =
sweet
manufacturer from another planet kept about the same. How do I know this =
- I
actually did my dissertation at the time on the use of&nbsp;medicines in =
OH.</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>Jan Maw said =
it all (OH
Feb 04) <em><i><font face=3D"Times New Roman">'If OHNs are to embrace =
nurse prescribing
alongside their nursing colleagues greater evidence is needed to support =
the
benefit's </font></i></em>. At the moment there is no evidence base to =
support
the practice. I believe we should be considering the ways in which we =
can
obtain the evidence before we go down this road.</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>Greta =
Thornbory<br>
Consultant, Occupational Health &amp; Education<br>
Consultant Editor, OH Journal<br>
<a =
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</a><br>=

Tel: 01235 770156<br>
Mob: 07778 518 027</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>----- Original =
Message
----- </span></font></p>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>From: =
&quot;Jeanette
Hogg&quot; &lt;</span></font><a =
href=3D"mailto:[log in to unmask]"><font
size=3D2><span =
style=3D'font-size:10.0pt'>[log in to unmask]</span></font><=
/a><font
size=3D2><span style=3D'font-size:10.0pt'>&gt;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>To: =
&lt;</span></font><a
href=3D"mailto:[log in to unmask]"><font size=3D2><span =
style=3D'font-size:
10.0pt'>[log in to unmask]</span></font></a><font size=3D2><span
style=3D'font-size:10.0pt'>&gt;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>Sent: Tuesday, =
October
26, 2004 10:48 AM</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>Subject: =
prescribing</span></font></p>

</div>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>&gt; Thanks to =
everyone
for your responses about prescribing.&nbsp; I appreciate<br>
&gt; everyone's view on this but would just like to highlight a few =
issues.<br>
&gt; Prescribing is not just about writing a script - that's the easy =
bit. If<br>
&gt; its one thing that the course taught me its that we should keep =
focus on<br>
&gt; our nursing clinical skills and knowledge. During consultation if =
we
advise<br>
&gt; regarding medication, treatment options and or distribute under =
PGD's or<br>
&gt; standing orders we are effectively prescribing and are accountable =
for<br>
&gt; those decisions and the advice given to the patient. So we should =
be<br>
&gt; keeping up to date with drugs and medications that we come across =
as<br>
&gt; advsiors/nurses. The course greatly enhanced my understanding of =
how<br>
&gt; medicines affect patient outcomes, improved my consultation skills =
by an<br>
&gt; increased knowledge into pharmocology and pharmacokinetics.&nbsp; =
How many<br>
&gt; patient's do we see on pain control, antidepressants etc. Do we =
really know<br>
&gt; enough about that treatment and it's effects to aid our decisions =
on how<br>
&gt; and when clients will respond effectively and acheive a return to =
good<br>
&gt; health? We are community/primary care workers in many ways and I =
have a
far<br>
&gt; better rappor with GP's because I understand to some extent their
treatment<br>
&gt; regimes and options for their patients and work with them.<br>
&gt; <br>
&gt; When do we need an occupational physician? Usually when =
diagnosis,<br>
&gt; medicines, investigations etc are involved in case management.I =
don't think<br>
&gt; we can categorically say that prescribing is not for us as advisors
because<br>
&gt; if we do we are missing out on the development of nursing roles =
which are<br>
&gt; rapidly moving forward in terms of clinical skills that we rely =
on<br>
&gt; physicians for. So to dismiss this development will leave us behind =
in the<br>
&gt; nursing world.&nbsp; There are many experienced and highly =
clinically
skilled<br>
&gt; nurse practitioners out there who work in primary care and could =
very<br>
&gt; easily move into occupational health. Its not about replacing =
physicians,<br>
&gt; but I do feel we need to keep up and be more effective - a =
qualification
in<br>
&gt; Occhealth alone may not be enough. Medicines management is part of =
that<br>
&gt; nursing even in an advisory capacity. Just food for thought.<br>
&gt; <br>
&gt; ~~~~~~~~~~~~~~~<br>
&gt; Please remove this footer before replying.<br>
&gt; <br>
&gt; For list archives and documents, go to<br>
&gt; </span></font><a =
href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><font
size=3D2><span =
style=3D'font-size:10.0pt'>http://www.jiscmail.ac.uk/lists/occ-health.htm=
l</span></font></a><font
size=3D2><span style=3D'font-size:10.0pt'> for list archives<br>
&gt; <br>
&gt; For jobs in Occupational Health, go to<br>
&gt; </span></font><a =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><font
size=3D2><span =
style=3D'font-size:10.0pt'>http://uk.groups.yahoo.com/group/OHJobs/</span=
></font></a></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><u><font size=3D2 =
color=3Dblue
face=3D"Times New Roman"><span =
style=3D'font-size:10.0pt;color:blue'><br>
---<br>
Outgoing mail is certified Virus Free.<br>
Checked by AVG anti-virus system (<a =
href=3D"http://www.grisoft.com">http://www.grisoft.com</a>).<br>
Version: 6.0.778 / Virus Database: 525 - Release Date: =
15/10/2004</span></font></u></p>

</div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>~~~~~~~~~~~~~~~ Please
remove this footer before replying. </span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives =
</span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/ </span></font></p>

</blockquote>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>~~~~~~~~~~~~~~~ Please
remove this footer before replying. </span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives =
</span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/ </span></font></p>

</blockquote>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>~~~~~~~~~~~~~~~ Please
remove this footer before replying. </span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives =
</span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/ </span></font></p>

</blockquote>

</div>

</DIV>
<DIV> </DIV>
<DIV>
<FONT COLOR=3D"blue">Tempus Computers Ltd<BR>St Paul's House, 21 - 23 St =
Paul's Square, Birmingham<BR>Tel: +44 (0)1212333100<BR>Fax: +44 =
(0)1212334560</FONT>
</DIV>
<DIV>
<FONT COLOR=3D"#0000ff">Sales &amp; Order Fax +44 (0)1212366989</FONT>
</DIV>
<DIV><BR><FONT SIZE=3D"1">E&amp;OE. Prices are subject to VAT . Quotes =
valid for 7 days subject to availability. All goods are sold subject to =
Tempus terms and conditions which can be seen on request.</FONT>
</DIV>
<DIV>
<FONT SIZE=3D"1">This message (and any associated files) is intended =
only for the  use of the individual or entity to which it is addressed =
and may  contain information that is confidential, subject to copyright =
or constitutes a trade secret. If you are not the intended recipient  =
you are hereby notified that any dissemination, copying or  distribution =
of this message, or files associated with this message,  is strictly =
prohibited. If you have received this message in error,  please notify =
us immediately by replying to the message and deleting  it from your =
computer. Messages sent to and from us may be monitored. <BR> =
<BR>Internet communications cannot be guaranteed to be secure or =
error-free  as information could be intercepted, corrupted, lost, =
destroyed, arrive late or incomplete, or contain viruses. Therefore, we =
do not accept responsibility for any errors or omissions that are =
present in this message, or any attachment, that have arisen as a result =
of e-mail transmission. If verification is required, please request a =
hard-copy version. Any views or opinions presented are solely those of =
the author and do not necessarily represent those of the =
company</FONT>.</DIV>
<DIV> </DIV>
<DIV> </DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BC06.2479A72E--
=========================================================================
Date:         Wed, 27 Oct 2004 10:34:47 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Prout, Kleea" <[log in to unmask]>
Subject:      Re: Recall system for Travel Vaccinations
MIME-Version: 1.0
Content-Type: text/plain

Before reading this message, please check that it is addressed to you.
If not, you should delete it immediately as its contents may be confidential
and its disclosure, copying or distribution unlawful.

C. &  J. Clark International Limited takes steps to prevent the transmission
of electronic viruses but responsibility for screening incoming messages and
the risk of such transmission lies with the recipient.

C. &  J. Clark International Limited Registered Office:
40 High Street, Street, Somerset BA16 0YA.
Registered in England and Wales Company No. 141015
________________________________________

Lynda
At the appointment we will have the medical file available with past
history.
We don't do any 'medicals' unless there is a specific indication.
Our technical people who have to enter factories where they are exposed to
Polyurethrane have regular screening anyway.
(We have some files with history going back to Noah's Ark as there is a low
staff turnover!)
We use a tick-box questionnaire to cover things like pregnancy, diabetes,
disability, chronic problems and immune compromised illnesses, record advice
given etc.
I also send out a 'memory-jogger' email to all every 6 months to remind them
about the importance of seeking OH advice before travel and to check their
immunisation status.
Any problems are referred to the Occ Doc for decisions.
Hope this answers your question.
Regards
Kleea


-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 27 October 2004 08:17
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations

Kleea,
Do you perform any kind of travel medical on your employees and if so, what
do you do please?
Lynda

-----Original Message-----
From: Prout, Kleea [mailto:[log in to unmask]]
Sent: Tuesday, October 26, 2004 3:21 PM
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations


Before reading this message, please check that it is addressed to you.
If not, you should delete it immediately as its contents may be confidential
and its disclosure, copying or distribution unlawful.

C. &  J. Clark International Limited takes steps to prevent the transmission
of electronic viruses but responsibility for screening incoming messages and
the risk of such transmission lies with the recipient.

C. &  J. Clark International Limited Registered Office:
40 High Street, Street, Somerset BA16 0YA.
Registered in England and Wales Company No. 141015
________________________________________

Charlotte
Although the onus is on the individual to take responsibility for their own
health, the buck stops with the employer if the correct policies and
procedures are not in place to protect employees.
I think the Employer should make it clear to all concerned where their
responsibilities lie, otherwise you will spend your life chasing after
individuals and that is not a cost effective exercise for OH!

We have a policy on 'Management of Travel Safety & Health', outlining the
responsibilities of Directors, Managers, OH and Employees.

Employees have to see OH each time before they travel outside of Europe.
Employees are issued with a vaccination history card at the first visit,
containing the due date of boosters. This is when it becomes their
responsibility to ensure they keep their immunisation up to date.

They also have to comply with any instructions or precautionary measures
associated with business travel introduced by the company to safeguard their
health and safety They are not allowed to take part in high risk leisure
activities while on company business etc etc.

Good Luck!

Kleea Prout
C & J Clark International



-----Original Message-----
From: Bray, Charlotte [mailto:[log in to unmask]]
Sent: 26 October 2004 11:44
To: [log in to unmask]
Subject: Recall system for Travel Vaccinations

Dear List,

I have been asked to provide a recall system for all our employees who have
travel vaccinations.
Has anybody else ever been asked to provide such a service?
I am trying to avoid implementing this as I think the onus needs to be on
the individual to take responsibility for their own health.
Any thoughts or comments to build my argument would be appreciated.

Many Thanks
Charlotte

Occupational Health Manager
7 th Floor Lehman Brothers
Tel ; 0207 102 8628

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 27 Oct 2004 10:14:16 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Robert Dunn
              <[log in to unmask]>
Organization: University of Oxford
Subject:      Re: prescribing
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0074_01C4BC0D.B728AEF0"

This is a multi-part message in MIME format.

------=_NextPart_000_0074_01C4BC0D.B728AEF0
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

No Greta, I never really bothered with the uniform, I could never get =
the frilly hat to stay on.... you see I never had enough hair for the =
grips to hold.   Now if you had mentioned stockings....
  ----- Original Message -----=20
  From: Greta Thornbory=20
  To: [log in to unmask]
  Sent: Wednesday, October 27, 2004 9:56 AM
  Subject: Re: prescribing


  Hey Bob you forgot the bit about the management and unions wanting the =
treatment nurse cos her blue dress and frilly white hat instilled =
confidence in the workforce! Or did you refuse to wear yours?

    ----- Original Message -----=20
    From: Robert Dunn=20
    To: [log in to unmask]
    Sent: Wednesday, October 27, 2004 9:41 AM
    Subject: Re: prescribing


    I'm probably going to ruffle a few feathers, however, I agree with =
Greta.  For OH Advisers to routinely prescribe would be a retrospective =
step back to the days where the nurse in industry was there to =
administer aspirin, tea and sympathy in varying amounts.  I have worked =
(indeed started my OH career) for multi-national organisations where a =
treatment service was the backbone of OH within the company.  Looking =
back I can firmly say that my assessment of that situation is that =
during those years true OH provision was sacrificed in the minds of =
management, unions and workforce to the level of the 'treatment nurse'!  =
OH has (thankfully) moved on, and we are where we are today only because =
we have lost the image of 'nursey' dishing out all manner of =
appropriate?? and inappropriate medication.  By all means use group =
protocols for vaccines and anaphylaxis treatment etc, but for goodness =
sake, leave prescribing to those who do it best, the physicians and =
pharmacists.  Horses for courses..... that's what I say!!
      ----- Original Message -----=20
      From: Greta Thornbory=20
      To: [log in to unmask]
      Sent: Tuesday, October 26, 2004 3:25 PM
      Subject: Re: prescribing


      I am very interested in your views and rationale for nurse =
prescribing in occupational health especially as during the 90s OH =
people at the RCN fought to stop the nurse prescribing module being a =
compulsory module of the OH degree course - it was supported by the =
(practicing) OH nurses on the curriculum development group. This was at =
the time when OH nurses and the first ever Nurse Practitioner courses =
were running in tandem under the direction of Barbara Stillwell, who =
pioneered nurse practitioners in the UK. Nurse practitioners are vital =
to today's primary and community care, however, OH nurses are not nurse =
practitioners. I definitely agree that we should keep up-to-date in =
every aspect of practice that we use in OH and should understand =
treatment regimes, it is an NMC and professional requirement to do so - =
but it is not necessary to study a specific pharmacology/nurse =
prescribing course to do this.

      I am concerned too that you comment about the need for an OH =
physician and I wonder if you are suggesting that we should take on =
their role? To me nursing and medicine are two distinct professions =
which complement each other. However, I am not saying that nurses should =
not prescribe but there has to be a distinct need to do so, particularly =
in OH.  It would be awful to think that nurse prescribing was a =
'development' of nursing practice. To me it would be a return to the =
days of yesteryear when OH departments kept a pharmacy stock - e.g. Ford =
motor Co.OH dept. kept 250 medicines ranging from antibiotics to =
antidepressants not to mention digoxin!! A well known sweet manufacturer =
from another planet kept about the same. How do I know this - I actually =
did my dissertation at the time on the use of medicines in OH.

      Jan Maw said it all (OH Feb 04) 'If OHNs are to embrace nurse =
prescribing alongside their nursing colleagues greater evidence is =
needed to support the benefit's . At the moment there is no evidence =
base to support the practice. I believe we should be considering the =
ways in which we can obtain the evidence before we go down this road.

      Greta Thornbory
      Consultant, Occupational Health & Education
      Consultant Editor, OH Journal
      www.gtenterprises-uk.com
      Tel: 01235 770156
      Mob: 07778 518 027


      ----- Original Message -----=20
      From: "Jeanette Hogg" <[log in to unmask]>
      To: <[log in to unmask]>
      Sent: Tuesday, October 26, 2004 10:48 AM
      Subject: prescribing


      > Thanks to everyone for your responses about prescribing.  I =
appreciate
      > everyone's view on this but would just like to highlight a few =
issues.
      > Prescribing is not just about writing a script - that's the easy =
bit. If
      > its one thing that the course taught me its that we should keep =
focus on
      > our nursing clinical skills and knowledge. During consultation =
if we advise
      > regarding medication, treatment options and or distribute under =
PGD's or
      > standing orders we are effectively prescribing and are =
accountable for
      > those decisions and the advice given to the patient. So we =
should be
      > keeping up to date with drugs and medications that we come =
across as
      > advsiors/nurses. The course greatly enhanced my understanding of =
how
      > medicines affect patient outcomes, improved my consultation =
skills by an
      > increased knowledge into pharmocology and pharmacokinetics.  How =
many
      > patient's do we see on pain control, antidepressants etc. Do we =
really know
      > enough about that treatment and it's effects to aid our =
decisions on how
      > and when clients will respond effectively and acheive a return =
to good
      > health? We are community/primary care workers in many ways and I =
have a far
      > better rappor with GP's because I understand to some extent =
their treatment
      > regimes and options for their patients and work with them.
      >=20
      > When do we need an occupational physician? Usually when =
diagnosis,
      > medicines, investigations etc are involved in case management.I =
don't think
      > we can categorically say that prescribing is not for us as =
advisors because
      > if we do we are missing out on the development of nursing roles =
which are
      > rapidly moving forward in terms of clinical skills that we rely =
on
      > physicians for. So to dismiss this development will leave us =
behind in the
      > nursing world.  There are many experienced and highly clinically =
skilled
      > nurse practitioners out there who work in primary care and could =
very
      > easily move into occupational health. Its not about replacing =
physicians,
      > but I do feel we need to keep up and be more effective - a =
qualification in
      > Occhealth alone may not be enough. Medicines management is part =
of that
      > nursing even in an advisory capacity. Just food for thought.
      >=20
      > ~~~~~~~~~~~~~~~
      > Please remove this footer before replying.
      >=20
      > For list archives and documents, go to
      > http://www.jiscmail.ac.uk/lists/occ-health.html for list =
archives
      >=20
      > For jobs in Occupational Health, go to
      > http://uk.groups.yahoo.com/group/OHJobs/


      ---
      Outgoing mail is certified Virus Free.
      Checked by AVG anti-virus system (http://www.grisoft.com).
      Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004
      ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
      For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

      For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0074_01C4BC0D.B728AEF0
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dwindows-1252">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV>
<DIV><FONT face=3DArial size=3D2>No Greta, I never really bothered with =
the uniform,=20
I could never get the frilly hat to stay on.... you see I never had =
enough hair=20
for the grips to hold.&nbsp;&nbsp; Now if you had mentioned=20
stockings....</FONT></DIV></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Greta Thornbory</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, October 27, =
2004 9:56=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: prescribing</DIV>
  <DIV><BR></DIV>
  <DIV><FONT size=3D2>Hey Bob you forgot the bit about the management =
and unions=20
  wanting the treatment nurse cos her blue dress and frilly white hat =
instilled=20
  confidence in the workforce! Or did you refuse to wear =
yours?</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <BLOCKQUOTE dir=3Dltr=20
  style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
    <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
    <DIV=20
    style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
    <A =
[log in to unmask]
    =
href=3D"mailto:[log in to unmask]
AC.UK">Robert=20
    Dunn</A> </DIV>
    <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
    =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, October 27, =
2004 9:41=20
    AM</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: =
prescribing</DIV>
    <DIV><BR></DIV>
    <DIV><FONT face=3DArial size=3D2>
    <DIV><FONT face=3DArial size=3D2>I'm probably going to ruffle a few =
feathers,=20
    however, I agree with Greta.&nbsp; For OH Advisers to routinely =
prescribe=20
    would be a retrospective step back to the days where the nurse in =
industry=20
    was there to administer aspirin, tea and sympathy in varying =
amounts.&nbsp;=20
    I have worked (indeed started my OH career) for multi-national =
organisations=20
    where a treatment service was the backbone of OH within the =
company.&nbsp;=20
    Looking back I can firmly say that my assessment of that =
situation&nbsp;is=20
    that during those years true OH provision was sacrificed in the =
minds of=20
    management, unions and workforce to the level of the 'treatment=20
    nurse'!&nbsp; OH has (thankfully) moved on, and we are where we are =
today=20
    only because we have lost the image of 'nursey' dishing out all =
manner of=20
    appropriate?? and inappropriate medication.&nbsp; By all means use =
group=20
    protocols for vaccines and anaphylaxis treatment etc, but for =
goodness sake,=20
    leave prescribing to those who do it best, the physicians and=20
    pharmacists.&nbsp; Horses for courses..... that's what I=20
    say!!</FONT></DIV></FONT></DIV>
    <BLOCKQUOTE dir=3Dltr=20
    style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
      <DIV style=3D"FONT: 10pt arial">----- Original Message ----- =
</DIV>
      <DIV=20
      style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
      <A [log in to unmask]
      href=3D"mailto:[log in to unmask]">Greta Thornbory</A> =
</DIV>
      <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A=20
      [log in to unmask]
      =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A>=20
      </DIV>
      <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Tuesday, October 26, =
2004 3:25=20
      PM</DIV>
      <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: =
prescribing</DIV>
      <DIV><BR></DIV>
      <DIV><FONT size=3D2>I am very interested in your views and =
rationale for=20
      nurse prescribing in occupational health especially as during the =
90s OH=20
      people at the RCN fought to stop the nurse prescribing module =
being a=20
      compulsory module of the OH degree course - it was supported by =
the=20
      (practicing) OH nurses on the curriculum development group. This =
was at=20
      the time when OH nurses and the first ever Nurse Practitioner =
courses were=20
      running in tandem under the direction of Barbara Stillwell, who =
pioneered=20
      nurse practitioners in the UK. Nurse practitioners are vital to =
today's=20
      primary and community care, however, OH nurses are not nurse=20
      practitioners.&nbsp;I&nbsp;definitely agree that we should keep =
up-to-date=20
      in every aspect of practice that we use&nbsp;in OH and should =
understand=20
      treatment regimes, it is an NMC and professional requirement to do =

      so&nbsp;- but it is not necessary to study a specific =
pharmacology/nurse=20
      prescribing course to do this.</FONT></DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2>I am concerned too that you comment about the =
need for=20
      an OH physician and I wonder if you are suggesting that we should =
take on=20
      their role? To me nursing and medicine are two distinct =
professions which=20
      complement each other. However, I am not saying that nurses should =
not=20
      prescribe but there has to be a distinct need to do so, =
particularly in=20
      OH. &nbsp;It would be awful to think&nbsp;that nurse prescribing =
was a=20
      'development' of nursing practice. To me it would be a&nbsp;return =
to the=20
      days of yesteryear when OH departments kept a pharmacy stock - =
e.g. Ford=20
      motor Co.OH dept.&nbsp;kept 250 medicines ranging from antibiotics =
to=20
      antidepressants not to mention digoxin!! A well known sweet =
manufacturer=20
      from another planet kept about the same. How do I know this - I =
actually=20
      did my dissertation at the time on the use of&nbsp;medicines in=20
      OH.</FONT></DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2>Jan Maw said it all (OH Feb 04) <EM>'If OHNs =
are to=20
      embrace nurse prescribing alongside their nursing colleagues =
greater=20
      evidence is needed to support the benefit's </EM>. At the moment =
there is=20
      no evidence base to support the practice. I believe we should be=20
      considering the ways in which we can obtain the evidence before we =
go down=20
      this road.</FONT></DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational =
Health &amp;=20
      Education<BR>Consultant Editor, OH Journal<BR><A=20
      =
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
      01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2>----- Original Message ----- </FONT>
      <DIV><FONT size=3D2>From: "Jeanette Hogg" &lt;</FONT><A=20
      href=3D"mailto:[log in to unmask]"><FONT=20
      size=3D2>[log in to unmask]</FONT></A><FONT=20
      size=3D2>&gt;</FONT></DIV>
      <DIV><FONT size=3D2>To: &lt;</FONT><A=20
      href=3D"mailto:[log in to unmask]"><FONT=20
      size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
      <DIV><FONT size=3D2>Sent: Tuesday, October 26, 2004 10:48 =
AM</FONT></DIV>
      <DIV><FONT size=3D2>Subject: prescribing</FONT></DIV></DIV>
      <DIV><FONT size=3D2><BR></FONT></DIV>
      <DIV><FONT size=3D2>&gt; Thanks to everyone for your responses =
about=20
      prescribing.&nbsp; I appreciate<BR>&gt; everyone's view on this =
but would=20
      just like to highlight a few issues.<BR>&gt; Prescribing is not =
just about=20
      writing a script - that's the easy bit. If<BR>&gt; its one thing =
that the=20
      course taught me its that we should keep focus on<BR>&gt; our =
nursing=20
      clinical skills and knowledge. During consultation if we =
advise<BR>&gt;=20
      regarding medication, treatment options and or distribute under =
PGD's=20
      or<BR>&gt; standing orders we are effectively prescribing and are=20
      accountable for<BR>&gt; those decisions and the advice given to =
the=20
      patient. So we should be<BR>&gt; keeping up to date with drugs and =

      medications that we come across as<BR>&gt; advsiors/nurses. The =
course=20
      greatly enhanced my understanding of how<BR>&gt; medicines affect =
patient=20
      outcomes, improved my consultation skills by an<BR>&gt; increased=20
      knowledge into pharmocology and pharmacokinetics.&nbsp; How =
many<BR>&gt;=20
      patient's do we see on pain control, antidepressants etc. Do we =
really=20
      know<BR>&gt; enough about that treatment and it's effects to aid =
our=20
      decisions on how<BR>&gt; and when clients will respond effectively =
and=20
      acheive a return to good<BR>&gt; health? We are community/primary =
care=20
      workers in many ways and I have a far<BR>&gt; better rappor with =
GP's=20
      because I understand to some extent their treatment<BR>&gt; =
regimes and=20
      options for their patients and work with them.<BR>&gt; <BR>&gt; =
When do we=20
      need an occupational physician? Usually when diagnosis,<BR>&gt; =
medicines,=20
      investigations etc are involved in case management.I don't =
think<BR>&gt;=20
      we can categorically say that prescribing is not for us as =
advisors=20
      because<BR>&gt; if we do we are missing out on the development of =
nursing=20
      roles which are<BR>&gt; rapidly moving forward in terms of =
clinical skills=20
      that we rely on<BR>&gt; physicians for. So to dismiss this =
development=20
      will leave us behind in the<BR>&gt; nursing world.&nbsp; There are =
many=20
      experienced and highly clinically skilled<BR>&gt; nurse =
practitioners out=20
      there who work in primary care and could very<BR>&gt; easily move =
into=20
      occupational health. Its not about replacing physicians,<BR>&gt; =
but I do=20
      feel we need to keep up and be more effective - a qualification =
in<BR>&gt;=20
      Occhealth alone may not be enough. Medicines management is part of =

      that<BR>&gt; nursing even in an advisory capacity. Just food for=20
      thought.<BR>&gt; <BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove =
this=20
      footer before replying.<BR>&gt; <BR>&gt; For list archives and =
documents,=20
      go to<BR>&gt; </FONT><A=20
      href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT=20
      =
size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =

      size=3D2> for list archives<BR>&gt; <BR>&gt; For jobs in =
Occupational=20
      Health, go to<BR>&gt; </FONT><A=20
      href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
      =
size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT=20
      color=3D#0000ff size=3D2></FONT></U></DIV>
      <DIV>&nbsp;</DIV>
      <DIV><U><FONT color=3D#0000ff size=3D2><BR>---<BR>Outgoing mail is =
certified=20
      Virus Free.<BR>Checked by AVG anti-virus system (<A=20
      =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =

      6.0.778 / Virus Database: 525 - Release Date:=20
      15/10/2004</FONT></U></DIV>~~~~~~~~~~~~~~~ Please remove this =
footer=20
      before replying.=20
      <P>For list archives and documents, go to=20
      http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
      <P>For jobs in Occupational Health, go to=20
      http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE>~~~~~~~~~~~~~~~=20
    Please remove this footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0074_01C4BC0D.B728AEF0--
=========================================================================
Date:         Wed, 27 Oct 2004 12:40:30 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: prescribing[Scanned]
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4BC19.C2E5C960"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4BC19.C2E5C960
Content-Type: text/plain;
        charset="iso-8859-1"

Visions of Rocky Horror Show methinks
Lynda

-----Original Message-----
From: Lynn Holland [mailto:[log in to unmask]]
Sent: Wednesday, October 27, 2004 10:20 AM
To: [log in to unmask]
Subject: Re: prescribing[Scanned]



Bob

I am trying to work at home on a policy and a vision of you in stockings has
completely finished me off!!!!!



Lynn Holland

Occupational Health Consultant

Tempus Software Limited



Tel: 07813008472 or email [log in to unmask]

-----Original Message-----
From: Robert Dunn
[mailto:[log in to unmask]]
Sent: 27 October 2004 10:12
To: [log in to unmask]
Subject: Re: prescribing[Scanned]



No Greta, I never really bothered with the uniform, I could never get the
frilly hat to stay on.... you see I never had enough hair for the grips to
hold.   Now if you had mentioned stockings....

----- Original Message -----

From: Greta Thornbory <mailto:[log in to unmask]>

To: [log in to unmask] <mailto:[log in to unmask]>

Sent: Wednesday, October 27, 2004 9:56 AM

Subject: Re: prescribing



Hey Bob you forgot the bit about the management and unions wanting the
treatment nurse cos her blue dress and frilly white hat instilled confidence
in the workforce! Or did you refuse to wear yours?



----- Original Message -----

From: Robert
<mailto:[log in to unmask]>
Dunn

To: [log in to unmask] <mailto:[log in to unmask]>

Sent: Wednesday, October 27, 2004 9:41 AM

Subject: Re: prescribing



I'm probably going to ruffle a few feathers, however, I agree with Greta.
For OH Advisers to routinely prescribe would be a retrospective step back to
the days where the nurse in industry was there to administer aspirin, tea
and sympathy in varying amounts.  I have worked (indeed started my OH
career) for multi-national organisations where a treatment service was the
backbone of OH within the company.  Looking back I can firmly say that my
assessment of that situation is that during those years true OH provision
was sacrificed in the minds of management, unions and workforce to the level
of the 'treatment nurse'!  OH has (thankfully) moved on, and we are where we
are today only because we have lost the image of 'nursey' dishing out all
manner of appropriate?? and inappropriate medication.  By all means use
group protocols for vaccines and anaphylaxis treatment etc, but for goodness
sake, leave prescribing to those who do it best, the physicians and
pharmacists.  Horses for courses..... that's what I say!!

----- Original Message -----

From: Greta Thornbory <mailto:[log in to unmask]>

To: [log in to unmask] <mailto:[log in to unmask]>

Sent: Tuesday, October 26, 2004 3:25 PM

Subject: Re: prescribing



I am very interested in your views and rationale for nurse prescribing in
occupational health especially as during the 90s OH people at the RCN fought
to stop the nurse prescribing module being a compulsory module of the OH
degree course - it was supported by the (practicing) OH nurses on the
curriculum development group. This was at the time when OH nurses and the
first ever Nurse Practitioner courses were running in tandem under the
direction of Barbara Stillwell, who pioneered nurse practitioners in the UK.
Nurse practitioners are vital to today's primary and community care,
however, OH nurses are not nurse practitioners. I definitely agree that we
should keep up-to-date in every aspect of practice that we use in OH and
should understand treatment regimes, it is an NMC and professional
requirement to do so - but it is not necessary to study a specific
pharmacology/nurse prescribing course to do this.



I am concerned too that you comment about the need for an OH physician and I
wonder if you are suggesting that we should take on their role? To me
nursing and medicine are two distinct professions which complement each
other. However, I am not saying that nurses should not prescribe but there
has to be a distinct need to do so, particularly in OH.  It would be awful
to think that nurse prescribing was a 'development' of nursing practice. To
me it would be a return to the days of yesteryear when OH departments kept a
pharmacy stock - e.g. Ford motor Co.OH dept. kept 250 medicines ranging from
antibiotics to antidepressants not to mention digoxin!! A well known sweet
manufacturer from another planet kept about the same. How do I know this - I
actually did my dissertation at the time on the use of medicines in OH.



Jan Maw said it all (OH Feb 04) 'If OHNs are to embrace nurse prescribing
alongside their nursing colleagues greater evidence is needed to support the
benefit's . At the moment there is no evidence base to support the practice.
I believe we should be considering the ways in which we can obtain the
evidence before we go down this road.



Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com <http://www.gtenterprises-uk.com>
Tel: 01235 770156
Mob: 07778 518 027





----- Original Message -----

From: "Jeanette Hogg" <  <mailto:[log in to unmask]>
[log in to unmask]>

To: <  <mailto:[log in to unmask]> [log in to unmask]>

Sent: Tuesday, October 26, 2004 10:48 AM

Subject: prescribing



> Thanks to everyone for your responses about prescribing.  I appreciate
> everyone's view on this but would just like to highlight a few issues.
> Prescribing is not just about writing a script - that's the easy bit. If
> its one thing that the course taught me its that we should keep focus on
> our nursing clinical skills and knowledge. During consultation if we
advise
> regarding medication, treatment options and or distribute under PGD's or
> standing orders we are effectively prescribing and are accountable for
> those decisions and the advice given to the patient. So we should be
> keeping up to date with drugs and medications that we come across as
> advsiors/nurses. The course greatly enhanced my understanding of how
> medicines affect patient outcomes, improved my consultation skills by an
> increased knowledge into pharmocology and pharmacokinetics.  How many
> patient's do we see on pain control, antidepressants etc. Do we really
know
> enough about that treatment and it's effects to aid our decisions on how
> and when clients will respond effectively and acheive a return to good
> health? We are community/primary care workers in many ways and I have a
far
> better rappor with GP's because I understand to some extent their
treatment
> regimes and options for their patients and work with them.
>
> When do we need an occupational physician? Usually when diagnosis,
> medicines, investigations etc are involved in case management.I don't
think
> we can categorically say that prescribing is not for us as advisors
because
> if we do we are missing out on the development of nursing roles which are
> rapidly moving forward in terms of clinical skills that we rely on
> physicians for. So to dismiss this development will leave us behind in the
> nursing world.  There are many experienced and highly clinically skilled
> nurse practitioners out there who work in primary care and could very
> easily move into occupational health. Its not about replacing physicians,
> but I do feel we need to keep up and be more effective - a qualification
in
> Occhealth alone may not be enough. Medicines management is part of that
> nursing even in an advisory capacity. Just food for thought.
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
>  <http://www.jiscmail.ac.uk/lists/occ-health.html>
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
>  <http://uk.groups.yahoo.com/group/OHJobs/>
http://uk.groups.yahoo.com/group/OHJobs/




---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system ( http://www.grisoft.com
<http://www.grisoft.com> ).
Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

Tempus Computers Ltd
St Paul's House, 21 - 23 St Paul's Square, Birmingham
Tel: +44 (0)1212333100
Fax: +44 (0)1212334560
Sales & Order Fax +44 (0)1212366989

E&OE. Prices are subject to VAT . Quotes valid for 7 days subject to
availability. All goods are sold subject to Tempus terms and conditions
which can be seen on request.
This message (and any associated files) is intended only for the use of the
individual or entity to which it is addressed and may contain information
that is confidential, subject to copyright or constitutes a trade secret. If
you are not the intended recipient you are hereby notified that any
dissemination, copying or distribution of this message, or files associated
with this message, is strictly prohibited. If you have received this message
in error, please notify us immediately by replying to the message and
deleting it from your computer. Messages sent to and from us may be
monitored.

Internet communications cannot be guaranteed to be secure or error-free as
information could be intercepted, corrupted, lost, destroyed, arrive late or
incomplete, or contain viruses. Therefore, we do not accept responsibility
for any errors or omissions that are present in this message, or any
attachment, that have arisen as a result of e-mail transmission. If
verification is required, please request a hard-copy version. Any views or
opinions presented are solely those of the author and do not necessarily
represent those of the company.
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BC19.C2E5C960
Content-Type: text/html;
        charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns:eXclaimer = "http://www.exclaimer.co.uk"><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 5.50.4943.2100" name=GENERATOR>
<STYLE>@font-face {
        font-family: Tahoma;
}
@page Section1 {size: 595.3pt 841.9pt; margin: 72.0pt 90.0pt 72.0pt 90.0pt; }
P.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"
}
LI.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"
}
DIV.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"
}
A:link {
        COLOR: blue; TEXT-DECORATION: underline
}
SPAN.MsoHyperlink {
        COLOR: blue; TEXT-DECORATION: underline
}
A:visited {
        COLOR: blue; TEXT-DECORATION: underline
}
SPAN.MsoHyperlinkFollowed {
        COLOR: blue; TEXT-DECORATION: underline
}
P {
        FONT-SIZE: 12pt; MARGIN-LEFT: 0cm; MARGIN-RIGHT: 0cm; FONT-FAMILY: "Times New Roman"
}
SPAN.EmailStyle19 {
        COLOR: navy; FONT-FAMILY: Arial
}
DIV.Section1 {
        page: Section1
}
</STYLE>
</HEAD>
<BODY lang=EN-GB vLink=blue link=blue bgColor=white>
<DIV><SPAN class=326284711-27102004><FONT face=Arial color=#0000ff
size=2>Visions of Rocky Horror Show methinks</FONT></SPAN></DIV>
<DIV><SPAN class=326284711-27102004><FONT face=Arial color=#0000ff
size=2>Lynda</FONT></SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> Lynn Holland
  [mailto:[log in to unmask]]<BR><B>Sent:</B> Wednesday, October 27, 2004
  10:20 AM<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re:
  prescribing[Scanned]<BR><BR></FONT></DIV>
  <DIV>
  <DIV class=Section1>
  <P class=MsoNormal><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Bob</SPAN></FONT></P>
  <P class=MsoNormal><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">I am trying to work
  at home on a policy and a vision of you in stockings has completely finished
  me off!!!!!</SPAN></FONT></P>
  <P class=MsoNormal><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"></SPAN></FONT>&nbsp;</P>
  <DIV>
  <P class=MsoNormal><STRONG><B><I><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-STYLE: italic; FONT-FAMILY: Arial">Lynn
  Holland</SPAN></FONT></I></B></STRONG></P>
  <P class=MsoNormal><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Occupational Health
  Consultant</SPAN></FONT></P>
  <P class=MsoNormal><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Tempus Software
  Limited</SPAN></FONT></P>
  <P class=MsoNormal><FONT face="Times New Roman" color=navy size=3><SPAN
  style="FONT-SIZE: 12pt; COLOR: navy"></SPAN></FONT>&nbsp;</P>
  <P class=MsoNormal><FONT face=Arial color=navy size=2><SPAN
  style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Tel: 07813008472 or
  email [log in to unmask]</SPAN></FONT></P></DIV>
  <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT face=Tahoma size=2><SPAN
  lang=EN-US style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original
  Message-----<BR><B><SPAN style="FONT-WEIGHT: bold">From:</SPAN></B> Robert
  Dunn [mailto:[log in to unmask]]
  <BR><B><SPAN style="FONT-WEIGHT: bold">Sent:</SPAN></B> 27 October 2004
  10:12<BR><B><SPAN style="FONT-WEIGHT: bold">To:</SPAN></B>
  [log in to unmask]<BR><B><SPAN
  style="FONT-WEIGHT: bold">Subject:</SPAN></B> Re:
  prescribing[Scanned]</SPAN></FONT></P>
  <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman"
  size=3><SPAN style="FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P>
  <DIV>
  <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT face=Arial size=2><SPAN
  style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">No Greta, I never really bothered
  with the uniform, I could never get the frilly hat to stay on.... you see I
  never had enough hair for the grips to hold.&nbsp;&nbsp; Now if you had
  mentioned stockings....</SPAN></FONT></P></DIV>
  <BLOCKQUOTE
  style="BORDER-RIGHT: medium none; PADDING-RIGHT: 0cm; BORDER-TOP: medium none; PADDING-LEFT: 4pt; PADDING-BOTTOM: 0cm; MARGIN: 5pt 0cm 5pt 3.75pt; BORDER-LEFT: black 1.5pt solid; PADDING-TOP: 0cm; BORDER-BOTTOM: medium none">
    <DIV>
    <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT face=Arial size=2><SPAN
    style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">----- Original Message -----
    </SPAN></FONT></P></DIV>
    <DIV style="font-color: black">
    <P class=MsoNormal style="BACKGROUND: #e4e4e4; MARGIN-LEFT: 36pt"><B><FONT
    face=Arial size=2><SPAN
    style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">From:</SPAN></FONT></B><FONT
    face=Arial size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Arial"> <A
    [log in to unmask]
    href="mailto:[log in to unmask]">Greta Thornbory</A>
    </SPAN></FONT></P></DIV>
    <DIV>
    <P class=MsoNormal style="MARGIN-LEFT: 36pt"><B><FONT face=Arial
    size=2><SPAN
    style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">To:</SPAN></FONT></B><FONT
    face=Arial size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Arial"> <A
    [log in to unmask]
    href="mailto:[log in to unmask]">[log in to unmask]</A>
    </SPAN></FONT></P></DIV>
    <DIV>
    <P class=MsoNormal style="MARGIN-LEFT: 36pt"><B><FONT face=Arial
    size=2><SPAN
    style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">Sent:</SPAN></FONT></B><FONT
    face=Arial size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">
    Wednesday, October 27, 2004 9:56 AM</SPAN></FONT></P></DIV>
    <DIV>
    <P class=MsoNormal style="MARGIN-LEFT: 36pt"><B><FONT face=Arial
    size=2><SPAN
    style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">Subject:</SPAN></FONT></B><FONT
    face=Arial size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Arial"> Re:
    prescribing</SPAN></FONT></P></DIV>
    <DIV>
    <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman"
    size=3><SPAN style="FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
    <DIV>
    <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman"
    size=2><SPAN style="FONT-SIZE: 10pt">Hey Bob you forgot the bit about the
    management and unions wanting the treatment nurse cos her blue dress and
    frilly white hat instilled confidence in the workforce! Or did you refuse to
    wear yours?</SPAN></FONT></P></DIV>
    <DIV>
    <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman"
    size=3><SPAN style="FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
    <BLOCKQUOTE
    style="BORDER-RIGHT: medium none; PADDING-RIGHT: 0cm; BORDER-TOP: medium none; PADDING-LEFT: 4pt; PADDING-BOTTOM: 0cm; MARGIN: 5pt 0cm 5pt 3.75pt; BORDER-LEFT: black 1.5pt solid; PADDING-TOP: 0cm; BORDER-BOTTOM: medium none">
      <DIV>
      <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT face=Arial size=2><SPAN
      style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">----- Original Message -----
      </SPAN></FONT></P></DIV>
      <DIV style="font-color: black">
      <P class=MsoNormal style="BACKGROUND: #e4e4e4; MARGIN-LEFT: 36pt"><B><FONT
      face=Arial size=2><SPAN
      style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">From:</SPAN></FONT></B><FONT
      face=Arial size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Arial"> <A
      [log in to unmask]
      href="mailto:[log in to unmask]">Robert
      Dunn</A> </SPAN></FONT></P></DIV>
      <DIV>
      <P class=MsoNormal style="MARGIN-LEFT: 36pt"><B><FONT face=Arial
      size=2><SPAN
      style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">To:</SPAN></FONT></B><FONT
      face=Arial size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Arial"> <A
      [log in to unmask]
      href="mailto:[log in to unmask]">[log in to unmask]</A>
      </SPAN></FONT></P></DIV>
      <DIV>
      <P class=MsoNormal style="MARGIN-LEFT: 36pt"><B><FONT face=Arial
      size=2><SPAN
      style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">Sent:</SPAN></FONT></B><FONT
      face=Arial size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">
      Wednesday, October 27, 2004 9:41 AM</SPAN></FONT></P></DIV>
      <DIV>
      <P class=MsoNormal style="MARGIN-LEFT: 36pt"><B><FONT face=Arial
      size=2><SPAN
      style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">Subject:</SPAN></FONT></B><FONT
      face=Arial size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Arial"> Re:
      prescribing</SPAN></FONT></P></DIV>
      <DIV>
      <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman"
      size=3><SPAN style="FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
      <DIV>
      <DIV>
      <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT face=Arial size=2><SPAN
      style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">I'm probably going to ruffle a
      few feathers, however, I agree with Greta.&nbsp; For OH Advisers to
      routinely prescribe would be a retrospective step back to the days where
      the nurse in industry was there to administer aspirin, tea and sympathy in
      varying amounts.&nbsp; I have worked (indeed started my OH career) for
      multi-national organisations where a treatment service was the backbone of
      OH within the company.&nbsp; Looking back I can firmly say that my
      assessment of that situation&nbsp;is that during those years true OH
      provision was sacrificed in the minds of management, unions and workforce
      to the level of the 'treatment nurse'!&nbsp; OH has (thankfully) moved on,
      and we are where we are today only because we have lost the image of
      'nursey' dishing out all manner of appropriate?? and inappropriate
      medication.&nbsp; By all means use group protocols for vaccines and
      anaphylaxis treatment etc, but for goodness sake, leave prescribing to
      those who do it best, the physicians and pharmacists.&nbsp; Horses for
      courses..... that's what I say!!</SPAN></FONT></P></DIV></DIV>
      <BLOCKQUOTE
      style="BORDER-RIGHT: medium none; PADDING-RIGHT: 0cm; BORDER-TOP: medium none; PADDING-LEFT: 4pt; PADDING-BOTTOM: 0cm; MARGIN: 5pt 0cm 5pt 3.75pt; BORDER-LEFT: black 1.5pt solid; PADDING-TOP: 0cm; BORDER-BOTTOM: medium none">
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT face=Arial
        size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">----- Original
        Message ----- </SPAN></FONT></P></DIV>
        <DIV style="font-color: black">
        <P class=MsoNormal
        style="BACKGROUND: #e4e4e4; MARGIN-LEFT: 36pt"><B><FONT face=Arial
        size=2><SPAN
        style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">From:</SPAN></FONT></B><FONT
        face=Arial size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Arial"> <A
        [log in to unmask]
        href="mailto:[log in to unmask]">Greta Thornbory</A>
        </SPAN></FONT></P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><B><FONT face=Arial
        size=2><SPAN
        style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">To:</SPAN></FONT></B><FONT
        face=Arial size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Arial"> <A
        [log in to unmask]
        href="mailto:[log in to unmask]">[log in to unmask]</A>
        </SPAN></FONT></P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><B><FONT face=Arial
        size=2><SPAN
        style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">Sent:</SPAN></FONT></B><FONT
        face=Arial size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">
        Tuesday, October 26, 2004 3:25 PM</SPAN></FONT></P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><B><FONT face=Arial
        size=2><SPAN
        style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">Subject:</SPAN></FONT></B><FONT
        face=Arial size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Arial"> Re:
        prescribing</SPAN></FONT></P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT
        face="Times New Roman" size=3><SPAN
        style="FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT
        face="Times New Roman" size=2><SPAN style="FONT-SIZE: 10pt">I am very
        interested in your views and rationale for nurse prescribing in
        occupational health especially as during the 90s OH people at the RCN
        fought to stop the nurse prescribing module being a compulsory module of
        the OH degree course - it was supported by the (practicing) OH nurses on
        the curriculum development group. This was at the time when OH nurses
        and the first ever Nurse Practitioner courses were running in tandem
        under the direction of Barbara Stillwell, who pioneered nurse
        practitioners in the UK. Nurse practitioners are vital to today's
        primary and community care, however, OH nurses are not nurse
        practitioners.&nbsp;I&nbsp;definitely agree that we should keep
        up-to-date in every aspect of practice that we use&nbsp;in OH and should
        understand treatment regimes, it is an NMC and professional requirement
        to do so&nbsp;- but it is not necessary to study a specific
        pharmacology/nurse prescribing course to do
this.</SPAN></FONT></P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT
        face="Times New Roman" size=3><SPAN
        style="FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT
        face="Times New Roman" size=2><SPAN style="FONT-SIZE: 10pt">I am
        concerned too that you comment about the need for an OH physician and I
        wonder if you are suggesting that we should take on their role? To me
        nursing and medicine are two distinct professions which complement each
        other. However, I am not saying that nurses should not prescribe but
        there has to be a distinct need to do so, particularly in OH. &nbsp;It
        would be awful to think&nbsp;that nurse prescribing was a 'development'
        of nursing practice. To me it would be a&nbsp;return to the days of
        yesteryear when OH departments kept a pharmacy stock - e.g. Ford motor
        Co.OH dept.&nbsp;kept 250 medicines ranging from antibiotics to
        antidepressants not to mention digoxin!! A well known sweet manufacturer
        from another planet kept about the same. How do I know this - I actually
        did my dissertation at the time on the use of&nbsp;medicines in
        OH.</SPAN></FONT></P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT
        face="Times New Roman" size=3><SPAN
        style="FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT
        face="Times New Roman" size=2><SPAN style="FONT-SIZE: 10pt">Jan Maw said
        it all (OH Feb 04) <EM><I><FONT face="Times New Roman">'If OHNs are to
        embrace nurse prescribing alongside their nursing colleagues greater
        evidence is needed to support the benefit's </FONT></I></EM>. At the
        moment there is no evidence base to support the practice. I believe we
        should be considering the ways in which we can obtain the evidence
        before we go down this road.</SPAN></FONT></P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT
        face="Times New Roman" size=3><SPAN
        style="FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT
        face="Times New Roman" size=2><SPAN style="FONT-SIZE: 10pt">Greta
        Thornbory<BR>Consultant, Occupational Health &amp;
        Education<BR>Consultant Editor, OH Journal<BR><A
        href="http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>Tel:
        01235 770156<BR>Mob: 07778 518 027</SPAN></FONT></P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT
        face="Times New Roman" size=3><SPAN
        style="FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT
        face="Times New Roman" size=3><SPAN
        style="FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT
        face="Times New Roman" size=2><SPAN style="FONT-SIZE: 10pt">-----
        Original Message ----- </SPAN></FONT></P>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT
        face="Times New Roman" size=2><SPAN style="FONT-SIZE: 10pt">From:
        "Jeanette Hogg" &lt;</SPAN></FONT><A
        href="mailto:[log in to unmask]"><FONT size=2><SPAN
        style="FONT-SIZE: 10pt">[log in to unmask]</SPAN></FONT></A><FONT
        size=2><SPAN style="FONT-SIZE: 10pt">&gt;</SPAN></FONT></P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT
        face="Times New Roman" size=2><SPAN style="FONT-SIZE: 10pt">To:
        &lt;</SPAN></FONT><A href="mailto:[log in to unmask]"><FONT
        size=2><SPAN
        style="FONT-SIZE: 10pt">[log in to unmask]</SPAN></FONT></A><FONT
        size=2><SPAN style="FONT-SIZE: 10pt">&gt;</SPAN></FONT></P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT
        face="Times New Roman" size=2><SPAN style="FONT-SIZE: 10pt">Sent:
        Tuesday, October 26, 2004 10:48 AM</SPAN></FONT></P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT
        face="Times New Roman" size=2><SPAN style="FONT-SIZE: 10pt">Subject:
        prescribing</SPAN></FONT></P></DIV></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT
        face="Times New Roman" size=3><SPAN
        style="FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT
        face="Times New Roman" size=2><SPAN style="FONT-SIZE: 10pt">&gt; Thanks
        to everyone for your responses about prescribing.&nbsp; I
        appreciate<BR>&gt; everyone's view on this but would just like to
        highlight a few issues.<BR>&gt; Prescribing is not just about writing a
        script - that's the easy bit. If<BR>&gt; its one thing that the course
        taught me its that we should keep focus on<BR>&gt; our nursing clinical
        skills and knowledge. During consultation if we advise<BR>&gt; regarding
        medication, treatment options and or distribute under PGD's or<BR>&gt;
        standing orders we are effectively prescribing and are accountable
        for<BR>&gt; those decisions and the advice given to the patient. So we
        should be<BR>&gt; keeping up to date with drugs and medications that we
        come across as<BR>&gt; advsiors/nurses. The course greatly enhanced my
        understanding of how<BR>&gt; medicines affect patient outcomes, improved
        my consultation skills by an<BR>&gt; increased knowledge into
        pharmocology and pharmacokinetics.&nbsp; How many<BR>&gt; patient's do
        we see on pain control, antidepressants etc. Do we really know<BR>&gt;
        enough about that treatment and it's effects to aid our decisions on
        how<BR>&gt; and when clients will respond effectively and acheive a
        return to good<BR>&gt; health? We are community/primary care workers in
        many ways and I have a far<BR>&gt; better rappor with GP's because I
        understand to some extent their treatment<BR>&gt; regimes and options
        for their patients and work with them.<BR>&gt; <BR>&gt; When do we need
        an occupational physician? Usually when diagnosis,<BR>&gt; medicines,
        investigations etc are involved in case management.I don't think<BR>&gt;
        we can categorically say that prescribing is not for us as advisors
        because<BR>&gt; if we do we are missing out on the development of
        nursing roles which are<BR>&gt; rapidly moving forward in terms of
        clinical skills that we rely on<BR>&gt; physicians for. So to dismiss
        this development will leave us behind in the<BR>&gt; nursing
        world.&nbsp; There are many experienced and highly clinically
        skilled<BR>&gt; nurse practitioners out there who work in primary care
        and could very<BR>&gt; easily move into occupational health. Its not
        about replacing physicians,<BR>&gt; but I do feel we need to keep up and
        be more effective - a qualification in<BR>&gt; Occhealth alone may not
        be enough. Medicines management is part of that<BR>&gt; nursing even in
        an advisory capacity. Just food for thought.<BR>&gt; <BR>&gt;
        ~~~~~~~~~~~~~~~<BR>&gt; Please remove this footer before
        replying.<BR>&gt; <BR>&gt; For list archives and documents, go
        to<BR>&gt; </SPAN></FONT><A
        href="http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT
        size=2><SPAN
        style="FONT-SIZE: 10pt">http://www.jiscmail.ac.uk/lists/occ-health.html</SPAN></FONT></A><FONT
        size=2><SPAN style="FONT-SIZE: 10pt"> for list archives<BR>&gt; <BR>&gt;
        For jobs in Occupational Health, go to<BR>&gt; </SPAN></FONT><A
        href="http://uk.groups.yahoo.com/group/OHJobs/"><FONT size=2><SPAN
        style="FONT-SIZE: 10pt">http://uk.groups.yahoo.com/group/OHJobs/</SPAN></FONT></A></P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT
        face="Times New Roman" size=3><SPAN
        style="FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
        <DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><U><FONT
        face="Times New Roman" color=blue size=2><SPAN
        style="FONT-SIZE: 10pt; COLOR: blue"><BR>---<BR>Outgoing mail is
        certified Virus Free.<BR>Checked by AVG anti-virus system (<A
        href="http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version:
        6.0.778 / Virus Database: 525 - Release Date:
        15/10/2004</SPAN></FONT></U></P></DIV>
        <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT
        face="Times New Roman" size=3><SPAN
        style="FONT-SIZE: 12pt">~~~~~~~~~~~~~~~ Please remove this footer before
        replying. </SPAN></FONT></P>
        <P style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman" size=3><SPAN
        style="FONT-SIZE: 12pt">For list archives and documents, go to
        http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
        </SPAN></FONT></P>
        <P style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman" size=3><SPAN
        style="FONT-SIZE: 12pt">For jobs in Occupational Health, go to
        http://uk.groups.yahoo.com/group/OHJobs/ </SPAN></FONT></P></BLOCKQUOTE>
      <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman"
      size=3><SPAN style="FONT-SIZE: 12pt">~~~~~~~~~~~~~~~ Please remove this
      footer before replying. </SPAN></FONT></P>
      <P style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman" size=3><SPAN
      style="FONT-SIZE: 12pt">For list archives and documents, go to
      http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
      </SPAN></FONT></P>
      <P style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman" size=3><SPAN
      style="FONT-SIZE: 12pt">For jobs in Occupational Health, go to
      http://uk.groups.yahoo.com/group/OHJobs/ </SPAN></FONT></P></BLOCKQUOTE>
    <P class=MsoNormal style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman"
    size=3><SPAN style="FONT-SIZE: 12pt">~~~~~~~~~~~~~~~ Please remove this
    footer before replying. </SPAN></FONT></P>
    <P style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman" size=3><SPAN
    style="FONT-SIZE: 12pt">For list archives and documents, go to
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
    </SPAN></FONT></P>
    <P style="MARGIN-LEFT: 36pt"><FONT face="Times New Roman" size=3><SPAN
    style="FONT-SIZE: 12pt">For jobs in Occupational Health, go to
    http://uk.groups.yahoo.com/group/OHJobs/
  </SPAN></FONT></P></BLOCKQUOTE></DIV></DIV>
  <DIV></DIV>
  <DIV><FONT color=blue>Tempus Computers Ltd<BR>St Paul's House, 21 - 23 St
  Paul's Square, Birmingham<BR>Tel: +44 (0)1212333100<BR>Fax: +44
  (0)1212334560</FONT> </DIV>
  <DIV><FONT color=#0000ff>Sales &amp; Order Fax +44 (0)1212366989</FONT> </DIV>
  <DIV><BR><FONT size=1>E&amp;OE. Prices are subject to VAT . Quotes valid for 7
  days subject to availability. All goods are sold subject to Tempus terms and
  conditions which can be seen on request.</FONT> </DIV>
  <DIV><FONT size=1>This message (and any associated files) is intended only for
  the use of the individual or entity to which it is addressed and may contain
  information that is confidential, subject to copyright or constitutes a trade
  secret. If you are not the intended recipient you are hereby notified that any
  dissemination, copying or distribution of this message, or files associated
  with this message, is strictly prohibited. If you have received this message
  in error, please notify us immediately by replying to the message and deleting
  it from your computer. Messages sent to and from us may be monitored.
  <BR><BR>Internet communications cannot be guaranteed to be secure or
  error-free as information could be intercepted, corrupted, lost, destroyed,
  arrive late or incomplete, or contain viruses. Therefore, we do not accept
  responsibility for any errors or omissions that are present in this message,
  or any attachment, that have arisen as a result of e-mail transmission. If
  verification is required, please request a hard-copy version. Any views or
  opinions presented are solely those of the author and do not necessarily
  represent those of the company</FONT>.</DIV>
  <DIV></DIV>
  <DIV></DIV>~~~~~~~~~~~~~~~ Please remove this footer before replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BC19.C2E5C960--
=========================================================================
Date:         Wed, 27 Oct 2004 12:46:57 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Recall system for Travel Vaccinations
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Thanks very much.  At my Company in the past they have carried out extensive
medicals once per year on those who travel and I have questioned the
reasoning behind it.  Just because they appear fit to travel today does not
mean that they will be fit next week for example.  I also cannot see the
point of conducting audiometry and spirometry for example on an overseas
traveller.  I am going to the Travel Health Conference in December and hope
to clarify the need (or not) for medicals there.
Lynda

-----Original Message-----
From: Prout, Kleea [mailto:[log in to unmask]]
Sent: Wednesday, October 27, 2004 10:35 AM
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations


Before reading this message, please check that it is addressed to you.
If not, you should delete it immediately as its contents may be confidential
and its disclosure, copying or distribution unlawful.

C. &  J. Clark International Limited takes steps to prevent the transmission
of electronic viruses but responsibility for screening incoming messages and
the risk of such transmission lies with the recipient.

C. &  J. Clark International Limited Registered Office:
40 High Street, Street, Somerset BA16 0YA.
Registered in England and Wales Company No. 141015
________________________________________

Lynda
At the appointment we will have the medical file available with past
history.
We don't do any 'medicals' unless there is a specific indication.
Our technical people who have to enter factories where they are exposed to
Polyurethrane have regular screening anyway.
(We have some files with history going back to Noah's Ark as there is a low
staff turnover!)
We use a tick-box questionnaire to cover things like pregnancy, diabetes,
disability, chronic problems and immune compromised illnesses, record advice
given etc.
I also send out a 'memory-jogger' email to all every 6 months to remind them
about the importance of seeking OH advice before travel and to check their
immunisation status.
Any problems are referred to the Occ Doc for decisions.
Hope this answers your question.
Regards
Kleea


-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 27 October 2004 08:17
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations

Kleea,
Do you perform any kind of travel medical on your employees and if so, what
do you do please?
Lynda

-----Original Message-----
From: Prout, Kleea [mailto:[log in to unmask]]
Sent: Tuesday, October 26, 2004 3:21 PM
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations


Before reading this message, please check that it is addressed to you.
If not, you should delete it immediately as its contents may be confidential
and its disclosure, copying or distribution unlawful.

C. &  J. Clark International Limited takes steps to prevent the transmission
of electronic viruses but responsibility for screening incoming messages and
the risk of such transmission lies with the recipient.

C. &  J. Clark International Limited Registered Office:
40 High Street, Street, Somerset BA16 0YA.
Registered in England and Wales Company No. 141015
________________________________________

Charlotte
Although the onus is on the individual to take responsibility for their own
health, the buck stops with the employer if the correct policies and
procedures are not in place to protect employees.
I think the Employer should make it clear to all concerned where their
responsibilities lie, otherwise you will spend your life chasing after
individuals and that is not a cost effective exercise for OH!

We have a policy on 'Management of Travel Safety & Health', outlining the
responsibilities of Directors, Managers, OH and Employees.

Employees have to see OH each time before they travel outside of Europe.
Employees are issued with a vaccination history card at the first visit,
containing the due date of boosters. This is when it becomes their
responsibility to ensure they keep their immunisation up to date.

They also have to comply with any instructions or precautionary measures
associated with business travel introduced by the company to safeguard their
health and safety They are not allowed to take part in high risk leisure
activities while on company business etc etc.

Good Luck!

Kleea Prout
C & J Clark International



-----Original Message-----
From: Bray, Charlotte [mailto:[log in to unmask]]
Sent: 26 October 2004 11:44
To: [log in to unmask]
Subject: Recall system for Travel Vaccinations

Dear List,

I have been asked to provide a recall system for all our employees who have
travel vaccinations.
Has anybody else ever been asked to provide such a service?
I am trying to avoid implementing this as I think the onus needs to be on
the individual to take responsibility for their own health.
Any thoughts or comments to build my argument would be appreciated.

Many Thanks
Charlotte

Occupational Health Manager
7 th Floor Lehman Brothers
Tel ; 0207 102 8628

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 27 Oct 2004 13:00:31 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Robert Dunn
              <[log in to unmask]>
Organization: University of Oxford
Subject:      Re: prescribing[Scanned]
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_00F7_01C4BC24.F0659450"

This is a multi-part message in MIME format.

------=_NextPart_000_00F7_01C4BC24.F0659450
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Thanks Lynda, If I thought that I could earn as much as Richard O'Brien =
then I'd give up OH !!
  ----- Original Message -----=20
  From: Hawkes, Lynda=20
  To: [log in to unmask]
  Sent: Wednesday, October 27, 2004 12:40 PM
  Subject: Re: prescribing[Scanned]


  Visions of Rocky Horror Show methinks
  Lynda
    -----Original Message-----
    From: Lynn Holland [mailto:[log in to unmask]]
    Sent: Wednesday, October 27, 2004 10:20 AM
    To: [log in to unmask]
    Subject: Re: prescribing[Scanned]


    Bob

    I am trying to work at home on a policy and a vision of you in =
stockings has completely finished me off!!!!!



    Lynn Holland

    Occupational Health Consultant

    Tempus Software Limited



    Tel: 07813008472 or email [log in to unmask]

    -----Original Message-----
    From: Robert Dunn =
[mailto:[log in to unmask]] =

    Sent: 27 October 2004 10:12
    To: [log in to unmask]
    Subject: Re: prescribing[Scanned]



    No Greta, I never really bothered with the uniform, I could never =
get the frilly hat to stay on.... you see I never had enough hair for =
the grips to hold.   Now if you had mentioned stockings....

      ----- Original Message -----=20

      From: Greta Thornbory=20

      To: [log in to unmask]

      Sent: Wednesday, October 27, 2004 9:56 AM

      Subject: Re: prescribing



      Hey Bob you forgot the bit about the management and unions wanting =
the treatment nurse cos her blue dress and frilly white hat instilled =
confidence in the workforce! Or did you refuse to wear yours?



        ----- Original Message -----=20

        From: Robert Dunn=20

        To: [log in to unmask]

        Sent: Wednesday, October 27, 2004 9:41 AM

        Subject: Re: prescribing



        I'm probably going to ruffle a few feathers, however, I agree =
with Greta.  For OH Advisers to routinely prescribe would be a =
retrospective step back to the days where the nurse in industry was =
there to administer aspirin, tea and sympathy in varying amounts.  I =
have worked (indeed started my OH career) for multi-national =
organisations where a treatment service was the backbone of OH within =
the company.  Looking back I can firmly say that my assessment of that =
situation is that during those years true OH provision was sacrificed in =
the minds of management, unions and workforce to the level of the =
'treatment nurse'!  OH has (thankfully) moved on, and we are where we =
are today only because we have lost the image of 'nursey' dishing out =
all manner of appropriate?? and inappropriate medication.  By all means =
use group protocols for vaccines and anaphylaxis treatment etc, but for =
goodness sake, leave prescribing to those who do it best, the physicians =
and pharmacists.  Horses for courses..... that's what I say!!

          ----- Original Message -----=20

          From: Greta Thornbory=20

          To: [log in to unmask]

          Sent: Tuesday, October 26, 2004 3:25 PM

          Subject: Re: prescribing



          I am very interested in your views and rationale for nurse =
prescribing in occupational health especially as during the 90s OH =
people at the RCN fought to stop the nurse prescribing module being a =
compulsory module of the OH degree course - it was supported by the =
(practicing) OH nurses on the curriculum development group. This was at =
the time when OH nurses and the first ever Nurse Practitioner courses =
were running in tandem under the direction of Barbara Stillwell, who =
pioneered nurse practitioners in the UK. Nurse practitioners are vital =
to today's primary and community care, however, OH nurses are not nurse =
practitioners. I definitely agree that we should keep up-to-date in =
every aspect of practice that we use in OH and should understand =
treatment regimes, it is an NMC and professional requirement to do so - =
but it is not necessary to study a specific pharmacology/nurse =
prescribing course to do this.



          I am concerned too that you comment about the need for an OH =
physician and I wonder if you are suggesting that we should take on =
their role? To me nursing and medicine are two distinct professions =
which complement each other. However, I am not saying that nurses should =
not prescribe but there has to be a distinct need to do so, particularly =
in OH.  It would be awful to think that nurse prescribing was a =
'development' of nursing practice. To me it would be a return to the =
days of yesteryear when OH departments kept a pharmacy stock - e.g. Ford =
motor Co.OH dept. kept 250 medicines ranging from antibiotics to =
antidepressants not to mention digoxin!! A well known sweet manufacturer =
from another planet kept about the same. How do I know this - I actually =
did my dissertation at the time on the use of medicines in OH.



          Jan Maw said it all (OH Feb 04) 'If OHNs are to embrace nurse =
prescribing alongside their nursing colleagues greater evidence is =
needed to support the benefit's . At the moment there is no evidence =
base to support the practice. I believe we should be considering the =
ways in which we can obtain the evidence before we go down this road.



          Greta Thornbory
          Consultant, Occupational Health & Education
          Consultant Editor, OH Journal
          www.gtenterprises-uk.com
          Tel: 01235 770156
          Mob: 07778 518 027





          ----- Original Message -----=20

          From: "Jeanette Hogg" <[log in to unmask]>

          To: <[log in to unmask]>

          Sent: Tuesday, October 26, 2004 10:48 AM

          Subject: prescribing



          > Thanks to everyone for your responses about prescribing.  I =
appreciate
          > everyone's view on this but would just like to highlight a =
few issues.
          > Prescribing is not just about writing a script - that's the =
easy bit. If
          > its one thing that the course taught me its that we should =
keep focus on
          > our nursing clinical skills and knowledge. During =
consultation if we advise
          > regarding medication, treatment options and or distribute =
under PGD's or
          > standing orders we are effectively prescribing and are =
accountable for
          > those decisions and the advice given to the patient. So we =
should be
          > keeping up to date with drugs and medications that we come =
across as
          > advsiors/nurses. The course greatly enhanced my =
understanding of how
          > medicines affect patient outcomes, improved my consultation =
skills by an
          > increased knowledge into pharmocology and pharmacokinetics.  =
How many
          > patient's do we see on pain control, antidepressants etc. Do =
we really know
          > enough about that treatment and it's effects to aid our =
decisions on how
          > and when clients will respond effectively and acheive a =
return to good
          > health? We are community/primary care workers in many ways =
and I have a far
          > better rappor with GP's because I understand to some extent =
their treatment
          > regimes and options for their patients and work with them.
          >=20
          > When do we need an occupational physician? Usually when =
diagnosis,
          > medicines, investigations etc are involved in case =
management.I don't think
          > we can categorically say that prescribing is not for us as =
advisors because
          > if we do we are missing out on the development of nursing =
roles which are
          > rapidly moving forward in terms of clinical skills that we =
rely on
          > physicians for. So to dismiss this development will leave us =
behind in the
          > nursing world.  There are many experienced and highly =
clinically skilled
          > nurse practitioners out there who work in primary care and =
could very
          > easily move into occupational health. Its not about =
replacing physicians,
          > but I do feel we need to keep up and be more effective - a =
qualification in
          > Occhealth alone may not be enough. Medicines management is =
part of that
          > nursing even in an advisory capacity. Just food for thought.
          >=20
          > ~~~~~~~~~~~~~~~
          > Please remove this footer before replying.
          >=20
          > For list archives and documents, go to
          > http://www.jiscmail.ac.uk/lists/occ-health.html for list =
archives
          >=20
          > For jobs in Occupational Health, go to
          > http://uk.groups.yahoo.com/group/OHJobs/




          ---
          Outgoing mail is certified Virus Free.
          Checked by AVG anti-virus system (http://www.grisoft.com).
          Version: 6.0.778 / Virus Database: 525 - Release Date: =
15/10/2004

          ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

          For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

          For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

        ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

        For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

        For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

      ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

      For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

      For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

    Tempus Computers Ltd
    St Paul's House, 21 - 23 St Paul's Square, Birmingham
    Tel: +44 (0)1212333100
    Fax: +44 (0)1212334560=20
    Sales & Order Fax +44 (0)1212366989=20

    E&OE. Prices are subject to VAT . Quotes valid for 7 days subject to =
availability. All goods are sold subject to Tempus terms and conditions =
which can be seen on request.=20
    This message (and any associated files) is intended only for the use =
of the individual or entity to which it is addressed and may contain =
information that is confidential, subject to copyright or constitutes a =
trade secret. If you are not the intended recipient you are hereby =
notified that any dissemination, copying or distribution of this =
message, or files associated with this message, is strictly prohibited. =
If you have received this message in error, please notify us immediately =
by replying to the message and deleting it from your computer. Messages =
sent to and from us may be monitored.=20

    Internet communications cannot be guaranteed to be secure or =
error-free as information could be intercepted, corrupted, lost, =
destroyed, arrive late or incomplete, or contain viruses. Therefore, we =
do not accept responsibility for any errors or omissions that are =
present in this message, or any attachment, that have arisen as a result =
of e-mail transmission. If verification is required, please request a =
hard-copy version. Any views or opinions presented are solely those of =
the author and do not necessarily represent those of the company.
    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_00F7_01C4BC24.F0659450
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns:eXclaimer =3D "http://www.exclaimer.co.uk"><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<STYLE>@font-face {
        font-family: Tahoma;
}
@page Section1 {size: 595.3pt 841.9pt; margin: 72.0pt 90.0pt 72.0pt =
90.0pt; }
P.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"
}
LI.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"
}
DIV.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"
}
A:link {
        COLOR: blue; TEXT-DECORATION: underline
}
SPAN.MsoHyperlink {
        COLOR: blue; TEXT-DECORATION: underline
}
A:visited {
        COLOR: blue; TEXT-DECORATION: underline
}
SPAN.MsoHyperlinkFollowed {
        COLOR: blue; TEXT-DECORATION: underline
}
P {
        FONT-SIZE: 12pt; MARGIN-LEFT: 0cm; MARGIN-RIGHT: 0cm; FONT-FAMILY: =
"Times New Roman"
}
SPAN.EmailStyle19 {
        COLOR: navy; FONT-FAMILY: Arial
}
DIV.Section1 {
        page: Section1
}
</STYLE>
</HEAD>
<BODY lang=3DEN-GB vLink=3Dblue link=3Dblue bgColor=3Dwhite>
<DIV><FONT face=3DArial size=3D2>Thanks Lynda, If I thought that I could =
earn as=20
much as Richard O'Brien then I'd give up OH !!</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Hawkes, Lynda</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, October 27, =
2004 12:40=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: =
prescribing[Scanned]</DIV>
  <DIV><BR></DIV>
  <DIV><SPAN class=3D326284711-27102004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>Visions of Rocky Horror Show methinks</FONT></SPAN></DIV>
  <DIV><SPAN class=3D326284711-27102004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>Lynda</FONT></SPAN></DIV>
  <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
    <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
    size=3D2>-----Original Message-----<BR><B>From:</B> Lynn Holland=20
    [mailto:[log in to unmask]]<BR><B>Sent:</B> Wednesday, =
October 27,=20
    2004 10:20 AM<BR><B>To:</B> <A=20
    =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A><B=
R><B>Subject:</B>=20
    Re: prescribing[Scanned]<BR><BR></FONT></DIV>
    <DIV>
    <DIV class=3DSection1>
    <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: =
Arial">Bob</SPAN></FONT></P>
    <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">I am =
trying to work=20
    at home on a policy and a vision of you in stockings has completely =
finished=20
    me off!!!!!</SPAN></FONT></P>
    <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: =
Arial"></SPAN></FONT>&nbsp;</P>
    <DIV>
    <P class=3DMsoNormal><STRONG><B><I><FONT face=3DArial color=3Dnavy =
size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-STYLE: italic; =
FONT-FAMILY: Arial">Lynn=20
    Holland</SPAN></FONT></I></B></STRONG></P>
    <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: =
Arial">Occupational Health=20
    Consultant</SPAN></FONT></P>
    <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Tempus =
Software=20
    Limited</SPAN></FONT></P>
    <P class=3DMsoNormal><FONT face=3D"Times New Roman" color=3Dnavy =
size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt; COLOR: navy"></SPAN></FONT>&nbsp;</P>
    <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Tel: =
07813008472 or=20
    email [log in to unmask]</SPAN></FONT></P></DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DTahoma =
size=3D2><SPAN=20
    lang=3DEN-US style=3D"FONT-SIZE: 10pt; FONT-FAMILY: =
Tahoma">-----Original=20
    Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: =
bold">From:</SPAN></B> Robert=20
    Dunn=20
    =
[mailto:[log in to unmask]] =

    <BR><B><SPAN style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 27 October =
2004=20
    10:12<BR><B><SPAN style=3D"FONT-WEIGHT: bold">To:</SPAN></B>=20
    [log in to unmask]<BR><B><SPAN=20
    style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Re:=20
    prescribing[Scanned]</SPAN></FONT></P>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
    size=3D3><SPAN style=3D"FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial">No Greta, I never =
really=20
    bothered with the uniform, I could never get the frilly hat to stay =
on....=20
    you see I never had enough hair for the grips to hold.&nbsp;&nbsp; =
Now if=20
    you had mentioned stockings....</SPAN></FONT></P></DIV>
    <BLOCKQUOTE=20
    style=3D"BORDER-RIGHT: medium none; PADDING-RIGHT: 0cm; BORDER-TOP: =
medium none; PADDING-LEFT: 4pt; PADDING-BOTTOM: 0cm; MARGIN: 5pt 0cm 5pt =
3.75pt; BORDER-LEFT: black 1.5pt solid; PADDING-TOP: 0cm; BORDER-BOTTOM: =
medium none">
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial">----- Original =
Message -----=20
      </SPAN></FONT></P></DIV>
      <DIV style=3D"font-color: black">
      <P class=3DMsoNormal style=3D"BACKGROUND: #e4e4e4; MARGIN-LEFT: =
36pt"><B><FONT=20
      face=3DArial size=3D2><SPAN=20
      style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">From:</SPAN></FONT></B><FONT=20
      face=3DArial size=3D2><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY: =
Arial"> <A=20
      [log in to unmask]
      href=3D"mailto:[log in to unmask]">Greta Thornbory</A>=20
      </SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><B><FONT =
face=3DArial=20
      size=3D2><SPAN=20
      style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">To:</SPAN></FONT></B><FONT=20
      face=3DArial size=3D2><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY: =
Arial"> <A=20
      [log in to unmask]
      =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A>=20
      </SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><B><FONT =
face=3DArial=20
      size=3D2><SPAN=20
      style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">Sent:</SPAN></FONT></B><FONT=20
      face=3DArial size=3D2><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">=20
      Wednesday, October 27, 2004 9:56 AM</SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><B><FONT =
face=3DArial=20
      size=3D2><SPAN=20
      style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">Subject:</SPAN></FONT></B><FONT=20
      face=3DArial size=3D2><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY: =
Arial"> Re:=20
      prescribing</SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN style=3D"FONT-SIZE: =
12pt"></SPAN></FONT>&nbsp;</P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D2><SPAN style=3D"FONT-SIZE: 10pt">Hey Bob you forgot the =
bit about the=20
      management and unions wanting the treatment nurse cos her blue =
dress and=20
      frilly white hat instilled confidence in the workforce! Or did you =
refuse=20
      to wear yours?</SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN style=3D"FONT-SIZE: =
12pt"></SPAN></FONT>&nbsp;</P></DIV>
      <BLOCKQUOTE=20
      style=3D"BORDER-RIGHT: medium none; PADDING-RIGHT: 0cm; =
BORDER-TOP: medium none; PADDING-LEFT: 4pt; PADDING-BOTTOM: 0cm; MARGIN: =
5pt 0cm 5pt 3.75pt; BORDER-LEFT: black 1.5pt solid; PADDING-TOP: 0cm; =
BORDER-BOTTOM: medium none">
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial=20
        size=3D2><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">----- Original=20
        Message ----- </SPAN></FONT></P></DIV>
        <DIV style=3D"font-color: black">
        <P class=3DMsoNormal=20
        style=3D"BACKGROUND: #e4e4e4; MARGIN-LEFT: 36pt"><B><FONT =
face=3DArial=20
        size=3D2><SPAN=20
        style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">From:</SPAN></FONT></B><FONT=20
        face=3DArial size=3D2><SPAN style=3D"FONT-SIZE: 10pt; =
FONT-FAMILY: Arial"> <A=20
        =
[log in to unmask]
        =
href=3D"mailto:[log in to unmask]
AC.UK">Robert=20
        Dunn</A> </SPAN></FONT></P></DIV>
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><B><FONT =
face=3DArial=20
        size=3D2><SPAN=20
        style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">To:</SPAN></FONT></B><FONT=20
        face=3DArial size=3D2><SPAN style=3D"FONT-SIZE: 10pt; =
FONT-FAMILY: Arial"> <A=20
        [log in to unmask]
        =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A>=20
        </SPAN></FONT></P></DIV>
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><B><FONT =
face=3DArial=20
        size=3D2><SPAN=20
        style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">Sent:</SPAN></FONT></B><FONT=20
        face=3DArial size=3D2><SPAN style=3D"FONT-SIZE: 10pt; =
FONT-FAMILY: Arial">=20
        Wednesday, October 27, 2004 9:41 AM</SPAN></FONT></P></DIV>
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><B><FONT =
face=3DArial=20
        size=3D2><SPAN=20
        style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">Subject:</SPAN></FONT></B><FONT=20
        face=3DArial size=3D2><SPAN style=3D"FONT-SIZE: 10pt; =
FONT-FAMILY: Arial"> Re:=20
        prescribing</SPAN></FONT></P></DIV>
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
        face=3D"Times New Roman" size=3D3><SPAN=20
        style=3D"FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
        <DIV>
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial=20
        size=3D2><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial">I'm =
probably=20
        going to ruffle a few feathers, however, I agree with =
Greta.&nbsp; For=20
        OH Advisers to routinely prescribe would be a retrospective step =
back to=20
        the days where the nurse in industry was there to administer =
aspirin,=20
        tea and sympathy in varying amounts.&nbsp; I have worked (indeed =
started=20
        my OH career) for multi-national organisations where a treatment =
service=20
        was the backbone of OH within the company.&nbsp; Looking back I =
can=20
        firmly say that my assessment of that situation&nbsp;is that =
during=20
        those years true OH provision was sacrificed in the minds of =
management,=20
        unions and workforce to the level of the 'treatment =
nurse'!&nbsp; OH has=20
        (thankfully) moved on, and we are where we are today only =
because we=20
        have lost the image of 'nursey' dishing out all manner of =
appropriate??=20
        and inappropriate medication.&nbsp; By all means use group =
protocols for=20
        vaccines and anaphylaxis treatment etc, but for goodness sake, =
leave=20
        prescribing to those who do it best, the physicians and=20
        pharmacists.&nbsp; Horses for courses..... that's what I=20
        say!!</SPAN></FONT></P></DIV></DIV>
        <BLOCKQUOTE=20
        style=3D"BORDER-RIGHT: medium none; PADDING-RIGHT: 0cm; =
BORDER-TOP: medium none; PADDING-LEFT: 4pt; PADDING-BOTTOM: 0cm; MARGIN: =
5pt 0cm 5pt 3.75pt; BORDER-LEFT: black 1.5pt solid; PADDING-TOP: 0cm; =
BORDER-BOTTOM: medium none">
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial=20
          size=3D2><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">-----=20
          Original Message ----- </SPAN></FONT></P></DIV>
          <DIV style=3D"font-color: black">
          <P class=3DMsoNormal=20
          style=3D"BACKGROUND: #e4e4e4; MARGIN-LEFT: 36pt"><B><FONT =
face=3DArial=20
          size=3D2><SPAN=20
          style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">From:</SPAN></FONT></B><FONT=20
          face=3DArial size=3D2><SPAN style=3D"FONT-SIZE: 10pt; =
FONT-FAMILY: Arial">=20
          <A [log in to unmask]
          href=3D"mailto:[log in to unmask]">Greta =
Thornbory</A>=20
          </SPAN></FONT></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><B><FONT =
face=3DArial=20
          size=3D2><SPAN=20
          style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">To:</SPAN></FONT></B><FONT=20
          face=3DArial size=3D2><SPAN style=3D"FONT-SIZE: 10pt; =
FONT-FAMILY: Arial">=20
          <A [log in to unmask]
          =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A>=20
          </SPAN></FONT></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><B><FONT =
face=3DArial=20
          size=3D2><SPAN=20
          style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">Sent:</SPAN></FONT></B><FONT=20
          face=3DArial size=3D2><SPAN style=3D"FONT-SIZE: 10pt; =
FONT-FAMILY: Arial">=20
          Tuesday, October 26, 2004 3:25 PM</SPAN></FONT></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><B><FONT =
face=3DArial=20
          size=3D2><SPAN=20
          style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Arial">Subject:</SPAN></FONT></B><FONT=20
          face=3DArial size=3D2><SPAN style=3D"FONT-SIZE: 10pt; =
FONT-FAMILY: Arial">=20
          Re: prescribing</SPAN></FONT></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D2><SPAN style=3D"FONT-SIZE: =
10pt">I am very=20
          interested in your views and rationale for nurse prescribing =
in=20
          occupational health especially as during the 90s OH people at =
the RCN=20
          fought to stop the nurse prescribing module being a compulsory =
module=20
          of the OH degree course - it was supported by the (practicing) =
OH=20
          nurses on the curriculum development group. This was at the =
time when=20
          OH nurses and the first ever Nurse Practitioner courses were =
running=20
          in tandem under the direction of Barbara Stillwell, who =
pioneered=20
          nurse practitioners in the UK. Nurse practitioners are vital =
to=20
          today's primary and community care, however, OH nurses are not =
nurse=20
          practitioners.&nbsp;I&nbsp;definitely agree that we should =
keep=20
          up-to-date in every aspect of practice that we use&nbsp;in OH =
and=20
          should understand treatment regimes, it is an NMC and =
professional=20
          requirement to do so&nbsp;- but it is not necessary to study a =

          specific pharmacology/nurse prescribing course to do=20
          this.</SPAN></FONT></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D2><SPAN style=3D"FONT-SIZE: =
10pt">I am=20
          concerned too that you comment about the need for an OH =
physician and=20
          I wonder if you are suggesting that we should take on their =
role? To=20
          me nursing and medicine are two distinct professions which =
complement=20
          each other. However, I am not saying that nurses should not =
prescribe=20
          but there has to be a distinct need to do so, particularly in =
OH.=20
          &nbsp;It would be awful to think&nbsp;that nurse prescribing =
was a=20
          'development' of nursing practice. To me it would be =
a&nbsp;return to=20
          the days of yesteryear when OH departments kept a pharmacy =
stock -=20
          e.g. Ford motor Co.OH dept.&nbsp;kept 250 medicines ranging =
from=20
          antibiotics to antidepressants not to mention digoxin!! A well =
known=20
          sweet manufacturer from another planet kept about the same. =
How do I=20
          know this - I actually did my dissertation at the time on the =
use=20
          of&nbsp;medicines in OH.</SPAN></FONT></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D2><SPAN style=3D"FONT-SIZE: =
10pt">Jan Maw=20
          said it all (OH Feb 04) <EM><I><FONT face=3D"Times New =
Roman">'If OHNs=20
          are to embrace nurse prescribing alongside their nursing =
colleagues=20
          greater evidence is needed to support the benefit's =
</FONT></I></EM>.=20
          At the moment there is no evidence base to support the =
practice. I=20
          believe we should be considering the ways in which we can =
obtain the=20
          evidence before we go down this road.</SPAN></FONT></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D2><SPAN style=3D"FONT-SIZE: =
10pt">Greta=20
          Thornbory<BR>Consultant, Occupational Health &amp;=20
          Education<BR>Consultant Editor, OH Journal<BR><A=20
          =
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
          01235 770156<BR>Mob: 07778 518 027</SPAN></FONT></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D2><SPAN style=3D"FONT-SIZE: =
10pt">-----=20
          Original Message ----- </SPAN></FONT></P>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D2><SPAN style=3D"FONT-SIZE: =
10pt">From:=20
          "Jeanette Hogg" &lt;</SPAN></FONT><A=20
          href=3D"mailto:[log in to unmask]"><FONT =
size=3D2><SPAN=20
          style=3D"FONT-SIZE: =
10pt">[log in to unmask]</SPAN></FONT></A><FONT=20
          size=3D2><SPAN style=3D"FONT-SIZE: =
10pt">&gt;</SPAN></FONT></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D2><SPAN style=3D"FONT-SIZE: =
10pt">To:=20
          &lt;</SPAN></FONT><A =
href=3D"mailto:[log in to unmask]"><FONT=20
          size=3D2><SPAN=20
          style=3D"FONT-SIZE: =
10pt">[log in to unmask]</SPAN></FONT></A><FONT=20
          size=3D2><SPAN style=3D"FONT-SIZE: =
10pt">&gt;</SPAN></FONT></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D2><SPAN style=3D"FONT-SIZE: =
10pt">Sent:=20
          Tuesday, October 26, 2004 10:48 AM</SPAN></FONT></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D2><SPAN style=3D"FONT-SIZE: =
10pt">Subject:=20
          prescribing</SPAN></FONT></P></DIV></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D2><SPAN style=3D"FONT-SIZE: =
10pt">&gt;=20
          Thanks to everyone for your responses about prescribing.&nbsp; =
I=20
          appreciate<BR>&gt; everyone's view on this but would just like =
to=20
          highlight a few issues.<BR>&gt; Prescribing is not just about =
writing=20
          a script - that's the easy bit. If<BR>&gt; its one thing that =
the=20
          course taught me its that we should keep focus on<BR>&gt; our =
nursing=20
          clinical skills and knowledge. During consultation if we=20
          advise<BR>&gt; regarding medication, treatment options and or=20
          distribute under PGD's or<BR>&gt; standing orders we are =
effectively=20
          prescribing and are accountable for<BR>&gt; those decisions =
and the=20
          advice given to the patient. So we should be<BR>&gt; keeping =
up to=20
          date with drugs and medications that we come across as<BR>&gt; =

          advsiors/nurses. The course greatly enhanced my understanding =
of=20
          how<BR>&gt; medicines affect patient outcomes, improved my=20
          consultation skills by an<BR>&gt; increased knowledge into=20
          pharmocology and pharmacokinetics.&nbsp; How many<BR>&gt; =
patient's do=20
          we see on pain control, antidepressants etc. Do we really =
know<BR>&gt;=20
          enough about that treatment and it's effects to aid our =
decisions on=20
          how<BR>&gt; and when clients will respond effectively and =
acheive a=20
          return to good<BR>&gt; health? We are community/primary care =
workers=20
          in many ways and I have a far<BR>&gt; better rappor with GP's =
because=20
          I understand to some extent their treatment<BR>&gt; regimes =
and=20
          options for their patients and work with them.<BR>&gt; =
<BR>&gt; When=20
          do we need an occupational physician? Usually when =
diagnosis,<BR>&gt;=20
          medicines, investigations etc are involved in case =
management.I don't=20
          think<BR>&gt; we can categorically say that prescribing is not =
for us=20
          as advisors because<BR>&gt; if we do we are missing out on the =

          development of nursing roles which are<BR>&gt; rapidly moving =
forward=20
          in terms of clinical skills that we rely on<BR>&gt; physicians =
for. So=20
          to dismiss this development will leave us behind in =
the<BR>&gt;=20
          nursing world.&nbsp; There are many experienced and highly =
clinically=20
          skilled<BR>&gt; nurse practitioners out there who work in =
primary care=20
          and could very<BR>&gt; easily move into occupational health. =
Its not=20
          about replacing physicians,<BR>&gt; but I do feel we need to =
keep up=20
          and be more effective - a qualification in<BR>&gt; Occhealth =
alone may=20
          not be enough. Medicines management is part of that<BR>&gt; =
nursing=20
          even in an advisory capacity. Just food for thought.<BR>&gt; =
<BR>&gt;=20
          ~~~~~~~~~~~~~~~<BR>&gt; Please remove this footer before=20
          replying.<BR>&gt; <BR>&gt; For list archives and documents, go =

          to<BR>&gt; </SPAN></FONT><A=20
          href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT =

          size=3D2><SPAN=20
          style=3D"FONT-SIZE: =
10pt">http://www.jiscmail.ac.uk/lists/occ-health.html</SPAN></FONT></A><F=
ONT=20
          size=3D2><SPAN style=3D"FONT-SIZE: 10pt"> for list =
archives<BR>&gt;=20
          <BR>&gt; For jobs in Occupational Health, go to<BR>&gt;=20
          </SPAN></FONT><A =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
          size=3D2><SPAN=20
          style=3D"FONT-SIZE: =
10pt">http://uk.groups.yahoo.com/group/OHJobs/</SPAN></FONT></A></P></DIV=
>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt"></SPAN></FONT>&nbsp;</P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><U><FONT=20
          face=3D"Times New Roman" color=3Dblue size=3D2><SPAN=20
          style=3D"FONT-SIZE: 10pt; COLOR: blue"><BR>---<BR>Outgoing =
mail is=20
          certified Virus Free.<BR>Checked by AVG anti-virus system (<A=20
          =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =

          6.0.778 / Virus Database: 525 - Release Date:=20
          15/10/2004</SPAN></FONT></U></P></DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt">~~~~~~~~~~~~~~~ Please remove this =
footer=20
          before replying. </SPAN></FONT></P>
          <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt">For list archives and documents, go =
to=20
          http://www.jiscmail.ac.uk/lists/occ-health.html for list =
archives=20
          </SPAN></FONT></P>
          <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt">For jobs in Occupational Health, go =
to=20
          http://uk.groups.yahoo.com/group/OHJobs/ =
</SPAN></FONT></P></BLOCKQUOTE>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
        face=3D"Times New Roman" size=3D3><SPAN=20
        style=3D"FONT-SIZE: 12pt">~~~~~~~~~~~~~~~ Please remove this =
footer before=20
        replying. </SPAN></FONT></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
        style=3D"FONT-SIZE: 12pt">For list archives and documents, go to =

        http://www.jiscmail.ac.uk/lists/occ-health.html for list =
archives=20
        </SPAN></FONT></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
        style=3D"FONT-SIZE: 12pt">For jobs in Occupational Health, go to =

        http://uk.groups.yahoo.com/group/OHJobs/ =
</SPAN></FONT></P></BLOCKQUOTE>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt">~~~~~~~~~~~~~~~ Please =
remove this=20
      footer before replying. </SPAN></FONT></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
      style=3D"FONT-SIZE: 12pt">For list archives and documents, go to=20
      http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
      </SPAN></FONT></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
      style=3D"FONT-SIZE: 12pt">For jobs in Occupational Health, go to=20
      http://uk.groups.yahoo.com/group/OHJobs/=20
    </SPAN></FONT></P></BLOCKQUOTE></DIV></DIV>
    <DIV></DIV>
    <DIV><FONT color=3Dblue>Tempus Computers Ltd<BR>St Paul's House, 21 =
- 23 St=20
    Paul's Square, Birmingham<BR>Tel: +44 (0)1212333100<BR>Fax: +44=20
    (0)1212334560</FONT> </DIV>
    <DIV><FONT color=3D#0000ff>Sales &amp; Order Fax +44 =
(0)1212366989</FONT>=20
    </DIV>
    <DIV><BR><FONT size=3D1>E&amp;OE. Prices are subject to VAT . Quotes =
valid for=20
    7 days subject to availability. All goods are sold subject to Tempus =
terms=20
    and conditions which can be seen on request.</FONT> </DIV>
    <DIV><FONT size=3D1>This message (and any associated files) is =
intended only=20
    for the use of the individual or entity to which it is addressed and =
may=20
    contain information that is confidential, subject to copyright or=20
    constitutes a trade secret. If you are not the intended recipient =
you are=20
    hereby notified that any dissemination, copying or distribution of =
this=20
    message, or files associated with this message, is strictly =
prohibited. If=20
    you have received this message in error, please notify us =
immediately by=20
    replying to the message and deleting it from your computer. Messages =
sent to=20
    and from us may be monitored. <BR><BR>Internet communications cannot =
be=20
    guaranteed to be secure or error-free as information could be =
intercepted,=20
    corrupted, lost, destroyed, arrive late or incomplete, or contain =
viruses.=20
    Therefore, we do not accept responsibility for any errors or =
omissions that=20
    are present in this message, or any attachment, that have arisen as =
a result=20
    of e-mail transmission. If verification is required, please request =
a=20
    hard-copy version. Any views or opinions presented are solely those =
of the=20
    author and do not necessarily represent those of the =
company</FONT>.</DIV>
    <DIV></DIV>
    <DIV></DIV>~~~~~~~~~~~~~~~ Please remove this footer before =
replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_00F7_01C4BC24.F0659450--
=========================================================================
Date:         Wed, 27 Oct 2004 11:39:16 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Eric Greig <[log in to unmask]>
Subject:      ear syringing and audio
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1098891556"

-------------------------------1098891556
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

The document EN 26189, which I believe to be equivalent to BS6655/ISO 6189
gives advice on otoscopic examination prior to audiometric testing.

My reading of it suggests that ideally an otoscopic examination should  be
done before audiometry.

If obstructing wax is found in the external ear canal(s), this should be
removed and audiometry postponed for a suitable delay period as specified by a
medically qualified person.

What constitutes obstructing wax is not defined!

If it is not practicable to carry out an otoscopic examination prior to
audiometry, it suggests that audiometry should go ahead and if the results
indicate a hearing loss then examination for wax should be carried out and if  found
the wax should be removed and the audiometry repeated after a suitable  delay.

I'm not sure that the above really answers the question, but it might help  a
little.

Regards

Eric Greig


From:-
G M Instruments Ltd
Unit 6, Ashgrove
Ashgrove  Road
Kilwinning
KA13 6PU
Scotland
UK

Tel + 44 (0)1294  554664
Fax + 44 (0)1294  551154
WWW.GM-INSTRUMENTS.COM

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1098891556
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2800.1106" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY:=20=
Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3DArial color=3D#000000 size=3D2>
<DIV>The document EN 26189, which I believe to be equivalent to BS6655/ISO 6=
189=20
gives advice on otoscopic examination prior to audiometric testing.</DIV>
<DIV>&nbsp;</DIV>
<DIV>My reading of it suggests&nbsp;that ideally an otoscopic examination sh=
ould=20
be done before audiometry. </DIV>
<DIV>&nbsp;</DIV>
<DIV>If obstructing wax is found in the external ear canal(s), this should b=
e=20
removed and audiometry postponed for a suitable delay period as specified by=
 a=20
medically qualified person.</DIV>
<DIV>&nbsp;</DIV>
<DIV>What constitutes obstructing wax is not defined!</DIV>
<DIV>&nbsp;</DIV>
<DIV>If it is not practicable to carry out an otoscopic examination prior to=
=20
audiometry, it suggests that audiometry should go ahead and if the results=20
indicate a hearing loss then examination for wax should be carried out and i=
f=20
found the wax should be removed and the audiometry repeated after a suitable=
=20
delay.</DIV>
<DIV>&nbsp;</DIV>
<DIV>I'm not sure that the above really answers the question, but it might h=
elp=20
a little.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Regards</DIV>
<DIV>&nbsp;</DIV>
<DIV>Eric Greig</DIV>
<DIV>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV><FONT lang=3D0 face=3DArial color=3D#0000ff size=3D2 FAMILY=3D"SANSSERI=
F"=20
PTSIZE=3D"10">From:-<BR>G M Instruments Ltd<BR>Unit 6, Ashgrove<BR>Ashgrove=20
Road<BR>Kilwinning<BR>KA13 6PU<BR>Scotland<BR>UK</FONT><FONT lang=3D0 face=
=3DArial=20
color=3D#000000 size=3D2 FAMILY=3D"SANSSERIF" PTSIZE=3D"10"><BR><BR></FONT><=
FONT lang=3D0=20
face=3DArial color=3D#0000ff size=3D2 FAMILY=3D"SANSSERIF" PTSIZE=3D"10">Tel=
 + 44 (0)1294=20
554664<BR>Fax + 44 (0)1294=20
551154<BR>WWW.GM-INSTRUMENTS.COM</FONT></DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1098891556--
=========================================================================
Date:         Wed, 27 Oct 2004 13:16:10 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Prout, Kleea" <[log in to unmask]>
Subject:      Business Travel
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4BC1E.BED69088"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4BC1E.BED69088
Content-Type: text/plain

Before reading this message, please check that it is addressed to you.
If not, you should delete it immediately as its contents may be confidential
and its disclosure, copying or distribution unlawful.

C. &  J. Clark International Limited takes steps to prevent the transmission
of electronic viruses but responsibility for screening incoming messages and
the risk of such transmission lies with the recipient.

C. &  J. Clark International Limited Registered Office:
40 High Street, Street, Somerset BA16 0YA.
Registered in England and Wales Company No. 141015
________________________________________

Dear List
While the topic of business travel is being discussed, I don't know how many
of you are aware of NaTHNaC - National Travel Health Network and Centre.
They have a telephone advice line for nurses, doctors and pharmacists 020
7380 9234 and are open from 09:00 to 12:00 and 14:00 to 16:30 between
Mondays and Fridays.
Regards
Kleea


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BC1E.BED69088
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3DUS-ASCII">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version =
5.5.2653.12">
<TITLE>Business Travel</TITLE>
</HEAD>
<BODY>

<P><FONT SIZE=3D2 FACE=3D"Arial">Before reading this message, please =
check that it is addressed to you. </FONT>
<BR><FONT SIZE=3D2 FACE=3D"Arial">If not, you should delete it =
immediately as its contents may be confidential and its disclosure, =
copying or distribution unlawful. </FONT></P>

<P><FONT SIZE=3D2 FACE=3D"Arial">C. &amp;&nbsp; J. Clark International =
Limited takes steps to prevent the transmission of electronic viruses =
but responsibility for screening incoming messages and the risk of such =
transmission lies with the recipient. </FONT></P>

<P><FONT SIZE=3D2 FACE=3D"Arial">C. &amp;&nbsp; J. Clark International =
Limited Registered Office: </FONT>
<BR><FONT SIZE=3D2 FACE=3D"Arial">40 High Street, Street, Somerset BA16 =
0YA. </FONT>
<BR><FONT SIZE=3D2 FACE=3D"Arial">Registered in England and Wales =
Company No. 141015 </FONT>
<BR><FONT SIZE=3D2 =
FACE=3D"Arial">________________________________________ </FONT>
</P>

<P><FONT FACE=3D"Arial">Dear List </FONT>
<BR><FONT FACE=3D"Arial">While the topic of business travel is being =
discussed, I don't know how many of you are aware of NaTHNaC - National =
Travel Health Network and Centre.</FONT></P>

<P><FONT FACE=3D"Arial">They have a telephone advice line for nurses, =
doctors and pharmacists 020 7380 9234 and are open from 09:00 to 12:00 =
and 14:00 to 16:30 between Mondays and Fridays.</FONT></P>

<P><FONT FACE=3D"Arial">Regards</FONT>
<BR><FONT FACE=3D"Arial">Kleea</FONT>
</P>

</BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4BC1E.BED69088--
=========================================================================
Date:         Wed, 27 Oct 2004 18:51:48 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Anne Harriss <[log in to unmask]>
Subject:      Re: prescribing,
              public health and NMC standards for OHN education.
In-Reply-To:  <[log in to unmask]>
Mime-version: 1.0
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

on 27/10/04 9:19 am, MASLEN-JONES David, Clinical Nurse Mgr at
[log in to unmask] wrote:

> Hi Folks,
>
> As I am sure you are all aware  we are all now registered on the third part of
> the NMC register as Public health nurses.
>
> Interestingly if you look at the NHS plan and the Wanless report 2004 you will
> see that the government is taking OH down this public health pathway and
> future training proposals from the NMC are likely to reflect that!. Its about
> time we in OH woke up to what is happening!
>
> I am not saying this is right, only that as regards prescribing we are being
> railroaded into an extended public health role which almost certainly will
> result in us all being required to prescribe in the future and yes, nurse
> prescribing is something which increases our knowledge base and skills
>
>
>
> -----Original Message-----
> From: joan Twigger [mailto:[log in to unmask]]
> Sent: 27 October 2004 08:46
> To: [log in to unmask]
> Subject: Re: prescribing
>
>
> I too have had a similar experience and agree with you and Greta  It has
> taken over three years to bring everyone round to the idea that OH by
> definition is not a treatment service. The fight has been long and hard but
> worth it . Some die hard's still feel that I have taken away something that
> was theirs as a right.
>
>
>
> Joan Twigger
> Occupational Health Advisor
> 3M Healthcare Limited
> Tel:  01509 613720
> Fax:  01509 613065
> e-mail [log in to unmask]
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


Hello everyone

There are two points I am raising. First the transfer onto the third part of
the register is still to be completed.  (I spoke to someone at the NMC about
it today. My experience seems to be that there is confusion at the NMC as to
how this is to be initiated. The information given seems to depend on who
you speak to!!)

Secondly, you are quite correct OH is expected to take a public health view.
I can't see that this in itself should be an issue. I undertook a mapping
exercise on behalf of the NMC and it was clear that OH courses which have
been running for some time met the outcomes of public health. I don't see
how nurse prescribing comes into this. District nurses who have undertaken
the nurse prescribing course can prescribe but will not automatically be
registered on the third part of the register as the NMC consider they do not
have a public health role.

 Public health is about promoting, improving and maintaining the health of
the community which has always been the aim of OH nursing. The groups of
practitioners who are currently considered to have a public health role and
will migrate to the third part of the register are:

Health visitors
School Nurses
OH Nurses.

In August 2004 the NMC  published the document "Standards of Proficiency for
Specialist Community Public Health Nurses" which I would strongly recommend
as essential reading for all OHNs with an interest in how OH Nursing is
going to develop in the future. I suspect that many of you may not agree
with everything in the document and some may have very strong  feelings
about these standards. (I did not write them but I have to comply with
them.) If you do have strong feelings then I would suggest you make your
concerns known to the NMC and those who have an influence on OHN education.

OH course leaders are required to ensure these standards are complied with
in order to gain validation. How compliance is achieved depends on how the
course team implement these standards and how much support they get from
practitioners. In due course all OHN educational providers will be reviewing
their  courses in order to comply with this document. As an OHN I will do my
best to ensure that the programme for which I am responsible  meets both
these standards and the needs of OHNs and does not become diluted. We have
already invited experienced and senior practitioners to join our curriculum
panel.

The NMC and our universities will require us to include  core learning
outcomes for HV's, School nurses and OHNs within the curriculum.  I would
see topics such as evidence based practice and leadership plus the process
of policy development could be taught across specialties. Issues such OHN
specialist practice eg risk assessment; compliance with legislation related
to employment and health and safety; health assessment and health
surveillance, attendance management  etc etc would be taught as specialist
content.

The link on the NMC web site is:

 www.nmc-uk.org/nmc/main/search/doSearch?searchValue=Community+Public+Health
+&go.x=13&go.y=9

In essence the standards relate to needs assessment, quality and risk
management, policy development, leadership and health surveillance. There is
nothing in the standards about nurse prescribing being a compulsory part of
the education of the OHN.

Happy reading,

Anne Harriss
Reader in Educational Development  and Course Director BSc OH Nursing
London South Bank University

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 27 Oct 2004 19:28:38 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Margaret Mercer <[log in to unmask]>
Subject:      Re: Recall system for Travel Vaccinations
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit

Lynda,
Which travel health conference is that please? Can you send me some
info?
Margaret

-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 27 October 2004 12:47
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations


Thanks very much.  At my Company in the past they have carried out
extensive medicals once per year on those who travel and I have
questioned the reasoning behind it.  Just because they appear fit to
travel today does not mean that they will be fit next week for example.
I also cannot see the point of conducting audiometry and spirometry for
example on an overseas traveller.  I am going to the Travel Health
Conference in December and hope to clarify the need (or not) for
medicals there. Lynda

-----Original Message-----
From: Prout, Kleea [mailto:[log in to unmask]]
Sent: Wednesday, October 27, 2004 10:35 AM
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations


Before reading this message, please check that it is addressed to you.
If not, you should delete it immediately as its contents may be
confidential and its disclosure, copying or distribution unlawful.

C. &  J. Clark International Limited takes steps to prevent the
transmission of electronic viruses but responsibility for screening
incoming messages and the risk of such transmission lies with the
recipient.

C. &  J. Clark International Limited Registered Office:
40 High Street, Street, Somerset BA16 0YA.
Registered in England and Wales Company No. 141015
________________________________________

Lynda
At the appointment we will have the medical file available with past
history. We don't do any 'medicals' unless there is a specific
indication. Our technical people who have to enter factories where they
are exposed to Polyurethrane have regular screening anyway. (We have
some files with history going back to Noah's Ark as there is a low staff
turnover!) We use a tick-box questionnaire to cover things like
pregnancy, diabetes, disability, chronic problems and immune compromised
illnesses, record advice given etc. I also send out a 'memory-jogger'
email to all every 6 months to remind them about the importance of
seeking OH advice before travel and to check their immunisation status.
Any problems are referred to the Occ Doc for decisions. Hope this
answers your question. Regards Kleea


-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 27 October 2004 08:17
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations

Kleea,
Do you perform any kind of travel medical on your employees and if so,
what do you do please? Lynda

-----Original Message-----
From: Prout, Kleea [mailto:[log in to unmask]]
Sent: Tuesday, October 26, 2004 3:21 PM
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations


Before reading this message, please check that it is addressed to you.
If not, you should delete it immediately as its contents may be
confidential and its disclosure, copying or distribution unlawful.

C. &  J. Clark International Limited takes steps to prevent the
transmission of electronic viruses but responsibility for screening
incoming messages and the risk of such transmission lies with the
recipient.

C. &  J. Clark International Limited Registered Office:
40 High Street, Street, Somerset BA16 0YA.
Registered in England and Wales Company No. 141015
________________________________________

Charlotte
Although the onus is on the individual to take responsibility for their
own health, the buck stops with the employer if the correct policies and
procedures are not in place to protect employees. I think the Employer
should make it clear to all concerned where their responsibilities lie,
otherwise you will spend your life chasing after individuals and that is
not a cost effective exercise for OH!

We have a policy on 'Management of Travel Safety & Health', outlining
the responsibilities of Directors, Managers, OH and Employees.

Employees have to see OH each time before they travel outside of Europe.
Employees are issued with a vaccination history card at the first visit,
containing the due date of boosters. This is when it becomes their
responsibility to ensure they keep their immunisation up to date.

They also have to comply with any instructions or precautionary measures
associated with business travel introduced by the company to safeguard
their health and safety They are not allowed to take part in high risk
leisure activities while on company business etc etc.

Good Luck!

Kleea Prout
C & J Clark International



-----Original Message-----
From: Bray, Charlotte [mailto:[log in to unmask]]
Sent: 26 October 2004 11:44
To: [log in to unmask]
Subject: Recall system for Travel Vaccinations

Dear List,

I have been asked to provide a recall system for all our employees who
have travel vaccinations. Has anybody else ever been asked to provide
such a service? I am trying to avoid implementing this as I think the
onus needs to be on the individual to take responsibility for their own
health. Any thoughts or comments to build my argument would be
appreciated.

Many Thanks
Charlotte

Occupational Health Manager
7 th Floor Lehman Brothers
Tel ; 0207 102 8628

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 27 Oct 2004 19:37:22 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Mandy Brennan <[log in to unmask]>
Subject:      Humidifiers

Does anyone advise desktop humidifiers for asthmatics in open plan
offices?  Any evidence that they do any good?  Are mold spores likely to
develop and create additional risks if not properly maintained?  Would
anyone advise de-humidifiers?  Some of the buildings have air conditioning
some do not.  I am looking for evidence to support my hypothesis that they
are no use - if you can point me towards it.  The Asthma Society lean
towards de-humidifiers if the asthma is triggered by dust but not sure
about need for that either in open plan office.  (I have recommended
environmental humidity checks.)
many thanks
Mandy Brennan

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 27 Oct 2004 15:56:13 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
Subject:      Re: prescribing
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1098906973"

-------------------------------1098906973
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

even more alarming is the proposals by Kit Harling to put those of  us in the
NHS into regional groups rather than working individually for our own  Trusts.

Whilst I can see the benefits of this, with more uniform approaches  and
interpretations, it scares me to think I may be based in the West Midlands  region
covering various places of work, as part of a much larger team. Surely  being
based within your employer has obvious advantages?

What's everyone else think of this? The proposal is due out for  consultation
next year but it is very interesting and alarming at the same  time.

Glenn Raybone

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1098906973
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2600.0" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #000000; FONT-FAMILY: Comic Sans MS"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3D"Comic Sans MS" color=3D#000000 size=3D3>
<DIV><STRONG>even more alarming is the proposals by Kit Harling to put those=
 of=20
us in the NHS into regional groups rather than working individually for our=20=
own=20
Trusts.</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Whilst I can see the benefits of this, with more uniform approa=
ches=20
and interpretations, it scares me to think I may be based in the West Midlan=
ds=20
region covering various places of work, as part of a much larger team. Surel=
y=20
being based within your employer has obvious advantages?</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>What's everyone else think of this? The proposal is due out for=
=20
consultation next year but it is very interesting and alarming at the same=20
time.</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Glenn Raybone</STRONG></DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1098906973--
=========================================================================
Date:         Wed, 27 Oct 2004 15:58:57 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
Subject:      Re: prescribing
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1098907137"

-------------------------------1098907137
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit


In a message dated 27/10/2004 10:15:30 GMT Daylight Time,
[log in to unmask] writes:

Now if you had mentioned  stockings....


didn't they make yer legs itch Bob?

Glenn

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1098907137
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2600.0" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #000000; FONT-FAMILY: Comic Sans MS"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3D"Comic Sans MS" color=3D#000000 size=3D3>
<DIV>
<DIV>In a message dated 27/10/2004 10:15:30 GMT Daylight Time,=20
[log in to unmask] writes:</DIV=
>
<BLOCKQUOTE style=3D"PADDING-LEFT: 0px; MARGIN-LEFT: 0px"><FONT=20
  style=3D"BACKGROUND-COLOR: transparent" face=3DArial color=3D#000000 size=
=3D2><FONT=20
  face=3DArial size=3D2>Now if you had mentioned=20
stockings....</FONT></FONT></BLOCKQUOTE></DIV>
<DIV></DIV>
<DIV><STRONG>didn't they make yer legs itch Bob?</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Glenn </STRONG></DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1098907137--
=========================================================================
Date:         Wed, 27 Oct 2004 21:46:39 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandra Babbings <[log in to unmask]>
Subject:      Re: Manual handling
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

about to go on my Manual Handling up date, I also do manual Handling
training, maybe we could keep in touch

Sandra
----- Original Message -----
From: "SURGERY, GBR-Sutton" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, October 26, 2004 11:05 AM
Subject: Manual handling


> Dear members
>
> Myself and two other work colleagues have recently attended a Manual
> Handling Trainer and Assessors course.  We are now in the process of
> developing a manual handling training course for our employees using a
> PowerPoint presentation and practical sessions.
> Are any of you involved in this and if so would you be happy to share any
> information on the content of your sessions?
>
> Regards
>
> Jill Rossiter
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 27 Oct 2004 16:53:52 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Heyward Ewart, Ph.D., LMT" <[log in to unmask]>
Subject:      domestic violence test
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="part1_d.35b9ea69.2eb164e0_boundary"

--part1_d.35b9ea69.2eb164e0_boundary
Content-Type: text/plain; charset="UTF-8"
Content-Transfer-Encoding: quoted-printable
Content-Language: en

Happy to share the following for workplace authorities:
EXPERIMENTAL INVENTORY
FOR DOMESTIC VIOLENCE=20
from THE LIES THAT BIND: THE PERMANENCE OF CHILD ABUSE
copyright 1999    Heyward Bruce Ewart,III, Ph.D.
131 Wise Drive South, Sumter, SC 29150
(803) 773-3536
http://hometown.aol.com/ewartcme/myhomepagebusiness.html

Intent

This inventory, which has been administered to approximately 100 women known=
=20
to have been abused by their partners, has yielded a consistent response, su=
ch=20
as "I didn=E2=80=99t know I was being abused until I took the test. I though=
t my=20
relationship was normal but just had some problems."

Therefore, the intent is to help victims realize that they are in an abusive=
=20
relationship.

Use

The inventory is for use by counselors, psychologists, psychiatrists, social=
=20
workers, and clergy either to 1) determine the likelihood of abuse or to 2)=20
convince the victim that she is indeed being abused, and thus break through=20=
both=20
"numbing" and denial.

INTENDED USERS
Emergency departments
Rape crisis centers
Domestic abuse shelters
Courthouses, department where women file injunctions for protection
    (usually under the State Attorney=E2=80=99s office)
Community mental health centers
Drug and alcohol treatment centers
Psychiatric hospitals and hospital departments of psychiatry
Professionals as mentioned under "Use", above
City offices of victim services
Women=E2=80=99s advocacy groups

Origination of inventory

Evolved through 18 years of experience treating and intervening for abuse=20
victims. Based on commonly seen symptoms and self reports of several hundred=
=20
women. Also, selected questions obtained through the Mennonite domestic viol=
ence=20
project.

The Inventory

1.Are you afraid of your partner?
2.Do you feel as though you have to "walk on eggshells" to keep your partner=
=20
          from getting grouchy?
   3. Has your partner ever hit, slapped, or pushed you?
   4. Do your feel you deserve to be punished?
   5. Do you ever have the feeling you=E2=80=99ve done something wrong but y=
ou don=E2=80=99t=20
know what it is?
   6. Have you lost respect or love for your partner?
   7. Are you ever afraid your partner will hurt the children?
   8. Have you ever daydreamed of killing or disabling your partner?
   9. Is your partner good to you most of the time but suddenly gets scary?
   10. Are the children afraid of your partner?
   11. Does your partner ever tell you you=E2=80=99re crazy?
   12. Has your partner ever threatened to hurt you?
   13. Do you ever fear you may be seriously hurt by your partner?
   14. Has your partner ever threatened to commit suicide?
   15. Has anybody warned you to get out of the relationship?
   16. Were you abused or neglected as a child?
   17. Has your partner forced you to do things you don=E2=80=99t want to do=
?
   18. If you say "no" to your partner, is there danger?
   19. Have you lost any friends due to your partner?
   20. Does your partner have to approve where you go and when?
   21. Have you lost a job because of your partner?
   22. Does your partner stop you from doing things you want to do?
   23. Does your partner doubt your word; that is,  not believe you?
   24. Do you feel emotionally numb?
   25. Are you afraid to tell anyone what=E2=80=99s really going on?
   26. Have you ever wanted to call the police or someone else for=20
protection?
   27. Do you ever feel hopeless about your situation?
   28. Have you ever thought about running away?
   29. Does your partner change when using alcohol or drugs?
   30. Are you forced into sex when you=E2=80=99re not willing?
   31. Do you feel like your partner=E2=80=99s personal possession?
   32. Have you ever been in a violent or controlling relationship before?
   33. Was there bad fighting in the family you grew up in?
   34. Are you a grown child of an alcoholic or drug abuser?
###


ORDERING INFORMATION
Contact Dr. Ewart [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--part1_d.35b9ea69.2eb164e0_boundary
Content-Type: text/html; charset="UTF-8"
Content-Transfer-Encoding: quoted-printable
Content-Language: en

<HTML><FONT FACE=3Darial,helvetica><HTML><FONT  SIZE=3D2 PTSIZE=3D10 FAMILY=
=3D"SANSSERIF" FACE=3D"Arial" LANG=3D"0">Happy to share the following for wo=
rkplace authorities:<BR>
EXPERIMENTAL INVENTORY<BR>
FOR DOMESTIC VIOLENCE <BR>
from THE LIES THAT BIND: THE PERMANENCE OF CHILD ABUSE<BR>
copyright 1999&nbsp;&nbsp;&nbsp; Heyward Bruce Ewart,III, Ph.D.<BR>
131 Wise Drive South, Sumter, SC 29150<BR>
(803) 773-3536<BR>
http://hometown.aol.com/ewartcme/myhomepagebusiness.html<BR>
<BR>
Intent<BR>
<BR>
This inventory, which has been administered to approximately 100 women known=
 to have been abused by their partners, has yielded a consistent response, s=
uch as "I didn=E2=80=99t know I was being abused until I took the test. I th=
ought my relationship was normal but just had some problems."<BR>
<BR>
Therefore, the intent is to help victims realize that they are in an abusive=
 relationship.<BR>
<BR>
Use<BR>
<BR>
The inventory is for use by counselors, psychologists, psychiatrists, social=
 workers, and clergy either to 1) determine the likelihood of abuse or to 2)=
 convince the victim that she is indeed being abused, and thus break through=
 both "numbing" and denial.<BR>
<BR>
INTENDED USERS<BR>
Emergency departments<BR>
Rape crisis centers<BR>
Domestic abuse shelters<BR>
Courthouses, department where women file injunctions for protection<BR>
    (usually under the State Attorney=E2=80=99s office)<BR>
Community mental health centers<BR>
Drug and alcohol treatment centers<BR>
Psychiatric hospitals and hospital departments of psychiatry<BR>
Professionals as mentioned under "Use", above<BR>
City offices of victim services<BR>
Women=E2=80=99s advocacy groups<BR>
<BR>
Origination of inventory<BR>
<BR>
Evolved through 18 years of experience treating and intervening for abuse vi=
ctims. Based on commonly seen symptoms and self reports of several hundred w=
omen. Also, selected questions obtained through the Mennonite domestic viole=
nce project.<BR>
<BR>
The Inventory<BR>
<BR>
1.Are you afraid of your partner?<BR>
2.Do you feel as though you have to "walk on eggshells" to keep your partner=
 <BR>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; from getting grouchy?=
<BR>
&nbsp;&nbsp; 3. Has your partner ever hit, slapped, or pushed you?<BR>
&nbsp;&nbsp; 4. Do your feel you deserve to be punished?<BR>
&nbsp;&nbsp; 5. Do you ever have the feeling you=E2=80=99ve done something w=
rong but you don=E2=80=99t know what it is?<BR>
&nbsp;&nbsp; 6. Have you lost respect or love for your partner?<BR>
&nbsp;&nbsp; 7. Are you ever afraid your partner will hurt the children?<BR>
&nbsp;&nbsp; 8. Have you ever daydreamed of killing or disabling your partne=
r?<BR>
&nbsp;&nbsp; 9. Is your partner good to you most of the time but suddenly ge=
ts scary?<BR>
&nbsp;&nbsp; 10. Are the children afraid of your partner?<BR>
&nbsp;&nbsp; 11. Does your partner ever tell you you=E2=80=99re crazy?<BR>
&nbsp;&nbsp; 12. Has your partner ever threatened to hurt you?<BR>
&nbsp;&nbsp; 13. Do you ever fear you may be seriously hurt by your partner?=
<BR>
&nbsp;&nbsp; 14. Has your partner ever threatened to commit suicide?<BR>
&nbsp;&nbsp; 15. Has anybody warned you to get out of the relationship?<BR>
&nbsp;&nbsp; 16. Were you abused or neglected as a child?<BR>
&nbsp;&nbsp; 17. Has your partner forced you to do things you don=E2=80=99t=20=
want to do?<BR>
&nbsp;&nbsp; 18. If you say "no" to your partner, is there danger?<BR>
&nbsp;&nbsp; 19. Have you lost any friends due to your partner?<BR>
&nbsp;&nbsp; 20. Does your partner have to approve where you go and when?<BR=
>
&nbsp;&nbsp; 21. Have you lost a job because of your partner?<BR>
&nbsp;&nbsp; 22. Does your partner stop you from doing things you want to do=
?<BR>
&nbsp;&nbsp; 23. Does your partner doubt your word; that is,&nbsp; not belie=
ve you?<BR>
&nbsp;&nbsp; 24. Do you feel emotionally numb?<BR>
&nbsp;&nbsp; 25. Are you afraid to tell anyone what=E2=80=99s really going o=
n?<BR>
&nbsp;&nbsp; 26. Have you ever wanted to call the police or someone else for=
 protection?<BR>
&nbsp;&nbsp; 27. Do you ever feel hopeless about your situation?<BR>
&nbsp;&nbsp; 28. Have you ever thought about running away?<BR>
&nbsp;&nbsp; 29. Does your partner change when using alcohol or drugs?<BR>
&nbsp;&nbsp; 30. Are you forced into sex when you=E2=80=99re not willing?<BR=
>
&nbsp;&nbsp; 31. Do you feel like your partner=E2=80=99s personal possession=
?<BR>
&nbsp;&nbsp; 32. Have you ever been in a violent or controlling relationship=
 before?<BR>
&nbsp;&nbsp; 33. Was there bad fighting in the family you grew up in?<BR>
&nbsp;&nbsp; 34. Are you a grown child of an alcoholic or drug abuser?<BR>
###<BR>
<BR>
<BR>
ORDERING INFORMATION<BR>
Contact Dr. Ewart [log in to unmask]<BR>
</FONT></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--part1_d.35b9ea69.2eb164e0_boundary--
=========================================================================
Date:         Wed, 27 Oct 2004 21:59:52 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Business Travel
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_001E_01C4BC70.4984B750"

This is a multi-part message in MIME format.

------=_NextPart_000_001E_01C4BC70.4984B750
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

Business TravelAnd they are speaking at the Business Travel Health =
conference!
  ----- Original Message -----=20
  From: Prout, Kleea=20
  To: [log in to unmask]
  Sent: Wednesday, October 27, 2004 1:16 PM
  Subject: Business Travel


  Before reading this message, please check that it is addressed to you. =

  If not, you should delete it immediately as its contents may be =
confidential and its disclosure, copying or distribution unlawful.=20

  C. &  J. Clark International Limited takes steps to prevent the =
transmission of electronic viruses but responsibility for screening =
incoming messages and the risk of such transmission lies with the =
recipient.=20

  C. &  J. Clark International Limited Registered Office:=20
  40 High Street, Street, Somerset BA16 0YA.=20
  Registered in England and Wales Company No. 141015=20
  ________________________________________=20

  Dear List=20
  While the topic of business travel is being discussed, I don't know =
how many of you are aware of NaTHNaC - National Travel Health Network =
and Centre.

  They have a telephone advice line for nurses, doctors and pharmacists =
020 7380 9234 and are open from 09:00 to 12:00 and 14:00 to 16:30 =
between Mondays and Fridays.

  Regards=20
  Kleea=20

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/


  ---
  Outgoing mail is certified Virus Free.
  Checked by AVG anti-virus system (http://www.grisoft.com).
  Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001E_01C4BC70.4984B750
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD><TITLE>Business Travel</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dwindows-1252">
<META content=3D"MSHTML 6.00.2800.1476" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT size=3D2>And they are speaking at the Business Travel Health=20
conference!</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask] =
href=3D"mailto:[log in to unmask]">Prout,=20
  Kleea</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, October 27, =
2004 1:16=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Business Travel</DIV>
  <DIV><BR></DIV>
  <P><FONT face=3DArial size=3D2>Before reading this message, please =
check that it=20
  is addressed to you. </FONT><BR><FONT face=3DArial size=3D2>If not, =
you should=20
  delete it immediately as its contents may be confidential and its =
disclosure,=20
  copying or distribution unlawful. </FONT></P>
  <P><FONT face=3DArial size=3D2>C. &amp;&nbsp; J. Clark International =
Limited takes=20
  steps to prevent the transmission of electronic viruses but =
responsibility for=20
  screening incoming messages and the risk of such transmission lies =
with the=20
  recipient. </FONT></P>
  <P><FONT face=3DArial size=3D2>C. &amp;&nbsp; J. Clark International =
Limited=20
  Registered Office: </FONT><BR><FONT face=3DArial size=3D2>40 High =
Street, Street,=20
  Somerset BA16 0YA. </FONT><BR><FONT face=3DArial size=3D2>Registered =
in England=20
  and Wales Company No. 141015 </FONT><BR><FONT face=3DArial=20
  size=3D2>________________________________________ </FONT></P>
  <P><FONT face=3DArial>Dear List </FONT><BR><FONT face=3DArial>While =
the topic of=20
  business travel is being discussed, I don't know how many of you are =
aware of=20
  NaTHNaC - National Travel Health Network and Centre.</FONT></P>
  <P><FONT face=3DArial>They have a telephone advice line for nurses, =
doctors and=20
  pharmacists 020 7380 9234 and are open from 09:00 to 12:00 and 14:00 =
to 16:30=20
  between Mondays and Fridays.</FONT></P>
  <P><FONT face=3DArial>Regards</FONT> <BR><FONT =
face=3DArial>Kleea</FONT>=20
  </P>~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to <A=20
  =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/">http://uk.groups.yahoo.=
com/group/OHJobs/</A>
  <P><BR>---<BR>Outgoing mail is certified Virus Free.<BR>Checked by AVG =

  anti-virus system (<A=20
  =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.778=20
  / Virus Database: 525 - Release Date: =
15/10/2004</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001E_01C4BC70.4984B750--
=========================================================================
Date:         Wed, 27 Oct 2004 22:50:43 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         OccHealth <[log in to unmask]>
Subject:      Re: Manual handling
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Can anyone recommend a good Manual Handling Trainer and Assessors Course
please. East Midlands great but would naturally travel if needs be.
Helen
----- Original Message -----
From: "Sandra Babbings" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, October 27, 2004 9:46 PM
Subject: Re: Manual handling


> about to go on my Manual Handling up date, I also do manual Handling
> training, maybe we could keep in touch
>
> Sandra
> ----- Original Message -----
> From: "SURGERY, GBR-Sutton" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Tuesday, October 26, 2004 11:05 AM
> Subject: Manual handling
>
>
> > Dear members
> >
> > Myself and two other work colleagues have recently attended a Manual
> > Handling Trainer and Assessors course.  We are now in the process of
> > developing a manual handling training course for our employees using a
> > PowerPoint presentation and practical sessions.
> > Are any of you involved in this and if so would you be happy to share
any
> > information on the content of your sessions?
> >
> > Regards
> >
> > Jill Rossiter
> >
> > ~~~~~~~~~~~~~~~
> > Please remove this footer before replying.
> >
> > For list archives and documents, go to
> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> > For jobs in Occupational Health, go to
> > http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 27 Oct 2004 22:59:00 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jo Jenkins <[log in to unmask]>
Subject:      Jo Jenkins/UK/CAMPSOUP/CSC is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

I will be out of the office starting  27/10/2004 and will not return until
01/11/2004.

Please forward your message to Siobhan Lawson who may be able to help you.



**********************************************************************
This e-mail and any files transmitted with it may contain
confidential information and is intended solely for use by
the individual to whom it is addressed.  If you received
this e-mail in error, please notify the sender, do not
disclose its contents to others and delete it from your
system.

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

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 28 Oct 2004 06:36:15 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "SURGERY, GBR-Sutton" <[log in to unmask]>
Subject:      sandra.babbings4@NTLWORLD>COM
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Hi Sandra

I attended a 4 day Manual Handling Trainer and Assessors course run by
Safety Store in Edwinstowe, Notts. Excellent course and trainers, they
really make you feel welcome.  See their website www.safetystoreuk.com

Regards

Jill Rossiter

-----Original Message-----
From: OccHealth [mailto:[log in to unmask]]
Sent: 27 October 2004 22:51
To: [log in to unmask]
Subject: Re: Manual handling


Can anyone recommend a good Manual Handling Trainer and Assessors Course
please. East Midlands great but would naturally travel if needs be.
Helen
----- Original Message -----
From: "Sandra Babbings" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, October 27, 2004 9:46 PM
Subject: Re: Manual handling


> about to go on my Manual Handling up date, I also do manual Handling
> training, maybe we could keep in touch
>
> Sandra
> ----- Original Message -----
> From: "SURGERY, GBR-Sutton" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Tuesday, October 26, 2004 11:05 AM
> Subject: Manual handling
>
>
> > Dear members
> >
> > Myself and two other work colleagues have recently attended a Manual
> > Handling Trainer and Assessors course.  We are now in the process of
> > developing a manual handling training course for our employees using a
> > PowerPoint presentation and practical sessions.
> > Are any of you involved in this and if so would you be happy to share
any
> > information on the content of your sessions?
> >
> > Regards
> >
> > Jill Rossiter
> >
> > ~~~~~~~~~~~~~~~
> > Please remove this footer before replying.
> >
> > For list archives and documents, go to
> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> > For jobs in Occupational Health, go to
> > http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 28 Oct 2004 09:10:51 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "SURGERY, GBR-Sutton" <[log in to unmask]>
Subject:      First Aider payments
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Dear members

I am re-visiting the issue of First Aider payments.  We currently pay =
our
First aiders =A3250 per annum.  I just wanted an idea of what other
organisations are paying their First Aiders.Your input would be much
appreciated.

Jill Rossiter

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 28 Oct 2004 09:14:27 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         John Caffrey <[log in to unmask]>
Subject:      Re: First Aider payments
MIME-Version: 1.0
Content-Type: MULTIPART/ALTERNATIVE; DIFFERENCES=Content-Language;
              BOUNDARY="7946646-29359-1098951267=:150"

--7946646-29359-1098951267=:150
Content-Type: TEXT/PLAIN; CHARSET=ISO-8859-1
Content-Language: en-GBR
Content-Transfer-Encoding: quoted-printable
X-MIME-Autoconverted: from 8bit to quoted-printable by fili.jiscmail.ac.uk id i9S8GYt7001673

Our first aiders get paid a whole =A32 per month.

John Caffrey

-----Original Message-----
From: SURGERY, GBR-Sutton [mailto:[log in to unmask]]
Sent: 28 October 2004 09:11
To: [log in to unmask]
Subject: First Aider payments


Dear members

I am re-visiting the issue of First Aider payments.  We currently pay our
First aiders =A3250 per annum.  I just wanted an idea of what other
organisations are paying their First Aiders.Your input would be much
appreciated.

Jill Rossiter

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--7946646-29359-1098951267=:150
Content-Type: TEXT/x-cdsi-msrtf; CHARSET=US-ASCII
Content-ID: 0
Content-Language: en-GBR

{\rtf1\ansi\ansicpg1252\fromtext \deff0{\fonttbl
{\f0\fswiss\fcharset0 Arial;}
{\f1\fmodern Courier New;}
{\f2\fnil\fcharset2 Symbol;}
{\f3\fmodern\fcharset0 Courier New;}}
{\colortbl\red0\green0\blue0;\red0\green0\blue255;}
\uc1\pard\plain\deftab360 \f0\fs20\cf0 Our first aiders get paid a whole \'a32 per month.\par
\par
John Caffrey\par
\par
-----Original Message-----\par
From: SURGERY, GBR-Sutton [mailto:[log in to unmask]]\par
Sent: 28 October 2004 09:11\par
To: [log in to unmask]\par
Subject: First Aider payments\par
\par
\par
Dear members\par
\par
I am re-visiting the issue of First Aider payments.  We currently pay our\par
First aiders \'a3250 per annum.  I just wanted an idea of what other\par
organisations are paying their First Aiders.Your input would be much\par
appreciated.\par
\par
Jill Rossiter\par
\par
~~~~~~~~~~~~~~~\par
Please remove this footer before replying.\par
\par
For list archives and documents, go to\par
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives\par
\par
For jobs in Occupational Health, go to\par
http://uk.groups.yahoo.com/group/OHJobs/\par
}
--7946646-29359-1098951267=:150--
=========================================================================
Date:         Thu, 28 Oct 2004 09:42:24 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jane L Pitt <[log in to unmask]>
Organization: University of Manchester
Subject:      Re: First Aider payments
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-type: text/plain; charset=ISO-8859-1
Content-transfer-encoding: Quoted-printable

Our first aiders get paid =A3100 per year as a one off payment at
christmas.
Jane Pitt

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 28 Oct 2004 09:46:35 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Collins, Julia (UK)" <[log in to unmask]>
Subject:      Re: First Aider payments
MIME-version: 1.0
Content-type: text/plain; charset="iso-8859-1"
Content-transfer-encoding: quoted-printable

Hi Jill

Our first aiders receive =A3200:00 per annum split into two payments - June=
 and December.

Hope this helps

Julia


-----Original Message-----
From: SURGERY, GBR-Sutton [mailto:[log in to unmask]]
Sent: 28 October 2004 09:11
To: [log in to unmask]
Subject: First Aider payments


               *** WARNING ***

This mail has originated outside your organization,
either from an external partner or the Global Internet.

     Keep this in mind if you answer this message.


Dear members

I am re-visiting the issue of First Aider payments.  We currently pay our
First aiders =A3250 per annum.  I just wanted an idea of what other
organisations are paying their First Aiders.Your input would be much
appreciated.

Jill Rossiter

~~~~~~~~~~~~~~~


********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 28 Oct 2004 09:56:11 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Carrington, June" <[log in to unmask]>
Subject:      Re: First Aider payments
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Good morning, our first aiders also get =A3100 per annum at Christmas


June

-----Original Message-----
From: SURGERY, GBR-Sutton [mailto:[log in to unmask]]
Sent: 28 October 2004 09:11
To: [log in to unmask]
Subject: First Aider payments


Dear members

I am re-visiting the issue of First Aider payments.  We currently pay =
our
First aiders =A3250 per annum.  I just wanted an idea of what other
organisations are paying their First Aiders.Your input would be much
appreciated.

Jill Rossiter

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


Confidentiality.=20
This electronic transmission is strictly confidential to the sender 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, or someone authorised by the intended addressee to
receive transmissions on behalf of the addressee, you must not retain,
disclose in any form, copy or take any action in reliance on this
transmission.  If you have received this transmission in error, please
notify the sender as soon as possible and destroy this message.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 28 Oct 2004 10:01:23 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Kinselley, Gillian E" <[log in to unmask]>
Subject:      Re: Humidifiers
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

We have had several individuals requesting and GP's suggesting that they
require a desk top humidifiers...however when they are reviewed they are not
using them, or forgot to fill them with water etc.....

Gill
-----Original Message-----
From: Mandy Brennan [mailto:[log in to unmask]]
Sent: 27 October 2004 19:37
To: [log in to unmask]
Subject: Humidifiers


Does anyone advise desktop humidifiers for asthmatics in open plan
offices?  Any evidence that they do any good?  Are mold spores likely to
develop and create additional risks if not properly maintained?  Would
anyone advise de-humidifiers?  Some of the buildings have air conditioning
some do not.  I am looking for evidence to support my hypothesis that they
are no use - if you can point me towards it.  The Asthma Society lean
towards de-humidifiers if the asthma is triggered by dust but not sure
about need for that either in open plan office.  (I have recommended
environmental humidity checks.)
many thanks
Mandy Brennan

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


.sophos.3.86.10.05.


Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 28 Oct 2004 10:06:40 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         joan Twigger <[log in to unmask]>
Subject:      Re: First Aider payments
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-type: text/plain; charset=ISO-8859-1
Content-transfer-encoding: quoted-printable

Jill,

We have just increased our payment from =A3150 to =A3180.

Joan Twigger
Occupational Health Advisor
3M Healthcare Limited
Tel:  01509 613720
Fax:  01509 613065
e-mail [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 28 Oct 2004 09:30:55 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jacqueline Ward <[log in to unmask]>
Subject:      Re: First Aider payments
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

we pay ours =A3100 per year.

Jacqueline Ward
Occupational Health Manager
Cancer Research-UK

0207 061 8218 Fax
0207 061 8245 Direct line
0207 061 8246 Reception
HR Message of the Month: Payroll
*       Did you know that the Payroll team process in excess of 50,000
transactions a year?
*       Each member of staff has a designated Payroll Advisor who will be able =
to
answer any questions you might have about your pay. Email
[log in to unmask] and your query will be forwarded to the
appropriate advisor.
*       For further information about payroll, including cut off dates and FAQs
about how you are paid, please see the managers guide section at
<http://intranet.cancerresearchuk.org/lhn/45386/79286/79296/>


        Disclaimer: The information contained in this message is confidential an=
d
may also be privileged. The disclosure, copying or alteration of this
message is strictly prohibited. This message is intended for the addresse=
e
named above. If you are not the addressee (or responsible for the deliver=
y
of the message to the addressee) please notify the originator immediately=
 by
return message and destroy the original message. The originator does not
guarantee the security of this message and will not be responsible for an=
y
damages arising from any alteration of this message by a third party.

        Registered Charity Number. 1089464










-----Original Message-----
From: SURGERY, GBR-Sutton [mailto:[log in to unmask]]
Sent: 28 October 2004 09:11
To: [log in to unmask]
Subject: First Aider payments


Dear members

I am re-visiting the issue of First Aider payments.  We currently pay our
First aiders =A3250 per annum.  I just wanted an idea of what other
organisations are paying their First Aiders.Your input would be much
appreciated.

Jill Rossiter

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 28 Oct 2004 12:15:34 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Collins, Julia (UK)" <[log in to unmask]>
Subject:      Re: Recall system for Travel Vaccinations
MIME-version: 1.0
Content-type: text/plain; charset="iso-8859-1"
Content-transfer-encoding: quoted-printable

Hi Charlotte

We have alot of employees going overseas on company businees many of whom=
 have their own secretaries. Regardless of this I feel that it is not the=
 role of the occupational health nurse to remind them that they need=
 boosters etc. Surely they have to take some responsibility for their own=
 health?

I don't know how many of you out there have admin support but like many we=
 have none - and we are not secretaries are we?

We are asked on many occasions if we would remind them when they need to=
 see us again and at the moment that is a definate No!!

Hope this helps

Julia



-----Original Message-----
From: Bray, Charlotte [mailto:[log in to unmask]]
Sent: 26 October 2004 11:44
To: [log in to unmask]
Subject: Recall system for Travel Vaccinations


               *** WARNING ***

This mail has originated outside your organization,
either from an external partner or the Global Internet.=0D
     Keep this in mind if you answer this message.=0D

Dear List,

I have been asked to provide a recall system for all our employees who have
travel vaccinations.
Has anybody else ever been asked to provide such a service?
I am trying to avoid implementing this as I think the onus needs to be on
the individual to take responsibility for their own health.
Any thoughts or comments to build my argument would be appreciated.

Many Thanks
Charlotte

Occupational Health Manager
7 th Floor Lehman Brothers
Tel ; 0207 102 8628


---------------------------------------------------------------------------=
---
This message is intended only for the personal and confidential use of the
designated recipient(s) named above.  If you are not the intended recipient=
 of
this message you are hereby notified that any review, dissemination,
distribution or copying of this message is strictly prohibited.  This
communication is for information purposes only and should not be regarded=
 as
an offer to sell or as a solicitation of an offer to buy any financial
product, an official confirmation of any transaction, or as an official
statement of Lehman Brothers.  Email transmission cannot be guaranteed to=
 be
secure or error-free.  Therefore, we do not represent that this information=
 is
complete or accurate and it should not be relied upon as such.  All
information is subject to change without notice.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 28 Oct 2004 13:01:44 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Muir, Jackie" <[log in to unmask]>
Subject:      Re: First Aider payments
MIME-Version: 1.0
Content-Type: multipart/mixed; boundary="----_=_NextPart_000_01C4BCE5.95809582"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_000_01C4BCE5.95809582
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

We don't currently and never have paid our first aiders.

Regards

Jackie

Jackie Muir BA RGN SP(OH) MIOSH
Occupational Health Consultant (Technical Support)
Occupational Health & Safety=20
Abbey House
AHM 406
Tel: 01908-343184
Fax: 01908-343855
Mobile: 07703-517098
E-mail: [log in to unmask]


-----Original Message-----
From: SURGERY, GBR-Sutton [mailto:[log in to unmask]]
Sent: 28 October 2004 09:11
To: [log in to unmask]
Subject: First Aider payments


Dear members

I am re-visiting the issue of First Aider payments.  We currently pay our
First aiders =A3250 per annum.  I just wanted an idea of what other
organisations are paying their First Aiders.Your input would be much
appreciated.

Jill Rossiter

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


.sophos.3.86.10.27.



Emails aren't always secure, and they may be intercepted or changed after t=
hey've been sent. Abbey doesn't accept liability if this happens. If you th=
ink someone may have interfered with this email, please get in touch with t=
he sender another way.

This message doesn't create or change any contract. Abbey doesn't accept re=
sponsibility for damage caused by any viruses contained in this email or it=
s attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at onc=
e that it's gone to the wrong person and then destroy it without copying, u=
sing, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No=
. 3839455 are registered in England and have their Registered Offices at Ab=
bey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regul=
ated by the Financial Services Authority. Abbey National plc only advises o=
n its own life assurance, pension and collective investment scheme products=
. Inscape Investments Limited is a member of the Abbey Marketing Group and =
provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks =
of Abbey National plc.=20


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_000_01C4BCE5.95809582
Content-Type: application/octet-stream;
        name="Muir, Jackie.vcf"
Content-Disposition: attachment;
        filename="Muir, Jackie.vcf"

BEGIN:VCARD
VERSION:2.1
N:Muir;Jackie
FN:Muir, Jackie
EMAIL;PREF;INTERNET:[log in to unmask]
REV:20040413T152512Z
END:VCARD

------_=_NextPart_000_01C4BCE5.95809582--
=========================================================================
Date:         Thu, 28 Oct 2004 13:41:36 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         SBlair <[log in to unmask]>
Subject:      Re: First Aider payments
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

We pay =A35:27 per week which I think works out as approx =A3274pa. They lo=
ss
their allowance if their are off sick, but are paid over fixed holidays.
Sian

-----Original Message-----
From: SURGERY, GBR-Sutton [mailto:[log in to unmask]]
Sent: 28 October 2004 09:11
To: [log in to unmask]
Subject: First Aider payments


Dear members

I am re-visiting the issue of First Aider payments.  We currently pay our
First aiders =A3250 per annum.  I just wanted an idea of what other
organisations are paying their First Aiders.Your input would be much
appreciated.

Jill Rossiter

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


-----------------------------------------------------------------------
John Heathcoat and Company Ltd is registered in England No. 450787.
Registered Office: Westexe, Tiverton, Devon EX16 5LL.

This email is confidential and intended solely for the use of the=20
individual to whom it is addressed. Any views or opinions presented
are solely those of the author and do not necessarily represent those
of John Heathcoat and Company Ltd. If you are not the intended=20
recipient and have received this email in error, any use, dissemination,
forwarding, printing or copying of this email is strictly prohibited.
------------------------------------------------------------------------

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 28 Oct 2004 15:21:06 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Swann, Alan B" <[log in to unmask]>
Subject:      Re: First Aider payments
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

We don't pay. For our Security staff it is part of their T&C that they =
train & act as first aiders. Security now provide our main response. =
Other staff train up as lifesavers on a voluntary basis.

Dr. Alan Swann, BM, AFOM

Director of Occupational Health

Occupational Health Service

Imperial College London

Southside building

South Kensington Campus

London

SW7 2AZ

Tel:       +44 (20) 7594 9385

Fax:      +44 (20) 7594 9407

http://www.imperial.ac.uk/hq/occhealth/

https://www.imperial.ac.uk/spectrum/occhealth (Intranet)


-----Original Message-----
From: SURGERY, GBR-Sutton [mailto:[log in to unmask]]=20
Sent: 28 October 2004 09:11
To: [log in to unmask]
Subject: First Aider payments

Dear members

I am re-visiting the issue of First Aider payments.  We currently pay =
our
First aiders =A3250 per annum.  I just wanted an idea of what other
organisations are paying their First Aiders.Your input would be much
appreciated.

Jill Rossiter

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 28 Oct 2004 19:47:51 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         OHNet <[log in to unmask]>
Subject:      Re: Recall system for Travel Vaccinations
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

The right or wrongs of it aside, You might want to think about usiong
microsoft outlook or similar with the reminders set up to flag up 4-6 weeks
before they are due.

If you have alot see your IT department and see if they can set up a small
database that will generate letters automatically

regards

Craig
----- Original Message -----
From: "Bray, Charlotte" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, October 26, 2004 11:44 AM
Subject: Recall system for Travel Vaccinations


> Dear List,
>
> I have been asked to provide a recall system for all our employees who
have
> travel vaccinations.
> Has anybody else ever been asked to provide such a service?
> I am trying to avoid implementing this as I think the onus needs to be on
> the individual to take responsibility for their own health.
> Any thoughts or comments to build my argument would be appreciated.
>
> Many Thanks
> Charlotte
>
> Occupational Health Manager
> 7 th Floor Lehman Brothers
> Tel ; 0207 102 8628
>
>
> --------------------------------------------------------------------------
----
> This message is intended only for the personal and confidential use of the
> designated recipient(s) named above.  If you are not the intended
recipient of
> this message you are hereby notified that any review, dissemination,
> distribution or copying of this message is strictly prohibited.  This
> communication is for information purposes only and should not be regarded
as
> an offer to sell or as a solicitation of an offer to buy any financial
> product, an official confirmation of any transaction, or as an official
> statement of Lehman Brothers.  Email transmission cannot be guaranteed to
be
> secure or error-free.  Therefore, we do not represent that this
information is
> complete or accurate and it should not be relied upon as such.  All
> information is subject to change without notice.
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 28 Oct 2004 09:32:03 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandy Townsend <[log in to unmask]>
Subject:      Re: Manual handling
In-Reply-To:  <000901c4bc6f$02c56860$9ec8403e@timhowell>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0029_01C4BCD0.FBC3D030"

This is a multi-part message in MIME format.

------=_NextPart_000_0029_01C4BCD0.FBC3D030
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: 7bit

Helen
I believe ROSPA in Birmingham offer a good course- Our Manual Handling
Trainer is on leave at the moment but contact me if you want more info
Sandy



---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.776 / Virus Database: 523 - Release Date: 12/10/2004


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0029_01C4BCD0.FBC3D030
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<html xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns:st1=3D"urn:schemas-microsoft-com:office:smarttags" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3DWindows-1252">


<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 10">
<meta name=3DOriginator content=3D"Microsoft Word 10">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C4BCD0.FB5EF3E0">
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"City"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"place"/>
<!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:View>Normal</w:View>
  <w:DontDisplayPageBoundaries/>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:Compatibility>
   <w:BreakWrappedTables/>
   <w:SnapToGridInCell/>
   <w:WrapTextWithPunct/>
   <w:UseAsianBreakRules/>
  </w:Compatibility>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if !mso]>
<style>
st1\:*{behavior:url(#default#ieooui) }
</style>
<![endif]-->
<style>
<!--
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;
        text-underline:single;}
p.MsoPlainText, li.MsoPlainText, div.MsoPlainText
        {margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Courier New";
        mso-fareast-font-family:"Times New Roman";}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 69.6pt 72.0pt 69.6pt;
        mso-header-margin:35.4pt;
        mso-footer-margin:35.4pt;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]-->
</head>

<body lang=3DEN-GB link=3Dblue vlink=3Dpurple =
style=3D'tab-interval:36.0pt'>

<div class=3DSection1>

<p class=3DMsoPlainText><i style=3D'mso-bidi-font-style:normal'><font =
size=3D3
color=3Dblue face=3DArial><span =
style=3D'font-size:12.0pt;font-family:Arial;
color:blue;font-style:italic;mso-bidi-font-style:normal'>Helen<o:p></o:p>=
</span></font></i></p>

<p class=3DMsoPlainText><i style=3D'mso-bidi-font-style:normal'><font =
size=3D3
color=3Dblue face=3DArial><span =
style=3D'font-size:12.0pt;font-family:Arial;
color:blue;font-style:italic;mso-bidi-font-style:normal'>I believe ROSPA =
in </span></font></i><st1:City><st1:place><i
  style=3D'mso-bidi-font-style:normal'><font size=3D3 color=3Dblue =
face=3DArial><span
  =
style=3D'font-size:12.0pt;font-family:Arial;color:blue;font-style:italic;=

  =
mso-bidi-font-style:normal'>Birmingham</span></font></i></st1:place></st1=
:City><i
style=3D'mso-bidi-font-style:normal'><font size=3D3 color=3Dblue =
face=3DArial><span
style=3D'font-size:12.0pt;font-family:Arial;color:blue;font-style:italic;=

mso-bidi-font-style:normal'> offer a good course- Our Manual Handling =
Trainer
is on leave at the moment but contact me if you want more =
info<o:p></o:p></span></font></i></p>

<p class=3DMsoPlainText><st1:City><st1:place><i =
style=3D'mso-bidi-font-style:normal'><font
  size=3D3 color=3Dblue face=3DArial><span =
style=3D'font-size:12.0pt;font-family:Arial;
  =
color:blue;font-style:italic;mso-bidi-font-style:normal'>Sandy</span></fo=
nt></i></st1:place></st1:City><i
style=3D'mso-bidi-font-style:normal'><font size=3D3 color=3Dblue =
face=3DArial><span
style=3D'font-size:12.0pt;font-family:Arial;color:blue;font-style:italic;=

mso-bidi-font-style:normal'><o:p></o:p></span></font></i></p>

<p class=3DMsoPlainText><i style=3D'mso-bidi-font-style:normal'><font =
size=3D3
color=3Dblue face=3DArial><span =
style=3D'font-size:12.0pt;font-family:Arial;
color:blue;font-style:italic;mso-bidi-font-style:normal'><o:p>&nbsp;</o:p=
></span></font></i></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'><span =
style=3D'mso-spacerun:yes'>&nbsp;</span><o:p></o:p></span></font></p>

</div>

</body>

</html>
<BR>

<P><FONT SIZE=3D2>---<BR>
Outgoing mail is certified Virus Free.<BR>
Checked by AVG anti-virus system (http://www.grisoft.com).<BR>
Version: 6.0.776 / Virus Database: 523 - Release Date: 12/10/2004<BR>
</FONT> </P>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0029_01C4BCD0.FBC3D030--
=========================================================================
Date:         Thu, 28 Oct 2004 22:24:52 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jacqui Livock <[log in to unmask]>
Subject:      radiation and reproductive health

hi all
a chap called today to ask for my advice.... his wife has worked in her
teens as a radiography helper and was in with patients having invasive
investigations daily for several hours at a time(Ba Enemas and the likes)
wore the usual PPE (lead coat/thyroid collar) and monitor (film badge),
apparently no significant exposures. they have under gone investigations
into fertility problems and everything with both is ok and she is now
convinced that the radiation exposure has caused their problmes and wants
to know how they find out if she has conception problems because of this.
(both in their late 20's trying for 8 years)
having worked in an xray dept for a while i am familiar with ppe/its use
and misuse but short of directing them to the NRPB i dont know what else
to offer....anyone got any suggestions?
jacqui

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 29 Oct 2004 10:03:57 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Muir, Jackie" <[log in to unmask]>
Subject:      Re: radiation and reproductive health
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Jacqui,

If the appropriate monitoring was undertaken and there was no significant
exposure noted, it's difficult to say if current infertility is reated to
exposure - Even NRPB would be hard pressed to state that it's a direct
relationship. I worked in a Nuclear Medicine Departmentboth before and
during pregnancy and had no problems at the time or with a later pregnancy.
I handled radio isotopes daily and we didn't wear lead aprons - we used
syringe shields and wore monitors. Care and use of prescribed measures in
handling usually made exposure below any lower limits of exposure.

The only place I could think of for referral would be the NRPB - they should
have historical records for monitoring and research based info for further
guidance.

Regards

Jackie

-----Original Message-----
From: Jacqui Livock [mailto:[log in to unmask]]
Sent: 28 October 2004 22:25
To: [log in to unmask]
Subject: radiation and reproductive health


hi all
a chap called today to ask for my advice.... his wife has worked in her
teens as a radiography helper and was in with patients having invasive
investigations daily for several hours at a time(Ba Enemas and the likes)
wore the usual PPE (lead coat/thyroid collar) and monitor (film badge),
apparently no significant exposures. they have under gone investigations
into fertility problems and everything with both is ok and she is now
convinced that the radiation exposure has caused their problmes and wants
to know how they find out if she has conception problems because of this.
(both in their late 20's trying for 8 years)
having worked in an xray dept for a while i am familiar with ppe/its use
and misuse but short of directing them to the NRPB i dont know what else
to offer....anyone got any suggestions?
jacqui

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


.sophos.3.86.10.28.


Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 29 Oct 2004 12:54:20 EDT
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Bella Lloyd <[log in to unmask]>
Subject:      Re: radiation and reproductive health
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="part1_cd.19f6c33b.2eb3cfbc_boundary"

--part1_cd.19f6c33b.2eb3cfbc_boundary
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Further to the subject of radiation and pregnancy,
I wonder if anyone could advise/offer an opinion on a mngmnt referall I have
recently recieved from Theatre Manager. He has referred a scrub nurse who is
new in post and has just informed him she is pregnant, so early stages of
pregnancy. She has requested to work normal hours and shift patterns only, (as yet
I do not know if there are any medical reasons behind her request) He has said
in the referall due to the particular nature of work  long hours, often 12
hour shifts, combined with low levels of staff (small private hospital, no
trainees in theatre) so lots of manual handling, he feels this is not the work
environment for her. Is this a Management issue or is he obliged to give
consideration to the fact she is pregnant and accomodate her request and/or is he
already considering her pregnancy by saying he feels it is the wrong work
environment for her?
kind regards
Bella Lloyd

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--part1_cd.19f6c33b.2eb3cfbc_boundary
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<HTML><FONT FACE=3Darial,helvetica><HTML><FONT  SIZE=3D2 PTSIZE=3D10 FAMILY=
=3D"SANSSERIF" FACE=3D"Arial" LANG=3D"0">Further to the subject of radiation=
 and pregnancy, <BR>
I wonder if anyone could advise/offer an opinion on a mngmnt referall I have=
 recently recieved from Theatre Manager. He has referred a scrub nurse who i=
s new in post and has just informed him she is pregnant, so early stages of=20=
pregnancy. She has requested to work normal hours and shift patterns only, (=
as yet I do not know if there are any medical reasons behind her request) He=
 has said in the referall due to the particular nature of work&nbsp; long ho=
urs, often 12 hour shifts, combined with low levels of staff (small private=20=
hospital, no trainees in theatre) so lots of manual handling, he feels this=20=
is not the work environment for her. Is this a Management issue or is he obl=
iged to give consideration to the fact she is pregnant and accomodate her re=
quest and/or is he already considering her pregnancy by saying he feels it i=
s the wrong work environment for her?&nbsp; <BR>
kind regards <BR>
Bella Lloyd </FONT></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--part1_cd.19f6c33b.2eb3cfbc_boundary--
=========================================================================
Date:         Fri, 29 Oct 2004 18:40:53 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: radiation and reproductive health
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0019_01C4BDE6.D1BF4F00"

This is a multi-part message in MIME format.

------=_NextPart_000_0019_01C4BDE6.D1BF4F00
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

The Theatre manager has a legal responsibility under the Management of =
Health & Safety at work Regulations 1999 to carry out a risk assessment. =
If he/she is has undertaken this risk assessment then any areas he/she =
has identified as risky for pregnant women should be dealt with =
appropriately ( see page 32 & 33 of the approved code of practice). =
There is also Further HSE guidance (HSG 122) for pregnant women =
identified in this document including a table of hazards identified for =
pregnant workers, the risks and how to avoid them. So yes, it is a =
management issue but you could point him/her in the right direction to =
obtain this information.

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


  ----- Original Message -----=20
  From: Bella Lloyd=20
  To: [log in to unmask]
  Sent: Friday, October 29, 2004 5:54 PM
  Subject: Re: radiation and reproductive health


  Further to the subject of radiation and pregnancy,=20
  I wonder if anyone could advise/offer an opinion on a mngmnt referall =
I have recently recieved from Theatre Manager. He has referred a scrub =
nurse who is new in post and has just informed him she is pregnant, so =
early stages of pregnancy. She has requested to work normal hours and =
shift patterns only, (as yet I do not know if there are any medical =
reasons behind her request) He has said in the referall due to the =
particular nature of work  long hours, often 12 hour shifts, combined =
with low levels of staff (small private hospital, no trainees in =
theatre) so lots of manual handling, he feels this is not the work =
environment for her. Is this a Management issue or is he obliged to give =
consideration to the fact she is pregnant and accomodate her request =
and/or is he already considering her pregnancy by saying he feels it is =
the wrong work environment for her? =20
  kind regards=20
  Bella Lloyd ~~~~~~~~~~~~~~~ Please remove this footer before replying. =

  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20


  ---
  Outgoing mail is certified Virus Free.
  Checked by AVG anti-virus system (http://www.grisoft.com).
  Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0019_01C4BDE6.D1BF4F00
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1476" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT size=3D2>The Theatre manager has a legal responsibility under =
the=20
Management of Health &amp; Safety at work Regulations 1999 to carry out =
a risk=20
assessment. If he/she is has undertaken this risk assessment then any =
areas=20
he/she has identified as risky for pregnant women should be dealt with=20
appropriately ( see page 32 &amp; 33 of the approved code of practice). =
There is=20
also Further HSE guidance (HSG 122)&nbsp;for pregnant women identified =
in this=20
document including a table of hazards identified for pregnant workers, =
the risks=20
and how to avoid them. So yes, it is a management issue but you could =
point=20
him/her in the right direction to obtain this information.</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health =
&amp;=20
Education<BR>Consultant Editor, OH Journal<BR><A=20
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask] =
href=3D"mailto:[log in to unmask]">Bella Lloyd</A>=20
  </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Friday, October 29, 2004 =
5:54=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: radiation and =
reproductive=20
  health</DIV>
  <DIV><BR></DIV><FONT face=3Darial,helvetica><FONT lang=3D0 =
face=3DArial size=3D2=20
  FAMILY=3D"SANSSERIF" PTSIZE=3D"10">Further to the subject of radiation =
and=20
  pregnancy, <BR>I wonder if anyone could advise/offer an opinion on a =
mngmnt=20
  referall I have recently recieved from Theatre Manager. He has =
referred a=20
  scrub nurse who is new in post and has just informed him she is =
pregnant, so=20
  early stages of pregnancy. She has requested to work normal hours and =
shift=20
  patterns only, (as yet I do not know if there are any medical reasons =
behind=20
  her request) He has said in the referall due to the particular nature =
of=20
  work&nbsp; long hours, often 12 hour shifts, combined with low levels =
of staff=20
  (small private hospital, no trainees in theatre) so lots of manual =
handling,=20
  he feels this is not the work environment for her. Is this a =
Management issue=20
  or is he obliged to give consideration to the fact she is pregnant and =

  accomodate her request and/or is he already considering her pregnancy =
by=20
  saying he feels it is the wrong work environment for her?&nbsp; =
<BR>kind=20
  regards <BR>Bella Lloyd </FONT>~~~~~~~~~~~~~~~ Please remove this =
footer=20
  before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/=20
  <P><BR>---<BR>Outgoing mail is certified Virus Free.<BR>Checked by AVG =

  anti-virus system (<A=20
  =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.778=20
  / Virus Database: 525 - Release Date:=20
15/10/2004</P></BLOCKQUOTE></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0019_01C4BDE6.D1BF4F00--
=========================================================================
Date:         Mon, 1 Nov 2004 01:01:00 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Ann Wilson <[log in to unmask]>
Subject:      Ann Wilson/National Britannia is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=us-ascii

I will be out of the office starting  29/10/2004 and will not return until
02/11/2004.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 1 Nov 2004 08:11:03 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Clayton.Mary" <[log in to unmask]>
Subject:      Re: prescribing
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4BFEA.54516750"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4BFEA.54516750
Content-Type: text/plain

I agree!  I had a similar experience and share your views.

I have been following the debate with interest and although I understand
colleagues views re use of Nurse Prescribing education as a valuable tool
for widening knowledge I would suggest that any education should be
undertaken with the  intention to use and develop the skills acquired. I am
unsure as to how that fits with the OH setting, given the perceived emphasis
on Occupational HEALTH. Am I being naive in suggesting that prescribing is
undertaken to alleviate illness, which perhaps is more the remit of a
Practice Nurse rather than an OH Practitioner? While I accept that
medication may well be required during rehabilitation phases I consider that
that would be best managed through co-operation between the OH Practitioner,
the Client and the Client's G.P.

Mary

-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 27 October 2004 08:13
To: [log in to unmask]
Subject: Re: prescribing

I have to agree with you Greta.  I too have worked in OH units where drugs
were freely distributed to employees.  At one place of work a member of
staff had returned from 2 days sick absence and at 08:00 asked me for some
medication.  I asked her why she had not brought anything in with her from
home as she had had the illness for 2 days already.  She replied that it was
better to get it from work, free of charge.  There was also an incident
where an agency nurse administered eucalyptus oil orally for a cold!!  I
fought long and hard to get rid of medicines in that factory and had the
union breathing down my neck as a result.  I do not administer medication at
my current places of work and I would never take a post in the future where
I was expected to do so.  In my opinion that is not what OH is for - it
would be taking a step backwards.  The only exception to that is, of course,
travel vaccinations, which are only administered whilst the OH Physician is
on site.

Lynda
-----Original Message-----
From: Greta Thornbory [mailto:[log in to unmask]]
Sent: Tuesday, October 26, 2004 3:25 PM
To: [log in to unmask]
Subject: Re: prescribing
I am very interested in your views and rationale for nurse prescribing in
occupational health especially as during the 90s OH people at the RCN fought
to stop the nurse prescribing module being a compulsory module of the OH
degree course - it was supported by the (practicing) OH nurses on the
curriculum development group. This was at the time when OH nurses and the
first ever Nurse Practitioner courses were running in tandem under the
direction of Barbara Stillwell, who pioneered nurse practitioners in the UK.
Nurse practitioners are vital to today's primary and community care,
however, OH nurses are not nurse practitioners. I definitely agree that we
should keep up-to-date in every aspect of practice that we use in OH and
should understand treatment regimes, it is an NMC and professional
requirement to do so - but it is not necessary to study a specific
pharmacology/nurse prescribing course to do this.

I am concerned too that you comment about the need for an OH physician and I
wonder if you are suggesting that we should take on their role? To me
nursing and medicine are two distinct professions which complement each
other. However, I am not saying that nurses should not prescribe but there
has to be a distinct need to do so, particularly in OH.  It would be awful
to think that nurse prescribing was a 'development' of nursing practice. To
me it would be a return to the days of yesteryear when OH departments kept a
pharmacy stock - e.g. Ford motor Co.OH dept. kept 250 medicines ranging from
antibiotics to antidepressants not to mention digoxin!! A well known sweet
manufacturer from another planet kept about the same. How do I know this - I
actually did my dissertation at the time on the use of medicines in OH.

Jan Maw said it all (OH Feb 04) 'If OHNs are to embrace nurse prescribing
alongside their nursing colleagues greater evidence is needed to support the
benefit's . At the moment there is no evidence base to support the practice.
I believe we should be considering the ways in which we can obtain the
evidence before we go down this road.

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com <http://www.gtenterprises-uk.com>
Tel: 01235 770156
Mob: 07778 518 027


----- Original Message -----
From: "Jeanette Hogg" < <mailto:[log in to unmask]>
[log in to unmask]>
To: < <mailto:[log in to unmask]> [log in to unmask]>
Sent: Tuesday, October 26, 2004 10:48 AM
Subject: prescribing

> Thanks to everyone for your responses about prescribing.  I appreciate
> everyone's view on this but would just like to highlight a few issues.
> Prescribing is not just about writing a script - that's the easy bit. If
> its one thing that the course taught me its that we should keep focus on
> our nursing clinical skills and knowledge. During consultation if we
advise
> regarding medication, treatment options and or distribute under PGD's or
> standing orders we are effectively prescribing and are accountable for
> those decisions and the advice given to the patient. So we should be
> keeping up to date with drugs and medications that we come across as
> advsiors/nurses. The course greatly enhanced my understanding of how
> medicines affect patient outcomes, improved my consultation skills by an
> increased knowledge into pharmocology and pharmacokinetics.  How many
> patient's do we see on pain control, antidepressants etc. Do we really
know
> enough about that treatment and it's effects to aid our decisions on how
> and when clients will respond effectively and acheive a return to good
> health? We are community/primary care workers in many ways and I have a
far
> better rappor with GP's because I understand to some extent their
treatment
> regimes and options for their patients and work with them.
>
> When do we need an occupational physician? Usually when diagnosis,
> medicines, investigations etc are involved in case management.I don't
think
> we can categorically say that prescribing is not for us as advisors
because
> if we do we are missing out on the development of nursing roles which are
> rapidly moving forward in terms of clinical skills that we rely on
> physicians for. So to dismiss this development will leave us behind in the
> nursing world.  There are many experienced and highly clinically skilled
> nurse practitioners out there who work in primary care and could very
> easily move into occupational health. Its not about replacing physicians,
> but I do feel we need to keep up and be more effective - a qualification
in
> Occhealth alone may not be enough. Medicines management is part of that
> nursing even in an advisory capacity. Just food for thought.
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
>  <http://www.jiscmail.ac.uk/lists/occ-health.html>
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
>  <http://uk.groups.yahoo.com/group/OHJobs/>
http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com
<http://www.grisoft.com> ).
Version: 6.0.778 / Virus Database: 525 - Release Date: 15/10/2004
~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BFEA.54516750
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<html xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">


<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 10">
<meta name=3DOriginator content=3D"Microsoft Word 10">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C4BFEA.5FE2D450">
<!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]-->
<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;
        mso-font-charset:0;
        mso-generic-font-family:swiss;
        mso-font-pitch:variable;
        mso-font-signature:1627421319 -2147483648 8 0 66047 0;}
@font-face
        {font-family:"Monotype Corsiva";
        panose-1:3 1 1 1 1 2 1 1 1 1;
        mso-font-charset:0;
        mso-generic-font-family:script;
        mso-font-pitch:variable;
        mso-font-signature:647 0 0 0 159 0;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
p
        {mso-margin-top-alt:auto;
        margin-right:0cm;
        mso-margin-bottom-alt:auto;
        margin-left:0cm;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
span.EmailStyle19
        {mso-style-type:personal-reply;
        mso-style-noshow:yes;
        mso-ansi-font-size:14.0pt;
        mso-bidi-font-size:14.0pt;
        font-family:"Monotype Corsiva";
        mso-ascii-font-family:"Monotype Corsiva";
        mso-hansi-font-family:"Monotype Corsiva";
        mso-bidi-font-family:Arial;
        color:navy;}
span.SpellE
        {mso-style-name:"";
        mso-spl-e:yes;}
@page Section1
        {size:612.0pt 792.0pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;
        mso-header-margin:35.4pt;
        mso-footer-margin:35.4pt;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]-->
</head>

<body lang=3DEN-US link=3Dblue vlink=3Dblue =
style=3D'tab-interval:36.0pt'>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'>I agree! <span =
style=3D'mso-spacerun:yes'>&nbsp;</span>I had a
similar experience and share your views.<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'>I have been following the debate with interest and =
although I
understand colleagues views re use of Nurse Prescribing education as a =
valuable
tool for widening knowledge I would suggest that any education should =
be
undertaken with the<span style=3D'mso-spacerun:yes'>&nbsp; =
</span>intention to
use and develop the skills acquired. I am unsure as to how that fits =
with the
OH setting, given the perceived emphasis on Occupational HEALTH. Am I =
being naive
in suggesting that prescribing is undertaken to alleviate illness, =
which
perhaps is more the remit of a Practice Nurse rather than an OH =
Practitioner?
While I accept that medication may well be required during =
rehabilitation
phases I consider that that would be best managed through co-operation =
between the
OH Practitioner, the Client and the Client's =
G.P.<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'>Mary<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DTahoma><span
style=3D'font-size:10.0pt;font-family:Tahoma'>-----Original =
Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Hawkes, Lynda
[mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 27 October 2004 =
08:13<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Re: =
prescribing</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblue
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:blue'>I have
to agree with you Greta.&nbsp; I too have worked in OH units where =
drugs were
freely distributed to employees.&nbsp; At one place of work a member of =
staff
had returned from 2 days sick absence and at 08:00 asked me for some
medication.&nbsp; I asked her why she had not brought anything in with =
her from
home as she had had the illness for 2 days already.&nbsp; She replied =
that it
was better to get it from work, free of charge.&nbsp; There was also an
incident where an agency nurse administered eucalyptus oil orally for a
cold!!&nbsp; I fought long and hard to get rid of medicines in that =
factory and
had the union breathing down my neck as a result.&nbsp; I do not =
administer
medication at my current places of work and I would never take a post =
in the
future where I was expected to do so.&nbsp; In my opinion that is not =
what OH
is for - it would be taking a step backwards.&nbsp; The only exception =
to that
is, of course, travel vaccinations, which are only administered whilst =
the OH
Physician is on site.</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblue
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:blue'>Lynda</span></fo=
nt><o:p></o:p></p>

</div>

<blockquote =
style=3D'margin-top:5.0pt;margin-right:0cm;margin-bottom:5.0pt'>

<p class=3DMsoNormal =
style=3D'mso-margin-top-alt:0cm;margin-right:0cm;margin-bottom:
12.0pt;margin-left:36.0pt'><font size=3D2 face=3DTahoma><span =
style=3D'font-size:
10.0pt;font-family:Tahoma'>-----Original Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Greta Thornbory
[mailto:[log in to unmask]]<br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> Tuesday, October =
26, 2004
3:25 PM<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Re: =
prescribing</span></font><o:p></o:p></p>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>I am very =
interested in
your views and rationale for nurse prescribing in occupational health
especially as during the 90s OH people at the RCN fought to stop the =
nurse
prescribing module being a compulsory module of the OH degree course - =
it was supported
by the (practicing) OH nurses on the curriculum development group. This =
was at
the time when OH nurses and the first ever Nurse Practitioner courses =
were
running in tandem under the direction of Barbara Stillwell, who =
pioneered nurse
practitioners in the UK. Nurse practitioners are vital to today's =
primary and
community care, however, OH nurses are not nurse
practitioners.&nbsp;I&nbsp;definitely agree that we should keep =
up-to-date in
every aspect of practice that we use&nbsp;in OH and should understand =
treatment
regimes, it is an NMC and professional requirement to do so&nbsp;- but =
it is
not necessary to study a specific pharmacology/nurse prescribing course =
to do
this.</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>I am =
concerned too that
you comment about the need for an OH physician and I wonder if you are =
suggesting
that we should take on their role? To me nursing and medicine are two =
distinct
professions which complement each other. However, I am not saying that =
nurses
should not prescribe but there has to be a distinct need to do so, =
particularly
in OH. &nbsp;It would be awful to think&nbsp;that nurse prescribing was =
a
'development' of nursing practice. To me it would be a&nbsp;return to =
the days
of yesteryear when OH departments kept a pharmacy stock - e.g. Ford =
motor Co.OH
dept.&nbsp;kept 250 medicines ranging from antibiotics to =
antidepressants not
to mention digoxin!! A well known sweet manufacturer from another =
planet kept
about the same. How do I know this - I actually did my dissertation at =
the time
on the use of&nbsp;medicines in OH.</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>Jan Maw said =
it all (OH
Feb 04) <em><i><font face=3D"Times New Roman">'If OHNs are to embrace =
nurse
prescribing alongside their nursing colleagues greater evidence is =
needed to
support the benefit's </font></i></em>. At the moment there is no =
evidence base
to support the practice. I believe we should be considering the ways in =
which
we can obtain the evidence before we go down this =
road.</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>Greta =
Thornbory<br>
Consultant, Occupational Health &amp; Education<br>
Consultant Editor, OH Journal<br>
<a =
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</a><br=
>
Tel: 01235 770156<br>
Mob: 07778 518 027</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>----- =
Original Message
----- </span></font><o:p></o:p></p>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>From: =
&quot;Jeanette
Hogg&quot; &lt;</span></font><a =
href=3D"mailto:[log in to unmask]"><font
size=3D2><span =
style=3D'font-size:10.0pt'>[log in to unmask]</span></font>=
</a><font
size=3D2><span =
style=3D'font-size:10.0pt'>&gt;</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>To: =
&lt;</span></font><a
href=3D"mailto:[log in to unmask]"><font size=3D2><span =
style=3D'font-size:
10.0pt'>[log in to unmask]</span></font></a><font size=3D2><span
style=3D'font-size:10.0pt'>&gt;</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>Sent: =
Tuesday, October
26, 2004 10:48 AM</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>Subject: =
prescribing</span></font><o:p></o:p></p>

</div>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2
face=3D"Times New Roman"><span style=3D'font-size:10.0pt'>&gt; Thanks =
to everyone
for your responses about prescribing.&nbsp; I appreciate<br>
&gt; everyone's view on this but would just like to highlight a few =
issues.<br>
&gt; Prescribing is not just about writing a script - that's the easy =
bit. If<br>
&gt; its one thing that the course taught me its that we should keep =
focus on<br>
&gt; our nursing clinical skills and knowledge. During consultation if =
we
advise<br>
&gt; regarding medication, treatment options and or distribute under =
PGD's or<br>
&gt; standing orders we are effectively prescribing and are accountable =
for<br>
&gt; those decisions and the advice given to the patient. So we should =
be<br>
&gt; keeping up to date with drugs and medications that we come across =
as<br>
&gt; advsiors/nurses. The course greatly enhanced my understanding of =
how<br>
&gt; medicines affect patient outcomes, improved my consultation skills =
by an<br>
&gt; increased knowledge into pharmocology and pharmacokinetics.&nbsp; =
How many<br>
&gt; patient's do we see on pain control, antidepressants etc. Do we =
really
know<br>
&gt; enough about that treatment and it's effects to aid our decisions =
on how<br>
&gt; and when clients will respond effectively and acheive a return to =
good<br>
&gt; health? We are community/primary care workers in many ways and I =
have a
far<br>
&gt; better rappor with GP's because I understand to some extent their
treatment<br>
&gt; regimes and options for their patients and work with them.<br>
&gt; <br>
&gt; When do we need an occupational physician? Usually when =
diagnosis,<br>
&gt; medicines, investigations etc are involved in case management.I =
don't
think<br>
&gt; we can categorically say that prescribing is not for us as =
advisors
because<br>
&gt; if we do we are missing out on the development of nursing roles =
which are<br>
&gt; rapidly moving forward in terms of clinical skills that we rely =
on<br>
&gt; physicians for. So to dismiss this development will leave us =
behind in the<br>
&gt; nursing world.&nbsp; There are many experienced and highly =
clinically
skilled<br>
&gt; nurse practitioners out there who work in primary care and could =
very<br>
&gt; easily move into occupational health. Its not about replacing =
physicians,<br>
&gt; but I do feel we need to keep up and be more effective - a =
qualification
in<br>
&gt; Occhealth alone may not be enough. Medicines management is part of =
that<br>
&gt; nursing even in an advisory capacity. Just food for thought.<br>
&gt; <br>
&gt; ~~~~~~~~~~~~~~~<br>
&gt; Please remove this footer before replying.<br>
&gt; <br>
&gt; For list archives and documents, go to<br>
&gt; </span></font><a =
href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><font
size=3D2><span =
style=3D'font-size:10.0pt'>http://www.jiscmail.ac.uk/lists/occ-health.ht=
ml</span></font></a><font
size=3D2><span style=3D'font-size:10.0pt'> for list archives<br>
&gt; <br>
&gt; For jobs in Occupational Health, go to<br>
&gt; </span></font><a =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><font
size=3D2><span =
style=3D'font-size:10.0pt'>http://uk.groups.yahoo.com/group/OHJobs/</spa=
n></font></a><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><u><font size=3D2 =
color=3Dblue
face=3D"Times New Roman"><span =
style=3D'font-size:10.0pt;color:blue'><br>
---<br>
Outgoing mail is certified Virus Free.<br>
Checked by AVG anti-virus system (<a =
href=3D"http://www.grisoft.com">http://www.grisoft.com</a>).<br>
Version: 6.0.778 / Virus Database: 525 - Release Date: =
15/10/2004</span></font></u><o:p></o:p></p>

</div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>~~~~~~~~~~~~~~~ Please
remove this footer before replying. <o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives =
<o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/ <o:p></o:p></span></font></p>

</blockquote>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4BFEA.54516750--
=========================================================================
Date:         Mon, 1 Nov 2004 08:27:15 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Clayton.Mary" <[log in to unmask]>
Subject:      Re: First Aider payments
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

One employer (a City Council - not in the Midlands) paid =A310/month - =
that
was a few years ago. Another did not make any payment at all on the =
grounds
that the role was voluntary.

Mary


-----Original Message-----
From: SURGERY, GBR-Sutton [mailto:[log in to unmask]] =

Sent: 28 October 2004 09:11
To: [log in to unmask]
Subject: First Aider payments

Dear members

I am re-visiting the issue of First Aider payments.  We currently pay =
our
First aiders =A3250 per annum.  I just wanted an idea of what other
organisations are paying their First Aiders.Your input would be much
appreciated.

Jill Rossiter

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 1 Nov 2004 08:28:50 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Clayton.Mary" <[log in to unmask]>
Subject:      Re: First Aider payments
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Are they taxed on these payments?

Mary

-----Original Message-----
From: Jane L Pitt [mailto:[log in to unmask]]=20
Sent: 28 October 2004 09:42
To: [log in to unmask]
Subject: Re: First Aider payments

Our first aiders get paid =A3100 per year as a one off payment at
christmas.
Jane Pitt

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 1 Nov 2004 08:38:52 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Recall system for Travel Vaccinations
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

It is the one Greta is organising in London on December 8th.  She has sent
me the details and I am sure she will send them to you also if you ask.
Lynda

-----Original Message-----
From: Margaret Mercer [mailto:[log in to unmask]]
Sent: Wednesday, October 27, 2004 7:29 PM
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations


Lynda,
Which travel health conference is that please? Can you send me some
info?
Margaret

-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 27 October 2004 12:47
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations


Thanks very much.  At my Company in the past they have carried out
extensive medicals once per year on those who travel and I have
questioned the reasoning behind it.  Just because they appear fit to
travel today does not mean that they will be fit next week for example.
I also cannot see the point of conducting audiometry and spirometry for
example on an overseas traveller.  I am going to the Travel Health
Conference in December and hope to clarify the need (or not) for
medicals there. Lynda

-----Original Message-----
From: Prout, Kleea [mailto:[log in to unmask]]
Sent: Wednesday, October 27, 2004 10:35 AM
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations


Before reading this message, please check that it is addressed to you.
If not, you should delete it immediately as its contents may be
confidential and its disclosure, copying or distribution unlawful.

C. &  J. Clark International Limited takes steps to prevent the
transmission of electronic viruses but responsibility for screening
incoming messages and the risk of such transmission lies with the
recipient.

C. &  J. Clark International Limited Registered Office:
40 High Street, Street, Somerset BA16 0YA.
Registered in England and Wales Company No. 141015
________________________________________

Lynda
At the appointment we will have the medical file available with past
history. We don't do any 'medicals' unless there is a specific
indication. Our technical people who have to enter factories where they
are exposed to Polyurethrane have regular screening anyway. (We have
some files with history going back to Noah's Ark as there is a low staff
turnover!) We use a tick-box questionnaire to cover things like
pregnancy, diabetes, disability, chronic problems and immune compromised
illnesses, record advice given etc. I also send out a 'memory-jogger'
email to all every 6 months to remind them about the importance of
seeking OH advice before travel and to check their immunisation status.
Any problems are referred to the Occ Doc for decisions. Hope this
answers your question. Regards Kleea


-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 27 October 2004 08:17
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations

Kleea,
Do you perform any kind of travel medical on your employees and if so,
what do you do please? Lynda

-----Original Message-----
From: Prout, Kleea [mailto:[log in to unmask]]
Sent: Tuesday, October 26, 2004 3:21 PM
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations


Before reading this message, please check that it is addressed to you.
If not, you should delete it immediately as its contents may be
confidential and its disclosure, copying or distribution unlawful.

C. &  J. Clark International Limited takes steps to prevent the
transmission of electronic viruses but responsibility for screening
incoming messages and the risk of such transmission lies with the
recipient.

C. &  J. Clark International Limited Registered Office:
40 High Street, Street, Somerset BA16 0YA.
Registered in England and Wales Company No. 141015
________________________________________

Charlotte
Although the onus is on the individual to take responsibility for their
own health, the buck stops with the employer if the correct policies and
procedures are not in place to protect employees. I think the Employer
should make it clear to all concerned where their responsibilities lie,
otherwise you will spend your life chasing after individuals and that is
not a cost effective exercise for OH!

We have a policy on 'Management of Travel Safety & Health', outlining
the responsibilities of Directors, Managers, OH and Employees.

Employees have to see OH each time before they travel outside of Europe.
Employees are issued with a vaccination history card at the first visit,
containing the due date of boosters. This is when it becomes their
responsibility to ensure they keep their immunisation up to date.

They also have to comply with any instructions or precautionary measures
associated with business travel introduced by the company to safeguard
their health and safety They are not allowed to take part in high risk
leisure activities while on company business etc etc.

Good Luck!

Kleea Prout
C & J Clark International



-----Original Message-----
From: Bray, Charlotte [mailto:[log in to unmask]]
Sent: 26 October 2004 11:44
To: [log in to unmask]
Subject: Recall system for Travel Vaccinations

Dear List,

I have been asked to provide a recall system for all our employees who
have travel vaccinations. Has anybody else ever been asked to provide
such a service? I am trying to avoid implementing this as I think the
onus needs to be on the individual to take responsibility for their own
health. Any thoughts or comments to build my argument would be
appreciated.

Many Thanks
Charlotte

Occupational Health Manager
7 th Floor Lehman Brothers
Tel ; 0207 102 8628

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 1 Nov 2004 08:40:47 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Manual handling
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Try IOSH who are based in Leicester.
Lynda

-----Original Message-----
From: OccHealth [mailto:[log in to unmask]]
Sent: Wednesday, October 27, 2004 10:51 PM
To: [log in to unmask]
Subject: Re: Manual handling


Can anyone recommend a good Manual Handling Trainer and Assessors Course
please. East Midlands great but would naturally travel if needs be.
Helen
----- Original Message -----
From: "Sandra Babbings" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, October 27, 2004 9:46 PM
Subject: Re: Manual handling


> about to go on my Manual Handling up date, I also do manual Handling
> training, maybe we could keep in touch
>
> Sandra
> ----- Original Message -----
> From: "SURGERY, GBR-Sutton" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Tuesday, October 26, 2004 11:05 AM
> Subject: Manual handling
>
>
> > Dear members
> >
> > Myself and two other work colleagues have recently attended a Manual
> > Handling Trainer and Assessors course.  We are now in the process of
> > developing a manual handling training course for our employees using a
> > PowerPoint presentation and practical sessions.
> > Are any of you involved in this and if so would you be happy to share
any
> > information on the content of your sessions?
> >
> > Regards
> >
> > Jill Rossiter
> >
> > ~~~~~~~~~~~~~~~
> > Please remove this footer before replying.
> >
> > For list archives and documents, go to
> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> > For jobs in Occupational Health, go to
> > http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 1 Nov 2004 08:44:32 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: First Aider payments
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Ours are paid =A3100 per annum - =A350 in June and =A350 at Christmas.
Lynda

-----Original Message-----
From: SURGERY, GBR-Sutton [mailto:[log in to unmask]]
Sent: Thursday, October 28, 2004 9:11 AM
To: [log in to unmask]
Subject: First Aider payments


Dear members

I am re-visiting the issue of First Aider payments.  We currently pay =
our
First aiders =A3250 per annum.  I just wanted an idea of what other
organisations are paying their First Aiders.Your input would be much
appreciated.

Jill Rossiter

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 1 Nov 2004 08:49:27 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "SURGERY, GBR-Sutton" <[log in to unmask]>
Subject:      Re: First Aider payments
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

yes

-----Original Message-----
From: Clayton.Mary [mailto:[log in to unmask]]
Sent: 01 November 2004 08:29
To: [log in to unmask]
Subject: Re: First Aider payments


Are they taxed on these payments?

Mary

-----Original Message-----
From: Jane L Pitt [mailto:[log in to unmask]]=20
Sent: 28 October 2004 09:42
To: [log in to unmask]
Subject: Re: First Aider payments

Our first aiders get paid =A3100 per year as a one off payment at
christmas.
Jane Pitt

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 1 Nov 2004 09:03:06 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Aziz, Bashyr" <[log in to unmask]>
Subject:      Training Post
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4BFF1.99ECA3CB"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4BFF1.99ECA3CB
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

=20

There's going to be an opportunity for a full-time permanent position, =
and a chance to be sponsored on the occupational health degree course =
for an RGN prepared to work in Cannock, Staffordshire. If you have =
previous OH experience and the ability to work independently, then =
please make contact with

Lisa Gregory
Recruitment Consultant
OH Recruitment
15-17 The Garrick Centre
Irving Way
London NW9 6AQ
t: 020 8202 3553
f: 020 8202 1502
mailto:[log in to unmask]
http://www.ohrecruitment.co.uk


Regards

Bashyr Aziz                =20


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4BFF1.99ECA3CB
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version =
6.0.6249.1">
<TITLE>Training Post </TITLE>
</HEAD>
<BODY>
<!-- Converted from text/rtf format -->

<P><FONT COLOR=3D"#0000FF" FACE=3D"Arial">&nbsp;</FONT>
</P>

<P><FONT COLOR=3D"#0000FF" FACE=3D"Arial">There's going to be an =
opportunity for a full-time permanent position, and a chance to be =
sponsored on the occupational health degree course for an RGN prepared =
to work in Cannock, Staffordshire. If you have previous OH experience =
and the ability to work independently, then please make contact =
with</FONT></P>

<P><FONT SIZE=3D2 FACE=3D"Courier New">Lisa Gregory</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Courier New">Recruitment Consultant</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Courier New">OH Recruitment</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Courier New">15-17 The Garrick Centre</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Courier New">Irving Way</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Courier New">London NW9 6AQ</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Courier New">t: 020 8202 3553</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Courier New">f: 020 8202 1502</FONT>

<BR><FONT SIZE=3D2 FACE=3D"Courier New"><A =
HREF=3D"mailto:[log in to unmask]">mailto:lgregory@ohrecruitmen=
t.co.uk</A></FONT>

<BR><FONT SIZE=3D2 FACE=3D"Courier New"><A =
HREF=3D"http://www.ohrecruitment.co.uk">http://www.ohrecruitment.co.uk</A=
></FONT>
</P>
<BR>

<P><FONT COLOR=3D"#0000FF" FACE=3D"Arial">Regards</FONT>
</P>

<P><B><FONT COLOR=3D"#0000FF" FACE=3D"Arial">Bashyr =
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;</FONT></B>&nbsp;<FONT COLOR=3D"#0000FF" =
FACE=3D"Arial"> </FONT>
</P>

</BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4BFF1.99ECA3CB--
=========================================================================
Date:         Mon, 1 Nov 2004 09:12:48 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: First Aider payments
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

One company I worked for gave their first aiders =A3100 per year and =
paid them
in High Street Vouchers so they didn't get taxed. Their amount also
decreased if they did not attend internal refresher meetings.
Lynda

-----Original Message-----
From: SURGERY, GBR-Sutton [mailto:[log in to unmask]]
Sent: Monday, November 01, 2004 8:49 AM
To: [log in to unmask]
Subject: Re: First Aider payments


yes

-----Original Message-----
From: Clayton.Mary [mailto:[log in to unmask]]
Sent: 01 November 2004 08:29
To: [log in to unmask]
Subject: Re: First Aider payments


Are they taxed on these payments?

Mary

-----Original Message-----
From: Jane L Pitt [mailto:[log in to unmask]]=20
Sent: 28 October 2004 09:42
To: [log in to unmask]
Subject: Re: First Aider payments

Our first aiders get paid =A3100 per year as a one off payment at
christmas.
Jane Pitt

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 1 Nov 2004 09:20:20 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tanya Stacey <[log in to unmask]>
Subject:      Re: First Aider payments
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hi
The first aiders at Fenlands get paid =A357.26 per quarter
Tanya Stacey


-----Original Message-----
From: SURGERY, GBR-Sutton [mailto:[log in to unmask]]
Sent: 28 October 2004 09:11
To: [log in to unmask]
Subject: First Aider payments


Dear members

I am re-visiting the issue of First Aider payments.  We currently pay our
First aiders =A3250 per annum.  I just wanted an idea of what other
organisations are paying their First Aiders.Your input would be much
appreciated.

Jill Rossiter

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


***************************************************************************=
********
The information included in this e-mail is of a confidential nature and is =
intended only for the addressee.  If you are not the intended addressee, an=
y disclosure, copying or distribution by you is prohibited and may be unlaw=
ful.  Disclosure to any party other than the addressee, whether inadvertent=
 or otherwise is not intended to waive the privilege or confidentiality.

Although this e-mail and any attachments are believed to be free from any v=
irus, or other defect which might affect any system into which they are rec=
eived or opened, it is the responsibility of the recipient to ensure that t=
hey are virus free and to check that they will not adversely affect its sys=
tems and data.  No responsibility is accepted by Northern Foods PLC for any=
 loss or damage arising in any way from their receipt, opening or use.
***************************************************************************=
********

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 1 Nov 2004 12:01:56 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Julia J Collins <[log in to unmask]>
Subject:      Research Proposal

Hi everyone

I was wondering if any of you can help me with my uni research proposal.
I'm in my first year of the degree and we have to submit a research
question and then work through the process -I think!

My proposed question is:

Should Occupational Health Nurses provide a reactive first aid treatment
service?

Do any of you have comments, ideas or know of any research that has been
done previously?

I would value any info I get back and following the debates of late I know
that there is a wealth of knowledge out there.


Many thanks

Julia

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 1 Nov 2004 12:07:09 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Aziz, Bashyr" <[log in to unmask]>
Subject:      Stress & Riddor
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C00B.505A838B"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4C00B.505A838B
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hello

I just picked this message up at another website.  Any comments?

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

I recently contacted the HSE to query whether stress-related illness or =
psychiatric injury could be construed as reportable under RIDDOR.  I =
received the following reply:

"The following information has been provided by the Reporting of =
Injuries, Diseases and Dangerous Occurrences (RIDDOR) Operations Unit, =
Bootle.

Stress is not reportable at all, not even as an over 3 day injury, =
because it is a mental state."

However, I think most stress experts would find this reason untenable, =
as their is a general consensus that stress, and related psychiatric =
conditions, are *both* physical and mental.  For example, i ) stress is =
often viewed as a physiological and neurological state, ii) stress has =
well-documented physical symptoms and effects.  The NHS and Royal =
College of Psychiatrists, e.g., acknowledge that stress has physical as =
well as physical symptoms.

Just curious as to what others make of this.  Do you think that stress =
can be classed as a mental state, as a opposed to a physical one, or do =
you think doing so is incorrect?

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

=20
Bashyr Aziz                Telephone: 01902 518632
Senior Lecturer=20
School of Health - MH113=20
University of Wolverhampton
Molineux Street
Wolverhampton=20
WV1 1SB


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C00B.505A838B
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version =
6.0.6249.1">
<TITLE>Stress &amp; Riddor</TITLE>
</HEAD>
<BODY>
<!-- Converted from text/rtf format -->

<P><FONT COLOR=3D"#0000FF" FACE=3D"Arial">Hello</FONT>
</P>

<P><FONT COLOR=3D"#0000FF" FACE=3D"Arial">I just picked this message up =
at another website.&nbsp; Any comments?</FONT>
</P>

<P><FONT SIZE=3D2 FACE=3D"Courier =
New">***************************</FONT>
</P>

<P><FONT SIZE=3D2 FACE=3D"Courier New">I recently contacted the HSE to =
query whether stress-related illness or psychiatric injury could be =
construed as reportable under RIDDOR.&nbsp; I received the following =
reply:</FONT></P>

<P><FONT SIZE=3D2 FACE=3D"Courier New">&quot;The following information =
has been provided by the Reporting of Injuries, Diseases and Dangerous =
Occurrences (RIDDOR) Operations Unit, Bootle.</FONT></P>

<P><FONT SIZE=3D2 FACE=3D"Courier New">Stress is not reportable at all, =
not even as an over 3 day injury, because it is a mental =
state.&quot;</FONT>
</P>

<P><FONT SIZE=3D2 FACE=3D"Courier New">However, I think most stress =
experts would find this reason untenable, as their is a general =
consensus that stress, and related psychiatric conditions, are *both* =
physical and mental.&nbsp; For example, i ) stress is often viewed as a =
physiological and neurological state, ii) stress has well-documented =
physical symptoms and effects.&nbsp; The NHS and Royal College of =
Psychiatrists, e.g., acknowledge that stress has physical as well as =
physical symptoms.</FONT></P>

<P><FONT SIZE=3D2 FACE=3D"Courier New">Just curious as to what others =
make of this.&nbsp; Do you think that stress can be classed as a mental =
state, as a opposed to a physical one, or do you think doing so is =
incorrect?</FONT></P>

<P><FONT SIZE=3D2 FACE=3D"Courier =
New">***************************</FONT>
</P>

<P><FONT SIZE=3D2 FACE=3D"Courier New"></FONT>&nbsp;

<BR><B><FONT COLOR=3D"#0000FF" FACE=3D"Arial">Bashyr =
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;</FONT></B> <FONT COLOR=3D"#0000FF" =
FACE=3D"Arial">Telephone: 01902 518632</FONT><B></B>

<BR><B><FONT COLOR=3D"#0000FF" FACE=3D"Arial">Senior =
Lecturer</FONT></B><FONT COLOR=3D"#0000FF" FACE=3D"Arial"> </FONT>

<BR><FONT COLOR=3D"#0000FF" FACE=3D"Arial">School of Health - MH113 =
</FONT>

<BR><FONT COLOR=3D"#0000FF" FACE=3D"Arial">University of =
Wolverhampton</FONT>

<BR><FONT COLOR=3D"#0000FF" FACE=3D"Arial">Molineux Street</FONT>

<BR><FONT COLOR=3D"#0000FF" FACE=3D"Arial">Wolverhampton </FONT>

<BR><FONT COLOR=3D"#0000FF" FACE=3D"Arial">WV1 1SB</FONT>
</P>

</BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4C00B.505A838B--
=========================================================================
Date:         Mon, 1 Nov 2004 12:28:52 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Stackhouse, Amy ." <[log in to unmask]>
Subject:      Research Proposal-Varicella
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C00E.58DEC1F0"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4C00E.58DEC1F0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

 Dear All,
=20
I have the same idea as Julia. I have also just started my OH degree at =
Wolverhampton and work in an OH department for the NHS. I am also doing =
a research proposal.
=20
My question is: Are workers memories of having chickenpox effective for =
determining varicella immunity?
=20
If anyone has any comments or ideas they would be greatly recieved.=20
=20
Many Thanks
=20
Amy Stackhouse
Trainee Occupational Health Nurse Adviser

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C00E.58DEC1F0
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML =
DIR=3Dltr><HEAD><META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1"></HEAD><BODY><DIV><FONT face=3D'Arial' =
color=3D#000000 size=3D2>&nbsp;Dear All,</FONT></DIV>=0A=
<DIV>&nbsp;</DIV>=0A=
<DIV><FONT face=3DArial size=3D2>I have the same idea as Julia. I have =
also just =0A=
started my OH degree at Wolverhampton and work in an OH department for =
the NHS. =0A=
I am also&nbsp;doing a research proposal.</FONT></DIV>=0A=
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>=0A=
<DIV><FONT face=3DArial size=3D2>My question is: Are workers memories of =
having =0A=
chickenpox effective&nbsp;for determining varicella =
immunity?</FONT></DIV>=0A=
<DIV>&nbsp;</DIV>=0A=
<DIV><FONT face=3DArial size=3D2>If anyone has any comments or ideas =
they would be =0A=
greatly recieved.</FONT>&nbsp;</DIV>=0A=
<DIV>&nbsp;</DIV>=0A=
<DIV>Many Thanks</DIV>=0A=
<DIV>&nbsp;</DIV>=0A=
<DIV>Amy Stackhouse</DIV>=0A=
<DIV>Trainee Occupational Health Nurse Adviser</DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4C00E.58DEC1F0--
=========================================================================
Date:         Mon, 1 Nov 2004 12:39:28 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sara Werry <[log in to unmask]>
Subject:      Re: Stress & Riddor
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_003C_01C4C00F.E5E180E0"

This is a multi-part message in MIME format.

------=_NextPart_000_003C_01C4C00F.E5E180E0
Content-Type: text/plain;
        charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Hi

What needs to be asked is where in the terms of reference/criteria for a
work related disease does it state that RIDDOR is only applicable to
physical work related diseases? If it doesn't then there is little
argument not to include work related mental health illness.

I think the problem would be in defining and being able to prove mental
illness was definitely work related, what would be the use of an influx
of ill defined reports, how valid would this be?

Sara



Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579

-----Original Message-----
From: Aziz, Bashyr [mailto:[log in to unmask]]
Sent: 01 November 2004 12:07
To: [log in to unmask]
Subject: Stress & Riddor



Hello

I just picked this message up at another website.  Any comments?

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

I recently contacted the HSE to query whether stress-related illness or
psychiatric injury could be construed as reportable under RIDDOR.  I
received the following reply:

"The following information has been provided by the Reporting of
Injuries, Diseases and Dangerous Occurrences (RIDDOR) Operations Unit,
Bootle.

Stress is not reportable at all, not even as an over 3 day injury,
because it is a mental state."

However, I think most stress experts would find this reason untenable,
as their is a general consensus that stress, and related psychiatric
conditions, are *both* physical and mental.  For example, i ) stress is
often viewed as a physiological and neurological state, ii) stress has
well-documented physical symptoms and effects.  The NHS and Royal
College of Psychiatrists, e.g., acknowledge that stress has physical as
well as physical symptoms.

Just curious as to what others make of this.  Do you think that stress
can be classed as a mental state, as a opposed to a physical one, or do
you think doing so is incorrect?

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


Bashyr Aziz                Telephone: 01902 518632
Senior Lecturer
School of Health - MH113
University of Wolverhampton
Molineux Street
Wolverhampton
WV1 1SB

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_003C_01C4C00F.E5E180E0
Content-Type: text/html;
        charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">
<TITLE>Message</TITLE>

<META content=3D"MSHTML 5.50.4134.600" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D586452912-01112004><FONT face=3DArial color=3D#0000ff =

size=3D2>Hi</FONT></SPAN></DIV>
<DIV><SPAN class=3D586452912-01112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D586452912-01112004><FONT face=3DArial color=3D#0000ff =
size=3D2>What=20
needs to be asked is where in the terms of reference/criteria for&nbsp;a =
work=20
related disease&nbsp;does it state that RIDDOR is only applicable to =
physical=20
work related diseases?&nbsp;If it doesn't then there is little argument =
not to=20
include work related mental health illness.</FONT></SPAN></DIV>
<DIV><SPAN class=3D586452912-01112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D586452912-01112004><FONT face=3DArial color=3D#0000ff =
size=3D2>I=20
think the problem would be in defining and being able to prove mental =
illness=20
was definitely work related,&nbsp;what would be the use of an influx of =
ill=20
defined reports, how valid would this =
be?&nbsp;&nbsp;</FONT></SPAN></DIV>
<DIV><SPAN class=3D586452912-01112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D586452912-01112004><FONT face=3DArial color=3D#0000ff =

size=3D2>Sara&nbsp;&nbsp;&nbsp;</FONT></SPAN></DIV>
<DIV><SPAN class=3D586452912-01112004>&nbsp;</SPAN></DIV>
<DIV>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Sara Werry</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Adviser</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Service</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>University of East =
Anglia</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Norwich, NR4 7TJ</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Tel: (01603) 592174</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Fax: (01603) 506579</FONT></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV></DIV>
  <DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr =
align=3Dleft><FONT=20
  face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B> =
Aziz, Bashyr=20
  [mailto:[log in to unmask]] <BR><B>Sent:</B> 01 November 2004=20
  12:07<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Stress &amp;=20
  Riddor<BR><BR></FONT></DIV><!-- Converted from text/rtf format -->
  <P><FONT face=3DArial color=3D#0000ff>Hello</FONT> </P>
  <P><FONT face=3DArial color=3D#0000ff>I just picked this message up at =
another=20
  website.&nbsp; Any comments?</FONT> </P>
  <P><FONT face=3D"Courier New" =
size=3D2>***************************</FONT> </P>
  <P><FONT face=3D"Courier New" size=3D2>I recently contacted the HSE to =
query=20
  whether stress-related illness or psychiatric injury could be =
construed as=20
  reportable under RIDDOR.&nbsp; I received the following =
reply:</FONT></P>
  <P><FONT face=3D"Courier New" size=3D2>"The following information has =
been=20
  provided by the Reporting of Injuries, Diseases and Dangerous =
Occurrences=20
  (RIDDOR) Operations Unit, Bootle.</FONT></P>
  <P><FONT face=3D"Courier New" size=3D2>Stress is not reportable at =
all, not even=20
  as an over 3 day injury, because it is a mental state."</FONT> </P>
  <P><FONT face=3D"Courier New" size=3D2>However, I think most stress =
experts would=20
  find this reason untenable, as their is a general consensus that =
stress, and=20
  related psychiatric conditions, are *both* physical and mental.&nbsp; =
For=20
  example, i ) stress is often viewed as a physiological and =
neurological state,=20
  ii) stress has well-documented physical symptoms and effects.&nbsp; =
The NHS=20
  and Royal College of Psychiatrists, e.g., acknowledge that stress has =
physical=20
  as well as physical symptoms.</FONT></P>
  <P><FONT face=3D"Courier New" size=3D2>Just curious as to what others =
make of=20
  this.&nbsp; Do you think that stress can be classed as a mental state, =
as a=20
  opposed to a physical one, or do you think doing so is =
incorrect?</FONT></P>
  <P><FONT face=3D"Courier New" =
size=3D2>***************************</FONT> </P>
  <P><FONT face=3D"Courier New" size=3D2></FONT> <BR><B><FONT =
face=3DArial=20
  color=3D#0000ff>Bashyr=20
  =
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;</FONT></B>=20
  <FONT face=3DArial color=3D#0000ff>Telephone: 01902 =
518632</FONT><B></B>=20
  <BR><B><FONT face=3DArial color=3D#0000ff>Senior =
Lecturer</FONT></B><FONT=20
  face=3DArial color=3D#0000ff> </FONT><BR><FONT face=3DArial =
color=3D#0000ff>School of=20
  Health - MH113 </FONT><BR><FONT face=3DArial =
color=3D#0000ff>University of=20
  Wolverhampton</FONT> <BR><FONT face=3DArial color=3D#0000ff>Molineux =
Street</FONT>=20
  <BR><FONT face=3DArial color=3D#0000ff>Wolverhampton </FONT><BR><FONT =
face=3DArial=20
  color=3D#0000ff>WV1 1SB</FONT> </P>~~~~~~~~~~~~~~~ Please remove this =
footer=20
  before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_003C_01C4C00F.E5E180E0--
=========================================================================
Date:         Mon, 1 Nov 2004 12:41:40 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jo Jenkins <[log in to unmask]>
Subject:      Re: Stress & Riddor
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

I understood that 'stress' was/is considered under the somatoform umbrella
and therefore has both mental and physical elements.  Without entering into
the realms of huge debate, for stress to occur there needs to be a
stressor, if that stressor can be attributed to the working environs then
in my opinion it should be considered the under F2508A (and I believe that
stress is not in this schedule but perhaps when it is re-revised it may be
given that stress is one of the major causes of workplace ill health)?

Did i answer your question!


Jo Jenkins
Occupational Health Lead (UK/Ireland)
King's Lynn Office
Tel: 01553 615152       Mobile 0771 2120 003




             [log in to unmask]

             01/11/04 12:07                                             To
                                       [log in to unmask]
                                                                        cc
             Please respond to
             OCC-HEALTH@JISCMA                                     Subject
                 IL.AC.UK              Stress & Riddor










Hello


I just picked this message up at another website.  Any comments?


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


I recently contacted the HSE to query whether stress-related illness or
psychiatric injury could be construed as reportable under RIDDOR.  I
received the following reply:


"The following information has been provided by the Reporting of Injuries,
Diseases and Dangerous Occurrences (RIDDOR) Operations Unit, Bootle.


Stress is not reportable at all, not even as an over 3 day injury, because
it is a mental state."


However, I think most stress experts would find this reason untenable, as
their is a general consensus that stress, and related psychiatric
conditions, are *both* physical and mental.  For example, i ) stress is
often viewed as a physiological and neurological state, ii) stress has
well-documented physical symptoms and effects.  The NHS and Royal College
of Psychiatrists, e.g., acknowledge that stress has physical as well as
physical symptoms.


Just curious as to what others make of this.  Do you think that stress can
be classed as a mental state, as a opposed to a physical one, or do you
think doing so is incorrect?


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



Bashyr Aziz                Telephone: 01902 518632
Senior Lecturer
School of Health - MH113
University of Wolverhampton
Molineux Street
Wolverhampton
WV1 1SB


~





**********************************************************************
This e-mail and any files transmitted with it may contain
confidential information and is intended solely for use by
the individual to whom it is addressed.  If you received
this e-mail in error, please notify the sender, do not
disclose its contents to others and delete it from your
system.

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

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 1 Nov 2004 13:05:52 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Robert Dunn
              <[log in to unmask]>
Organization: University of Oxford
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0030_01C4C013.83CFC5C0"

This is a multi-part message in MIME format.

------=_NextPart_000_0030_01C4C013.83CFC5C0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Stress & RiddorHi Bashyr,

We keep missing each other at Warwick Uni. Diploma course as Caroline =
keeps putting us to lecture on separate days, so I thought I'd =
subjectively answer your question=20
 =20
Logically you cannot report a disease that does not exist.  Firstly, if =
my understanding is correct, 'Stress' is not in itself a diagnosis, it =
is a composite of two or more other diagnosable psychological conditions =
(which may or may not have linked physical manifestations), and as such =
'Stress' is not included in ICD10, although there are many related or =
component conditions that are; anxiety, depression etc.     You could =
however, report under RIDDOR any of the associated conditions that are =
included in ICD10 (psychological or physical) that contribute to the 3 =
days or absence, providing that you can get the GP's to provide a Med3 =
to that effect.

I'm probably hopelessly off-beam with my thinking, but I hope this =
helps.

Regards, Bob
  ----- Original Message -----=20
  From: Aziz, Bashyr=20
  To: [log in to unmask]
  Sent: Monday, November 01, 2004 12:07 PM
  Subject: Stress & Riddor


  Hello=20

  I just picked this message up at another website.  Any comments?=20

  ***************************=20

  I recently contacted the HSE to query whether stress-related illness =
or psychiatric injury could be construed as reportable under RIDDOR.  I =
received the following reply:

  "The following information has been provided by the Reporting of =
Injuries, Diseases and Dangerous Occurrences (RIDDOR) Operations Unit, =
Bootle.

  Stress is not reportable at all, not even as an over 3 day injury, =
because it is a mental state."=20

  However, I think most stress experts would find this reason untenable, =
as their is a general consensus that stress, and related psychiatric =
conditions, are *both* physical and mental.  For example, i ) stress is =
often viewed as a physiological and neurological state, ii) stress has =
well-documented physical symptoms and effects.  The NHS and Royal =
College of Psychiatrists, e.g., acknowledge that stress has physical as =
well as physical symptoms.

  Just curious as to what others make of this.  Do you think that stress =
can be classed as a mental state, as a opposed to a physical one, or do =
you think doing so is incorrect?

  ***************************=20

  =20
  Bashyr Aziz                Telephone: 01902 518632=20
  Senior Lecturer=20
  School of Health - MH113=20
  University of Wolverhampton=20
  Molineux Street=20
  Wolverhampton=20
  WV1 1SB=20

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0030_01C4C013.83CFC5C0
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><TITLE>Stress & Riddor</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV>
<DIV><FONT face=3DArial size=3D2>Hi Bashyr,</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>We keep missing each other at Warwick =
Uni. Diploma=20
course as Caroline keeps putting us to lecture on separate days, so I =
thought=20
I'd subjectively answer your question </FONT></DIV>
<DIV><FONT face=3DArial size=3D2>&nbsp; </FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Logically you cannot report a disease =
that does not=20
exist.&nbsp; Firstly, if my understanding is correct, 'Stress' is not in =
itself=20
a diagnosis, it is a composite of&nbsp;two or more other diagnosable=20
psychological conditions (which may or may not have linked physical=20
manifestations), and as such 'Stress' is not included in ICD10, although =
there=20
are many related or component conditions that are; anxiety, depression=20
etc.&nbsp;&nbsp;&nbsp;&nbsp; You could however, report under RIDDOR any =
of the=20
associated conditions that are included in ICD10 (psychological or =
physical)=20
that contribute to the 3 days or absence, providing that you can get the =
GP's to=20
provide a Med3 to that effect.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>I'm probably hopelessly off-beam with =
my thinking,=20
but I hope this helps.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Regards, Bob</FONT></DIV></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask] href=3D"mailto:[log in to unmask]">Aziz, =
Bashyr</A>=20
  </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, November 01, 2004 =
12:07=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Stress &amp; =
Riddor</DIV>
  <DIV><BR></DIV><!-- Converted from text/rtf format -->
  <P><FONT face=3DArial color=3D#0000ff>Hello</FONT> </P>
  <P><FONT face=3DArial color=3D#0000ff>I just picked this message up at =
another=20
  website.&nbsp; Any comments?</FONT> </P>
  <P><FONT face=3D"Courier New" =
size=3D2>***************************</FONT> </P>
  <P><FONT face=3D"Courier New" size=3D2>I recently contacted the HSE to =
query=20
  whether stress-related illness or psychiatric injury could be =
construed as=20
  reportable under RIDDOR.&nbsp; I received the following =
reply:</FONT></P>
  <P><FONT face=3D"Courier New" size=3D2>"The following information has =
been=20
  provided by the Reporting of Injuries, Diseases and Dangerous =
Occurrences=20
  (RIDDOR) Operations Unit, Bootle.</FONT></P>
  <P><FONT face=3D"Courier New" size=3D2>Stress is not reportable at =
all, not even=20
  as an over 3 day injury, because it is a mental state."</FONT> </P>
  <P><FONT face=3D"Courier New" size=3D2>However, I think most stress =
experts would=20
  find this reason untenable, as their is a general consensus that =
stress, and=20
  related psychiatric conditions, are *both* physical and mental.&nbsp; =
For=20
  example, i ) stress is often viewed as a physiological and =
neurological state,=20
  ii) stress has well-documented physical symptoms and effects.&nbsp; =
The NHS=20
  and Royal College of Psychiatrists, e.g., acknowledge that stress has =
physical=20
  as well as physical symptoms.</FONT></P>
  <P><FONT face=3D"Courier New" size=3D2>Just curious as to what others =
make of=20
  this.&nbsp; Do you think that stress can be classed as a mental state, =
as a=20
  opposed to a physical one, or do you think doing so is =
incorrect?</FONT></P>
  <P><FONT face=3D"Courier New" =
size=3D2>***************************</FONT> </P>
  <P><FONT face=3D"Courier New" size=3D2></FONT> <BR><B><FONT =
face=3DArial=20
  color=3D#0000ff>Bashyr=20
  =
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;</FONT></B>=20
  <FONT face=3DArial color=3D#0000ff>Telephone: 01902 =
518632</FONT><B></B>=20
  <BR><B><FONT face=3DArial color=3D#0000ff>Senior =
Lecturer</FONT></B><FONT=20
  face=3DArial color=3D#0000ff> </FONT><BR><FONT face=3DArial =
color=3D#0000ff>School of=20
  Health - MH113 </FONT><BR><FONT face=3DArial =
color=3D#0000ff>University of=20
  Wolverhampton</FONT> <BR><FONT face=3DArial color=3D#0000ff>Molineux =
Street</FONT>=20
  <BR><FONT face=3DArial color=3D#0000ff>Wolverhampton </FONT><BR><FONT =
face=3DArial=20
  color=3D#0000ff>WV1 1SB</FONT> </P>~~~~~~~~~~~~~~~ Please remove this =
footer=20
  before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0030_01C4C013.83CFC5C0--
=========================================================================
Date:         Mon, 1 Nov 2004 13:05:15 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Maguire, Kevin" <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C013.6E2F5988"
Content-Transfer-Encoding: 7bit

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4C013.6E2F5988
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

This reminds me of other areas where something 'new' is expected to jump
over higher hurdles than accepted matters.  What is the standard of
proof of  a dermatitis or back pain being work-induced?  I am not
questioning that they are but pointing out that a reasonable assessment
and attribution is made for them and can be made for work- induced
mental ill-health.  As for defining mental illness, there are recognised
categories of illness that are reliably diagnosed; in particular anxiety
and depression are normally seen as the mental illnesses we associate
with stress.  As to the notion that "psychiatric damage" is of a lesser
status, do we not have the Walker ruling on this?
=20
Kevin
=20
=20
-----Original Message-----
From: Sara Werry [mailto:[log in to unmask]]=20
Sent: 01 November 2004 12:39
To: [log in to unmask]
Subject: Re: Stress & Riddor



        Hi
        =20
        What needs to be asked is where in the terms of
reference/criteria for a work related disease does it state that RIDDOR
is only applicable to physical work related diseases? If it doesn't then
there is little argument not to include work related mental health
illness.
        =20
        I think the problem would be in defining and being able to prove
mental illness was definitely work related, what would be the use of an
influx of ill defined reports, how valid would this be? =20
        =20
        Sara  =20
        =20
        =20
        =20
        Sara Werry
        Occupational Health Adviser
        Occupational Health Service
        University of East Anglia
        Norwich, NR4 7TJ
        Tel: (01603) 592174
        Fax: (01603) 506579

                -----Original Message-----
                From: Aziz, Bashyr [mailto:[log in to unmask]]=20
                Sent: 01 November 2004 12:07
                To: [log in to unmask]
                Subject: Stress & Riddor
        =09
        =09

                Hello=20

                I just picked this message up at another website.  Any
comments?=20

                ***************************=20

                I recently contacted the HSE to query whether
stress-related illness or psychiatric injury could be construed as
reportable under RIDDOR.  I received the following reply:

                "The following information has been provided by the
Reporting of Injuries, Diseases and Dangerous Occurrences (RIDDOR)
Operations Unit, Bootle.

                Stress is not reportable at all, not even as an over 3
day injury, because it is a mental state."=20

                However, I think most stress experts would find this
reason untenable, as their is a general consensus that stress, and
related psychiatric conditions, are *both* physical and mental.  For
example, i ) stress is often viewed as a physiological and neurological
state, ii) stress has well-documented physical symptoms and effects.
The NHS and Royal College of Psychiatrists, e.g., acknowledge that
stress has physical as well as physical symptoms.

                Just curious as to what others make of this.  Do you
think that stress can be classed as a mental state, as a opposed to a
physical one, or do you think doing so is incorrect?

                ***************************=20

        =09
                Bashyr Aziz                Telephone: 01902 518632=20
                Senior Lecturer=20
                School of Health - MH113=20
                University of Wolverhampton=20
                Molineux Street=20
                Wolverhampton=20
                WV1 1SB=20

                ~~~~~~~~~~~~~~~ Please remove this footer before
replying.=20

                For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

                For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

        ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

        For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

        For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20



DISCLAIMER:
This email is intended solely for the addressee.  It may contain private =
and confidential information.  If you are not the intended addressee, =
please take no action based on it nor show a copy to anyone.  In this =
case, please reply to this email to highlight the error.  Opinions and =
information in this email that do not relate to the official business of =
Nottingham Trent University shall be understood as neither given nor =
endorsed by the University.
Nottingham Trent University has taken steps to ensure that this email =
and any attachments are virus-free, but we do advise that the recipient =
should check that the email and its attachments are actually virus free. =
 This is in keeping with good computing practice.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C013.6E2F5988
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD><TITLE>Message</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dus-ascii">
<META content=3D"MSHTML 6.00.2800.1476" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D309165812-01112004><FONT face=3DArial color=3D#0000ff =
size=3D2>This=20
reminds me of other areas where something 'new' is expected to jump over =
higher=20
hurdles than accepted matters.&nbsp; What is the standard of proof=20
of&nbsp;&nbsp;a dermatitis or back pain being work-induced?&nbsp; I am =
not=20
questioning that they are but pointing out that a reasonable assessment =
and=20
attribution is made for them and can be made for work- induced mental=20
ill-health.&nbsp; As for defining mental illness, there are recognised=20
categories of illness that are reliably diagnosed; in&nbsp;particular =
anxiety=20
and depression are normally seen as the mental illnesses we associate =
with=20
stress.&nbsp; As to the notion that "psychiatric damage" is of a lesser =
status,=20
do we not have the Walker ruling on this?</FONT></SPAN></DIV>
<DIV><SPAN class=3D309165812-01112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D309165812-01112004><FONT face=3DArial color=3D#0000ff =

size=3D2>Kevin</FONT></SPAN></DIV>
<DIV><SPAN class=3D309165812-01112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D309165812-01112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV></DIV>
<DIV><FONT face=3DTahoma size=3D2>-----Original =
Message-----<BR><B>From:</B> Sara=20
Werry [mailto:[log in to unmask]] <BR><B>Sent:</B> 01 November 2004=20
12:39<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
Stress=20
&amp; Riddor<BR><BR></DIV></FONT>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>Hi</FONT></SPAN></DIV>
  <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff size=3D2>What=20
  needs to be asked is where in the terms of reference/criteria =
for&nbsp;a work=20
  related disease&nbsp;does it state that RIDDOR is only applicable to =
physical=20
  work related diseases?&nbsp;If it doesn't then there is little =
argument not to=20
  include work related mental health illness.</FONT></SPAN></DIV>
  <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff size=3D2>I=20
  think the problem would be in defining and being able to prove mental =
illness=20
  was definitely work related,&nbsp;what would be the use of an influx =
of ill=20
  defined reports, how valid would this =
be?&nbsp;&nbsp;</FONT></SPAN></DIV>
  <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>Sara&nbsp;&nbsp;&nbsp;</FONT></SPAN></DIV>
  <DIV><SPAN class=3D586452912-01112004></SPAN>&nbsp;</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>&nbsp;</DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>Sara Werry</FONT></DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Adviser</FONT></DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Service</FONT></DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>University of East =
Anglia</FONT></DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>Norwich, NR4 7TJ</FONT></DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>Tel: (01603) =
592174</FONT></DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>Fax: (01603) =
506579</FONT></DIV>
  <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
    <DIV></DIV>
    <DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr =
align=3Dleft><FONT=20
    face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B> =
Aziz, Bashyr=20
    [mailto:[log in to unmask]] <BR><B>Sent:</B> 01 November 2004=20
    12:07<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Stress=20
    &amp; Riddor<BR><BR></FONT></DIV><!-- Converted from text/rtf format =
-->
    <P><FONT face=3DArial color=3D#0000ff>Hello</FONT> </P>
    <P><FONT face=3DArial color=3D#0000ff>I just picked this message up =
at another=20
    website.&nbsp; Any comments?</FONT> </P>
    <P><FONT face=3D"Courier New" =
size=3D2>***************************</FONT> </P>
    <P><FONT face=3D"Courier New" size=3D2>I recently contacted the HSE =
to query=20
    whether stress-related illness or psychiatric injury could be =
construed as=20
    reportable under RIDDOR.&nbsp; I received the following =
reply:</FONT></P>
    <P><FONT face=3D"Courier New" size=3D2>"The following information =
has been=20
    provided by the Reporting of Injuries, Diseases and Dangerous =
Occurrences=20
    (RIDDOR) Operations Unit, Bootle.</FONT></P>
    <P><FONT face=3D"Courier New" size=3D2>Stress is not reportable at =
all, not even=20
    as an over 3 day injury, because it is a mental state."</FONT> </P>
    <P><FONT face=3D"Courier New" size=3D2>However, I think most stress =
experts=20
    would find this reason untenable, as their is a general consensus =
that=20
    stress, and related psychiatric conditions, are *both* physical and=20
    mental.&nbsp; For example, i ) stress is often viewed as a =
physiological and=20
    neurological state, ii) stress has well-documented physical symptoms =
and=20
    effects.&nbsp; The NHS and Royal College of Psychiatrists, e.g., =
acknowledge=20
    that stress has physical as well as physical symptoms.</FONT></P>
    <P><FONT face=3D"Courier New" size=3D2>Just curious as to what =
others make of=20
    this.&nbsp; Do you think that stress can be classed as a mental =
state, as a=20
    opposed to a physical one, or do you think doing so is =
incorrect?</FONT></P>
    <P><FONT face=3D"Courier New" =
size=3D2>***************************</FONT> </P>
    <P><FONT face=3D"Courier New" size=3D2></FONT><BR><B><FONT =
face=3DArial=20
    color=3D#0000ff>Bashyr=20
    =
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;</FONT></B>=20
    <FONT face=3DArial color=3D#0000ff>Telephone: 01902 =
518632</FONT><B></B>=20
    <BR><B><FONT face=3DArial color=3D#0000ff>Senior =
Lecturer</FONT></B><FONT=20
    face=3DArial color=3D#0000ff> </FONT><BR><FONT face=3DArial =
color=3D#0000ff>School=20
    of Health - MH113 </FONT><BR><FONT face=3DArial =
color=3D#0000ff>University of=20
    Wolverhampton</FONT> <BR><FONT face=3DArial color=3D#0000ff>Molineux =

    Street</FONT> <BR><FONT face=3DArial color=3D#0000ff>Wolverhampton=20
    </FONT><BR><FONT face=3DArial color=3D#0000ff>WV1 1SB</FONT> =
</P>~~~~~~~~~~~~~~~=20
    Please remove this footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE>~~~~~~~~~~~~~~~ =

  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE><p></p><p><span =
style=3Dfont-size:8.0pt;font-family:Verdana>DISCLAIMER:<br> This email =
is intended solely for the addressee.  It may contain private and =
confidential information.  If you are not the intended addressee, please =
take no action based on it nor show a copy to anyone.  In this case, =
please reply to this email to highlight the error.  Opinions and =
information in this email that do not relate to the official business of =
Nottingham Trent University shall be understood as neither given nor =
endorsed by the University.</P><P>Nottingham Trent University has taken =
steps to ensure that this email and any attachments are virus-free, but =
we do advise that the recipient should check that the email and its =
attachments are actually virus free.  This is in keeping with good =
computing practice.</P></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C013.6E2F5988--
=========================================================================
Date:         Mon, 1 Nov 2004 13:24:44 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandra Edwards <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C016.26BB15A8"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4C016.26BB15A8
Content-Type: text/plain;
        charset="iso-8859-1"

Hello All

"Stress" as I understood it was a symptom, not a diagnosis, of an underlying
causative agent, from a "stressor" that may or may not related to work or
other sources, that in some cases even the sufferer may not be aware of. In
which case it would be difficult to define the cause of  symptom to be
wholly related to the working environment. Hence the terms of RIDDOR would
not be appropriate.


Best regards,


Sandra Elizabeth Edwards
Occupational Health Advisor

Employee Health and Well Being Service


-----Original Message-----
From: Aziz, Bashyr [mailto:[log in to unmask]]
Sent: Monday, November 01, 2004 12:07 PM
To: [log in to unmask]
Subject: Stress & Riddor



Hello

I just picked this message up at another website.  Any comments?

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

I recently contacted the HSE to query whether stress-related illness or
psychiatric injury could be construed as reportable under RIDDOR.  I
received the following reply:

"The following information has been provided by the Reporting of Injuries,
Diseases and Dangerous Occurrences (RIDDOR) Operations Unit, Bootle.

Stress is not reportable at all, not even as an over 3 day injury, because
it is a mental state."

However, I think most stress experts would find this reason untenable, as
their is a general consensus that stress, and related psychiatric
conditions, are *both* physical and mental.  For example, i ) stress is
often viewed as a physiological and neurological state, ii) stress has
well-documented physical symptoms and effects.  The NHS and Royal College of
Psychiatrists, e.g., acknowledge that stress has physical as well as
physical symptoms.

Just curious as to what others make of this.  Do you think that stress can
be classed as a mental state, as a opposed to a physical one, or do you
think doing so is incorrect?

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


Bashyr Aziz                Telephone: 01902 518632
Senior Lecturer
School of Health - MH113
University of Wolverhampton
Molineux Street
Wolverhampton
WV1 1SB

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C016.26BB15A8
Content-Type: text/html;
        charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">
<TITLE>Stress & Riddor</TITLE>

<META content="MSHTML 6.00.2800.1400" name=GENERATOR></HEAD>
<BODY>
<DIV><FONT face="Calisto MT" color=#800080 size=4><SPAN
class=130091113-01112004>Hello All</SPAN></FONT></DIV>
<DIV><FONT face="Calisto MT" color=#800080 size=4><SPAN
class=130091113-01112004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face="Calisto MT" color=#800080 size=4><SPAN
class=130091113-01112004>"Stress" as I understood it was a symptom, not a
diagnosis, of an underlying causative agent, from a "stressor" that may or may
not related to work or other sources, that in some cases even the sufferer may
not be aware of. In which case it would be difficult to define the cause
of&nbsp; symptom to be wholly related to the working environment. Hence the
terms of RIDDOR would not be appropriate. </SPAN></FONT></DIV>
<DIV><FONT face="Calisto MT" color=#800080 size=4></FONT>&nbsp;</DIV>
<P><FONT face=Algerian color=#800080>Best regards,</FONT> </P><BR>
<P><FONT face=Algerian color=#800080>Sandra Elizabeth Edwards</FONT> <BR><FONT
face=Algerian color=#800080>Occupational Health Advisor</FONT> </P>
<P><FONT face=Algerian color=#800080>Employee Health and Well Being
Service</FONT> <BR></P>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> Aziz, Bashyr
  [mailto:[log in to unmask]]<BR><B>Sent:</B> Monday, November 01, 2004 12:07
  PM<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Stress &amp;
  Riddor<BR><BR></FONT></DIV><!-- Converted from text/rtf format -->
  <P><FONT face=Arial color=#0000ff>Hello</FONT> </P>
  <P><FONT face=Arial color=#0000ff>I just picked this message up at another
  website.&nbsp; Any comments?</FONT> </P>
  <P><FONT face="Courier New" size=2>***************************</FONT> </P>
  <P><FONT face="Courier New" size=2>I recently contacted the HSE to query
  whether stress-related illness or psychiatric injury could be construed as
  reportable under RIDDOR.&nbsp; I received the following reply:</FONT></P>
  <P><FONT face="Courier New" size=2>"The following information has been
  provided by the Reporting of Injuries, Diseases and Dangerous Occurrences
  (RIDDOR) Operations Unit, Bootle.</FONT></P>
  <P><FONT face="Courier New" size=2>Stress is not reportable at all, not even
  as an over 3 day injury, because it is a mental state."</FONT> </P>
  <P><FONT face="Courier New" size=2>However, I think most stress experts would
  find this reason untenable, as their is a general consensus that stress, and
  related psychiatric conditions, are *both* physical and mental.&nbsp; For
  example, i ) stress is often viewed as a physiological and neurological state,
  ii) stress has well-documented physical symptoms and effects.&nbsp; The NHS
  and Royal College of Psychiatrists, e.g., acknowledge that stress has physical
  as well as physical symptoms.</FONT></P>
  <P><FONT face="Courier New" size=2>Just curious as to what others make of
  this.&nbsp; Do you think that stress can be classed as a mental state, as a
  opposed to a physical one, or do you think doing so is incorrect?</FONT></P>
  <P><FONT face="Courier New" size=2>***************************</FONT> </P>
  <P><FONT face="Courier New" size=2></FONT> <BR><B><FONT face=Arial
  color=#0000ff>Bashyr
  Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</FONT></B>
  <FONT face=Arial color=#0000ff>Telephone: 01902 518632</FONT><B></B>
  <BR><B><FONT face=Arial color=#0000ff>Senior Lecturer</FONT></B><FONT
  face=Arial color=#0000ff> </FONT><BR><FONT face=Arial color=#0000ff>School of
  Health - MH113 </FONT><BR><FONT face=Arial color=#0000ff>University of
  Wolverhampton</FONT> <BR><FONT face=Arial color=#0000ff>Molineux Street</FONT>
  <BR><FONT face=Arial color=#0000ff>Wolverhampton </FONT><BR><FONT face=Arial
  color=#0000ff>WV1 1SB</FONT> </P>~~~~~~~~~~~~~~~ Please remove this footer
  before replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C016.26BB15A8--
=========================================================================
Date:         Mon, 1 Nov 2004 13:26:15 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sara Werry <[log in to unmask]>
Subject:      Re: Stress & Riddor
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_004A_01C4C016.6F079D40"

This is a multi-part message in MIME format.

------=_NextPart_000_004A_01C4C016.6F079D40
Content-Type: text/plain;
        charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Hi Kevin

Yes I agree with you but I thought the purpose of RIDDOR was to
essentially report work related disease and I think in terms of mental
health definition this may be open to many different interpretations.

I wonder how many GP's realise the importance of stating if stress is
considered work related or not on certificates and what about the cases
where there are multiple causative factors?

All the best
Sara


Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579

-----Original Message-----
From: Maguire, Kevin [mailto:[log in to unmask]]
Sent: 01 November 2004 13:05
To: [log in to unmask]
Subject: Re: Stress & Riddor


This reminds me of other areas where something 'new' is expected to jump
over higher hurdles than accepted matters.  What is the standard of
proof of  a dermatitis or back pain being work-induced?  I am not
questioning that they are but pointing out that a reasonable assessment
and attribution is made for them and can be made for work- induced
mental ill-health.  As for defining mental illness, there are recognised
categories of illness that are reliably diagnosed; in particular anxiety
and depression are normally seen as the mental illnesses we associate
with stress.  As to the notion that "psychiatric damage" is of a lesser
status, do we not have the Walker ruling on this?

Kevin


-----Original Message-----
From: Sara Werry [mailto:[log in to unmask]]
Sent: 01 November 2004 12:39
To: [log in to unmask]
Subject: Re: Stress & Riddor



Hi

What needs to be asked is where in the terms of reference/criteria for a
work related disease does it state that RIDDOR is only applicable to
physical work related diseases? If it doesn't then there is little
argument not to include work related mental health illness.

I think the problem would be in defining and being able to prove mental
illness was definitely work related, what would be the use of an influx
of ill defined reports, how valid would this be?

Sara



Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579

-----Original Message-----
From: Aziz, Bashyr [mailto:[log in to unmask]]
Sent: 01 November 2004 12:07
To: [log in to unmask]
Subject: Stress & Riddor



Hello

I just picked this message up at another website.  Any comments?

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

I recently contacted the HSE to query whether stress-related illness or
psychiatric injury could be construed as reportable under RIDDOR.  I
received the following reply:

"The following information has been provided by the Reporting of
Injuries, Diseases and Dangerous Occurrences (RIDDOR) Operations Unit,
Bootle.

Stress is not reportable at all, not even as an over 3 day injury,
because it is a mental state."

However, I think most stress experts would find this reason untenable,
as their is a general consensus that stress, and related psychiatric
conditions, are *both* physical and mental.  For example, i ) stress is
often viewed as a physiological and neurological state, ii) stress has
well-documented physical symptoms and effects.  The NHS and Royal
College of Psychiatrists, e.g., acknowledge that stress has physical as
well as physical symptoms.

Just curious as to what others make of this.  Do you think that stress
can be classed as a mental state, as a opposed to a physical one, or do
you think doing so is incorrect?

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


Bashyr Aziz                Telephone: 01902 518632
Senior Lecturer
School of Health - MH113
University of Wolverhampton
Molineux Street
Wolverhampton
WV1 1SB

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



DISCLAIMER:
This email is intended solely for the addressee. It may contain private
and confidential information. If you are not the intended addressee,
please take no action based on it nor show a copy to anyone. In this
case, please reply to this email to highlight the error. Opinions and
information in this email that do not relate to the official business of
Nottingham Trent University shall be understood as neither given nor
endorsed by the University.

Nottingham Trent University has taken steps to ensure that this email
and any attachments are virus-free, but we do advise that the recipient
should check that the email and its attachments are actually virus free.
This is in keeping with good computing practice.

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_004A_01C4C016.6F079D40
Content-Type: text/html;
        charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">
<TITLE>Message</TITLE>

<META content=3D"MSHTML 5.50.4134.600" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D801442113-01112004><FONT face=3DArial color=3D#0000ff =
size=3D2>Hi=20
Kevin</FONT></SPAN></DIV>
<DIV><SPAN class=3D801442113-01112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D801442113-01112004><FONT face=3DArial color=3D#0000ff =
size=3D2>Yes I=20
agree with you but&nbsp;I thought the purpose of RIDDOR was to =
essentially=20
report work related disease and I think in terms of mental=20
health&nbsp;definition this may be open to many different=20
interpretations.</FONT></SPAN></DIV>
<DIV><SPAN class=3D801442113-01112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D801442113-01112004><FONT face=3DArial color=3D#0000ff =
size=3D2>I=20
wonder how many GP's realise the importance of stating if stress is =
considered=20
work related or not on certificates&nbsp;and what about the cases where =
there=20
are multiple causative factors?</FONT></SPAN></DIV>
<DIV><SPAN class=3D801442113-01112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D801442113-01112004><FONT face=3DArial color=3D#0000ff =
size=3D2>All=20
the best</FONT></SPAN></DIV>
<DIV><SPAN class=3D801442113-01112004><FONT face=3DArial color=3D#0000ff =

size=3D2>Sara</FONT></SPAN></DIV>
<DIV>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Sara Werry</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Adviser</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Service</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>University of East =
Anglia</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Norwich, NR4 7TJ</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Tel: (01603) 592174</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Fax: (01603) 506579</FONT></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV></DIV>
  <DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr =
align=3Dleft><FONT=20
  face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B> =
Maguire, Kevin=20
  [mailto:[log in to unmask]] <BR><B>Sent:</B> 01 November 2004=20
  13:05<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
Stress=20
  &amp; Riddor<BR><BR></FONT></DIV>
  <DIV><SPAN class=3D309165812-01112004><FONT face=3DArial =
color=3D#0000ff size=3D2>This=20
  reminds me of other areas where something 'new' is expected to jump =
over=20
  higher hurdles than accepted matters.&nbsp; What is the standard of =
proof=20
  of&nbsp;&nbsp;a dermatitis or back pain being work-induced?&nbsp; I am =
not=20
  questioning that they are but pointing out that a reasonable =
assessment and=20
  attribution is made for them and can be made for work- induced mental=20
  ill-health.&nbsp; As for defining mental illness, there are recognised =

  categories of illness that are reliably diagnosed; in&nbsp;particular =
anxiety=20
  and depression are normally seen as the mental illnesses we associate =
with=20
  stress.&nbsp; As to the notion that "psychiatric damage" is of a =
lesser=20
  status, do we not have the Walker ruling on this?</FONT></SPAN></DIV>
  <DIV><SPAN class=3D309165812-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D309165812-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>Kevin</FONT></SPAN></DIV>
  <DIV><SPAN class=3D309165812-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D309165812-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV></DIV>
  <DIV><FONT face=3DTahoma size=3D2>-----Original =
Message-----<BR><B>From:</B> Sara=20
  Werry [mailto:[log in to unmask]] <BR><B>Sent:</B> 01 November 2004=20
  12:39<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
Stress=20
  &amp; Riddor<BR><BR></DIV></FONT>
  <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
    <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2>Hi</FONT></SPAN></DIV>
    <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2></FONT></SPAN>&nbsp;</DIV>
    <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2>What needs to be asked is where in the terms of =
reference/criteria=20
    for&nbsp;a work related disease&nbsp;does it state that RIDDOR is =
only=20
    applicable to physical work related diseases?&nbsp;If it doesn't =
then there=20
    is little argument not to include work related mental health=20
    illness.</FONT></SPAN></DIV>
    <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2></FONT></SPAN>&nbsp;</DIV>
    <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff size=3D2>I=20
    think the problem would be in defining and being able to prove =
mental=20
    illness was definitely work related,&nbsp;what would be the use of =
an influx=20
    of ill defined reports, how valid would this=20
    be?&nbsp;&nbsp;</FONT></SPAN></DIV>
    <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2></FONT></SPAN>&nbsp;</DIV>
    <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2>Sara&nbsp;&nbsp;&nbsp;</FONT></SPAN></DIV>
    <DIV><SPAN class=3D586452912-01112004></SPAN>&nbsp;</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>&nbsp;</DIV>
    <DIV align=3Dleft><FONT face=3DGaramond>Sara Werry</FONT></DIV>
    <DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Adviser</FONT></DIV>
    <DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Service</FONT></DIV>
    <DIV align=3Dleft><FONT face=3DGaramond>University of East =
Anglia</FONT></DIV>
    <DIV align=3Dleft><FONT face=3DGaramond>Norwich, NR4 =
7TJ</FONT></DIV>
    <DIV align=3Dleft><FONT face=3DGaramond>Tel: (01603) =
592174</FONT></DIV>
    <DIV align=3Dleft><FONT face=3DGaramond>Fax: (01603) =
506579</FONT></DIV>
    <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
      <DIV></DIV>
      <DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr =
align=3Dleft><FONT=20
      face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B> =
Aziz, Bashyr=20
      [mailto:[log in to unmask]] <BR><B>Sent:</B> 01 November 2004=20
      12:07<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Stress=20
      &amp; Riddor<BR><BR></FONT></DIV><!-- Converted from text/rtf =
format -->
      <P><FONT face=3DArial color=3D#0000ff>Hello</FONT> </P>
      <P><FONT face=3DArial color=3D#0000ff>I just picked this message =
up at another=20
      website.&nbsp; Any comments?</FONT> </P>
      <P><FONT face=3D"Courier New" =
size=3D2>***************************</FONT> </P>
      <P><FONT face=3D"Courier New" size=3D2>I recently contacted the =
HSE to query=20
      whether stress-related illness or psychiatric injury could be =
construed as=20
      reportable under RIDDOR.&nbsp; I received the following =
reply:</FONT></P>
      <P><FONT face=3D"Courier New" size=3D2>"The following information =
has been=20
      provided by the Reporting of Injuries, Diseases and Dangerous =
Occurrences=20
      (RIDDOR) Operations Unit, Bootle.</FONT></P>
      <P><FONT face=3D"Courier New" size=3D2>Stress is not reportable at =
all, not=20
      even as an over 3 day injury, because it is a mental =
state."</FONT> </P>
      <P><FONT face=3D"Courier New" size=3D2>However, I think most =
stress experts=20
      would find this reason untenable, as their is a general consensus =
that=20
      stress, and related psychiatric conditions, are *both* physical =
and=20
      mental.&nbsp; For example, i ) stress is often viewed as a =
physiological=20
      and neurological state, ii) stress has well-documented physical =
symptoms=20
      and effects.&nbsp; The NHS and Royal College of Psychiatrists, =
e.g.,=20
      acknowledge that stress has physical as well as physical=20
      symptoms.</FONT></P>
      <P><FONT face=3D"Courier New" size=3D2>Just curious as to what =
others make of=20
      this.&nbsp; Do you think that stress can be classed as a mental =
state, as=20
      a opposed to a physical one, or do you think doing so is=20
      incorrect?</FONT></P>
      <P><FONT face=3D"Courier New" =
size=3D2>***************************</FONT> </P>
      <P><FONT face=3D"Courier New" size=3D2></FONT><BR><B><FONT =
face=3DArial=20
      color=3D#0000ff>Bashyr=20
      =
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;</FONT></B>=20
      <FONT face=3DArial color=3D#0000ff>Telephone: 01902 =
518632</FONT><B></B>=20
      <BR><B><FONT face=3DArial color=3D#0000ff>Senior =
Lecturer</FONT></B><FONT=20
      face=3DArial color=3D#0000ff> </FONT><BR><FONT face=3DArial =
color=3D#0000ff>School=20
      of Health - MH113 </FONT><BR><FONT face=3DArial =
color=3D#0000ff>University of=20
      Wolverhampton</FONT> <BR><FONT face=3DArial =
color=3D#0000ff>Molineux=20
      Street</FONT> <BR><FONT face=3DArial color=3D#0000ff>Wolverhampton =

      </FONT><BR><FONT face=3DArial color=3D#0000ff>WV1 1SB</FONT>=20
      </P>~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
      <P>For list archives and documents, go to=20
      http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
      <P>For jobs in Occupational Health, go to=20
      =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE>~~~~~~~~~~~~~~~ =

    Please remove this footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE>
  <P></P>
  <P><SPAN style=3D"FONT-SIZE: 8pt; FONT-FAMILY: =
Verdana">DISCLAIMER:<BR>This=20
  email is intended solely for the addressee. It may contain private and =

  confidential information. If you are not the intended addressee, =
please take=20
  no action based on it nor show a copy to anyone. In this case, please =
reply to=20
  this email to highlight the error. Opinions and information in this =
email that=20
  do not relate to the official business of Nottingham Trent University =
shall be=20
  understood as neither given nor endorsed by the University.</P>
  <P>Nottingham Trent University has taken steps to ensure that this =
email and=20
  any attachments are virus-free, but we do advise that the recipient =
should=20
  check that the email and its attachments are actually virus free. This =
is in=20
  keeping with good computing practice.</P>~~~~~~~~~~~~~~~ Please remove =
this=20
  footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></SPAN></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_004A_01C4C016.6F079D40--
=========================================================================
Date:         Mon, 1 Nov 2004 13:43:53 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Clayton.Mary" <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C018.D3B10B80"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4C018.D3B10B80
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Sorry if I sound na=EFve but are GPs always able to decide whether the
symptoms are definitely work related? In the early stages of illness =
the GP
may only have the patient's interpretation of the underlying cause.
Exploratron may reveal that work-related stressors are contributory, =
not
causative. I believe that in the Walker v Northumberland case the =
judgment
regarding psychological injury was reached after a protracted =
investigation
of all the facts surrounding the plaintiff's condition.
=20
Mary
=20
-----Original Message-----
From: Sara Werry [mailto:[log in to unmask]]=20
Sent: 01 November 2004 13:26
To: [log in to unmask]
Subject: Re: Stress & Riddor
=20
Hi Kevin
=20
Yes I agree with you but I thought the purpose of RIDDOR was to =
essentially
report work related disease and I think in terms of mental health =
definition
this may be open to many different interpretations.
=20
I wonder how many GP's realise the importance of stating if stress is
considered work related or not on certificates and what about the cases
where there are multiple causative factors?
=20
All the best
Sara
=20
=20
Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579
-----Original Message-----
From: Maguire, Kevin [mailto:[log in to unmask]]=20
Sent: 01 November 2004 13:05
To: [log in to unmask]
Subject: Re: Stress & Riddor
This reminds me of other areas where something 'new' is expected to =
jump
over higher hurdles than accepted matters.  What is the standard of =
proof of
a dermatitis or back pain being work-induced?  I am not questioning =
that
they are but pointing out that a reasonable assessment and attribution =
is
made for them and can be made for work- induced mental ill-health.  As =
for
defining mental illness, there are recognised categories of illness =
that are
reliably diagnosed; in particular anxiety and depression are normally =
seen
as the mental illnesses we associate with stress.  As to the notion =
that
"psychiatric damage" is of a lesser status, do we not have the Walker =
ruling
on this?
=20
Kevin
=20
=20
-----Original Message-----
From: Sara Werry [mailto:[log in to unmask]]=20
Sent: 01 November 2004 12:39
To: [log in to unmask]
Subject: Re: Stress & Riddor
Hi
=20
What needs to be asked is where in the terms of reference/criteria for =
a
work related disease does it state that RIDDOR is only applicable to
physical work related diseases? If it doesn't then there is little =
argument
not to include work related mental health illness.
=20
I think the problem would be in defining and being able to prove mental
illness was definitely work related, what would be the use of an influx =
of
ill defined reports, how valid would this be? =20
=20
Sara  =20
=20
=20
=20
Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579
-----Original Message-----
From: Aziz, Bashyr [mailto:[log in to unmask]]=20
Sent: 01 November 2004 12:07
To: [log in to unmask]
Subject: Stress & Riddor
Hello=20
I just picked this message up at another website.  Any comments?=20
***************************=20
I recently contacted the HSE to query whether stress-related illness or
psychiatric injury could be construed as reportable under RIDDOR.  I
received the following reply:
"The following information has been provided by the Reporting of =
Injuries,
Diseases and Dangerous Occurrences (RIDDOR) Operations Unit, Bootle.
Stress is not reportable at all, not even as an over 3 day injury, =
because
it is a mental state."=20
However, I think most stress experts would find this reason untenable, =
as
their is a general consensus that stress, and related psychiatric
conditions, are *both* physical and mental.  For example, i ) stress is
often viewed as a physiological and neurological state, ii) stress has
well-documented physical symptoms and effects.  The NHS and Royal =
College of
Psychiatrists, e.g., acknowledge that stress has physical as well as
physical symptoms.
Just curious as to what others make of this.  Do you think that stress =
can
be classed as a mental state, as a opposed to a physical one, or do you
think doing so is incorrect?
***************************=20

Bashyr Aziz                Telephone: 01902 518632=20
Senior Lecturer=20
School of Health - MH113=20
University of Wolverhampton=20
Molineux Street=20
Wolverhampton=20
WV1 1SB=20
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20
DISCLAIMER:
This email is intended solely for the addressee. It may contain private =
and
confidential information. If you are not the intended addressee, please =
take
no action based on it nor show a copy to anyone. In this case, please =
reply
to this email to highlight the error. Opinions and information in this =
email
that do not relate to the official business of Nottingham Trent =
University
shall be understood as neither given nor endorsed by the University.
Nottingham Trent University has taken steps to ensure that this email =
and
any attachments are virus-free, but we do advise that the recipient =
should
check that the email and its attachments are actually virus free. This =
is in
keeping with good computing practice.
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C018.D3B10B80
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<html xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns:st1=3D"urn:schemas-microsoft-com:office:smarttags" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 10">
<meta name=3DOriginator content=3D"Microsoft Word 10">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C4C018.DE461720">
<title>Message</title>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"City"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"place"/>
<!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:DontDisplayPageBoundaries/>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if !mso]>
<style>
st1\:*{behavior:url(#default#ieooui) }
</style>
<![endif]-->
<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;
        mso-font-charset:0;
        mso-generic-font-family:swiss;
        mso-font-pitch:variable;
        mso-font-signature:1627421319 -2147483648 8 0 66047 0;}
@font-face
        {font-family:"Monotype Corsiva";
        panose-1:3 1 1 1 1 2 1 1 1 1;
        mso-font-charset:0;
        mso-generic-font-family:script;
        mso-font-pitch:variable;
        mso-font-signature:647 0 0 0 159 0;}
@font-face
        {font-family:Verdana;
        panose-1:2 11 6 4 3 5 4 4 2 4;
        mso-font-charset:0;
        mso-generic-font-family:swiss;
        mso-font-pitch:variable;
        mso-font-signature:536871559 0 0 0 415 0;}
@font-face
        {font-family:Garamond;
        panose-1:2 2 4 4 3 3 1 1 8 3;
        mso-font-charset:0;
        mso-generic-font-family:roman;
        mso-font-pitch:variable;
        mso-font-signature:647 0 0 0 159 0;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;
        text-underline:single;}
p
        {mso-margin-top-alt:auto;
        margin-right:0cm;
        mso-margin-bottom-alt:auto;
        margin-left:0cm;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
span.EmailStyle18
        {mso-style-type:personal-reply;
        mso-style-noshow:yes;
        mso-ansi-font-size:14.0pt;
        mso-bidi-font-size:14.0pt;
        font-family:"Monotype Corsiva";
        mso-ascii-font-family:"Monotype Corsiva";
        mso-hansi-font-family:"Monotype Corsiva";
        mso-bidi-font-family:Arial;
        color:navy;}
span.SpellE
        {mso-style-name:"";
        mso-spl-e:yes;}
@page Section1
        {size:612.0pt 792.0pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;
        mso-header-margin:35.4pt;
        mso-footer-margin:35.4pt;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]-->
</head>

<body lang=3DEN-US link=3Dblue vlink=3Dpurple =
style=3D'tab-interval:36.0pt'>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'>Sorry if I sound na=EFve but are GPs always able to =
decide
whether the symptoms are definitely work related? In the early stages =
of
illness the GP may only have the patient's interpretation of the
underlying cause. Exploratron may reveal that work-related stressors =
are contributory,
not causative. I believe that in the =
</span></font><st1:City><st1:place><font
  size=3D4 color=3Dnavy face=3D"Monotype Corsiva"><span =
style=3D'font-size:14.0pt;
  font-family:"Monotype =
Corsiva";mso-bidi-font-family:Arial;color:navy'>Walker</span></font></st=
1:place></st1:City><font
size=3D4 color=3Dnavy face=3D"Monotype Corsiva"><span =
style=3D'font-size:14.0pt;
font-family:"Monotype Corsiva";mso-bidi-font-family:Arial;color:navy'> =
v Northumberland
case the judgment regarding psychological injury was reached after a =
protracted
investigation of all the facts surrounding the plaintiff's =
condition.<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'>Mary<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DTahoma><span
style=3D'font-size:10.0pt;font-family:Tahoma'>-----Original =
Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Sara Werry =
[mailto:[log in to unmask]]
<br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 01 November 2004 =
13:26<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Re: Stress =
&amp; Riddor</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblue
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:blue'>Hi =
Kevin</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblue
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:blue'>Yes I
agree with you but&nbsp;I thought the purpose of RIDDOR was to =
essentially
report work related disease and I think in terms of mental
health&nbsp;definition this may be open to many different =
interpretations.</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblue
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:blue'>I wonder
how many GP's realise the importance of stating if stress is considered =
work
related or not on certificates&nbsp;and what about the cases where =
there are
multiple causative factors?</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblue
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:blue'>All the
best</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblue
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:blue'>Sara</span></fon=
t><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Sara =
Werry</span></font><o:p></o:p></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Occupational Health =
Adviser</span></font><o:p></o:p></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Occupational Health =
Service</span></font><o:p></o:p></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>University of East =
Anglia</span></font><o:p></o:p></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Norwich, NR4 =
7TJ</span></font><o:p></o:p></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Tel: (01603) =
592174</span></font><o:p></o:p></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Fax: (01603) =
506579</span></font><o:p></o:p></p>

<blockquote =
style=3D'margin-top:5.0pt;margin-right:0cm;margin-bottom:5.0pt'>

<p class=3DMsoNormal =
style=3D'mso-margin-top-alt:0cm;margin-right:0cm;margin-bottom:
12.0pt;margin-left:36.0pt'><font size=3D2 face=3DTahoma><span =
style=3D'font-size:
10.0pt;font-family:Tahoma'>-----Original Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Maguire, Kevin
[mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 01 November 2004 =
13:05<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Re: Stress =
&amp; Riddor</span></font><o:p></o:p></p>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblue
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:blue'>This
reminds me of other areas where something 'new' is expected to jump =
over higher
hurdles than accepted matters.&nbsp; What is the standard of proof
of&nbsp;&nbsp;a dermatitis or back pain being work-induced?&nbsp; I am =
not
questioning that they are but pointing out that a reasonable assessment =
and
attribution is made for them and can be made for work- induced mental
ill-health.&nbsp; As for defining mental illness, there are recognised
categories of illness that are reliably diagnosed; in&nbsp;particular =
anxiety
and depression are normally seen as the mental illnesses we associate =
with
stress.&nbsp; As to the notion that &quot;psychiatric damage&quot; is =
of a
lesser status, do we not have the Walker ruling on =
this?</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblue
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:blue'>Kevin</span></fo=
nt><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span style=3D'font-size:12.0pt'>&nbsp;<o:p></o=
:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal =
style=3D'mso-margin-top-alt:0cm;margin-right:0cm;margin-bottom:
12.0pt;margin-left:36.0pt'><font size=3D2 face=3DTahoma><span =
style=3D'font-size:
10.0pt;font-family:Tahoma'>-----Original Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Sara Werry
[mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 01 November 2004 =
12:39<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Re: Stress =
&amp; Riddor<o:p></o:p></span></font></p>

</div>

<blockquote =
style=3D'margin-top:5.0pt;margin-right:0cm;margin-bottom:5.0pt'>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblue
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:blue'>Hi</span></font>=
<o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblue
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:blue'>What
needs to be asked is where in the terms of reference/criteria =
for&nbsp;a work
related disease&nbsp;does it state that RIDDOR is only applicable to =
physical
work related diseases?&nbsp;If it doesn't then there is little argument =
not to
include work related mental health =
illness.</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblue
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:blue'>I think
the problem would be in defining and being able to prove mental illness =
was
definitely work related,&nbsp;what would be the use of an influx of ill =
defined
reports, how valid would this =
be?&nbsp;&nbsp;</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblue
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:blue'>Sara&nbsp;&nbsp;=
&nbsp;</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;<o:p></o:p></span></font></p>

</div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Sara =
Werry</span></font><o:p></o:p></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Occupational Health =
Adviser</span></font><o:p></o:p></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Occupational Health =
Service</span></font><o:p></o:p></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>University of East =
Anglia</span></font><o:p></o:p></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Norwich, NR4 =
7TJ</span></font><o:p></o:p></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Tel: (01603) =
592174</span></font><o:p></o:p></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Fax: (01603) =
506579</span></font><o:p></o:p></p>

<blockquote =
style=3D'margin-top:5.0pt;margin-right:0cm;margin-bottom:5.0pt'>

<p class=3DMsoNormal =
style=3D'mso-margin-top-alt:0cm;margin-right:0cm;margin-bottom:
12.0pt;margin-left:36.0pt'><font size=3D2 face=3DTahoma><span =
style=3D'font-size:
10.0pt;font-family:Tahoma'>-----Original Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Aziz, Bashyr
[mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 01 November 2004 =
12:07<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Stress &amp; =
Riddor</span></font><o:p></o:p></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 color=3Dblue =
face=3DArial><span
style=3D'font-size:12.0pt;font-family:Arial;color:blue'><!-- Converted =
from text/rtf format -->Hello</span></font>
<o:p></o:p></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 color=3Dblue =
face=3DArial><span
style=3D'font-size:12.0pt;font-family:Arial;color:blue'>I just picked =
this
message up at another website.&nbsp; Any comments?</span></font> =
<o:p></o:p></p>

<p style=3D'margin-left:36.0pt'><font size=3D2 face=3D"Courier =
New"><span
style=3D'font-size:10.0pt;font-family:"Courier =
New"'>***************************</span></font>
<o:p></o:p></p>

<p style=3D'margin-left:36.0pt'><font size=3D2 face=3D"Courier =
New"><span
style=3D'font-size:10.0pt;font-family:"Courier New"'>I recently =
contacted the HSE
to query whether stress-related illness or psychiatric injury could be
construed as reportable under RIDDOR.&nbsp; I received the following =
reply:</span></font><o:p></o:p></p>

<p style=3D'margin-left:36.0pt'><font size=3D2 face=3D"Courier =
New"><span
style=3D'font-size:10.0pt;font-family:"Courier New"'>&quot;The =
following
information has been provided by the Reporting of Injuries, Diseases =
and
Dangerous Occurrences (RIDDOR) Operations Unit, =
Bootle.</span></font><o:p></o:p></p>

<p style=3D'margin-left:36.0pt'><font size=3D2 face=3D"Courier =
New"><span
style=3D'font-size:10.0pt;font-family:"Courier New"'>Stress is not =
reportable at
all, not even as an over 3 day injury, because it is a mental =
state.&quot;</span></font>
<o:p></o:p></p>

<p style=3D'margin-left:36.0pt'><font size=3D2 face=3D"Courier =
New"><span
style=3D'font-size:10.0pt;font-family:"Courier New"'>However, I think =
most stress
experts would find this reason untenable, as their is a general =
consensus that
stress, and related psychiatric conditions, are *both* physical and
mental.&nbsp; For example, i ) stress is often viewed as a =
physiological and
neurological state, ii) stress has well-documented physical symptoms =
and
effects.&nbsp; The NHS and Royal College of Psychiatrists, e.g., =
acknowledge
that stress has physical as well as physical =
symptoms.</span></font><o:p></o:p></p>

<p style=3D'margin-left:36.0pt'><font size=3D2 face=3D"Courier =
New"><span
style=3D'font-size:10.0pt;font-family:"Courier New"'>Just curious as to =
what
others make of this.&nbsp; Do you think that stress can be classed as a =
mental
state, as a opposed to a physical one, or do you think doing so is =
incorrect?</span></font><o:p></o:p></p>

<p style=3D'margin-left:36.0pt'><font size=3D2 face=3D"Courier =
New"><span
style=3D'font-size:10.0pt;font-family:"Courier =
New"'>***************************</span></font>
<o:p></o:p></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'><br>
</span></font><b><font color=3Dblue face=3DArial><span =
style=3D'font-family:Arial;
color:blue;font-weight:bold'>Bashyr
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;</span></font></b>
<font color=3Dblue face=3DArial><span =
style=3D'font-family:Arial;color:blue'>Telephone:
01902 518632</span></font> <br>
<b><font color=3Dblue face=3DArial><span =
style=3D'font-family:Arial;color:blue;
font-weight:bold'>Senior Lecturer</span></font></b><font color=3Dblue =
face=3DArial><span
style=3D'font-family:Arial;color:blue'> </span></font><br>
<font color=3Dblue face=3DArial><span =
style=3D'font-family:Arial;color:blue'>School
of Health - MH113 </span></font><br>
<font color=3Dblue face=3DArial><span =
style=3D'font-family:Arial;color:blue'>University
of Wolverhampton</span></font> <br>
<font color=3Dblue face=3DArial><span =
style=3D'font-family:Arial;color:blue'>Molineux
Street</span></font> <br>
<font color=3Dblue face=3DArial><span =
style=3D'font-family:Arial;color:blue'>Wolverhampton
</span></font><br>
<font color=3Dblue face=3DArial><span =
style=3D'font-family:Arial;color:blue'>WV1 1SB</span></font>
<o:p></o:p></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>~~~~~~~~~~~~~~~ Please
remove this footer before replying. <o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives =
<o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/<o:p></o:p></span></font></p>

</blockquote>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>~~~~~~~~~~~~~~~ Please
remove this footer before replying. <o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives =
<o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/ <o:p></o:p></span></font></p>

</blockquote>

<p style=3D'margin-left:36.0pt'><font size=3D1 face=3DVerdana><span =
style=3D'font-size:
8.0pt;font-family:Verdana'>DISCLAIMER:<br>
This email is intended solely for the addressee. It may contain private =
and
confidential information. If you are not the intended addressee, please =
take no
action based on it nor show a copy to anyone. In this case, please =
reply to
this email to highlight the error. Opinions and information in this =
email that
do not relate to the official business of Nottingham Trent University =
shall be
understood as neither given nor endorsed by the =
University.<o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D1 face=3DVerdana><span =
style=3D'font-size:
8.0pt;font-family:Verdana'>Nottingham Trent University has taken steps =
to
ensure that this email and any attachments are virus-free, but we do =
advise
that the recipient should check that the email and its attachments are =
actually
virus free. This is in keeping with good computing =
practice.<o:p></o:p></span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D1 =
face=3DVerdana><span
style=3D'font-size:8.0pt;font-family:Verdana'>~~~~~~~~~~~~~~~ Please =
remove this
footer before replying. <o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D1 face=3DVerdana><span =
style=3D'font-size:
8.0pt;font-family:Verdana'>For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives =
<o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D1 face=3DVerdana><span =
style=3D'font-size:
8.0pt;font-family:Verdana'>For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/ <o:p></o:p></span></font></p>

</blockquote>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4C018.D3B10B80--
=========================================================================
Date:         Mon, 1 Nov 2004 12:37:28 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Research Proposal
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Do you mean just First Aid or do you mean administering medications for
headaches etc??
Lynda

-----Original Message-----
From: Julia J Collins [mailto:[log in to unmask]]
Sent: Monday, November 01, 2004 12:02 PM
To: [log in to unmask]
Subject: Research Proposal


Hi everyone

I was wondering if any of you can help me with my uni research proposal.
I'm in my first year of the degree and we have to submit a research
question and then work through the process -I think!

My proposed question is:

Should Occupational Health Nurses provide a reactive first aid treatment
service?

Do any of you have comments, ideas or know of any research that has been
done previously?

I would value any info I get back and following the debates of late I know
that there is a wealth of knowledge out there.


Many thanks

Julia

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 1 Nov 2004 14:25:59 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Collins, Julia (UK)" <[log in to unmask]>
Subject:      Re: Research Proposal
MIME-version: 1.0
Content-type: text/plain; charset="iso-8859-1"
Content-transfer-encoding: quoted-printable

Hi Lynda

Just first aid treatment


Julia

-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 01 November 2004 12:37
To: [log in to unmask]
Subject: Re: Research Proposal


               *** WARNING ***

This mail has originated outside your organization,
either from an external partner or the Global Internet.=0D
     Keep this in mind if you answer this message.=0D

Do you mean just First Aid or do you mean administering medications for
headaches etc??
Lynda

-----Original Message-----
From: Julia J Collins [mailto:[log in to unmask]]
Sent: Monday, November 01, 2004 12:02 PM
To: [log in to unmask]
Subject: Research Proposal


Hi everyone

I was wondering if any of you can help me with my uni research proposal.
I'm in my first year of the degree and we have to submit a research
question and then work through the process -I think!

My proposed question is:

Should Occupational Health Nurses provide a reactive first aid treatment
service?

Do any of you have comments, ideas or know of any research that has been
done previously?

I would value any info I get back and following the debates of late I know
that there is a wealth of knowledge out there.


Many thanks

Julia

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 1 Nov 2004 14:17:33 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sara Werry <[log in to unmask]>
Subject:      Re: Stress & Riddor
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0053_01C4C01D.99495100"

This is a multi-part message in MIME format.

------=_NextPart_000_0053_01C4C01D.99495100
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hi Mary
=20
That is just the point I was trying to make, GP's may not have all the
relevant information but I have seen many GP certs with work related
stress where the GP has not interacted with OH or the work environment
before coming to that decision.
=20
Thanks
Sara =20
=20
=20
Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579
-----Original Message-----
From: Clayton.Mary [mailto:[log in to unmask]]=20
Sent: 01 November 2004 13:44
To: [log in to unmask]
Subject: Re: Stress & Riddor


Sorry if I sound na=EFve but are GPs always able to decide whether the
symptoms are definitely work related? In the early stages of illness the
GP may only have the patient's interpretation of the underlying cause.
Exploratron may reveal that work-related stressors are contributory, not
causative. I believe that in the Walker v Northumberland case the
judgment regarding psychological injury was reached after a protracted
investigation of all the facts surrounding the plaintiff's condition.
=20
Mary
=20
-----Original Message-----
From: Sara Werry [mailto:[log in to unmask]]=20
Sent: 01 November 2004 13:26
To: [log in to unmask]
Subject: Re: Stress & Riddor
=20
Hi Kevin
=20
Yes I agree with you but I thought the purpose of RIDDOR was to
essentially report work related disease and I think in terms of mental
health definition this may be open to many different interpretations.
=20
I wonder how many GP's realise the importance of stating if stress is
considered work related or not on certificates and what about the cases
where there are multiple causative factors?
=20
All the best
Sara
=20
=20
Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579
-----Original Message-----
From: Maguire, Kevin [mailto:[log in to unmask]]=20
Sent: 01 November 2004 13:05
To: [log in to unmask]
Subject: Re: Stress & Riddor
This reminds me of other areas where something 'new' is expected to jump
over higher hurdles than accepted matters.  What is the standard of
proof of  a dermatitis or back pain being work-induced?  I am not
questioning that they are but pointing out that a reasonable assessment
and attribution is made for them and can be made for work- induced
mental ill-health.  As for defining mental illness, there are recognised
categories of illness that are reliably diagnosed; in particular anxiety
and depression are normally seen as the mental illnesses we associate
with stress.  As to the notion that "psychiatric damage" is of a lesser
status, do we not have the Walker ruling on this?
=20
Kevin
=20
=20
-----Original Message-----
From: Sara Werry [mailto:[log in to unmask]]=20
Sent: 01 November 2004 12:39
To: [log in to unmask]
Subject: Re: Stress & Riddor
Hi
=20
What needs to be asked is where in the terms of reference/criteria for a
work related disease does it state that RIDDOR is only applicable to
physical work related diseases? If it doesn't then there is little
argument not to include work related mental health illness.
=20
I think the problem would be in defining and being able to prove mental
illness was definitely work related, what would be the use of an influx
of ill defined reports, how valid would this be? =20
=20
Sara  =20
=20
=20
=20
Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579
-----Original Message-----
From: Aziz, Bashyr [mailto:[log in to unmask]]=20
Sent: 01 November 2004 12:07
To: [log in to unmask]
Subject: Stress & Riddor
Hello=20
I just picked this message up at another website.  Any comments?=20
***************************=20
I recently contacted the HSE to query whether stress-related illness or
psychiatric injury could be construed as reportable under RIDDOR.  I
received the following reply:
"The following information has been provided by the Reporting of
Injuries, Diseases and Dangerous Occurrences (RIDDOR) Operations Unit,
Bootle.
Stress is not reportable at all, not even as an over 3 day injury,
because it is a mental state."=20
However, I think most stress experts would find this reason untenable,
as their is a general consensus that stress, and related psychiatric
conditions, are *both* physical and mental.  For example, i ) stress is
often viewed as a physiological and neurological state, ii) stress has
well-documented physical symptoms and effects.  The NHS and Royal
College of Psychiatrists, e.g., acknowledge that stress has physical as
well as physical symptoms.
Just curious as to what others make of this.  Do you think that stress
can be classed as a mental state, as a opposed to a physical one, or do
you think doing so is incorrect?
***************************=20

Bashyr Aziz                Telephone: 01902 518632=20
Senior Lecturer=20
School of Health - MH113=20
University of Wolverhampton=20
Molineux Street=20
Wolverhampton=20
WV1 1SB=20
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20
DISCLAIMER:
This email is intended solely for the addressee. It may contain private
and confidential information. If you are not the intended addressee,
please take no action based on it nor show a copy to anyone. In this
case, please reply to this email to highlight the error. Opinions and
information in this email that do not relate to the official business of
Nottingham Trent University shall be understood as neither given nor
endorsed by the University.
Nottingham Trent University has taken steps to ensure that this email
and any attachments are virus-free, but we do advise that the recipient
should check that the email and its attachments are actually virus free.
This is in keeping with good computing practice.
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/ ~~~~~~~~~~~~~~~ Please remove
this footer before replying.=20

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0053_01C4C01D.99495100
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns=3D"http://www.w3.org/TR/REC-html40" xmlns:o =3D=20
"urn:schemas-microsoft-com:office:office" xmlns:w =3D=20
"urn:schemas-microsoft-com:office:word" xmlns:st1 =3D=20
"urn:schemas-microsoft-com:office:smarttags"><HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<TITLE>Message</TITLE>

<META content=3DWord.Document name=3DProgId>
<META content=3D"MSHTML 5.50.4134.600" name=3DGENERATOR>
<META content=3D"Microsoft Word 10" name=3DOriginator><LINK=20
href=3D"cid:filelist.xml@01C4C018.DE461720" =
rel=3DFile-List><o:SmartTagType=20
name=3D"City"=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"></o:SmartTagT=
ype><o:SmartTagType=20
name=3D"place"=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"></o:SmartTagT=
ype><!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:DontDisplayPageBoundaries/>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if !mso]>
<STYLE>st1\:* {
        BEHAVIOR: url(#default#ieooui)
}
</STYLE>
<![endif]-->
<STYLE>@font-face {
        font-family: Tahoma;
}
@font-face {
        font-family: Monotype Corsiva;
}
@font-face {
        font-family: Verdana;
}
@font-face {
        font-family: Garamond;
}
@page Section1 {size: 612.0pt 792.0pt; margin: 72.0pt 90.0pt 72.0pt =
90.0pt; mso-header-margin: 35.4pt; mso-footer-margin: 35.4pt; =
mso-paper-source: 0; }
P.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
LI.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
DIV.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
A:link {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
SPAN.MsoHyperlink {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
A:visited {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
SPAN.MsoHyperlinkFollowed {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
P {
        FONT-SIZE: 12pt; MARGIN-LEFT: 0cm; MARGIN-RIGHT: 0cm; FONT-FAMILY: =
"Times New Roman"; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"; mso-margin-top-alt: auto; =
mso-margin-bottom-alt: auto
}
SPAN.EmailStyle18 {
        COLOR: navy; FONT-FAMILY: "Monotype Corsiva"; mso-bidi-font-family: =
Arial; mso-style-type: personal-reply; mso-style-noshow: yes; =
mso-ansi-font-size: 14.0pt; mso-bidi-font-size: 14.0pt; =
mso-ascii-font-family: "Monotype Corsiva"; mso-hansi-font-family: =
"Monotype Corsiva"
}
SPAN.SpellE {
        mso-style-name: ""; mso-spl-e: yes
}
DIV.Section1 {
        page: Section1
}
</STYLE>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]--></HEAD>
<BODY lang=3DEN-US style=3D"tab-interval: 36.0pt" vLink=3Dpurple =
link=3Dblue>
<DIV><SPAN class=3D302231214-01112004><FONT face=3DArial color=3D#0000ff =
size=3D2>Hi=20
Mary</FONT></SPAN></DIV>
<DIV><SPAN class=3D302231214-01112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D302231214-01112004><FONT face=3DArial color=3D#0000ff =
size=3D2>That=20
is just the point I was trying to make, GP's may not&nbsp;have all the =
relevant=20
information but I have seen many GP certs with work related stress where =
the GP=20
has not interacted with OH or the work environment before coming to that =

decision.</FONT></SPAN></DIV>
<DIV><SPAN class=3D302231214-01112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D302231214-01112004><FONT face=3DArial color=3D#0000ff =

size=3D2>Thanks</FONT></SPAN></DIV>
<DIV><SPAN class=3D302231214-01112004><FONT face=3DArial color=3D#0000ff =

size=3D2>Sara&nbsp;&nbsp;</FONT></SPAN></DIV>
<DIV>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Sara Werry</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Adviser</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Service</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>University of East =
Anglia</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Norwich, NR4 7TJ</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Tel: (01603) 592174</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Fax: (01603) 506579</FONT></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV></DIV>
  <DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr =
align=3Dleft><FONT=20
  face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B> =
Clayton.Mary=20
  [mailto:[log in to unmask]] <BR><B>Sent:</B> 01 November 2004=20
  13:44<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
Stress=20
  &amp; Riddor<BR><BR></FONT></DIV>
  <DIV class=3DSection1>
  <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy =
size=3D4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype =
Corsiva'; mso-bidi-font-family: Arial">Sorry=20
  if I sound na=EFve but are GPs always able to decide whether the =
symptoms are=20
  definitely work related? In the early stages of illness the GP may =
only have=20
  the patient's interpretation of the underlying cause. Exploratron may =
reveal=20
  that work-related stressors are contributory, not causative. I believe =
that in=20
  the </SPAN></FONT><st1:City><st1:place><FONT face=3D"Monotype Corsiva" =

  color=3Dnavy size=3D4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype =
Corsiva'; mso-bidi-font-family: =
Arial">Walker</SPAN></FONT></st1:place></st1:City><FONT=20
  face=3D"Monotype Corsiva" color=3Dnavy size=3D4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype =
Corsiva'; mso-bidi-font-family: Arial">=20
  v Northumberland case the judgment regarding psychological injury was =
reached=20
  after a protracted investigation of all the facts surrounding the =
plaintiff's=20
  condition.<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy =
size=3D4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype =
Corsiva'; mso-bidi-font-family: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy =
size=3D4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype =
Corsiva'; mso-bidi-font-family: Arial">Mary<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy =
size=3D4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype =
Corsiva'; mso-bidi-font-family: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DTahoma =
size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
  Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: bold">From:</SPAN></B> =
Sara Werry=20
  [mailto:[log in to unmask]] <BR><B><SPAN=20
  style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November 2004 =
13:26<BR><B><SPAN=20
  style=3D"FONT-WEIGHT: bold">To:</SPAN></B> =
[log in to unmask]<BR><B><SPAN=20
  style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Re: Stress &amp;=20
  Riddor</SPAN></FONT></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
  size=3D3><SPAN style=3D"FONT-SIZE: =
12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
  size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Hi=20
  Kevin</SPAN></FONT><o:p></o:p></P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
  size=3D3><SPAN style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
  size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Yes I=20
  agree with you but&nbsp;I thought the purpose of RIDDOR was to =
essentially=20
  report work related disease and I think in terms of mental=20
  health&nbsp;definition this may be open to many different=20
  interpretations.</SPAN></FONT><o:p></o:p></P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
  size=3D3><SPAN style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
  size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">I wonder=20
  how many GP's realise the importance of stating if stress is =
considered work=20
  related or not on certificates&nbsp;and what about the cases where =
there are=20
  multiple causative factors?</SPAN></FONT><o:p></o:p></P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
  size=3D3><SPAN style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
  size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">All the=20
  best</SPAN></FONT><o:p></o:p></P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
  size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Sara</SPAN></FONT><o:p></o:p></P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
  size=3D3><SPAN style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
  size=3D3><SPAN style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Sara=20
  Werry</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Occupational Health=20
  Adviser</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Occupational Health=20
  Service</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">University of East=20
  Anglia</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Norwich, NR4=20
  7TJ</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Tel: (01603)=20
  592174</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond =
size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Fax: (01603)=20
  506579</SPAN></FONT><o:p></o:p></P>
  <BLOCKQUOTE style=3D"MARGIN-TOP: 5pt; MARGIN-BOTTOM: 5pt; =
MARGIN-RIGHT: 0cm">
    <P class=3DMsoNormal=20
    style=3D"MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 36pt; MARGIN-RIGHT: 0cm; =
mso-margin-top-alt: 0cm"><FONT=20
    face=3DTahoma size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
    Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: =
bold">From:</SPAN></B> Maguire,=20
    Kevin [mailto:[log in to unmask]] <BR><B><SPAN=20
    style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November 2004=20
    13:05<BR><B><SPAN style=3D"FONT-WEIGHT: bold">To:</SPAN></B>=20
    [log in to unmask]<BR><B><SPAN=20
    style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Re: Stress &amp;=20
    Riddor</SPAN></FONT><o:p></o:p></P>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
    size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">This=20
    reminds me of other areas where something 'new' is expected to jump =
over=20
    higher hurdles than accepted matters.&nbsp; What is the standard of =
proof=20
    of&nbsp;&nbsp;a dermatitis or back pain being work-induced?&nbsp; I =
am not=20
    questioning that they are but pointing out that a reasonable =
assessment and=20
    attribution is made for them and can be made for work- induced =
mental=20
    ill-health.&nbsp; As for defining mental illness, there are =
recognised=20
    categories of illness that are reliably diagnosed; =
in&nbsp;particular=20
    anxiety and depression are normally seen as the mental illnesses we=20
    associate with stress.&nbsp; As to the notion that "psychiatric =
damage" is=20
    of a lesser status, do we not have the Walker ruling on=20
    this?</SPAN></FONT><o:p></o:p></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
    size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
    size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Kevin</SPAN></FONT><o:p></o:p></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
    size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
    size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
    <DIV>
    <P class=3DMsoNormal=20
    style=3D"MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 36pt; MARGIN-RIGHT: 0cm; =
mso-margin-top-alt: 0cm"><FONT=20
    face=3DTahoma size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
    Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: =
bold">From:</SPAN></B> Sara=20
    Werry [mailto:[log in to unmask]] <BR><B><SPAN=20
    style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November 2004=20
    12:39<BR><B><SPAN style=3D"FONT-WEIGHT: bold">To:</SPAN></B>=20
    [log in to unmask]<BR><B><SPAN=20
    style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Re: Stress &amp;=20
    Riddor<o:p></o:p></SPAN></FONT></P></DIV>
    <BLOCKQUOTE=20
      style=3D"MARGIN-TOP: 5pt; MARGIN-BOTTOM: 5pt; MARGIN-RIGHT: =
0cm"><DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial color=3Dblue=20
      size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Hi</SPAN></FONT><o:p></o:p></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial color=3Dblue=20
      size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">What=20
      needs to be asked is where in the terms of reference/criteria =
for&nbsp;a=20
      work related disease&nbsp;does it state that RIDDOR is only =
applicable to=20
      physical work related diseases?&nbsp;If it doesn't then there is =
little=20
      argument not to include work related mental health=20
      illness.</SPAN></FONT><o:p></o:p></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial color=3Dblue=20
      size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">I=20
      think the problem would be in defining and being able to prove =
mental=20
      illness was definitely work related,&nbsp;what would be the use of =
an=20
      influx of ill defined reports, how valid would this=20
      be?&nbsp;&nbsp;</SPAN></FONT><o:p></o:p></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial color=3Dblue=20
      size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Sara&nbsp;&nbsp;&nbsp;</SPAN></FONT><o:p></o:p></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Sara=20
      Werry</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Occupational=20
      Health Adviser</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Occupational=20
      Health Service</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">University of=20
      East Anglia</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Norwich, NR4=20
      7TJ</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Tel: (01603)=20
      592174</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Fax: (01603)=20
      506579</SPAN></FONT><o:p></o:p></P>
      <BLOCKQUOTE=20
style=3D"MARGIN-TOP: 5pt; MARGIN-BOTTOM: 5pt; MARGIN-RIGHT: 0cm">
        <P class=3DMsoNormal=20
        style=3D"MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 36pt; MARGIN-RIGHT: =
0cm; mso-margin-top-alt: 0cm"><FONT=20
        face=3DTahoma size=3D2><SPAN=20
        style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
        Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: =
bold">From:</SPAN></B>=20
        Aziz, Bashyr [mailto:[log in to unmask]] <BR><B><SPAN=20
        style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November 2004=20
        12:07<BR><B><SPAN style=3D"FONT-WEIGHT: bold">To:</SPAN></B>=20
        [log in to unmask]<BR><B><SPAN=20
        style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Stress &amp;=20
        Riddor</SPAN></FONT><o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial color=3Dblue =
size=3D3><SPAN=20
        style=3D"FONT-SIZE: 12pt; COLOR: blue; FONT-FAMILY: Arial"><!-- =
Converted from text/rtf format -->Hello</SPAN></FONT>=20
        <o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial color=3Dblue =
size=3D3><SPAN=20
        style=3D"FONT-SIZE: 12pt; COLOR: blue; FONT-FAMILY: Arial">I =
just picked=20
        this message up at another website.&nbsp; Any =
comments?</SPAN></FONT>=20
        <o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
        style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier =
New'">***************************</SPAN></FONT>=20
        <o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
        style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">I recently =
contacted=20
        the HSE to query whether stress-related illness or psychiatric =
injury=20
        could be construed as reportable under RIDDOR.&nbsp; I received =
the=20
        following reply:</SPAN></FONT><o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
        style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">"The =
following=20
        information has been provided by the Reporting of Injuries, =
Diseases and=20
        Dangerous Occurrences (RIDDOR) Operations Unit,=20
        Bootle.</SPAN></FONT><o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
        style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">Stress is =
not=20
        reportable at all, not even as an over 3 day injury, because it =
is a=20
        mental state."</SPAN></FONT> <o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
        style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">However, I =
think=20
        most stress experts would find this reason untenable, as their =
is a=20
        general consensus that stress, and related psychiatric =
conditions, are=20
        *both* physical and mental.&nbsp; For example, i ) stress is =
often=20
        viewed as a physiological and neurological state, ii) stress has =

        well-documented physical symptoms and effects.&nbsp; The NHS and =
Royal=20
        College of Psychiatrists, e.g., acknowledge that stress has =
physical as=20
        well as physical symptoms.</SPAN></FONT><o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
        style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">Just =
curious as to=20
        what others make of this.&nbsp; Do you think that stress can be =
classed=20
        as a mental state, as a opposed to a physical one, or do you =
think doing=20
        so is incorrect?</SPAN></FONT><o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
        style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier =
New'">***************************</SPAN></FONT>=20
        <o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
        style=3D"FONT-SIZE: 12pt"><BR></SPAN></FONT><B><FONT =
face=3DArial=20
        color=3Dblue><SPAN=20
        style=3D"FONT-WEIGHT: bold; COLOR: blue; FONT-FAMILY: =
Arial">Bashyr=20
        =
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;</SPAN></FONT></B>=20
        <FONT face=3DArial color=3Dblue><SPAN=20
        style=3D"COLOR: blue; FONT-FAMILY: Arial">Telephone: 01902=20
        518632</SPAN></FONT> <BR><B><FONT face=3DArial =
color=3Dblue><SPAN=20
        style=3D"FONT-WEIGHT: bold; COLOR: blue; FONT-FAMILY: =
Arial">Senior=20
        Lecturer</SPAN></FONT></B><FONT face=3DArial color=3Dblue><SPAN=20
        style=3D"COLOR: blue; FONT-FAMILY: Arial"> =
</SPAN></FONT><BR><FONT=20
        face=3DArial color=3Dblue><SPAN=20
        style=3D"COLOR: blue; FONT-FAMILY: Arial">School of Health - =
MH113=20
        </SPAN></FONT><BR><FONT face=3DArial color=3Dblue><SPAN=20
        style=3D"COLOR: blue; FONT-FAMILY: Arial">University of=20
        Wolverhampton</SPAN></FONT> <BR><FONT face=3DArial =
color=3Dblue><SPAN=20
        style=3D"COLOR: blue; FONT-FAMILY: Arial">Molineux =
Street</SPAN></FONT>=20
        <BR><FONT face=3DArial color=3Dblue><SPAN=20
        style=3D"COLOR: blue; FONT-FAMILY: Arial">Wolverhampton=20
        </SPAN></FONT><BR><FONT face=3DArial color=3Dblue><SPAN=20
        style=3D"COLOR: blue; FONT-FAMILY: Arial">WV1 1SB</SPAN></FONT>=20
        <o:p></o:p></P>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
        face=3D"Times New Roman" size=3D3><SPAN=20
        style=3D"FONT-SIZE: 12pt">~~~~~~~~~~~~~~~ Please remove this =
footer before=20
        replying. <o:p></o:p></SPAN></FONT></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
        style=3D"FONT-SIZE: 12pt">For list archives and documents, go to =

        http://www.jiscmail.ac.uk/lists/occ-health.html for list =
archives=20
        <o:p></o:p></SPAN></FONT></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
        style=3D"FONT-SIZE: 12pt">For jobs in Occupational Health, go to =

        =
http://uk.groups.yahoo.com/group/OHJobs/<o:p></o:p></SPAN></FONT></P></BL=
OCKQUOTE>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt">~~~~~~~~~~~~~~~ Please =
remove this=20
      footer before replying. <o:p></o:p></SPAN></FONT></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
      style=3D"FONT-SIZE: 12pt">For list archives and documents, go to=20
      http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
      <o:p></o:p></SPAN></FONT></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
      style=3D"FONT-SIZE: 12pt">For jobs in Occupational Health, go to=20
      http://uk.groups.yahoo.com/group/OHJobs/=20
    <o:p></o:p></SPAN></FONT></P></BLOCKQUOTE>
    <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana size=3D1><SPAN=20
    style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">DISCLAIMER:<BR>This =
email is=20
    intended solely for the addressee. It may contain private and =
confidential=20
    information. If you are not the intended addressee, please take no =
action=20
    based on it nor show a copy to anyone. In this case, please reply to =
this=20
    email to highlight the error. Opinions and information in this email =
that do=20
    not relate to the official business of Nottingham Trent University =
shall be=20
    understood as neither given nor endorsed by the=20
    University.<o:p></o:p></SPAN></FONT></P>
    <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana size=3D1><SPAN=20
    style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">Nottingham Trent =
University has=20
    taken steps to ensure that this email and any attachments are =
virus-free,=20
    but we do advise that the recipient should check that the email and =
its=20
    attachments are actually virus free. This is in keeping with good =
computing=20
    practice.<o:p></o:p></SPAN></FONT></P>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DVerdana size=3D1><SPAN=20
    style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">~~~~~~~~~~~~~~~ =
Please remove=20
    this footer before replying. <o:p></o:p></SPAN></FONT></P>
    <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana size=3D1><SPAN=20
    style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">For list archives and =

    documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html for =
list=20
    archives <o:p></o:p></SPAN></FONT></P>
    <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana size=3D1><SPAN=20
    style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">For jobs in =
Occupational=20
    Health, go to http://uk.groups.yahoo.com/group/OHJobs/=20
    <o:p></o:p></SPAN></FONT></P></BLOCKQUOTE></DIV>~~~~~~~~~~~~~~~ =
Please remove=20
  this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ ~~~~~~~~~~~~~~~ Please remove =
this=20
  footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0053_01C4C01D.99495100--
=========================================================================
Date:         Mon, 1 Nov 2004 14:52:16 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Aziz, Bashyr" <[log in to unmask]>
Subject:      RIDDOR Legislation and Workplace Stress
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hello again
Just forwarding some more on the question of stress and RIDDOR.  I'm =
probably totally out of order here, as I'm taking mailings out of =
context from one list and using them in another context on another list. =
 I shall rap my own knuckles (in case someone else is thinking of doing =
this for me).  Anyway, keep up the discussion!

Regards
Bashyr Aziz


-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]]
Sent: 01 November 2004 13:11
To: HSE Stress Solutions Discussion Group
Subject: RE: [stress_solutions] RIDDOR Legislation and Workplace Stress



Colleagues

I hope the following clears up some of the issues surrounding stress and
     RIDDOR.

Occupational stress (work-related stress) or stress-related illnesses =
are
     not reportable under the Reporting of Injuries, Diseases and
Dangerous Occurrences Regulations 1995 (RIDDOR).

The question of whether to include occupational stress as a RIDDOR
     reportable disease was considered during the development of the
current Regulations. On the advice of HSC's Occupational Health Advisory
     Committee, it was not included.  This is because the causes of
stress-related ill health are usually extremely complex and linking
     conditions to specific types of work activity (as is done for other
diseases and conditions in RIDDOR) would be very difficult.

This does not mean that issues around stress-related illnesses cannot be
raised with the enforcing authorities. Nor does it mean that a complaint
cannot be made which could be investigated. While work-related stress is
not reportable, employers have duties under the Management of Health and
Safety at Work Regulations 1999 to assess and manage the risk of
stress-related ill health arising from work activities, and under the
Health and Safety at Work etc. Act 1974, to take measures to control =
that
risk. This would include recording and analysing the results of any
monitoring activity.

Regards

Martin Jones
HSE
Stress Priority Programme
Group Manager - Stress Solutions Discussion Group


=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 1 Nov 2004 14:40:44 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Kinselley, Gillian E" <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C020.C4A9F298"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4C020.C4A9F298
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

I am reading with interest the views concerning RIDDOR and GP's identifying
if the condition is classed as work related.
=20
It is very important we liaise with the individuals GP and
Specialist...(with the individuals consent) to help them identify root cause
and plan return to work either in the same job with adjustments or another.
After all we are the Occ Health Specialists and GP'S tend to respect our
view....risk assessments..accident form...job statements are also useful for
them.
 =20
If there is any doubt if the individual needs to be reported under RIDDOR
the information help line is usually very helpful.  They prefer you contact
them than not and will assist in the investigation if they feel this is
required....this allows them to identify risk in various fields of
employment, reduce injury, ill health and accidential loss etc=20
   =20
I would question a GP and have done, who documented a work related illness
without the full facts and without full investigation.=20
=20
=20
Gill
=20
=20
=20

=20
=20
=20
=20
=20
 -----Original Message-----
From: Clayton.Mary [mailto:[log in to unmask]]
Sent: 01 November 2004 13:44
To: [log in to unmask]
Subject: Re: Stress & Riddor


Sorry if I sound na=EFve but are GPs always able to decide whether the
symptoms are definitely work related? In the early stages of illness the GP
may only have the patient's interpretation of the underlying cause.
Exploratron may reveal that work-related stressors are contributory, not
causative. I believe that in the Walker v Northumberland case the judgment
regarding psychological injury was reached after a protracted investigation
of all the facts surrounding the plaintiff's condition.
=20
Mary
=20
-----Original Message-----
From: Sara Werry [mailto:[log in to unmask]]=20
Sent: 01 November 2004 13:26
To: [log in to unmask]
Subject: Re: Stress & Riddor
=20
Hi Kevin
=20
Yes I agree with you but I thought the purpose of RIDDOR was to essentially
report work related disease and I think in terms of mental health definition
this may be open to many different interpretations.
=20
I wonder how many GP's realise the importance of stating if stress is
considered work related or not on certificates and what about the cases
where there are multiple causative factors?
=20
All the best
Sara
=20
=20
Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579
-----Original Message-----
From: Maguire, Kevin [mailto:[log in to unmask]]=20
Sent: 01 November 2004 13:05
To: [log in to unmask]
Subject: Re: Stress & Riddor
This reminds me of other areas where something 'new' is expected to jump
over higher hurdles than accepted matters.  What is the standard of proof of
a dermatitis or back pain being work-induced?  I am not questioning that
they are but pointing out that a reasonable assessment and attribution is
made for them and can be made for work- induced mental ill-health.  As for
defining mental illness, there are recognised categories of illness that are
reliably diagnosed; in particular anxiety and depression are normally seen
as the mental illnesses we associate with stress.  As to the notion that
"psychiatric damage" is of a lesser status, do we not have the Walker ruling
on this?
=20
Kevin
=20
=20
-----Original Message-----
From: Sara Werry [mailto:[log in to unmask]]=20
Sent: 01 November 2004 12:39
To: [log in to unmask]
Subject: Re: Stress & Riddor
Hi
=20
What needs to be asked is where in the terms of reference/criteria for a
work related disease does it state that RIDDOR is only applicable to
physical work related diseases? If it doesn't then there is little argument
not to include work related mental health illness.
=20
I think the problem would be in defining and being able to prove mental
illness was definitely work related, what would be the use of an influx of
ill defined reports, how valid would this be? =20
=20
Sara  =20
=20
=20
=20
Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579
-----Original Message-----
From: Aziz, Bashyr [mailto:[log in to unmask]]=20
Sent: 01 November 2004 12:07
To: [log in to unmask]
Subject: Stress & Riddor
Hello=20
I just picked this message up at another website.  Any comments?=20
***************************=20
I recently contacted the HSE to query whether stress-related illness or
psychiatric injury could be construed as reportable under RIDDOR.  I
received the following reply:
"The following information has been provided by the Reporting of Injuries,
Diseases and Dangerous Occurrences (RIDDOR) Operations Unit, Bootle.
Stress is not reportable at all, not even as an over 3 day injury, because
it is a mental state."=20
However, I think most stress experts would find this reason untenable, as
their is a general consensus that stress, and related psychiatric
conditions, are *both* physical and mental.  For example, i ) stress is
often viewed as a physiological and neurological state, ii) stress has
well-documented physical symptoms and effects.  The NHS and Royal College of
Psychiatrists, e.g., acknowledge that stress has physical as well as
physical symptoms.
Just curious as to what others make of this.  Do you think that stress can
be classed as a mental state, as a opposed to a physical one, or do you
think doing so is incorrect?
***************************=20

Bashyr Aziz                Telephone: 01902 518632=20
Senior Lecturer=20
School of Health - MH113=20
University of Wolverhampton=20
Molineux Street=20
Wolverhampton=20
WV1 1SB=20
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20
DISCLAIMER:
This email is intended solely for the addressee. It may contain private and
confidential information. If you are not the intended addressee, please take
no action based on it nor show a copy to anyone. In this case, please reply
to this email to highlight the error. Opinions and information in this email
that do not relate to the official business of Nottingham Trent University
shall be understood as neither given nor endorsed by the University.
Nottingham Trent University has taken steps to ensure that this email and
any attachments are virus-free, but we do advise that the recipient should
check that the email and its attachments are actually virus free. This is in
keeping with good computing practice.
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20


.sophos.3.86.10.05.
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/ ~~~~~~~~~~~~~~~ Please remove this
footer before replying.=20

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


Emails aren't always secure, and they may be intercepted or changed after t=
hey've been sent. Abbey doesn't accept liability if this happens. If you th=
ink someone may have interfered with this email, please get in touch with t=
he sender another way.

This message doesn't create or change any contract. Abbey doesn't accept re=
sponsibility for damage caused by any viruses contained in this email or it=
s attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at onc=
e that it's gone to the wrong person and then destroy it without copying, u=
sing, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No=
. 3839455 are registered in England and have their Registered Offices at Ab=
bey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regul=
ated by the Financial Services Authority. Abbey National plc only advises o=
n its own life assurance, pension and collective investment scheme products=
. Inscape Investments Limited is a member of the Abbey Marketing Group and =
provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks =
of Abbey National plc.=20


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C020.C4A9F298
Content-Type: text/html; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns=3D"http://www.w3.org/TR/REC-html40" xmlns:o =3D=20
"urn:schemas-microsoft-com:office:office" xmlns:w =3D=20
"urn:schemas-microsoft-com:office:word" xmlns:st1 =3D=20
"urn:schemas-microsoft-com:office:smarttags"><HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; charset=3Diso-8859-=
1">
<TITLE>Message</TITLE>

<META content=3DWord.Document name=3DProgId>
<META content=3D"MSHTML 6.00.2800.1106" name=3DGENERATOR>
<META content=3D"Microsoft Word 10" name=3DOriginator><LINK=20
href=3D"cid:filelist.xml@01C4C018.DE461720" rel=3DFile-List><o:SmartTagType=
 name=3D"City"=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"></o:SmartTagTyp=
e><o:SmartTagType=20
name=3D"place"=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"></o:SmartTagTyp=
e><!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:DontDisplayPageBoundaries/>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if !mso]>
<STYLE>st1\:* {
        BEHAVIOR: url(#default#ieooui)
}
</STYLE>
<![endif]-->
<STYLE>@font-face {
        font-family: Tahoma;
}
@font-face {
        font-family: Monotype Corsiva;
}
@font-face {
        font-family: Verdana;
}
@font-face {
        font-family: Garamond;
}
@page Section1 {size: 612.0pt 792.0pt; margin: 72.0pt 90.0pt 72.0pt 90.0pt;=
 mso-header-margin: 35.4pt; mso-footer-margin: 35.4pt; mso-paper-source: 0;=
 }
P.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; mso-=
style-parent: ""; mso-pagination: widow-orphan; mso-fareast-font-family: "T=
imes New Roman"
}
LI.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; mso-=
style-parent: ""; mso-pagination: widow-orphan; mso-fareast-font-family: "T=
imes New Roman"
}
DIV.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; mso-=
style-parent: ""; mso-pagination: widow-orphan; mso-fareast-font-family: "T=
imes New Roman"
}
A:link {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
SPAN.MsoHyperlink {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
A:visited {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
SPAN.MsoHyperlinkFollowed {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
P {
        FONT-SIZE: 12pt; MARGIN-LEFT: 0cm; MARGIN-RIGHT: 0cm; FONT-FAMILY: "Times =
New Roman"; mso-pagination: widow-orphan; mso-fareast-font-family: "Times N=
ew Roman"; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
SPAN.EmailStyle18 {
        COLOR: navy; FONT-FAMILY: "Monotype Corsiva"; mso-bidi-font-family: Arial;=
 mso-style-type: personal-reply; mso-style-noshow: yes; mso-ansi-font-size:=
 14.0pt; mso-bidi-font-size: 14.0pt; mso-ascii-font-family: "Monotype Corsi=
va"; mso-hansi-font-family: "Monotype Corsiva"
}
SPAN.SpellE {
        mso-style-name: ""; mso-spl-e: yes
}
DIV.Section1 {
        page: Section1
}
</STYLE>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]--></HEAD>
<BODY lang=3DEN-US style=3D"tab-interval: 36.0pt" vLink=3Dpurple link=3Dblu=
e>
<DIV><SPAN class=3D042100714-01112004><FONT face=3DArial color=3D#0000ff si=
ze=3D2>I am=20
reading with interest the views concerning RIDDOR and GP's identifying if t=
he=20
condition is classed as work related.</FONT></SPAN></DIV>
<DIV><SPAN class=3D042100714-01112004><FONT face=3DArial color=3D#0000ff=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D042100714-01112004><FONT face=3DArial color=3D#0000ff si=
ze=3D2>It is=20
very important we liaise with the individuals GP and Specialist...(with the=
 individuals consent) to help them identify root cause and plan return to w=
ork=20
either in the same job with adjustments or another.&nbsp;&nbsp;After all we=
 are=20
the Occ Health Specialists and GP'S tend to respect our view....risk=20
assessments..accident form...job statements are also useful for=20
them.</FONT></SPAN></DIV>
<DIV><SPAN class=3D042100714-01112004><FONT face=3DArial color=3D#0000ff=20
size=3D2>&nbsp;&nbsp;</FONT></SPAN></DIV>
<DIV><SPAN class=3D042100714-01112004><FONT face=3DArial color=3D#0000ff si=
ze=3D2>If=20
there is any doubt if the individual needs to be reported under RIDDOR the=
 information help line is usually very helpful.&nbsp; They prefer you conta=
ct=20
them than not&nbsp;and will assist in the investigation if they feel this i=
s=20
required....this allows them to identify risk in various fields of employme=
nt,=20
reduce injury, ill health and accidential loss etc&nbsp;</FONT></SPAN></DIV>
<DIV><SPAN class=3D042100714-01112004><FONT face=3DArial color=3D#0000ff=20
size=3D2>&nbsp;&nbsp;&nbsp; </FONT></SPAN></DIV>
<DIV><SPAN class=3D042100714-01112004><FONT face=3DArial color=3D#0000ff si=
ze=3D2>I=20
would question a GP and have done, who documented a work related illness wi=
thout=20
the full facts and without full investigation. </FONT></SPAN></DIV>
<DIV><SPAN class=3D042100714-01112004><FONT face=3DArial color=3D#0000ff=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D042100714-01112004><FONT face=3DArial color=3D#0000ff=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D042100714-01112004><FONT face=3DArial color=3D#0000ff=20
size=3D2>Gill</FONT></SPAN></DIV>
<DIV><SPAN class=3D042100714-01112004><FONT face=3DArial color=3D#0000ff=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D042100714-01112004><FONT face=3DArial color=3D#0000ff=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D042100714-01112004><FONT face=3DArial color=3D#0000ff=20
size=3D2></FONT></SPAN>&nbsp;</DIV><SPAN class=3D042100714-01112004></SPAN>=
<FONT=20
face=3DTahoma>
<DIV><BR><FONT size=3D2><SPAN class=3D042100714-01112004><FONT face=3DArial=
 color=3D#0000ff>&nbsp;</FONT></SPAN></FONT></DIV>
<DIV><FONT size=3D2><SPAN class=3D042100714-01112004></SPAN></FONT>&nbsp;</=
DIV>
<DIV><FONT size=3D2><SPAN class=3D042100714-01112004></SPAN></FONT>&nbsp;</=
DIV>
<DIV><FONT size=3D2><SPAN class=3D042100714-01112004></SPAN></FONT>&nbsp;</=
DIV>
<DIV><FONT size=3D2><SPAN class=3D042100714-01112004></SPAN></FONT>&nbsp;</=
DIV>
<DIV><FONT size=3D2><SPAN class=3D042100714-01112004>&nbsp;</SPAN>-----Orig=
inal=20
Message-----<BR><B>From:</B> Clayton.Mary=20
[mailto:[log in to unmask]]<BR><B>Sent:</B> 01 November 2004=20
13:44<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: Stress=
 &amp; Riddor<BR><BR></DIV></FONT></FONT>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DSection1>
  <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy size=3D=
4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva'; m=
so-bidi-font-family: Arial">Sorry=20
  if I sound na=EFve but are GPs always able to decide whether the symptoms=
 are=20
  definitely work related? In the early stages of illness the GP may only h=
ave=20
  the patient's interpretation of the underlying cause. Exploratron may rev=
eal=20
  that work-related stressors are contributory, not causative. I believe th=
at in=20
  the </SPAN></FONT><st1:City><st1:place><FONT face=3D"Monotype Corsiva"=20
  color=3Dnavy size=3D4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva'; m=
so-bidi-font-family: Arial">Walker</SPAN></FONT></st1:place></st1:City><FON=
T=20
  face=3D"Monotype Corsiva" color=3Dnavy size=3D4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva'; m=
so-bidi-font-family: Arial">=20
  v Northumberland case the judgment regarding psychological injury was rea=
ched=20
  after a protracted investigation of all the facts surrounding the plainti=
ff's=20
  condition.<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy size=3D=
4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva'; m=
so-bidi-font-family: Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy size=3D=
4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva'; m=
so-bidi-font-family: Arial">Mary<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy size=3D=
4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva'; m=
so-bidi-font-family: Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DTahoma size=
=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
  Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: bold">From:</SPAN></B> Sar=
a Werry=20
  [mailto:[log in to unmask]] <BR><B><SPAN=20
  style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November 2004 13:26<BR><B=
><SPAN=20
  style=3D"FONT-WEIGHT: bold">To:</SPAN></B> [log in to unmask]<BR><=
B><SPAN=20
  style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Re: Stress &amp;=20
  Riddor</SPAN></FONT></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New =
Roman"=20
  size=3D3><SPAN style=3D"FONT-SIZE: 12pt"><o:p>&nbsp;</o:p></SPAN></FONT><=
/P>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial color=
=3Dblue=20
  size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial"=
>Hi=20
  Kevin</SPAN></FONT><o:p></o:p></P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New =
Roman"=20
  size=3D3><SPAN style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT><=
/P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial color=
=3Dblue=20
  size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial"=
>Yes I=20
  agree with you but&nbsp;I thought the purpose of RIDDOR was to essentiall=
y=20
  report work related disease and I think in terms of mental=20
  health&nbsp;definition this may be open to many different=20
  interpretations.</SPAN></FONT><o:p></o:p></P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New =
Roman"=20
  size=3D3><SPAN style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT><=
/P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial color=
=3Dblue=20
  size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial"=
>I wonder=20
  how many GP's realise the importance of stating if stress is considered w=
ork=20
  related or not on certificates&nbsp;and what about the cases where there =
are=20
  multiple causative factors?</SPAN></FONT><o:p></o:p></P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New =
Roman"=20
  size=3D3><SPAN style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT><=
/P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial color=
=3Dblue=20
  size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial"=
>All the=20
  best</SPAN></FONT><o:p></o:p></P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial color=
=3Dblue=20
  size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial">Sara</SPAN></F=
ONT><o:p></o:p></P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New =
Roman"=20
  size=3D3><SPAN style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT><=
/P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New =
Roman"=20
  size=3D3><SPAN style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT><=
/P></DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond si=
ze=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Sara=20
  Werry</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond si=
ze=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Occupational Health=20
  Adviser</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond si=
ze=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Occupational Health=20
  Service</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond si=
ze=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">University of East=20
  Anglia</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond si=
ze=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Norwich, NR4=20
  7TJ</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond si=
ze=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Tel: (01603)=20
  592174</SPAN></FONT><o:p></o:p></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond si=
ze=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Fax: (01603)=20
  506579</SPAN></FONT><o:p></o:p></P>
  <BLOCKQUOTE style=3D"MARGIN-TOP: 5pt; MARGIN-BOTTOM: 5pt; MARGIN-RIGHT: 0=
cm">
    <P class=3DMsoNormal=20
    style=3D"MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 36pt; MARGIN-RIGHT: 0cm; mso=
-margin-top-alt: 0cm"><FONT=20
    face=3DTahoma size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
    Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: bold">From:</SPAN></B> M=
aguire,=20
    Kevin [mailto:[log in to unmask]] <BR><B><SPAN=20
    style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November 2004=20
    13:05<BR><B><SPAN style=3D"FONT-WEIGHT: bold">To:</SPAN></B>=20
    [log in to unmask]<BR><B><SPAN=20
    style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Re: Stress &amp;=20
    Riddor</SPAN></FONT><o:p></o:p></P>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial col=
or=3Dblue=20
    size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Aria=
l">This=20
    reminds me of other areas where something 'new' is expected to jump ove=
r=20
    higher hurdles than accepted matters.&nbsp; What is the standard of pro=
of=20
    of&nbsp;&nbsp;a dermatitis or back pain being work-induced?&nbsp; I am =
not=20
    questioning that they are but pointing out that a reasonable assessment=
 and=20
    attribution is made for them and can be made for work- induced mental=
     ill-health.&nbsp; As for defining mental illness, there are recognised=
     categories of illness that are reliably diagnosed; in&nbsp;particular=
     anxiety and depression are normally seen as the mental illnesses we=20
    associate with stress.&nbsp; As to the notion that "psychiatric damage"=
 is=20
    of a lesser status, do we not have the Walker ruling on=20
    this?</SPAN></FONT><o:p></o:p></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times Ne=
w Roman"=20
    size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial col=
or=3Dblue=20
    size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial">Kevin</SPAN>=
</FONT><o:p></o:p></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times Ne=
w Roman"=20
    size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times Ne=
w Roman"=20
    size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
    <DIV>
    <P class=3DMsoNormal=20
    style=3D"MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 36pt; MARGIN-RIGHT: 0cm; mso=
-margin-top-alt: 0cm"><FONT=20
    face=3DTahoma size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
    Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: bold">From:</SPAN></B> S=
ara=20
    Werry [mailto:[log in to unmask]] <BR><B><SPAN=20
    style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November 2004=20
    12:39<BR><B><SPAN style=3D"FONT-WEIGHT: bold">To:</SPAN></B>=20
    [log in to unmask]<BR><B><SPAN=20
    style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Re: Stress &amp;=20
    Riddor<o:p></o:p></SPAN></FONT></P></DIV>
    <BLOCKQUOTE=20
      style=3D"MARGIN-TOP: 5pt; MARGIN-BOTTOM: 5pt; MARGIN-RIGHT: 0cm"><DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial c=
olor=3Dblue=20
      size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial">Hi</SPAN><=
/FONT><o:p></o:p></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial c=
olor=3Dblue=20
      size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Ar=
ial">What=20
      needs to be asked is where in the terms of reference/criteria for&nbs=
p;a=20
      work related disease&nbsp;does it state that RIDDOR is only applicabl=
e to=20
      physical work related diseases?&nbsp;If it doesn't then there is litt=
le=20
      argument not to include work related mental health=20
      illness.</SPAN></FONT><o:p></o:p></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial c=
olor=3Dblue=20
      size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Ar=
ial">I=20
      think the problem would be in defining and being able to prove mental=
       illness was definitely work related,&nbsp;what would be the use of a=
n=20
      influx of ill defined reports, how valid would this=20
      be?&nbsp;&nbsp;</SPAN></FONT><o:p></o:p></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial c=
olor=3Dblue=20
      size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial">Sara&nbsp;=
&nbsp;&nbsp;</SPAN></FONT><o:p></o:p></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramon=
d=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Sara=
       Werry</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramon=
d=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Occup=
ational=20
      Health Adviser</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramon=
d=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Occup=
ational=20
      Health Service</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramon=
d=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Unive=
rsity of=20
      East Anglia</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramon=
d=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Norwi=
ch, NR4=20
      7TJ</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramon=
d=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Tel: =
(01603)=20
      592174</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramon=
d=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Fax: =
(01603)=20
      506579</SPAN></FONT><o:p></o:p></P>
      <BLOCKQUOTE=20
style=3D"MARGIN-TOP: 5pt; MARGIN-BOTTOM: 5pt; MARGIN-RIGHT: 0cm">
        <P class=3DMsoNormal=20
        style=3D"MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 36pt; MARGIN-RIGHT: 0cm;=
 mso-margin-top-alt: 0cm"><FONT=20
        face=3DTahoma size=3D2><SPAN=20
        style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
        Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: bold">From:</SPAN></=
B>=20
        Aziz, Bashyr [mailto:[log in to unmask]] <BR><B><SPAN=20
        style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November 2004=20
        12:07<BR><B><SPAN style=3D"FONT-WEIGHT: bold">To:</SPAN></B>=20
        [log in to unmask]<BR><B><SPAN=20
        style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Stress &amp;=20
        Riddor</SPAN></FONT><o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial color=3Dblue size=
=3D3><SPAN=20
        style=3D"FONT-SIZE: 12pt; COLOR: blue; FONT-FAMILY: Arial"><!-- Con=
verted from text/rtf format -->Hello</SPAN></FONT>=20
        <o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial color=3Dblue size=
=3D3><SPAN=20
        style=3D"FONT-SIZE: 12pt; COLOR: blue; FONT-FAMILY: Arial">I just p=
icked=20
        this message up at another website.&nbsp; Any comments?</SPAN></FON=
T>=20
        <o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" size=3D2>=
<SPAN=20
        style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">*************=
**************</SPAN></FONT>=20
        <o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" size=3D2>=
<SPAN=20
        style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">I recently co=
ntacted=20
        the HSE to query whether stress-related illness or psychiatric inju=
ry=20
        could be construed as reportable under RIDDOR.&nbsp; I received the=
         following reply:</SPAN></FONT><o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" size=3D2>=
<SPAN=20
        style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">"The followin=
g=20
        information has been provided by the Reporting of Injuries, Disease=
s and=20
        Dangerous Occurrences (RIDDOR) Operations Unit,=20
        Bootle.</SPAN></FONT><o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" size=3D2>=
<SPAN=20
        style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">Stress is not=
         reportable at all, not even as an over 3 day injury, because it is=
 a=20
        mental state."</SPAN></FONT> <o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" size=3D2>=
<SPAN=20
        style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">However, I th=
ink=20
        most stress experts would find this reason untenable, as their is a=
         general consensus that stress, and related psychiatric conditions,=
 are=20
        *both* physical and mental.&nbsp; For example, i ) stress is often=
         viewed as a physiological and neurological state, ii) stress has=
         well-documented physical symptoms and effects.&nbsp; The NHS and R=
oyal=20
        College of Psychiatrists, e.g., acknowledge that stress has physica=
l as=20
        well as physical symptoms.</SPAN></FONT><o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" size=3D2>=
<SPAN=20
        style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">Just curious =
as to=20
        what others make of this.&nbsp; Do you think that stress can be cla=
ssed=20
        as a mental state, as a opposed to a physical one, or do you think =
doing=20
        so is incorrect?</SPAN></FONT><o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" size=3D2>=
<SPAN=20
        style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">*************=
**************</SPAN></FONT>=20
        <o:p></o:p></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" size=
=3D3><SPAN=20
        style=3D"FONT-SIZE: 12pt"><BR></SPAN></FONT><B><FONT face=3DArial=
         color=3Dblue><SPAN=20
        style=3D"FONT-WEIGHT: bold; COLOR: blue; FONT-FAMILY: Arial">Bashyr=
         Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;</SPAN></FONT></B>=20
        <FONT face=3DArial color=3Dblue><SPAN=20
        style=3D"COLOR: blue; FONT-FAMILY: Arial">Telephone: 01902=20
        518632</SPAN></FONT> <BR><B><FONT face=3DArial color=3Dblue><SPAN=
         style=3D"FONT-WEIGHT: bold; COLOR: blue; FONT-FAMILY: Arial">Senio=
r=20
        Lecturer</SPAN></FONT></B><FONT face=3DArial color=3Dblue><SPAN=20
        style=3D"COLOR: blue; FONT-FAMILY: Arial"> </SPAN></FONT><BR><FONT=
         face=3DArial color=3Dblue><SPAN=20
        style=3D"COLOR: blue; FONT-FAMILY: Arial">School of Health - MH113=
         </SPAN></FONT><BR><FONT face=3DArial color=3Dblue><SPAN=20
        style=3D"COLOR: blue; FONT-FAMILY: Arial">University of=20
        Wolverhampton</SPAN></FONT> <BR><FONT face=3DArial color=3Dblue><SP=
AN=20
        style=3D"COLOR: blue; FONT-FAMILY: Arial">Molineux Street</SPAN></F=
ONT>=20
        <BR><FONT face=3DArial color=3Dblue><SPAN=20
        style=3D"COLOR: blue; FONT-FAMILY: Arial">Wolverhampton=20
        </SPAN></FONT><BR><FONT face=3DArial color=3Dblue><SPAN=20
        style=3D"COLOR: blue; FONT-FAMILY: Arial">WV1 1SB</SPAN></FONT>=20
        <o:p></o:p></P>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
        face=3D"Times New Roman" size=3D3><SPAN=20
        style=3D"FONT-SIZE: 12pt">~~~~~~~~~~~~~~~ Please remove this footer=
 before=20
        replying. <o:p></o:p></SPAN></FONT></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" size=
=3D3><SPAN=20
        style=3D"FONT-SIZE: 12pt">For list archives and documents, go to=20
        http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=
         <o:p></o:p></SPAN></FONT></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" size=
=3D3><SPAN=20
        style=3D"FONT-SIZE: 12pt">For jobs in Occupational Health, go to=20
        http://uk.groups.yahoo.com/group/OHJobs/<o:p></o:p></SPAN></FONT></=
P></BLOCKQUOTE>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt">~~~~~~~~~~~~~~~ Please remov=
e this=20
      footer before replying. <o:p></o:p></SPAN></FONT></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" size=3D=
3><SPAN=20
      style=3D"FONT-SIZE: 12pt">For list archives and documents, go to=20
      http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
      <o:p></o:p></SPAN></FONT></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" size=3D=
3><SPAN=20
      style=3D"FONT-SIZE: 12pt">For jobs in Occupational Health, go to=20
      http://uk.groups.yahoo.com/group/OHJobs/=20
    <o:p></o:p></SPAN></FONT></P></BLOCKQUOTE>
    <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana size=3D1><SPAN=20
    style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">DISCLAIMER:<BR>This emai=
l is=20
    intended solely for the addressee. It may contain private and confident=
ial=20
    information. If you are not the intended addressee, please take no acti=
on=20
    based on it nor show a copy to anyone. In this case, please reply to th=
is=20
    email to highlight the error. Opinions and information in this email th=
at do=20
    not relate to the official business of Nottingham Trent University shal=
l be=20
    understood as neither given nor endorsed by the=20
    University.<o:p></o:p></SPAN></FONT></P>
    <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana size=3D1><SPAN=20
    style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">Nottingham Trent Univers=
ity has=20
    taken steps to ensure that this email and any attachments are virus-fre=
e,=20
    but we do advise that the recipient should check that the email and its=
     attachments are actually virus free. This is in keeping with good comp=
uting=20
    practice.<o:p></o:p></SPAN></FONT></P>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana s=
ize=3D1><SPAN=20
    style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">~~~~~~~~~~~~~~~ Please r=
emove=20
    this footer before replying. <o:p></o:p></SPAN></FONT></P>
    <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana size=3D1><SPAN=20
    style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">For list archives and=20
    documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html for li=
st=20
    archives <o:p></o:p></SPAN></FONT></P>
    <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana size=3D1><SPAN=20
    style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">For jobs in Occupational=
     Health, go to http://uk.groups.yahoo.com/group/OHJobs/=20
    <o:p></o:p></SPAN></FONT></P></BLOCKQUOTE></DIV><CODE><FONT=20
  size=3D3><BR><BR>.sophos.3.86.10.05.<BR></FONT></CODE>~~~~~~~~~~~~~~~ Ple=
ase=20
  remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ ~~~~~~~~~~~~~~~ Please remove th=
is=20
  footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE><CODE><FONT SIZE=
=3D3><BR>
<BR>
Emails aren't always secure, and they may be intercepted or changed after t=
hey've been sent. Abbey doesn't accept liability if this happens. If you th=
ink someone may have interfered with this email, please get in touch with t=
he sender another way.<BR>
<BR>
This message doesn't create or change any contract. Abbey doesn't accept re=
sponsibility for damage caused by any viruses contained in this email or it=
s attachments. Emails may be monitored.<BR>
<BR>
If you've received this email by mistake, please let the sender know at onc=
e that it's gone to the wrong person and then destroy it without copying, u=
sing, or telling anyone about its contents.<BR>
<BR>
Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No=
. 3839455 are registered in England and have their Registered Offices at Ab=
bey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.<BR>
<BR>
Abbey National plc and Inscape Investments Limited are authorised and regul=
ated by the Financial Services Authority. Abbey National plc only advises o=
n its own life assurance, pension and collective investment scheme products=
. Inscape Investments Limited is a member of the Abbey Marketing Group and =
provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks =
of Abbey National plc. <BR>
</FONT></CODE>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C020.C4A9F298--
=========================================================================
Date:         Mon, 1 Nov 2004 16:00:03 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sara Werry <[log in to unmask]>
Subject:      Re: Stress & Riddor
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0070_01C4C02B.EB2D7C90"

This is a multi-part message in MIME format.

------=_NextPart_000_0070_01C4C02B.EB2D7C90
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

I agree with you Gill, if OH are aware of the situation then they can
initiate the appropriate systems. However not all employers have OH
provision or automatically request an OH opinion on RIDDOR reporting,
some will use the HSE list and match it up to GP certs.
=20
Sara =20
=20
=20
Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579
-----Original Message-----
From: Kinselley, Gillian E [mailto:[log in to unmask]]=20
Sent: 01 November 2004 14:41
To: [log in to unmask]
Subject: Re: Stress & Riddor


I am reading with interest the views concerning RIDDOR and GP's
identifying if the condition is classed as work related.
=20
It is very important we liaise with the individuals GP and
Specialist...(with the individuals consent) to help them identify root
cause and plan return to work either in the same job with adjustments or
another.  After all we are the Occ Health Specialists and GP'S tend to
respect our view....risk assessments..accident form...job statements are
also useful for them.
 =20
If there is any doubt if the individual needs to be reported under
RIDDOR the information help line is usually very helpful.  They prefer
you contact them than not and will assist in the investigation if they
feel this is required....this allows them to identify risk in various
fields of employment, reduce injury, ill health and accidential loss etc

   =20
I would question a GP and have done, who documented a work related
illness without the full facts and without full investigation.=20
=20
=20
Gill
=20
=20
=20


=20
=20
=20
=20
=20
 -----Original Message-----
From: Clayton.Mary [mailto:[log in to unmask]]
Sent: 01 November 2004 13:44
To: [log in to unmask]
Subject: Re: Stress & Riddor


Sorry if I sound na=EFve but are GPs always able to decide whether the
symptoms are definitely work related? In the early stages of illness the
GP may only have the patient's interpretation of the underlying cause.
Exploratron may reveal that work-related stressors are contributory, not
causative. I believe that in the Walker v Northumberland case the
judgment regarding psychological injury was reached after a protracted
investigation of all the facts surrounding the plaintiff's condition.
=20
Mary
=20
-----Original Message-----
From: Sara Werry [mailto:[log in to unmask]]=20
Sent: 01 November 2004 13:26
To: [log in to unmask]
Subject: Re: Stress & Riddor
=20
Hi Kevin
=20
Yes I agree with you but I thought the purpose of RIDDOR was to
essentially report work related disease and I think in terms of mental
health definition this may be open to many different interpretations.
=20
I wonder how many GP's realise the importance of stating if stress is
considered work related or not on certificates and what about the cases
where there are multiple causative factors?
=20
All the best
Sara
=20
=20
Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579
-----Original Message-----
From: Maguire, Kevin [mailto:[log in to unmask]]=20
Sent: 01 November 2004 13:05
To: [log in to unmask]
Subject: Re: Stress & Riddor
This reminds me of other areas where something 'new' is expected to jump
over higher hurdles than accepted matters.  What is the standard of
proof of  a dermatitis or back pain being work-induced?  I am not
questioning that they are but pointing out that a reasonable assessment
and attribution is made for them and can be made for work- induced
mental ill-health.  As for defining mental illness, there are recognised
categories of illness that are reliably diagnosed; in particular anxiety
and depression are normally seen as the mental illnesses we associate
with stress.  As to the notion that "psychiatric damage" is of a lesser
status, do we not have the Walker ruling on this?
=20
Kevin
=20
=20
-----Original Message-----
From: Sara Werry [mailto:[log in to unmask]]=20
Sent: 01 November 2004 12:39
To: [log in to unmask]
Subject: Re: Stress & Riddor
Hi
=20
What needs to be asked is where in the terms of reference/criteria for a
work related disease does it state that RIDDOR is only applicable to
physical work related diseases? If it doesn't then there is little
argument not to include work related mental health illness.
=20
I think the problem would be in defining and being able to prove mental
illness was definitely work related, what would be the use of an influx
of ill defined reports, how valid would this be? =20
=20
Sara  =20
=20
=20
=20
Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579
-----Original Message-----
From: Aziz, Bashyr [mailto:[log in to unmask]]=20
Sent: 01 November 2004 12:07
To: [log in to unmask]
Subject: Stress & Riddor
Hello=20
I just picked this message up at another website.  Any comments?=20
***************************=20
I recently contacted the HSE to query whether stress-related illness or
psychiatric injury could be construed as reportable under RIDDOR.  I
received the following reply:
"The following information has been provided by the Reporting of
Injuries, Diseases and Dangerous Occurrences (RIDDOR) Operations Unit,
Bootle.
Stress is not reportable at all, not even as an over 3 day injury,
because it is a mental state."=20
However, I think most stress experts would find this reason untenable,
as their is a general consensus that stress, and related psychiatric
conditions, are *both* physical and mental.  For example, i ) stress is
often viewed as a physiological and neurological state, ii) stress has
well-documented physical symptoms and effects.  The NHS and Royal
College of Psychiatrists, e.g., acknowledge that stress has physical as
well as physical symptoms.
Just curious as to what others make of this.  Do you think that stress
can be classed as a mental state, as a opposed to a physical one, or do
you think doing so is incorrect?
***************************=20

Bashyr Aziz                Telephone: 01902 518632=20
Senior Lecturer=20
School of Health - MH113=20
University of Wolverhampton=20
Molineux Street=20
Wolverhampton=20
WV1 1SB=20
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20
DISCLAIMER:
This email is intended solely for the addressee. It may contain private
and confidential information. If you are not the intended addressee,
please take no action based on it nor show a copy to anyone. In this
case, please reply to this email to highlight the error. Opinions and
information in this email that do not relate to the official business of
Nottingham Trent University shall be understood as neither given nor
endorsed by the University.
Nottingham Trent University has taken steps to ensure that this email
and any attachments are virus-free, but we do advise that the recipient
should check that the email and its attachments are actually virus free.
This is in keeping with good computing practice.
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20


.sophos.3.86.10.05.
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/ ~~~~~~~~~~~~~~~ Please remove
this footer before replying.=20

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


Emails aren't always secure, and they may be intercepted or changed
after they've been sent. Abbey doesn't accept liability if this happens.
If you think someone may have interfered with this email, please get in
touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept
responsibility for damage caused by any viruses contained in this email
or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at
once that it's gone to the wrong person and then destroy it without
copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg.
No. 3839455 are registered in England and have their Registered Offices
at Abbey National House, 2 Triton Square, Regent's Place, London, NW1
3AN.

Abbey National plc and Inscape Investments Limited are authorised and
regulated by the Financial Services Authority. Abbey National plc only
advises on its own life assurance, pension and collective investment
scheme products. Inscape Investments Limited is a member of the Abbey
Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are
registered trademarks of Abbey National plc.=20
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0070_01C4C02B.EB2D7C90
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns=3D"http://www.w3.org/TR/REC-html40" xmlns:o =3D=20
"urn:schemas-microsoft-com:office:office" xmlns:w =3D=20
"urn:schemas-microsoft-com:office:word" xmlns:st1 =3D=20
"urn:schemas-microsoft-com:office:smarttags"><HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<TITLE>Message</TITLE>

<META content=3DWord.Document name=3DProgId>
<META content=3D"MSHTML 5.50.4134.600" name=3DGENERATOR>
<META content=3D"Microsoft Word 10" name=3DOriginator><LINK=20
href=3D"cid:filelist.xml@01C4C018.DE461720" =
rel=3DFile-List><o:SmartTagType=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"=20
name=3D"City"></o:SmartTagType><o:SmartTagType=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"=20
name=3D"place"></o:SmartTagType><!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:DontDisplayPageBoundaries/>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if !mso]>
<STYLE>st1\:* {
        BEHAVIOR: url(#default#ieooui)
}
</STYLE>
<![endif]-->
<STYLE>@font-face {
        font-family: Tahoma;
}
@font-face {
        font-family: Monotype Corsiva;
}
@font-face {
        font-family: Verdana;
}
@font-face {
        font-family: Garamond;
}
@page Section1 {size: 612.0pt 792.0pt; margin: 72.0pt 90.0pt 72.0pt =
90.0pt; mso-header-margin: 35.4pt; mso-footer-margin: 35.4pt; =
mso-paper-source: 0; }
P.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
LI.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
DIV.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
A:link {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
SPAN.MsoHyperlink {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
A:visited {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
SPAN.MsoHyperlinkFollowed {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
P {
        FONT-SIZE: 12pt; MARGIN-LEFT: 0cm; MARGIN-RIGHT: 0cm; FONT-FAMILY: =
"Times New Roman"; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"; mso-margin-top-alt: auto; =
mso-margin-bottom-alt: auto
}
SPAN.EmailStyle18 {
        COLOR: navy; FONT-FAMILY: "Monotype Corsiva"; mso-bidi-font-family: =
Arial; mso-style-type: personal-reply; mso-style-noshow: yes; =
mso-ansi-font-size: 14.0pt; mso-bidi-font-size: 14.0pt; =
mso-ascii-font-family: "Monotype Corsiva"; mso-hansi-font-family: =
"Monotype Corsiva"
}
SPAN.SpellE {
        mso-style-name: ""; mso-spl-e: yes
}
DIV.Section1 {
        page: Section1
}
</STYLE>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]--></HEAD>
<BODY lang=3DEN-US style=3D"tab-interval: 36.0pt" vLink=3Dpurple =
link=3Dblue>
<DIV><SPAN class=3D598524915-01112004><FONT face=3DArial color=3D#0000ff =
size=3D2>I=20
agree with you Gill, if OH are aware of the situation then they=20
can&nbsp;initiate&nbsp;the appropriate systems. However&nbsp;not all =
employers=20
have OH provision or automatically request an&nbsp;OH opinion on RIDDOR=20
reporting,&nbsp;some will&nbsp;use the HSE list and match it up to GP=20
certs.</FONT></SPAN></DIV>
<DIV><SPAN class=3D598524915-01112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D598524915-01112004><FONT face=3DArial color=3D#0000ff =

size=3D2>Sara</FONT></SPAN><SPAN class=3D598524915-01112004><FONT =
face=3DArial=20
color=3D#0000ff size=3D2>&nbsp;&nbsp;</FONT></SPAN></DIV>
<DIV>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Sara Werry</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Adviser</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Service</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>University of East =
Anglia</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Norwich, NR4 7TJ</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Tel: (01603) 592174</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Fax: (01603) 506579</FONT></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV></DIV>
  <DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr =
align=3Dleft><FONT=20
  face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B> =
Kinselley,=20
  Gillian E [mailto:[log in to unmask]] <BR><B>Sent:</B> 01 =
November=20
  2004 14:41<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Re:=20
  Stress &amp; Riddor<BR><BR></FONT></DIV>
  <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff size=3D2>I am=20
  reading with interest the views concerning RIDDOR and GP's identifying =
if the=20
  condition is classed as work related.</FONT></SPAN></DIV>
  <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff size=3D2>It=20
  is very important we liaise with the individuals GP and =
Specialist...(with the=20
  individuals consent) to help them identify root cause and plan return =
to work=20
  either in the same job with adjustments or another.&nbsp;&nbsp;After =
all we=20
  are the Occ Health Specialists and GP'S tend to respect our =
view....risk=20
  assessments..accident form...job statements are also useful for=20
  them.</FONT></SPAN></DIV>
  <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>&nbsp;&nbsp;</FONT></SPAN></DIV>
  <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff size=3D2>If=20
  there is any doubt if the individual needs to be reported under RIDDOR =
the=20
  information help line is usually very helpful.&nbsp; They prefer you =
contact=20
  them than not&nbsp;and will assist in the investigation if they feel =
this is=20
  required....this allows them to identify risk in various fields of =
employment,=20
  reduce injury, ill health and accidential loss =
etc&nbsp;</FONT></SPAN></DIV>
  <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>&nbsp;&nbsp;&nbsp; </FONT></SPAN></DIV>
  <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff size=3D2>I=20
  would question a GP and have done, who documented a work related =
illness=20
  without the full facts and without full investigation. =
</FONT></SPAN></DIV>
  <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>Gill</FONT></SPAN></DIV>
  <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV><SPAN =
class=3D042100714-01112004></SPAN><FONT=20
  face=3DTahoma>
  <DIV><BR><FONT size=3D2><SPAN class=3D042100714-01112004><FONT =
face=3DArial=20
  color=3D#0000ff>&nbsp;</FONT></SPAN></FONT></DIV>
  <DIV><FONT size=3D2><SPAN =
class=3D042100714-01112004></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2><SPAN =
class=3D042100714-01112004></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2><SPAN =
class=3D042100714-01112004></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2><SPAN =
class=3D042100714-01112004></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2><SPAN =
class=3D042100714-01112004>&nbsp;</SPAN>-----Original=20
  Message-----<BR><B>From:</B> Clayton.Mary=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 01 November 2004=20
  13:44<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
Stress=20
  &amp; Riddor<BR><BR></DIV></FONT></FONT>
  <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
    <DIV class=3DSection1>
    <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy =
size=3D4><SPAN=20
    style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype =
Corsiva'; mso-bidi-font-family: Arial">Sorry=20
    if I sound na=EFve but are GPs always able to decide whether the =
symptoms are=20
    definitely work related? In the early stages of illness the GP may =
only have=20
    the patient's interpretation of the underlying cause. Exploratron =
may reveal=20
    that work-related stressors are contributory, not causative. I =
believe that=20
    in the </SPAN></FONT><st1:City><st1:place><FONT face=3D"Monotype =
Corsiva"=20
    color=3Dnavy size=3D4><SPAN=20
    style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype =
Corsiva'; mso-bidi-font-family: =
Arial">Walker</SPAN></FONT></st1:place></st1:City><FONT=20
    face=3D"Monotype Corsiva" color=3Dnavy size=3D4><SPAN=20
    style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype =
Corsiva'; mso-bidi-font-family: Arial">=20
    v Northumberland case the judgment regarding psychological injury =
was=20
    reached after a protracted investigation of all the facts =
surrounding the=20
    plaintiff's condition.<o:p></o:p></SPAN></FONT></P>
    <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy =
size=3D4><SPAN=20
    style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype =
Corsiva'; mso-bidi-font-family: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
    <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy =
size=3D4><SPAN=20
    style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype =
Corsiva'; mso-bidi-font-family: Arial">Mary<o:p></o:p></SPAN></FONT></P>
    <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy =
size=3D4><SPAN=20
    style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype =
Corsiva'; mso-bidi-font-family: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DTahoma =
size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
    Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: =
bold">From:</SPAN></B> Sara=20
    Werry [mailto:[log in to unmask]] <BR><B><SPAN=20
    style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November 2004=20
    13:26<BR><B><SPAN style=3D"FONT-WEIGHT: bold">To:</SPAN></B>=20
    [log in to unmask]<BR><B><SPAN=20
    style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Re: Stress &amp;=20
    Riddor</SPAN></FONT></P>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
    size=3D3><SPAN style=3D"FONT-SIZE: =
12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
    size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Hi=20
    Kevin</SPAN></FONT><o:p></o:p></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
    size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
    size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Yes I=20
    agree with you but&nbsp;I thought the purpose of RIDDOR was to =
essentially=20
    report work related disease and I think in terms of mental=20
    health&nbsp;definition this may be open to many different=20
    interpretations.</SPAN></FONT><o:p></o:p></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
    size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
    size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">I=20
    wonder how many GP's realise the importance of stating if stress is=20
    considered work related or not on certificates&nbsp;and what about =
the cases=20
    where there are multiple causative=20
    factors?</SPAN></FONT><o:p></o:p></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
    size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
    size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">All=20
    the best</SPAN></FONT><o:p></o:p></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
    size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Sara</SPAN></FONT><o:p></o:p></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
    size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
    size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
    size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Sara =

    Werry</SPAN></FONT><o:p></o:p></P>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
    size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Occupational=20
    Health Adviser</SPAN></FONT><o:p></o:p></P>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
    size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Occupational=20
    Health Service</SPAN></FONT><o:p></o:p></P>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
    size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">University of=20
    East Anglia</SPAN></FONT><o:p></o:p></P>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
    size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Norwich, NR4=20
    7TJ</SPAN></FONT><o:p></o:p></P>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
    size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Tel: =
(01603)=20
    592174</SPAN></FONT><o:p></o:p></P>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
    size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Fax: =
(01603)=20
    506579</SPAN></FONT><o:p></o:p></P>
    <BLOCKQUOTE=20
      style=3D"MARGIN-TOP: 5pt; MARGIN-BOTTOM: 5pt; MARGIN-RIGHT: =
0cm"><P=20
      class=3DMsoNormal=20
      style=3D"MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 36pt; MARGIN-RIGHT: =
0cm; mso-margin-top-alt: 0cm"><FONT=20
      face=3DTahoma size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
      Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: =
bold">From:</SPAN></B>=20
      Maguire, Kevin [mailto:[log in to unmask]] <BR><B><SPAN=20
      style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November 2004=20
      13:05<BR><B><SPAN style=3D"FONT-WEIGHT: bold">To:</SPAN></B>=20
      [log in to unmask]<BR><B><SPAN=20
      style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Re: Stress &amp;=20
      Riddor</SPAN></FONT><o:p></o:p></P>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial color=3Dblue=20
      size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">This=20
      reminds me of other areas where something 'new' is expected to =
jump over=20
      higher hurdles than accepted matters.&nbsp; What is the standard =
of proof=20
      of&nbsp;&nbsp;a dermatitis or back pain being work-induced?&nbsp; =
I am not=20
      questioning that they are but pointing out that a reasonable =
assessment=20
      and attribution is made for them and can be made for work- induced =
mental=20
      ill-health.&nbsp; As for defining mental illness, there are =
recognised=20
      categories of illness that are reliably diagnosed; =
in&nbsp;particular=20
      anxiety and depression are normally seen as the mental illnesses =
we=20
      associate with stress.&nbsp; As to the notion that "psychiatric =
damage" is=20
      of a lesser status, do we not have the Walker ruling on=20
      this?</SPAN></FONT><o:p></o:p></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial color=3Dblue=20
      size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Kevin</SPAN></FONT><o:p></o:p></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal=20
      style=3D"MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 36pt; MARGIN-RIGHT: =
0cm; mso-margin-top-alt: 0cm"><FONT=20
      face=3DTahoma size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
      Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: =
bold">From:</SPAN></B> Sara=20
      Werry [mailto:[log in to unmask]] <BR><B><SPAN=20
      style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November 2004=20
      12:39<BR><B><SPAN style=3D"FONT-WEIGHT: bold">To:</SPAN></B>=20
      [log in to unmask]<BR><B><SPAN=20
      style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Re: Stress &amp;=20
      Riddor<o:p></o:p></SPAN></FONT></P></DIV>
      <BLOCKQUOTE=20
style=3D"MARGIN-TOP: 5pt; MARGIN-BOTTOM: 5pt; MARGIN-RIGHT: 0cm">
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial color=3Dblue=20
        size=3D2><SPAN=20
        style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Hi</SPAN></FONT><o:p></o:p></P></DIV>
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
        face=3D"Times New Roman" size=3D3><SPAN=20
        style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial color=3Dblue=20
        size=3D2><SPAN=20
        style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial">What =
needs to=20
        be asked is where in the terms of reference/criteria for&nbsp;a =
work=20
        related disease&nbsp;does it state that RIDDOR is only =
applicable to=20
        physical work related diseases?&nbsp;If it doesn't then there is =
little=20
        argument not to include work related mental health=20
        illness.</SPAN></FONT><o:p></o:p></P></DIV>
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
        face=3D"Times New Roman" size=3D3><SPAN=20
        style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial color=3Dblue=20
        size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; =
FONT-FAMILY: Arial">I=20
        think the problem would be in defining and being able to prove =
mental=20
        illness was definitely work related,&nbsp;what would be the use =
of an=20
        influx of ill defined reports, how valid would this=20
        be?&nbsp;&nbsp;</SPAN></FONT><o:p></o:p></P></DIV>
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
        face=3D"Times New Roman" size=3D3><SPAN=20
        style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial color=3Dblue=20
        size=3D2><SPAN=20
        style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Sara&nbsp;&nbsp;&nbsp;</SPAN></FONT><o:p></o:p></P></DIV>
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
        face=3D"Times New Roman" size=3D3><SPAN=20
        style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
        face=3D"Times New Roman" size=3D3><SPAN=20
        style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
        face=3D"Times New Roman" size=3D3><SPAN=20
        style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
        size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Sara=20
        Werry</SPAN></FONT><o:p></o:p></P>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
        size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Occupational=20
        Health Adviser</SPAN></FONT><o:p></o:p></P>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
        size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Occupational=20
        Health Service</SPAN></FONT><o:p></o:p></P>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
        size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">University=20
        of East Anglia</SPAN></FONT><o:p></o:p></P>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
        size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Norwich, NR4=20
        7TJ</SPAN></FONT><o:p></o:p></P>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
        size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Tel: (01603)=20
        592174</SPAN></FONT><o:p></o:p></P>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
        size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Fax: (01603)=20
        506579</SPAN></FONT><o:p></o:p></P>
        <BLOCKQUOTE=20
        style=3D"MARGIN-TOP: 5pt; MARGIN-BOTTOM: 5pt; MARGIN-RIGHT: =
0cm">
          <P class=3DMsoNormal=20
          style=3D"MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 36pt; MARGIN-RIGHT: =
0cm; mso-margin-top-alt: 0cm"><FONT=20
          face=3DTahoma size=3D2><SPAN=20
          style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
          Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: =
bold">From:</SPAN></B>=20
          Aziz, Bashyr [mailto:[log in to unmask]] <BR><B><SPAN=20
          style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November 2004=20
          12:07<BR><B><SPAN style=3D"FONT-WEIGHT: bold">To:</SPAN></B>=20
          [log in to unmask]<BR><B><SPAN=20
          style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Stress &amp;=20
          Riddor</SPAN></FONT><o:p></o:p></P>
          <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial color=3Dblue =
size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt; COLOR: blue; FONT-FAMILY: =
Arial"><!-- Converted from text/rtf format -->Hello</SPAN></FONT>=20
          <o:p></o:p></P>
          <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial color=3Dblue =
size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt; COLOR: blue; FONT-FAMILY: Arial">I =
just picked=20
          this message up at another website.&nbsp; Any =
comments?</SPAN></FONT>=20
          <o:p></o:p></P>
          <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
          style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier =
New'">***************************</SPAN></FONT>=20
          <o:p></o:p></P>
          <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
          style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">I =
recently=20
          contacted the HSE to query whether stress-related illness or=20
          psychiatric injury could be construed as reportable under=20
          RIDDOR.&nbsp; I received the following=20
          reply:</SPAN></FONT><o:p></o:p></P>
          <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
          style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">"The =
following=20
          information has been provided by the Reporting of Injuries, =
Diseases=20
          and Dangerous Occurrences (RIDDOR) Operations Unit,=20
          Bootle.</SPAN></FONT><o:p></o:p></P>
          <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
          style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">Stress =
is not=20
          reportable at all, not even as an over 3 day injury, because =
it is a=20
          mental state."</SPAN></FONT> <o:p></o:p></P>
          <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
          style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">However, =
I think=20
          most stress experts would find this reason untenable, as their =
is a=20
          general consensus that stress, and related psychiatric =
conditions, are=20
          *both* physical and mental.&nbsp; For example, i ) stress is =
often=20
          viewed as a physiological and neurological state, ii) stress =
has=20
          well-documented physical symptoms and effects.&nbsp; The NHS =
and Royal=20
          College of Psychiatrists, e.g., acknowledge that stress has =
physical=20
          as well as physical symptoms.</SPAN></FONT><o:p></o:p></P>
          <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
          style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">Just =
curious as to=20
          what others make of this.&nbsp; Do you think that stress can =
be=20
          classed as a mental state, as a opposed to a physical one, or =
do you=20
          think doing so is incorrect?</SPAN></FONT><o:p></o:p></P>
          <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
          style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier =
New'">***************************</SPAN></FONT>=20
          <o:p></o:p></P>
          <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt"><BR></SPAN></FONT><B><FONT =
face=3DArial=20
          color=3Dblue><SPAN=20
          style=3D"FONT-WEIGHT: bold; COLOR: blue; FONT-FAMILY: =
Arial">Bashyr=20
          =
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;</SPAN></FONT></B>=20
          <FONT face=3DArial color=3Dblue><SPAN=20
          style=3D"COLOR: blue; FONT-FAMILY: Arial">Telephone: 01902=20
          518632</SPAN></FONT> <BR><B><FONT face=3DArial =
color=3Dblue><SPAN=20
          style=3D"FONT-WEIGHT: bold; COLOR: blue; FONT-FAMILY: =
Arial">Senior=20
          Lecturer</SPAN></FONT></B><FONT face=3DArial =
color=3Dblue><SPAN=20
          style=3D"COLOR: blue; FONT-FAMILY: Arial"> =
</SPAN></FONT><BR><FONT=20
          face=3DArial color=3Dblue><SPAN=20
          style=3D"COLOR: blue; FONT-FAMILY: Arial">School of Health - =
MH113=20
          </SPAN></FONT><BR><FONT face=3DArial color=3Dblue><SPAN=20
          style=3D"COLOR: blue; FONT-FAMILY: Arial">University of=20
          Wolverhampton</SPAN></FONT> <BR><FONT face=3DArial =
color=3Dblue><SPAN=20
          style=3D"COLOR: blue; FONT-FAMILY: Arial">Molineux =
Street</SPAN></FONT>=20
          <BR><FONT face=3DArial color=3Dblue><SPAN=20
          style=3D"COLOR: blue; FONT-FAMILY: Arial">Wolverhampton=20
          </SPAN></FONT><BR><FONT face=3DArial color=3Dblue><SPAN=20
          style=3D"COLOR: blue; FONT-FAMILY: Arial">WV1 =
1SB</SPAN></FONT>=20
          <o:p></o:p></P>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt">~~~~~~~~~~~~~~~ Please remove this =
footer=20
          before replying. <o:p></o:p></SPAN></FONT></P>
          <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt">For list archives and documents, go =
to=20
          http://www.jiscmail.ac.uk/lists/occ-health.html for list =
archives=20
          <o:p></o:p></SPAN></FONT></P>
          <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt">For jobs in Occupational Health, go =
to=20
          =
http://uk.groups.yahoo.com/group/OHJobs/<o:p></o:p></SPAN></FONT></P></BL=
OCKQUOTE>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
        face=3D"Times New Roman" size=3D3><SPAN=20
        style=3D"FONT-SIZE: 12pt">~~~~~~~~~~~~~~~ Please remove this =
footer before=20
        replying. <o:p></o:p></SPAN></FONT></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
        style=3D"FONT-SIZE: 12pt">For list archives and documents, go to =

        http://www.jiscmail.ac.uk/lists/occ-health.html for list =
archives=20
        <o:p></o:p></SPAN></FONT></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
        style=3D"FONT-SIZE: 12pt">For jobs in Occupational Health, go to =

        http://uk.groups.yahoo.com/group/OHJobs/=20
      <o:p></o:p></SPAN></FONT></P></BLOCKQUOTE>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana size=3D1><SPAN =

      style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">DISCLAIMER:<BR>This =
email is=20
      intended solely for the addressee. It may contain private and =
confidential=20
      information. If you are not the intended addressee, please take no =
action=20
      based on it nor show a copy to anyone. In this case, please reply =
to this=20
      email to highlight the error. Opinions and information in this =
email that=20
      do not relate to the official business of Nottingham Trent =
University=20
      shall be understood as neither given nor endorsed by the=20
      University.<o:p></o:p></SPAN></FONT></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana size=3D1><SPAN =

      style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">Nottingham Trent =
University=20
      has taken steps to ensure that this email and any attachments are=20
      virus-free, but we do advise that the recipient should check that =
the=20
      email and its attachments are actually virus free. This is in =
keeping with=20
      good computing practice.<o:p></o:p></SPAN></FONT></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DVerdana=20
      size=3D1><SPAN style=3D"FONT-SIZE: 8pt; FONT-FAMILY: =
Verdana">~~~~~~~~~~~~~~~=20
      Please remove this footer before replying. =
<o:p></o:p></SPAN></FONT></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana size=3D1><SPAN =

      style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">For list archives =
and=20
      documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html =
for list=20
      archives <o:p></o:p></SPAN></FONT></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana size=3D1><SPAN =

      style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">For jobs in =
Occupational=20
      Health, go to http://uk.groups.yahoo.com/group/OHJobs/=20
      <o:p></o:p></SPAN></FONT></P></BLOCKQUOTE></DIV><CODE><FONT=20
    =
size=3D3><BR><BR>.sophos.3.86.10.05.<BR></FONT></CODE>~~~~~~~~~~~~~~~ =
Please=20
    remove this footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ ~~~~~~~~~~~~~~~ Please =
remove this=20
    footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE><CODE><FONT =

  size=3D3><BR><BR>Emails aren't always secure, and they may be =
intercepted or=20
  changed after they've been sent. Abbey doesn't accept liability if =
this=20
  happens. If you think someone may have interfered with this email, =
please get=20
  in touch with the sender another way.<BR><BR>This message doesn't =
create or=20
  change any contract. Abbey doesn't accept responsibility for damage =
caused by=20
  any viruses contained in this email or its attachments. Emails may be=20
  monitored.<BR><BR>If you've received this email by mistake, please let =
the=20
  sender know at once that it's gone to the wrong person and then =
destroy it=20
  without copying, using, or telling anyone about its =
contents.<BR><BR>Abbey=20
  National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. =
3839455=20
  are registered in England and have their Registered Offices at Abbey =
National=20
  House, 2 Triton Square, Regent's Place, London, NW1 3AN.<BR><BR>Abbey =
National=20
  plc and Inscape Investments Limited are authorised and regulated by =
the=20
  Financial Services Authority. Abbey National plc only advises on its =
own life=20
  assurance, pension and collective investment scheme products. Inscape=20
  Investments Limited is a member of the Abbey Marketing Group and =
provides=20
  OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of =
Abbey=20
  National plc. <BR></FONT></CODE>~~~~~~~~~~~~~~~ Please remove this =
footer=20
  before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0070_01C4C02B.EB2D7C90--
=========================================================================
Date:         Mon, 1 Nov 2004 17:32:42 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandra Edwards <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C038.CAD71994"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4C038.CAD71994
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

We come back then to what is said on a sick note. Sick notes written by =
a GP
as we have discussed in the past can say anything the GP wishes to put =
on
it, and is only required for SSP. Doesn't necessarily have to have a
definitive diagnosis. Again as has been said before not all GP's have =
an
interest in Occupational Health so would not be in a position to =
diagnose
"work related ill health".
=20
Best regards,=20

Sandra Elizabeth Edwards=20
Occupational Health Advisor=20
-----Original Message-----
From: Sara Werry [mailto:[log in to unmask]]
Sent: Monday, November 01, 2004 4:00 PM
To: [log in to unmask]
Subject: Re: Stress & Riddor


I agree with you Gill, if OH are aware of the situation then they can
initiate the appropriate systems. However not all employers have OH
provision or automatically request an OH opinion on RIDDOR reporting, =
some
will use the HSE list and match it up to GP certs.
=20
Sara =20
=20
=20
Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579
-----Original Message-----
From: Kinselley, Gillian E [mailto:[log in to unmask]]=20
Sent: 01 November 2004 14:41
To: [log in to unmask]
Subject: Re: Stress & Riddor


I am reading with interest the views concerning RIDDOR and GP's =
identifying
if the condition is classed as work related.
=20
It is very important we liaise with the individuals GP and
Specialist...(with the individuals consent) to help them identify root =
cause
and plan return to work either in the same job with adjustments or =
another.
After all we are the Occ Health Specialists and GP'S tend to respect =
our
view....risk assessments..accident form...job statements are also =
useful for
them.
 =20
If there is any doubt if the individual needs to be reported under =
RIDDOR
the information help line is usually very helpful.  They prefer you =
contact
them than not and will assist in the investigation if they feel this is
required....this allows them to identify risk in various fields of
employment, reduce injury, ill health and accidential loss etc=20
   =20
I would question a GP and have done, who documented a work related =
illness
without the full facts and without full investigation.=20
=20
=20
Gill
=20
=20
=20


=20
=20
=20
=20
=20
 -----Original Message-----
From: Clayton.Mary [mailto:[log in to unmask]]
Sent: 01 November 2004 13:44
To: [log in to unmask]
Subject: Re: Stress & Riddor


Sorry if I sound na=EFve but are GPs always able to decide whether the
symptoms are definitely work related? In the early stages of illness =
the GP
may only have the patient's interpretation of the underlying cause.
Exploratron may reveal that work-related stressors are contributory, =
not
causative. I believe that in the Walker v Northumberland case the =
judgment
regarding psychological injury was reached after a protracted =
investigation
of all the facts surrounding the plaintiff's condition.
=20
Mary
=20
-----Original Message-----
From: Sara Werry [mailto:[log in to unmask]]=20
Sent: 01 November 2004 13:26
To: [log in to unmask]
Subject: Re: Stress & Riddor
=20
Hi Kevin
=20
Yes I agree with you but I thought the purpose of RIDDOR was to =
essentially
report work related disease and I think in terms of mental health =
definition
this may be open to many different interpretations.
=20
I wonder how many GP's realise the importance of stating if stress is
considered work related or not on certificates and what about the cases
where there are multiple causative factors?
=20
All the best
Sara
=20
=20
Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579
-----Original Message-----
From: Maguire, Kevin [mailto:[log in to unmask]]=20
Sent: 01 November 2004 13:05
To: [log in to unmask]
Subject: Re: Stress & Riddor
This reminds me of other areas where something 'new' is expected to =
jump
over higher hurdles than accepted matters.  What is the standard of =
proof of
a dermatitis or back pain being work-induced?  I am not questioning =
that
they are but pointing out that a reasonable assessment and attribution =
is
made for them and can be made for work- induced mental ill-health.  As =
for
defining mental illness, there are recognised categories of illness =
that are
reliably diagnosed; in particular anxiety and depression are normally =
seen
as the mental illnesses we associate with stress.  As to the notion =
that
"psychiatric damage" is of a lesser status, do we not have the Walker =
ruling
on this?
=20
Kevin
=20
=20
-----Original Message-----
From: Sara Werry [mailto:[log in to unmask]]=20
Sent: 01 November 2004 12:39
To: [log in to unmask]
Subject: Re: Stress & Riddor
Hi
=20
What needs to be asked is where in the terms of reference/criteria for =
a
work related disease does it state that RIDDOR is only applicable to
physical work related diseases? If it doesn't then there is little =
argument
not to include work related mental health illness.
=20
I think the problem would be in defining and being able to prove mental
illness was definitely work related, what would be the use of an influx =
of
ill defined reports, how valid would this be? =20
=20
Sara  =20
=20
=20
=20
Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579
-----Original Message-----
From: Aziz, Bashyr [mailto:[log in to unmask]]=20
Sent: 01 November 2004 12:07
To: [log in to unmask]
Subject: Stress & Riddor
Hello=20
I just picked this message up at another website.  Any comments?=20
***************************=20
I recently contacted the HSE to query whether stress-related illness or
psychiatric injury could be construed as reportable under RIDDOR.  I
received the following reply:
"The following information has been provided by the Reporting of =
Injuries,
Diseases and Dangerous Occurrences (RIDDOR) Operations Unit, Bootle.
Stress is not reportable at all, not even as an over 3 day injury, =
because
it is a mental state."=20
However, I think most stress experts would find this reason untenable, =
as
their is a general consensus that stress, and related psychiatric
conditions, are *both* physical and mental.  For example, i ) stress is
often viewed as a physiological and neurological state, ii) stress has
well-documented physical symptoms and effects.  The NHS and Royal =
College of
Psychiatrists, e.g., acknowledge that stress has physical as well as
physical symptoms.
Just curious as to what others make of this.  Do you think that stress =
can
be classed as a mental state, as a opposed to a physical one, or do you
think doing so is incorrect?
***************************=20

Bashyr Aziz                Telephone: 01902 518632=20
Senior Lecturer=20
School of Health - MH113=20
University of Wolverhampton=20
Molineux Street=20
Wolverhampton=20
WV1 1SB=20
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20
DISCLAIMER:
This email is intended solely for the addressee. It may contain private =
and
confidential information. If you are not the intended addressee, please =
take
no action based on it nor show a copy to anyone. In this case, please =
reply
to this email to highlight the error. Opinions and information in this =
email
that do not relate to the official business of Nottingham Trent =
University
shall be understood as neither given nor endorsed by the University.
Nottingham Trent University has taken steps to ensure that this email =
and
any attachments are virus-free, but we do advise that the recipient =
should
check that the email and its attachments are actually virus free. This =
is in
keeping with good computing practice.
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20


.sophos.3.86.10.05.
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/ ~~~~~~~~~~~~~~~ Please remove =
this
footer before replying.=20

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


Emails aren't always secure, and they may be intercepted or changed =
after
they've been sent. Abbey doesn't accept liability if this happens. If =
you
think someone may have interfered with this email, please get in touch =
with
the sender another way.

This message doesn't create or change any contract. Abbey doesn't =
accept
responsibility for damage caused by any viruses contained in this email =
or
its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at =
once
that it's gone to the wrong person and then destroy it without copying,
using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited =
Reg. No.
3839455 are registered in England and have their Registered Offices at =
Abbey
National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and
regulated by the Financial Services Authority. Abbey National plc only
advises on its own life assurance, pension and collective investment =
scheme
products. Inscape Investments Limited is a member of the Abbey =
Marketing
Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are =
registered
trademarks of Abbey National plc.=20
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C038.CAD71994
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns=3D"http://www.w3.org/TR/REC-html40" xmlns:o =3D=20
"urn:schemas-microsoft-com:office:office" xmlns:w =3D=20
"urn:schemas-microsoft-com:office:word" xmlns:st1 =3D=20
"urn:schemas-microsoft-com:office:smarttags"><HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<TITLE>Message</TITLE>

<META content=3DWord.Document name=3DProgId>
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<META content=3D"Microsoft Word 10" name=3DOriginator><LINK=20
href=3D"cid:filelist.xml@01C4C018.DE461720" =
rel=3DFile-List><o:SmartTagType=20
name=3D"City"=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"></o:SmartTag=
Type><o:SmartTagType=20
name=3D"place"=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"></o:SmartTag=
Type><!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:DontDisplayPageBoundaries/>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if !mso]>
<STYLE>st1\:* {
        BEHAVIOR: url(#default#ieooui)
}
</STYLE>
<![endif]-->
<STYLE>@font-face {
        font-family: Tahoma;
}
@font-face {
        font-family: Monotype Corsiva;
}
@font-face {
        font-family: Verdana;
}
@font-face {
        font-family: Garamond;
}
@page Section1 {size: 612.0pt 792.0pt; margin: 72.0pt 90.0pt 72.0pt =
90.0pt; mso-header-margin: 35.4pt; mso-footer-margin: 35.4pt; =
mso-paper-source: 0; }
P.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New =
Roman"; mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
LI.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New =
Roman"; mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
DIV.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New =
Roman"; mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
A:link {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
SPAN.MsoHyperlink {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
A:visited {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: =
single
}
SPAN.MsoHyperlinkFollowed {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: =
single
}
P {
        FONT-SIZE: 12pt; MARGIN-LEFT: 0cm; MARGIN-RIGHT: 0cm; =
FONT-FAMILY: "Times New Roman"; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"; mso-margin-top-alt: auto; =
mso-margin-bottom-alt: auto
}
SPAN.EmailStyle18 {
        COLOR: navy; FONT-FAMILY: "Monotype Corsiva"; =
mso-bidi-font-family: Arial; mso-style-type: personal-reply; =
mso-style-noshow: yes; mso-ansi-font-size: 14.0pt; mso-bidi-font-size: =
14.0pt; mso-ascii-font-family: "Monotype Corsiva"; =
mso-hansi-font-family: "Monotype Corsiva"
}
SPAN.SpellE {
        mso-style-name: ""; mso-spl-e: yes
}
DIV.Section1 {
        page: Section1
}
</STYLE>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]--></HEAD>
<BODY lang=3DEN-US style=3D"tab-interval: 36.0pt" vLink=3Dpurple =
link=3Dblue>
<DIV><FONT face=3D"Calisto MT" color=3D#800080 size=3D4><SPAN=20
class=3D600161817-01112004>We come back then to what is said on a sick =
note. Sick=20
notes written by a GP as we have discussed in the past can say anything =
the GP=20
wishes to put on it, and is only required for SSP. Doesn't necessarily =
have to=20
have&nbsp;a definitive diagnosis. Again as has been said before not all =
GP's=20
have an interest in Occupational Health so would not be in a position =
to=20
diagnose "work related ill health".</SPAN></FONT></DIV>
<DIV>&nbsp;</DIV>
<P><FONT face=3DAlgerian color=3D#800080>Best regards,</FONT> </P><BR>
<P><FONT face=3DAlgerian color=3D#800080>Sandra Elizabeth =
Edwards</FONT> <BR><FONT=20
face=3DAlgerian color=3D#800080>Occupational Health Advisor</FONT> </P>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> Sara Werry=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> Monday, November 01, 2004 =
4:00=20
  PM<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
Stress &amp;=20
  Riddor<BR><BR></FONT></DIV>
  <DIV><SPAN class=3D598524915-01112004><FONT face=3DArial =
color=3D#0000ff size=3D2>I=20
  agree with you Gill, if OH are aware of the situation then they=20
  can&nbsp;initiate&nbsp;the appropriate systems. However&nbsp;not all =
employers=20
  have OH provision or automatically request an&nbsp;OH opinion on =
RIDDOR=20
  reporting,&nbsp;some will&nbsp;use the HSE list and match it up to GP =

  certs.</FONT></SPAN></DIV>
  <DIV><SPAN class=3D598524915-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D598524915-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>Sara</FONT></SPAN><SPAN class=3D598524915-01112004><FONT =
face=3DArial=20
  color=3D#0000ff size=3D2>&nbsp;&nbsp;</FONT></SPAN></DIV>
  <DIV>&nbsp;</DIV>
  <DIV>&nbsp;</DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>Sara Werry</FONT></DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Adviser</FONT></DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Service</FONT></DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>University of East =
Anglia</FONT></DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>Norwich, NR4 7TJ</FONT></DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>Tel: (01603) =
592174</FONT></DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>Fax: (01603) =
506579</FONT></DIV>
  <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
    <DIV></DIV>
    <DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr =
align=3Dleft><FONT=20
    face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B> =
Kinselley,=20
    Gillian E [mailto:[log in to unmask]] <BR><B>Sent:</B> =
01=20
    November 2004 14:41<BR><B>To:</B>=20
    [log in to unmask]<BR><B>Subject:</B> Re: Stress &amp;=20
    Riddor<BR><BR></FONT></DIV>
    <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff size=3D2>I=20
    am reading with interest the views concerning RIDDOR and GP's =
identifying if=20
    the condition is classed as work related.</FONT></SPAN></DIV>
    <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2></FONT></SPAN>&nbsp;</DIV>
    <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff size=3D2>It=20
    is very important we liaise with the individuals GP and =
Specialist...(with=20
    the individuals consent) to help them identify root cause and plan =
return to=20
    work either in the same job with adjustments or =
another.&nbsp;&nbsp;After=20
    all we are the Occ Health Specialists and GP'S tend to respect our=20
    view....risk assessments..accident form...job statements are also =
useful for=20
    them.</FONT></SPAN></DIV>
    <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2>&nbsp;&nbsp;</FONT></SPAN></DIV>
    <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff size=3D2>If=20
    there is any doubt if the individual needs to be reported under =
RIDDOR the=20
    information help line is usually very helpful.&nbsp; They prefer =
you contact=20
    them than not&nbsp;and will assist in the investigation if they =
feel this is=20
    required....this allows them to identify risk in various fields of=20
    employment, reduce injury, ill health and accidential loss=20
    etc&nbsp;</FONT></SPAN></DIV>
    <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2>&nbsp;&nbsp;&nbsp; </FONT></SPAN></DIV>
    <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff size=3D2>I=20
    would question a GP and have done, who documented a work related =
illness=20
    without the full facts and without full investigation. =
</FONT></SPAN></DIV>
    <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2></FONT></SPAN>&nbsp;</DIV>
    <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2></FONT></SPAN>&nbsp;</DIV>
    <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2>Gill</FONT></SPAN></DIV>
    <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2></FONT></SPAN>&nbsp;</DIV>
    <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2></FONT></SPAN>&nbsp;</DIV>
    <DIV><SPAN class=3D042100714-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2></FONT></SPAN>&nbsp;</DIV><SPAN =
class=3D042100714-01112004></SPAN><FONT=20
    face=3DTahoma>
    <DIV><BR><FONT size=3D2><SPAN class=3D042100714-01112004><FONT =
face=3DArial=20
    color=3D#0000ff>&nbsp;</FONT></SPAN></FONT></DIV>
    <DIV><FONT size=3D2><SPAN =
class=3D042100714-01112004></SPAN></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2><SPAN =
class=3D042100714-01112004></SPAN></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2><SPAN =
class=3D042100714-01112004></SPAN></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2><SPAN =
class=3D042100714-01112004></SPAN></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2><SPAN =
class=3D042100714-01112004>&nbsp;</SPAN>-----Original=20
    Message-----<BR><B>From:</B> Clayton.Mary=20
    [mailto:[log in to unmask]]<BR><B>Sent:</B> 01 November 2004=20
    13:44<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Re: Stress=20
    &amp; Riddor<BR><BR></DIV></FONT></FONT>
    <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
      <DIV class=3DSection1>
      <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy =
size=3D4><SPAN=20
      style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype =
Corsiva'; mso-bidi-font-family: Arial">Sorry=20
      if I sound na=EFve but are GPs always able to decide whether the =
symptoms=20
      are definitely work related? In the early stages of illness the =
GP may=20
      only have the patient's interpretation of the underlying cause.=20
      Exploratron may reveal that work-related stressors are =
contributory, not=20
      causative. I believe that in the =
</SPAN></FONT><st1:City><st1:place><FONT=20
      face=3D"Monotype Corsiva" color=3Dnavy size=3D4><SPAN=20
      style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype =
Corsiva'; mso-bidi-font-family: =
Arial">Walker</SPAN></FONT></st1:place></st1:City><FONT=20
      face=3D"Monotype Corsiva" color=3Dnavy size=3D4><SPAN=20
      style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype =
Corsiva'; mso-bidi-font-family: Arial">=20
      v Northumberland case the judgment regarding psychological injury =
was=20
      reached after a protracted investigation of all the facts =
surrounding the=20
      plaintiff's condition.<o:p></o:p></SPAN></FONT></P>
      <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy =
size=3D4><SPAN=20
      style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype =
Corsiva'; mso-bidi-font-family: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
      <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy =
size=3D4><SPAN=20
      style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype =
Corsiva'; mso-bidi-font-family: =
Arial">Mary<o:p></o:p></SPAN></FONT></P>
      <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy =
size=3D4><SPAN=20
      style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype =
Corsiva'; mso-bidi-font-family: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DTahoma=20
      size=3D2><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY: =
Tahoma">-----Original=20
      Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: =
bold">From:</SPAN></B> Sara=20
      Werry [mailto:[log in to unmask]] <BR><B><SPAN=20
      style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November 2004=20
      13:26<BR><B><SPAN style=3D"FONT-WEIGHT: bold">To:</SPAN></B>=20
      [log in to unmask]<BR><B><SPAN=20
      style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Re: Stress &amp;=20
      Riddor</SPAN></FONT></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN style=3D"FONT-SIZE: =
12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial color=3Dblue=20
      size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; =
FONT-FAMILY: Arial">Hi=20
      Kevin</SPAN></FONT><o:p></o:p></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial color=3Dblue=20
      size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; =
FONT-FAMILY: Arial">Yes=20
      I agree with you but&nbsp;I thought the purpose of RIDDOR was to=20
      essentially report work related disease and I think in terms of =
mental=20
      health&nbsp;definition this may be open to many different=20
      interpretations.</SPAN></FONT><o:p></o:p></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial color=3Dblue=20
      size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; =
FONT-FAMILY: Arial">I=20
      wonder how many GP's realise the importance of stating if stress =
is=20
      considered work related or not on certificates&nbsp;and what =
about the=20
      cases where there are multiple causative=20
      factors?</SPAN></FONT><o:p></o:p></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial color=3Dblue=20
      size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; =
FONT-FAMILY: Arial">All=20
      the best</SPAN></FONT><o:p></o:p></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial color=3Dblue=20
      size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Sara</SPAN></FONT><o:p></o:p></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN=20
      style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Sara=20
      Werry</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Occupational=20
      Health Adviser</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Occupational=20
      Health Service</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">University of=20
      East Anglia</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Norwich, NR4=20
      7TJ</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Tel: (01603)=20
      592174</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Fax: (01603)=20
      506579</SPAN></FONT><o:p></o:p></P>
      <BLOCKQUOTE=20
style=3D"MARGIN-TOP: 5pt; MARGIN-BOTTOM: 5pt; MARGIN-RIGHT: 0cm">
        <P class=3DMsoNormal=20
        style=3D"MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 36pt; MARGIN-RIGHT: =
0cm; mso-margin-top-alt: 0cm"><FONT=20
        face=3DTahoma size=3D2><SPAN=20
        style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
        Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: =
bold">From:</SPAN></B>=20
        Maguire, Kevin [mailto:[log in to unmask]] <BR><B><SPAN=20
        style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November 2004=20
        13:05<BR><B><SPAN style=3D"FONT-WEIGHT: bold">To:</SPAN></B>=20
        [log in to unmask]<BR><B><SPAN=20
        style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Re: Stress =
&amp;=20
        Riddor</SPAN></FONT><o:p></o:p></P>
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial color=3Dblue=20
        size=3D2><SPAN=20
        style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial">This =
reminds me=20
        of other areas where something 'new' is expected to jump over =
higher=20
        hurdles than accepted matters.&nbsp; What is the standard of =
proof=20
        of&nbsp;&nbsp;a dermatitis or back pain being =
work-induced?&nbsp; I am=20
        not questioning that they are but pointing out that a =
reasonable=20
        assessment and attribution is made for them and can be made for =
work-=20
        induced mental ill-health.&nbsp; As for defining mental =
illness, there=20
        are recognised categories of illness that are reliably =
diagnosed;=20
        in&nbsp;particular anxiety and depression are normally seen as =
the=20
        mental illnesses we associate with stress.&nbsp; As to the =
notion that=20
        "psychiatric damage" is of a lesser status, do we not have the =
Walker=20
        ruling on this?</SPAN></FONT><o:p></o:p></P></DIV>
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
        face=3D"Times New Roman" size=3D3><SPAN=20
        style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial color=3Dblue=20
        size=3D2><SPAN=20
        style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Kevin</SPAN></FONT><o:p></o:p></P></DIV>
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
        face=3D"Times New Roman" size=3D3><SPAN=20
        style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
        <DIV>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
        face=3D"Times New Roman" size=3D3><SPAN=20
        style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
        <DIV>
        <P class=3DMsoNormal=20
        style=3D"MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 36pt; MARGIN-RIGHT: =
0cm; mso-margin-top-alt: 0cm"><FONT=20
        face=3DTahoma size=3D2><SPAN=20
        style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
        Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: =
bold">From:</SPAN></B> Sara=20
        Werry [mailto:[log in to unmask]] <BR><B><SPAN=20
        style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November 2004=20
        12:39<BR><B><SPAN style=3D"FONT-WEIGHT: bold">To:</SPAN></B>=20
        [log in to unmask]<BR><B><SPAN=20
        style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Re: Stress =
&amp;=20
        Riddor<o:p></o:p></SPAN></FONT></P></DIV>
        <BLOCKQUOTE=20
        style=3D"MARGIN-TOP: 5pt; MARGIN-BOTTOM: 5pt; MARGIN-RIGHT: =
0cm">
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial=20
          color=3Dblue size=3D2><SPAN=20
          style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Hi</SPAN></FONT><o:p></o:p></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D3><SPAN=20
          style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial=20
          color=3Dblue size=3D2><SPAN=20
          style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">What needs to=20
          be asked is where in the terms of reference/criteria =
for&nbsp;a work=20
          related disease&nbsp;does it state that RIDDOR is only =
applicable to=20
          physical work related diseases?&nbsp;If it doesn't then there =
is=20
          little argument not to include work related mental health=20
          illness.</SPAN></FONT><o:p></o:p></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D3><SPAN=20
          style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial=20
          color=3Dblue size=3D2><SPAN=20
          style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial">I =
think the=20
          problem would be in defining and being able to prove mental =
illness=20
          was definitely work related,&nbsp;what would be the use of an =
influx=20
          of ill defined reports, how valid would this=20
          be?&nbsp;&nbsp;</SPAN></FONT><o:p></o:p></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D3><SPAN=20
          style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DArial=20
          color=3Dblue size=3D2><SPAN=20
          style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Sara&nbsp;&nbsp;&nbsp;</SPAN></FONT><o:p></o:p></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D3><SPAN=20
          style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D3><SPAN=20
          style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
          <DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D3><SPAN=20
          style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
          size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Sara=20
          Werry</SPAN></FONT><o:p></o:p></P>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
          size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Occupational =
Health=20
          Adviser</SPAN></FONT><o:p></o:p></P>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
          size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Occupational =
Health=20
          Service</SPAN></FONT><o:p></o:p></P>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
          size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">University=20
          of East Anglia</SPAN></FONT><o:p></o:p></P>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
          size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Norwich,=20
          NR4 7TJ</SPAN></FONT><o:p></o:p></P>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
          size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Tel:=20
          (01603) 592174</SPAN></FONT><o:p></o:p></P>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
          size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Fax:=20
          (01603) 506579</SPAN></FONT><o:p></o:p></P>
          <BLOCKQUOTE=20
          style=3D"MARGIN-TOP: 5pt; MARGIN-BOTTOM: 5pt; MARGIN-RIGHT: =
0cm">
            <P class=3DMsoNormal=20
            style=3D"MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 36pt; =
MARGIN-RIGHT: 0cm; mso-margin-top-alt: 0cm"><FONT=20
            face=3DTahoma size=3D2><SPAN=20
            style=3D"FONT-SIZE: 10pt; FONT-FAMILY: =
Tahoma">-----Original=20
            Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: =
bold">From:</SPAN></B>=20
            Aziz, Bashyr [mailto:[log in to unmask]] <BR><B><SPAN=20
            style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November =
2004=20
            12:07<BR><B><SPAN style=3D"FONT-WEIGHT: =
bold">To:</SPAN></B>=20
            [log in to unmask]<BR><B><SPAN=20
            style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Stress =
&amp;=20
            Riddor</SPAN></FONT><o:p></o:p></P>
            <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
            size=3D3><SPAN=20
            style=3D"FONT-SIZE: 12pt; COLOR: blue; FONT-FAMILY: =
Arial"><!-- Converted from text/rtf format -->Hello</SPAN></FONT>=20
            <o:p></o:p></P>
            <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
            size=3D3><SPAN=20
            style=3D"FONT-SIZE: 12pt; COLOR: blue; FONT-FAMILY: =
Arial">I just=20
            picked this message up at another website.&nbsp; Any=20
            comments?</SPAN></FONT> <o:p></o:p></P>
            <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
            style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier =
New'">***************************</SPAN></FONT>=20
            <o:p></o:p></P>
            <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
            style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">I =
recently=20
            contacted the HSE to query whether stress-related illness =
or=20
            psychiatric injury could be construed as reportable under=20
            RIDDOR.&nbsp; I received the following=20
            reply:</SPAN></FONT><o:p></o:p></P>
            <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
            style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">"The =
following=20
            information has been provided by the Reporting of Injuries, =
Diseases=20
            and Dangerous Occurrences (RIDDOR) Operations Unit,=20
            Bootle.</SPAN></FONT><o:p></o:p></P>
            <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
            style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier =
New'">Stress is not=20
            reportable at all, not even as an over 3 day injury, =
because it is a=20
            mental state."</SPAN></FONT> <o:p></o:p></P>
            <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
            style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier =
New'">However, I think=20
            most stress experts would find this reason untenable, as =
their is a=20
            general consensus that stress, and related psychiatric =
conditions,=20
            are *both* physical and mental.&nbsp; For example, i ) =
stress is=20
            often viewed as a physiological and neurological state, ii) =
stress=20
            has well-documented physical symptoms and effects.&nbsp; =
The NHS and=20
            Royal College of Psychiatrists, e.g., acknowledge that =
stress has=20
            physical as well as physical =
symptoms.</SPAN></FONT><o:p></o:p></P>
            <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
            style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">Just =
curious as=20
            to what others make of this.&nbsp; Do you think that stress =
can be=20
            classed as a mental state, as a opposed to a physical one, =
or do you=20
            think doing so is incorrect?</SPAN></FONT><o:p></o:p></P>
            <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
            style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier =
New'">***************************</SPAN></FONT>=20
            <o:p></o:p></P>
            <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New =
Roman"=20
            size=3D3><SPAN style=3D"FONT-SIZE: =
12pt"><BR></SPAN></FONT><B><FONT=20
            face=3DArial color=3Dblue><SPAN=20
            style=3D"FONT-WEIGHT: bold; COLOR: blue; FONT-FAMILY: =
Arial">Bashyr=20
            =
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;</SPAN></FONT></B>=20
            <FONT face=3DArial color=3Dblue><SPAN=20
            style=3D"COLOR: blue; FONT-FAMILY: Arial">Telephone: 01902=20
            518632</SPAN></FONT> <BR><B><FONT face=3DArial =
color=3Dblue><SPAN=20
            style=3D"FONT-WEIGHT: bold; COLOR: blue; FONT-FAMILY: =
Arial">Senior=20
            Lecturer</SPAN></FONT></B><FONT face=3DArial =
color=3Dblue><SPAN=20
            style=3D"COLOR: blue; FONT-FAMILY: Arial"> =
</SPAN></FONT><BR><FONT=20
            face=3DArial color=3Dblue><SPAN=20
            style=3D"COLOR: blue; FONT-FAMILY: Arial">School of Health =
- MH113=20
            </SPAN></FONT><BR><FONT face=3DArial color=3Dblue><SPAN=20
            style=3D"COLOR: blue; FONT-FAMILY: Arial">University of=20
            Wolverhampton</SPAN></FONT> <BR><FONT face=3DArial =
color=3Dblue><SPAN=20
            style=3D"COLOR: blue; FONT-FAMILY: Arial">Molineux=20
            Street</SPAN></FONT> <BR><FONT face=3DArial =
color=3Dblue><SPAN=20
            style=3D"COLOR: blue; FONT-FAMILY: Arial">Wolverhampton=20
            </SPAN></FONT><BR><FONT face=3DArial color=3Dblue><SPAN=20
            style=3D"COLOR: blue; FONT-FAMILY: Arial">WV1 =
1SB</SPAN></FONT>=20
            <o:p></o:p></P>
            <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
            face=3D"Times New Roman" size=3D3><SPAN=20
            style=3D"FONT-SIZE: 12pt">~~~~~~~~~~~~~~~ Please remove =
this footer=20
            before replying. <o:p></o:p></SPAN></FONT></P>
            <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New =
Roman"=20
            size=3D3><SPAN style=3D"FONT-SIZE: 12pt">For list archives =
and=20
            documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for=20
            list archives <o:p></o:p></SPAN></FONT></P>
            <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New =
Roman"=20
            size=3D3><SPAN style=3D"FONT-SIZE: 12pt">For jobs in =
Occupational=20
            Health, go to=20
            =
http://uk.groups.yahoo.com/group/OHJobs/<o:p></o:p></SPAN></FONT></P></B=
LOCKQUOTE>
          <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT=20
          face=3D"Times New Roman" size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt">~~~~~~~~~~~~~~~ Please remove this =
footer=20
          before replying. <o:p></o:p></SPAN></FONT></P>
          <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt">For list archives and documents, go =
to=20
          http://www.jiscmail.ac.uk/lists/occ-health.html for list =
archives=20
          <o:p></o:p></SPAN></FONT></P>
          <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
          style=3D"FONT-SIZE: 12pt">For jobs in Occupational Health, go =
to=20
          http://uk.groups.yahoo.com/group/OHJobs/=20
        <o:p></o:p></SPAN></FONT></P></BLOCKQUOTE>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana =
size=3D1><SPAN=20
        style=3D"FONT-SIZE: 8pt; FONT-FAMILY: =
Verdana">DISCLAIMER:<BR>This email=20
        is intended solely for the addressee. It may contain private =
and=20
        confidential information. If you are not the intended =
addressee, please=20
        take no action based on it nor show a copy to anyone. In this =
case,=20
        please reply to this email to highlight the error. Opinions and =

        information in this email that do not relate to the official =
business of=20
        Nottingham Trent University shall be understood as neither =
given nor=20
        endorsed by the University.<o:p></o:p></SPAN></FONT></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana =
size=3D1><SPAN=20
        style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">Nottingham Trent =
University=20
        has taken steps to ensure that this email and any attachments =
are=20
        virus-free, but we do advise that the recipient should check =
that the=20
        email and its attachments are actually virus free. This is in =
keeping=20
        with good computing practice.<o:p></o:p></SPAN></FONT></P>
        <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DVerdana=20
        size=3D1><SPAN=20
        style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">~~~~~~~~~~~~~~~ =
Please=20
        remove this footer before replying. =
<o:p></o:p></SPAN></FONT></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana =
size=3D1><SPAN=20
        style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">For list =
archives and=20
        documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for=20
        list archives <o:p></o:p></SPAN></FONT></P>
        <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana =
size=3D1><SPAN=20
        style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">For jobs in =
Occupational=20
        Health, go to http://uk.groups.yahoo.com/group/OHJobs/=20
        <o:p></o:p></SPAN></FONT></P></BLOCKQUOTE></DIV><CODE><FONT=20
      =
size=3D3><BR><BR>.sophos.3.86.10.05.<BR></FONT></CODE>~~~~~~~~~~~~~~~ =
Please=20
      remove this footer before replying.=20
      <P>For list archives and documents, go to=20
      http://www.jiscmail.ac.uk/lists/occ-health.html for list archives =

      <P>For jobs in Occupational Health, go to=20
      http://uk.groups.yahoo.com/group/OHJobs/ ~~~~~~~~~~~~~~~ Please =
remove=20
      this footer before replying.=20
      <P>For list archives and documents, go to=20
      http://www.jiscmail.ac.uk/lists/occ-health.html for list archives =

      <P>For jobs in Occupational Health, go to=20
      =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE><CODE><FONT=20
    size=3D3><BR><BR>Emails aren't always secure, and they may be =
intercepted or=20
    changed after they've been sent. Abbey doesn't accept liability if =
this=20
    happens. If you think someone may have interfered with this email, =
please=20
    get in touch with the sender another way.<BR><BR>This message =
doesn't create=20
    or change any contract. Abbey doesn't accept responsibility for =
damage=20
    caused by any viruses contained in this email or its attachments. =
Emails may=20
    be monitored.<BR><BR>If you've received this email by mistake, =
please let=20
    the sender know at once that it's gone to the wrong person and then =
destroy=20
    it without copying, using, or telling anyone about its=20
    contents.<BR><BR>Abbey National plc Reg. No 2294747, and Inscape =
Investments=20
    Limited Reg. No. 3839455 are registered in England and have their =
Registered=20
    Offices at Abbey National House, 2 Triton Square, Regent's Place, =
London,=20
    NW1 3AN.<BR><BR>Abbey National plc and Inscape Investments Limited =
are=20
    authorised and regulated by the Financial Services Authority. Abbey =
National=20
    plc only advises on its own life assurance, pension and collective=20
    investment scheme products. Inscape Investments Limited is a member =
of the=20
    Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and =
Inscape=20
    are registered trademarks of Abbey National plc.=20
    <BR></FONT></CODE>~~~~~~~~~~~~~~~ Please remove this footer before =
replying.=20

    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C038.CAD71994--
=========================================================================
Date:         Mon, 1 Nov 2004 18:03:05 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         mchardy <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0055_01C4C03D.097F6B20"

This is a multi-part message in MIME format.

------=_NextPart_000_0055_01C4C03D.097F6B20
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Stress & RiddorHi

I haven't contributed to this list for a while, however, this has =
prompted me to! I am a Specialist OH Nurse but with an RMN qualification =
as well as RGN.

This surely just shows the HSE's ignorance of how mal adaptive responses =
to stress can lead to physical and mental ill health! Maybe the RIDDOR =
team mean to say that stress is not on the Internationally recognised =
list of diagnosis (ICD), which it is not, however, other conditions such =
as anxiety states, acute reaction to stress leading to for e.g. to =
depressive or anxiety illnesses are all in the ICD.

And what about the unresolved stress reactions creating a very physical =
state of illness?

I am sure that many like me are continually fighting a losing battle in =
trying to raise awareness of mental health in the work place and try to =
reduce the stigma that is attached to it. This response from the HSE =
surely adds to this stigma?

There, I've had my say!

Maudie=20
  ----- Original Message -----=20
  From: Aziz, Bashyr=20
  To: [log in to unmask]
  Sent: Monday, November 01, 2004 12:07 PM
  Subject: Stress & Riddor


  Hello=20

  I just picked this message up at another website.  Any comments?=20

  ***************************=20

  I recently contacted the HSE to query whether stress-related illness =
or psychiatric injury could be construed as reportable under RIDDOR.  I =
received the following reply:

  "The following information has been provided by the Reporting of =
Injuries, Diseases and Dangerous Occurrences (RIDDOR) Operations Unit, =
Bootle.

  Stress is not reportable at all, not even as an over 3 day injury, =
because it is a mental state."=20

  However, I think most stress experts would find this reason untenable, =
as their is a general consensus that stress, and related psychiatric =
conditions, are *both* physical and mental.  For example, i ) stress is =
often viewed as a physiological and neurological state, ii) stress has =
well-documented physical symptoms and effects.  The NHS and Royal =
College of Psychiatrists, e.g., acknowledge that stress has physical as =
well as physical symptoms.

  Just curious as to what others make of this.  Do you think that stress =
can be classed as a mental state, as a opposed to a physical one, or do =
you think doing so is incorrect?

  ***************************=20

   =20
  Bashyr Aziz                Telephone: 01902 518632=20
  Senior Lecturer=20
  School of Health - MH113=20
  University of Wolverhampton=20
  Molineux Street=20
  Wolverhampton=20
  WV1 1SB=20

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0055_01C4C03D.097F6B20
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><TITLE>Stress & Riddor</TITLE>
<META content=3D"text/html; charset=3Diso-8859-1" =
http-equiv=3DContent-Type>
<META content=3D"MSHTML 5.00.2919.6307" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>Hi</FONT></DIV>
<DIV>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>I haven't contributed to this list for =
a while,=20
however, this has prompted me to! I am a Specialist OH Nurse but with an =
RMN=20
qualification as well as RGN.</FONT></DIV>
<DIV>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>This surely just shows the HSE's =
ignorance of how=20
mal adaptive responses to stress can lead to physical and mental ill =
health!=20
Maybe the RIDDOR team mean to say that stress is not on the =
Internationally=20
recognised list of diagnosis (ICD), which it is not, however, other =
conditions=20
such as anxiety states, acute reaction to stress leading to for e.g. to=20
depressive or anxiety illnesses are all in the ICD.</FONT></DIV>
<DIV>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>And what about the unresolved stress =
reactions=20
creating a very physical state of illness?</FONT></DIV>
<DIV>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>I am sure that many like me are =
continually=20
fighting a losing battle in trying to raise awareness of mental health =
in the=20
work place and try to reduce the stigma that is attached to it. This =
response=20
from the HSE surely adds to this stigma?</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>There, I've had my say!</FONT></DIV>
<DIV>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Maudie</FONT>&nbsp;</DIV>
<BLOCKQUOTE=20
style=3D"BORDER-LEFT: #000000 2px solid; MARGIN-LEFT: 5px; MARGIN-RIGHT: =
0px; PADDING-LEFT: 5px; PADDING-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A href=3D"mailto:[log in to unmask]" [log in to unmask]>Aziz, =
Bashyr</A>=20
  </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A=20
  href=3D"mailto:[log in to unmask]"=20
  [log in to unmask]>[log in to unmask]</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, November 01, 2004 =
12:07=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Stress &amp; =
Riddor</DIV>
  <DIV><BR></DIV><!-- Converted from text/rtf format -->
  <P><FONT color=3D#0000ff face=3DArial>Hello</FONT> </P>
  <P><FONT color=3D#0000ff face=3DArial>I just picked this message up at =
another=20
  website.&nbsp; Any comments?</FONT> </P>
  <P><FONT face=3D"Courier New" =
size=3D2>***************************</FONT> </P>
  <P><FONT face=3D"Courier New" size=3D2>I recently contacted the HSE to =
query=20
  whether stress-related illness or psychiatric injury could be =
construed as=20
  reportable under RIDDOR.&nbsp; I received the following =
reply:</FONT></P>
  <P><FONT face=3D"Courier New" size=3D2>"The following information has =
been=20
  provided by the Reporting of Injuries, Diseases and Dangerous =
Occurrences=20
  (RIDDOR) Operations Unit, Bootle.</FONT></P>
  <P><FONT face=3D"Courier New" size=3D2>Stress is not reportable at =
all, not even=20
  as an over 3 day injury, because it is a mental state."</FONT> </P>
  <P><FONT face=3D"Courier New" size=3D2>However, I think most stress =
experts would=20
  find this reason untenable, as their is a general consensus that =
stress, and=20
  related psychiatric conditions, are *both* physical and mental.&nbsp; =
For=20
  example, i ) stress is often viewed as a physiological and =
neurological state,=20
  ii) stress has well-documented physical symptoms and effects.&nbsp; =
The NHS=20
  and Royal College of Psychiatrists, e.g., acknowledge that stress has =
physical=20
  as well as physical symptoms.</FONT></P>
  <P><FONT face=3D"Courier New" size=3D2>Just curious as to what others =
make of=20
  this.&nbsp; Do you think that stress can be classed as a mental state, =
as a=20
  opposed to a physical one, or do you think doing so is =
incorrect?</FONT></P>
  <P><FONT face=3D"Courier New" =
size=3D2>***************************</FONT> </P>
  <P><FONT face=3D"Courier New" size=3D2></FONT>&nbsp; <BR><B><FONT =
color=3D#0000ff=20
  face=3DArial>Bashyr=20
  =
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;</FONT></B>=20
  <FONT color=3D#0000ff face=3DArial>Telephone: 01902 =
518632</FONT><B></B>=20
  <BR><B><FONT color=3D#0000ff face=3DArial>Senior =
Lecturer</FONT></B><FONT=20
  color=3D#0000ff face=3DArial> </FONT><BR><FONT color=3D#0000ff =
face=3DArial>School of=20
  Health - MH113 </FONT><BR><FONT color=3D#0000ff =
face=3DArial>University of=20
  Wolverhampton</FONT> <BR><FONT color=3D#0000ff face=3DArial>Molineux =
Street</FONT>=20
  <BR><FONT color=3D#0000ff face=3DArial>Wolverhampton </FONT><BR><FONT=20
  color=3D#0000ff face=3DArial>WV1 1SB</FONT> </P>~~~~~~~~~~~~~~~ Please =
remove this=20
  footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0055_01C4C03D.097F6B20--
=========================================================================
Date:         Mon, 1 Nov 2004 18:15:47 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jane Fairburn <[log in to unmask]>
Subject:      Stress and RIDDOR
Mime-Version: 1.0
Content-Type: text/html

<html><div style='background-color:'><DIV class=RTE>
<P>Hello all,</P>
<P>Interesting topic. Having just been to the CIPD conference, I had a chat with Peter Kelly, HSE OH Psychologist,&nbsp;who was promoting the Stress Standard to be formally launched this week. </P>
<P>We debated the&nbsp;numbers of people the HSE cite as suffering from 'stress' and&nbsp;how the HSE actually reached the decision of what constituted 'stress' in order to decide on the scale of the problem in UK industry. &nbsp;In my experience it can commonly be simply that an individual has attended his GP practice to say "I'm stressed"... my view is that whilst I do like the standards and it gives us a platform, it is a pity that the HSE didn't start from the bottom and see why GP's were giving Med 3's so easily (stating work-related stress) when what they are reporting is simply what they have been told. Peter advised that this was considered an issue and will be addressed.</P>
<P>I truly believe that work can be therapeutic in many cases of stress/anxiety/depression&nbsp;although GP's seem reluctant to consider this. I am by no means the best 'coper' in the world but having suffered two very close bereavements in the past eighteen months can speak from experience on this. Of course people are not all the same but work really can be helpful and in&nbsp; my view, adjustments and/or restrictions can facilitate a return to work and be hugely beneficial. </P>
<P>Jane Fairburn. OH Account Director. People Asset Management</P></DIV></div></html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 1 Nov 2004 18:34:06 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: First Aider payments
Mime-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
Content-Transfer-Encoding: quoted-printable
Content-Disposition: inline

Hi

Our first aiders get =A320 each month in theor pay packet.

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]

>>> [log in to unmask] 11/01/04 9:20 AM >>>
Hi
The first aiders at Fenlands get paid =A357.26 per quarter
Tanya Stacey


-----Original Message-----
From: SURGERY, GBR-Sutton [mailto:[log in to unmask]]
Sent: 28 October 2004 09:11
To: [log in to unmask]
Subject: First Aider payments


Dear members

I am re-visiting the issue of First Aider payments.  We currently pay our
First aiders =A3250 per annum.  I just wanted an idea of what other
organisations are paying their First Aiders.Your input would be much
appreciated.

Jill Rossiter

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


***************************************************************************=
********
The information included in this e-mail is of a confidential nature and is =
intended only for the addressee.  If you are not the intended addressee, =
any disclosure, copying or distribution by you is prohibited and may be =
unlawful.  Disclosure to any party other than the addressee, whether =
inadvertent or otherwise is not intended to waive the privilege or =
confidentiality.

Although this e-mail and any attachments are believed to be free from any =
virus, or other defect which might affect any system into which they are =
received or opened, it is the responsibility of the recipient to ensure =
that they are virus free and to check that they will not adversely affect =
its systems and data.  No responsibility is accepted by Northern Foods PLC =
for any loss or damage arising in any way from their receipt, opening or =
use.
***************************************************************************=
********

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 1 Nov 2004 16:06:44 EST
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1099343204"

-------------------------------1099343204
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit


In a message dated 01/11/2004 12:22:03 GMT Standard Time, [log in to unmask]
writes:

Do you think that stress can be classed as a mental state, as a opposed  to a
physical one, or do you think doing so is  incorrect


being really controversial, i feel it is a mental state,  but is aided by the
fact that my organisation pays full pay for six months. It's  amazing how
many individuals who have had mental issues, and "work related  stress" suddenly
get better and come back to work at the six month  period.

Now call me a cynic, but do people really have more stress these  days
compared to previous years? Look back at the early seventies, when people  were on
3-day weeks, and power-cuts ruled. Were people off sick then with  stress?

Like MSD it seems all too easy these days to suffer from stress,  it's hard
to prove, harder to treat and getting paid full pay is a  boon.

I'm not a counsellor (obviously) but i'd be keen to see what others  have to
say on this.

regards

Glenn


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1099343204
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2600.0" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #000000; FONT-FAMILY: Comic Sans MS"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3D"Comic Sans MS" color=3D#000000 size=3D3>
<DIV>
<DIV>In a message dated 01/11/2004 12:22:03 GMT Standard Time, [log in to unmask]
.UK=20
writes:</DIV>
<BLOCKQUOTE style=3D"PADDING-LEFT: 0px; MARGIN-LEFT: 0px"><FONT=20
  style=3D"BACKGROUND-COLOR: transparent" face=3D"Courier New" color=3D#0000=
00=20
  size=3D2>Do you think that stress can be classed as a mental state, as a o=
pposed=20
  to a physical one, or do you think doing so is=20
incorrect</FONT></BLOCKQUOTE></DIV>
<DIV></DIV>
<DIV><STRONG>being <EM>really </EM>controversial, i feel it is a mental stat=
e,=20
but is aided by the fact that my organisation pays full pay for six months.=20=
It's=20
amazing how many individuals who have had mental issues, and "work related=20
stress" suddenly get better and come back to work at the six month=20
period.</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Now call me a cynic, but do people really have more stress thes=
e=20
days compared to previous years? Look back at the early seventies, when peop=
le=20
were on 3-day weeks, and power-cuts ruled. Were people off sick then with=20
stress?</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Like MSD it seems all too easy these days to suffer from stress=
,=20
it's hard to prove, harder to treat and getting paid full pay is a=20
boon.</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>I'm not a counsellor (obviously) but i'd be keen to see what ot=
hers=20
have to say on this.</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>regards</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Glenn</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1099343204--
=========================================================================
Date:         Mon, 1 Nov 2004 23:28:00 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jo Jenkins <[log in to unmask]>
Subject:      Jo Jenkins/UK/CAMPSOUP/CSC is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

I will be out of the office starting  01/11/2004 and will not return until
03/11/2004.

Please forward your message to Siobhan Lawson who may be able to help you.



**********************************************************************
This e-mail and any files transmitted with it may contain
confidential information and is intended solely for use by
the individual to whom it is addressed.  If you received
this e-mail in error, please notify the sender, do not
disclose its contents to others and delete it from your
system.

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

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 2 Nov 2004 08:11:15 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Duncan Abbott <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0130_01C4C0B3.86440460"

This is a multi-part message in MIME format.

------=_NextPart_000_0130_01C4C0B3.86440460
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

You may find this of interest

Ahead of Stress Awareness Day on Wednesday 3 November the TUC has =
released a report that shows the number of workers suffering from stress =
has increased this year. Three in five workers (58 per cent) now =
complain of being stressed at work, an increase of two per cent from =
2002. The main reasons cited for stress are increased workloads, change =
at work, staff cuts, long hours and bullying.
http://www.tuc.org.uk/h_and_s/tuc-8902-f0.cfm


Duncan Abbott
www.enricosmog.com

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_0130_01C4C0B3.86440460
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1106" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #000000; FONT-FAMILY: Comic Sans MS"=20
bottomMargin=3D7 bgColor=3D#ffffff leftMargin=3D7 topMargin=3D7 =
rightMargin=3D7>
<DIV><FONT face=3DArial>You may find this of interest</FONT></DIV>
<DIV><FONT face=3DArial></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial>Ahead of Stress Awareness Day on Wednesday 3 =
November the=20
TUC has released a report that shows the number of workers suffering =
from stress=20
has increased this year. Three in five workers (58 per cent) now =
complain of=20
being stressed at work, an increase of two per cent from 2002. The main =
reasons=20
cited for stress are increased workloads, change at work, staff cuts, =
long hours=20
and bullying.<BR></FONT><A=20
href=3D"http://www.tuc.org.uk/h_and_s/tuc-8902-f0.cfm"><FONT=20
face=3DArial>http://www.tuc.org.uk/h_and_s/tuc-8902-f0.cfm</FONT></A></DI=
V>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Duncan Abbott</FONT></DIV>
<DIV><FONT face=3DArial =
size=3D2>www.enricosmog.com</FONT></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0130_01C4C0B3.86440460--
=========================================================================
Date:         Tue, 2 Nov 2004 08:12:19 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Duncan Abbott <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_013E_01C4C0B3.AC4839B0"

This is a multi-part message in MIME format.

------=_NextPart_000_013E_01C4C0B3.AC4839B0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

You may find this of interest

Ahead of Stress Awareness Day on Wednesday 3 November the TUC has =
released a report that shows the number of workers suffering from stress =
has increased this year. Three in five workers (58 per cent) now =
complain of being stressed at work, an increase of two per cent from =
2002. The main reasons cited for stress are increased workloads, change =
at work, staff cuts, long hours and bullying.
http://www.tuc.org.uk/h_and_s/tuc-8902-f0.cfm


Duncan Abbott
ergonomist
www.enricosmog.com

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_013E_01C4C0B3.AC4839B0
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1106" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #000000; FONT-FAMILY: Comic Sans MS"=20
bottomMargin=3D7 bgColor=3D#ffffff leftMargin=3D7 topMargin=3D7 =
rightMargin=3D7>
<DIV><FONT face=3DArial>You may find this of interest</FONT></DIV>
<DIV><FONT face=3DArial></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial>Ahead of Stress Awareness Day on Wednesday 3 =
November the=20
TUC has released a report that shows the number of workers suffering =
from stress=20
has increased this year. Three in five workers (58 per cent) now =
complain of=20
being stressed at work, an increase of two per cent from 2002. The main =
reasons=20
cited for stress are increased workloads, change at work, staff cuts, =
long hours=20
and bullying.<BR></FONT><A=20
href=3D"http://www.tuc.org.uk/h_and_s/tuc-8902-f0.cfm"><FONT=20
face=3DArial>http://www.tuc.org.uk/h_and_s/tuc-8902-f0.cfm</FONT></A></DI=
V>
<DIV><FONT face=3DArial></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial>Duncan Abbott</FONT></DIV>
<DIV><FONT face=3DArial>ergonomist</FONT></DIV>
<DIV><FONT face=3DArial>www.enricosmog.com</FONT></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_013E_01C4C0B3.AC4839B0--
=========================================================================
Date:         Tue, 2 Nov 2004 08:26:23 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Research Proposal
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

I do not believe that OH staff should be providing a first aid service. Are
ALL OH staff fully trained in first aid??  I am a first aid assessor and we
often see trained nurses on our courses (they do not always perform the best
in assessment too I might add!)
Also - every workplace has a team of  first aiders who are trained and
re-trained every 3 yrs (currently), so surely we should be trusting them to
carry out first aid treatment in the workplace - why train them if not??
I visit my workplaces on a part-time basis so if I was the first aid
provider then who would do it when I am not on site?  If the first aiders do
not use their skills they lose them (as is apparent when they are on
refresher courses).
If we are effective OH staff then we do not have the time to deal with every
little injury that occurs.  If on site I am always available for advice
should the first aiders require it but I never interfere when they have a
casualty in the first aid room - I wait for them to approach me, which isn't
very often.
I once worked at a factory where they were insistent that I should provide
first aid and the first aid team members always complained to me that they
felt useless and couldn't see the point of training.  They also felt
de-skilled very shortly after refresher training because they were not using
their skills.
That same workplace would not discontinue the treatment service or the
wearing of uniform either, so I quit.
Hope that helps
Lynda

-----Original Message-----
From: Collins, Julia (UK) [mailto:[log in to unmask]]
Sent: Monday, November 01, 2004 2:26 PM
To: [log in to unmask]
Subject: Re: Research Proposal


Hi Lynda

Just first aid treatment


Julia

-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 01 November 2004 12:37
To: [log in to unmask]
Subject: Re: Research Proposal


               *** WARNING ***

This mail has originated outside your organization,
either from an external partner or the Global Internet.

     Keep this in mind if you answer this message.


Do you mean just First Aid or do you mean administering medications for
headaches etc??
Lynda

-----Original Message-----
From: Julia J Collins [mailto:[log in to unmask]]
Sent: Monday, November 01, 2004 12:02 PM
To: [log in to unmask]
Subject: Research Proposal


Hi everyone

I was wondering if any of you can help me with my uni research proposal.
I'm in my first year of the degree and we have to submit a research
question and then work through the process -I think!

My proposed question is:

Should Occupational Health Nurses provide a reactive first aid treatment
service?

Do any of you have comments, ideas or know of any research that has been
done previously?

I would value any info I get back and following the debates of late I know
that there is a wealth of knowledge out there.


Many thanks

Julia

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 2 Nov 2004 08:43:33 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Maguire, Kevin" <[log in to unmask]>
Subject:      Re: Stress and RIDDOR
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C0B8.096E8A32"
Content-Transfer-Encoding: 7bit

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4C0B8.096E8A32
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

On a point of detail, the HSE morbidity statistics for stress were, the
last time I looked at their annual stats, only for those reported by a
psychiatrist or an OHP, i.e. excluding GP reports.  If I have misread
this, I am sure someone will put me right.
=20
Kevin

        -----Original Message-----
        From: Jane Fairburn [mailto:[log in to unmask]]=20
        Sent: 01 November 2004 18:16
        To: [log in to unmask]
        Subject: Stress and RIDDOR
=09
=09

        Hello all,

        Interesting topic. Having just been to the CIPD conference, I
had a chat with Peter Kelly, HSE OH Psychologist, who was promoting the
Stress Standard to be formally launched this week.=20

        We debated the numbers of people the HSE cite as suffering from
'stress' and how the HSE actually reached the decision of what
constituted 'stress' in order to decide on the scale of the problem in
UK industry.  In my experience it can commonly be simply that an
individual has attended his GP practice to say "I'm stressed"... my view
is that whilst I do like the standards and it gives us a platform, it is
a pity that the HSE didn't start from the bottom and see why GP's were
giving Med 3's so easily (stating work-related stress) when what they
are reporting is simply what they have been told. Peter advised that
this was considered an issue and will be addressed.

        I truly believe that work can be therapeutic in many cases of
stress/anxiety/depression although GP's seem reluctant to consider this.
I am by no means the best 'coper' in the world but having suffered two
very close bereavements in the past eighteen months can speak from
experience on this. Of course people are not all the same but work
really can be helpful and in  my view, adjustments and/or restrictions
can facilitate a return to work and be hugely beneficial.=20

        Jane Fairburn. OH Account Director. People Asset Management

        ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

        For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

        For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20



DISCLAIMER:
This email is intended solely for the addressee.  It may contain private =
and confidential information.  If you are not the intended addressee, =
please take no action based on it nor show a copy to anyone.  In this =
case, please reply to this email to highlight the error.  Opinions and =
information in this email that do not relate to the official business of =
Nottingham Trent University shall be understood as neither given nor =
endorsed by the University.
Nottingham Trent University has taken steps to ensure that this email =
and any attachments are virus-free, but we do advise that the recipient =
should check that the email and its attachments are actually virus free. =
 This is in keeping with good computing practice.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C0B8.096E8A32
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD><TITLE>Message</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dus-ascii">
<META content=3D"MSHTML 6.00.2800.1476" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D130253908-02112004><FONT face=3DArial color=3D#0000ff =
size=3D2>On a=20
point of detail, the HSE morbidity statistics for stress were, the last =
time I=20
looked at their annual stats, only for those reported by a psychiatrist =
or an=20
OHP, i.e. excluding GP reports.&nbsp; If I have misread this, I am sure =
someone=20
will put me right.</FONT></SPAN></DIV>
<DIV><SPAN class=3D130253908-02112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D130253908-02112004><FONT face=3DArial color=3D#0000ff =

size=3D2>Kevin</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV></DIV>
  <DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr =
align=3Dleft><FONT=20
  face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B> Jane =
Fairburn=20
  [mailto:[log in to unmask]] <BR><B>Sent:</B> 01 November 2004=20
  18:16<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Stress and=20
  RIDDOR<BR><BR></FONT></DIV>
  <DIV>
  <DIV class=3DRTE>
  <P>Hello all,</P>
  <P>Interesting topic. Having just been to the CIPD conference, I had a =
chat=20
  with Peter Kelly, HSE OH Psychologist,&nbsp;who was promoting the =
Stress=20
  Standard to be formally launched this week. </P>
  <P>We debated the&nbsp;numbers of people the HSE cite as suffering =
from=20
  'stress' and&nbsp;how the HSE actually reached the decision of what=20
  constituted 'stress' in order to decide on the scale of the problem in =
UK=20
  industry. &nbsp;In my experience it can commonly be simply that an =
individual=20
  has attended his GP practice to say "I'm stressed"... my view is that =
whilst I=20
  do like the standards and it gives us a platform, it is a pity that =
the HSE=20
  didn't start from the bottom and see why GP's were giving Med 3's so =
easily=20
  (stating work-related stress) when what they are reporting is simply =
what they=20
  have been told. Peter advised that this was considered an issue and =
will be=20
  addressed.</P>
  <P>I truly believe that work can be therapeutic in many cases of=20
  stress/anxiety/depression&nbsp;although GP's seem reluctant to =
consider this.=20
  I am by no means the best 'coper' in the world but having suffered two =
very=20
  close bereavements in the past eighteen months can speak from =
experience on=20
  this. Of course people are not all the same but work really can be =
helpful and=20
  in&nbsp; my view, adjustments and/or restrictions can facilitate a =
return to=20
  work and be hugely beneficial. </P>
  <P>Jane Fairburn. OH Account Director. People Asset=20
  Management</P></DIV></DIV>~~~~~~~~~~~~~~~ Please remove this footer =
before=20
  replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE><p></p><p><span =
style=3Dfont-size:8.0pt;font-family:Verdana>DISCLAIMER:<br> This email =
is intended solely for the addressee.  It may contain private and =
confidential information.  If you are not the intended addressee, please =
take no action based on it nor show a copy to anyone.  In this case, =
please reply to this email to highlight the error.  Opinions and =
information in this email that do not relate to the official business of =
Nottingham Trent University shall be understood as neither given nor =
endorsed by the University.</P><P>Nottingham Trent University has taken =
steps to ensure that this email and any attachments are virus-free, but =
we do advise that the recipient should check that the email and its =
attachments are actually virus free.  This is in keeping with good =
computing practice.</P></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C0B8.096E8A32--
=========================================================================
Date:         Tue, 2 Nov 2004 09:14:01 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Roya Fowler <[log in to unmask]>
Subject:      Re: Ann Wilson/National Britannia is out of the office.
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

Please remove me from the list
Thanks
Roya Fowler

-----Original Message-----
From: Ann Wilson [mailto:[log in to unmask]]=20
Sent: 01 November 2004 01:01
To: [log in to unmask]
Subject: Ann Wilson/National Britannia is out of the office.

I will be out of the office starting  29/10/2004 and will not return
until
02/11/2004.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 2 Nov 2004 09:52:07 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         KEVIN KNIGHT <[log in to unmask]>
Subject:      change in email
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative; boundary="0-228353436-1099389127=:26632"
Content-Transfer-Encoding: 8bit

--0-228353436-1099389127=:26632
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

I have tried to go through homepage but keep getting emails sent back so I'm afraid everyone is going to get this request.
Can you please change my email from [log in to unmask] to [log in to unmask]
thanks
Dawn K

Roya Fowler <[log in to unmask]> wrote:
Please remove me from the list
Thanks
Roya Fowler

-----Original Message-----
From: Ann Wilson [mailto:[log in to unmask]]
Sent: 01 November 2004 01:01
To: [log in to unmask]
Subject: Ann Wilson/National Britannia is out of the office.

I will be out of the office starting 29/10/2004 and will not return
until
02/11/2004.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--0-228353436-1099389127=:26632
Content-Type: text/html; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

<DIV>I have tried to go through homepage but keep getting emails sent back so I'm afraid everyone is going to get this request.</DIV>
<DIV>Can you please change my email from <A href="mailto:[log in to unmask]">[log in to unmask]</A> to <A href="mailto:[log in to unmask]">[log in to unmask]</A></DIV>
<DIV>thanks</DIV>
<DIV>Dawn K<BR><BR><B><I>Roya Fowler &lt;[log in to unmask]&gt;</I></B> wrote:</DIV>
<BLOCKQUOTE class=replbq style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #1010ff 2px solid">Please remove me from the list<BR>Thanks<BR>Roya Fowler<BR><BR>-----Original Message-----<BR>From: Ann Wilson [mailto:[log in to unmask]] <BR>Sent: 01 November 2004 01:01<BR>To: [log in to unmask]<BR>Subject: Ann Wilson/National Britannia is out of the office.<BR><BR>I will be out of the office starting 29/10/2004 and will not return<BR>until<BR>02/11/2004.<BR><BR>~~~~~~~~~~~~~~~<BR>Please remove this footer before replying.<BR><BR>For list archives and documents, go to<BR>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives<BR><BR>For jobs in Occupational Health, go to<BR>http://uk.groups.yahoo.com/group/OHJobs/<BR><BR>~~~~~~~~~~~~~~~<BR>Please remove this footer before replying.<BR><BR>For list archives and documents, go to<BR>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives<BR><BR>For jobs in Occupational Health, go
 to<BR>http://uk.groups.yahoo.com/group/OHJobs/<BR></BLOCKQUOTE>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-228353436-1099389127=:26632--
=========================================================================
Date:         Tue, 2 Nov 2004 09:57:47 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jay Chapman <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0045_01C4C0C2.67FAE1E0"

This is a multi-part message in MIME format.

------=_NextPart_000_0045_01C4C0C2.67FAE1E0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Stress & RiddorHi Maudie

Bravo!  A sensible attitude if ever I heard one.  I am an OH Specialist =
but RNA trained initially.  I do however feel that the psychological =
aspects of work and illness are misunderstood by management, HR, a great =
many OHAs and unfortunately rather too many GPs.  The effects of =
bullying are a case in point.  If stress is not a relevant consideration =
in the workplace, how come bullying is considered a 'bad thing'?  After =
all, its effects are seldom physical.  Were they to become so they would =
be referred to as physical abuse would they not?

I feel it's all too simple for those who find it easy to deal with their =
problems, domestic and work related, to under-estimate the effects suck =
problems can have on other people.  We are all different.  This is =
physically demonstrated by one person's ability to overcome infection =
and another's to succumb to it.  The workings of the mind and its =
ability to cope with life's slings and arrows are no different.   To =
ignore this is to ignore the basic tenets of nursing whatever discipline =
one follows.  Well that's my opinion anyway!

Jay
  ----- Original Message -----=20
  From: mchardy=20
  To: [log in to unmask]
  Sent: Monday, November 01, 2004 6:03 PM
  Subject: Re: Stress & Riddor


  Hi

  I haven't contributed to this list for a while, however, this has =
prompted me to! I am a Specialist OH Nurse but with an RMN qualification =
as well as RGN.

  This surely just shows the HSE's ignorance of how mal adaptive =
responses to stress can lead to physical and mental ill health! Maybe =
the RIDDOR team mean to say that stress is not on the Internationally =
recognised list of diagnosis (ICD), which it is not, however, other =
conditions such as anxiety states, acute reaction to stress leading to =
for e.g. to depressive or anxiety illnesses are all in the ICD.

  And what about the unresolved stress reactions creating a very =
physical state of illness?

  I am sure that many like me are continually fighting a losing battle =
in trying to raise awareness of mental health in the work place and try =
to reduce the stigma that is attached to it. This response from the HSE =
surely adds to this stigma?

  There, I've had my say!

  Maudie=20
    ----- Original Message -----=20
    From: Aziz, Bashyr=20
    To: [log in to unmask]
    Sent: Monday, November 01, 2004 12:07 PM
    Subject: Stress & Riddor


    Hello=20

    I just picked this message up at another website.  Any comments?=20

    ***************************=20

    I recently contacted the HSE to query whether stress-related illness =
or psychiatric injury could be construed as reportable under RIDDOR.  I =
received the following reply:

    "The following information has been provided by the Reporting of =
Injuries, Diseases and Dangerous Occurrences (RIDDOR) Operations Unit, =
Bootle.

    Stress is not reportable at all, not even as an over 3 day injury, =
because it is a mental state."=20

    However, I think most stress experts would find this reason =
untenable, as their is a general consensus that stress, and related =
psychiatric conditions, are *both* physical and mental.  For example, i =
) stress is often viewed as a physiological and neurological state, ii) =
stress has well-documented physical symptoms and effects.  The NHS and =
Royal College of Psychiatrists, e.g., acknowledge that stress has =
physical as well as physical symptoms.

    Just curious as to what others make of this.  Do you think that =
stress can be classed as a mental state, as a opposed to a physical one, =
or do you think doing so is incorrect?

    ***************************=20

    =20
    Bashyr Aziz                Telephone: 01902 518632=20
    Senior Lecturer=20
    School of Health - MH113=20
    University of Wolverhampton=20
    Molineux Street=20
    Wolverhampton=20
    WV1 1SB=20

    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0045_01C4C0C2.67FAE1E0
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><TITLE>Stress & Riddor</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV>Hi Maudie</DIV>
<DIV>&nbsp;</DIV>
<DIV>Bravo!&nbsp; A sensible attitude if ever I heard one.&nbsp; I am an =
OH=20
Specialist but RNA trained initially.&nbsp; I do however feel that the=20
psychological aspects of work and illness are misunderstood by =
management, HR, a=20
great many OHAs and unfortunately rather too many GPs.&nbsp; The effects =
of=20
bullying are a case in point.&nbsp; If stress is not a relevant =
consideration in=20
the workplace, how come bullying is considered a 'bad thing'?&nbsp; =
After all,=20
its effects are seldom physical.&nbsp; Were they to become so they would =
be=20
referred to as physical abuse would they not?</DIV>
<DIV>&nbsp;</DIV>
<DIV>I feel it's all too&nbsp;simple for those who find it easy to deal =
with=20
their problems, domestic and work related, to under-estimate the=20
effects&nbsp;suck problems&nbsp;can have on other people.&nbsp; We are =
all=20
different.&nbsp; This is physically demonstrated by one person's ability =
to=20
overcome infection and another's to succumb to it.&nbsp; The workings of =
the=20
mind and its ability to cope with life's slings and arrows are no=20
different.&nbsp;&nbsp; To ignore this is to ignore the basic tenets of =
nursing=20
whatever discipline one follows.&nbsp; Well that's my opinion =
anyway!</DIV>
<DIV>&nbsp;</DIV>
<DIV>Jay</DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask] =
href=3D"mailto:[log in to unmask]">mchardy</A>=20
  </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, November 01, 2004 =
6:03=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Stress &amp; =
Riddor</DIV>
  <DIV><BR></DIV>
  <DIV><FONT face=3DArial size=3D2>Hi</FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>I haven't contributed to this list =
for a while,=20
  however, this has prompted me to! I am a Specialist OH Nurse but with =
an RMN=20
  qualification as well as RGN.</FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>This surely just shows the HSE's =
ignorance of how=20
  mal adaptive responses to stress can lead to physical and mental ill =
health!=20
  Maybe the RIDDOR team mean to say that stress is not on the =
Internationally=20
  recognised list of diagnosis (ICD), which it is not, however, other =
conditions=20
  such as anxiety states, acute reaction to stress leading to for e.g. =
to=20
  depressive or anxiety illnesses are all in the ICD.</FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>And what about the unresolved stress =
reactions=20
  creating a very physical state of illness?</FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>I am sure that many like me are =
continually=20
  fighting a losing battle in trying to raise awareness of mental health =
in the=20
  work place and try to reduce the stigma that is attached to it. This =
response=20
  from the HSE surely adds to this stigma?</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>There, I've had my say!</FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>Maudie</FONT>&nbsp;</DIV>
  <BLOCKQUOTE=20
  style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
    <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
    <DIV=20
    style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
    <A [log in to unmask] href=3D"mailto:[log in to unmask]">Aziz, =
Bashyr</A>=20
    </DIV>
    <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
    =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, November 01, =
2004 12:07=20
    PM</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Stress &amp; =
Riddor</DIV>
    <DIV><BR></DIV><!-- Converted from text/rtf format -->
    <P><FONT face=3DArial color=3D#0000ff>Hello</FONT> </P>
    <P><FONT face=3DArial color=3D#0000ff>I just picked this message up =
at another=20
    website.&nbsp; Any comments?</FONT> </P>
    <P><FONT face=3D"Courier New" =
size=3D2>***************************</FONT> </P>
    <P><FONT face=3D"Courier New" size=3D2>I recently contacted the HSE =
to query=20
    whether stress-related illness or psychiatric injury could be =
construed as=20
    reportable under RIDDOR.&nbsp; I received the following =
reply:</FONT></P>
    <P><FONT face=3D"Courier New" size=3D2>"The following information =
has been=20
    provided by the Reporting of Injuries, Diseases and Dangerous =
Occurrences=20
    (RIDDOR) Operations Unit, Bootle.</FONT></P>
    <P><FONT face=3D"Courier New" size=3D2>Stress is not reportable at =
all, not even=20
    as an over 3 day injury, because it is a mental state."</FONT> </P>
    <P><FONT face=3D"Courier New" size=3D2>However, I think most stress =
experts=20
    would find this reason untenable, as their is a general consensus =
that=20
    stress, and related psychiatric conditions, are *both* physical and=20
    mental.&nbsp; For example, i ) stress is often viewed as a =
physiological and=20
    neurological state, ii) stress has well-documented physical symptoms =
and=20
    effects.&nbsp; The NHS and Royal College of Psychiatrists, e.g., =
acknowledge=20
    that stress has physical as well as physical symptoms.</FONT></P>
    <P><FONT face=3D"Courier New" size=3D2>Just curious as to what =
others make of=20
    this.&nbsp; Do you think that stress can be classed as a mental =
state, as a=20
    opposed to a physical one, or do you think doing so is =
incorrect?</FONT></P>
    <P><FONT face=3D"Courier New" =
size=3D2>***************************</FONT> </P>
    <P><FONT face=3D"Courier New" size=3D2></FONT> <BR><B><FONT =
face=3DArial=20
    color=3D#0000ff>Bashyr=20
    =
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;</FONT></B>=20
    <FONT face=3DArial color=3D#0000ff>Telephone: 01902 =
518632</FONT><B></B>=20
    <BR><B><FONT face=3DArial color=3D#0000ff>Senior =
Lecturer</FONT></B><FONT=20
    face=3DArial color=3D#0000ff> </FONT><BR><FONT face=3DArial =
color=3D#0000ff>School=20
    of Health - MH113 </FONT><BR><FONT face=3DArial =
color=3D#0000ff>University of=20
    Wolverhampton</FONT> <BR><FONT face=3DArial color=3D#0000ff>Molineux =

    Street</FONT> <BR><FONT face=3DArial color=3D#0000ff>Wolverhampton=20
    </FONT><BR><FONT face=3DArial color=3D#0000ff>WV1 1SB</FONT> =
</P>~~~~~~~~~~~~~~~=20
    Please remove this footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE>~~~~~~~~~~~~~~~ =

  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0045_01C4C0C2.67FAE1E0--
=========================================================================
Date:         Tue, 2 Nov 2004 10:16:32 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Collins, Julia (UK)" <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-version: 1.0
Content-type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C0C5.066B6718"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4C0C5.066B6718
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable


Hi Glenn
=0D
Being controversial and also cynical I agree with what you are saying. Like=
 yourselves our employees receive six months full pay but can have sickness=
 upto 52wks (full pay made up from the Gov) Many of them have anxiety,=
 stress or depression on their sick certs but when speaking to them=
 wouldn't know the symptoms if it hit them in their face - uncaring I know=
 - but this then puts a mockery on those who really are suffering and=
 genuingly need our help and support. Also many of these employees are not=
 on medication (not always the answer I know) or have been referred for=
 counselling. Lets face it we could all go to our GP tomorrow and come out=
 with the sick cert stating 'stress'. Like you I'm not a counsellor but=
 when we refer such employees to the CPN,  who runs a clinic on site, he is=
 usually in agreement that perhaps the individual perceives stress slightly=
 differently to ourselves.
=0D
This debate will probably run for some time to come yet I'm sure!
=0D
Julia

-----Original Message-----
From: Glenn Raybone [mailto:[log in to unmask]]
Sent: 01 November 2004 21:07
To: [log in to unmask]
Subject: Re: Stress & Riddor


*** WARNING *** This mail has originated outside your organization, either=
 from an external partner or the Global Internet. Keep this in mind if you=
 answer this message. =0D

In a message dated 01/11/2004 12:22:03 GMT Standard Time, [log in to unmask]
 writes:

Do you think that stress can be classed as a mental state, as a opposed to=
 a physical one, or do you think doing so is incorrect

being really controversial, i feel it is a mental state, but is aided by=
 the fact that my organisation pays full pay for six months. It's amazing=
 how many individuals who have had mental issues, and "work related stress"=
 suddenly get better and come back to work at the six month period.
=0D
Now call me a cynic, but do people really have more stress these days=
 compared to previous years? Look back at the early seventies, when people=
 were on 3-day weeks, and power-cuts ruled. Were people off sick then with=
 stress?
=0D
Like MSD it seems all too easy these days to suffer from stress, it's hard=
 to prove, harder to treat and getting paid full pay is a boon.
=0D
I'm not a counsellor (obviously) but i'd be keen to see what others have to=
 say on this.
=0D
regards
=0D
Glenn
=0D
~~~~~~~~~~~~~~~ Please remove this footer before replying.=0D

For list archives and documents, go to=
 http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=0D


For jobs in Occupational Health, go to=
 http://uk.groups.yahoo.com/group/OHJobs/=0D



********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4C0C5.066B6718
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; charset=
=3Diso-8859-1">


<META content=3D"MSHTML 5.00.2919.6307" name=3DGENERATOR></HEAD>
<BODY bottomMargin=3D7 id=3Drole_body leftMargin=3D7 rightMargin=3D7=0D
style=3D"COLOR: #000000; FONT-FAMILY: Comic Sans MS; FONT-SIZE: 12pt"=
 topMargin=3D7>
<DIV><SPAN class=3D582140710-02112004>Hi Glenn</SPAN></DIV>
<DIV><SPAN class=3D582140710-02112004></SPAN><SPAN=0D
class=3D582140710-02112004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D582140710-02112004>Being controversial and also cynical=
 I agree=0D
with what you are saying. Like yourselves our employees receive six months=
 full=0D
pay but can have sickness upto 52wks (full pay made up from the Gov)  Many=
 of=0D
them have anxiety, stress or depression on their sick certs but when=
 speaking to=0D
them wouldn't know the symptoms if it hit them in their face - uncaring I=
 know -=0D
but this then puts a mockery on those who really are suffering and=
 genuingly=0D
need our help and support. Also many of these employees are not on=
 medication=0D
(not always the answer I know) or have been referred for counselling. Lets=
 face=0D
it we could all go to our GP tomorrow and come out with the sick cert=
 stating=0D
'stress'. Like you I'm not a counsellor but when we refer such employees to=
 the=0D
CPN,&nbsp; who runs a clinic on site, he is usually in agreement that=
 perhaps=0D
the individual perceives stress slightly differently to=
 ourselves.</SPAN></DIV>
<DIV><SPAN class=3D582140710-02112004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D582140710-02112004>This debate will probably run for=
 some time=0D
to come yet I'm sure!</SPAN></DIV>
<DIV><SPAN class=3D582140710-02112004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D582140710-02112004>Julia</SPAN></DIV>
<BLOCKQUOTE style=3D"MARGIN-RIGHT: 0px">
  <DIV align=3Dleft class=3DOutlookMessageHeader dir=3Dltr><FONT face=
=3DTahoma=0D
  size=3D2>-----Original Message-----<BR><B>From:</B> Glenn Raybone=0D
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 01 November 2004=0D
  21:07<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re:=
 Stress=0D
  &amp; Riddor<BR><BR></DIV></FONT>
  <TABLE>
    <TBODY>
    <TR>
      <TD bgColor=3D#ffffff>*** WARNING *** This mail has originated=
 outside=0D
        your organization, either from an external partner or the Global=0D
        Internet. Keep this in mind if you answer this message.=0D
  </TD></TR></TBODY></TABLE><!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0=
 Transitional//EN">
  <META content=3D"MSHTML 6.00.2600.0" name=3DGENERATOR><FONT face=3D"Comic=
 Sans MS"=0D
  id=3Drole_document size=3D3>
  <DIV>
  <DIV>In a message dated 01/11/2004 12:22:03 GMT Standard Time,=0D
  [log in to unmask] writes:</DIV>
  <BLOCKQUOTE style=3D"MARGIN-LEFT: 0px; PADDING-LEFT: 0px"><FONT=0D
    face=3D"Courier New" size=3D2 style=3D"BACKGROUND-COLOR:=
 transparent">Do you think=0D
    that stress can be classed as a mental state, as a opposed to a=
 physical=0D
    one, or do you think doing so is incorrect</FONT></BLOCKQUOTE></DIV>
  <DIV></DIV>
  <DIV><STRONG>being <EM>really </EM>controversial, i feel it is a mental=
 state,=0D
  but is aided by the fact that my organisation pays full pay for six=
 months.=0D
  It's amazing how many individuals who have had mental issues, and "work=0D
  related stress" suddenly get better and come back to work at the six=
 month=0D
  period.</STRONG></DIV>
  <DIV><STRONG></STRONG>&nbsp;</DIV>
  <DIV><STRONG>Now call me a cynic, but do people really have more stress=
 these=0D
  days compared to previous years? Look back at the early seventies, when=
 people=0D
  were on 3-day weeks, and power-cuts ruled. Were people off sick then with=
=0D
  stress?</STRONG></DIV>
  <DIV><STRONG></STRONG>&nbsp;</DIV>
  <DIV><STRONG>Like MSD it seems all too easy these days to suffer from=
 stress,=0D
  it's hard to prove, harder to treat and getting paid full pay is a=0D
  boon.</STRONG></DIV>
  <DIV><STRONG></STRONG>&nbsp;</DIV>
  <DIV><STRONG>I'm not a counsellor (obviously) but i'd be keen to see what=
=0D
  others have to say on this.</STRONG></DIV>
  <DIV><STRONG></STRONG>&nbsp;</DIV>
  <DIV><STRONG>regards</STRONG></DIV>
  <DIV><STRONG></STRONG>&nbsp;</DIV>
  <DIV><STRONG>Glenn</STRONG></DIV>
  <DIV><STRONG></STRONG>&nbsp;</DIV></FONT>~~~~~~~~~~~~~~~ Please remove=
 this=0D
  footer before replying.=0D
  <P>For list archives and documents, go to=0D
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=0D
  <P>For jobs in Occupational Health, go to=0D
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE></BODY></HTML>

<table><tr><td bgcolor=3D#ffffff><font color=
=3D#000000>****************************************************************=
****<br>This email and any attachments are confidential to the=
 intended<br>recipient and may also be privileged. If you are not the=
 intended<br>recipient please delete it from your system and notify the=
 sender.<br>You should not copy it or use it for any purpose nor disclose=
 or<br>distribute its contents to any other=
 person.<br>***************************************************************=
*****<br></font></td></tr></table>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4C0C5.066B6718--
=========================================================================
Date:         Tue, 2 Nov 2004 10:49:14 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sara Werry <[log in to unmask]>
Subject:      Re: Stress at work
In-Reply-To:  <F237720A3055E04881231907AE73B5206C9EBD@glkms0015>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_001D_01C4C0C9.AA2A60C0"

This is a multi-part message in MIME format.

------=_NextPart_000_001D_01C4C0C9.AA2A60C0
Content-Type: text/plain;
        charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Hi

It looks like the Minister for Work Jane Kennedy is in some agreement
with this, she is reported to of said that "A culture exists where long
term-term sickness absence is accepted as a fact of life."

It would be interesting to look at how Occupational Health has
influenced this over the last few years.

Just a thought...!

All the best
Sara

Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579

-----Original Message-----
From: Collins, Julia (UK) [mailto:[log in to unmask]]
Sent: 02 November 2004 10:17
To: [log in to unmask]
Subject: Re: Stress & Riddor


Hi Glenn

Being controversial and also cynical I agree with what you are saying.
Like yourselves our employees receive six months full pay but can have
sickness upto 52wks (full pay made up from the Gov) Many of them have
anxiety, stress or depression on their sick certs but when speaking to
them wouldn't know the symptoms if it hit them in their face - uncaring
I know - but this then puts a mockery on those who really are suffering
and genuingly need our help and support. Also many of these employees
are not on medication (not always the answer I know) or have been
referred for counselling. Lets face it we could all go to our GP
tomorrow and come out with the sick cert stating 'stress'. Like you I'm
not a counsellor but when we refer such employees to the CPN,  who runs
a clinic on site, he is usually in agreement that perhaps the individual
perceives stress slightly differently to ourselves.

This debate will probably run for some time to come yet I'm sure!

Julia

-----Original Message-----
From: Glenn Raybone [mailto:[log in to unmask]]
Sent: 01 November 2004 21:07
To: [log in to unmask]
Subject: Re: Stress & Riddor


*** WARNING *** This mail has originated outside your organization,
either from an external partner or the Global Internet. Keep this in
mind if you answer this message.

In a message dated 01/11/2004 12:22:03 GMT Standard Time,
[log in to unmask] writes:

Do you think that stress can be classed as a mental state, as a opposed
to a physical one, or do you think doing so is incorrect

being really controversial, i feel it is a mental state, but is aided by
the fact that my organisation pays full pay for six months. It's amazing
how many individuals who have had mental issues, and "work related
stress" suddenly get better and come back to work at the six month
period.

Now call me a cynic, but do people really have more stress these days
compared to previous years? Look back at the early seventies, when
people were on 3-day weeks, and power-cuts ruled. Were people off sick
then with stress?

Like MSD it seems all too easy these days to suffer from stress, it's
hard to prove, harder to treat and getting paid full pay is a boon.

I'm not a counsellor (obviously) but i'd be keen to see what others have
to say on this.

regards

Glenn

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001D_01C4C0C9.AA2A60C0
Content-Type: text/html;
        charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">
<TITLE>Message</TITLE>

<META content=3D"MSHTML 5.50.4134.600" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #000000; FONT-FAMILY: Comic Sans MS"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7>
<DIV><SPAN class=3D922382710-02112004>Hi</SPAN></DIV>
<DIV><SPAN class=3D922382710-02112004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D922382710-02112004>It looks like the Minister for=20
Work&nbsp;Jane&nbsp;Kennedy&nbsp;is in some agreement with this, she is =
reported=20
to of said that "A culture exists where long term-term sickness absence =
is=20
accepted as a fact of life."&nbsp;&nbsp;</SPAN></DIV>
<DIV><SPAN class=3D922382710-02112004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D922382710-02112004>It would be interesting to look at =
how=20
Occupational Health has influenced this over the last few =
years.</SPAN></DIV>
<DIV><SPAN class=3D922382710-02112004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D922382710-02112004>Just a thought...!</SPAN></DIV>
<DIV><SPAN class=3D922382710-02112004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D922382710-02112004>All the best</SPAN></DIV>
<DIV><SPAN=20
class=3D922382710-02112004>Sara&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
</SPAN></DIV>
<DIV>&nbsp;</DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Sara Werry</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Adviser</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Service</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>University of East =
Anglia</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Norwich, NR4 7TJ</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Tel: (01603) 592174</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Fax: (01603) 506579</FONT></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV></DIV>
  <DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr =
align=3Dleft><FONT=20
  face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B> =
Collins, Julia=20
  (UK) [mailto:[log in to unmask]] <BR><B>Sent:</B> 02 =
November 2004=20
  10:17<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
Stress=20
  &amp; Riddor<BR><BR></FONT></DIV>
  <DIV><SPAN class=3D582140710-02112004>Hi Glenn</SPAN></DIV>
  <DIV><SPAN class=3D582140710-02112004></SPAN><SPAN=20
  class=3D582140710-02112004></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D582140710-02112004>Being controversial and also =
cynical I=20
  agree with what you are saying. Like yourselves our employees receive =
six=20
  months full pay but can have sickness upto 52wks (full pay made up =
from the=20
  Gov) Many of them have anxiety, stress or depression on their sick =
certs but=20
  when speaking to them wouldn't know the symptoms if it hit them in =
their face=20
  - uncaring I know - but this then puts a mockery on those who really =
are=20
  suffering and genuingly need our help and support. Also many of these=20
  employees are not on medication (not always the answer I know) or have =
been=20
  referred for counselling. Lets face it we could all go to our GP =
tomorrow and=20
  come out with the sick cert stating 'stress'. Like you I'm not a =
counsellor=20
  but when we refer such employees to the CPN,&nbsp; who runs a clinic =
on site,=20
  he is usually in agreement that perhaps the individual perceives =
stress=20
  slightly differently to ourselves.</SPAN></DIV>
  <DIV><SPAN class=3D582140710-02112004></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D582140710-02112004>This debate will probably run =
for some=20
  time to come yet I'm sure!</SPAN></DIV>
  <DIV><SPAN class=3D582140710-02112004></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D582140710-02112004>Julia</SPAN></DIV>
  <BLOCKQUOTE style=3D"MARGIN-RIGHT: 0px">
    <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
    size=3D2>-----Original Message-----<BR><B>From:</B> Glenn Raybone=20
    [mailto:[log in to unmask]]<BR><B>Sent:</B> 01 November 2004=20
    21:07<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
Stress=20
    &amp; Riddor<BR><BR></DIV></FONT>
    <TABLE>
      <TBODY>
      <TR>
        <TD bgColor=3D#ffffff>*** WARNING *** This mail has originated =
outside=20
          your organization, either from an external partner or the =
Global=20
          Internet. Keep this in mind if you answer this message.=20
    </TD></TR></TBODY></TABLE>
    <META content=3D"MSHTML 6.00.2600.0" name=3DGENERATOR><FONT =
id=3Drole_document=20
    face=3D"Comic Sans MS" size=3D3>
    <DIV>
    <DIV>In a message dated 01/11/2004 12:22:03 GMT Standard Time,=20
    [log in to unmask] writes:</DIV>
    <BLOCKQUOTE style=3D"PADDING-LEFT: 0px; MARGIN-LEFT: 0px"><FONT=20
      style=3D"BACKGROUND-COLOR: transparent" face=3D"Courier New" =
size=3D2>Do you=20
      think that stress can be classed as a mental state, as a opposed =
to a=20
      physical one, or do you think doing so is=20
incorrect</FONT></BLOCKQUOTE></DIV>
    <DIV></DIV>
    <DIV><STRONG>being <EM>really </EM>controversial, i feel it is a =
mental=20
    state, but is aided by the fact that my organisation pays full pay =
for six=20
    months. It's amazing how many individuals who have had mental =
issues, and=20
    "work related stress" suddenly get better and come back to work at =
the six=20
    month period.</STRONG></DIV>
    <DIV><STRONG></STRONG>&nbsp;</DIV>
    <DIV><STRONG>Now call me a cynic, but do people really have more =
stress=20
    these days compared to previous years? Look back at the early =
seventies,=20
    when people were on 3-day weeks, and power-cuts ruled. Were people =
off sick=20
    then with stress?</STRONG></DIV>
    <DIV><STRONG></STRONG>&nbsp;</DIV>
    <DIV><STRONG>Like MSD it seems all too easy these days to suffer =
from=20
    stress, it's hard to prove, harder to treat and getting paid full =
pay is a=20
    boon.</STRONG></DIV>
    <DIV><STRONG></STRONG>&nbsp;</DIV>
    <DIV><STRONG>I'm not a counsellor (obviously) but i'd be keen to see =
what=20
    others have to say on this.</STRONG></DIV>
    <DIV><STRONG></STRONG>&nbsp;</DIV>
    <DIV><STRONG>regards</STRONG></DIV>
    <DIV><STRONG></STRONG>&nbsp;</DIV>
    <DIV><STRONG>Glenn</STRONG></DIV>
    <DIV><STRONG></STRONG>&nbsp;</DIV></FONT>~~~~~~~~~~~~~~~ Please =
remove this=20
    footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE>
  <TABLE>
    <TBODY>
    <TR>
      <TD=20
        =
bgColor=3D#ffffff>*******************************************************=
*************<BR>This=20
        email and any attachments are confidential to the =
intended<BR>recipient=20
        and may also be privileged. If you are not the =
intended<BR>recipient=20
        please delete it from your system and notify the sender.<BR>You =
should=20
        not copy it or use it for any purpose nor disclose =
or<BR>distribute its=20
        contents to any other=20
        =
person.<BR>**************************************************************=
******<BR></TD></TR></TBODY></TABLE>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001D_01C4C0C9.AA2A60C0--
=========================================================================
Date:         Tue, 2 Nov 2004 11:05:37 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Robert Dunn
              <[log in to unmask]>
Organization: University of Oxford
Subject:      Re: Stress at work
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_00A8_01C4C0CB.E2371010"

This is a multi-part message in MIME format.

------=_NextPart_000_00A8_01C4C0CB.E2371010
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

MessageMaybe we need to include an RMN on the OH team, and refer =
employees to them for assessment?  As we know, employees will happily go =
off long-term with 'stress', however, if referred to a mental health =
specialist they may return to work sooner.  Afterall, anybody who is not =
psychiatrically ill would not like to think that others may see them in =
that light!!

Regards, Bob  (slightly tongue in cheek)  =20
  ----- Original Message -----=20
  From: Sara Werry=20
  To: [log in to unmask]
  Sent: Tuesday, November 02, 2004 10:49 AM
  Subject: Re: Stress at work


  Hi

  It looks like the Minister for Work Jane Kennedy is in some agreement =
with this, she is reported to of said that "A culture exists where long =
term-term sickness absence is accepted as a fact of life." =20

  It would be interesting to look at how Occupational Health has =
influenced this over the last few years.

  Just a thought...!

  All the best
  Sara      =20

  Sara Werry
  Occupational Health Adviser
  Occupational Health Service
  University of East Anglia
  Norwich, NR4 7TJ
  Tel: (01603) 592174
  Fax: (01603) 506579
    -----Original Message-----
    From: Collins, Julia (UK) [mailto:[log in to unmask]]=20
    Sent: 02 November 2004 10:17
    To: [log in to unmask]
    Subject: Re: Stress & Riddor


    Hi Glenn

    Being controversial and also cynical I agree with what you are =
saying. Like yourselves our employees receive six months full pay but =
can have sickness upto 52wks (full pay made up from the Gov) Many of =
them have anxiety, stress or depression on their sick certs but when =
speaking to them wouldn't know the symptoms if it hit them in their face =
- uncaring I know - but this then puts a mockery on those who really are =
suffering and genuingly need our help and support. Also many of these =
employees are not on medication (not always the answer I know) or have =
been referred for counselling. Lets face it we could all go to our GP =
tomorrow and come out with the sick cert stating 'stress'. Like you I'm =
not a counsellor but when we refer such employees to the CPN,  who runs =
a clinic on site, he is usually in agreement that perhaps the individual =
perceives stress slightly differently to ourselves.

    This debate will probably run for some time to come yet I'm sure!

    Julia
      -----Original Message-----
      From: Glenn Raybone [mailto:[log in to unmask]]
      Sent: 01 November 2004 21:07
      To: [log in to unmask]
      Subject: Re: Stress & Riddor


            *** WARNING *** This mail has originated outside your =
organization, either from an external partner or the Global Internet. =
Keep this in mind if you answer this message. =20

      In a message dated 01/11/2004 12:22:03 GMT Standard Time, =
[log in to unmask] writes:
        Do you think that stress can be classed as a mental state, as a =
opposed to a physical one, or do you think doing so is incorrect
      being really controversial, i feel it is a mental state, but is =
aided by the fact that my organisation pays full pay for six months. =
It's amazing how many individuals who have had mental issues, and "work =
related stress" suddenly get better and come back to work at the six =
month period.

      Now call me a cynic, but do people really have more stress these =
days compared to previous years? Look back at the early seventies, when =
people were on 3-day weeks, and power-cuts ruled. Were people off sick =
then with stress?

      Like MSD it seems all too easy these days to suffer from stress, =
it's hard to prove, harder to treat and getting paid full pay is a boon.

      I'm not a counsellor (obviously) but i'd be keen to see what =
others have to say on this.

      regards

      Glenn

      ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
      For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

      For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

          =
********************************************************************
          This email and any attachments are confidential to the =
intended
          recipient and may also be privileged. If you are not the =
intended
          recipient please delete it from your system and notify the =
sender.
          You should not copy it or use it for any purpose nor disclose =
or
          distribute its contents to any other person.
          =
********************************************************************
        =20
    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_00A8_01C4C0CB.E2371010
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><TITLE>Message</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #000000; FONT-FAMILY: Comic Sans MS"=20
bottomMargin=3D7 bgColor=3D#ffffff leftMargin=3D7 topMargin=3D7 =
rightMargin=3D7>
<DIV><FONT face=3DArial size=3D2>Maybe we need to include an RMN on the =
OH team, and=20
refer employees to them for assessment?&nbsp; As we know, employees will =
happily=20
go off long-term with 'stress', however, if referred to a mental health=20
specialist they may return to work =
sooner.&nbsp;&nbsp;Afterall,&nbsp;anybody who=20
is not psychiatrically ill&nbsp;would not like to think that others may =
see them=20
in that light!!</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Regards, Bob&nbsp; (slightly tongue in=20
cheek)&nbsp;&nbsp; </FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask] href=3D"mailto:[log in to unmask]">Sara =
Werry</A>=20
  </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Tuesday, November 02, =
2004 10:49=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Stress at =
work</DIV>
  <DIV><BR></DIV>
  <DIV><SPAN class=3D922382710-02112004>Hi</SPAN></DIV>
  <DIV><SPAN class=3D922382710-02112004></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D922382710-02112004>It looks like the Minister for=20
  Work&nbsp;Jane&nbsp;Kennedy&nbsp;is in some agreement with this, she =
is=20
  reported to of said that "A culture exists where long term-term =
sickness=20
  absence is accepted as a fact of life."&nbsp;&nbsp;</SPAN></DIV>
  <DIV><SPAN class=3D922382710-02112004></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D922382710-02112004>It would be interesting to look =
at how=20
  Occupational Health has influenced this over the last few =
years.</SPAN></DIV>
  <DIV><SPAN class=3D922382710-02112004></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D922382710-02112004>Just a thought...!</SPAN></DIV>
  <DIV><SPAN class=3D922382710-02112004></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D922382710-02112004>All the best</SPAN></DIV>
  <DIV><SPAN=20
  =
class=3D922382710-02112004>Sara&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
</SPAN></DIV>
  <DIV>&nbsp;</DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>Sara Werry</FONT></DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Adviser</FONT></DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Service</FONT></DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>University of East =
Anglia</FONT></DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>Norwich, NR4 7TJ</FONT></DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>Tel: (01603) =
592174</FONT></DIV>
  <DIV align=3Dleft><FONT face=3DGaramond>Fax: (01603) =
506579</FONT></DIV>
  <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
    <DIV></DIV>
    <DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr =
align=3Dleft><FONT=20
    face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B> =
Collins, Julia=20
    (UK) [mailto:[log in to unmask]] <BR><B>Sent:</B> 02 =
November 2004=20
    10:17<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
Stress=20
    &amp; Riddor<BR><BR></FONT></DIV>
    <DIV><SPAN class=3D582140710-02112004>Hi Glenn</SPAN></DIV>
    <DIV><SPAN class=3D582140710-02112004></SPAN><SPAN=20
    class=3D582140710-02112004></SPAN>&nbsp;</DIV>
    <DIV><SPAN class=3D582140710-02112004>Being controversial and also =
cynical I=20
    agree with what you are saying. Like yourselves our employees =
receive six=20
    months full pay but can have sickness upto 52wks (full pay made up =
from the=20
    Gov) Many of them have anxiety, stress or depression on their sick =
certs but=20
    when speaking to them wouldn't know the symptoms if it hit them in =
their=20
    face - uncaring I know - but this then puts a mockery on those who =
really=20
    are suffering and genuingly need our help and support. Also many of =
these=20
    employees are not on medication (not always the answer I know) or =
have been=20
    referred for counselling. Lets face it we could all go to our GP =
tomorrow=20
    and come out with the sick cert stating 'stress'. Like you I'm not a =

    counsellor but when we refer such employees to the CPN,&nbsp; who =
runs a=20
    clinic on site, he is usually in agreement that perhaps the =
individual=20
    perceives stress slightly differently to ourselves.</SPAN></DIV>
    <DIV><SPAN class=3D582140710-02112004></SPAN>&nbsp;</DIV>
    <DIV><SPAN class=3D582140710-02112004>This debate will probably run =
for some=20
    time to come yet I'm sure!</SPAN></DIV>
    <DIV><SPAN class=3D582140710-02112004></SPAN>&nbsp;</DIV>
    <DIV><SPAN class=3D582140710-02112004>Julia</SPAN></DIV>
    <BLOCKQUOTE style=3D"MARGIN-RIGHT: 0px">
      <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
      size=3D2>-----Original Message-----<BR><B>From:</B> Glenn Raybone=20
      [mailto:[log in to unmask]]<BR><B>Sent:</B> 01 November 2004=20
      21:07<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Re:=20
      Stress &amp; Riddor<BR><BR></DIV></FONT>
      <TABLE>
        <TBODY>
        <TR>
          <TD bgColor=3D#ffffff>*** WARNING *** This mail has originated =
outside=20
            your organization, either from an external partner or the =
Global=20
            Internet. Keep this in mind if you answer this message.=20
        </TD></TR></TBODY></TABLE>
      <META content=3D"MSHTML 6.00.2600.0" name=3DGENERATOR><FONT =
id=3Drole_document=20
      face=3D"Comic Sans MS" size=3D3>
      <DIV>
      <DIV>In a message dated 01/11/2004 12:22:03 GMT Standard Time,=20
      [log in to unmask] writes:</DIV>
      <BLOCKQUOTE style=3D"PADDING-LEFT: 0px; MARGIN-LEFT: 0px"><FONT=20
        style=3D"BACKGROUND-COLOR: transparent" face=3D"Courier New" =
size=3D2>Do you=20
        think that stress can be classed as a mental state, as a opposed =
to a=20
        physical one, or do you think doing so is=20
      incorrect</FONT></BLOCKQUOTE></DIV>
      <DIV></DIV>
      <DIV><STRONG>being <EM>really </EM>controversial, i feel it is a =
mental=20
      state, but is aided by the fact that my organisation pays full pay =
for six=20
      months. It's amazing how many individuals who have had mental =
issues, and=20
      "work related stress" suddenly get better and come back to work at =
the six=20
      month period.</STRONG></DIV>
      <DIV><STRONG></STRONG>&nbsp;</DIV>
      <DIV><STRONG>Now call me a cynic, but do people really have more =
stress=20
      these days compared to previous years? Look back at the early =
seventies,=20
      when people were on 3-day weeks, and power-cuts ruled. Were people =
off=20
      sick then with stress?</STRONG></DIV>
      <DIV><STRONG></STRONG>&nbsp;</DIV>
      <DIV><STRONG>Like MSD it seems all too easy these days to suffer =
from=20
      stress, it's hard to prove, harder to treat and getting paid full =
pay is a=20
      boon.</STRONG></DIV>
      <DIV><STRONG></STRONG>&nbsp;</DIV>
      <DIV><STRONG>I'm not a counsellor (obviously) but i'd be keen to =
see what=20
      others have to say on this.</STRONG></DIV>
      <DIV><STRONG></STRONG>&nbsp;</DIV>
      <DIV><STRONG>regards</STRONG></DIV>
      <DIV><STRONG></STRONG>&nbsp;</DIV>
      <DIV><STRONG>Glenn</STRONG></DIV>
      <DIV><STRONG></STRONG>&nbsp;</DIV></FONT>~~~~~~~~~~~~~~~ Please =
remove=20
      this footer before replying.=20
      <P>For list archives and documents, go to=20
      http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
      <P>For jobs in Occupational Health, go to=20
      http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE>
    <TABLE>
      <TBODY>
      <TR>
        <TD=20
          =
bgColor=3D#ffffff>*******************************************************=
*************<BR>This=20
          email and any attachments are confidential to the=20
          intended<BR>recipient and may also be privileged. If you are =
not the=20
          intended<BR>recipient please delete it from your system and =
notify the=20
          sender.<BR>You should not copy it or use it for any purpose =
nor=20
          disclose or<BR>distribute its contents to any other=20
          =
person.<BR>**************************************************************=
******<BR></TD></TR></TBODY></TABLE>~~~~~~~~~~~~~~~=20
    Please remove this footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE>~~~~~~~~~~~~~~~ =

  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_00A8_01C4C0CB.E2371010--
=========================================================================
Date:         Tue, 2 Nov 2004 10:04:47 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Collins, Julia (UK)" <[log in to unmask]>
Subject:      Re: Research Proposal
MIME-version: 1.0
Content-type: text/plain; charset="iso-8859-1"
Content-transfer-encoding: quoted-printable

Hi Lynda

I totally agree with your comments and I thank you for replying.


Julia

-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 02 November 2004 08:26
To: [log in to unmask]
Subject: Re: Research Proposal


I do not believe that OH staff should be providing a first aid service. Are
ALL OH staff fully trained in first aid??  I am a first aid assessor and we
often see trained nurses on our courses (they do not always perform the=
 best
in assessment too I might add!)
Also - every workplace has a team of  first aiders who are trained and
re-trained every 3 yrs (currently), so surely we should be trusting them to
carry out first aid treatment in the workplace - why train them if not??
I visit my workplaces on a part-time basis so if I was the first aid
provider then who would do it when I am not on site?  If the first aiders=
 do
not use their skills they lose them (as is apparent when they are on
refresher courses).
If we are effective OH staff then we do not have the time to deal with=
 every
little injury that occurs.  If on site I am always available for advice
should the first aiders require it but I never interfere when they have a
casualty in the first aid room - I wait for them to approach me, which=
 isn't
very often.
I once worked at a factory where they were insistent that I should provide
first aid and the first aid team members always complained to me that they
felt useless and couldn't see the point of training.  They also felt
de-skilled very shortly after refresher training because they were not=
 using
their skills.
That same workplace would not discontinue the treatment service or the
wearing of uniform either, so I quit.
Hope that helps
Lynda

-----Original Message-----
From: Collins, Julia (UK) [mailto:[log in to unmask]]
Sent: Monday, November 01, 2004 2:26 PM
To: [log in to unmask]
Subject: Re: Research Proposal


Hi Lynda

Just first aid treatment


Julia

-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 01 November 2004 12:37
To: [log in to unmask]
Subject: Re: Research Proposal


               *** WARNING ***

This mail has originated outside your organization,
either from an external partner or the Global Internet.

     Keep this in mind if you answer this message.


Do you mean just First Aid or do you mean administering medications for
headaches etc??
Lynda

-----Original Message-----
From: Julia J Collins [mailto:[log in to unmask]]
Sent: Monday, November 01, 2004 12:02 PM
To: [log in to unmask]
Subject: Research Proposal


Hi everyone

I was wondering if any of you can help me with my uni research proposal.
I'm in my first year of the degree and we have to submit a research
question and then work through the process -I think!

My proposed question is:

Should Occupational Health Nurses provide a reactive first aid treatment
service?

Do any of you have comments, ideas or know of any research that has been
done previously?

I would value any info I get back and following the debates of late I know
that there is a wealth of knowledge out there.


Many thanks

Julia

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 2 Nov 2004 11:54:24 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Green book link
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Thanks for the info Jacqui

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/21/04 07:03pm >>>
hi there
besides the green book being available on line,

there is also a magazine which is free to community nurses called
nursing
in practice by campden publishing. the issue from april 2004(i think)
had
some excellent articles on travel health.i picked it up at the RCN
congress.

it is a subscription only journal and you can register for it at
http://www.nipevents.com/journal.asp

not every thing in it is relevant to OH (but then few nursing
publications
are) however the lady who gave me it tells me it only publishes topics
that the readers ask for, for each article there is contact details
and
manufacturers details in the pages between.

might be worth a look for the travel.

there is also a good paragraph in last weeks nursing standard about
GPs
charging for travel vaccines...that is worth a look (we all need a
little
leverage now and again!)
jacqui

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 2 Nov 2004 12:24:59 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Recall system for Travel Vaccinations
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

I am in the process of putting together a "travel pack" for overseas
travellers and this will include a health check offering advise on
recommended vaccinations. I will have a database of staff members and
their vaccinations re: boosters etc. and their travel location. I agree
that they need to be taking responsibility for their own health, but
have come accross an incident when a staff member travelled overseas
during my absence without any vaccinations (he was unaware). I think it
is a good idea to offer this service and feel that it passes on the
message to staff that the employers are interested in their well being.

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/26/04 11:44am >>>
Dear List,

I have been asked to provide a recall system for all our employees who
have
travel vaccinations.
Has anybody else ever been asked to provide such a service?
I am trying to avoid implementing this as I think the onus needs to be
on
the individual to take responsibility for their own health.
Any thoughts or comments to build my argument would be appreciated.

Many Thanks
Charlotte

Occupational Health Manager
7 th Floor Lehman Brothers
Tel ; 0207 102 8628


------------------------------------------------------------------------------
This message is intended only for the personal and confidential use of
the
designated recipient(s) named above.  If you are not the intended
recipient of
this message you are hereby notified that any review, dissemination,
distribution or copying of this message is strictly prohibited.  This
communication is for information purposes only and should not be
regarded as
an offer to sell or as a solicitation of an offer to buy any financial
product, an official confirmation of any transaction, or as an
official
statement of Lehman Brothers.  Email transmission cannot be guaranteed
to be
secure or error-free.  Therefore, we do not represent that this
information is
complete or accurate and it should not be relied upon as such.  All
information is subject to change without notice.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 2 Nov 2004 12:53:44 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Recall system for Travel Vaccinations
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

At this place of work there are about 60 employees who travel overseas on
business.  I have a database which tells me when their vaccinations are due
and I recall them to have their boosters.  I book them in when the doctor is
on site just in case of anaphylaxis (we have the necessary drugs and oxygen
on site  but fortunately they haven't needed to be used yet).  I don't find
it a problem to recall them myself and just consider it as part of my job.
It also means that I am certain that they are fully covered when they go.
Lynda

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: Tuesday, November 02, 2004 12:25 PM
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations


I am in the process of putting together a "travel pack" for overseas
travellers and this will include a health check offering advise on
recommended vaccinations. I will have a database of staff members and
their vaccinations re: boosters etc. and their travel location. I agree
that they need to be taking responsibility for their own health, but
have come accross an incident when a staff member travelled overseas
during my absence without any vaccinations (he was unaware). I think it
is a good idea to offer this service and feel that it passes on the
message to staff that the employers are interested in their well being.

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/26/04 11:44am >>>
Dear List,

I have been asked to provide a recall system for all our employees who
have
travel vaccinations.
Has anybody else ever been asked to provide such a service?
I am trying to avoid implementing this as I think the onus needs to be
on
the individual to take responsibility for their own health.
Any thoughts or comments to build my argument would be appreciated.

Many Thanks
Charlotte

Occupational Health Manager
7 th Floor Lehman Brothers
Tel ; 0207 102 8628


----------------------------------------------------------------------------
--
This message is intended only for the personal and confidential use of
the
designated recipient(s) named above.  If you are not the intended
recipient of
this message you are hereby notified that any review, dissemination,
distribution or copying of this message is strictly prohibited.  This
communication is for information purposes only and should not be
regarded as
an offer to sell or as a solicitation of an offer to buy any financial
product, an official confirmation of any transaction, or as an
official
statement of Lehman Brothers.  Email transmission cannot be guaranteed
to be
secure or error-free.  Therefore, we do not represent that this
information is
complete or accurate and it should not be relied upon as such.  All
information is subject to change without notice.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 2 Nov 2004 13:20:08 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Recall system for Travel Vaccinations
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

exactly, this gives you peace of mind also. If you have a policy in
place that covers long haul flights, re couperation / time difference
and the effects (jet lag) etc, I would be grateful if you would share
this.

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/02/04 12:53pm >>>
At this place of work there are about 60 employees who travel overseas
on
business.  I have a database which tells me when their vaccinations are
due
and I recall them to have their boosters.  I book them in when the
doctor is
on site just in case of anaphylaxis (we have the necessary drugs and
oxygen
on site  but fortunately they haven't needed to be used yet).  I don't
find
it a problem to recall them myself and just consider it as part of my
job.
It also means that I am certain that they are fully covered when they
go.
Lynda

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: Tuesday, November 02, 2004 12:25 PM
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations


I am in the process of putting together a "travel pack" for overseas
travellers and this will include a health check offering advise on
recommended vaccinations. I will have a database of staff members and
their vaccinations re: boosters etc. and their travel location. I
agree
that they need to be taking responsibility for their own health, but
have come accross an incident when a staff member travelled overseas
during my absence without any vaccinations (he was unaware). I think
it
is a good idea to offer this service and feel that it passes on the
message to staff that the employers are interested in their well
being.

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/26/04 11:44am >>>
Dear List,

I have been asked to provide a recall system for all our employees who
have
travel vaccinations.
Has anybody else ever been asked to provide such a service?
I am trying to avoid implementing this as I think the onus needs to be
on
the individual to take responsibility for their own health.
Any thoughts or comments to build my argument would be appreciated.

Many Thanks
Charlotte

Occupational Health Manager
7 th Floor Lehman Brothers
Tel ; 0207 102 8628


----------------------------------------------------------------------------
--
This message is intended only for the personal and confidential use of
the
designated recipient(s) named above.  If you are not the intended
recipient of
this message you are hereby notified that any review, dissemination,
distribution or copying of this message is strictly prohibited.  This
communication is for information purposes only and should not be
regarded as
an offer to sell or as a solicitation of an offer to buy any financial
product, an official confirmation of any transaction, or as an
official
statement of Lehman Brothers.  Email transmission cannot be guaranteed
to be
secure or error-free.  Therefore, we do not represent that this
information is
complete or accurate and it should not be relied upon as such.  All
information is subject to change without notice.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 2 Nov 2004 13:06:24 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Alice Nenohwe <[log in to unmask]>
Subject:      Re: Recall system for Travel Vaccinations
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C0DC.C1B59EE0"
MIME-Version: 1.0

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4C0DC.C1B59EE0
Content-Transfer-Encoding: 7bit
Content-Type: text/plain;
        charset="ISO-8859-1"

About 50% of the staff here travel for work purposes. When I give them
vaccinations I also give them a record to keep which tell them when their
next booster is due. I feel that as adults they should have some
responsibility towards their travel health. If they are not sure what they
need they always ring me and I can check their record and tell them what
they need. I must say I havent had any problems with this system.

Alice

-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 02 November 2004 12:54
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations


At this place of work there are about 60 employees who travel overseas on
business.  I have a database which tells me when their vaccinations are due
and I recall them to have their boosters.  I book them in when the doctor is
on site just in case of anaphylaxis (we have the necessary drugs and oxygen
on site  but fortunately they haven't needed to be used yet).  I don't find
it a problem to recall them myself and just consider it as part of my job.
It also means that I am certain that they are fully covered when they go.
Lynda

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: Tuesday, November 02, 2004 12:25 PM
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations


I am in the process of putting together a "travel pack" for overseas
travellers and this will include a health check offering advise on
recommended vaccinations. I will have a database of staff members and
their vaccinations re: boosters etc. and their travel location. I agree
that they need to be taking responsibility for their own health, but
have come accross an incident when a staff member travelled overseas
during my absence without any vaccinations (he was unaware). I think it
is a good idea to offer this service and feel that it passes on the
message to staff that the employers are interested in their well being.

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/26/04 11:44am >>>
Dear List,

I have been asked to provide a recall system for all our employees who
have
travel vaccinations.
Has anybody else ever been asked to provide such a service?
I am trying to avoid implementing this as I think the onus needs to be
on
the individual to take responsibility for their own health.
Any thoughts or comments to build my argument would be appreciated.

Many Thanks
Charlotte

Occupational Health Manager
7 th Floor Lehman Brothers
Tel ; 0207 102 8628


----------------------------------------------------------------------------
--
This message is intended only for the personal and confidential use of
the
designated recipient(s) named above.  If you are not the intended
recipient of
this message you are hereby notified that any review, dissemination,
distribution or copying of this message is strictly prohibited.  This
communication is for information purposes only and should not be
regarded as
an offer to sell or as a solicitation of an offer to buy any financial
product, an official confirmation of any transaction, or as an
official
statement of Lehman Brothers.  Email transmission cannot be guaranteed
to be
secure or error-free.  Therefore, we do not represent that this
information is
complete or accurate and it should not be relied upon as such.  All
information is subject to change without notice.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


***********************************************************************************
Visit http://www.fco.gov.uk for British foreign policy news and travel advice; and http://www.i-uk.com - the essential guide to the UK.

The Foreign and Commonwealth Office holds and uses data for the purposes notified to the Information Commissioner under the Data Protection Act 1998
(which may be consulted at http://www.informationcommissioner.gov.uk ).  Such personal data may be disclosed to other UK Government Departments and public authorities.

Please note that all messages sent and received by members of the Foreign & Commonwealth Office and its missions overseas may be monitored centrally.  This is done to ensure the integrity of the system.

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

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C0DC.C1B59EE0
Content-Type: text/html;
        charset="ISO-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; charset=3DISO-885=
9-1">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version 5.5.2654.4=
5">
<TITLE>RE: Recall system for Travel Vaccinations</TITLE>
</HEAD>
<BODY>

<P><FONT SIZE=3D2>About 50% of the staff here travel for work purposes. W=
hen I give them vaccinations I also give them a record to keep which tell=
=20them when their next booster is due. I feel that as adults they should=
=20have some responsibility towards their travel health. If they are not =
sure what they need they always ring me and I can check their record and =
tell them what they need. I must say I havent had any problems with this =
system.</FONT></P>

<P><FONT SIZE=3D2>Alice</FONT>
</P>

<P><FONT SIZE=3D2>-----Original Message-----</FONT>
<BR><FONT SIZE=3D2>From: Hawkes, Lynda [<A HREF=3D"mailto:Lynda.Hawkes@UK=
.THALESGROUP.COM">mailto:[log in to unmask]</A>]</FONT>
<BR><FONT SIZE=3D2>Sent: 02 November 2004 12:54</FONT>
<BR><FONT SIZE=3D2>To: [log in to unmask]</FONT>
<BR><FONT SIZE=3D2>Subject: Re: Recall system for Travel Vaccinations</FO=
NT>
</P>
<BR>

<P><FONT SIZE=3D2>At this place of work there are about 60 employees who =
travel overseas on</FONT>
<BR><FONT SIZE=3D2>business.&nbsp; I have a database which tells me when =
their vaccinations are due</FONT>
<BR><FONT SIZE=3D2>and I recall them to have their boosters.&nbsp; I book=
=20them in when the doctor is</FONT>
<BR><FONT SIZE=3D2>on site just in case of anaphylaxis (we have the neces=
sary drugs and oxygen</FONT>
<BR><FONT SIZE=3D2>on site&nbsp; but fortunately they haven't needed to b=
e used yet).&nbsp; I don't find</FONT>
<BR><FONT SIZE=3D2>it a problem to recall them myself and just consider i=
t as part of my job.</FONT>
<BR><FONT SIZE=3D2>It also means that I am certain that they are fully co=
vered when they go.</FONT>
<BR><FONT SIZE=3D2>Lynda</FONT>
</P>

<P><FONT SIZE=3D2>-----Original Message-----</FONT>
<BR><FONT SIZE=3D2>From: Tracie McKelvie [<A HREF=3D"mailto:tracie.mckelv=
[log in to unmask]">mailto:[log in to unmask]</A>]</=
FONT>
<BR><FONT SIZE=3D2>Sent: Tuesday, November 02, 2004 12:25 PM</FONT>
<BR><FONT SIZE=3D2>To: [log in to unmask]</FONT>
<BR><FONT SIZE=3D2>Subject: Re: Recall system for Travel Vaccinations</FO=
NT>
</P>
<BR>

<P><FONT SIZE=3D2>I am in the process of putting together a &quot;travel =
pack&quot; for overseas</FONT>
<BR><FONT SIZE=3D2>travellers and this will include a health check offeri=
ng advise on</FONT>
<BR><FONT SIZE=3D2>recommended vaccinations. I will have a database of st=
aff members and</FONT>
<BR><FONT SIZE=3D2>their vaccinations re: boosters etc. and their travel =
location. I agree</FONT>
<BR><FONT SIZE=3D2>that they need to be taking responsibility for their o=
wn health, but</FONT>
<BR><FONT SIZE=3D2>have come accross an incident when a staff member trav=
elled overseas</FONT>
<BR><FONT SIZE=3D2>during my absence without any vaccinations (he was una=
ware). I think it</FONT>
<BR><FONT SIZE=3D2>is a good idea to offer this service and feel that it =
passes on the</FONT>
<BR><FONT SIZE=3D2>message to staff that the employers are interested in =
their well being.</FONT>
</P>

<P><FONT SIZE=3D2>Rgds</FONT>
</P>

<P><FONT SIZE=3D2>Tracie Mckelvie</FONT>
<BR><FONT SIZE=3D2>Occupational Health Nurse / Adviser</FONT>
<BR><FONT SIZE=3D2>Pembrokeshire College</FONT>
<BR><FONT SIZE=3D2>Merlins Bridge</FONT>
<BR><FONT SIZE=3D2>Haverfordwest</FONT>
<BR><FONT SIZE=3D2>Pembs.</FONT>
<BR><FONT SIZE=3D2>SA61 1SZ</FONT>
</P>

<P><FONT SIZE=3D2>TEL: 01437 765247 Ext 393</FONT>
<BR><FONT SIZE=3D2>FAX: 01437 767279</FONT>
<BR><FONT SIZE=3D2>E-mail: [log in to unmask]</FONT>
</P>
<BR>

<P><FONT SIZE=3D2>&gt;&gt;&gt; [log in to unmask] 10/26/04 11:44am=
=20&gt;&gt;&gt;</FONT>
<BR><FONT SIZE=3D2>Dear List,</FONT>
</P>

<P><FONT SIZE=3D2>I have been asked to provide a recall system for all ou=
r employees who</FONT>
<BR><FONT SIZE=3D2>have</FONT>
<BR><FONT SIZE=3D2>travel vaccinations.</FONT>
<BR><FONT SIZE=3D2>Has anybody else ever been asked to provide such a ser=
vice?</FONT>
<BR><FONT SIZE=3D2>I am trying to avoid implementing this as I think the =
onus needs to be</FONT>
<BR><FONT SIZE=3D2>on</FONT>
<BR><FONT SIZE=3D2>the individual to take responsibility for their own he=
alth.</FONT>
<BR><FONT SIZE=3D2>Any thoughts or comments to build my argument would be=
=20appreciated.</FONT>
</P>

<P><FONT SIZE=3D2>Many Thanks</FONT>
<BR><FONT SIZE=3D2>Charlotte</FONT>
</P>

<P><FONT SIZE=3D2>Occupational Health Manager</FONT>
<BR><FONT SIZE=3D2>7 th Floor Lehman Brothers</FONT>
<BR><FONT SIZE=3D2>Tel ; 0207 102 8628</FONT>
</P>
<BR>

<P><FONT SIZE=3D2>-------------------------------------------------------=
---------------------</FONT>
<BR><FONT SIZE=3D2>--</FONT>
<BR><FONT SIZE=3D2>This message is intended only for the personal and con=
fidential use of</FONT>
<BR><FONT SIZE=3D2>the</FONT>
<BR><FONT SIZE=3D2>designated recipient(s) named above.&nbsp; If you are =
not the intended</FONT>
<BR><FONT SIZE=3D2>recipient of</FONT>
<BR><FONT SIZE=3D2>this message you are hereby notified that any review, =
dissemination,</FONT>
<BR><FONT SIZE=3D2>distribution or copying of this message is strictly pr=
ohibited.&nbsp; This</FONT>
<BR><FONT SIZE=3D2>communication is for information purposes only and sho=
uld not be</FONT>
<BR><FONT SIZE=3D2>regarded as</FONT>
<BR><FONT SIZE=3D2>an offer to sell or as a solicitation of an offer to b=
uy any financial</FONT>
<BR><FONT SIZE=3D2>product, an official confirmation of any transaction, =
or as an</FONT>
<BR><FONT SIZE=3D2>official</FONT>
<BR><FONT SIZE=3D2>statement of Lehman Brothers.&nbsp; Email transmission=
=20cannot be guaranteed</FONT>
<BR><FONT SIZE=3D2>to be</FONT>
<BR><FONT SIZE=3D2>secure or error-free.&nbsp; Therefore, we do not repre=
sent that this</FONT>
<BR><FONT SIZE=3D2>information is</FONT>
<BR><FONT SIZE=3D2>complete or accurate and it should not be relied upon =
as such.&nbsp; All</FONT>
<BR><FONT SIZE=3D2>information is subject to change without notice.</FONT=
>
</P>

<P><FONT SIZE=3D2>~~~~~~~~~~~~~~~</FONT>
<BR><FONT SIZE=3D2>Please remove this footer before replying.</FONT>
</P>

<P><FONT SIZE=3D2>For list archives and documents, go to</FONT>
<BR><FONT SIZE=3D2><A HREF=3D"http://www.jiscmail.ac.uk/lists/occ-health.=
html" TARGET=3D"_blank">http://www.jiscmail.ac.uk/lists/occ-health.html</=
A> for list archives</FONT>
</P>

<P><FONT SIZE=3D2>For jobs in Occupational Health, go to</FONT>
<BR><FONT SIZE=3D2><A HREF=3D"http://uk.groups.yahoo.com/group/OHJobs/" T=
ARGET=3D"_blank">http://uk.groups.yahoo.com/group/OHJobs/</A></FONT>
</P>

<P><FONT SIZE=3D2>~~~~~~~~~~~~~~~</FONT>
<BR><FONT SIZE=3D2>Please remove this footer before replying.</FONT>
</P>

<P><FONT SIZE=3D2>For list archives and documents, go to</FONT>
<BR><FONT SIZE=3D2><A HREF=3D"http://www.jiscmail.ac.uk/lists/occ-health.=
html" TARGET=3D"_blank">http://www.jiscmail.ac.uk/lists/occ-health.html</=
A> for list archives</FONT>
</P>

<P><FONT SIZE=3D2>For jobs in Occupational Health, go to</FONT>
<BR><FONT SIZE=3D2><A HREF=3D"http://uk.groups.yahoo.com/group/OHJobs/" T=
ARGET=3D"_blank">http://uk.groups.yahoo.com/group/OHJobs/</A></FONT>
</P>

<P><FONT SIZE=3D2>~~~~~~~~~~~~~~~</FONT>
<BR><FONT SIZE=3D2>Please remove this footer before replying.</FONT>
</P>

<P><FONT SIZE=3D2>For list archives and documents, go to</FONT>
<BR><FONT SIZE=3D2><A HREF=3D"http://www.jiscmail.ac.uk/lists/occ-health.=
html" TARGET=3D"_blank">http://www.jiscmail.ac.uk/lists/occ-health.html</=
A> for list archives</FONT>
</P>

<P><FONT SIZE=3D2>For jobs in Occupational Health, go to</FONT>
<BR><FONT SIZE=3D2><A HREF=3D"http://uk.groups.yahoo.com/group/OHJobs/" T=
ARGET=3D"_blank">http://uk.groups.yahoo.com/group/OHJobs/</A></FONT>
</P>

<P><FONT FACE=3D"Arial" SIZE=3D2 COLOR=3D"#000000"></FONT>&nbsp;


<HR>

<P><STRONG>**************************************************************=
*********************<BR>Visit=20
<A href=3D"http://www.fco.gov.uk">http://www.fco.gov.uk</A> for British f=
oreign=20
policy news and travel advice; and <A=20
href=3D"http://www.i-uk.com">http://www.i-uk.com</A> - the essential guid=
e to the=20
UK.<BR></STRONG></P>
<P><STRONG>The Foreign and Commonwealth Office holds and uses data for th=
e=20
purposes notified to the Information Commissioner under the Data Protecti=
on Act=20
1998 (which may be consulted at <A=20
href=3D"http://www.informationcommissioner.gov.uk">http://www.information=
commissioner.gov.uk</A>=20
).&nbsp; Such personal data may be disclosed to other UK Government Depar=
tments=20
and public authorities.</STRONG></P>
<P><STRONG>Please note that all messages sent and received by members of =
the=20
Foreign &amp; Commonwealth Office and its missions overseas may be monito=
red=20
centrally.&nbsp; This is done to ensure the integrity of the=20
system.</STRONG></P>
<P><STRONG>**************************************************************=
*********************<BR></STRONG></P>
</BODY>
</HTML>=
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C0DC.C1B59EE0--
=========================================================================
Date:         Tue, 2 Nov 2004 14:21:19 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Stackhouse, Amy ." <[log in to unmask]>
Subject:      Pregnancy at work
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C0E7.38AA9D90"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4C0E7.38AA9D90
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hi All,
=20
I am doing a degree in primary health care with OH qualification. My =
occuaptional health assignment is on pregnant women at work.
=20
I am wondering if anyone has an protocals or contact with the pregnant =
women in thier workplace. At the NHS trust I work for we do not have a =
requirement for pregnant workers to contact OH. =20
=20
If anyone has any other information it would be greatly recieved.
=20
Many Thanks
=20
Amy Stackhouse
Trainee Occupational Health Nurse

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C0E7.38AA9D90
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML =
DIR=3Dltr><HEAD><META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1"></HEAD><BODY><DIV><FONT color=3D#000000 > Hi =0A=
All,</FONT></DIV>=0A=
<DIV>&nbsp;</DIV>=0A=
<DIV>I am doing a degree in primary health care with OH qualification. =
My =0A=
occuaptional health assignment is on pregnant women at work.</DIV>=0A=
<DIV>&nbsp;</DIV>=0A=
<DIV>I&nbsp;am wondering if anyone has an protocals or contact with the =
pregnant =0A=
women in thier workplace. At the NHS trust I work for we&nbsp;do not =
have a =0A=
requirement for pregnant workers to contact OH. &nbsp;</DIV>=0A=
<DIV>&nbsp;</DIV>=0A=
<DIV>If anyone has any other information it would be greatly =
recieved.</DIV>=0A=
<DIV>&nbsp;</DIV>=0A=
<DIV>Many Thanks</DIV>=0A=
<DIV>&nbsp;</DIV>=0A=
<DIV>Amy Stackhouse</DIV>=0A=
<DIV>Trainee Occupational Health Nurse</DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4C0E7.38AA9D90--
=========================================================================
Date:         Tue, 2 Nov 2004 13:23:59 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
Subject:      how long do notes have to be kept for??

Can I ask how long paper notes have to be kept for staff who have left the
organisation?

There are no items or results in there that come under the COSHH
regulations.

How long must we keep hold of them until they can be shredded?

Thanks

Glenn Raybone

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 2 Nov 2004 15:02:31 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Josie Mills <[log in to unmask]>
Subject:      Re: Stress & Riddor
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0056_01C4C0EC.FA37C3F0"

This is a multi-part message in MIME format.

------=_NextPart_000_0056_01C4C0EC.FA37C3F0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Stress & RiddorBashyr

last NHS Trust, our Risk Manager advised  to complete incident forms if they
were off sick with what that perceived was work related stress. Managers
were advised that anyone off sick over 3 days with work-related stress was
reportable under RIDDOR

Regards

 Josie Mills
Occupational Health Consultant
BSc(Hons); RGN; RMN; OHND; MIOSH


-----Original Message-----
From: Aziz, Bashyr [mailto:[log in to unmask]]
Sent: 01 November 2004 12:07
To: [log in to unmask]
Subject: Stress & Riddor


  Hello

  I just picked this message up at another website.  Any comments?

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

  I recently contacted the HSE to query whether stress-related illness or
psychiatric injury could be construed as reportable under RIDDOR.  I
received the following reply:

  "The following information has been provided by the Reporting of Injuries,
Diseases and Dangerous Occurrences (RIDDOR) Operations Unit, Bootle.

  Stress is not reportable at all, not even as an over 3 day injury, because
it is a mental state."

  However, I think most stress experts would find this reason untenable, as
their is a general consensus that stress, and related psychiatric
conditions, are *both* physical and mental.  For example, i ) stress is
often viewed as a physiological and neurological state, ii) stress has
well-documented physical symptoms and effects.  The NHS and Royal College of
Psychiatrists, e.g., acknowledge that stress has physical as well as
physical symptoms.

  Just curious as to what others make of this.  Do you think that stress can
be classed as a mental state, as a opposed to a physical one, or do you
think doing so is incorrect?

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


  Bashyr Aziz                Telephone: 01902 518632
  Senior Lecturer
  School of Health - MH113
  University of Wolverhampton
  Molineux Street
  Wolverhampton
  WV1 1SB

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.
  For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

  For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0056_01C4C0EC.FA37C3F0
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><TITLE>Stress & Riddor</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D781265714-02112004><FONT face=3DArial color=3D#0000ff =

size=3D2>Bashyr</FONT></SPAN></DIV>
<DIV><SPAN class=3D781265714-02112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D781265714-02112004><FONT face=3DArial color=3D#0000ff =
size=3D2>last=20
NHS Trust, our Risk Manager advised&nbsp; to complete incident forms if =
they=20
were off sick with what that perceived was work related stress. Managers =
were=20
advised that anyone off sick over 3 days with work-related stress was =
reportable=20
under RIDDOR</FONT></SPAN></DIV>
<DIV><SPAN class=3D781265714-02112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D781265714-02112004><FONT face=3DArial color=3D#0000ff =

size=3D2>Regards</FONT></SPAN></DIV>
<DIV><SPAN class=3D781265714-02112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D781265714-02112004><FONT size=3D2><SPAN=20
class=3D781265714-02112004><FONT size=3D2><FONT face=3DArial=20
color=3D#0000ff>&nbsp;</FONT><FONT face=3DArial><FONT =
color=3D#0000ff><B>Jo<SPAN=20
class=3D781265714-02112004>s</SPAN><SPAN =
class=3D781265714-02112004>i</SPAN>e Mills=20
</B><BR>Occupational Health Consultant <BR>BSc(Hons); RGN; RMN; OHND; =
MIOSH=20
</FONT></FONT>
<P><FONT face=3DArial><FONT=20
color=3D#0000ff></FONT></FONT>&nbsp;</P></FONT></SPAN></FONT></SPAN><FONT=
=20
face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B> Aziz, =
Bashyr=20
[mailto:[log in to unmask]]<BR><B>Sent:</B> 01 November 2004 =
12:07<BR><B>To:</B>=20
[log in to unmask]<BR><B>Subject:</B> Stress &amp;=20
Riddor<BR><BR></FONT></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px"><!-- Converted from =
text/rtf format -->
  <P><FONT face=3DArial color=3D#0000ff>Hello</FONT> </P>
  <P><FONT face=3DArial color=3D#0000ff>I just picked this message up at =
another=20
  website.&nbsp; Any comments?</FONT> </P>
  <P><FONT face=3D"Courier New" =
size=3D2>***************************</FONT> </P>
  <P><FONT face=3D"Courier New" size=3D2>I recently contacted the HSE to =
query=20
  whether stress-related illness or psychiatric injury could be =
construed as=20
  reportable under RIDDOR.&nbsp; I received the following =
reply:</FONT></P>
  <P><FONT face=3D"Courier New" size=3D2>"The following information has =
been=20
  provided by the Reporting of Injuries, Diseases and Dangerous =
Occurrences=20
  (RIDDOR) Operations Unit, Bootle.</FONT></P>
  <P><FONT face=3D"Courier New" size=3D2>Stress is not reportable at =
all, not even=20
  as an over 3 day injury, because it is a mental state."</FONT> </P>
  <P><FONT face=3D"Courier New" size=3D2>However, I think most stress =
experts would=20
  find this reason untenable, as their is a general consensus that =
stress, and=20
  related psychiatric conditions, are *both* physical and mental.&nbsp; =
For=20
  example, i ) stress is often viewed as a physiological and =
neurological state,=20
  ii) stress has well-documented physical symptoms and effects.&nbsp; =
The NHS=20
  and Royal College of Psychiatrists, e.g., acknowledge that stress has =
physical=20
  as well as physical symptoms.</FONT></P>
  <P><FONT face=3D"Courier New" size=3D2>Just curious as to what others =
make of=20
  this.&nbsp; Do you think that stress can be classed as a mental state, =
as a=20
  opposed to a physical one, or do you think doing so is =
incorrect?</FONT></P>
  <P><FONT face=3D"Courier New" =
size=3D2>***************************</FONT> </P>
  <P><FONT face=3D"Courier New" size=3D2></FONT> <BR><B><FONT =
face=3DArial=20
  color=3D#0000ff>Bashyr=20
  =
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;</FONT></B>=20
  <FONT face=3DArial color=3D#0000ff>Telephone: 01902 =
518632</FONT><B></B>=20
  <BR><B><FONT face=3DArial color=3D#0000ff>Senior =
Lecturer</FONT></B><FONT=20
  face=3DArial color=3D#0000ff> </FONT><BR><FONT face=3DArial =
color=3D#0000ff>School of=20
  Health - MH113 </FONT><BR><FONT face=3DArial =
color=3D#0000ff>University of=20
  Wolverhampton</FONT> <BR><FONT face=3DArial color=3D#0000ff>Molineux =
Street</FONT>=20
  <BR><FONT face=3DArial color=3D#0000ff>Wolverhampton </FONT><BR><FONT =
face=3DArial=20
  color=3D#0000ff>WV1 1SB</FONT> </P>~~~~~~~~~~~~~~~ Please remove this =
footer=20
  before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0056_01C4C0EC.FA37C3F0--
=========================================================================
Date:         Tue, 2 Nov 2004 16:38:19 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Muir, Jackie" <[log in to unmask]>
Subject:      Re: how long do notes have to be kept for??
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

We keep ours until 7 years and one month after death of individual. Even if
they have left the company - with the potential for litigation you need to
be able to provide the appropriate records in cases of litigation! Asbestos
exposure is an example of this cases can come back afetr very long periods
with cases against the company.

We do however have archiving facilities off-site, with recall facilities as
and when required.

Jackie

-----Original Message-----
From: Glenn Raybone [mailto:[log in to unmask]]
Sent: 02 November 2004 13:24
To: [log in to unmask]
Subject: how long do notes have to be kept for??


Can I ask how long paper notes have to be kept for staff who have left the
organisation?

There are no items or results in there that come under the COSHH
regulations.

How long must we keep hold of them until they can be shredded?

Thanks

Glenn Raybone

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


.sophos.3.87.11.02.


Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 2 Nov 2004 17:26:09 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chris Packham <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_000E_01C4C101.0AC3F900"

This is a multi-part message in MIME format.

------=_NextPart_000_000E_01C4C101.0AC3F900
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Stress & RiddorThose concerned about stress and mental health might be =
interested in a paper in the October issue of Occupational Medicine:
"Report of a system for diagnosis, categorizing and recording =
occupational mental health" by Chris Kalman (Occupational medicine 2004, =
54:464-408

Regards
Chris Packham
EnviroDerm Services

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_000E_01C4C101.0AC3F900
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><TITLE>Stress & Riddor</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT color=3D#000080>Those concerned about stress and mental =
health might be=20
interested in a paper in the October issue of Occupational=20
Medicine:</FONT></DIV>
<DIV><FONT color=3D#000080>"Report of a system for diagnosis, =
categorizing and=20
recording occupational mental health" by Chris Kalman (Occupational =
medicine=20
2004, 54:464-408</FONT></DIV>
<DIV><FONT color=3D#000080></FONT>&nbsp;</DIV>
<DIV><FONT color=3D#000080>Regards</FONT></DIV>
<DIV><FONT color=3D#000080>Chris Packham</FONT></DIV>
<DIV><FONT color=3D#000080>EnviroDerm =
Services</FONT></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_000E_01C4C101.0AC3F900--
=========================================================================
Date:         Tue, 2 Nov 2004 15:10:58 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Gina Jones <[log in to unmask]>
Subject:      Re: how long do notes have to be kept for??
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

very=20interested=20in=20this=20one=20myself.=20i=20know=20we=20kept=20emp=
loyees=20affected=20under=20Coshh=20for=2040=20years=20but=20not=20sure=20=
if=20other=20record=20are=20for=207=20or=2010=20years.=20i=20was=20plannin=
g=20on=20keeping=20them=2010=20so=20if=20anyone=20can=20tell=20me=20its=20=
less=20than=20that=20i=20would=20be=20grateful

-----Original=20Message-----
From:=20Glenn=20Raybone=20[mailto:[log in to unmask]]
Sent:=2002=20November=202004=2013:24
To:[log in to unmask]
Subject:=20how=20long=20do=20notes=20have=20to=20be=20kept=20for??


Can=20I=20ask=20how=20long=20paper=20notes=20have=20to=20be=20kept=20for=20=
staff=20who=20have=20left=20the
organisation?

There=20are=20no=20items=20or=20results=20in=20there=20that=20come=20under=
=20the=20COSHH
regulations.

How=20long=20must=20we=20keep=20hold=20of=20them=20until=20they=20can=20be=
=20shredded?

Thanks

Glenn=20Raybone

~~~~~~~~~~~~~~~
Please=20remove=20this=20footer=20before=20replying.

For=20list=20archives=20and=20documents,=20go=20to
http://www.jiscmail.ac.uk/lists/occ-health.html=20for=20list=20archives

For=20jobs=20in=20Occupational=20Health,=20go=20to
http://uk.groups.yahoo.com/group/OHJobs/

_____________________________________________________________________
This=20message=20has=20been=20checked=20for=20all=20known=20viruses=20by=20=
the=20
MessageLabs=20Virus=20Scanning=20Service.=20If=20you=20believe=20that=20yo=
u=20may=20have=20received=20a=20virus=20please=20contact=20your=20IT=20sup=
port=20personnel=20in=20the=20first=20instance.



A=20DIVISION=20OF=20SAMWORTH=20BROTHERS=20LIMITED.
Registered=20Office:=20Chetwode=20House,=20Leicester=20Road,=20Melton=20Mo=
wbray,
Leicestershire,=20LE13=201GA.=20=20
Registered=20Number:=2003116767,=20Registered=20in=20England.

PRIVATE=20AND=20CONFIDENTIAL
This=20message=20is=20private=20and=20confidential.=20=20It=20must=20not=20=
be=20disclosed=20to,
copied=20or=20used=20by=20anyone=20other=20than=20the=20addressee.=20=20If=
=20you=20receive=20this
message=20in=20error,=20please=20notify=20our=20email=20administrator=20at=
=20
[log in to unmask]

E-MAIL=20VIRUS=20WARNING
Although=20this=20email=20and=20any=20attachment=20are=20believed=20to=20b=
e=20free=20from
viruses=20which=20might=20affect=20any=20system=20into=20which=20they=20ar=
e=20received=20or
opened,=20it=20is=20the=20responsibility=20of=20the=20recipient=20to=20ens=
ure=20that=20they=20are=20virus=20free.=20=20No=20responsibility=20is=20ac=
cepted=20by=20Samworth=20Brothers=20for
any=20loss=20or=20damage=20arising=20in=20any=20way=20from=20their=20recei=
pt,=20opening=20or
use.
___________________________________________________________________
This=20email=20has=20been=20scanned=20for=20all=20viruses=20by=20the=20Mes=
sageLabs=20SkyScan
service.=20For=20more=20information=20on=20a=20proactive=20anti-virus=20se=
rvice=20working
around=20the=20clock,=20around=20the=20globe,=20visit=20http://www.message=
labs.com
________________________________________________________________________

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 2 Nov 2004 15:16:28 EST
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jean Piernicki <[log in to unmask]>
Subject:      Re: how long do notes have to be kept for??
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1099426588"

-------------------------------1099426588
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Hi Glenn
This is a subject I have also investigated. Clear advice does seem to be
difficult to get hold of. The BMA says notes should be kept for 10 years.
This does not include notes covered by COSHH 40 or 50 years depending on  the
type of surveillance undertaken.
Notes also need to be considered under Data Protection and not be kept  for
unnecessary periods of time and also being able to be destroyed at an
appropriate time.
All this and "local policy" aswell
Hope this helps
Jean

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1099426588
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY:=20=
Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3DArial color=3D#000000 size=3D2>
<DIV>Hi Glenn</DIV>
<DIV>This is a subject I have also investigated. Clear advice does seem to b=
e=20
difficult to get hold of. The BMA says notes should be kept for 10 years.</D=
IV>
<DIV>This does not include notes covered by COSHH 40 or 50 years depending o=
n=20
the type of surveillance undertaken.</DIV>
<DIV>Notes also need to be considered under Data Protection and not&nbsp;be=20=
kept=20
for unnecessary periods of time and also being able to be destroyed at an=20
appropriate time.</DIV>
<DIV>All this and "local policy" aswell</DIV>
<DIV>Hope this helps</DIV>
<DIV>Jean</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1099426588--
=========================================================================
Date:         Tue, 2 Nov 2004 21:22:37 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lindsey Hall <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0086_01C4C122.1362AFE0"

This is a multi-part message in MIME format.

------=_NextPart_000_0086_01C4C122.1362AFE0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

MessageHaving read the rest of the replies after this one, I thought I =
would chip in the following

Stress, as far as I am aware, is still regarded as a symptom, not a =
condition in it's own right.  Therefore I don't see how it can be =
reported under RIDDOR. If it is, then it is surely challengable as there =
are so many facets to the term. The HSE have given the word 'stress' a =
respectable definition but not defined it as a reportable work related =
condition under RIDDOR. =20

Walker won his case on the failure of a duty of care by Northumberland =
CC in that they failed to forsee, that as he had been off once with =
symptoms of work related stress, it was forseeable that if they put him =
back in exactly the same work situation - which they did - that he would =
exhibit the same health problems - which he did.

I think therefore that only a tribunal can decide for sure if the =
'stress' was work related and if the employer was failing in their duty =
of care.

Regards

Lindsey Hall
Head of Nursing Services
AXA PPP healthcare
  =20
  ----- Original Message -----=20
  From: Maguire, Kevin=20
  To: [log in to unmask]
  Sent: Monday, November 01, 2004 1:05 PM
  Subject: Re: Stress & Riddor


  This reminds me of other areas where something 'new' is expected to =
jump over higher hurdles than accepted matters.  What is the standard of =
proof of  a dermatitis or back pain being work-induced?  I am not =
questioning that they are but pointing out that a reasonable assessment =
and attribution is made for them and can be made for work- induced =
mental ill-health.  As for defining mental illness, there are recognised =
categories of illness that are reliably diagnosed; in particular anxiety =
and depression are normally seen as the mental illnesses we associate =
with stress.  As to the notion that "psychiatric damage" is of a lesser =
status, do we not have the Walker ruling on this?

  Kevin


  -----Original Message-----
  From: Sara Werry [mailto:[log in to unmask]]=20
  Sent: 01 November 2004 12:39
  To: [log in to unmask]
  Subject: Re: Stress & Riddor


    Hi

    What needs to be asked is where in the terms of reference/criteria =
for a work related disease does it state that RIDDOR is only applicable =
to physical work related diseases? If it doesn't then there is little =
argument not to include work related mental health illness.

    I think the problem would be in defining and being able to prove =
mental illness was definitely work related, what would be the use of an =
influx of ill defined reports, how valid would this be? =20

    Sara  =20



    Sara Werry
    Occupational Health Adviser
    Occupational Health Service
    University of East Anglia
    Norwich, NR4 7TJ
    Tel: (01603) 592174
    Fax: (01603) 506579
      -----Original Message-----
      From: Aziz, Bashyr [mailto:[log in to unmask]]=20
      Sent: 01 November 2004 12:07
      To: [log in to unmask]
      Subject: Stress & Riddor


      Hello=20

      I just picked this message up at another website.  Any comments?=20

      ***************************=20

      I recently contacted the HSE to query whether stress-related =
illness or psychiatric injury could be construed as reportable under =
RIDDOR.  I received the following reply:

      "The following information has been provided by the Reporting of =
Injuries, Diseases and Dangerous Occurrences (RIDDOR) Operations Unit, =
Bootle.

      Stress is not reportable at all, not even as an over 3 day injury, =
because it is a mental state."=20

      However, I think most stress experts would find this reason =
untenable, as their is a general consensus that stress, and related =
psychiatric conditions, are *both* physical and mental.  For example, i =
) stress is often viewed as a physiological and neurological state, ii) =
stress has well-documented physical symptoms and effects.  The NHS and =
Royal College of Psychiatrists, e.g., acknowledge that stress has =
physical as well as physical symptoms.

      Just curious as to what others make of this.  Do you think that =
stress can be classed as a mental state, as a opposed to a physical one, =
or do you think doing so is incorrect?

      ***************************=20


      Bashyr Aziz                Telephone: 01902 518632=20
      Senior Lecturer=20
      School of Health - MH113=20
      University of Wolverhampton=20
      Molineux Street=20
      Wolverhampton=20
      WV1 1SB=20

      ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
      For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

      For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20


  DISCLAIMER:
  This email is intended solely for the addressee. It may contain =
private and confidential information. If you are not the intended =
addressee, please take no action based on it nor show a copy to anyone. =
In this case, please reply to this email to highlight the error. =
Opinions and information in this email that do not relate to the =
official business of Nottingham Trent University shall be understood as =
neither given nor endorsed by the University.

  Nottingham Trent University has taken steps to ensure that this email =
and any attachments are virus-free, but we do advise that the recipient =
should check that the email and its attachments are actually virus free. =
This is in keeping with good computing practice.

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0086_01C4C122.1362AFE0
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><TITLE>Message</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1106" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>Having read the rest of the replies =
after this one,=20
I thought I would chip in the following</FONT></DIV>
<DIV>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Stress, as far as&nbsp;I am aware, is =
still=20
regarded as a symptom, not a condition in it's own right.&nbsp; =
Therefore I=20
don't see how it can be reported under RIDDOR. If it is, then it is =
surely=20
challengable as there are so many facets to the term. The HSE have given =
the=20
word 'stress'&nbsp;a respectable definition but not defined it as a =
reportable=20
work related condition under RIDDOR.&nbsp; </FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Walker won his case&nbsp;on the failure =
of&nbsp;a=20
duty of care by Northumberland CC in that they failed to&nbsp;forsee, =
that as he=20
had been off once with symptoms of work related stress, it was =
forseeable that=20
if they put him back in exactly the same work situation - which they did =
- that=20
he would exhibit the same health problems - which he did.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>I think therefore that only a tribunal =
can decide=20
for sure if the 'stress' was work related and if the employer was =
failing in=20
their duty of care.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Regards</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Lindsey Hall</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Head of Nursing Services</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>AXA PPP healthcare</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>&nbsp;&nbsp; </FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Maguire, Kevin</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, November 01, 2004 =
1:05=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Stress &amp; =
Riddor</DIV>
  <DIV><BR></DIV>
  <DIV><SPAN class=3D309165812-01112004><FONT face=3DArial =
color=3D#0000ff size=3D2>This=20
  reminds me of other areas where something 'new' is expected to jump =
over=20
  higher hurdles than accepted matters.&nbsp; What is the standard of =
proof=20
  of&nbsp;&nbsp;a dermatitis or back pain being work-induced?&nbsp; I am =
not=20
  questioning that they are but pointing out that a reasonable =
assessment and=20
  attribution is made for them and can be made for work- induced mental=20
  ill-health.&nbsp; As for defining mental illness, there are recognised =

  categories of illness that are reliably diagnosed; in&nbsp;particular =
anxiety=20
  and depression are normally seen as the mental illnesses we associate =
with=20
  stress.&nbsp; As to the notion that "psychiatric damage" is of a =
lesser=20
  status, do we not have the Walker ruling on this?</FONT></SPAN></DIV>
  <DIV><SPAN class=3D309165812-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D309165812-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>Kevin</FONT></SPAN></DIV>
  <DIV><SPAN class=3D309165812-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D309165812-01112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV></DIV>
  <DIV><FONT face=3DTahoma size=3D2>-----Original =
Message-----<BR><B>From:</B> Sara=20
  Werry [mailto:[log in to unmask]] <BR><B>Sent:</B> 01 November 2004=20
  12:39<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
Stress=20
  &amp; Riddor<BR><BR></DIV></FONT>
  <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
    <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2>Hi</FONT></SPAN></DIV>
    <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2></FONT></SPAN>&nbsp;</DIV>
    <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2>What needs to be asked is where in the terms of =
reference/criteria=20
    for&nbsp;a work related disease&nbsp;does it state that RIDDOR is =
only=20
    applicable to physical work related diseases?&nbsp;If it doesn't =
then there=20
    is little argument not to include work related mental health=20
    illness.</FONT></SPAN></DIV>
    <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2></FONT></SPAN>&nbsp;</DIV>
    <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff size=3D2>I=20
    think the problem would be in defining and being able to prove =
mental=20
    illness was definitely work related,&nbsp;what would be the use of =
an influx=20
    of ill defined reports, how valid would this=20
    be?&nbsp;&nbsp;</FONT></SPAN></DIV>
    <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2></FONT></SPAN>&nbsp;</DIV>
    <DIV><SPAN class=3D586452912-01112004><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2>Sara&nbsp;&nbsp;&nbsp;</FONT></SPAN></DIV>
    <DIV><SPAN class=3D586452912-01112004></SPAN>&nbsp;</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>&nbsp;</DIV>
    <DIV align=3Dleft><FONT face=3DGaramond>Sara Werry</FONT></DIV>
    <DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Adviser</FONT></DIV>
    <DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Service</FONT></DIV>
    <DIV align=3Dleft><FONT face=3DGaramond>University of East =
Anglia</FONT></DIV>
    <DIV align=3Dleft><FONT face=3DGaramond>Norwich, NR4 =
7TJ</FONT></DIV>
    <DIV align=3Dleft><FONT face=3DGaramond>Tel: (01603) =
592174</FONT></DIV>
    <DIV align=3Dleft><FONT face=3DGaramond>Fax: (01603) =
506579</FONT></DIV>
    <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
      <DIV></DIV>
      <DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr =
align=3Dleft><FONT=20
      face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B> =
Aziz, Bashyr=20
      [mailto:[log in to unmask]] <BR><B>Sent:</B> 01 November 2004=20
      12:07<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Stress=20
      &amp; Riddor<BR><BR></FONT></DIV><!-- Converted from text/rtf =
format -->
      <P><FONT face=3DArial color=3D#0000ff>Hello</FONT> </P>
      <P><FONT face=3DArial color=3D#0000ff>I just picked this message =
up at another=20
      website.&nbsp; Any comments?</FONT> </P>
      <P><FONT face=3D"Courier New" =
size=3D2>***************************</FONT> </P>
      <P><FONT face=3D"Courier New" size=3D2>I recently contacted the =
HSE to query=20
      whether stress-related illness or psychiatric injury could be =
construed as=20
      reportable under RIDDOR.&nbsp; I received the following =
reply:</FONT></P>
      <P><FONT face=3D"Courier New" size=3D2>"The following information =
has been=20
      provided by the Reporting of Injuries, Diseases and Dangerous =
Occurrences=20
      (RIDDOR) Operations Unit, Bootle.</FONT></P>
      <P><FONT face=3D"Courier New" size=3D2>Stress is not reportable at =
all, not=20
      even as an over 3 day injury, because it is a mental =
state."</FONT> </P>
      <P><FONT face=3D"Courier New" size=3D2>However, I think most =
stress experts=20
      would find this reason untenable, as their is a general consensus =
that=20
      stress, and related psychiatric conditions, are *both* physical =
and=20
      mental.&nbsp; For example, i ) stress is often viewed as a =
physiological=20
      and neurological state, ii) stress has well-documented physical =
symptoms=20
      and effects.&nbsp; The NHS and Royal College of Psychiatrists, =
e.g.,=20
      acknowledge that stress has physical as well as physical=20
      symptoms.</FONT></P>
      <P><FONT face=3D"Courier New" size=3D2>Just curious as to what =
others make of=20
      this.&nbsp; Do you think that stress can be classed as a mental =
state, as=20
      a opposed to a physical one, or do you think doing so is=20
      incorrect?</FONT></P>
      <P><FONT face=3D"Courier New" =
size=3D2>***************************</FONT> </P>
      <P><FONT face=3D"Courier New" size=3D2></FONT><BR><B><FONT =
face=3DArial=20
      color=3D#0000ff>Bashyr=20
      =
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;</FONT></B>=20
      <FONT face=3DArial color=3D#0000ff>Telephone: 01902 =
518632</FONT><B></B>=20
      <BR><B><FONT face=3DArial color=3D#0000ff>Senior =
Lecturer</FONT></B><FONT=20
      face=3DArial color=3D#0000ff> </FONT><BR><FONT face=3DArial =
color=3D#0000ff>School=20
      of Health - MH113 </FONT><BR><FONT face=3DArial =
color=3D#0000ff>University of=20
      Wolverhampton</FONT> <BR><FONT face=3DArial =
color=3D#0000ff>Molineux=20
      Street</FONT> <BR><FONT face=3DArial color=3D#0000ff>Wolverhampton =

      </FONT><BR><FONT face=3DArial color=3D#0000ff>WV1 1SB</FONT>=20
      </P>~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
      <P>For list archives and documents, go to=20
      http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
      <P>For jobs in Occupational Health, go to=20
      =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE>~~~~~~~~~~~~~~~ =

    Please remove this footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE>
  <P></P>
  <P><SPAN style=3D"FONT-SIZE: 8pt; FONT-FAMILY: =
Verdana">DISCLAIMER:<BR>This=20
  email is intended solely for the addressee. It may contain private and =

  confidential information. If you are not the intended addressee, =
please take=20
  no action based on it nor show a copy to anyone. In this case, please =
reply to=20
  this email to highlight the error. Opinions and information in this =
email that=20
  do not relate to the official business of Nottingham Trent University =
shall be=20
  understood as neither given nor endorsed by the University.</P>
  <P>Nottingham Trent University has taken steps to ensure that this =
email and=20
  any attachments are virus-free, but we do advise that the recipient =
should=20
  check that the email and its attachments are actually virus free. This =
is in=20
  keeping with good computing practice.</P>~~~~~~~~~~~~~~~ Please remove =
this=20
  footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></SPAN></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0086_01C4C122.1362AFE0--
=========================================================================
Date:         Tue, 2 Nov 2004 22:01:18 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         david mills <[log in to unmask]>
Subject:      Re: Stress & Riddor
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_004A_01C4C127.7D026210"

This is a multi-part message in MIME format.

------=_NextPart_000_004A_01C4C127.7D026210
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

I have previously been advised that technically, in the disease =
reporting
part of RIDDOR (assuming stress or the reactive mental health conditions =
it
may produce are diseases) one's duty is to report a disease that is in =
the
column 1 of  schedule 3, providing the person is involved in the work
activity in column 2 of the schedule. Therefore technically one reports =
an
association rather than a causation.
On that basis even if HSE decided stress is a "disease" how would they =
ever
classify the work activity?
Just write "anything and everything"?
=20
On the other hand "stress" does seem to get treated as an injury in
Industrial Injury Disablement Benefit.
=20
Dr. David M.J. Mills=20
*  <****************************> [log in to unmask]
=20
=20
This e-mail, and any attachment, is confidential. If you have received =
it in
error, please delete it from your system, do not use or disclose the
information in any way, and notify me immediately.
=20
=20

  _____ =20

From: Clayton.Mary [mailto:[log in to unmask]]=20
Sent: 01 November 2004 13:44
To: [log in to unmask]
Subject: Re: Stress & Riddor


Sorry if I sound na=EFve but are GPs always able to decide whether the
symptoms are definitely work related? In the early stages of illness the =
GP
may only have the patient's interpretation of the underlying cause.
Exploratron may reveal that work-related stressors are contributory, not
causative. I believe that in the Walker v Northumberland case the =
judgment
regarding psychological injury was reached after a protracted =
investigation
of all the facts surrounding the plaintiff's condition.
=20
Mary
=20
-----Original Message-----
From: Sara Werry [mailto:[log in to unmask]]=20
Sent: 01 November 2004 13:26
To: [log in to unmask]
Subject: Re: Stress & Riddor
=20
Hi Kevin
=20
Yes I agree with you but I thought the purpose of RIDDOR was to =
essentially
report work related disease and I think in terms of mental health =
definition
this may be open to many different interpretations.
=20
I wonder how many GP's realise the importance of stating if stress is
considered work related or not on certificates and what about the cases
where there are multiple causative factors?
=20
All the best
Sara
=20
=20
Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579
-----Original Message-----
From: Maguire, Kevin [mailto:[log in to unmask]]=20
Sent: 01 November 2004 13:05
To: [log in to unmask]
Subject: Re: Stress & Riddor
This reminds me of other areas where something 'new' is expected to jump
over higher hurdles than accepted matters.  What is the standard of =
proof of
a dermatitis or back pain being work-induced?  I am not questioning that
they are but pointing out that a reasonable assessment and attribution =
is
made for them and can be made for work- induced mental ill-health.  As =
for
defining mental illness, there are recognised categories of illness that =
are
reliably diagnosed; in particular anxiety and depression are normally =
seen
as the mental illnesses we associate with stress.  As to the notion that
"psychiatric damage" is of a lesser status, do we not have the Walker =
ruling
on this?
=20
Kevin
=20
=20
-----Original Message-----
From: Sara Werry [mailto:[log in to unmask]]=20
Sent: 01 November 2004 12:39
To: [log in to unmask]
Subject: Re: Stress & Riddor
Hi
=20
What needs to be asked is where in the terms of reference/criteria for a
work related disease does it state that RIDDOR is only applicable to
physical work related diseases? If it doesn't then there is little =
argument
not to include work related mental health illness.
=20
I think the problem would be in defining and being able to prove mental
illness was definitely work related, what would be the use of an influx =
of
ill defined reports, how valid would this be? =20
=20
Sara  =20
=20
=20
=20
Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579
-----Original Message-----
From: Aziz, Bashyr [mailto:[log in to unmask]]=20
Sent: 01 November 2004 12:07
To: [log in to unmask]
Subject: Stress & Riddor
Hello=20
I just picked this message up at another website.  Any comments?=20
***************************=20
I recently contacted the HSE to query whether stress-related illness or
psychiatric injury could be construed as reportable under RIDDOR.  I
received the following reply:
"The following information has been provided by the Reporting of =
Injuries,
Diseases and Dangerous Occurrences (RIDDOR) Operations Unit, Bootle.
Stress is not reportable at all, not even as an over 3 day injury, =
because
it is a mental state."=20
However, I think most stress experts would find this reason untenable, =
as
their is a general consensus that stress, and related psychiatric
conditions, are *both* physical and mental.  For example, i ) stress is
often viewed as a physiological and neurological state, ii) stress has
well-documented physical symptoms and effects.  The NHS and Royal =
College of
Psychiatrists, e.g., acknowledge that stress has physical as well as
physical symptoms.
Just curious as to what others make of this.  Do you think that stress =
can
be classed as a mental state, as a opposed to a physical one, or do you
think doing so is incorrect?
***************************=20

Bashyr Aziz                Telephone: 01902 518632=20
Senior Lecturer=20
School of Health - MH113=20
University of Wolverhampton=20
Molineux Street=20
Wolverhampton=20
WV1 1SB=20
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20
DISCLAIMER:
This email is intended solely for the addressee. It may contain private =
and
confidential information. If you are not the intended addressee, please =
take
no action based on it nor show a copy to anyone. In this case, please =
reply
to this email to highlight the error. Opinions and information in this =
email
that do not relate to the official business of Nottingham Trent =
University
shall be understood as neither given nor endorsed by the University.
Nottingham Trent University has taken steps to ensure that this email =
and
any attachments are virus-free, but we do advise that the recipient =
should
check that the email and its attachments are actually virus free. This =
is in
keeping with good computing practice.
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/ ~~~~~~~~~~~~~~~ Please remove =
this
footer before replying.=20

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_004A_01C4C127.7D026210
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns=3D"http://www.w3.org/TR/REC-html40" xmlns:o =3D=20
"urn:schemas-microsoft-com:office:office" xmlns:w =3D=20
"urn:schemas-microsoft-com:office:word" xmlns:st1 =3D=20
"urn:schemas-microsoft-com:office:smarttags"><HEAD><TITLE>Message</TITLE>=

<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3DWord.Document name=3DProgId>
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<META content=3D"Microsoft Word 10" name=3DOriginator><LINK=20
href=3D"cid:filelist.xml@01C4C018.DE461720" =
rel=3DFile-List><o:SmartTagType=20
name=3D"City"=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"></o:SmartTagT=
ype><o:SmartTagType=20
name=3D"place"=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"></o:SmartTagT=
ype><!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:DontDisplayPageBoundaries/>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if !mso]>
<STYLE>st1\:* {
        BEHAVIOR: url(#default#ieooui)
}
</STYLE>
<![endif]-->
<STYLE>@font-face {
        font-family: Tahoma;
}
@font-face {
        font-family: Monotype Corsiva;
}
@font-face {
        font-family: Verdana;
}
@font-face {
        font-family: Garamond;
}
@page Section1 {size: 612.0pt 792.0pt; margin: 72.0pt 90.0pt 72.0pt =
90.0pt; mso-header-margin: 35.4pt; mso-footer-margin: 35.4pt; =
mso-paper-source: 0; }
P.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
LI.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
DIV.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"
}
A:link {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
SPAN.MsoHyperlink {
        COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
A:visited {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
SPAN.MsoHyperlinkFollowed {
        COLOR: purple; TEXT-DECORATION: underline; text-underline: single
}
P {
        FONT-SIZE: 12pt; MARGIN-LEFT: 0cm; MARGIN-RIGHT: 0cm; FONT-FAMILY: =
"Times New Roman"; mso-pagination: widow-orphan; =
mso-fareast-font-family: "Times New Roman"; mso-margin-top-alt: auto; =
mso-margin-bottom-alt: auto
}
SPAN.EmailStyle18 {
        COLOR: navy; FONT-FAMILY: "Monotype Corsiva"; mso-bidi-font-family: =
Arial; mso-style-type: personal-reply; mso-style-noshow: yes; =
mso-ansi-font-size: 14.0pt; mso-bidi-font-size: 14.0pt; =
mso-ascii-font-family: "Monotype Corsiva"; mso-hansi-font-family: =
"Monotype Corsiva"
}
SPAN.SpellE {
        mso-style-name: ""; mso-spl-e: yes
}
DIV.Section1 {
        page: Section1
}
</STYLE>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]--></HEAD>
<BODY lang=3DEN-US style=3D"tab-interval: 36.0pt" vLink=3Dpurple =
link=3Dblue>
<DIV dir=3Dltr align=3Dleft><SPAN class=3D728304921-02112004><FONT =
face=3DArial=20
color=3D#0000ff size=3D2>I have previously been advised that =
technically, in the=20
disease reporting part of RIDDOR (assuming stress or the reactive mental =
health=20
conditions it may produce are diseases)&nbsp;one's duty is to report a =
disease=20
that is in the column 1 of&nbsp; schedule 3, providing the person is =
involved in=20
the work activity in column 2 of the schedule. Therefore technically one =
reports=20
an association rather than a causation.</FONT></SPAN></DIV>
<DIV dir=3Dltr align=3Dleft><SPAN class=3D728304921-02112004><FONT =
face=3DArial=20
color=3D#0000ff size=3D2>On that basis even if HSE decided stress is a =
"disease" how=20
would they ever classify the work activity?</FONT></SPAN></DIV>
<DIV dir=3Dltr align=3Dleft><SPAN class=3D728304921-02112004><FONT =
face=3DArial=20
color=3D#0000ff size=3D2>Just write "anything and =
everything"?</FONT></SPAN></DIV>
<DIV dir=3Dltr align=3Dleft><SPAN class=3D728304921-02112004><FONT =
face=3DArial=20
color=3D#0000ff size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV dir=3Dltr align=3Dleft><SPAN class=3D728304921-02112004><FONT =
face=3DArial=20
color=3D#0000ff size=3D2>On the other hand "stress" does seem to get =
treated as an=20
injury in Industrial Injury Disablement Benefit.</FONT></SPAN></DIV>
<DIV dir=3Dltr align=3Dleft><SPAN class=3D728304921-02112004><FONT =
face=3DArial=20
color=3D#0000ff size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV dir=3Dltr align=3Dleft><SPAN class=3D728304921-02112004>
<DIV align=3Dleft><STRONG><FONT color=3D#666666><FONT face=3DVerdana>Dr. =
David M.J.=20
Mills</FONT></FONT></STRONG><FONT color=3D#666666>=20
<DIV><FONT face=3DArial color=3D#000000 size=3D2></FONT>
<MARQUEE id=3DMarquee4 style=3D"FONT-SIZE: 10pt; WIDTH: 242px; HEIGHT: =
17px"=20
trueSpeed scrollAmount=3D2 scrollDelay=3D5 direction=3Dright =
behavior=3Dslide loop=3D1=20
border=3D"0"><FONT face=3D"Verdana, Geneva, Arial, Helvetica, =
sans-serif"=20
size=3D1></FONT></MARQUEE><FONT face=3DArial color=3D#000000 =
size=3D2></FONT></DIV>
<DIV>
<MARQUEE id=3DMarquee4 style=3D"FONT-SIZE: 10pt; WIDTH: 242px; HEIGHT: =
17px"=20
trueSpeed scrollAmount=3D2 scrollDelay=3D5 direction=3Dright =
behavior=3Dslide loop=3D1=20
border=3D"0"><FONT face=3D"Verdana, Geneva, Arial, Helvetica, =
sans-serif"><FONT=20
face=3DWingdings><FONT color=3D#808080><STRONG>*<FONT=20
face=3D"Courier New"></FONT><FONT face=3D"Courier New"></FONT><FONT=20
face=3D"Courier New"></FONT> <A =
href=3D"mailto:[log in to unmask]"><FONT=20
face=3D"Courier =
New">[log in to unmask]</FONT></A></STRONG></FONT></FONT></FONT></MARQ=
UEE></DIV>
<DIV><FONT face=3DArial color=3D#000000 size=3D2></FONT>&nbsp;</DIV>
<DIV>
<MARQUEE id=3DMarquee5 style=3D"WIDTH: 353px; HEIGHT: 91px" trueSpeed =
scrollAmount=3D1=20
scrollDelay=3D20 direction=3Dup behavior=3Dslide loop=3D1 width=3D353 =
height=3D91>
<DIV><FONT face=3DVerdana size=3D1><STRONG></STRONG></FONT>&nbsp;</DIV>
<DIV>
<DIV><FONT face=3DTahoma size=3D1>This e-mail, and any attachment, is =
confidential.=20
If you have received it in error, please delete it from your system, do =
not use=20
or disclose the information in any way, and notify me=20
immediately.</FONT></DIV></DIV></MARQUEE></DIV></FONT></DIV></SPAN></DIV>=

<DIV dir=3Dltr align=3Dleft><SPAN class=3D728304921-02112004><FONT =
face=3DArial=20
color=3D#0000ff size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV dir=3Dltr align=3Dleft><SPAN class=3D728304921-02112004><FONT =
face=3DArial=20
color=3D#0000ff size=3D2></FONT></SPAN>&nbsp;</DIV><BR>
<DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr align=3Dleft>
<HR tabIndex=3D-1>
<FONT face=3DTahoma size=3D2><B>From:</B> Clayton.Mary=20
[mailto:[log in to unmask]] <BR><B>Sent:</B> 01 November 2004=20
13:44<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
Stress=20
&amp; Riddor<BR></FONT><BR></DIV>
<DIV></DIV>
<DIV class=3DSection1>
<P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy =
size=3D4><SPAN=20
style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva'; =
mso-bidi-font-family: Arial">Sorry=20
if I sound na=EFve but are GPs always able to decide whether the =
symptoms are=20
definitely work related? In the early stages of illness the GP may only =
have the=20
patient's interpretation of the underlying cause. Exploratron may reveal =
that=20
work-related stressors are contributory, not causative. I believe that =
in the=20
</SPAN></FONT><st1:City><st1:place><FONT face=3D"Monotype Corsiva" =
color=3Dnavy=20
size=3D4><SPAN=20
style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva'; =
mso-bidi-font-family: =
Arial">Walker</SPAN></FONT></st1:place></st1:City><FONT=20
face=3D"Monotype Corsiva" color=3Dnavy size=3D4><SPAN=20
style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva'; =
mso-bidi-font-family: Arial">=20
v Northumberland case the judgment regarding psychological injury was =
reached=20
after a protracted investigation of all the facts surrounding the =
plaintiff's=20
condition.<o:p></o:p></SPAN></FONT></P>
<P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy =
size=3D4><SPAN=20
style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva'; =
mso-bidi-font-family: Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
<P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy =
size=3D4><SPAN=20
style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva'; =
mso-bidi-font-family: Arial">Mary<o:p></o:p></SPAN></FONT></P>
<P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy =
size=3D4><SPAN=20
style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva'; =
mso-bidi-font-family: Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
<P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DTahoma =
size=3D2><SPAN=20
style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: bold">From:</SPAN></B> =
Sara Werry=20
[mailto:[log in to unmask]] <BR><B><SPAN=20
style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November 2004 =
13:26<BR><B><SPAN=20
style=3D"FONT-WEIGHT: bold">To:</SPAN></B> =
[log in to unmask]<BR><B><SPAN=20
style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Re: Stress &amp;=20
Riddor</SPAN></FONT></P>
<P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New =
Roman"=20
size=3D3><SPAN style=3D"FONT-SIZE: =
12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P>
<DIV>
<P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Hi=20
Kevin</SPAN></FONT><o:p></o:p></P></DIV>
<DIV>
<P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New =
Roman"=20
size=3D3><SPAN style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
<DIV>
<P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Yes I=20
agree with you but&nbsp;I thought the purpose of RIDDOR was to =
essentially=20
report work related disease and I think in terms of mental=20
health&nbsp;definition this may be open to many different=20
interpretations.</SPAN></FONT><o:p></o:p></P></DIV>
<DIV>
<P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New =
Roman"=20
size=3D3><SPAN style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
<DIV>
<P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">I wonder=20
how many GP's realise the importance of stating if stress is considered =
work=20
related or not on certificates&nbsp;and what about the cases where there =
are=20
multiple causative factors?</SPAN></FONT><o:p></o:p></P></DIV>
<DIV>
<P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New =
Roman"=20
size=3D3><SPAN style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
<DIV>
<P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">All the=20
best</SPAN></FONT><o:p></o:p></P></DIV>
<DIV>
<P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
size=3D2><SPAN=20
style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Sara</SPAN></FONT><o:p></o:p></P></DIV>
<DIV>
<P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New =
Roman"=20
size=3D3><SPAN style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
<DIV>
<P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New =
Roman"=20
size=3D3><SPAN style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
<P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond =
size=3D3><SPAN=20
style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Sara=20
Werry</SPAN></FONT><o:p></o:p></P>
<P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond =
size=3D3><SPAN=20
style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Occupational Health=20
Adviser</SPAN></FONT><o:p></o:p></P>
<P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond =
size=3D3><SPAN=20
style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Occupational Health=20
Service</SPAN></FONT><o:p></o:p></P>
<P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond =
size=3D3><SPAN=20
style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">University of East=20
Anglia</SPAN></FONT><o:p></o:p></P>
<P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond =
size=3D3><SPAN=20
style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Norwich, NR4=20
7TJ</SPAN></FONT><o:p></o:p></P>
<P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond =
size=3D3><SPAN=20
style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Tel: (01603)=20
592174</SPAN></FONT><o:p></o:p></P>
<P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DGaramond =
size=3D3><SPAN=20
style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Fax: (01603)=20
506579</SPAN></FONT><o:p></o:p></P>
<BLOCKQUOTE style=3D"MARGIN-TOP: 5pt; MARGIN-BOTTOM: 5pt; MARGIN-RIGHT: =
0cm">
  <P class=3DMsoNormal=20
  style=3D"MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 36pt; MARGIN-RIGHT: 0cm; =
mso-margin-top-alt: 0cm"><FONT=20
  face=3DTahoma size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
  Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: bold">From:</SPAN></B> =
Maguire,=20
  Kevin [mailto:[log in to unmask]] <BR><B><SPAN=20
  style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November 2004 =
13:05<BR><B><SPAN=20
  style=3D"FONT-WEIGHT: bold">To:</SPAN></B> =
[log in to unmask]<BR><B><SPAN=20
  style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Re: Stress &amp;=20
  Riddor</SPAN></FONT><o:p></o:p></P>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
  size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">This=20
  reminds me of other areas where something 'new' is expected to jump =
over=20
  higher hurdles than accepted matters.&nbsp; What is the standard of =
proof=20
  of&nbsp;&nbsp;a dermatitis or back pain being work-induced?&nbsp; I am =
not=20
  questioning that they are but pointing out that a reasonable =
assessment and=20
  attribution is made for them and can be made for work- induced mental=20
  ill-health.&nbsp; As for defining mental illness, there are recognised =

  categories of illness that are reliably diagnosed; in&nbsp;particular =
anxiety=20
  and depression are normally seen as the mental illnesses we associate =
with=20
  stress.&nbsp; As to the notion that "psychiatric damage" is of a =
lesser=20
  status, do we not have the Walker ruling on=20
  this?</SPAN></FONT><o:p></o:p></P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
  size=3D3><SPAN style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
  size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Kevin</SPAN></FONT><o:p></o:p></P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
  size=3D3><SPAN style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
  size=3D3><SPAN style=3D"FONT-SIZE: =
12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
  <DIV>
  <P class=3DMsoNormal=20
  style=3D"MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 36pt; MARGIN-RIGHT: 0cm; =
mso-margin-top-alt: 0cm"><FONT=20
  face=3DTahoma size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
  Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: bold">From:</SPAN></B> =
Sara Werry=20
  [mailto:[log in to unmask]] <BR><B><SPAN=20
  style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November 2004 =
12:39<BR><B><SPAN=20
  style=3D"FONT-WEIGHT: bold">To:</SPAN></B> =
[log in to unmask]<BR><B><SPAN=20
  style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Re: Stress &amp;=20
  Riddor<o:p></o:p></SPAN></FONT></P></DIV>
  <BLOCKQUOTE style=3D"MARGIN-TOP: 5pt; MARGIN-BOTTOM: 5pt; =
MARGIN-RIGHT: 0cm">
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
    size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Hi</SPAN></FONT><o:p></o:p></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
    size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
    size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">What=20
    needs to be asked is where in the terms of reference/criteria =
for&nbsp;a=20
    work related disease&nbsp;does it state that RIDDOR is only =
applicable to=20
    physical work related diseases?&nbsp;If it doesn't then there is =
little=20
    argument not to include work related mental health=20
    illness.</SPAN></FONT><o:p></o:p></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
    size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
    size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">I=20
    think the problem would be in defining and being able to prove =
mental=20
    illness was definitely work related,&nbsp;what would be the use of =
an influx=20
    of ill defined reports, how valid would this=20
    be?&nbsp;&nbsp;</SPAN></FONT><o:p></o:p></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
    size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial =
color=3Dblue=20
    size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Sara&nbsp;&nbsp;&nbsp;</SPAN></FONT><o:p></o:p></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
    size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
    size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
    size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
    size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Sara =

    Werry</SPAN></FONT><o:p></o:p></P>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
    size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Occupational=20
    Health Adviser</SPAN></FONT><o:p></o:p></P>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
    size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Occupational=20
    Health Service</SPAN></FONT><o:p></o:p></P>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
    size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">University of=20
    East Anglia</SPAN></FONT><o:p></o:p></P>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
    size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
Garamond">Norwich, NR4=20
    7TJ</SPAN></FONT><o:p></o:p></P>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
    size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Tel: =
(01603)=20
    592174</SPAN></FONT><o:p></o:p></P>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3DGaramond=20
    size=3D3><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Garamond">Fax: =
(01603)=20
    506579</SPAN></FONT><o:p></o:p></P>
    <BLOCKQUOTE=20
      style=3D"MARGIN-TOP: 5pt; MARGIN-BOTTOM: 5pt; MARGIN-RIGHT: =
0cm"><P=20
      class=3DMsoNormal=20
      style=3D"MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 36pt; MARGIN-RIGHT: =
0cm; mso-margin-top-alt: 0cm"><FONT=20
      face=3DTahoma size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
      Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: =
bold">From:</SPAN></B> Aziz,=20
      Bashyr [mailto:[log in to unmask]] <BR><B><SPAN=20
      style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 01 November 2004=20
      12:07<BR><B><SPAN style=3D"FONT-WEIGHT: bold">To:</SPAN></B>=20
      [log in to unmask]<BR><B><SPAN=20
      style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Stress &amp;=20
      Riddor</SPAN></FONT><o:p></o:p></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial color=3Dblue =
size=3D3><SPAN=20
      style=3D"FONT-SIZE: 12pt; COLOR: blue; FONT-FAMILY: Arial"><!-- =
Converted from text/rtf format -->Hello</SPAN></FONT>=20
      <o:p></o:p></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial color=3Dblue =
size=3D3><SPAN=20
      style=3D"FONT-SIZE: 12pt; COLOR: blue; FONT-FAMILY: Arial">I just =
picked=20
      this message up at another website.&nbsp; Any =
comments?</SPAN></FONT>=20
      <o:p></o:p></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier =
New'">***************************</SPAN></FONT>=20
      <o:p></o:p></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">I recently =
contacted=20
      the HSE to query whether stress-related illness or psychiatric =
injury=20
      could be construed as reportable under RIDDOR.&nbsp; I received =
the=20
      following reply:</SPAN></FONT><o:p></o:p></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">"The =
following=20
      information has been provided by the Reporting of Injuries, =
Diseases and=20
      Dangerous Occurrences (RIDDOR) Operations Unit,=20
      Bootle.</SPAN></FONT><o:p></o:p></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">Stress is =
not=20
      reportable at all, not even as an over 3 day injury, because it is =
a=20
      mental state."</SPAN></FONT> <o:p></o:p></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">However, I =
think most=20
      stress experts would find this reason untenable, as their is a =
general=20
      consensus that stress, and related psychiatric conditions, are =
*both*=20
      physical and mental.&nbsp; For example, i ) stress is often viewed =
as a=20
      physiological and neurological state, ii) stress has =
well-documented=20
      physical symptoms and effects.&nbsp; The NHS and Royal College of=20
      Psychiatrists, e.g., acknowledge that stress has physical as well =
as=20
      physical symptoms.</SPAN></FONT><o:p></o:p></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">Just curious =
as to=20
      what others make of this.&nbsp; Do you think that stress can be =
classed as=20
      a mental state, as a opposed to a physical one, or do you think =
doing so=20
      is incorrect?</SPAN></FONT><o:p></o:p></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Courier New" =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; FONT-FAMILY: 'Courier =
New'">***************************</SPAN></FONT>=20
      <o:p></o:p></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
      style=3D"FONT-SIZE: 12pt"><BR></SPAN></FONT><B><FONT face=3DArial=20
      color=3Dblue><SPAN=20
      style=3D"FONT-WEIGHT: bold; COLOR: blue; FONT-FAMILY: =
Arial">Bashyr=20
      =
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;</SPAN></FONT></B>=20
      <FONT face=3DArial color=3Dblue><SPAN=20
      style=3D"COLOR: blue; FONT-FAMILY: Arial">Telephone: 01902=20
      518632</SPAN></FONT> <BR><B><FONT face=3DArial color=3Dblue><SPAN=20
      style=3D"FONT-WEIGHT: bold; COLOR: blue; FONT-FAMILY: =
Arial">Senior=20
      Lecturer</SPAN></FONT></B><FONT face=3DArial color=3Dblue><SPAN=20
      style=3D"COLOR: blue; FONT-FAMILY: Arial"> </SPAN></FONT><BR><FONT =

      face=3DArial color=3Dblue><SPAN style=3D"COLOR: blue; FONT-FAMILY: =
Arial">School=20
      of Health - MH113 </SPAN></FONT><BR><FONT face=3DArial =
color=3Dblue><SPAN=20
      style=3D"COLOR: blue; FONT-FAMILY: Arial">University of=20
      Wolverhampton</SPAN></FONT> <BR><FONT face=3DArial =
color=3Dblue><SPAN=20
      style=3D"COLOR: blue; FONT-FAMILY: Arial">Molineux =
Street</SPAN></FONT>=20
      <BR><FONT face=3DArial color=3Dblue><SPAN=20
      style=3D"COLOR: blue; FONT-FAMILY: Arial">Wolverhampton=20
      </SPAN></FONT><BR><FONT face=3DArial color=3Dblue><SPAN=20
      style=3D"COLOR: blue; FONT-FAMILY: Arial">WV1 1SB</SPAN></FONT>=20
      <o:p></o:p></P>
      <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT =
face=3D"Times New Roman"=20
      size=3D3><SPAN style=3D"FONT-SIZE: 12pt">~~~~~~~~~~~~~~~ Please =
remove this=20
      footer before replying. <o:p></o:p></SPAN></FONT></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
      style=3D"FONT-SIZE: 12pt">For list archives and documents, go to=20
      http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
      <o:p></o:p></SPAN></FONT></P>
      <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
      style=3D"FONT-SIZE: 12pt">For jobs in Occupational Health, go to=20
      =
http://uk.groups.yahoo.com/group/OHJobs/<o:p></o:p></SPAN></FONT></P></BL=
OCKQUOTE>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
    size=3D3><SPAN style=3D"FONT-SIZE: 12pt">~~~~~~~~~~~~~~~ Please =
remove this=20
    footer before replying. <o:p></o:p></SPAN></FONT></P>
    <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <o:p></o:p></SPAN></FONT></P>
    <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" =
size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/=20
  <o:p></o:p></SPAN></FONT></P></BLOCKQUOTE>
  <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana size=3D1><SPAN=20
  style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">DISCLAIMER:<BR>This =
email is=20
  intended solely for the addressee. It may contain private and =
confidential=20
  information. If you are not the intended addressee, please take no =
action=20
  based on it nor show a copy to anyone. In this case, please reply to =
this=20
  email to highlight the error. Opinions and information in this email =
that do=20
  not relate to the official business of Nottingham Trent University =
shall be=20
  understood as neither given nor endorsed by the=20
  University.<o:p></o:p></SPAN></FONT></P>
  <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana size=3D1><SPAN=20
  style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">Nottingham Trent =
University has=20
  taken steps to ensure that this email and any attachments are =
virus-free, but=20
  we do advise that the recipient should check that the email and its=20
  attachments are actually virus free. This is in keeping with good =
computing=20
  practice.<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana =
size=3D1><SPAN=20
  style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">~~~~~~~~~~~~~~~ Please =
remove=20
  this footer before replying. <o:p></o:p></SPAN></FONT></P>
  <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana size=3D1><SPAN=20
  style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">For list archives and =
documents,=20
  go to http://www.jiscmail.ac.uk/lists/occ-health.html for list =
archives=20
  <o:p></o:p></SPAN></FONT></P>
  <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DVerdana size=3D1><SPAN=20
  style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Verdana">For jobs in =
Occupational Health,=20
  go to http://uk.groups.yahoo.com/group/OHJobs/=20
<o:p></o:p></SPAN></FONT></P></BLOCKQUOTE></DIV>~~~~~~~~~~~~~~~ Please =
remove=20
this footer before replying.=20
<P>For list archives and documents, go to=20
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
<P>For jobs in Occupational Health, go to=20
http://uk.groups.yahoo.com/group/OHJobs/ ~~~~~~~~~~~~~~~ Please remove =
this=20
footer before replying.=20
<P>For list archives and documents, go to=20
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
<P>For jobs in Occupational Health, go to=20
http://uk.groups.yahoo.com/group/OHJobs/</P></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_004A_01C4C127.7D026210--
=========================================================================
Date:         Wed, 3 Nov 2004 08:15:31 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Pregnancy at work
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C17D.49296960"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4C17D.49296960
Content-Type: text/plain;
        charset="iso-8859-1"

All pregnant ladies in this company have to come and see me and then I
conduct a risk assessment and make recomendations accordingly.  The risk
assessment is then updated at 12 and 24 weeks or sooner if the lady tells me
that either her work has changed or that she is finding it difficult to cope
for any reason.
Lynda

-----Original Message-----
From: Stackhouse, Amy . [mailto:[log in to unmask]]
Sent: Tuesday, November 02, 2004 2:21 PM
To: [log in to unmask]
Subject: Pregnancy at work


Hi All,

I am doing a degree in primary health care with OH qualification. My
occuaptional health assignment is on pregnant women at work.

I am wondering if anyone has an protocals or contact with the pregnant women
in thier workplace. At the NHS trust I work for we do not have a requirement
for pregnant workers to contact OH.

If anyone has any other information it would be greatly recieved.

Many Thanks

Amy Stackhouse
Trainee Occupational Health Nurse
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C17D.49296960
Content-Type: text/html;
        charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML dir=ltr><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 5.50.4943.2100" name=GENERATOR></HEAD>
<BODY>
<DIV><SPAN class=344082108-03112004><FONT face=Arial color=#0000ff size=2>All
pregnant ladies in this company have to come and see me and then I conduct a
risk assessment and make recomendations accordingly.&nbsp; The risk assessment
is then updated at 12 and 24 weeks or sooner if the lady tells me that either
her work has changed or that she is finding it difficult to cope for any
reason.</FONT></SPAN></DIV>
<DIV><SPAN class=344082108-03112004><FONT face=Arial color=#0000ff
size=2>Lynda</FONT></SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> Stackhouse, Amy .
  [mailto:[log in to unmask]]<BR><B>Sent:</B> Tuesday, November 02, 2004
  2:21 PM<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Pregnancy
  at work<BR><BR></FONT></DIV>
  <DIV><FONT color=#000000>Hi All,</FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV>I am doing a degree in primary health care with OH qualification. My
  occuaptional health assignment is on pregnant women at work.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>I&nbsp;am wondering if anyone has an protocals or contact with the
  pregnant women in thier workplace. At the NHS trust I work for we&nbsp;do not
  have a requirement for pregnant workers to contact OH. &nbsp;</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>If anyone has any other information it would be greatly recieved.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Many Thanks</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Amy Stackhouse</DIV>
  <DIV>Trainee Occupational Health Nurse</DIV>~~~~~~~~~~~~~~~ Please remove this
  footer before replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C17D.49296960--
=========================================================================
Date:         Wed, 3 Nov 2004 08:19:04 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Recall system for Travel Vaccinations
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Not yet I am afraid.  This company is very 'anti' policies for some strange
reason.  It is only 3 months ago that I managed to get them to produce a
stress policy - after 3 years of trying!!!!  Am now trying to get an alcohol
and drugs policy up and running before the next century.
Lynda

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: Tuesday, November 02, 2004 1:20 PM
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations


exactly, this gives you peace of mind also. If you have a policy in
place that covers long haul flights, re couperation / time difference
and the effects (jet lag) etc, I would be grateful if you would share
this.

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/02/04 12:53pm >>>
At this place of work there are about 60 employees who travel overseas
on
business.  I have a database which tells me when their vaccinations are
due
and I recall them to have their boosters.  I book them in when the
doctor is
on site just in case of anaphylaxis (we have the necessary drugs and
oxygen
on site  but fortunately they haven't needed to be used yet).  I don't
find
it a problem to recall them myself and just consider it as part of my
job.
It also means that I am certain that they are fully covered when they
go.
Lynda

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: Tuesday, November 02, 2004 12:25 PM
To: [log in to unmask]
Subject: Re: Recall system for Travel Vaccinations


I am in the process of putting together a "travel pack" for overseas
travellers and this will include a health check offering advise on
recommended vaccinations. I will have a database of staff members and
their vaccinations re: boosters etc. and their travel location. I
agree
that they need to be taking responsibility for their own health, but
have come accross an incident when a staff member travelled overseas
during my absence without any vaccinations (he was unaware). I think
it
is a good idea to offer this service and feel that it passes on the
message to staff that the employers are interested in their well
being.

Rgds

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 10/26/04 11:44am >>>
Dear List,

I have been asked to provide a recall system for all our employees who
have
travel vaccinations.
Has anybody else ever been asked to provide such a service?
I am trying to avoid implementing this as I think the onus needs to be
on
the individual to take responsibility for their own health.
Any thoughts or comments to build my argument would be appreciated.

Many Thanks
Charlotte

Occupational Health Manager
7 th Floor Lehman Brothers
Tel ; 0207 102 8628


----------------------------------------------------------------------------
--
This message is intended only for the personal and confidential use of
the
designated recipient(s) named above.  If you are not the intended
recipient of
this message you are hereby notified that any review, dissemination,
distribution or copying of this message is strictly prohibited.  This
communication is for information purposes only and should not be
regarded as
an offer to sell or as a solicitation of an offer to buy any financial
product, an official confirmation of any transaction, or as an
official
statement of Lehman Brothers.  Email transmission cannot be guaranteed
to be
secure or error-free.  Therefore, we do not represent that this
information is
complete or accurate and it should not be relied upon as such.  All
information is subject to change without notice.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 3 Nov 2004 08:17:59 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Godfrey Farerell (RGC) OHNA" <[log in to unmask]>
Subject:      Re: Research Proposal-Varicella
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C17D.A14912D0"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4C17D.A14912D0
Content-Type: text/plain;
        charset="iso-8859-1"

Hi,
You can contact one of the pharmacheutical company ie: aventis pasteur or
GSK.  I am sure they will provide you with lot of details you would like to
know, as they have done a lot of research in VZV.

-----Original Message-----
From: Stackhouse, Amy . [mailto:[log in to unmask]]
Sent: 01 November 2004 12:29
To: [log in to unmask]
Subject: Research Proposal-Varicella


 Dear All,

I have the same idea as Julia. I have also just started my OH degree at
Wolverhampton and work in an OH department for the NHS. I am also doing a
research proposal.

My question is: Are workers memories of having chickenpox effective for
determining varicella immunity?

If anyone has any comments or ideas they would be greatly recieved.

Many Thanks

Amy Stackhouse
Trainee Occupational Health Nurse Adviser
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C17D.A14912D0
Content-Type: text/html;
        charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML dir=ltr><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 6.00.2800.1106" name=GENERATOR></HEAD>
<BODY>
<DIV><SPAN class=046071908-03112004><FONT face=Arial color=#0000ff
size=2>Hi,</FONT></SPAN></DIV>
<DIV><SPAN class=046071908-03112004><FONT face=Arial color=#0000ff size=2>You
can contact one of the pharmacheutical company ie: aventis pasteur or GSK.&nbsp;
I am sure they will provide you with lot of details you would like to know, as
they have done a lot of research in VZV.</FONT></SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> Stackhouse, Amy .
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 01 November 2004
  12:29<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Research
  Proposal-Varicella<BR><BR></FONT></DIV>
  <DIV><FONT face=Arial color=#000000 size=2>&nbsp;Dear All,</FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=Arial size=2>I have the same idea as Julia. I have also just
  started my OH degree at Wolverhampton and work in an OH department for the
  NHS. I am also&nbsp;doing a research proposal.</FONT></DIV>
  <DIV><FONT face=Arial size=2></FONT>&nbsp;</DIV>
  <DIV><FONT face=Arial size=2>My question is: Are workers memories of having
  chickenpox effective&nbsp;for determining varicella immunity?</FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=Arial size=2>If anyone has any comments or ideas they would be
  greatly recieved.</FONT>&nbsp;</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Many Thanks</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Amy Stackhouse</DIV>
  <DIV>Trainee Occupational Health Nurse Adviser</DIV>~~~~~~~~~~~~~~~ Please
  remove this footer before replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C17D.A14912D0--
=========================================================================
Date:         Wed, 3 Nov 2004 08:34:01 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Collins, Julia (UK)" <[log in to unmask]>
Subject:      Re: Pregnancy at work
MIME-version: 1.0
Content-type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C17F.DEE19AA3"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4C17F.DEE19AA3
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable


Hi Amy
=0D
I'm doing my Occ Health degree so I know what it's like information=
 gathering for the assignments!
=0D
I work at BAE SYSTEMS and as such there is no 'policy' regarding pregnant=
 women at work. However, our pregnant ladies are 'captured' in the work=
 place setting when workplace risk assessments are conducted by the risk=
 assessors. We then become involved if the lady needs, for example, a=
 temporary job move or change in working hours. Basically the 'company'=
 would have to accommodate her during her pregnancy and possibly apon her=
 return - if she's breast feeding etc. Under our Long Term Sickness Absence=
 Policy we would automatically see her apon her return to work to establish=
 working hours etc.
=0D
One publication that is useful by HSE Books - New and expectant mothers at=
 work - ISBN 0 7176 2583 4 =0D
=0D
Hope this helps and enjoy your course
=0D
=0D
Julia

-----Original Message-----
From: Stackhouse, Amy . [mailto:[log in to unmask]]
Sent: 02 November 2004 14:21
To: [log in to unmask]
Subject: Pregnancy at work


*** WARNING *** This mail has originated outside your organization, either=
 from an external partner or the Global Internet. Keep this in mind if you=
 answer this message. =0D
Hi All,
=0D
I am doing a degree in primary health care with OH qualification. My=
 occuaptional health assignment is on pregnant women at work.
=0D
I am wondering if anyone has an protocals or contact with the pregnant=
 women in thier workplace. At the NHS trust I work for we do not have a=
 requirement for pregnant workers to contact OH. =0D
=0D
If anyone has any other information it would be greatly recieved.
=0D
Many Thanks
=0D
Amy Stackhouse
Trainee Occupational Health Nurse
~~~~~~~~~~~~~~~ Please remove this footer before replying.=0D

For list archives and documents, go to=
 http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=0D


For jobs in Occupational Health, go to=
 http://uk.groups.yahoo.com/group/OHJobs/



********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4C17F.DEE19AA3
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; charset=
=3Diso-8859-1">


<META content=3D"MSHTML 5.00.2919.6307" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D147321908-03112004>Hi Amy</SPAN></DIV>
<DIV><SPAN class=3D147321908-03112004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D147321908-03112004>I'm doing my Occ Health degree so I=
 know=0D
what it's like information gathering for the assignments!</SPAN></DIV>
<DIV><SPAN class=3D147321908-03112004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D147321908-03112004>I work at BAE SYSTEMS and as such=
 there is=0D
no 'policy' regarding pregnant women at work. However, our pregnant ladies=
=0D
are&nbsp;'captured' in the work place setting&nbsp;when workplace risk=0D
assessments are conducted by the risk assessors. We then become involved if=
 the=0D
lady needs, for example,  a temporary job move or change in working hours.=
=0D
Basically the 'company' would have to accommodate her during her pregnancy=
 and=0D
possibly apon her return - if she's breast feeding etc. Under our Long Term=
=0D
Sickness Absence Policy we would automatically see her apon her return to=
 work=0D
to establish working hours etc.</SPAN></DIV>
<DIV><SPAN class=3D147321908-03112004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D147321908-03112004>One&nbsp;publication that is=0D
useful&nbsp;by&nbsp;HSE Books - New and expectant mothers at work - ISBN 0=
 7176=0D
2583 4&nbsp; </SPAN></DIV>
<DIV><SPAN class=3D147321908-03112004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D147321908-03112004>Hope this helps and enjoy your=0D
course</SPAN></DIV>
<DIV><SPAN class=3D147321908-03112004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D147321908-03112004></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D147321908-03112004>Julia</SPAN></DIV>
<BLOCKQUOTE style=3D"MARGIN-RIGHT: 0px">
  <DIV align=3Dleft class=3DOutlookMessageHeader dir=3Dltr><FONT face=
=3DTahoma=0D
  size=3D2>-----Original Message-----<BR><B>From:</B> Stackhouse, Amy .=0D
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 02 November 2004=0D
  14:21<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B>=
 Pregnancy at=0D
  work<BR><BR></DIV></FONT>
  <TABLE>
    <TBODY>
    <TR>
      <TD bgColor=3D#ffffff>*** WARNING *** This mail has originated=
 outside=0D
        your organization, either from an external partner or the Global=0D
        Internet. Keep this in mind if you answer this message.=0D
  </TD></TR></TBODY></TABLE><!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0=
 Transitional//EN">
  <DIV>Hi All,</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>I am doing a degree in primary health care with OH qualification. My=
=0D
  occuaptional health assignment is on pregnant women at work.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>I&nbsp;am wondering if anyone has an protocals or contact with the=0D
  pregnant women in thier workplace. At the NHS trust I work for we&nbsp;do=
 not=0D
  have a requirement for pregnant workers to contact OH. &nbsp;</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>If anyone has any other information it would be greatly=
 recieved.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Many Thanks</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Amy Stackhouse</DIV>
  <DIV>Trainee Occupational Health Nurse</DIV>~~~~~~~~~~~~~~~ Please remove=
 this=0D
  footer before replying.=0D
  <P>For list archives and documents, go to=0D
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=0D
  <P>For jobs in Occupational Health, go to=0D
  http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>

<table><tr><td bgcolor=3D#ffffff><font color=
=3D#000000>****************************************************************=
****<br>This email and any attachments are confidential to the=
 intended<br>recipient and may also be privileged. If you are not the=
 intended<br>recipient please delete it from your system and notify the=
 sender.<br>You should not copy it or use it for any purpose nor disclose=
 or<br>distribute its contents to any other=
 person.<br>***************************************************************=
*****<br></font></td></tr></table>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4C17F.DEE19AA3--
=========================================================================
Date:         Tue, 2 Nov 2004 22:01:18 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         david mills <[log in to unmask]>
Subject:      Re: Stress & Riddor
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_004A_01C4C127.7D026210"

This is a multi-part message in MIME format.

------=_NextPart_000_004A_01C4C127.7D026210
Content-Type: text/plain;
 charset=iso-8859-1
Content-Transfer-Encoding: quoted-printable

I=20have=20previously=20been=20advised=20that=20technically,=20in=20the=20=
disease=20reporting
part=20of=20RIDDOR=20(assuming=20stress=20or=20the=20reactive=20mental=20h=
ealth=20conditions=20it
may=20produce=20are=20diseases)=20one's=20duty=20is=20to=20report=20a=20di=
sease=20that=20is=20in=20the
column=201=20of=20=20schedule=203,=20providing=20the=20person=20is=20invol=
ved=20in=20the=20work
activity=20in=20column=202=20of=20the=20schedule.=20Therefore=20technicall=
y=20one=20reports=20an
association=20rather=20than=20a=20causation.
On=20that=20basis=20even=20if=20HSE=20decided=20stress=20is=20a=20"disease=
"=20how=20would=20they=20ever
classify=20the=20work=20activity?
Just=20write=20"anything=20and=20everything"?
=20
On=20the=20other=20hand=20"stress"=20does=20seem=20to=20get=20treated=20as=
=20an=20injury=20in
Industrial=20Injury=20Disablement=20Benefit.
=20
Dr.=20David=20M.J.=20Mills=20
*=20=20<****************************>[log in to unmask]
=20
=20
This=20e-mail,=20and=20any=20attachment,=20is=20confidential.=20If=20you=20=
have=20received=20it=20in
error,=20please=20delete=20it=20from=20your=20system,=20do=20not=20use=20o=
r=20disclose=20the
information=20in=20any=20way,=20and=20notify=20me=20immediately.
=20
=20

=20=20_____=20=20

From:=20Clayton.Mary=20[mailto:[log in to unmask]]=20
Sent:=2001=20November=202004=2013:44
To:[log in to unmask]
Subject:=20Re:=20Stress=20&=20Riddor


Sorry=20if=20I=20sound=20na=EFve=20but=20are=20GPs=20always=20able=20to=20=
decide=20whether=20the
symptoms=20are=20definitely=20work=20related?=20In=20the=20early=20stages=20=
of=20illness=20the=20GP
may=20only=20have=20the=20patient's=20interpretation=20of=20the=20underlyi=
ng=20cause.
Exploratron=20may=20reveal=20that=20work-related=20stressors=20are=20contr=
ibutory,=20not
causative.=20I=20believe=20that=20in=20the=20Walker=20v=20Northumberland=20=
case=20the=20judgment
regarding=20psychological=20injury=20was=20reached=20after=20a=20protracte=
d=20investigation
of=20all=20the=20facts=20surrounding=20the=20plaintiff's=20condition.
=20
Mary
=20
-----Original=20Message-----
From:=20Sara=20Werry=20[mailto:[log in to unmask]]=20
Sent:=2001=20November=202004=2013:26
To:[log in to unmask]
Subject:=20Re:=20Stress=20&=20Riddor
=20
Hi=20Kevin
=20
Yes=20I=20agree=20with=20you=20but=20I=20thought=20the=20purpose=20of=20RI=
DDOR=20was=20to=20essentially
report=20work=20related=20disease=20and=20I=20think=20in=20terms=20of=20me=
ntal=20health=20definition
this=20may=20be=20open=20to=20many=20different=20interpretations.
=20
I=20wonder=20how=20many=20GP's=20realise=20the=20importance=20of=20stating=
=20if=20stress=20is
considered=20work=20related=20or=20not=20on=20certificates=20and=20what=20=
about=20the=20cases
where=20there=20are=20multiple=20causative=20factors?
=20
All=20the=20best
Sara
=20
=20
Sara=20Werry
Occupational=20Health=20Adviser
Occupational=20Health=20Service
University=20of=20East=20Anglia
Norwich,=20NR4=207TJ
Tel:=20(01603)=20592174
Fax:=20(01603)=20506579
-----Original=20Message-----
From:=20Maguire,=20Kevin=20[mailto:[log in to unmask]]=20
Sent:=2001=20November=202004=2013:05
To:[log in to unmask]
Subject:=20Re:=20Stress=20&=20Riddor
This=20reminds=20me=20of=20other=20areas=20where=20something=20'new'=20is=20=
expected=20to=20jump
over=20higher=20hurdles=20than=20accepted=20matters.=20=20What=20is=20the=20=
standard=20of=20proof=20of
a=20dermatitis=20or=20back=20pain=20being=20work-induced?=20=20I=20am=20no=
t=20questioning=20that
they=20are=20but=20pointing=20out=20that=20a=20reasonable=20assessment=20a=
nd=20attribution=20is
made=20for=20them=20and=20can=20be=20made=20for=20work-=20induced=20mental=
=20ill-health.=20=20As=20for
defining=20mental=20illness,=20there=20are=20recognised=20categories=20of=20=
illness=20that=20are
reliably=20diagnosed;=20in=20particular=20anxiety=20and=20depression=20are=
=20normally=20seen
as=20the=20mental=20illnesses=20we=20associate=20with=20stress.=20=20As=20=
to=20the=20notion=20that
"psychiatric=20damage"=20is=20of=20a=20lesser=20status,=20do=20we=20not=20=
have=20the=20Walker=20ruling
on=20this?
=20
Kevin
=20
=20
-----Original=20Message-----
From:=20Sara=20Werry=20[mailto:[log in to unmask]]=20
Sent:=2001=20November=202004=2012:39
To:[log in to unmask]
Subject:=20Re:=20Stress=20&=20Riddor
Hi
=20
What=20needs=20to=20be=20asked=20is=20where=20in=20the=20terms=20of=20refe=
rence/criteria=20for=20a
work=20related=20disease=20does=20it=20state=20that=20RIDDOR=20is=20only=20=
applicable=20to
physical=20work=20related=20diseases?=20If=20it=20doesn't=20then=20there=20=
is=20little=20argument
not=20to=20include=20work=20related=20mental=20health=20illness.
=20
I=20think=20the=20problem=20would=20be=20in=20defining=20and=20being=20abl=
e=20to=20prove=20mental
illness=20was=20definitely=20work=20related,=20what=20would=20be=20the=20u=
se=20of=20an=20influx=20of
ill=20defined=20reports,=20how=20valid=20would=20this=20be?=20=20
=20
Sara=20=20=20
=20
=20
=20
Sara=20Werry
Occupational=20Health=20Adviser
Occupational=20Health=20Service
University=20of=20East=20Anglia
Norwich,=20NR4=207TJ
Tel:=20(01603)=20592174
Fax:=20(01603)=20506579
-----Original=20Message-----
From:=20Aziz,=20Bashyr=20[mailto:[log in to unmask]]=20
Sent:=2001=20November=202004=2012:07
To:[log in to unmask]
Subject:=20Stress=20&=20Riddor
Hello=20
I=20just=20picked=20this=20message=20up=20at=20another=20website.=20=20Any=
=20comments?=20
***************************=20
I=20recently=20contacted=20the=20HSE=20to=20query=20whether=20stress-relat=
ed=20illness=20or
psychiatric=20injury=20could=20be=20construed=20as=20reportable=20under=20=
RIDDOR.=20=20I
received=20the=20following=20reply:
"The=20following=20information=20has=20been=20provided=20by=20the=20Report=
ing=20of=20Injuries,
Diseases=20and=20Dangerous=20Occurrences=20(RIDDOR)=20Operations=20Unit,=20=
Bootle.
Stress=20is=20not=20reportable=20at=20all,=20not=20even=20as=20an=20over=20=
3=20day=20injury,=20because
it=20is=20a=20mental=20state."=20
However,=20I=20think=20most=20stress=20experts=20would=20find=20this=20rea=
son=20untenable,=20as
their=20is=20a=20general=20consensus=20that=20stress,=20and=20related=20ps=
ychiatric
conditions,=20are=20*both*=20physical=20and=20mental.=20=20For=20example,=20=
i=20)=20stress=20is
often=20viewed=20as=20a=20physiological=20and=20neurological=20state,=20ii=
)=20stress=20has
well-documented=20physical=20symptoms=20and=20effects.=20=20The=20NHS=20an=
d=20Royal=20College=20of
Psychiatrists,=20e.g.,=20acknowledge=20that=20stress=20has=20physical=20as=
=20well=20as
physical=20symptoms.
Just=20curious=20as=20to=20what=20others=20make=20of=20this.=20=20Do=20you=
=20think=20that=20stress=20can
be=20classed=20as=20a=20mental=20state,=20as=20a=20opposed=20to=20a=20phys=
ical=20one,=20or=20do=20you
think=20doing=20so=20is=20incorrect?
***************************=20

Bashyr=20Aziz=20=20=20=20=20=20=20=20=20=20=20=20=20=20=20=20Telephone:=20=
01902=20518632=20
Senior=20Lecturer=20
School=20of=20Health=20-=20MH113=20
University=20of=20Wolverhampton=20
Molineux=20Street=20
Wolverhampton=20
WV1=201SB=20
~~~~~~~~~~~~~~~=20Please=20remove=20this=20footer=20before=20replying.=20
For=20list=20archives=20and=20documents,=20go=20to
http://www.jiscmail.ac.uk/lists/occ-health.html=20for=20list=20archives=20=

For=20jobs=20in=20Occupational=20Health,=20go=20to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~=20Please=20remove=20this=20footer=20before=20replying.=20
For=20list=20archives=20and=20documents,=20go=20to
http://www.jiscmail.ac.uk/lists/occ-health.html=20for=20list=20archives=20=

For=20jobs=20in=20Occupational=20Health,=20go=20to
http://uk.groups.yahoo.com/group/OHJobs/=20
DISCLAIMER:
This=20email=20is=20intended=20solely=20for=20the=20addressee.=20It=20may=20=
contain=20private=20and
confidential=20information.=20If=20you=20are=20not=20the=20intended=20addr=
essee,=20please=20take
no=20action=20based=20on=20it=20nor=20show=20a=20copy=20to=20anyone.=20In=20=
this=20case,=20please=20reply
to=20this=20email=20to=20highlight=20the=20error.=20Opinions=20and=20infor=
mation=20in=20this=20email
that=20do=20not=20relate=20to=20the=20official=20business=20of=20Nottingha=
m=20Trent=20University
shall=20be=20understood=20as=20neither=20given=20nor=20endorsed=20by=20the=
=20University.
Nottingham=20Trent=20University=20has=20taken=20steps=20to=20ensure=20that=
=20this=20email=20and
any=20attachments=20are=20virus-free,=20but=20we=20do=20advise=20that=20th=
e=20recipient=20should
check=20that=20the=20email=20and=20its=20attachments=20are=20actually=20vi=
rus=20free.=20This=20is=20in
keeping=20with=20good=20computing=20practice.
~~~~~~~~~~~~~~~=20Please=20remove=20this=20footer=20before=20replying.=20
For=20list=20archives=20and=20documents,=20go=20to
http://www.jiscmail.ac.uk/lists/occ-health.html=20for=20list=20archives=20=

For=20jobs=20in=20Occupational=20Health,=20go=20to
http://uk.groups.yahoo.com/group/OHJobs/=20
~~~~~~~~~~~~~~~=20Please=20remove=20this=20footer=20before=20replying.=20
For=20list=20archives=20and=20documents,=20go=20to
http://www.jiscmail.ac.uk/lists/occ-health.html=20for=20list=20archives=20=


For=20jobs=20in=20Occupational=20Health,=20go=20to
http://uk.groups.yahoo.com/group/OHJobs/=20~~~~~~~~~~~~~~~=20Please=20remo=
ve=20this
footer=20before=20replying.=20

For=20list=20archives=20and=20documents,=20go=20to
http://www.jiscmail.ac.uk/lists/occ-health.html=20for=20list=20archives=20=


For=20jobs=20in=20Occupational=20Health,=20go=20to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please=20remove=20this=20footer=20before=20replying.

For=20list=20archives=20and=20documents,=20go=20to
http://www.jiscmail.ac.uk/lists/occ-health.html=20for=20list=20archives

For=20jobs=20in=20Occupational=20Health,=20go=20to
http://uk.groups.yahoo.com/group/OHJobs/

______________________________________________________________________
This=20email=20has=20been=20scanned=20by=20the=20MessageLabs=20Email=20Sec=
urity=20System.
For=20more=20information=20please=20visit=20http://www.messagelabs.com/ema=
il=20
______________________________________________________________________

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_004A_01C4C127.7D026210
Content-Type: text/html;
 charset=iso-8859-1
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE=20HTML=20PUBLIC=20"-//W3C//DTD=20HTML=204.0=20Transitional//EN">=

<HTML=20xmlns=3D"http://www.w3.org/TR/REC-html40"=20xmlns:o=20=3D=20
"urn:schemas-microsoft-com:office:office"=20xmlns:w=20=3D=20
"urn:schemas-microsoft-com:office:word"=20xmlns:st1=20=3D=20
"urn:schemas-microsoft-com:office:smarttags"><HEAD><TITLE>Message</TITLE>
<META=20http-equiv=3DContent-Type=20content=3D"text/html;=20charset=3Diso-=
8859-1">
<META=20content=3DWord.Document=20name=3DProgId>
<META=20content=3D"MSHTML=206.00.2900.2523"=20name=3DGENERATOR>
<META=20content=3D"Microsoft=20Word=2010"=20name=3DOriginator><LINK=20
href=3D"cid:filelist.xml@01C4C018.DE461720"=20rel=3DFile-List><o:SmartTagT=
ype=20
name=3D"City"=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"></o:SmartTagTy=
pe><o:SmartTagType=20
name=3D"place"=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"></o:SmartTagTy=
pe><!--[if=20gte=20mso=209]><xml>
=20<o:OfficeDocumentSettings>
=20=20<o:DoNotRelyOnCSS/>
=20</o:OfficeDocumentSettings>
</xml><![endif]--><!--[if=20gte=20mso=209]><xml>
=20<w:WordDocument>
=20=20<w:DontDisplayPageBoundaries/>
=20=20<w:SpellingState>Clean</w:SpellingState>
=20=20<w:GrammarState>Clean</w:GrammarState>
=20=20<w:DocumentKind>DocumentEmail</w:DocumentKind>
=20=20<w:EnvelopeVis/>
=20=20<w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
=20</w:WordDocument>
</xml><![endif]--><!--[if=20!mso]>
<STYLE>st1\:*=20{
=20=20=20=20=20=20=20=20BEHAVIOR:=20url(#default#ieooui)
}
</STYLE>
<![endif]-->
<STYLE>@font-face=20{
=20=20=20=20=20=20=20=20font-family:=20Tahoma;
}
@font-face=20{
=20=20=20=20=20=20=20=20font-family:=20Monotype=20Corsiva;
}
@font-face=20{
=20=20=20=20=20=20=20=20font-family:=20Verdana;
}
@font-face=20{
=20=20=20=20=20=20=20=20font-family:=20Garamond;
}
@page=20Section1=20{size:=20612.0pt=20792.0pt;=20margin:=2072.0pt=2090.0pt=
=2072.0pt=2090.0pt;=20mso-header-margin:=2035.4pt;=20mso-footer-margin:=20=
35.4pt;=20mso-paper-source:=200;=20}
P.MsoNormal=20{
=20=20=20=20=20=20=20=20FONT-SIZE:=2012pt;=20MARGIN:=200cm=200cm=200pt;=20=
FONT-FAMILY:=20"Times=20New=20Roman";=20mso-style-parent:=20"";=20mso-pagi=
nation:=20widow-orphan;=20mso-fareast-font-family:=20"Times=20New=20Roman"=

}
LI.MsoNormal=20{
=20=20=20=20=20=20=20=20FONT-SIZE:=2012pt;=20MARGIN:=200cm=200cm=200pt;=20=
FONT-FAMILY:=20"Times=20New=20Roman";=20mso-style-parent:=20"";=20mso-pagi=
nation:=20widow-orphan;=20mso-fareast-font-family:=20"Times=20New=20Roman"=

}
DIV.MsoNormal=20{
=20=20=20=20=20=20=20=20FONT-SIZE:=2012pt;=20MARGIN:=200cm=200cm=200pt;=20=
FONT-FAMILY:=20"Times=20New=20Roman";=20mso-style-parent:=20"";=20mso-pagi=
nation:=20widow-orphan;=20mso-fareast-font-family:=20"Times=20New=20Roman"=

}
A:link=20{
=20=20=20=20=20=20=20=20COLOR:=20blue;=20TEXT-DECORATION:=20underline;=20t=
ext-underline:=20single
}
SPAN.MsoHyperlink=20{
=20=20=20=20=20=20=20=20COLOR:=20blue;=20TEXT-DECORATION:=20underline;=20t=
ext-underline:=20single
}
A:visited=20{
=20=20=20=20=20=20=20=20COLOR:=20purple;=20TEXT-DECORATION:=20underline;=20=
text-underline:=20single
}
SPAN.MsoHyperlinkFollowed=20{
=20=20=20=20=20=20=20=20COLOR:=20purple;=20TEXT-DECORATION:=20underline;=20=
text-underline:=20single
}
P=20{
=20=20=20=20=20=20=20=20FONT-SIZE:=2012pt;=20MARGIN-LEFT:=200cm;=20MARGIN-=
RIGHT:=200cm;=20FONT-FAMILY:=20"Times=20New=20Roman";=20mso-pagination:=20=
widow-orphan;=20mso-fareast-font-family:=20"Times=20New=20Roman";=20mso-ma=
rgin-top-alt:=20auto;=20mso-margin-bottom-alt:=20auto
}
SPAN.EmailStyle18=20{
=20=20=20=20=20=20=20=20COLOR:=20navy;=20FONT-FAMILY:=20"Monotype=20Corsiv=
a";=20mso-bidi-font-family:=20Arial;=20mso-style-type:=20personal-reply;=20=
mso-style-noshow:=20yes;=20mso-ansi-font-size:=2014.0pt;=20mso-bidi-font-s=
ize:=2014.0pt;=20mso-ascii-font-family:=20"Monotype=20Corsiva";=20mso-hans=
i-font-family:=20"Monotype=20Corsiva"
}
SPAN.SpellE=20{
=20=20=20=20=20=20=20=20mso-style-name:=20"";=20mso-spl-e:=20yes
}
DIV.Section1=20{
=20=20=20=20=20=20=20=20page:=20Section1
}
</STYLE>
<!--[if=20gte=20mso=2010]>
<style>
=20/*=20Style=20Definitions=20*/=20
=20table.MsoNormalTable
=20=20=20=20=20=20=20=20{mso-style-name:"Table=20Normal";
=20=20=20=20=20=20=20=20mso-tstyle-rowband-size:0;
=20=20=20=20=20=20=20=20mso-tstyle-colband-size:0;
=20=20=20=20=20=20=20=20mso-style-noshow:yes;
=20=20=20=20=20=20=20=20mso-style-parent:"";
=20=20=20=20=20=20=20=20mso-padding-alt:0cm=205.4pt=200cm=205.4pt;
=20=20=20=20=20=20=20=20mso-para-margin:0cm;
=20=20=20=20=20=20=20=20mso-para-margin-bottom:.0001pt;
=20=20=20=20=20=20=20=20mso-pagination:widow-orphan;
=20=20=20=20=20=20=20=20font-size:10.0pt;
=20=20=20=20=20=20=20=20font-family:"Times=20New=20Roman";}
</style>
<![endif]--></HEAD>
<BODY=20lang=3DEN-US=20style=3D"tab-interval:=2036.0pt"=20vLink=3Dpurple=20=
link=3Dblue>
<DIV=20dir=3Dltr=20align=3Dleft><SPAN=20class=3D728304921-02112004><FONT=20=
face=3DArial=20
color=3D#0000ff=20size=3D2>I=20have=20previously=20been=20advised=20that=20=
technically,=20in=20the=20
disease=20reporting=20part=20of=20RIDDOR=20(assuming=20stress=20or=20the=20=
reactive=20mental=20health=20
conditions=20it=20may=20produce=20are=20diseases)&nbsp;one's=20duty=20is=20=
to=20report=20a=20disease=20
that=20is=20in=20the=20column=201=20of&nbsp;=20schedule=203,=20providing=20=
the=20person=20is=20involved=20in=20
the=20work=20activity=20in=20column=202=20of=20the=20schedule.=20Therefore=
=20technically=20one=20reports=20
an=20association=20rather=20than=20a=20causation.</FONT></SPAN></DIV>
<DIV=20dir=3Dltr=20align=3Dleft><SPAN=20class=3D728304921-02112004><FONT=20=
face=3DArial=20
color=3D#0000ff=20size=3D2>On=20that=20basis=20even=20if=20HSE=20decided=20=
stress=20is=20a=20"disease"=20how=20
would=20they=20ever=20classify=20the=20work=20activity?</FONT></SPAN></DIV=
>
<DIV=20dir=3Dltr=20align=3Dleft><SPAN=20class=3D728304921-02112004><FONT=20=
face=3DArial=20
color=3D#0000ff=20size=3D2>Just=20write=20"anything=20and=20everything"?</=
FONT></SPAN></DIV>
<DIV=20dir=3Dltr=20align=3Dleft><SPAN=20class=3D728304921-02112004><FONT=20=
face=3DArial=20
color=3D#0000ff=20size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV=20dir=3Dltr=20align=3Dleft><SPAN=20class=3D728304921-02112004><FONT=20=
face=3DArial=20
color=3D#0000ff=20size=3D2>On=20the=20other=20hand=20"stress"=20does=20see=
m=20to=20get=20treated=20as=20an=20
injury=20in=20Industrial=20Injury=20Disablement=20Benefit.</FONT></SPAN></=
DIV>
<DIV=20dir=3Dltr=20align=3Dleft><SPAN=20class=3D728304921-02112004><FONT=20=
face=3DArial=20
color=3D#0000ff=20size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV=20dir=3Dltr=20align=3Dleft><SPAN=20class=3D728304921-02112004>
<DIV=20align=3Dleft><STRONG><FONT=20color=3D#666666><FONT=20face=3DVerdana=
>Dr.=20David=20M.J.=20
Mills</FONT></FONT></STRONG><FONT=20color=3D#666666>=20
<DIV><FONT=20face=3DArial=20color=3D#000000=20size=3D2></FONT>
<MARQUEE=20id=3DMarquee4=20style=3D"FONT-SIZE:=2010pt;=20WIDTH:=20242px;=20=
HEIGHT:=2017px"=20
trueSpeed=20scrollAmount=3D2=20scrollDelay=3D5=20direction=3Dright=20behav=
ior=3Dslide=20loop=3D1=20
border=3D"0"><FONT=20face=3D"Verdana,=20Geneva,=20Arial,=20Helvetica,=20sa=
ns-serif"=20
size=3D1></FONT></MARQUEE><FONT=20face=3DArial=20color=3D#000000=20size=3D=
2></FONT></DIV>
<DIV>
<MARQUEE=20id=3DMarquee4=20style=3D"FONT-SIZE:=2010pt;=20WIDTH:=20242px;=20=
HEIGHT:=2017px"=20
trueSpeed=20scrollAmount=3D2=20scrollDelay=3D5=20direction=3Dright=20behav=
ior=3Dslide=20loop=3D1=20
border=3D"0"><FONT=20face=3D"Verdana,=20Geneva,=20Arial,=20Helvetica,=20sa=
ns-serif"><FONT=20
face=3DWingdings><FONT=20color=3D#808080><STRONG>*<FONT=20
face=3D"Courier=20New"></FONT><FONT=20face=3D"Courier=20New"></FONT><FONT=20=

face=3D"Courier=20New"></FONT>=20<A=20href=3D"mailto:[log in to unmask]
"><FONT=20
face=3D"Courier=20New">[log in to unmask]</FONT></A></STRONG></FONT></F=
ONT></FONT></MARQUEE></DIV>
<DIV><FONT=20face=3DArial=20color=3D#000000=20size=3D2></FONT>&nbsp;</DIV>=

<DIV>
<MARQUEE=20id=3DMarquee5=20style=3D"WIDTH:=20353px;=20HEIGHT:=2091px"=20tr=
ueSpeed=20scrollAmount=3D1=20
scrollDelay=3D20=20direction=3Dup=20behavior=3Dslide=20loop=3D1=20width=3D=
353=20height=3D91>
<DIV><FONT=20face=3DVerdana=20size=3D1><STRONG></STRONG></FONT>&nbsp;</DIV=
>
<DIV>
<DIV><FONT=20face=3DTahoma=20size=3D1>This=20e-mail,=20and=20any=20attachm=
ent,=20is=20confidential.=20
If=20you=20have=20received=20it=20in=20error,=20please=20delete=20it=20fro=
m=20your=20system,=20do=20not=20use=20
or=20disclose=20the=20information=20in=20any=20way,=20and=20notify=20me=20=

immediately.</FONT></DIV></DIV></MARQUEE></DIV></FONT></DIV></SPAN></DIV>
<DIV=20dir=3Dltr=20align=3Dleft><SPAN=20class=3D728304921-02112004><FONT=20=
face=3DArial=20
color=3D#0000ff=20size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV=20dir=3Dltr=20align=3Dleft><SPAN=20class=3D728304921-02112004><FONT=20=
face=3DArial=20
color=3D#0000ff=20size=3D2></FONT></SPAN>&nbsp;</DIV><BR>
<DIV=20class=3DOutlookMessageHeader=20lang=3Den-us=20dir=3Dltr=20align=3Dl=
eft>
<HR=20tabIndex=3D-1>
<FONT=20face=3DTahoma=20size=3D2><B>From:</B>=20Clayton.Mary=20
[mailto:[log in to unmask]]=20<BR><B>Sent:</B>=2001=20November=20200=
4=20
13:44<BR><B>To:</B>[log in to unmask]<BR><B>Subject:</B>=20Re:=20=
Stress=20
&amp;=20Riddor<BR></FONT><BR></DIV>
<DIV></DIV>
<DIV=20class=3DSection1>
<P=20class=3DMsoNormal><FONT=20face=3D"Monotype=20Corsiva"=20color=3Dnavy=20=
size=3D4><SPAN=20
style=3D"FONT-SIZE:=2014pt;=20COLOR:=20navy;=20FONT-FAMILY:=20'Monotype=20=
Corsiva';=20mso-bidi-font-family:=20Arial">Sorry=20
if=20I=20sound=20na=EFve=20but=20are=20GPs=20always=20able=20to=20decide=20=
whether=20the=20symptoms=20are=20
definitely=20work=20related?=20In=20the=20early=20stages=20of=20illness=20=
the=20GP=20may=20only=20have=20the=20
patient's=20interpretation=20of=20the=20underlying=20cause.=20Exploratron=20=
may=20reveal=20that=20
work-related=20stressors=20are=20contributory,=20not=20causative.=20I=20be=
lieve=20that=20in=20the=20
</SPAN></FONT><st1:City><st1:place><FONT=20face=3D"Monotype=20Corsiva"=20c=
olor=3Dnavy=20
size=3D4><SPAN=20
style=3D"FONT-SIZE:=2014pt;=20COLOR:=20navy;=20FONT-FAMILY:=20'Monotype=20=
Corsiva';=20mso-bidi-font-family:=20Arial">Walker</SPAN></FONT></st1:place=
></st1:City><FONT=20
face=3D"Monotype=20Corsiva"=20color=3Dnavy=20size=3D4><SPAN=20
style=3D"FONT-SIZE:=2014pt;=20COLOR:=20navy;=20FONT-FAMILY:=20'Monotype=20=
Corsiva';=20mso-bidi-font-family:=20Arial">=20
v=20Northumberland=20case=20the=20judgment=20regarding=20psychological=20i=
njury=20was=20reached=20
after=20a=20protracted=20investigation=20of=20all=20the=20facts=20surround=
ing=20the=20plaintiff's=20
condition.<o:p></o:p></SPAN></FONT></P>
<P=20class=3DMsoNormal><FONT=20face=3D"Monotype=20Corsiva"=20color=3Dnavy=20=
size=3D4><SPAN=20
style=3D"FONT-SIZE:=2014pt;=20COLOR:=20navy;=20FONT-FAMILY:=20'Monotype=20=
Corsiva';=20mso-bidi-font-family:=20Arial"><o:p>&nbsp;</o:p></SPAN></FONT>=
</P>
<P=20class=3DMsoNormal><FONT=20face=3D"Monotype=20Corsiva"=20color=3Dnavy=20=
size=3D4><SPAN=20
style=3D"FONT-SIZE:=2014pt;=20COLOR:=20navy;=20FONT-FAMILY:=20'Monotype=20=
Corsiva';=20mso-bidi-font-family:=20Arial">Mary<o:p></o:p></SPAN></FONT></=
P>
<P=20class=3DMsoNormal><FONT=20face=3D"Monotype=20Corsiva"=20color=3Dnavy=20=
size=3D4><SPAN=20
style=3D"FONT-SIZE:=2014pt;=20COLOR:=20navy;=20FONT-FAMILY:=20'Monotype=20=
Corsiva';=20mso-bidi-font-family:=20Arial"><o:p>&nbsp;</o:p></SPAN></FONT>=
</P>
<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3DTaho=
ma=20size=3D2><SPAN=20
style=3D"FONT-SIZE:=2010pt;=20FONT-FAMILY:=20Tahoma">-----Original=20
Message-----<BR><B><SPAN=20style=3D"FONT-WEIGHT:=20bold">From:</SPAN></B>=20=
Sara=20Werry=20
[mailto:[log in to unmask]]=20<BR><B><SPAN=20
style=3D"FONT-WEIGHT:=20bold">Sent:</SPAN></B>=2001=20November=202004=2013=
:26<BR><B><SPAN=20
style=3D"FONT-WEIGHT:=20bold">To:</SPAN></B>[log in to unmask]<B=
R><B><SPAN=20
style=3D"FONT-WEIGHT:=20bold">Subject:</SPAN></B>=20Re:=20Stress=20&amp;=20=

Riddor</SPAN></FONT></P>
<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D"Tim=
es=20New=20Roman"=20
size=3D3><SPAN=20style=3D"FONT-SIZE:=2012pt"><o:p>&nbsp;</o:p></SPAN></FON=
T></P>
<DIV>
<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3DAria=
l=20color=3Dblue=20
size=3D2><SPAN=20style=3D"FONT-SIZE:=2010pt;=20COLOR:=20blue;=20FONT-FAMIL=
Y:=20Arial">Hi=20
Kevin</SPAN></FONT><o:p></o:p></P></DIV>
<DIV>
<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D"Tim=
es=20New=20Roman"=20
size=3D3><SPAN=20style=3D"FONT-SIZE:=2012pt">&nbsp;<o:p></o:p></SPAN></FON=
T></P></DIV>
<DIV>
<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3DAria=
l=20color=3Dblue=20
size=3D2><SPAN=20style=3D"FONT-SIZE:=2010pt;=20COLOR:=20blue;=20FONT-FAMIL=
Y:=20Arial">Yes=20I=20
agree=20with=20you=20but&nbsp;I=20thought=20the=20purpose=20of=20RIDDOR=20=
was=20to=20essentially=20
report=20work=20related=20disease=20and=20I=20think=20in=20terms=20of=20me=
ntal=20
health&nbsp;definition=20this=20may=20be=20open=20to=20many=20different=20=

interpretations.</SPAN></FONT><o:p></o:p></P></DIV>
<DIV>
<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D"Tim=
es=20New=20Roman"=20
size=3D3><SPAN=20style=3D"FONT-SIZE:=2012pt">&nbsp;<o:p></o:p></SPAN></FON=
T></P></DIV>
<DIV>
<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3DAria=
l=20color=3Dblue=20
size=3D2><SPAN=20style=3D"FONT-SIZE:=2010pt;=20COLOR:=20blue;=20FONT-FAMIL=
Y:=20Arial">I=20wonder=20
how=20many=20GP's=20realise=20the=20importance=20of=20stating=20if=20stres=
s=20is=20considered=20work=20
related=20or=20not=20on=20certificates&nbsp;and=20what=20about=20the=20cas=
es=20where=20there=20are=20
multiple=20causative=20factors?</SPAN></FONT><o:p></o:p></P></DIV>
<DIV>
<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D"Tim=
es=20New=20Roman"=20
size=3D3><SPAN=20style=3D"FONT-SIZE:=2012pt">&nbsp;<o:p></o:p></SPAN></FON=
T></P></DIV>
<DIV>
<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3DAria=
l=20color=3Dblue=20
size=3D2><SPAN=20style=3D"FONT-SIZE:=2010pt;=20COLOR:=20blue;=20FONT-FAMIL=
Y:=20Arial">All=20the=20
best</SPAN></FONT><o:p></o:p></P></DIV>
<DIV>
<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3DAria=
l=20color=3Dblue=20
size=3D2><SPAN=20
style=3D"FONT-SIZE:=2010pt;=20COLOR:=20blue;=20FONT-FAMILY:=20Arial">Sara<=
/SPAN></FONT><o:p></o:p></P></DIV>
<DIV>
<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D"Tim=
es=20New=20Roman"=20
size=3D3><SPAN=20style=3D"FONT-SIZE:=2012pt">&nbsp;<o:p></o:p></SPAN></FON=
T></P></DIV>
<DIV>
<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D"Tim=
es=20New=20Roman"=20
size=3D3><SPAN=20style=3D"FONT-SIZE:=2012pt">&nbsp;<o:p></o:p></SPAN></FON=
T></P></DIV>
<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3DGara=
mond=20size=3D3><SPAN=20
style=3D"FONT-SIZE:=2012pt;=20FONT-FAMILY:=20Garamond">Sara=20
Werry</SPAN></FONT><o:p></o:p></P>
<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3DGara=
mond=20size=3D3><SPAN=20
style=3D"FONT-SIZE:=2012pt;=20FONT-FAMILY:=20Garamond">Occupational=20Heal=
th=20
Adviser</SPAN></FONT><o:p></o:p></P>
<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3DGara=
mond=20size=3D3><SPAN=20
style=3D"FONT-SIZE:=2012pt;=20FONT-FAMILY:=20Garamond">Occupational=20Heal=
th=20
Service</SPAN></FONT><o:p></o:p></P>
<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3DGara=
mond=20size=3D3><SPAN=20
style=3D"FONT-SIZE:=2012pt;=20FONT-FAMILY:=20Garamond">University=20of=20E=
ast=20
Anglia</SPAN></FONT><o:p></o:p></P>
<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3DGara=
mond=20size=3D3><SPAN=20
style=3D"FONT-SIZE:=2012pt;=20FONT-FAMILY:=20Garamond">Norwich,=20NR4=20
7TJ</SPAN></FONT><o:p></o:p></P>
<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3DGara=
mond=20size=3D3><SPAN=20
style=3D"FONT-SIZE:=2012pt;=20FONT-FAMILY:=20Garamond">Tel:=20(01603)=20
592174</SPAN></FONT><o:p></o:p></P>
<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3DGara=
mond=20size=3D3><SPAN=20
style=3D"FONT-SIZE:=2012pt;=20FONT-FAMILY:=20Garamond">Fax:=20(01603)=20
506579</SPAN></FONT><o:p></o:p></P>
<BLOCKQUOTE=20style=3D"MARGIN-TOP:=205pt;=20MARGIN-BOTTOM:=205pt;=20MARGIN=
-RIGHT:=200cm">
=20=20<P=20class=3DMsoNormal=20
=20=20style=3D"MARGIN-BOTTOM:=2012pt;=20MARGIN-LEFT:=2036pt;=20MARGIN-RIGH=
T:=200cm;=20mso-margin-top-alt:=200cm"><FONT=20
=20=20face=3DTahoma=20size=3D2><SPAN=20
=20=20style=3D"FONT-SIZE:=2010pt;=20FONT-FAMILY:=20Tahoma">-----Original=20=

=20=20Message-----<BR><B><SPAN=20style=3D"FONT-WEIGHT:=20bold">From:</SPAN=
></B>=20Maguire,=20
=20=20Kevin=20[mailto:[log in to unmask]]=20<BR><B><SPAN=20
=20=20style=3D"FONT-WEIGHT:=20bold">Sent:</SPAN></B>=2001=20November=20200=
4=2013:05<BR><B><SPAN=20
=20=20style=3D"FONT-WEIGHT:=20bold">To:</SPAN></B>[log in to unmask]
C.UK<BR><B><SPAN=20
=20=20style=3D"FONT-WEIGHT:=20bold">Subject:</SPAN></B>=20Re:=20Stress=20&=
amp;=20
=20=20Riddor</SPAN></FONT><o:p></o:p></P>
=20=20<DIV>
=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D=
Arial=20color=3Dblue=20
=20=20size=3D2><SPAN=20style=3D"FONT-SIZE:=2010pt;=20COLOR:=20blue;=20FONT=
-FAMILY:=20Arial">This=20
=20=20reminds=20me=20of=20other=20areas=20where=20something=20'new'=20is=20=
expected=20to=20jump=20over=20
=20=20higher=20hurdles=20than=20accepted=20matters.&nbsp;=20What=20is=20th=
e=20standard=20of=20proof=20
=20=20of&nbsp;&nbsp;a=20dermatitis=20or=20back=20pain=20being=20work-induc=
ed?&nbsp;=20I=20am=20not=20
=20=20questioning=20that=20they=20are=20but=20pointing=20out=20that=20a=20=
reasonable=20assessment=20and=20
=20=20attribution=20is=20made=20for=20them=20and=20can=20be=20made=20for=20=
work-=20induced=20mental=20
=20=20ill-health.&nbsp;=20As=20for=20defining=20mental=20illness,=20there=20=
are=20recognised=20
=20=20categories=20of=20illness=20that=20are=20reliably=20diagnosed;=20in&=
nbsp;particular=20anxiety=20
=20=20and=20depression=20are=20normally=20seen=20as=20the=20mental=20illne=
sses=20we=20associate=20with=20
=20=20stress.&nbsp;=20As=20to=20the=20notion=20that=20"psychiatric=20damag=
e"=20is=20of=20a=20lesser=20
=20=20status,=20do=20we=20not=20have=20the=20Walker=20ruling=20on=20
=20=20this?</SPAN></FONT><o:p></o:p></P></DIV>
=20=20<DIV>
=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D=
"Times=20New=20Roman"=20
=20=20size=3D3><SPAN=20style=3D"FONT-SIZE:=2012pt">&nbsp;<o:p></o:p></SPAN=
></FONT></P></DIV>
=20=20<DIV>
=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D=
Arial=20color=3Dblue=20
=20=20size=3D2><SPAN=20
=20=20style=3D"FONT-SIZE:=2010pt;=20COLOR:=20blue;=20FONT-FAMILY:=20Arial"=
>Kevin</SPAN></FONT><o:p></o:p></P></DIV>
=20=20<DIV>
=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D=
"Times=20New=20Roman"=20
=20=20size=3D3><SPAN=20style=3D"FONT-SIZE:=2012pt">&nbsp;<o:p></o:p></SPAN=
></FONT></P></DIV>
=20=20<DIV>
=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D=
"Times=20New=20Roman"=20
=20=20size=3D3><SPAN=20style=3D"FONT-SIZE:=2012pt">&nbsp;<o:p></o:p></SPAN=
></FONT></P></DIV>
=20=20<DIV>
=20=20<P=20class=3DMsoNormal=20
=20=20style=3D"MARGIN-BOTTOM:=2012pt;=20MARGIN-LEFT:=2036pt;=20MARGIN-RIGH=
T:=200cm;=20mso-margin-top-alt:=200cm"><FONT=20
=20=20face=3DTahoma=20size=3D2><SPAN=20
=20=20style=3D"FONT-SIZE:=2010pt;=20FONT-FAMILY:=20Tahoma">-----Original=20=

=20=20Message-----<BR><B><SPAN=20style=3D"FONT-WEIGHT:=20bold">From:</SPAN=
></B>=20Sara=20Werry=20
=20=20[mailto:[log in to unmask]]=20<BR><B><SPAN=20
=20=20style=3D"FONT-WEIGHT:=20bold">Sent:</SPAN></B>=2001=20November=20200=
4=2012:39<BR><B><SPAN=20
=20=20style=3D"FONT-WEIGHT:=20bold">To:</SPAN></B>[log in to unmask]
C.UK<BR><B><SPAN=20
=20=20style=3D"FONT-WEIGHT:=20bold">Subject:</SPAN></B>=20Re:=20Stress=20&=
amp;=20
=20=20Riddor<o:p></o:p></SPAN></FONT></P></DIV>
=20=20<BLOCKQUOTE=20style=3D"MARGIN-TOP:=205pt;=20MARGIN-BOTTOM:=205pt;=20=
MARGIN-RIGHT:=200cm">
=20=20=20=20<DIV>
=20=20=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20=
face=3DArial=20color=3Dblue=20
=20=20=20=20size=3D2><SPAN=20
=20=20=20=20style=3D"FONT-SIZE:=2010pt;=20COLOR:=20blue;=20FONT-FAMILY:=20=
Arial">Hi</SPAN></FONT><o:p></o:p></P></DIV>
=20=20=20=20<DIV>
=20=20=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20=
face=3D"Times=20New=20Roman"=20
=20=20=20=20size=3D3><SPAN=20
=20=20=20=20style=3D"FONT-SIZE:=2012pt">&nbsp;<o:p></o:p></SPAN></FONT></P=
></DIV>
=20=20=20=20<DIV>
=20=20=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20=
face=3DArial=20color=3Dblue=20
=20=20=20=20size=3D2><SPAN=20style=3D"FONT-SIZE:=2010pt;=20COLOR:=20blue;=20=
FONT-FAMILY:=20Arial">What=20
=20=20=20=20needs=20to=20be=20asked=20is=20where=20in=20the=20terms=20of=20=
reference/criteria=20for&nbsp;a=20
=20=20=20=20work=20related=20disease&nbsp;does=20it=20state=20that=20RIDDO=
R=20is=20only=20applicable=20to=20
=20=20=20=20physical=20work=20related=20diseases?&nbsp;If=20it=20doesn't=20=
then=20there=20is=20little=20
=20=20=20=20argument=20not=20to=20include=20work=20related=20mental=20heal=
th=20
=20=20=20=20illness.</SPAN></FONT><o:p></o:p></P></DIV>
=20=20=20=20<DIV>
=20=20=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20=
face=3D"Times=20New=20Roman"=20
=20=20=20=20size=3D3><SPAN=20
=20=20=20=20style=3D"FONT-SIZE:=2012pt">&nbsp;<o:p></o:p></SPAN></FONT></P=
></DIV>
=20=20=20=20<DIV>
=20=20=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20=
face=3DArial=20color=3Dblue=20
=20=20=20=20size=3D2><SPAN=20style=3D"FONT-SIZE:=2010pt;=20COLOR:=20blue;=20=
FONT-FAMILY:=20Arial">I=20
=20=20=20=20think=20the=20problem=20would=20be=20in=20defining=20and=20bei=
ng=20able=20to=20prove=20mental=20
=20=20=20=20illness=20was=20definitely=20work=20related,&nbsp;what=20would=
=20be=20the=20use=20of=20an=20influx=20
=20=20=20=20of=20ill=20defined=20reports,=20how=20valid=20would=20this=20
=20=20=20=20be?&nbsp;&nbsp;</SPAN></FONT><o:p></o:p></P></DIV>
=20=20=20=20<DIV>
=20=20=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20=
face=3D"Times=20New=20Roman"=20
=20=20=20=20size=3D3><SPAN=20
=20=20=20=20style=3D"FONT-SIZE:=2012pt">&nbsp;<o:p></o:p></SPAN></FONT></P=
></DIV>
=20=20=20=20<DIV>
=20=20=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20=
face=3DArial=20color=3Dblue=20
=20=20=20=20size=3D2><SPAN=20
=20=20=20=20style=3D"FONT-SIZE:=2010pt;=20COLOR:=20blue;=20FONT-FAMILY:=20=
Arial">Sara&nbsp;&nbsp;&nbsp;</SPAN></FONT><o:p></o:p></P></DIV>
=20=20=20=20<DIV>
=20=20=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20=
face=3D"Times=20New=20Roman"=20
=20=20=20=20size=3D3><SPAN=20
=20=20=20=20style=3D"FONT-SIZE:=2012pt">&nbsp;<o:p></o:p></SPAN></FONT></P=
></DIV>
=20=20=20=20<DIV>
=20=20=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20=
face=3D"Times=20New=20Roman"=20
=20=20=20=20size=3D3><SPAN=20
=20=20=20=20style=3D"FONT-SIZE:=2012pt">&nbsp;<o:p></o:p></SPAN></FONT></P=
></DIV>
=20=20=20=20<DIV>
=20=20=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20=
face=3D"Times=20New=20Roman"=20
=20=20=20=20size=3D3><SPAN=20
=20=20=20=20style=3D"FONT-SIZE:=2012pt">&nbsp;<o:p></o:p></SPAN></FONT></P=
></DIV>
=20=20=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20=
face=3DGaramond=20
=20=20=20=20size=3D3><SPAN=20style=3D"FONT-SIZE:=2012pt;=20FONT-FAMILY:=20=
Garamond">Sara=20
=20=20=20=20Werry</SPAN></FONT><o:p></o:p></P>
=20=20=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20=
face=3DGaramond=20
=20=20=20=20size=3D3><SPAN=20style=3D"FONT-SIZE:=2012pt;=20FONT-FAMILY:=20=
Garamond">Occupational=20
=20=20=20=20Health=20Adviser</SPAN></FONT><o:p></o:p></P>
=20=20=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20=
face=3DGaramond=20
=20=20=20=20size=3D3><SPAN=20style=3D"FONT-SIZE:=2012pt;=20FONT-FAMILY:=20=
Garamond">Occupational=20
=20=20=20=20Health=20Service</SPAN></FONT><o:p></o:p></P>
=20=20=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20=
face=3DGaramond=20
=20=20=20=20size=3D3><SPAN=20style=3D"FONT-SIZE:=2012pt;=20FONT-FAMILY:=20=
Garamond">University=20of=20
=20=20=20=20East=20Anglia</SPAN></FONT><o:p></o:p></P>
=20=20=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20=
face=3DGaramond=20
=20=20=20=20size=3D3><SPAN=20style=3D"FONT-SIZE:=2012pt;=20FONT-FAMILY:=20=
Garamond">Norwich,=20NR4=20
=20=20=20=207TJ</SPAN></FONT><o:p></o:p></P>
=20=20=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20=
face=3DGaramond=20
=20=20=20=20size=3D3><SPAN=20style=3D"FONT-SIZE:=2012pt;=20FONT-FAMILY:=20=
Garamond">Tel:=20(01603)=20
=20=20=20=20592174</SPAN></FONT><o:p></o:p></P>
=20=20=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20=
face=3DGaramond=20
=20=20=20=20size=3D3><SPAN=20style=3D"FONT-SIZE:=2012pt;=20FONT-FAMILY:=20=
Garamond">Fax:=20(01603)=20
=20=20=20=20506579</SPAN></FONT><o:p></o:p></P>
=20=20=20=20<BLOCKQUOTE=20
=20=20=20=20=20=20style=3D"MARGIN-TOP:=205pt;=20MARGIN-BOTTOM:=205pt;=20MA=
RGIN-RIGHT:=200cm"><P=20
=20=20=20=20=20=20class=3DMsoNormal=20
=20=20=20=20=20=20style=3D"MARGIN-BOTTOM:=2012pt;=20MARGIN-LEFT:=2036pt;=20=
MARGIN-RIGHT:=200cm;=20mso-margin-top-alt:=200cm"><FONT=20
=20=20=20=20=20=20face=3DTahoma=20size=3D2><SPAN=20
=20=20=20=20=20=20style=3D"FONT-SIZE:=2010pt;=20FONT-FAMILY:=20Tahoma">---=
--Original=20
=20=20=20=20=20=20Message-----<BR><B><SPAN=20style=3D"FONT-WEIGHT:=20bold"=
>From:</SPAN></B>=20Aziz,=20
=20=20=20=20=20=20Bashyr=20[mailto:[log in to unmask]]=20<BR><B><SPAN=20
=20=20=20=20=20=20style=3D"FONT-WEIGHT:=20bold">Sent:</SPAN></B>=2001=20No=
vember=202004=20
=20=20=20=20=20=2012:07<BR><B><SPAN=20style=3D"FONT-WEIGHT:=20bold">To:</S=
PAN></B>=20
[log in to unmask]<BR><B><SPAN=20
=20=20=20=20=20=20style=3D"FONT-WEIGHT:=20bold">Subject:</SPAN></B>=20Stre=
ss=20&amp;=20
=20=20=20=20=20=20Riddor</SPAN></FONT><o:p></o:p></P>
=20=20=20=20=20=20<P=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3DArial=20=
color=3Dblue=20size=3D3><SPAN=20
=20=20=20=20=20=20style=3D"FONT-SIZE:=2012pt;=20COLOR:=20blue;=20FONT-FAMI=
LY:=20Arial"><!--=20Converted=20from=20text/rtf=20format=20-->Hello</SPAN>=
</FONT>=20
=20=20=20=20=20=20<o:p></o:p></P>
=20=20=20=20=20=20<P=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3DArial=20=
color=3Dblue=20size=3D3><SPAN=20
=20=20=20=20=20=20style=3D"FONT-SIZE:=2012pt;=20COLOR:=20blue;=20FONT-FAMI=
LY:=20Arial">I=20just=20picked=20
=20=20=20=20=20=20this=20message=20up=20at=20another=20website.&nbsp;=20An=
y=20comments?</SPAN></FONT>=20
=20=20=20=20=20=20<o:p></o:p></P>
=20=20=20=20=20=20<P=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D"Couri=
er=20New"=20size=3D2><SPAN=20
=20=20=20=20=20=20style=3D"FONT-SIZE:=2010pt;=20FONT-FAMILY:=20'Courier=20=
New'">***************************</SPAN></FONT>=20
=20=20=20=20=20=20<o:p></o:p></P>
=20=20=20=20=20=20<P=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D"Couri=
er=20New"=20size=3D2><SPAN=20
=20=20=20=20=20=20style=3D"FONT-SIZE:=2010pt;=20FONT-FAMILY:=20'Courier=20=
New'">I=20recently=20contacted=20
=20=20=20=20=20=20the=20HSE=20to=20query=20whether=20stress-related=20illn=
ess=20or=20psychiatric=20injury=20
=20=20=20=20=20=20could=20be=20construed=20as=20reportable=20under=20RIDDO=
R.&nbsp;=20I=20received=20the=20
=20=20=20=20=20=20following=20reply:</SPAN></FONT><o:p></o:p></P>
=20=20=20=20=20=20<P=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D"Couri=
er=20New"=20size=3D2><SPAN=20
=20=20=20=20=20=20style=3D"FONT-SIZE:=2010pt;=20FONT-FAMILY:=20'Courier=20=
New'">"The=20following=20
=20=20=20=20=20=20information=20has=20been=20provided=20by=20the=20Reporti=
ng=20of=20Injuries,=20Diseases=20and=20
=20=20=20=20=20=20Dangerous=20Occurrences=20(RIDDOR)=20Operations=20Unit,=20=

=20=20=20=20=20=20Bootle.</SPAN></FONT><o:p></o:p></P>
=20=20=20=20=20=20<P=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D"Couri=
er=20New"=20size=3D2><SPAN=20
=20=20=20=20=20=20style=3D"FONT-SIZE:=2010pt;=20FONT-FAMILY:=20'Courier=20=
New'">Stress=20is=20not=20
=20=20=20=20=20=20reportable=20at=20all,=20not=20even=20as=20an=20over=203=
=20day=20injury,=20because=20it=20is=20a=20
=20=20=20=20=20=20mental=20state."</SPAN></FONT>=20<o:p></o:p></P>
=20=20=20=20=20=20<P=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D"Couri=
er=20New"=20size=3D2><SPAN=20
=20=20=20=20=20=20style=3D"FONT-SIZE:=2010pt;=20FONT-FAMILY:=20'Courier=20=
New'">However,=20I=20think=20most=20
=20=20=20=20=20=20stress=20experts=20would=20find=20this=20reason=20untena=
ble,=20as=20their=20is=20a=20general=20
=20=20=20=20=20=20consensus=20that=20stress,=20and=20related=20psychiatric=
=20conditions,=20are=20*both*=20
=20=20=20=20=20=20physical=20and=20mental.&nbsp;=20For=20example,=20i=20)=20=
stress=20is=20often=20viewed=20as=20a=20
=20=20=20=20=20=20physiological=20and=20neurological=20state,=20ii)=20stre=
ss=20has=20well-documented=20
=20=20=20=20=20=20physical=20symptoms=20and=20effects.&nbsp;=20The=20NHS=20=
and=20Royal=20College=20of=20
=20=20=20=20=20=20Psychiatrists,=20e.g.,=20acknowledge=20that=20stress=20h=
as=20physical=20as=20well=20as=20
=20=20=20=20=20=20physical=20symptoms.</SPAN></FONT><o:p></o:p></P>
=20=20=20=20=20=20<P=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D"Couri=
er=20New"=20size=3D2><SPAN=20
=20=20=20=20=20=20style=3D"FONT-SIZE:=2010pt;=20FONT-FAMILY:=20'Courier=20=
New'">Just=20curious=20as=20to=20
=20=20=20=20=20=20what=20others=20make=20of=20this.&nbsp;=20Do=20you=20thi=
nk=20that=20stress=20can=20be=20classed=20as=20
=20=20=20=20=20=20a=20mental=20state,=20as=20a=20opposed=20to=20a=20physic=
al=20one,=20or=20do=20you=20think=20doing=20so=20
=20=20=20=20=20=20is=20incorrect?</SPAN></FONT><o:p></o:p></P>
=20=20=20=20=20=20<P=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D"Couri=
er=20New"=20size=3D2><SPAN=20
=20=20=20=20=20=20style=3D"FONT-SIZE:=2010pt;=20FONT-FAMILY:=20'Courier=20=
New'">***************************</SPAN></FONT>=20
=20=20=20=20=20=20<o:p></o:p></P>
=20=20=20=20=20=20<P=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D"Times=
=20New=20Roman"=20size=3D3><SPAN=20
=20=20=20=20=20=20style=3D"FONT-SIZE:=2012pt"><BR></SPAN></FONT><B><FONT=20=
face=3DArial=20
=20=20=20=20=20=20color=3Dblue><SPAN=20
=20=20=20=20=20=20style=3D"FONT-WEIGHT:=20bold;=20COLOR:=20blue;=20FONT-FA=
MILY:=20Arial">Bashyr=20
=20=20=20=20=20=20Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</SPAN></FONT></B>=20
=20=20=20=20=20=20<FONT=20face=3DArial=20color=3Dblue><SPAN=20
=20=20=20=20=20=20style=3D"COLOR:=20blue;=20FONT-FAMILY:=20Arial">Telephon=
e:=2001902=20
=20=20=20=20=20=20518632</SPAN></FONT>=20<BR><B><FONT=20face=3DArial=20col=
or=3Dblue><SPAN=20
=20=20=20=20=20=20style=3D"FONT-WEIGHT:=20bold;=20COLOR:=20blue;=20FONT-FA=
MILY:=20Arial">Senior=20
=20=20=20=20=20=20Lecturer</SPAN></FONT></B><FONT=20face=3DArial=20color=3D=
blue><SPAN=20
=20=20=20=20=20=20style=3D"COLOR:=20blue;=20FONT-FAMILY:=20Arial">=20</SPA=
N></FONT><BR><FONT=20
=20=20=20=20=20=20face=3DArial=20color=3Dblue><SPAN=20style=3D"COLOR:=20bl=
ue;=20FONT-FAMILY:=20Arial">School=20
=20=20=20=20=20=20of=20Health=20-=20MH113=20</SPAN></FONT><BR><FONT=20face=
=3DArial=20color=3Dblue><SPAN=20
=20=20=20=20=20=20style=3D"COLOR:=20blue;=20FONT-FAMILY:=20Arial">Universi=
ty=20of=20
=20=20=20=20=20=20Wolverhampton</SPAN></FONT>=20<BR><FONT=20face=3DArial=20=
color=3Dblue><SPAN=20
=20=20=20=20=20=20style=3D"COLOR:=20blue;=20FONT-FAMILY:=20Arial">Molineux=
=20Street</SPAN></FONT>=20
=20=20=20=20=20=20<BR><FONT=20face=3DArial=20color=3Dblue><SPAN=20
=20=20=20=20=20=20style=3D"COLOR:=20blue;=20FONT-FAMILY:=20Arial">Wolverha=
mpton=20
=20=20=20=20=20=20</SPAN></FONT><BR><FONT=20face=3DArial=20color=3Dblue><S=
PAN=20
=20=20=20=20=20=20style=3D"COLOR:=20blue;=20FONT-FAMILY:=20Arial">WV1=201S=
B</SPAN></FONT>=20
=20=20=20=20=20=20<o:p></o:p></P>
=20=20=20=20=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><=
FONT=20face=3D"Times=20New=20Roman"=20
=20=20=20=20=20=20size=3D3><SPAN=20style=3D"FONT-SIZE:=2012pt">~~~~~~~~~~~=
~~~~=20Please=20remove=20this=20
=20=20=20=20=20=20footer=20before=20replying.=20<o:p></o:p></SPAN></FONT><=
/P>
=20=20=20=20=20=20<P=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D"Times=
=20New=20Roman"=20size=3D3><SPAN=20
=20=20=20=20=20=20style=3D"FONT-SIZE:=2012pt">For=20list=20archives=20and=20=
documents,=20go=20to=20
=20=20=20=20=20=20http://www.jiscmail.ac.uk/lists/occ-health.html=20for=20=
list=20archives=20
=20=20=20=20=20=20<o:p></o:p></SPAN></FONT></P>
=20=20=20=20=20=20<P=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D"Times=
=20New=20Roman"=20size=3D3><SPAN=20
=20=20=20=20=20=20style=3D"FONT-SIZE:=2012pt">For=20jobs=20in=20Occupation=
al=20Health,=20go=20to=20
=20=20=20=20=20=20http://uk.groups.yahoo.com/group/OHJobs/<o:p></o:p></SPA=
N></FONT></P></BLOCKQUOTE>
=20=20=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20=
face=3D"Times=20New=20Roman"=20
=20=20=20=20size=3D3><SPAN=20style=3D"FONT-SIZE:=2012pt">~~~~~~~~~~~~~~~=20=
Please=20remove=20this=20
=20=20=20=20footer=20before=20replying.=20<o:p></o:p></SPAN></FONT></P>
=20=20=20=20<P=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D"Times=20New=
=20Roman"=20size=3D3><SPAN=20
=20=20=20=20style=3D"FONT-SIZE:=2012pt">For=20list=20archives=20and=20docu=
ments,=20go=20to=20
=20=20=20=20http://www.jiscmail.ac.uk/lists/occ-health.html=20for=20list=20=
archives=20
=20=20=20=20<o:p></o:p></SPAN></FONT></P>
=20=20=20=20<P=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D"Times=20New=
=20Roman"=20size=3D3><SPAN=20
=20=20=20=20style=3D"FONT-SIZE:=2012pt">For=20jobs=20in=20Occupational=20H=
ealth,=20go=20to=20
=20=20=20=20http://uk.groups.yahoo.com/group/OHJobs/=20
=20=20<o:p></o:p></SPAN></FONT></P></BLOCKQUOTE>
=20=20<P=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3DVerdana=20size=3D1=
><SPAN=20
=20=20style=3D"FONT-SIZE:=208pt;=20FONT-FAMILY:=20Verdana">DISCLAIMER:<BR>=
This=20email=20is=20
=20=20intended=20solely=20for=20the=20addressee.=20It=20may=20contain=20pr=
ivate=20and=20confidential=20
=20=20information.=20If=20you=20are=20not=20the=20intended=20addressee,=20=
please=20take=20no=20action=20
=20=20based=20on=20it=20nor=20show=20a=20copy=20to=20anyone.=20In=20this=20=
case,=20please=20reply=20to=20this=20
=20=20email=20to=20highlight=20the=20error.=20Opinions=20and=20information=
=20in=20this=20email=20that=20do=20
=20=20not=20relate=20to=20the=20official=20business=20of=20Nottingham=20Tr=
ent=20University=20shall=20be=20
=20=20understood=20as=20neither=20given=20nor=20endorsed=20by=20the=20
=20=20University.<o:p></o:p></SPAN></FONT></P>
=20=20<P=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3DVerdana=20size=3D1=
><SPAN=20
=20=20style=3D"FONT-SIZE:=208pt;=20FONT-FAMILY:=20Verdana">Nottingham=20Tr=
ent=20University=20has=20
=20=20taken=20steps=20to=20ensure=20that=20this=20email=20and=20any=20atta=
chments=20are=20virus-free,=20but=20
=20=20we=20do=20advise=20that=20the=20recipient=20should=20check=20that=20=
the=20email=20and=20its=20
=20=20attachments=20are=20actually=20virus=20free.=20This=20is=20in=20keep=
ing=20with=20good=20computing=20
=20=20practice.<o:p></o:p></SPAN></FONT></P>
=20=20<P=20class=3DMsoNormal=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3D=
Verdana=20size=3D1><SPAN=20
=20=20style=3D"FONT-SIZE:=208pt;=20FONT-FAMILY:=20Verdana">~~~~~~~~~~~~~~~=
=20Please=20remove=20
=20=20this=20footer=20before=20replying.=20<o:p></o:p></SPAN></FONT></P>
=20=20<P=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3DVerdana=20size=3D1=
><SPAN=20
=20=20style=3D"FONT-SIZE:=208pt;=20FONT-FAMILY:=20Verdana">For=20list=20ar=
chives=20and=20documents,=20
=20=20go=20to=20http://www.jiscmail.ac.uk/lists/occ-health.html=20for=20li=
st=20archives=20
=20=20<o:p></o:p></SPAN></FONT></P>
=20=20<P=20style=3D"MARGIN-LEFT:=2036pt"><FONT=20face=3DVerdana=20size=3D1=
><SPAN=20
=20=20style=3D"FONT-SIZE:=208pt;=20FONT-FAMILY:=20Verdana">For=20jobs=20in=
=20Occupational=20Health,=20
=20=20go=20to=20http://uk.groups.yahoo.com/group/OHJobs/=20
<o:p></o:p></SPAN></FONT></P></BLOCKQUOTE></DIV>~~~~~~~~~~~~~~~=20Please=20=
remove=20
this=20footer=20before=20replying.=20
<P>For=20list=20archives=20and=20documents,=20go=20to=20
http://www.jiscmail.ac.uk/lists/occ-health.html=20for=20list=20archives=20=

<P>For=20jobs=20in=20Occupational=20Health,=20go=20to=20
http://uk.groups.yahoo.com/group/OHJobs/=20~~~~~~~~~~~~~~~=20Please=20remo=
ve=20this=20
footer=20before=20replying.=20
<P>For=20list=20archives=20and=20documents,=20go=20to=20
http://www.jiscmail.ac.uk/lists/occ-health.html=20for=20list=20archives=20=

<P>For=20jobs=20in=20Occupational=20Health,=20go=20to=20
http://uk.groups.yahoo.com/group/OHJobs/</P>
<BR>
______________________________________________________________________<BR>=

This=20email=20has=20been=20scanned=20by=20the=20MessageLabs=20Email=20Sec=
urity=20System.<BR>
For=20more=20information=20please=20visit=20http://www.messagelabs.com/ema=
il=20<BR>
______________________________________________________________________<BR>=

</BODY></HTML>
~~~~~~~~~~~~~~~
Please=20remove=20this=20footer=20before=20replying.
<p>
For=20list=20archives=20and=20documents,=20go=20to
http://www.jiscmail.ac.uk/lists/occ-health.html=20for=20list=20archives
<p>
For=20jobs=20in=20Occupational=20Health,=20go=20to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_004A_01C4C127.7D026210--
=========================================================================
Date:         Wed, 3 Nov 2004 09:41:03 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Nicola Johns <[log in to unmask]>
Subject:      Re: Pregnancy at work
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C189.3C22D84F"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4C189.3C22D84F
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable
X-NAIMIME-Disclaimer: 1
X-NAIMIME-Modified: 1

Hi,
I carry out pregnancy risk assessments on all new and expectant mothers.
They are given a copy of The HSE's A guide for New and expectant mothers
who work ISBN 0 7176 2614 8. These assessments are followed up at twenty
and thirty weeks respectively, in line with the procedure I have
developed. They are also reviewed following any new medical advice or
needs which develop, and are able to contact me at any time should they
experience any problems. Additionally, when individuals return following
maternity leave they are contacted to ascertain if they have any
requirements with regard to breastfeeding or expressing and storing
breast milk.
Hope this is helpful.
Nicky Johns
Health Services Manager

=09-----Original Message-----
=09From: Stackhouse, Amy . [mailto:[log in to unmask]]=20
=09Sent: 02 November 2004 14:21
=09To: [log in to unmask]
=09Subject: Pregnancy at work
=09
=09
=09Hi All,
=09=20
=09I am doing a degree in primary health care with OH
qualification. My occuaptional health assignment is on pregnant women at
work.
=09=20
=09I am wondering if anyone has an protocals or contact with the
pregnant women in thier workplace. At the NHS trust I work for we do not
have a requirement for pregnant workers to contact OH. =20
=09=20
=09If anyone has any other information it would be greatly
recieved.
=09=20
=09Many Thanks
=09=20
=09Amy Stackhouse
=09Trainee Occupational Health Nurse
=09~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

=09For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

=09For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



Swansea College=0ATycoch Road, Tycoch, Swansea. SA2 9EB=0Awebsite: http:/=
/www.swancoll.ac.uk=0A***************************************************=
*************************************************************************=
**************=0AThe information contained in this message is intended fo=
r the addressee only and may contain confidential and/or =0Aprivileged in=
formation. If you are not the addressee, please delete this message and n=
otify the sender; you should not=0Acopy or distribute this message or dis=
close its contents to anyone without the express permission of the author=
 who =0Ais the copyright holder.=0A**************************************=
*************************************************************************=
***************************=0A

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C189.3C22D84F
Content-Type: text/HTML;
  charset="us-ascii"
Content-Transfer-Encoding: quoted-printable
X-NAIMIME-Disclaimer: 1
X-NAIMIME-Modified: 1

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML dir=3Dltr><HEAD><TITLE>Message</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"=
>
<META content=3D"MSHTML 6.00.2800.1226" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D212142609-03112004><FONT face=3DArial color=3D#0000ff=20
size=3D2>Hi,</FONT></SPAN></DIV>
<DIV><SPAN class=3D212142609-03112004><FONT face=3DArial color=3D#0000ff =
size=3D2>I=20
carry out pregnancy risk assessments on all new and expectant mothers. Th=
ey are=20
given a copy of The HSE's A guide for New and expectant mothers who work =
ISBN 0=20
7176 2614 8. These assessments are followed up at twenty and thirty weeks=
=20
respectively, in line with the procedure I have developed.&nbsp;They are =
also=20
reviewed following&nbsp;any new&nbsp;medical advice or needs which develo=
p, and=20
are able to contact me at any time should they experience any problems.=20
Additionally, when individuals return following maternity leave they are=20
contacted to ascertain if they have any requirements with regard to=20
breastfeeding or expressing and storing breast milk.</FONT></SPAN></DIV>
<DIV><SPAN class=3D212142609-03112004><FONT face=3DArial color=3D#0000ff =
size=3D2>Hope=20
this is helpful.</FONT></SPAN></DIV>
<DIV><SPAN class=3D212142609-03112004><FONT face=3DArial color=3D#0000ff =
size=3D2>Nicky=20
Johns</FONT></SPAN></DIV>
<DIV><SPAN class=3D212142609-03112004><FONT face=3DArial color=3D#0000ff =
size=3D2>Health=20
Services Manager</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV></DIV>
  <DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr align=3Dleft><=
FONT=20
  face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B> Stack=
house, Amy=20
  . [mailto:[log in to unmask]] <BR><B>Sent:</B> 02 November 2004=20
  14:21<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Pregna=
ncy at=20
  work<BR><BR></FONT></DIV>
  <DIV><FONT color=3D#000000>Hi All,</FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV>I am doing a degree in primary health care with OH qualification. =
My=20
  occuaptional health assignment is on pregnant women at work.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>I&nbsp;am wondering if anyone has an protocals or contact with the=
=20
  pregnant women in thier workplace. At the NHS trust I work for we&nbsp;=
do not=20
  have a requirement for pregnant workers to contact OH. &nbsp;</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>If anyone has any other information it would be greatly recieved.<=
/DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Many Thanks</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Amy Stackhouse</DIV>
  <DIV>Trainee Occupational Health Nurse</DIV>~~~~~~~~~~~~~~~ Please remo=
ve this=20
  footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE>
<DIV><P><HR>
Swansea College<BR>=0ATycoch Road, Tycoch, Swansea. SA2 9EB<BR>=0Awebsite=
: http://www.swancoll.ac.uk<BR>=0A***************************************=
*************************************************************************=
**************************<BR>=0AThe information contained in this messag=
e is intended for the addressee only and may contain confidential and/or =
<BR>=0Aprivileged information. If you are not the addressee, please delet=
e this message and notify the sender; you should not<BR>=0Acopy or distri=
bute this message or disclose its contents to anyone without the express =
permission of the author who <BR>=0Ais the copyright holder.<BR>=0A******=
*************************************************************************=
***********************************************************<BR>=0A
</P></DIV>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C189.3C22D84F--
=========================================================================
Date:         Wed, 3 Nov 2004 10:15:38 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sara Werry <[log in to unmask]>
Subject:      New HSE leaflet re sickness absence
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0018_01C4C18E.22F40230"

This is a multi-part message in MIME format.

------=_NextPart_000_0018_01C4C18E.22F40230
Content-Type: text/plain;
        charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Hi All

I have just come across a new leaflet by HSE "Off sick and worried about
your job, steps you can take to help your return to work"

I'm not sure if it is on their website but would be available from their
publications dept

Really useful.

Kind regards
Sara

Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0018_01C4C18E.22F40230
Content-Type: text/html;
        charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">
<TITLE>Message</TITLE>

<META content=3D"MSHTML 5.50.4134.600" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D849260810-03112004><FONT face=3DGaramond>Hi=20
All</FONT></SPAN></DIV>
<DIV><SPAN class=3D849260810-03112004><FONT=20
face=3DGaramond></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D849260810-03112004><FONT face=3DGaramond>I have just =
come across=20
a new leaflet by HSE&nbsp;"Off sick and worried about your job, steps =
you can=20
take to help your return to work"</FONT></SPAN></DIV>
<DIV><SPAN class=3D849260810-03112004><FONT=20
face=3DGaramond></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D849260810-03112004><FONT face=3DGaramond>I'm not sure =
if it is on=20
their website but would be available from their publications=20
dept</FONT></SPAN></DIV>
<DIV><SPAN class=3D849260810-03112004><FONT=20
face=3DGaramond></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D849260810-03112004><FONT face=3DGaramond>Really=20
useful.</FONT></SPAN></DIV>
<DIV><SPAN class=3D849260810-03112004><FONT=20
face=3DGaramond></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D849260810-03112004><FONT face=3DGaramond>Kind=20
regards</FONT></SPAN></DIV>
<DIV><SPAN class=3D849260810-03112004><FONT=20
face=3DGaramond>Sara&nbsp;&nbsp;</FONT></SPAN></DIV>
<DIV>&nbsp;</DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Sara Werry</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Adviser</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Service</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>University of East =
Anglia</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Norwich, NR4 7TJ</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Tel: (01603) 592174</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Fax: (01603) 506579</FONT></DIV>
<DIV>&nbsp;</DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0018_01C4C18E.22F40230--
=========================================================================
Date:         Wed, 3 Nov 2004 11:17:01 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jane Fairburn <[log in to unmask]>
Subject:      Re: Stress & Riddor
Mime-Version: 1.0
Content-Type: text/html

<html><div style='background-color:'><DIV class=RTE>
<P>This is a reply from Peter Kelly OH Psychologist at HSE regarding this issue:</P>
<P><BR>Jane<BR><BR>I hope the following clears up some of the issues surrounding stress and<BR>&nbsp;&nbsp;&nbsp;&nbsp; RIDDOR.<BR><BR>Occupational stress (work-related stress) or stress-related illnesses are<BR>&nbsp;&nbsp;&nbsp;&nbsp; not reportable under the Reporting of Injuries, Diseases and<BR>Dangerous Occurrences Regulations 1995 (RIDDOR).<BR><BR>The question of whether to include occupational stress as a RIDDOR<BR>&nbsp;&nbsp;&nbsp;&nbsp; reportable disease was considered during the development of the<BR>current Regulations. On the advice of HSC's Occupational Health Advisory<BR>&nbsp;&nbsp;&nbsp;&nbsp; Committee, it was not included.&nbsp; This is because the causes of<BR>stress-related ill health are usually extremely complex and linking<BR>&nbsp;&nbsp;&nbsp;&nbsp; conditions to specific types of work activity (as is done for other<BR>diseases and conditions in RIDDOR) would be very difficult.<BR><BR>This does not mean that issues around stress-related illnesses c!
annot be<BR>raised with the enforcing authorities. Nor does it mean that a complaint<BR>cannot be made which could be investigated. While work-related stress is<BR>not reportable, employers have duties under the Management of Health and<BR>Safety at Work Regulations 1999 to assess and manage the risk of<BR>stress-related ill health arising from work activities, and under the<BR>Health and Safety at Work etc. Act 1974, to take measures to control that<BR>risk. This would include recording and analysing the results of any<BR>monitoring activity.<BR><BR>Hope this helps<BR><BR><BR><BR><BR><BR><BR><BR><BR></P></DIV></div></html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 3 Nov 2004 11:51:48 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Josie Mills <[log in to unmask]>
Subject:      Re: how long do notes have to be kept for??
In-Reply-To:  <0FD930298CD7D6118F1900508BBBBD64A6FBC1@KETTEX1>
MIME-Version: 1.0
Content-Type: multipart/mixed;
              boundary="----=_NextPart_000_0002_01C4C19B.7FC86E30"

This is a multi-part message in MIME format.

------=_NextPart_000_0002_01C4C19B.7FC86E30
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Some useful references

Regards

Josie Mills
Occupational Health Consultant
BSc(Hons); RGN; RMN; OHND; MIOSH


-----Original Message-----
From: Gina Jones [mailto:[log in to unmask]]
Sent: 02 November 2004 15:11
To: [log in to unmask]
Subject: Re: how long do notes have to be kept for??


very interested in this one myself. i know we kept employees affected under
Coshh for 40 years but not sure if other record are for 7 or 10 years. i was
planning on keeping them 10 so if anyone can tell me its less than that i
would be grateful

-----Original Message-----
From: Glenn Raybone [mailto:[log in to unmask]]
Sent: 02 November 2004 13:24
To: [log in to unmask]
Subject: how long do notes have to be kept for??


Can I ask how long paper notes have to be kept for staff who have left the
organisation?

There are no items or results in there that come under the COSHH
regulations.

How long must we keep hold of them until they can be shredded?

Thanks

Glenn Raybone

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

_____________________________________________________________________
This message has been checked for all known viruses by the
MessageLabs Virus Scanning Service. If you believe that you may have
received a virus please contact your IT support personnel in the first
instance.



A DIVISION OF SAMWORTH BROTHERS LIMITED.
Registered Office: Chetwode House, Leicester Road, Melton Mowbray,
Leicestershire, LE13 1GA.
Registered Number: 03116767, Registered in England.

PRIVATE AND CONFIDENTIAL
This message is private and confidential.  It must not be disclosed to,
copied or used by anyone other than the addressee.  If you receive this
message in error, please notify our email administrator at
[log in to unmask] and destroy the message.

E-MAIL VIRUS WARNING
Although this email and any attachment are believed to be free from
viruses which might affect any system into which they are received or
opened, it is the responsibility of the recipient to ensure that they are
virus free.  No responsibility is accepted by Samworth Brothers for
any loss or damage arising in any way from their receipt, opening or
use.
___________________________________________________________________
This email has been scanned for all viruses by the MessageLabs SkyScan
service. For more information on a proactive anti-virus service working
around the clock, around the globe, visit http://www.messagelabs.com
________________________________________________________________________

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0002_01C4C19B.7FC86E30
Content-Type: application/msword;
        name="Record Keeping References.doc"
Content-Transfer-Encoding: base64
Content-Disposition: attachment;
        filename="Record Keeping References.doc"
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==

------=_NextPart_000_0002_01C4C19B.7FC86E30--
=========================================================================
Date:         Wed, 3 Nov 2004 12:58:49 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sue Summers-Coles <[log in to unmask]>
Subject:      Re: New HSE leaflet re sickness absence
MIME-Version: 1.0
Content-type: text/plain; charset=iso-8859-1
Content-transfer-encoding: quoted-printable

The HSE=A0leaflet "Off sick and worried about your job, steps you can  =
take
to help your return to work" is available to download from their websit=
e
at:

http://www.hse.gov.uk/pubns/indg397.pdf

Regards
Sue Summers-Coles



______________________________________________________________________


   IMPORTANT
   The information contained in this e-mail and in any
   attachments is intended only for the named recipient or
   entity. The e-mail and any attachments may contain legally
   privileged or confidential information and may not be
   disclosed to anyone else. If you are not the intended
   recipient, please notify us immediately on 01789-202121
   and delete the material from any computer that may contain
   it and destroy any printed copies you may have made. We
   accept no liability for any direct, indirect or
   consequential loss or damage arising from any action taken
   in reliance on or use of the information contained in this
   e-mail and give no warranty or representation as to its
   accuracy or reliability.

   NFU Mutual has the facility to monitor and read both
   incoming and outgoing communications by e-mail and these
   may be intercepted by its automated e-mail administrators.
   NFU Mutual will not accept e-mail communications found to
   contain viruses.

   Parent Company: The National Farmers Union Mutual Insurance
   Society Ltd
   (No. 111982). Authorised and regulated by the Financial
   Services Authority for Life, Pension and Investment business.
   Registered in England
   Registered office : Tiddington Road, Stratford-upon-Avon,
   CV37 7BJ.
   Tel: 01789 204211
   NFU Mutual is a member of the General Insurance Standards
   Council, ABI and FOS.


   http://www.nfumutual.co.uk


=

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 3 Nov 2004 13:16:23 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Audrey Dean <[log in to unmask]>
Subject:      Transfer of Occupational Health Records - from one Health Care
              Provider to another

Hello everyone,

As it is quite some time since I have had dealings with transfer of OH
Medical Records from one OH Provider to another I would like to ask if
anyone has any current succinct documention that outlines best practice on
this subject.

In short, when a Company terminates their OH provision (and medical records
may be kept both on and off site) with one company and transfers the OH
provision to another - what written guidance exists to comply with current
DOH guidelines/Data Protection/Confidentiality.

Any help would be appreciated

all the best,

Audrey Dean
RN, BSc. Hons (OH Nursing) NEBOSH

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 3 Nov 2004 13:59:41 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Mcclurg <[log in to unmask]>
Subject:      Re: Pregnancy at work
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0070_01C4C1AD.5D75A2F0"

This is a multi-part message in MIME format.

------=_NextPart_000_0070_01C4C1AD.5D75A2F0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

MessageHi Nicola=20
 Do you have a pregnancy risk assessment tool already to use and if so =
would you be willing to share this information!
 Many thanks
 Diane McClurg
  ----- Original Message -----=20
  From: Nicola Johns=20
  To: [log in to unmask]
  Sent: Wednesday, November 03, 2004 9:41 AM
  Subject: Re: Pregnancy at work


  Hi,
  I carry out pregnancy risk assessments on all new and expectant =
mothers. They are given a copy of The HSE's A guide for New and =
expectant mothers who work ISBN 0 7176 2614 8. These assessments are =
followed up at twenty and thirty weeks respectively, in line with the =
procedure I have developed. They are also reviewed following any new =
medical advice or needs which develop, and are able to contact me at any =
time should they experience any problems. Additionally, when individuals =
return following maternity leave they are contacted to ascertain if they =
have any requirements with regard to breastfeeding or expressing and =
storing breast milk.
  Hope this is helpful.
  Nicky Johns
  Health Services Manager
    -----Original Message-----
    From: Stackhouse, Amy . [mailto:[log in to unmask]]=20
    Sent: 02 November 2004 14:21
    To: [log in to unmask]
    Subject: Pregnancy at work


    Hi All,

    I am doing a degree in primary health care with OH qualification. My =
occuaptional health assignment is on pregnant women at work.

    I am wondering if anyone has an protocals or contact with the =
pregnant women in thier workplace. At the NHS trust I work for we do not =
have a requirement for pregnant workers to contact OH. =20

    If anyone has any other information it would be greatly recieved.

    Many Thanks

    Amy Stackhouse
    Trainee Occupational Health Nurse
    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/



-------------------------------------------------------------------------=
-----
  Swansea College
  Tycoch Road, Tycoch, Swansea. SA2 9EB
  website: http://www.swancoll.ac.uk
  =
*************************************************************************=
*****************************************************************
  The information contained in this message is intended for the =
addressee only and may contain confidential and/or=20
  privileged information. If you are not the addressee, please delete =
this message and notify the sender; you should not
  copy or distribute this message or disclose its contents to anyone =
without the express permission of the author who=20
  is the copyright holder.
  =
*************************************************************************=
*****************************************************************


  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0070_01C4C1AD.5D75A2F0
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML dir=3Dltr><HEAD><TITLE>Message</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>Hi Nicola </FONT></DIV>
<DIV><FONT face=3DArial size=3D2>&nbsp;Do you have a pregnancy risk=20
assessment&nbsp;tool already to use and if so would you be willing to =
share this=20
information!</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>&nbsp;Many thanks</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>&nbsp;Diane McClurg</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask] =
href=3D"mailto:[log in to unmask]">Nicola=20
  Johns</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, November 03, =
2004 9:41=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Pregnancy at =
work</DIV>
  <DIV><BR></DIV>
  <DIV><SPAN class=3D212142609-03112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>Hi,</FONT></SPAN></DIV>
  <DIV><SPAN class=3D212142609-03112004><FONT face=3DArial =
color=3D#0000ff size=3D2>I=20
  carry out pregnancy risk assessments on all new and expectant mothers. =
They=20
  are given a copy of The HSE's A guide for New and expectant mothers =
who work=20
  ISBN 0 7176 2614 8. These assessments are followed up at twenty and =
thirty=20
  weeks respectively, in line with the procedure I have =
developed.&nbsp;They are=20
  also reviewed following&nbsp;any new&nbsp;medical advice or needs =
which=20
  develop, and are able to contact me at any time should they experience =
any=20
  problems. Additionally, when individuals return following maternity =
leave they=20
  are contacted to ascertain if they have any requirements with regard =
to=20
  breastfeeding or expressing and storing breast =
milk.</FONT></SPAN></DIV>
  <DIV><SPAN class=3D212142609-03112004><FONT face=3DArial =
color=3D#0000ff size=3D2>Hope=20
  this is helpful.</FONT></SPAN></DIV>
  <DIV><SPAN class=3D212142609-03112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>Nicky Johns</FONT></SPAN></DIV>
  <DIV><SPAN class=3D212142609-03112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>Health Services Manager</FONT></SPAN></DIV>
  <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
    <DIV></DIV>
    <DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr =
align=3Dleft><FONT=20
    face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B> =
Stackhouse,=20
    Amy . [mailto:[log in to unmask]] <BR><B>Sent:</B> 02 November =
2004=20
    14:21<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Pregnancy=20
    at work<BR><BR></FONT></DIV>
    <DIV><FONT color=3D#000000>Hi All,</FONT></DIV>
    <DIV>&nbsp;</DIV>
    <DIV>I am doing a degree in primary health care with OH =
qualification. My=20
    occuaptional health assignment is on pregnant women at work.</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>I&nbsp;am wondering if anyone has an protocals or contact with =
the=20
    pregnant women in thier workplace. At the NHS trust I work for =
we&nbsp;do=20
    not have a requirement for pregnant workers to contact OH. =
&nbsp;</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>If anyone has any other information it would be greatly =
recieved.</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>Many Thanks</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>Amy Stackhouse</DIV>
    <DIV>Trainee Occupational Health Nurse</DIV>~~~~~~~~~~~~~~~ Please =
remove=20
    this footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE>
  <DIV>
  <P>
  <HR>
  Swansea College<BR>Tycoch Road, Tycoch, Swansea. SA2 9EB<BR>website:=20
  =
http://www.swancoll.ac.uk<BR>********************************************=
*************************************************************************=
*********************<BR>The=20
  information contained in this message is intended for the addressee =
only and=20
  may contain confidential and/or <BR>privileged information. If you are =
not the=20
  addressee, please delete this message and notify the sender; you =
should=20
  not<BR>copy or distribute this message or disclose its contents to =
anyone=20
  without the express permission of the author who <BR>is the copyright=20
  =
holder.<BR>**************************************************************=
*************************************************************************=
***<BR>
  <P></P></DIV>~~~~~~~~~~~~~~~ Please remove this footer before =
replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0070_01C4C1AD.5D75A2F0--
=========================================================================
Date:         Wed, 3 Nov 2004 14:32:58 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Collins, Julia (UK)" <[log in to unmask]>
Subject:      Re: Transfer of Occupational Health Records - from one Health
              Care Provider to another
MIME-version: 1.0
Content-type: text/plain; charset="iso-8859-1"
Content-transfer-encoding: quoted-printable

Hi Audrey

Try the RCN - Confidentiality guidance for Occupational Health Nurses 2002.=
 I was reading this recently and it had a section on the transfer of=
 medical records due to health professional redundancy etc

Hope this helps

Julia

-----Original Message-----
From: Audrey Dean [mailto:[log in to unmask]]
Sent: 03 November 2004 13:16
To: [log in to unmask]
Subject: Transfer of Occupational Health Records - from one Health Care
Provider to another


               *** WARNING ***

This mail has originated outside your organization,
either from an external partner or the Global Internet.=0D
     Keep this in mind if you answer this message.=0D

Hello everyone,

As it is quite some time since I have had dealings with transfer of OH
Medical Records from one OH Provider to another I would like to ask if
anyone has any current succinct documention that outlines best practice on
this subject.

In short, when a Company terminates their OH provision (and medical records
may be kept both on and off site) with one company and transfers the OH
provision to another - what written guidance exists to comply with current
DOH guidelines/Data Protection/Confidentiality.

Any help would be appreciated

all the best,

Audrey Dean
RN, BSc. Hons (OH Nursing) NEBOSH

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 3 Nov 2004 22:41:43 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Research Proposal
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_018C_01C4C1F6.4AC8DD90"

This is a multi-part message in MIME format.

------=_NextPart_000_018C_01C4C1F6.4AC8DD90
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

Julia
You asked for comments and any known research on OHNs providing a =
'reactive first aid treatment service' - well here goes.....

1. What do you mean by 'provide'? It is the employer's duty to make =
suitable first aid provision within their organisation (First aid at =
work Regs 1981) So presumably you are asking if that provision should be =
that the OHNs are the first aiders themselves. Might be a bit difficult =
on a multi sited company, or with a peripatetic service when the OHN is =
in one place and the employees elsewhere. Seems more sensible to have =
first aiders in relevant places rather than an OHN sitting in the first =
aid room waiting for casualties. Expensive and rather a waste of an RGN =
& OH qualification - bit of a difference between a 3 year degree and a 4 =
day (soon to be less with the first aid update) course!

2. I agree with some of the respondents who have said that RGNs don't =
always know first aid - but then 2002 NMC code of practice 8.5 says that =
'in an emergency, in or outside the work setting, you have a =
professional duty to provide care etc....' which means all RGNs should =
know first aid - they have a professional duty to know it.

3. Therefore every OHN should be able to 'provide' first aid when =
necessary. It must be reactive because you cannot provide first aid =
proactively. However, this is not sufficient on its own and does not =
fulfil the requirements of the legislation until an assessment of the =
first aid needs of the organisation has been made by the employer. I =
gather from HSE that the update of the guidance on the First aid =
provision will include detailed guidance for employers on making these =
assessments.

4. Finally - 'research' was undertaken around the time that the First =
Aid Regs were drafted, although random control trials and grounded =
research were probably not the words used by EMAS at the time. However, =
if you carry out a search of BNI and the RCN data bases thru the RCN =
website ( if you are a member) you will be able to access some quite old =
research that was done in the 80s and 90s on first aid at work provision =
by some, then eminent, OHNs.

5. Bottom line - we, as RGNs should all be able to perform first aid =
when required to do so - but that does not replace the employers duty to =
make suitable and sufficient provision for first aid in the workplace =
which is different from OH.


Good luck,=20

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


----- Original Message -----=20
From: "Julia J Collins" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, November 01, 2004 12:01 PM
Subject: Research Proposal


> Hi everyone
>=20
> I was wondering if any of you can help me with my uni research =
proposal.
> I'm in my first year of the degree and we have to submit a research
> question and then work through the process -I think!
>=20
> My proposed question is:
>=20
> Should Occupational Health Nurses provide a reactive first aid =
treatment
> service?
>=20
> Do any of you have comments, ideas or know of any research that has =
been
> done previously?
>=20
> I would value any info I get back and following the debates of late I =
know
> that there is a wealth of knowledge out there.
>=20
>=20
> Many thanks
>=20
> Julia
>=20
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>=20
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>=20
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.786 / Virus Database: 532 - Release Date: 29/10/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_018C_01C4C1F6.4AC8DD90
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dwindows-1252">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY>
<DIV><FONT size=3D2>Julia</FONT></DIV>
<DIV><FONT size=3D2>You asked for comments and any known research on =
OHNs=20
providing a 'reactive first aid treatment service' - well here=20
goes.....</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>1. What do you mean by 'provide'?&nbsp;It =
is&nbsp;the=20
employer's duty to make suitable first aid provision within their =
organisation=20
(First aid at work Regs 1981) So presumably you are asking if that =
provision=20
should be that the OHNs are the first aiders themselves. Might be a bit=20
difficult on a multi sited company, or with a peripatetic =
service&nbsp;when the=20
OHN is in one place and the employees elsewhere. Seems more sensible to =
have=20
first aiders in relevant places rather than an OHN sitting in the first =
aid room=20
waiting for casualties. Expensive and rather a waste of an RGN &amp; OH=20
qualification - bit of a difference between a 3 year degree and a 4 day =
(soon to=20
be less with the first aid update) course!</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>2. I agree with some of the respondents who have =
said that=20
RGNs don't always know first aid - but then 2002 NMC code of practice =
8.5 says=20
that <EM>'in an emergency, in or outside the work setting, you have a=20
professional duty to provide care etc..</EM>..' which means all RGNs =
should know=20
first aid - they have a professional duty to know it.</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>3. Therefore every OHN should be able to 'provide' =
first aid=20
when necessary. It must be reactive because you cannot provide first aid =

proactively. However, this is not sufficient on its own and does not =
fulfil the=20
requirements of the legislation until an assessment of the first aid =
needs of=20
the organisation has been made by the employer. I gather from HSE that =
the=20
update of the guidance on the First aid provision will include detailed =
guidance=20
for employers&nbsp;on making these assessments.</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>4. Finally - 'research' was undertaken around the =
time that=20
the First Aid Regs were drafted, although random control trials and =
grounded=20
research were probably not the words used by EMAS at the time. However, =
if you=20
carry out a search of BNI and the RCN data bases thru the RCN website ( =
if you=20
are a member) you will be able to access some quite old research that =
was done=20
in the 80s and 90s on first aid at work provision by some, then eminent, =

OHNs.</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>5. Bottom line - we, as RGNs should all be able to =
perform=20
first aid when required to do so - but that does not replace the =
employers duty=20
to make suitable and sufficient provision for first aid in the workplace =
which=20
is different from OH.</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Good luck, </FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health =
&amp;=20
Education<BR>Consultant Editor, OH Journal<BR><A=20
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>----- Original Message ----- </FONT>
<DIV><FONT size=3D2>From: "Julia J Collins" &lt;</FONT><A=20
href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
<DIV><FONT size=3D2>To: &lt;</FONT><A=20
href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
<DIV><FONT size=3D2>Sent: Monday, November 01, 2004 12:01 =
PM</FONT></DIV>
<DIV><FONT size=3D2>Subject: Research Proposal</FONT></DIV></DIV>
<DIV><FONT size=3D2><BR></FONT></DIV>
<DIV><FONT size=3D2>&gt; Hi everyone<BR>&gt; <BR>&gt; I was wondering if =
any of=20
you can help me with my uni research proposal.<BR>&gt; I'm in my first =
year of=20
the degree and we have to submit a research<BR>&gt; question and then =
work=20
through the process -I think!<BR>&gt; <BR>&gt; My proposed question =
is:<BR>&gt;=20
<BR>&gt; Should Occupational Health Nurses provide a reactive first aid=20
treatment<BR>&gt; service?<BR>&gt; <BR>&gt; Do any of you have comments, =
ideas=20
or know of any research that has been<BR>&gt; done previously?<BR>&gt; =
<BR>&gt;=20
I would value any info I get back and following the debates of late I=20
know<BR>&gt; that there is a wealth of knowledge out there.<BR>&gt; =
<BR>&gt;=20
<BR>&gt; Many thanks<BR>&gt; <BR>&gt; Julia<BR>&gt; <BR>&gt;=20
~~~~~~~~~~~~~~~<BR>&gt; Please remove this footer before =
replying.<BR>&gt;=20
<BR>&gt; For list archives and documents, go to<BR>&gt; </FONT><A=20
href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT=20
size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =
size=3D2>=20
for list archives<BR>&gt; <BR>&gt; For jobs in Occupational Health, go=20
to<BR>&gt; </FONT><A =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT =
color=3D#0000ff=20
size=3D2></FONT></U></DIV>
<DIV>&nbsp;</DIV>
<DIV><U><FONT color=3D#0000ff size=3D2><BR>---<BR>Outgoing mail is =
certified Virus=20
Free.<BR>Checked by AVG anti-virus system (<A=20
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.786 /=20
Virus Database: 532 - Release Date: =
29/10/2004</FONT></U></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_018C_01C4C1F6.4AC8DD90--
=========================================================================
Date:         Thu, 4 Nov 2004 07:03:19 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Comments: cc: [log in to unmask]
Mime-Version: 1.0
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<html><div style=3D'background-color:'><DIV class=3DRTE>&nbsp;</DIV>
<DIV class=3DRTE>Can anyone give this US colleague a lead to help him wih=
t his research? Feel freeto respond directly to him..</DIV>
<DIV class=3DRTE>&nbsp;</DIV>
<DIV class=3DRTE><A href=3D"mailto:[log in to unmask]">mailto:pdxsg@netsc=
ape.net</A></DIV>
<DIV class=3DRTE>Sent: 26 October 2004 20:06 </DIV>
<DIV></DIV>To: "Linda Riseborough"=20
<DIV></DIV>Subject: RE: Research=20
<DIV></DIV>
<DIV></DIV>Linda,=20
<DIV></DIV>
<DIV></DIV>
<P>I&nbsp;am interested in research on Nurse Practitioners.&nbsp;&nbsp;My=
 dissertation is re:</P>
<P>&nbsp;the use of<EM> Physician Assistants </EM><EM>and NPs in occ med.=
</EM>&nbsp;</P>
<P>&nbsp;I am looking at a comparison of adherence of PA/NP versus physic=
ians to the American College of Occ &amp; Environmental Med guidelines fo=
r the eval and treatment of low back injuries in workers. </P>
<DIV></DIV>
<DIV></DIV>A portion of my literature review will look at studies related=
 to NPs=20
<DIV></DIV>working in occ med.&nbsp;&nbsp;So, <STRONG>I am looking for an=
y research studies involving NPs </STRONG>
<DIV></DIV><STRONG>in occ med. </STRONG>
<DIV></DIV>
<DIV></DIV>There is not a group of NPs dedicated to occ med in the U.S.&n=
bsp;&nbsp;The AAOHN has=20
<DIV></DIV>a few articles re: NPs but more related to RNs.=20
<DIV></DIV>
<DIV></DIV>&nbsp;Anything you have would probably be of help.=20
<DIV></DIV>
<DIV></DIV>Thanks again,=20
<DIV></DIV>
<DIV></DIV>Steve Giles=20
<DIV></DIV></div><br clear=3Dall><hr>MSN Premium gives you PC protection,=
 junk-mail filters, advanced communication tools and great software like =
MSN Encarta=AE Premium.   <a href=3D"http://g.msn.com/8HMAENUK/2740??PS=3D=
47575" target=3D"_top">Click here for a FREE trial!</a> </html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 4 Nov 2004 07:22:33 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      pregnant workers
Mime-Version: 1.0
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<html><div style=3D'background-color:'><DIV class=3DRTE>Beware of doing r=
isk assessments that should be done by managers, after all they have the =
understanding of the work that is being undertaken, and will have to prop=
ose/agree modifications to work.</DIV>
<DIV class=3DRTE>&nbsp;</DIV>
<DIV class=3DRTE>One firm I worked for had an initial referral form compl=
eted by the manager, outlining any hazards and the liklihood of them bein=
g relevant. This was fowarded to OH who looked over it, and spoke with th=
e employee, to see if there were any medical considerations(eg someone pr=
one to miscarriages etc. )</DIV>
<DIV class=3DRTE>&nbsp;</DIV>
<DIV class=3DRTE>Any advice on modifications to workplace etc were given =
in writing on&nbsp;a form which was sent back to manager. On the form wer=
e spaces/remininders for the<U> manager</U> to follow up with meeting wit=
h the employee at set intervals to ensure all was well, and the employee =
happy with the working conditions.If not, then OH was contacted.(of cours=
e the employee could contact Oh at any time, but this rarely happened.)</=
DIV>
<DIV class=3DRTE>&nbsp;</DIV>
<DIV class=3DRTE>&nbsp;Normally we were informed when the birth had taken=
 place, and when the employee was likely to return.We would contact the e=
mployee to&nbsp;discuss facilities for&nbsp;rest and expressing breast mi=
lk if they would be required(we put a fridge in the first aid room if nee=
ded.&nbsp;)</DIV>
<DIV class=3DRTE>&nbsp;</DIV>
<DIV class=3DRTE>This service&nbsp;was also available to women who were t=
hinking of starting a family , (in a laboratory enviroment&nbsp; for exam=
ple to ensure that they were not exposed to teratogens at this time). Thi=
s was also relevant to peripatetic pharmaceutical sales staff, who would =
be visiting GP surgeries.</DIV>
<DIV class=3DRTE>&nbsp;</DIV>
<DIV class=3DRTE>All the contacts were usually done by telelphone as the =
firm was multisited.</DIV>
<DIV class=3DRTE>As mainly the workers were office based, this seemed to =
work. </DIV>
<DIV class=3DRTE>&nbsp;</DIV>
<DIV class=3DRTE>Hope this helps </DIV>
<DIV class=3DRTE>Diane</DIV>
<DIV class=3DRTE>&nbsp;</DIV>
<DIV class=3DRTE>&nbsp;</DIV></div><br clear=3Dall><hr>Enjoy the awesome =
learning power of Encarta=AE at your fingertips when you subscribe to  <a=
 href=3D"http://g.msn.com/8HMAENUK/2737??PS=3D47575" target=3D"_top">MSN=AE=
 Encarta Premium.</a> </html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 4 Nov 2004 07:34:48 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         John Caffrey <[log in to unmask]>
Subject:      Re: New HSE leaflet re sickness absence
MIME-Version: 1.0
Content-Type: MULTIPART/ALTERNATIVE; DIFFERENCES=Content-Language;
              BOUNDARY="847218-27826-1099553692=:155"

--847218-27826-1099553692=:155
Content-Type: TEXT/PLAIN; CHARSET=US-ASCII
Content-Language: en-GBR

MessageTry the following to access the pamphlet

http://www.hse.gov.uk/pubns/indg397.pdf
  -----Original Message-----
  From: Sara Werry [mailto:[log in to unmask]]
  Sent: 03 November 2004 10:16
  To: [log in to unmask]
  Subject: New HSE leaflet re sickness absence


  Hi All

  I have just come across a new leaflet by HSE "Off sick and worried about
your job, steps you can take to help your return to work"

  I'm not sure if it is on their website but would be available from their
publications dept

  Really useful.

  Kind regards
  Sara

  Sara Werry
  Occupational Health Adviser
  Occupational Health Service
  University of East Anglia
  Norwich, NR4 7TJ
  Tel: (01603) 592174
  Fax: (01603) 506579

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.
  For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

  For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--847218-27826-1099553692=:155
Content-Type: TEXT/x-cdsi-msrtf; CHARSET=US-ASCII
Content-ID: 0
Content-Language: en-GBR

{\rtf1\ansi\ansicpg1252\fromhtml1 \deff0{\fonttbl
{\f0\fswiss\fcharset0 Arial;}
{\f1\fmodern Courier New;}
{\f2\fnil\fcharset2 Symbol;}
{\f3\fmodern\fcharset0 Courier New;}
{\f4\fswiss Arial;}
{\f5\fswiss Times New Roman;}
{\f6\fswiss\fcharset0 Garamond;}}
{\colortbl\red0\green0\blue0;\red0\green0\blue255;\red0\green0\blue255;}
\uc1\pard\plain\deftab360 \f0\fs24\cf0
{\*\htmltag243 <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">}
{\*\htmltag3 \par }
{\*\htmltag19 <HTML>}
{\*\htmltag34 <HEAD>}
{\*\htmltag177 <TITLE>}
{\*\htmltag241 Message}
{\*\htmltag185 </TITLE>}
{\*\htmltag1 \par }
{\*\htmltag1 \par }
{\*\htmltag161 <META content="MSHTML 6.00.2716.2200" name=GENERATOR>}
{\*\htmltag41 </HEAD>}
{\*\htmltag2 \par }
{\*\htmltag50 <BODY>}
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Arial color=#0000ff size=2>}\htmlrtf {\f4 \cf2 \fs20 \htmlrtf0
{\*\htmltag84 <SPAN class=682073407-04112004>}\htmlrtf {\htmlrtf0 Try
{\*\htmltag4 \par }the following to access the pamphlet
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Arial color=#0000ff size=2>}\htmlrtf {\f4 \cf2 \fs20 \htmlrtf0
{\*\htmltag84 <SPAN \par class=682073407-04112004>}\htmlrtf {\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Arial color=#0000ff size=2>}\htmlrtf {\f4 \cf2 \fs20 \htmlrtf0
{\*\htmltag84 <A \par href="http://www.hse.gov.uk/pubns/indg397.pdf">}\htmlrtf {\field{\*\fldinst{HYPERLINK "http://www.hse.gov.uk/pubns/indg397.pdf"}}{\fldrslt\cf1\ul \htmlrtf0 http://www.hse.gov.uk/pubns/indg397.pdf\htmlrtf }\htmlrtf0 \htmlrtf }\htmlrtf0
{\*\htmltag92 </A>}
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">}\htmlrtf \par
{\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV class=OutlookMessageHeader>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag148 <FONT face="Times New Roman" \par   size=2>}\htmlrtf {\f5 \fs20 \htmlrtf0 -----Original Message-----
{\*\htmltag116 <BR>}\htmlrtf \line
\htmlrtf0
{\*\htmltag84 <B>}\htmlrtf {\b \htmlrtf0 From:
{\*\htmltag92 </B>}\htmlrtf }\htmlrtf0  Sara Werry
{\*\htmltag4 \par }
{\*\htmltag84   }[mailto:[log in to unmask]]
{\*\htmltag116 <BR>}\htmlrtf \line
\htmlrtf0
{\*\htmltag84 <B>}\htmlrtf {\b \htmlrtf0 Sent:
{\*\htmltag92 </B>}\htmlrtf }\htmlrtf0  03 November 2004
{\*\htmltag4 \par }
{\*\htmltag84   }10:16
{\*\htmltag116 <BR>}\htmlrtf \line
\htmlrtf0
{\*\htmltag84 <B>}\htmlrtf {\b \htmlrtf0 To:
{\*\htmltag92 </B>}\htmlrtf }\htmlrtf0  [log in to unmask]
{\*\htmltag116 <BR>}\htmlrtf \line
\htmlrtf0
{\*\htmltag84 <B>}\htmlrtf {\b \htmlrtf0 Subject:
{\*\htmltag92 </B>}\htmlrtf }\htmlrtf0  New HSE
{\*\htmltag4 \par }
{\*\htmltag84   }leaflet re sickness absence
{\*\htmltag116 <BR>}\htmlrtf \line
\htmlrtf0
{\*\htmltag116 <BR>}\htmlrtf \line
\htmlrtf0
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag84 <SPAN class=849260810-03112004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Garamond>}\htmlrtf {\f6 \htmlrtf0 Hi
{\*\htmltag4 \par }
{\*\htmltag84   }All
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag84 <SPAN class=849260810-03112004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT \par   face=Garamond>}\htmlrtf {\f6 \htmlrtf0
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag84 <SPAN class=849260810-03112004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Garamond>}\htmlrtf {\f6 \htmlrtf0 I have just come
{\*\htmltag4 \par }
{\*\htmltag84   }across a new leaflet by HSE
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 "Off sick and worried about your job, steps
{\*\htmltag4 \par }
{\*\htmltag84   }you can take to help your return to work"
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag84 <SPAN class=849260810-03112004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT \par   face=Garamond>}\htmlrtf {\f6 \htmlrtf0
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag84 <SPAN class=849260810-03112004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Garamond>}\htmlrtf {\f6 \htmlrtf0 I'm not sure if it is
{\*\htmltag4 \par }
{\*\htmltag84   }on their website but would be available from their publications
{\*\htmltag4 \par }
{\*\htmltag84   }dept
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag84 <SPAN class=849260810-03112004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT \par   face=Garamond>}\htmlrtf {\f6 \htmlrtf0
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag84 <SPAN class=849260810-03112004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Garamond>}\htmlrtf {\f6 \htmlrtf0 Really
{\*\htmltag4 \par }
{\*\htmltag84   }useful.
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag84 <SPAN class=849260810-03112004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT \par   face=Garamond>}\htmlrtf {\f6 \htmlrtf0
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag84 <SPAN class=849260810-03112004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Garamond>}\htmlrtf {\f6 \htmlrtf0 Kind
{\*\htmltag4 \par }
{\*\htmltag84   }regards
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag84 <SPAN class=849260810-03112004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT \par   face=Garamond>}\htmlrtf {\f6 \htmlrtf0 Sara
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV align=left>}\htmlrtf {\ql \htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag148 <FONT face=Garamond>}\htmlrtf {\f6 \htmlrtf0 Sara Werry
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV align=left>}\htmlrtf {\ql \htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag148 <FONT face=Garamond>}\htmlrtf {\f6 \htmlrtf0 Occupational Health Adviser
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV align=left>}\htmlrtf {\ql \htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag148 <FONT face=Garamond>}\htmlrtf {\f6 \htmlrtf0 Occupational Health Service
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV align=left>}\htmlrtf {\ql \htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag148 <FONT face=Garamond>}\htmlrtf {\f6 \htmlrtf0 University of East Anglia
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV align=left>}\htmlrtf {\ql \htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag148 <FONT face=Garamond>}\htmlrtf {\f6 \htmlrtf0 Norwich, NR4 7TJ
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV align=left>}\htmlrtf {\ql \htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag148 <FONT face=Garamond>}\htmlrtf {\f6 \htmlrtf0 Tel: (01603) 592174
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV align=left>}\htmlrtf {\ql \htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag148 <FONT face=Garamond>}\htmlrtf {\f6 \htmlrtf0 Fax: (01603) 506579
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag240   }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0 \li360 ~~~~~~~~~~~~~~~ Please remove this footer before replying.
{\*\htmltag4 \par }
{\*\htmltag84   }{\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag64 <P>}\htmlrtf \par
\htmlrtf0 \htmlrtf {\htmlrtf0 \li360 For list archives and documents, go to
{\*\htmltag4 \par }
{\*\htmltag84   }http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
{\*\htmltag4 \par }
{\*\htmltag84   }\htmlrtf\par}\htmlrtf0

{\*\htmltag64 <P>}\htmlrtf \par
\htmlrtf0 \htmlrtf {\htmlrtf0 \li360 For jobs in Occupational Health, go to
{\*\htmltag4 \par }
{\*\htmltag84   }http://uk.groups.yahoo.com/group/OHJobs/ \htmlrtf\par}\htmlrtf0
\htmlrtf \par
\htmlrtf0
{\*\htmltag72 </P>}
{\*\htmltag104 </BLOCKQUOTE>}\htmlrtf }\htmlrtf0
{\*\htmltag58 </BODY>}
{\*\htmltag27 </HTML>}
{\*\htmltag3 \par }}
--847218-27826-1099553692=:155--
=========================================================================
Date:         Thu, 4 Nov 2004 08:22:04 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Angela Southworth <[log in to unmask]>
Subject:      Re: skin problems
In-Reply-To:  <7DB0918939ACD511BA0100065B19E3D5023F936F@X_METROCHANGE2>
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

Hi all,

I have a gentleman with extremely dry skin which appears to be being
irritated by generally handling dry flooring materials.  He states he is
not in contact with any irritants and he does moisturise regularly.   His
job involves handling the product and also keyboard work.  Would anyone
have any advise on a glove suitable for both tasks, dexterity is important
within this job.
Thanks

Angela Southworth
OCCUPATIONAL HEALTH

Ext: 1294



**********************************************************************
This email and any files transmitted with it are confidential to Polyflor 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 Polyflor System Manager at [log in to unmask]

This e-mail has been checked for viruses using Sophos Anti-Virus.

www.polyflor.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 4 Nov 2004 08:53:57 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chris Packham <[log in to unmask]>
Subject:      Re: skin problems
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Angela

Since dermatologists recognise even water as a skin irritant it is unlikely
that he is not in contact with irritants. Presumably he does wash his hands
from time to time using soap.

The dry flooring materials may well be a cause of loss of moisture from his
hands. Assuming that he does not handle any other chemicals, then almost any
glove will do provided that he finds it comfortable and can work in it.
However, far more important than the glove is that he should use a
moisturising lotion regularly, i.e. several times a day, at least every time
he washes his hands. I stress lotion not cream, as the thick creams that
many suppliers will try to persuade you to use can actually increase the
possibility of the skin becoming more susceptible to irritant damage and
should be reserved for use only with severely damaged skin. The lotion
should be applied sparingly - just enough to seal the surface without
leaving the skin sticky.

A further question - what does he do away from work? Remember the 8/16 rule
( 8 hours at work, 16 away ) There are many chemicals commonly used at home
and in hobbies, DIY etc. that are every bit as damaging as those found in
the workplace.

If you need more, give me a call on 01386 832 311

Regards
Chris Packham
EnviroDerm Services

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 4 Nov 2004 09:19:18 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jay Chapman <[log in to unmask]>
Subject:      Re: Research Proposal
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0040_01C4C24F.5CB09DA0"

This is a multi-part message in MIME format.

------=_NextPart_000_0040_01C4C24F.5CB09DA0
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

Good Morning Greta

I am aware that the First Aid Regs have been updated and will soon come =
into action.  I have tried to get a resum=E9 of the changes but have =
been unsuccessful even though I subscribe to HSE Direct.

Could you please point me in the right direction I should be most =
grateful.

Jay Chapman
  ----- Original Message -----=20
  From: Greta Thornbory=20
  To: [log in to unmask]
  Sent: Wednesday, November 03, 2004 10:41 PM
  Subject: Re: Research Proposal


  Julia
  You asked for comments and any known research on OHNs providing a =
'reactive first aid treatment service' - well here goes.....

  1. What do you mean by 'provide'? It is the employer's duty to make =
suitable first aid provision within their organisation (First aid at =
work Regs 1981) So presumably you are asking if that provision should be =
that the OHNs are the first aiders themselves. Might be a bit difficult =
on a multi sited company, or with a peripatetic service when the OHN is =
in one place and the employees elsewhere. Seems more sensible to have =
first aiders in relevant places rather than an OHN sitting in the first =
aid room waiting for casualties. Expensive and rather a waste of an RGN =
& OH qualification - bit of a difference between a 3 year degree and a 4 =
day (soon to be less with the first aid update) course!

  2. I agree with some of the respondents who have said that RGNs don't =
always know first aid - but then 2002 NMC code of practice 8.5 says that =
'in an emergency, in or outside the work setting, you have a =
professional duty to provide care etc....' which means all RGNs should =
know first aid - they have a professional duty to know it.

  3. Therefore every OHN should be able to 'provide' first aid when =
necessary. It must be reactive because you cannot provide first aid =
proactively. However, this is not sufficient on its own and does not =
fulfil the requirements of the legislation until an assessment of the =
first aid needs of the organisation has been made by the employer. I =
gather from HSE that the update of the guidance on the First aid =
provision will include detailed guidance for employers on making these =
assessments.

  4. Finally - 'research' was undertaken around the time that the First =
Aid Regs were drafted, although random control trials and grounded =
research were probably not the words used by EMAS at the time. However, =
if you carry out a search of BNI and the RCN data bases thru the RCN =
website ( if you are a member) you will be able to access some quite old =
research that was done in the 80s and 90s on first aid at work provision =
by some, then eminent, OHNs.

  5. Bottom line - we, as RGNs should all be able to perform first aid =
when required to do so - but that does not replace the employers duty to =
make suitable and sufficient provision for first aid in the workplace =
which is different from OH.


  Good luck,=20

  Greta Thornbory
  Consultant, Occupational Health & Education
  Consultant Editor, OH Journal
  www.gtenterprises-uk.com
  Tel: 01235 770156
  Mob: 07778 518 027


  ----- Original Message -----=20
  From: "Julia J Collins" <[log in to unmask]>
  To: <[log in to unmask]>
  Sent: Monday, November 01, 2004 12:01 PM
  Subject: Research Proposal


  > Hi everyone
  >=20
  > I was wondering if any of you can help me with my uni research =
proposal.
  > I'm in my first year of the degree and we have to submit a research
  > question and then work through the process -I think!
  >=20
  > My proposed question is:
  >=20
  > Should Occupational Health Nurses provide a reactive first aid =
treatment
  > service?
  >=20
  > Do any of you have comments, ideas or know of any research that has =
been
  > done previously?
  >=20
  > I would value any info I get back and following the debates of late =
I know
  > that there is a wealth of knowledge out there.
  >=20
  >=20
  > Many thanks
  >=20
  > Julia
  >=20
  > ~~~~~~~~~~~~~~~
  > Please remove this footer before replying.
  >=20
  > For list archives and documents, go to
  > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  >=20
  > For jobs in Occupational Health, go to
  > http://uk.groups.yahoo.com/group/OHJobs/


  ---
  Outgoing mail is certified Virus Free.
  Checked by AVG anti-virus system (http://www.grisoft.com).
  Version: 6.0.786 / Virus Database: 532 - Release Date: 29/10/2004
  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0040_01C4C24F.5CB09DA0
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dwindows-1252">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV>Good Morning Greta</DIV>
<DIV>&nbsp;</DIV>
<DIV>I am aware that the First Aid Regs have been updated and will soon =
come=20
into action.&nbsp; I have tried to get a resum=E9 of the changes but =
have been=20
unsuccessful even though I subscribe to HSE Direct.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Could you please point me in the right direction I should be most=20
grateful.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Jay Chapman</DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Greta Thornbory</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, November 03, =
2004 10:41=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Research =
Proposal</DIV>
  <DIV><BR></DIV>
  <DIV><FONT size=3D2>Julia</FONT></DIV>
  <DIV><FONT size=3D2>You asked for comments and any known research on =
OHNs=20
  providing a 'reactive first aid treatment service' - well here=20
  goes.....</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>1. What do you mean by 'provide'?&nbsp;It =
is&nbsp;the=20
  employer's duty to make suitable first aid provision within their =
organisation=20
  (First aid at work Regs 1981) So presumably you are asking if that =
provision=20
  should be that the OHNs are the first aiders themselves. Might be a =
bit=20
  difficult on a multi sited company, or with a peripatetic =
service&nbsp;when=20
  the OHN is in one place and the employees elsewhere. Seems more =
sensible to=20
  have first aiders in relevant places rather than an OHN sitting in the =
first=20
  aid room waiting for casualties. Expensive and rather a waste of an =
RGN &amp;=20
  OH qualification - bit of a difference between a 3 year degree and a 4 =
day=20
  (soon to be less with the first aid update) course!</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>2. I agree with some of the respondents who have =
said that=20
  RGNs don't always know first aid - but then 2002 NMC code of practice =
8.5 says=20
  that <EM>'in an emergency, in or outside the work setting, you have a=20
  professional duty to provide care etc..</EM>..' which means all RGNs =
should=20
  know first aid - they have a professional duty to know =
it.</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>3. Therefore every OHN should be able to 'provide' =
first aid=20
  when necessary. It must be reactive because you cannot provide first =
aid=20
  proactively. However, this is not sufficient on its own and does not =
fulfil=20
  the requirements of the legislation until an assessment of the first =
aid needs=20
  of the organisation has been made by the employer. I gather from HSE =
that the=20
  update of the guidance on the First aid provision will include =
detailed=20
  guidance for employers&nbsp;on making these assessments.</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>4. Finally - 'research' was undertaken around the =
time that=20
  the First Aid Regs were drafted, although random control trials and =
grounded=20
  research were probably not the words used by EMAS at the time. =
However, if you=20
  carry out a search of BNI and the RCN data bases thru the RCN website =
( if you=20
  are a member) you will be able to access some quite old research that =
was done=20
  in the 80s and 90s on first aid at work provision by some, then =
eminent,=20
  OHNs.</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>5. Bottom line - we, as RGNs should all be able to =
perform=20
  first aid when required to do so - but that does not replace the =
employers=20
  duty to make suitable and sufficient provision for first aid in the =
workplace=20
  which is different from OH.</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>Good luck, </FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health =
&amp;=20
  Education<BR>Consultant Editor, OH Journal<BR><A=20
  =
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
  01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>----- Original Message ----- </FONT>
  <DIV><FONT size=3D2>From: "Julia J Collins" &lt;</FONT><A=20
  href=3D"mailto:[log in to unmask]"><FONT=20
  size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
  <DIV><FONT size=3D2>To: &lt;</FONT><A=20
  href=3D"mailto:[log in to unmask]"><FONT=20
  size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
  <DIV><FONT size=3D2>Sent: Monday, November 01, 2004 12:01 =
PM</FONT></DIV>
  <DIV><FONT size=3D2>Subject: Research Proposal</FONT></DIV></DIV>
  <DIV><FONT size=3D2><BR></FONT></DIV>
  <DIV><FONT size=3D2>&gt; Hi everyone<BR>&gt; <BR>&gt; I was wondering =
if any of=20
  you can help me with my uni research proposal.<BR>&gt; I'm in my first =
year of=20
  the degree and we have to submit a research<BR>&gt; question and then =
work=20
  through the process -I think!<BR>&gt; <BR>&gt; My proposed question=20
  is:<BR>&gt; <BR>&gt; Should Occupational Health Nurses provide a =
reactive=20
  first aid treatment<BR>&gt; service?<BR>&gt; <BR>&gt; Do any of you =
have=20
  comments, ideas or know of any research that has been<BR>&gt; done=20
  previously?<BR>&gt; <BR>&gt; I would value any info I get back and =
following=20
  the debates of late I know<BR>&gt; that there is a wealth of knowledge =
out=20
  there.<BR>&gt; <BR>&gt; <BR>&gt; Many thanks<BR>&gt; <BR>&gt; =
Julia<BR>&gt;=20
  <BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove this footer before=20
  replying.<BR>&gt; <BR>&gt; For list archives and documents, go =
to<BR>&gt;=20
  </FONT><A =
href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT=20
  =
size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =
size=3D2>=20
  for list archives<BR>&gt; <BR>&gt; For jobs in Occupational Health, go =

  to<BR>&gt; </FONT><A =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
  size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT=20
  color=3D#0000ff size=3D2></FONT></U></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><U><FONT color=3D#0000ff size=3D2><BR>---<BR>Outgoing mail is =
certified Virus=20
  Free.<BR>Checked by AVG anti-virus system (<A=20
  =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.786=20
  / Virus Database: 532 - Release Date:=20
  29/10/2004</FONT></U></DIV>~~~~~~~~~~~~~~~ Please remove this footer =
before=20
  replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0040_01C4C24F.5CB09DA0--
=========================================================================
Date:         Thu, 4 Nov 2004 15:47:18 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Research Proposal
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0150_01C4C285.90798B20"

This is a multi-part message in MIME format.

------=_NextPart_000_0150_01C4C285.90798B20
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

Jay et al
As yet the First Aid Regs have not been updated so there is nothing to =
do or implement yet. Yesterday at the OH Update conferences Dr Richard =
Elliot from HSE spoke about the results from the public consultation on =
the First Aid Regs and ACOP (very interesting!) He said that so far the =
proposals made to the HSC are:
    a.. No change to the Regulations or ACOP
    b.. Updates and guidance to be given on the HSE website
    c.. New course structure proposed -=20
    d.. Limit approval process, in future, to content and structure of =
the courses
    e.. Explore formation of an industry body
When the HSC have decided and agreed and it has been passed back to HSE =
then it will be available on the HSE website.............

Cheers, Greta

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027

  ----- Original Message -----=20
  From: Jay Chapman=20
  To: [log in to unmask]
  Sent: Thursday, November 04, 2004 9:19 AM
  Subject: Re: Research Proposal


  Good Morning Greta

  I am aware that the First Aid Regs have been updated and will soon =
come into action.  I have tried to get a resum=E9 of the changes but =
have been unsuccessful even though I subscribe to HSE Direct.

  Could you please point me in the right direction I should be most =
grateful.

  Jay Chapman
    ----- Original Message -----=20
    From: Greta Thornbory=20
    To: [log in to unmask]
    Sent: Wednesday, November 03, 2004 10:41 PM
    Subject: Re: Research Proposal


    Julia
    You asked for comments and any known research on OHNs providing a =
'reactive first aid treatment service' - well here goes.....

    1. What do you mean by 'provide'? It is the employer's duty to make =
suitable first aid provision within their organisation (First aid at =
work Regs 1981) So presumably you are asking if that provision should be =
that the OHNs are the first aiders themselves. Might be a bit difficult =
on a multi sited company, or with a peripatetic service when the OHN is =
in one place and the employees elsewhere. Seems more sensible to have =
first aiders in relevant places rather than an OHN sitting in the first =
aid room waiting for casualties. Expensive and rather a waste of an RGN =
& OH qualification - bit of a difference between a 3 year degree and a 4 =
day (soon to be less with the first aid update) course!

    2. I agree with some of the respondents who have said that RGNs =
don't always know first aid - but then 2002 NMC code of practice 8.5 =
says that 'in an emergency, in or outside the work setting, you have a =
professional duty to provide care etc....' which means all RGNs should =
know first aid - they have a professional duty to know it.

    3. Therefore every OHN should be able to 'provide' first aid when =
necessary. It must be reactive because you cannot provide first aid =
proactively. However, this is not sufficient on its own and does not =
fulfil the requirements of the legislation until an assessment of the =
first aid needs of the organisation has been made by the employer. I =
gather from HSE that the update of the guidance on the First aid =
provision will include detailed guidance for employers on making these =
assessments.

    4. Finally - 'research' was undertaken around the time that the =
First Aid Regs were drafted, although random control trials and grounded =
research were probably not the words used by EMAS at the time. However, =
if you carry out a search of BNI and the RCN data bases thru the RCN =
website ( if you are a member) you will be able to access some quite old =
research that was done in the 80s and 90s on first aid at work provision =
by some, then eminent, OHNs.

    5. Bottom line - we, as RGNs should all be able to perform first aid =
when required to do so - but that does not replace the employers duty to =
make suitable and sufficient provision for first aid in the workplace =
which is different from OH.


    Good luck,=20

    Greta Thornbory
    Consultant, Occupational Health & Education
    Consultant Editor, OH Journal
    www.gtenterprises-uk.com
    Tel: 01235 770156
    Mob: 07778 518 027


    ----- Original Message -----=20
    From: "Julia J Collins" <[log in to unmask]>
    To: <[log in to unmask]>
    Sent: Monday, November 01, 2004 12:01 PM
    Subject: Research Proposal


    > Hi everyone
    >=20
    > I was wondering if any of you can help me with my uni research =
proposal.
    > I'm in my first year of the degree and we have to submit a =
research
    > question and then work through the process -I think!
    >=20
    > My proposed question is:
    >=20
    > Should Occupational Health Nurses provide a reactive first aid =
treatment
    > service?
    >=20
    > Do any of you have comments, ideas or know of any research that =
has been
    > done previously?
    >=20
    > I would value any info I get back and following the debates of =
late I know
    > that there is a wealth of knowledge out there.
    >=20
    >=20
    > Many thanks
    >=20
    > Julia
    >=20
    > ~~~~~~~~~~~~~~~
    > Please remove this footer before replying.
    >=20
    > For list archives and documents, go to
    > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
    >=20
    > For jobs in Occupational Health, go to
    > http://uk.groups.yahoo.com/group/OHJobs/


    ---
    Outgoing mail is certified Virus Free.
    Checked by AVG anti-virus system (http://www.grisoft.com).
    Version: 6.0.786 / Virus Database: 532 - Release Date: 29/10/2004
    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0150_01C4C285.90798B20
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dwindows-1252">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT size=3D2>Jay et al</FONT></DIV>
<DIV><FONT size=3D2>As yet the First Aid Regs have not been updated so =
there is=20
nothing to&nbsp;do or implement yet. Yesterday at the OH Update =
conferences Dr=20
Richard Elliot from HSE spoke about the results from the public =
consultation on=20
the First Aid Regs and ACOP (very interesting!)&nbsp;He said that so far =
the=20
proposals made to the HSC are:</FONT></DIV>
<UL dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <UL>
    <LI><FONT size=3D2>No change to the Regulations or ACOP</FONT></LI>
    <LI><FONT size=3D2>Updates and guidance to be given on the HSE=20
    website</FONT></LI>
    <LI><FONT size=3D2>New course structure proposed - </FONT></LI>
    <LI><FONT size=3D2>Limit approval process, in future, to content and =
structure=20
    of the courses</FONT></LI>
    <LI><FONT size=3D2>Explore formation of an industry =
body</FONT></LI></UL></UL>
<DIV dir=3Dltr><FONT size=3D2>When the HSC have decided and agreed and =
it has been=20
passed back to HSE then it will be available on the HSE=20
website.............</FONT></DIV>
<DIV dir=3Dltr><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV dir=3Dltr><FONT size=3D2>Cheers, Greta</FONT></DIV>
<DIV dir=3Dltr><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV dir=3Dltr><FONT size=3D2>Greta Thornbory<BR>Consultant, =
Occupational Health=20
&amp; Education<BR>Consultant Editor, OH Journal<BR><A=20
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask] =
href=3D"mailto:[log in to unmask]">Jay=20
  Chapman</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Thursday, November 04, =
2004 9:19=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Research =
Proposal</DIV>
  <DIV><BR></DIV>
  <DIV>Good Morning Greta</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>I am aware that the First Aid Regs have been updated and will =
soon come=20
  into action.&nbsp; I have tried to get a resum=E9 of the changes but =
have been=20
  unsuccessful even though I subscribe to HSE Direct.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Could you please point me in the right direction I should be most =

  grateful.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Jay Chapman</DIV>
  <BLOCKQUOTE dir=3Dltr=20
  style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
    <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
    <DIV=20
    style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
    <A [log in to unmask]
    href=3D"mailto:[log in to unmask]">Greta Thornbory</A> =
</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
    =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, November 03, =
2004=20
    10:41 PM</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Research =
Proposal</DIV>
    <DIV><BR></DIV>
    <DIV><FONT size=3D2>Julia</FONT></DIV>
    <DIV><FONT size=3D2>You asked for comments and any known research on =
OHNs=20
    providing a 'reactive first aid treatment service' - well here=20
    goes.....</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>1. What do you mean by 'provide'?&nbsp;It =
is&nbsp;the=20
    employer's duty to make suitable first aid provision within their=20
    organisation (First aid at work Regs 1981) So presumably you are =
asking if=20
    that provision should be that the OHNs are the first aiders =
themselves.=20
    Might be a bit difficult on a multi sited company, or with a =
peripatetic=20
    service&nbsp;when the OHN is in one place and the employees =
elsewhere. Seems=20
    more sensible to have first aiders in relevant places rather than an =
OHN=20
    sitting in the first aid room waiting for casualties. Expensive and =
rather a=20
    waste of an RGN &amp; OH qualification - bit of a difference between =
a 3=20
    year degree and a 4 day (soon to be less with the first aid update)=20
    course!</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>2. I agree with some of the respondents who have =
said that=20
    RGNs don't always know first aid - but then 2002 NMC code of =
practice 8.5=20
    says that <EM>'in an emergency, in or outside the work setting, you =
have a=20
    professional duty to provide care etc..</EM>..' which means all RGNs =
should=20
    know first aid - they have a professional duty to know =
it.</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>3. Therefore every OHN should be able to =
'provide' first=20
    aid when necessary. It must be reactive because you cannot provide =
first aid=20
    proactively. However, this is not sufficient on its own and does not =
fulfil=20
    the requirements of the legislation until an assessment of the first =
aid=20
    needs of the organisation has been made by the employer. I gather =
from HSE=20
    that the update of the guidance on the First aid provision will =
include=20
    detailed guidance for employers&nbsp;on making these=20
    assessments.</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>4. Finally - 'research' was undertaken around =
the time=20
    that the First Aid Regs were drafted, although random control trials =
and=20
    grounded research were probably not the words used by EMAS at the =
time.=20
    However, if you carry out a search of BNI and the RCN data bases =
thru the=20
    RCN website ( if you are a member) you will be able to access some =
quite old=20
    research that was done in the 80s and 90s on first aid at work =
provision by=20
    some, then eminent, OHNs.</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>5. Bottom line - we, as RGNs should all be able =
to perform=20
    first aid when required to do so - but that does not replace the =
employers=20
    duty to make suitable and sufficient provision for first aid in the=20
    workplace which is different from OH.</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>Good luck, </FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational =
Health &amp;=20
    Education<BR>Consultant Editor, OH Journal<BR><A=20
    =
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
    01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>----- Original Message ----- </FONT>
    <DIV><FONT size=3D2>From: "Julia J Collins" &lt;</FONT><A=20
    href=3D"mailto:[log in to unmask]"><FONT=20
    size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
    <DIV><FONT size=3D2>To: &lt;</FONT><A=20
    href=3D"mailto:[log in to unmask]"><FONT=20
    size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
    <DIV><FONT size=3D2>Sent: Monday, November 01, 2004 12:01 =
PM</FONT></DIV>
    <DIV><FONT size=3D2>Subject: Research Proposal</FONT></DIV></DIV>
    <DIV><FONT size=3D2><BR></FONT></DIV>
    <DIV><FONT size=3D2>&gt; Hi everyone<BR>&gt; <BR>&gt; I was =
wondering if any=20
    of you can help me with my uni research proposal.<BR>&gt; I'm in my =
first=20
    year of the degree and we have to submit a research<BR>&gt; question =
and=20
    then work through the process -I think!<BR>&gt; <BR>&gt; My proposed =

    question is:<BR>&gt; <BR>&gt; Should Occupational Health Nurses =
provide a=20
    reactive first aid treatment<BR>&gt; service?<BR>&gt; <BR>&gt; Do =
any of you=20
    have comments, ideas or know of any research that has been<BR>&gt; =
done=20
    previously?<BR>&gt; <BR>&gt; I would value any info I get back and =
following=20
    the debates of late I know<BR>&gt; that there is a wealth of =
knowledge out=20
    there.<BR>&gt; <BR>&gt; <BR>&gt; Many thanks<BR>&gt; <BR>&gt; =
Julia<BR>&gt;=20
    <BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove this footer before=20
    replying.<BR>&gt; <BR>&gt; For list archives and documents, go =
to<BR>&gt;=20
    </FONT><A =
href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT=20
    =
size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =

    size=3D2> for list archives<BR>&gt; <BR>&gt; For jobs in =
Occupational Health,=20
    go to<BR>&gt; </FONT><A=20
    href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
    size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT =

    color=3D#0000ff size=3D2></FONT></U></DIV>
    <DIV>&nbsp;</DIV>
    <DIV><U><FONT color=3D#0000ff size=3D2><BR>---<BR>Outgoing mail is =
certified=20
    Virus Free.<BR>Checked by AVG anti-virus system (<A=20
    =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =

    6.0.786 / Virus Database: 532 - Release Date:=20
    29/10/2004</FONT></U></DIV>~~~~~~~~~~~~~~~ Please remove this footer =
before=20
    replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0150_01C4C285.90798B20--
=========================================================================
Date:         Thu, 4 Nov 2004 18:02:17 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         mchardy <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0056_01C4C298.6BDBC900"

This is a multi-part message in MIME format.

------=_NextPart_000_0056_01C4C298.6BDBC900
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Stress & RiddorHaving read messages about this subject, there are =
obviously some very strong feelings out there.=20
Bashyr-see what you have started!
Whilst I totally agree that some employees will pull the "stress at =
work" card to their GP's & some will dutifully & unquestioningly (for =
many reasons) write that on their FMED3's, there is ultimately something =
wrong with an individual who feels that she/he cannot face work. It =
might be simply that one is lazy & tries to get out of work for any =
little excuse; it might be that there are family problems & that person =
needs time out to sort them out; maybe the organisational structure is =
creating a stressful environment or it may be that the person is at the =
onset of some form of mental illness of one form or another.=20
I could go on & on about this but we have to consider what we as OHN's =
can do and we have to really investigate & question a GP when "stress" =
appears as a diagnosis on the FMED 3's.
On the other hand, we need to raise awareness of the stress that is =
piled onto the remaining employees who have carry the load of the absent =
person. I make it quite clear to many of the persons I have contact with =
(in the nicest of ways of course!) that actually an employer's sick pay =
is a privilege as opposed to a right!
We all know that generally, when a person is satisfied with the job one =
is doing, work is actually therapeutic, but not so if one hates the job =
and has done for a long time, in which case the best advice for their =
long term health prospects is to find another job, change careers etc =
etc=20

Glen-maybe the person returns to work (rtw) at the 6/12 point because =
he/she may make their mental health worse should financial difficulties =
be added on top of whatever is the problem of ill health. Many who rtw =
immediately after the 6/12 pay cut off point are not fully recovered and =
will still need monitoring.

Kevin-I do hope that the HSE stats for stress come from psychiatrists & =
OHP's!

Many regards
Maudie

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0056_01C4C298.6BDBC900
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><TITLE>Stress & Riddor</TITLE>
<META content=3D"text/html; charset=3Diso-8859-1" =
http-equiv=3DContent-Type>
<META content=3D"MSHTML 5.00.2919.6307" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>Having read messages about this =
subject, there are=20
obviously some very strong feelings out there. </FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Bashyr-see what you have =
started!</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Whilst I totally agree that some =
employees will=20
pull the "stress at work" card to their GP's &amp; some will dutifully =
&amp;=20
unquestioningly (for many reasons) write that on their FMED3's, there is =

ultimately something wrong with an individual who feels that she/he =
cannot face=20
work. It might be simply that one is lazy &amp; tries to get out of work =
for any=20
little excuse; it might be that there are family problems &amp; that =
person=20
needs time out to sort them out; maybe the organisational structure is =
creating=20
a stressful environment or it may be that the person is at the onset of =
some=20
form of mental illness of one form or another. </FONT></DIV>
<DIV><FONT face=3DArial size=3D2>I could go on &amp; on about this but =
we have to=20
consider what we as OHN's can do and we have to really =
investigate&nbsp;&amp;=20
question a GP when "stress" appears as a diagnosis on the FMED =
3's.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>On the other hand, we need to raise =
awareness of=20
the stress that is piled onto the remaining employees who have carry the =
load of=20
the absent person. I make it quite clear to many of the persons I have =
contact=20
with (in the nicest of ways of course!) that actually an employer's sick =
pay is=20
a privilege as opposed to a right!</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>We all know that&nbsp;generally, when a =

person&nbsp;is satisfied with the job one is doing, work is actually=20
therapeutic, but not so if one hates the job and has done for a long =
time, in=20
which case the best advice for their long term health&nbsp;prospects is =
to find=20
another job, change careers etc etc </FONT></DIV>
<DIV>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Glen-maybe the person returns to work =
(rtw) at the=20
6/12 point because he/she may make their mental health worse should =
financial=20
difficulties be added on top of whatever is the problem of ill health. =
Many who=20
rtw immediately after the 6/12 pay cut off point are not fully recovered =
and=20
will still need monitoring.</FONT></DIV>
<DIV>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Kevin-I do hope that the HSE stats for =
stress come=20
from psychiatrists &amp; OHP's!</FONT></DIV>
<DIV>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Many regards</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Maudie</FONT></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0056_01C4C298.6BDBC900--
=========================================================================
Date:         Thu, 4 Nov 2004 18:55:16 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         mchardy <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0047_01C4C29F.D2E79F00"

This is a multi-part message in MIME format.

------=_NextPart_000_0047_01C4C29F.D2E79F00
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Duncan and all
Just had a look at this site-there is a really good downloadable stress =
power point presentation!=20
Cheers
Maudie
  ----- Original Message -----=20
  From: Duncan Abbott=20
  To: [log in to unmask]
  Sent: Tuesday, November 02, 2004 8:11 AM
  Subject: Re: Stress & Riddor


  You may find this of interest
  =20
  Ahead of Stress Awareness Day on Wednesday 3 November the TUC has =
released a report that shows the number of workers suffering from stress =
has increased this year. Three in five workers (58 per cent) now =
complain of being stressed at work, an increase of two per cent from =
2002. The main reasons cited for stress are increased workloads, change =
at work, staff cuts, long hours and bullying.
  http://www.tuc.org.uk/h_and_s/tuc-8902-f0.cfm
  =20
  =20
  Duncan Abbott
  www.enricosmog.com

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0047_01C4C29F.D2E79F00
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 5.00.2919.6307" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff bottomMargin=3D7 id=3Drole_body leftMargin=3D7 =
rightMargin=3D7=20
style=3D"COLOR: #000000; FONT-FAMILY: Comic Sans MS; FONT-SIZE: 12pt" =
topMargin=3D7>
<DIV><FONT face=3DArial size=3D2>Duncan and all</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Just had a look at this site-there is a =
really good=20
downloadable stress power point presentation! </FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Cheers</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Maudie</FONT></DIV>
<BLOCKQUOTE=20
style=3D"BORDER-LEFT: #000000 2px solid; MARGIN-LEFT: 5px; MARGIN-RIGHT: =
0px; PADDING-LEFT: 5px; PADDING-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A href=3D"mailto:[log in to unmask]" [log in to unmask]>Duncan =
Abbott</A>=20
  </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A=20
  href=3D"mailto:[log in to unmask]"=20
  [log in to unmask]>[log in to unmask]</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Tuesday, November 02, =
2004 8:11=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Stress &amp; =
Riddor</DIV>
  <DIV><BR></DIV>
  <DIV><FONT face=3DArial>You may find this of interest</FONT></DIV>
  <DIV><FONT face=3DArial></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial>Ahead of Stress Awareness Day on Wednesday 3 =
November=20
  the TUC has released a report that shows the number of workers =
suffering from=20
  stress has increased this year. Three in five workers (58 per cent) =
now=20
  complain of being stressed at work, an increase of two per cent from =
2002. The=20
  main reasons cited for stress are increased workloads, change at work, =
staff=20
  cuts, long hours and bullying.<BR></FONT><A=20
  href=3D"http://www.tuc.org.uk/h_and_s/tuc-8902-f0.cfm"><FONT=20
  =
face=3DArial>http://www.tuc.org.uk/h_and_s/tuc-8902-f0.cfm</FONT></A></DI=
V>
  <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>Duncan Abbott</FONT></DIV>
  <DIV><FONT face=3DArial=20
size=3D2>www.enricosmog.com</FONT></DIV></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0047_01C4C29F.D2E79F00--
=========================================================================
Date:         Fri, 5 Nov 2004 08:11:08 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Collins, Julia (UK)" <[log in to unmask]>
Subject:      Re: Research Proposal
MIME-version: 1.0
Content-type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C30F.01622BEA"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4C30F.01622BEA
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable


Greta
=0D
Thank you for your input it is greatly appreciaited. I will look at the BNI=
 and RCN databases.
=0D
Thank you
=0D
Julia

-----Original Message-----
From: Greta Thornbory [mailto:[log in to unmask]]
Sent: 03 November 2004 22:42
To: [log in to unmask]
Subject: Re: Research Proposal


*** WARNING *** This mail has originated outside your organization, either=
 from an external partner or the Global Internet. Keep this in mind if you=
 answer this message. =0D
Julia
You asked for comments and any known research on OHNs providing a 'reactive=
 first aid treatment service' - well here goes.....
=0D
1. What do you mean by 'provide'? It is the employer's duty to make=
 suitable first aid provision within their organisation (First aid at work=
 Regs 1981) So presumably you are asking if that provision should be that=
 the OHNs are the first aiders themselves. Might be a bit difficult on a=
 multi sited company, or with a peripatetic service when the OHN is in one=
 place and the employees elsewhere. Seems more sensible to have first=
 aiders in relevant places rather than an OHN sitting in the first aid room=
 waiting for casualties. Expensive and rather a waste of an RGN & OH=
 qualification - bit of a difference between a 3 year degree and a 4 day=
 (soon to be less with the first aid update) course!
=0D
2. I agree with some of the respondents who have said that RGNs don't=
 always know first aid - but then 2002 NMC code of practice 8.5 says that=
 'in an emergency, in or outside the work setting, you have a professional=
 duty to provide care etc....' which means all RGNs should know first aid -=
 they have a professional duty to know it.
=0D
3. Therefore every OHN should be able to 'provide' first aid when=
 necessary. It must be reactive because you cannot provide first aid=
 proactively. However, this is not sufficient on its own and does not=
 fulfil the requirements of the legislation until an assessment of the=
 first aid needs of the organisation has been made by the employer. I=
 gather from HSE that the update of the guidance on the First aid provision=
 will include detailed guidance for employers on making these assessments.
=0D
4. Finally - 'research' was undertaken around the time that the First Aid=
 Regs were drafted, although random control trials and grounded research=
 were probably not the words used by EMAS at the time. However, if you=
 carry out a search of BNI and the RCN data bases thru the RCN website ( if=
 you are a member) you will be able to access some quite old research that=
 was done in the 80s and 90s on first aid at work provision by some, then=
 eminent, OHNs.
=0D
5. Bottom line - we, as RGNs should all be able to perform first aid when=
 required to do so - but that does not replace the employers duty to make=
 suitable and sufficient provision for first aid in the workplace which is=
 different from OH.
=0D
=0D
Good luck,=0D
=0D
Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027
=0D
=0D
----- Original Message -----=0D
From: "Julia J Collins" <  <mailto:[log in to unmask]>=
 [log in to unmask]>
To: <  <mailto:[log in to unmask]> [log in to unmask]>
Sent: Monday, November 01, 2004 12:01 PM
Subject: Research Proposal


> Hi everyone
>=0D
> I was wondering if any of you can help me with my uni research proposal.
> I'm in my first year of the degree and we have to submit a research
> question and then work through the process -I think!
>=0D
> My proposed question is:
>=0D
> Should Occupational Health Nurses provide a reactive first aid treatment
> service?
>=0D
> Do any of you have comments, ideas or know of any research that has been
> done previously?
>=0D
> I would value any info I get back and following the debates of late I=
 know
> that there is a wealth of knowledge out there.
>=0D
>=0D
> Many thanks
>=0D
> Julia
>=0D
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>=0D
> For list archives and documents, go to
>  <http://www.jiscmail.ac.uk/lists/occ-health.html>=
 http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>=0D
> For jobs in Occupational Health, go to
>  <http://uk.groups.yahoo.com/group/OHJobs/>=
 http://uk.groups.yahoo.com/group/OHJobs/
=0D

---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system ( http://www.grisoft.com).
Version: 6.0.786 / Virus Database: 532 - Release Date: 29/10/2004
~~~~~~~~~~~~~~~ Please remove this footer before replying.=0D

For list archives and documents, go to=
 http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=0D


For jobs in Occupational Health, go to=
 http://uk.groups.yahoo.com/group/OHJobs/=0D



********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4C30F.01622BEA
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; charset=
=3DWindows-1252">


<META content=3D"MSHTML 5.00.2919.6307" name=3DGENERATOR></HEAD>
<BODY>
<DIV><FONT size=3D2><SPAN class=
=3D427021108-05112004>Greta</SPAN></FONT></DIV>
<DIV><FONT size=3D2><SPAN class=
=3D427021108-05112004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2><SPAN class=3D427021108-05112004>Thank you for your=
 input it is=0D
greatly appreciaited. I&nbsp;will look at the BNI and RCN=0D
databases.</SPAN></FONT></DIV>
<DIV><FONT size=3D2><SPAN class=
=3D427021108-05112004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2><SPAN class=3D427021108-05112004>Thank=
 you</SPAN></FONT></DIV>
<DIV><FONT size=3D2><SPAN class=
=3D427021108-05112004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2><SPAN class=
=3D427021108-05112004>Julia</SPAN></FONT></DIV>
<BLOCKQUOTE style=3D"MARGIN-RIGHT: 0px">
  <DIV align=3Dleft class=3DOutlookMessageHeader dir=3Dltr><FONT face=
=3DTahoma=0D
  size=3D2>-----Original Message-----<BR><B>From:</B> Greta Thornbory=0D
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 03 November 2004=0D
  22:42<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re:=
 Research=0D
  Proposal<BR><BR></DIV></FONT>
  <TABLE>
    <TBODY>
    <TR>
      <TD bgColor=3D#ffffff>*** WARNING *** This mail has originated=
 outside=0D
        your organization, either from an external partner or the Global=0D
        Internet. Keep this in mind if you answer this message.=0D
  </TD></TR></TBODY></TABLE><!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0=
 Transitional//EN">
  <META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
  <STYLE></STYLE>

  <DIV><FONT size=3D2>Julia</FONT></DIV>
  <DIV><FONT size=3D2>You asked for comments and any known research on OHNs=
=0D
  providing a 'reactive first aid treatment service' - well here=0D
  goes.....</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>1. What do you mean by 'provide'?&nbsp;It is&nbsp;the=
=0D
  employer's duty to make suitable first aid provision within their=
 organisation=0D
  (First aid at work Regs 1981) So presumably you are asking if that=
 provision=0D
  should be that the OHNs are the first aiders themselves. Might be a bit=0D
  difficult on a multi sited company, or with a peripatetic=
 service&nbsp;when=0D
  the OHN is in one place and the employees elsewhere. Seems more sensible=
 to=0D
  have first aiders in relevant places rather than an OHN sitting in the=
 first=0D
  aid room waiting for casualties. Expensive and rather a waste of an RGN=
 &amp;=0D
  OH qualification - bit of a difference between a 3 year degree and a 4=
 day=0D
  (soon to be less with the first aid update) course!</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>2. I agree with some of the respondents who have said=
 that=0D
  RGNs don't always know first aid - but then 2002 NMC code of practice 8.5=
 says=0D
  that <EM>'in an emergency, in or outside the work setting, you have a=0D
  professional duty to provide care etc..</EM>..' which means all RGNs=
 should=0D
  know first aid - they have a professional duty to know it.</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>3. Therefore every OHN should be able to 'provide'=
 first aid=0D
  when necessary. It must be reactive because you cannot provide first aid=
=0D
  proactively. However, this is not sufficient on its own and does not=
 fulfil=0D
  the requirements of the legislation until an assessment of the first aid=
 needs=0D
  of the organisation has been made by the employer. I gather from HSE that=
 the=0D
  update of the guidance on the First aid provision will include detailed=0D
  guidance for employers&nbsp;on making these assessments.</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>4. Finally - 'research' was undertaken around the=
 time that=0D
  the First Aid Regs were drafted, although random control trials and=
 grounded=0D
  research were probably not the words used by EMAS at the time. However,=
 if you=0D
  carry out a search of BNI and the RCN data bases thru the RCN website (=
 if you=0D
  are a member) you will be able to access some quite old research that was=
 done=0D
  in the 80s and 90s on first aid at work provision by some, then eminent,=
=0D
  OHNs.</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>5. Bottom line - we, as RGNs should all be able to=
 perform=0D
  first aid when required to do so - but that does not replace the=
 employers=0D
  duty to make suitable and sufficient provision for first aid in the=
 workplace=0D
  which is different from OH.</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>Good luck, </FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health=
 &amp;=0D
  Education<BR>Consultant Editor, OH Journal<BR><A=0D
  href=
=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>Tel:=0D
  01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2>----- Original Message ----- </FONT>
  <DIV><FONT size=3D2>From: "Julia J Collins" &lt;</FONT><A=0D
  href=3D"mailto:[log in to unmask]"><FONT=0D
  size=3D2>[log in to unmask]</FONT></A><FONT size=
=3D2>&gt;</FONT></DIV>
  <DIV><FONT size=3D2>To: &lt;</FONT><A=0D
  href=3D"mailto:[log in to unmask]"><FONT=0D
  size=3D2>[log in to unmask]</FONT></A><FONT size=
=3D2>&gt;</FONT></DIV>
  <DIV><FONT size=3D2>Sent: Monday, November 01, 2004 12:01 PM</FONT></DIV>
  <DIV><FONT size=3D2>Subject: Research Proposal</FONT></DIV></DIV>
  <DIV><FONT size=3D2><BR></FONT></DIV>
  <DIV><FONT size=3D2>&gt; Hi everyone<BR>&gt; <BR>&gt; I was wondering if=
 any of=0D
  you can help me with my uni research proposal.<BR>&gt; I'm in my first=
 year of=0D
  the degree and we have to submit a research<BR>&gt; question and then=
 work=0D
  through the process -I think!<BR>&gt; <BR>&gt; My proposed question=0D
  is:<BR>&gt; <BR>&gt; Should Occupational Health Nurses provide a reactive=
=0D
  first aid treatment<BR>&gt; service?<BR>&gt; <BR>&gt; Do any of you have=
=0D
  comments, ideas or know of any research that has been<BR>&gt; done=0D
  previously?<BR>&gt; <BR>&gt; I would value any info I get back and=
 following=0D
  the debates of late I know<BR>&gt; that there is a wealth of knowledge=
 out=0D
  there.<BR>&gt; <BR>&gt; <BR>&gt; Many thanks<BR>&gt; <BR>&gt;=
 Julia<BR>&gt;=0D
  <BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove this footer before=0D
  replying.<BR>&gt; <BR>&gt; For list archives and documents, go to<BR>&gt;=
=0D
  </FONT><A href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT=
=0D
  size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT=
 size=3D2>=0D
  for list archives<BR>&gt; <BR>&gt; For jobs in Occupational Health, go=0D
  to<BR>&gt; </FONT><A href=
=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=0D
  size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT=0D
  color=3D#0000ff size=3D2></FONT></U></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><U><FONT color=3D#0000ff size=3D2><BR>---<BR>Outgoing mail is=
 certified Virus=0D
  Free.<BR>Checked by AVG anti-virus system (<A=0D
  href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version:=
 6.0.786=0D
  / Virus Database: 532 - Release Date:=0D
  29/10/2004</FONT></U></DIV>~~~~~~~~~~~~~~~ Please remove this footer=
 before=0D
  replying.=0D
  <P>For list archives and documents, go to=0D
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=0D
  <P>For jobs in Occupational Health, go to=0D
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE></BODY></HTML>

<table><tr><td bgcolor=3D#ffffff><font color=
=3D#000000>****************************************************************=
****<br>This email and any attachments are confidential to the=
 intended<br>recipient and may also be privileged. If you are not the=
 intended<br>recipient please delete it from your system and notify the=
 sender.<br>You should not copy it or use it for any purpose nor disclose=
 or<br>distribute its contents to any other=
 person.<br>***************************************************************=
*****<br></font></td></tr></table>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4C30F.01622BEA--
=========================================================================
Date:         Fri, 5 Nov 2004 14:12:19 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         june clarkson <[log in to unmask]>
Subject:      NURSES RECONNECTED
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_35574_402567.1099660339874"

------=_Part_35574_402567.1099660339874
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

www.nursesreconnected.com/resource

Find that nursing friend that you lost contact with!
Excellent reunion site connecting Nurses & Health care workers throughout the world. Superb free nursing resources & the ability to find nurses worldwide.
FREE registration

--

Whatever you Wanadoo:
http://www.wanadoo.co.uk/time/

This email has been checked for most known viruses - find out more at: http://www.wanadoo.co.uk/help/id/7098.htm

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_35574_402567.1099660339874
Content-Type: text/html
Content-Transfer-Encoding: 7bit

<P><A href="http://www.nursesreconnected.com/resource">www.nursesreconnected.com/resource</A></P>
<P><BR>Find that nursing friend that you lost contact with!</P>
<P>Excellent reunion site connecting Nurses &amp; Health care workers throughout the world. Superb free nursing resources &amp; the ability to find nurses worldwide.</P>
<P>FREE registration <BR></P><BR><BR><hr size="1">Whatever you <a href="http://www.wanadoo.co.uk/time/" target="_blank">Wanadoo</a><br><br>This email has been checked for most known viruses - find out more <a href="http://www.wanadoo.co.uk/help/id/7098.htm" target="_blank">here</a>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_35574_402567.1099660339874--
=========================================================================
Date:         Fri, 5 Nov 2004 14:08:09 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Research Proposal
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0047_01C4C340.E130EDE0"

This is a multi-part message in MIME format.

------=_NextPart_000_0047_01C4C340.E130EDE0
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

Your welcome. If you go to the HSE First Aid website you may find the =
following research report useful too:
RR069 - Evaluation of the Health and Safety (First-Aid) Regulations 1981 =
and the approved code of practice and guidance

Greta
  ----- Original Message -----=20
  From: Collins, Julia (UK)=20
  To: [log in to unmask]
  Sent: Friday, November 05, 2004 8:11 AM
  Subject: Re: Research Proposal


  Greta

  Thank you for your input it is greatly appreciaited. I will look at =
the BNI and RCN databases.

  Thank you

  Julia
    -----Original Message-----
    From: Greta Thornbory [mailto:[log in to unmask]]
    Sent: 03 November 2004 22:42
    To: [log in to unmask]
    Subject: Re: Research Proposal


          *** WARNING *** This mail has originated outside your =
organization, either from an external partner or the Global Internet. =
Keep this in mind if you answer this message. =20

    Julia
    You asked for comments and any known research on OHNs providing a =
'reactive first aid treatment service' - well here goes.....

    1. What do you mean by 'provide'? It is the employer's duty to make =
suitable first aid provision within their organisation (First aid at =
work Regs 1981) So presumably you are asking if that provision should be =
that the OHNs are the first aiders themselves. Might be a bit difficult =
on a multi sited company, or with a peripatetic service when the OHN is =
in one place and the employees elsewhere. Seems more sensible to have =
first aiders in relevant places rather than an OHN sitting in the first =
aid room waiting for casualties. Expensive and rather a waste of an RGN =
& OH qualification - bit of a difference between a 3 year degree and a 4 =
day (soon to be less with the first aid update) course!

    2. I agree with some of the respondents who have said that RGNs =
don't always know first aid - but then 2002 NMC code of practice 8.5 =
says that 'in an emergency, in or outside the work setting, you have a =
professional duty to provide care etc....' which means all RGNs should =
know first aid - they have a professional duty to know it.

    3. Therefore every OHN should be able to 'provide' first aid when =
necessary. It must be reactive because you cannot provide first aid =
proactively. However, this is not sufficient on its own and does not =
fulfil the requirements of the legislation until an assessment of the =
first aid needs of the organisation has been made by the employer. I =
gather from HSE that the update of the guidance on the First aid =
provision will include detailed guidance for employers on making these =
assessments.

    4. Finally - 'research' was undertaken around the time that the =
First Aid Regs were drafted, although random control trials and grounded =
research were probably not the words used by EMAS at the time. However, =
if you carry out a search of BNI and the RCN data bases thru the RCN =
website ( if you are a member) you will be able to access some quite old =
research that was done in the 80s and 90s on first aid at work provision =
by some, then eminent, OHNs.

    5. Bottom line - we, as RGNs should all be able to perform first aid =
when required to do so - but that does not replace the employers duty to =
make suitable and sufficient provision for first aid in the workplace =
which is different from OH.


    Good luck,=20

    Greta Thornbory
    Consultant, Occupational Health & Education
    Consultant Editor, OH Journal
    www.gtenterprises-uk.com
    Tel: 01235 770156
    Mob: 07778 518 027


    ----- Original Message -----=20
    From: "Julia J Collins" <[log in to unmask]>
    To: <[log in to unmask]>
    Sent: Monday, November 01, 2004 12:01 PM
    Subject: Research Proposal


    > Hi everyone
    >=20
    > I was wondering if any of you can help me with my uni research =
proposal.
    > I'm in my first year of the degree and we have to submit a =
research
    > question and then work through the process -I think!
    >=20
    > My proposed question is:
    >=20
    > Should Occupational Health Nurses provide a reactive first aid =
treatment
    > service?
    >=20
    > Do any of you have comments, ideas or know of any research that =
has been
    > done previously?
    >=20
    > I would value any info I get back and following the debates of =
late I know
    > that there is a wealth of knowledge out there.
    >=20
    >=20
    > Many thanks
    >=20
    > Julia
    >=20
    > ~~~~~~~~~~~~~~~
    > Please remove this footer before replying.
    >=20
    > For list archives and documents, go to
    > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
    >=20
    > For jobs in Occupational Health, go to
    > http://uk.groups.yahoo.com/group/OHJobs/


    ---
    Outgoing mail is certified Virus Free.
    Checked by AVG anti-virus system (http://www.grisoft.com).
    Version: 6.0.786 / Virus Database: 532 - Release Date: 29/10/2004
    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

        =
********************************************************************
        This email and any attachments are confidential to the intended
        recipient and may also be privileged. If you are not the =
intended
        recipient please delete it from your system and notify the =
sender.
        You should not copy it or use it for any purpose nor disclose or
        distribute its contents to any other person.
        =
********************************************************************
      =20
  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0047_01C4C340.E130EDE0
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3DWindows-1252">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR></HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT size=3D2>Your welcome. If you go to the HSE First Aid website =
you may=20
find the following research report useful too:
<H4>RR069 - Evaluation of the Health and Safety (First-Aid) Regulations =
1981 and=20
the approved code of practice and guidance</H4>
<DIV>&nbsp;</DIV>
<DIV>Greta</DIV></FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Collins, Julia (UK)</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Friday, November 05, 2004 =
8:11=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Research =
Proposal</DIV>
  <DIV><BR></DIV>
  <DIV><FONT size=3D2><SPAN =
class=3D427021108-05112004>Greta</SPAN></FONT></DIV>
  <DIV><FONT size=3D2><SPAN =
class=3D427021108-05112004></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2><SPAN class=3D427021108-05112004>Thank you for =
your input it=20
  is greatly appreciaited. I&nbsp;will look at the BNI and RCN=20
  databases.</SPAN></FONT></DIV>
  <DIV><FONT size=3D2><SPAN =
class=3D427021108-05112004></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2><SPAN class=3D427021108-05112004>Thank =
you</SPAN></FONT></DIV>
  <DIV><FONT size=3D2><SPAN =
class=3D427021108-05112004></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT size=3D2><SPAN =
class=3D427021108-05112004>Julia</SPAN></FONT></DIV>
  <BLOCKQUOTE style=3D"MARGIN-RIGHT: 0px">
    <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
    size=3D2>-----Original Message-----<BR><B>From:</B> Greta Thornbory=20
    [mailto:[log in to unmask]]<BR><B>Sent:</B> 03 November =
2004=20
    22:42<BR><B>To:</B> <A=20
    =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A><B=
R><B>Subject:</B>=20
    Re: Research Proposal<BR><BR></DIV></FONT>
    <TABLE>
      <TBODY>
      <TR>
        <TD bgColor=3D#ffffff>*** WARNING *** This mail has originated =
outside=20
          your organization, either from an external partner or the =
Global=20
          Internet. Keep this in mind if you answer this message.=20
    </TD></TR></TBODY></TABLE>
    <META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
    <STYLE></STYLE>

    <DIV><FONT size=3D2>Julia</FONT></DIV>
    <DIV><FONT size=3D2>You asked for comments and any known research on =
OHNs=20
    providing a 'reactive first aid treatment service' - well here=20
    goes.....</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>1. What do you mean by 'provide'?&nbsp;It =
is&nbsp;the=20
    employer's duty to make suitable first aid provision within their=20
    organisation (First aid at work Regs 1981) So presumably you are =
asking if=20
    that provision should be that the OHNs are the first aiders =
themselves.=20
    Might be a bit difficult on a multi sited company, or with a =
peripatetic=20
    service&nbsp;when the OHN is in one place and the employees =
elsewhere. Seems=20
    more sensible to have first aiders in relevant places rather than an =
OHN=20
    sitting in the first aid room waiting for casualties. Expensive and =
rather a=20
    waste of an RGN &amp; OH qualification - bit of a difference between =
a 3=20
    year degree and a 4 day (soon to be less with the first aid update)=20
    course!</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>2. I agree with some of the respondents who have =
said that=20
    RGNs don't always know first aid - but then 2002 NMC code of =
practice 8.5=20
    says that <EM>'in an emergency, in or outside the work setting, you =
have a=20
    professional duty to provide care etc..</EM>..' which means all RGNs =
should=20
    know first aid - they have a professional duty to know =
it.</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>3. Therefore every OHN should be able to =
'provide' first=20
    aid when necessary. It must be reactive because you cannot provide =
first aid=20
    proactively. However, this is not sufficient on its own and does not =
fulfil=20
    the requirements of the legislation until an assessment of the first =
aid=20
    needs of the organisation has been made by the employer. I gather =
from HSE=20
    that the update of the guidance on the First aid provision will =
include=20
    detailed guidance for employers&nbsp;on making these=20
    assessments.</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>4. Finally - 'research' was undertaken around =
the time=20
    that the First Aid Regs were drafted, although random control trials =
and=20
    grounded research were probably not the words used by EMAS at the =
time.=20
    However, if you carry out a search of BNI and the RCN data bases =
thru the=20
    RCN website ( if you are a member) you will be able to access some =
quite old=20
    research that was done in the 80s and 90s on first aid at work =
provision by=20
    some, then eminent, OHNs.</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>5. Bottom line - we, as RGNs should all be able =
to perform=20
    first aid when required to do so - but that does not replace the =
employers=20
    duty to make suitable and sufficient provision for first aid in the=20
    workplace which is different from OH.</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>Good luck, </FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational =
Health &amp;=20
    Education<BR>Consultant Editor, OH Journal<BR><A=20
    =
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
    01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>----- Original Message ----- </FONT>
    <DIV><FONT size=3D2>From: "Julia J Collins" &lt;</FONT><A=20
    href=3D"mailto:[log in to unmask]"><FONT=20
    size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
    <DIV><FONT size=3D2>To: &lt;</FONT><A=20
    href=3D"mailto:[log in to unmask]"><FONT=20
    size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
    <DIV><FONT size=3D2>Sent: Monday, November 01, 2004 12:01 =
PM</FONT></DIV>
    <DIV><FONT size=3D2>Subject: Research Proposal</FONT></DIV></DIV>
    <DIV><FONT size=3D2><BR></FONT></DIV>
    <DIV><FONT size=3D2>&gt; Hi everyone<BR>&gt; <BR>&gt; I was =
wondering if any=20
    of you can help me with my uni research proposal.<BR>&gt; I'm in my =
first=20
    year of the degree and we have to submit a research<BR>&gt; question =
and=20
    then work through the process -I think!<BR>&gt; <BR>&gt; My proposed =

    question is:<BR>&gt; <BR>&gt; Should Occupational Health Nurses =
provide a=20
    reactive first aid treatment<BR>&gt; service?<BR>&gt; <BR>&gt; Do =
any of you=20
    have comments, ideas or know of any research that has been<BR>&gt; =
done=20
    previously?<BR>&gt; <BR>&gt; I would value any info I get back and =
following=20
    the debates of late I know<BR>&gt; that there is a wealth of =
knowledge out=20
    there.<BR>&gt; <BR>&gt; <BR>&gt; Many thanks<BR>&gt; <BR>&gt; =
Julia<BR>&gt;=20
    <BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove this footer before=20
    replying.<BR>&gt; <BR>&gt; For list archives and documents, go =
to<BR>&gt;=20
    </FONT><A =
href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT=20
    =
size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =

    size=3D2> for list archives<BR>&gt; <BR>&gt; For jobs in =
Occupational Health,=20
    go to<BR>&gt; </FONT><A=20
    href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
    size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT =

    color=3D#0000ff size=3D2></FONT></U></DIV>
    <DIV>&nbsp;</DIV>
    <DIV><U><FONT color=3D#0000ff size=3D2><BR>---<BR>Outgoing mail is =
certified=20
    Virus Free.<BR>Checked by AVG anti-virus system (<A=20
    =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =

    6.0.786 / Virus Database: 532 - Release Date:=20
    29/10/2004</FONT></U></DIV>~~~~~~~~~~~~~~~ Please remove this footer =
before=20
    replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE>
  <TABLE>
    <TBODY>
    <TR>
      <TD bgColor=3D#ffffff><FONT=20
        =
color=3D#000000>*********************************************************=
***********<BR>This=20
        email and any attachments are confidential to the =
intended<BR>recipient=20
        and may also be privileged. If you are not the =
intended<BR>recipient=20
        please delete it from your system and notify the sender.<BR>You =
should=20
        not copy it or use it for any purpose nor disclose =
or<BR>distribute its=20
        contents to any other=20
        =
person.<BR>**************************************************************=
******<BR></FONT></TD></TR></TBODY></TABLE>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to <A=20
  =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/">http://uk.groups.yahoo.=
com/group/OHJobs/</A></P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0047_01C4C340.E130EDE0--
=========================================================================
Date:         Fri, 5 Nov 2004 14:47:49 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Going solo
MIME-Version: 1.0
Content-Type: text/plain; format=flowed; charset="iso-8859-1";
              reply-type=original
Content-Transfer-Encoding: 7bit

For those of you in OH who are thinking of going solo - i.e. starting up
your own business - there is a workshop at the RCN on Friday 10th December.
Email me direct for more details..............

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.786 / Virus Database: 532 - Release Date: 29/10/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 5 Nov 2004 21:25:45 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandra Babbings <[log in to unmask]>
Subject:      Re: Going solo
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

please can you send more details

Many thanks

Sandra
----- Original Message -----
From: "Greta Thornbory" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, November 05, 2004 2:47 PM
Subject: Going solo


> For those of you in OH who are thinking of going solo - i.e. starting up
> your own business - there is a workshop at the RCN on Friday 10th
December.
> Email me direct for more details..............
>
> Greta Thornbory
> Consultant, Occupational Health & Education
> Consultant Editor, OH Journal
> www.gtenterprises-uk.com
> Tel: 01235 770156
> Mob: 07778 518 027
>
>
> ---
> Outgoing mail is certified Virus Free.
> Checked by AVG anti-virus system (http://www.grisoft.com).
> Version: 6.0.786 / Virus Database: 532 - Release Date: 29/10/2004
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sat, 6 Nov 2004 10:19:49 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Helen Hannar <[log in to unmask]>
Subject:      Re: health surveillance
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_48701_23647426.1099732789693"

------=_Part_48701_23647426.1099732789693
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

Can I ask what information colleagues give to employers after undertaking health surveillance on employees.
Do you just issue a fitness for work statement or do you give further information regarding HSE classification of Audioresults and appropriate advice given etc.
I am aware that anything other than a fit for work requires employee consent, but wondered what the standard, or general consensus of opinion upon this was.
Many thanks for your help,
Helen
Helen Hannar
OH Advisor

OHServices (NE).
Tel:- 01388 777962
Mob:- 07950 154541
Fax:- 01388 777962

--

Whatever you Wanadoo:
http://www.wanadoo.co.uk/time/

This email has been checked for most known viruses - find out more at: http://www.wanadoo.co.uk/help/id/7098.htm

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_48701_23647426.1099732789693
Content-Type: text/html
Content-Transfer-Encoding: 7bit

<P>Can I ask what information colleagues give to employers after undertaking health surveillance on employees.</P>
<P>Do you just issue a fitness for work statement or do you give further information regarding HSE classification of Audioresults and appropriate advice given etc.</P>
<P>I am aware that anything other than a&nbsp;fit for work requires employee consent, but wondered what the standard, or&nbsp;general consensus of opinion upon this&nbsp;was.</P>
<P>Many thanks for your&nbsp;help,</P>
<P>Helen </P>
<P><STRONG>Helen Hannar <BR>OH Advisor <BR><BR>OHServices (NE). <BR>Tel:- 01388 777962 <BR>Mob:- 07950 154541 <BR>Fax:- 01388 777962</STRONG></P><BR><BR><hr size="1">Whatever you <a href="http://www.wanadoo.co.uk/time/" target="_blank">Wanadoo</a><br><br>This email has been checked for most known viruses - find out more <a href="http://www.wanadoo.co.uk/help/id/7098.htm" target="_blank">here</a>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_48701_23647426.1099732789693--
=========================================================================
Date:         Sat, 6 Nov 2004 09:42:20 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         david mills <[log in to unmask]>
Subject:      Re: health surveillance
In-Reply-To:  <23606863.1099732789698.JavaMail.www@wwinf3002>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_000C_01C4C3E4.E99D0C80"

This is a multi-part message in MIME format.

------=_NextPart_000_000C_01C4C3E4.E99D0C80
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: 7bit

Just fit for exposure to noise cert. Feedback in terms of group results
later.

  _____

From: Helen Hannar [mailto:[log in to unmask]]
Sent: 06 November 2004 09:20
To: [log in to unmask]
Subject: Re: health surveillance



Can I ask what information colleagues give to employers after undertaking
health surveillance on employees.

Do you just issue a fitness for work statement or do you give further
information regarding HSE classification of Audioresults and appropriate
advice given etc.

I am aware that anything other than a fit for work requires employee
consent, but wondered what the standard, or general consensus of opinion
upon this was.

Many thanks for your help,

Helen

Helen Hannar
OH Advisor

OHServices (NE).
Tel:- 01388 777962
Mob:- 07950 154541
Fax:- 01388 777962



  _____

Whatever you Wanadoo <http://www.wanadoo.co.uk/time/>

This email has been checked for most known viruses - find out more here
<http://www.wanadoo.co.uk/help/id/7098.htm>  ~~~~~~~~~~~~~~~ Please remove
this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_000C_01C4C3E4.E99D0C80
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dus-ascii">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR></HEAD>
<BODY>
<DIV dir=3Dltr align=3Dleft><SPAN class=3D012304109-06112004><FONT =
face=3DArial=20
color=3D#0000ff size=3D2>Just fit for exposure to noise cert. Feedback =
in terms of=20
group results later.</FONT></SPAN></DIV><BR>
<DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr align=3Dleft>
<HR tabIndex=3D-1>
<FONT face=3DTahoma size=3D2><B>From:</B> Helen Hannar =
[mailto:[log in to unmask]]=20
<BR><B>Sent:</B> 06 November 2004 09:20<BR><B>To:</B>=20
[log in to unmask]<BR><B>Subject:</B> Re: health=20
surveillance<BR></FONT><BR></DIV>
<DIV></DIV>
<P>Can I ask what information colleagues give to employers after =
undertaking=20
health surveillance on employees.</P>
<P>Do you just issue a fitness for work statement or do you give further =

information regarding HSE classification of Audioresults and appropriate =
advice=20
given etc.</P>
<P>I am aware that anything other than a&nbsp;fit for work requires =
employee=20
consent, but wondered what the standard, or&nbsp;general consensus of =
opinion=20
upon this&nbsp;was.</P>
<P>Many thanks for your&nbsp;help,</P>
<P>Helen </P>
<P><STRONG>Helen Hannar <BR>OH Advisor <BR><BR>OHServices (NE). =
<BR>Tel:- 01388=20
777962 <BR>Mob:- 07950 154541 <BR>Fax:- 01388 =
777962</STRONG></P><BR><BR>
<HR SIZE=3D1>
Whatever you <A href=3D"http://www.wanadoo.co.uk/time/"=20
target=3D_blank>Wanadoo</A><BR><BR>This email has been checked for most =
known=20
viruses - find out more <A =
href=3D"http://www.wanadoo.co.uk/help/id/7098.htm"=20
target=3D_blank>here</A> ~~~~~~~~~~~~~~~ Please remove this footer =
before=20
replying.=20
<P>For list archives and documents, go to=20
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
<P>For jobs in Occupational Health, go to=20
http://uk.groups.yahoo.com/group/OHJobs/</P></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_000C_01C4C3E4.E99D0C80--
=========================================================================
Date:         Sun, 7 Nov 2004 18:07:28 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Julie Elwell <[log in to unmask]>
Subject:      Risk assessments for Occupational Health

Hi there

Can anyone recommend risk assessment charts for Occupational Health.

I am presently doing my diploma and I am thinking of using MAC but
wondered if there are any more suited for Occupational Health.

Regards

Julie

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sun, 7 Nov 2004 21:27:52 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chris Packham <[log in to unmask]>
Subject:      Re: Risk assessments for Occupational Health
MIME-Version: 1.0
Content-Type: text/plain; charset="Windows-1252"
Content-Transfer-Encoding: 7bit

Julie

It depends what you want to assess!  Are you looking at chemical exposure,
noise, vibration, radiation etc. etc. etc. You will almost certainly need
different approaches for each. My particular interest is in dermal exposure.
For this risk assessment can be extremely complex and difficult. Firstly the
way in which exposure can occur is not easy to identify (although this may
not be apparent at first glance). Since there are no validated, practical
methods for measuring exposure and since data on the effec of chemicals in
contact with the skin can be vague and uncertain, you can see that the risk
assessment techniques for this will be very different from assessing
exposure to, say, noise.

We do have a Technical Bulletin on risk assessment for dermal exposure (see
our website at www.enviroderm.co.uk)

Regards
Chris Packham
EnviroDerm Services

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 8 Nov 2004 06:08:08 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Julie Elwell <[log in to unmask]>
Subject:      Re: Risk assessments for Occupational Health

Thanks for replying Chris,

It will probably be Manual Handling or Noise.  I haven't quite decided but
am trying to see what info I can get on either topic before I do decide.

I've not done a risk assessment before so all this is new to me.

Regards

Julie

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 8 Nov 2004 08:31:03 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Susan Ford <[log in to unmask]>
MIME-Version: 1.0
Content-type: multipart/mixed;
              Boundary="0__=0FBBE5D5DFBE07748f9e8a93df938690918c0FBBE5D5DFBE0774"
Content-Disposition: inline

--0__=0FBBE5D5DFBE07748f9e8a93df938690918c0FBBE5D5DFBE0774
Content-type: text/plain; charset="us-ascii"

Dear All,

I have asked to circulate this information for the Sampson Gamgee Lecture
on 24th November 2004 at 6.30pm at the Birmingham Medical Institute.

(See attached file: Gamgee.DOC)

Regards

Sue Ford


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

This e-mail is confidential and may contain privileged information.  If you
are not the addressee or if you have received the e-mail in error, it may
be unlawful for you to read, copy, distribute, disclose or otherwise use the
information which it contains.  Under these circumstances, please notify
us immediately by returning this mail to [log in to unmask] and deleting
this e-mail from your system.

Any views expressed by an individual within this e-mail do not necessarily
reflect the views of Cadbury Schweppes Plc or its subsidiaries.  Cadbury
Schweppes Plc will not be bound by any agreement entered into as a result
of this email, unless its intention is clearly evidenced in the body of the email.
Whilst we have taken reasonable steps to ensure that this e-mail and
attachments are free from viruses, recipients are advised to subject this mail
to their own virus checking, in keeping with good computing practice. Please
note that email received by Cadbury Schweppes Plc or its subsidiaries may be
monitored in accordance with the prevailing law in the United Kingdom.

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


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--0__=0FBBE5D5DFBE07748f9e8a93df938690918c0FBBE5D5DFBE0774
Content-type: application/msword;
        name="Gamgee.DOC"
Content-Disposition: attachment; filename="Gamgee.DOC"
Content-transfer-encoding: base64
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=

--0__=0FBBE5D5DFBE07748f9e8a93df938690918c0FBBE5D5DFBE0774--
=========================================================================
Date:         Mon, 8 Nov 2004 11:47:16 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Helen Riches <[log in to unmask]>
Subject:      Re: health surveillance
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C588.B2211F89"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4C588.B2211F89
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

 I attended a conference earlier in the year where a HSE inspector was
speaking.She said that line managers need to be informed that health
surveillance has been undertaken and  also that the employee is fit to
coninue in the role. I have now implemented this feedback to the line
managers, however some seem puzzled why they are now receiving this
information, they assumed that 'no news was good news' as far health
surveillance was concerned!
=20
Regards
=20

Helen Riches RGN BSc(Hons)
Occupational Health Adviser
NIBSC
Blanche Lane
South Mimms
Potters Bar
Herts.
EN6 3QG
01707 641212=20

=20

________________________________

From: Helen Hannar [mailto:[log in to unmask]]=20
Sent: 06 November 2004 09:20
To: [log in to unmask]
Subject: Re: health surveillance



Can I ask what information colleagues give to employers after
undertaking health surveillance on employees.

Do you just issue a fitness for work statement or do you give further
information regarding HSE classification of Audioresults and appropriate
advice given etc.

I am aware that anything other than a fit for work requires employee
consent, but wondered what the standard, or general consensus of opinion
upon this was.

Many thanks for your help,

Helen=20

Helen Hannar=20
OH Advisor=20

OHServices (NE).=20
Tel:- 01388 777962=20
Mob:- 07950 154541=20
Fax:- 01388 777962



________________________________

Whatever you Wanadoo <http://www.wanadoo.co.uk/time/>=20

This email has been checked for most known viruses - find out more here
<http://www.wanadoo.co.uk/help/id/7098.htm>  ~~~~~~~~~~~~~~~ Please
remove this footer before replying.=20

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C588.B2211F89
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dus-ascii">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR></HEAD>
<BODY>
<DIV dir=3Dltr align=3Dleft><SPAN class=3D973344311-08112004><FONT =
face=3DArial=20
color=3D#0000ff size=3D2>&nbsp;I attended a conference earlier in the =
year where a=20
HSE inspector was speaking.She said that line managers need to be =
informed that=20
health surveillance has been undertaken and&nbsp; also that the employee =
is fit=20
to coninue in the role. I have now implemented this feedback to the line =

managers, however some seem puzzled why they are now receiving this =
information,=20
they assumed that 'no news was good news' as far health surveillance was =

concerned!</FONT></SPAN></DIV>
<DIV dir=3Dltr align=3Dleft><SPAN class=3D973344311-08112004><FONT =
face=3DArial=20
color=3D#0000ff size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV dir=3Dltr align=3Dleft><SPAN class=3D973344311-08112004><FONT =
face=3DArial=20
color=3D#0000ff size=3D2>Regards</FONT></SPAN></DIV>
<DIV><FONT face=3DArial color=3D#0000ff size=3D2></FONT>&nbsp;</DIV><!-- =
Converted from text/plain format -->
<P><FONT size=3D2>Helen Riches RGN BSc(Hons)<BR>Occupational Health=20
Adviser<BR>NIBSC<BR>Blanche Lane<BR>South Mimms<BR>Potters =
Bar<BR>Herts.<BR>EN6=20
3QG<BR>01707 641212 </FONT></P>
<DIV>&nbsp;</DIV><BR>
<DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr align=3Dleft>
<HR tabIndex=3D-1>
<FONT face=3DTahoma size=3D2><B>From:</B> Helen Hannar =
[mailto:[log in to unmask]]=20
<BR><B>Sent:</B> 06 November 2004 09:20<BR><B>To:</B>=20
[log in to unmask]<BR><B>Subject:</B> Re: health=20
surveillance<BR></FONT><BR></DIV>
<DIV></DIV>
<P>Can I ask what information colleagues give to employers after =
undertaking=20
health surveillance on employees.</P>
<P>Do you just issue a fitness for work statement or do you give further =

information regarding HSE classification of Audioresults and appropriate =
advice=20
given etc.</P>
<P>I am aware that anything other than a&nbsp;fit for work requires =
employee=20
consent, but wondered what the standard, or&nbsp;general consensus of =
opinion=20
upon this&nbsp;was.</P>
<P>Many thanks for your&nbsp;help,</P>
<P>Helen </P>
<P><STRONG>Helen Hannar <BR>OH Advisor <BR><BR>OHServices (NE). =
<BR>Tel:- 01388=20
777962 <BR>Mob:- 07950 154541 <BR>Fax:- 01388 =
777962</STRONG></P><BR><BR>
<HR SIZE=3D1>
Whatever you <A href=3D"http://www.wanadoo.co.uk/time/"=20
target=3D_blank>Wanadoo</A><BR><BR>This email has been checked for most =
known=20
viruses - find out more <A =
href=3D"http://www.wanadoo.co.uk/help/id/7098.htm"=20
target=3D_blank>here</A> ~~~~~~~~~~~~~~~ Please remove this footer =
before=20
replying.=20
<P>For list archives and documents, go to=20
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
<P>For jobs in Occupational Health, go to=20
http://uk.groups.yahoo.com/group/OHJobs/</P></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C588.B2211F89--
=========================================================================
Date:         Mon, 8 Nov 2004 15:39:27 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Davies <[log in to unmask]>
Subject:      Re: Stress & Riddor
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

Maudie
Where on the website is the good downloadable power point presentation of
stress. I've looked and cannot find anything.
Regards
Magi

>From: mchardy <[log in to unmask]>
>Reply-To: Occupational Health mailing list <[log in to unmask]>
>To: [log in to unmask]
>Subject: Re: Stress & Riddor
>Date: Thu, 4 Nov 2004 18:55:16 -0000
>
>Duncan and all
>Just had a look at this site-there is a really good downloadable stress
>power point presentation!
>Cheers
>Maudie
>   ----- Original Message -----
>   From: Duncan Abbott
>   To: [log in to unmask]
>   Sent: Tuesday, November 02, 2004 8:11 AM
>   Subject: Re: Stress & Riddor
>
>
>   You may find this of interest
>
>   Ahead of Stress Awareness Day on Wednesday 3 November the TUC has
>released a report that shows the number of workers suffering from stress
>has increased this year. Three in five workers (58 per cent) now complain
>of being stressed at work, an increase of two per cent from 2002. The main
>reasons cited for stress are increased workloads, change at work, staff
>cuts, long hours and bullying.
>   http://www.tuc.org.uk/h_and_s/tuc-8902-f0.cfm
>
>
>   Duncan Abbott
>   www.enricosmog.com
>
>~~~~~~~~~~~~~~~
>Please remove this footer before replying.
>
>For list archives and documents, go to
>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
>For jobs in Occupational Health, go to
>http://uk.groups.yahoo.com/group/OHJobs/

_________________________________________________________________
Express yourself with cool new emoticons http://www.msn.co.uk/specials/myemo

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 8 Nov 2004 20:18:18 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         mchardy <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

A couple of listers have asked me for this so here it is
http://www.tuc.org.uk/h_and_s/tuc-5771-f0.cfm
 Then click on as directed-it is a 354KB file
Good Luck!
Maudie

----- Original Message -----
From: "Diane Davies" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, November 08, 2004 3:39 PM
Subject: Re: Stress & Riddor


> Maudie
> Where on the website is the good downloadable power point presentation of
> stress. I've looked and cannot find anything.
> Regards
> Magi
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 9 Nov 2004 01:00:54 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Donna Dixon <[log in to unmask]>
Subject:      Donna Dixon/National Britannia is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=us-ascii

I will be out of the office starting  08/11/2004 and will not return until
10/11/2004.

Thank you for your email.  I am away from the office until the 10th
November.  If you require assistance, please leave me a message on 07718
661614 and I will get back to you.  Thank you

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 9 Nov 2004 08:19:38 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Research Proposal
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C634.DAA45BA0"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4C634.DAA45BA0
Content-Type: text/plain;
        charset="windows-1252"
Content-Transfer-Encoding: quoted-printable

Have you visited FirstAidCafe.co.uk?  It is an excellent site with =
loads of
information plus a message board.
=20
Lynda

-----Original Message-----
From: Jay Chapman [mailto:[log in to unmask]]
Sent: Thursday, November 04, 2004 9:19 AM
To: [log in to unmask]
Subject: Re: Research Proposal


Good Morning Greta
=20
I am aware that the First Aid Regs have been updated and will soon come =
into
action.  I have tried to get a resum=E9 of the changes but have been
unsuccessful even though I subscribe to HSE Direct.
=20
Could you please point me in the right direction I should be most =
grateful.
=20
Jay Chapman

----- Original Message -----=20
From: Greta Thornbory <mailto:[log in to unmask]> =20
To: [log in to unmask] <mailto:[log in to unmask]> =20
Sent: Wednesday, November 03, 2004 10:41 PM
Subject: Re: Research Proposal

Julia
You asked for comments and any known research on OHNs providing a =
'reactive
first aid treatment service' - well here goes.....
=20
1. What do you mean by 'provide'? It is the employer's duty to make =
suitable
first aid provision within their organisation (First aid at work Regs =
1981)
So presumably you are asking if that provision should be that the OHNs =
are
the first aiders themselves. Might be a bit difficult on a multi sited
company, or with a peripatetic service when the OHN is in one place and =
the
employees elsewhere. Seems more sensible to have first aiders in =
relevant
places rather than an OHN sitting in the first aid room waiting for
casualties. Expensive and rather a waste of an RGN & OH qualification - =
bit
of a difference between a 3 year degree and a 4 day (soon to be less =
with
the first aid update) course!
=20
2. I agree with some of the respondents who have said that RGNs don't =
always
know first aid - but then 2002 NMC code of practice 8.5 says that 'in =
an
emergency, in or outside the work setting, you have a professional duty =
to
provide care etc....' which means all RGNs should know first aid - they =
have
a professional duty to know it.
=20
3. Therefore every OHN should be able to 'provide' first aid when =
necessary.
It must be reactive because you cannot provide first aid proactively.
However, this is not sufficient on its own and does not fulfil the
requirements of the legislation until an assessment of the first aid =
needs
of the organisation has been made by the employer. I gather from HSE =
that
the update of the guidance on the First aid provision will include =
detailed
guidance for employers on making these assessments.
=20
4. Finally - 'research' was undertaken around the time that the First =
Aid
Regs were drafted, although random control trials and grounded research =
were
probably not the words used by EMAS at the time. However, if you carry =
out a
search of BNI and the RCN data bases thru the RCN website ( if you are =
a
member) you will be able to access some quite old research that was =
done in
the 80s and 90s on first aid at work provision by some, then eminent, =
OHNs.
=20
5. Bottom line - we, as RGNs should all be able to perform first aid =
when
required to do so - but that does not replace the employers duty to =
make
suitable and sufficient provision for first aid in the workplace which =
is
different from OH.
=20
=20
Good luck,=20
=20
Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com <http://www.gtenterprises-uk.com>=20
Tel: 01235 770156
Mob: 07778 518 027
=20
=20
----- Original Message -----=20
From: "Julia J Collins" <  <mailto:[log in to unmask]>
[log in to unmask]>
To: <  <mailto:[log in to unmask]> [log in to unmask]>
Sent: Monday, November 01, 2004 12:01 PM
Subject: Research Proposal


> Hi everyone
>=20
> I was wondering if any of you can help me with my uni research =
proposal.
> I'm in my first year of the degree and we have to submit a research
> question and then work through the process -I think!
>=20
> My proposed question is:
>=20
> Should Occupational Health Nurses provide a reactive first aid =
treatment
> service?
>=20
> Do any of you have comments, ideas or know of any research that has =
been
> done previously?
>=20
> I would value any info I get back and following the debates of late I =
know
> that there is a wealth of knowledge out there.
>=20
>=20
> Many thanks
>=20
> Julia
>=20
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>=20
> For list archives and documents, go to
>  <http://www.jiscmail.ac.uk/lists/occ-health.html>
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>=20
> For jobs in Occupational Health, go to
>  <http://uk.groups.yahoo.com/group/OHJobs/>
http://uk.groups.yahoo.com/group/OHJobs/
=20

---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system ( http://www.grisoft.com
<http://www.grisoft.com> ).
Version: 6.0.786 / Virus Database: 532 - Release Date: 29/10/2004
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C634.DAA45BA0
Content-Type: text/html;
        charset="windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dwindows-1252">


<META content=3D"MSHTML 5.50.4943.2100" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><SPAN class=3D018042708-09112004><FONT face=3DArial =
color=3D#0000ff size=3D2>Have=20
you visited FirstAidCafe.co.uk?&nbsp; It is an excellent site with =
loads of=20
information plus a message board.</FONT></SPAN></DIV>
<DIV><SPAN class=3D018042708-09112004><FONT face=3DArial =
color=3D#0000ff=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D018042708-09112004><FONT face=3DArial =
color=3D#0000ff=20
size=3D2>Lynda</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> Jay Chapman=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> Thursday, November =
04, 2004=20
  9:19 AM<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Re:=20
  Research Proposal<BR><BR></FONT></DIV>
  <DIV>Good Morning Greta</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>I am aware that the First Aid Regs have been updated and will =
soon come=20
  into action.&nbsp; I have tried to get a resum=E9 of the changes but =
have been=20
  unsuccessful even though I subscribe to HSE Direct.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Could you please point me in the right direction I should be =
most=20
  grateful.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Jay Chapman</DIV>
  <BLOCKQUOTE dir=3Dltr=20
  style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
    <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
    <DIV=20
    style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
    <A [log in to unmask]
    href=3D"mailto:[log in to unmask]">Greta Thornbory</A> =
</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
    =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, November =
03, 2004=20
    10:41 PM</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Research =
Proposal</DIV>
    <DIV><BR></DIV>
    <DIV><FONT size=3D2>Julia</FONT></DIV>
    <DIV><FONT size=3D2>You asked for comments and any known research =
on OHNs=20
    providing a 'reactive first aid treatment service' - well here=20
    goes.....</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>1. What do you mean by 'provide'?&nbsp;It =
is&nbsp;the=20
    employer's duty to make suitable first aid provision within their=20
    organisation (First aid at work Regs 1981) So presumably you are =
asking if=20
    that provision should be that the OHNs are the first aiders =
themselves.=20
    Might be a bit difficult on a multi sited company, or with a =
peripatetic=20
    service&nbsp;when the OHN is in one place and the employees =
elsewhere. Seems=20
    more sensible to have first aiders in relevant places rather than =
an OHN=20
    sitting in the first aid room waiting for casualties. Expensive and =
rather a=20
    waste of an RGN &amp; OH qualification - bit of a difference =
between a 3=20
    year degree and a 4 day (soon to be less with the first aid update) =

    course!</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>2. I agree with some of the respondents who =
have said that=20
    RGNs don't always know first aid - but then 2002 NMC code of =
practice 8.5=20
    says that <EM>'in an emergency, in or outside the work setting, you =
have a=20
    professional duty to provide care etc..</EM>..' which means all =
RGNs should=20
    know first aid - they have a professional duty to know =
it.</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>3. Therefore every OHN should be able to =
'provide' first=20
    aid when necessary. It must be reactive because you cannot provide =
first aid=20
    proactively. However, this is not sufficient on its own and does =
not fulfil=20
    the requirements of the legislation until an assessment of the =
first aid=20
    needs of the organisation has been made by the employer. I gather =
from HSE=20
    that the update of the guidance on the First aid provision will =
include=20
    detailed guidance for employers&nbsp;on making these=20
    assessments.</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>4. Finally - 'research' was undertaken around =
the time=20
    that the First Aid Regs were drafted, although random control =
trials and=20
    grounded research were probably not the words used by EMAS at the =
time.=20
    However, if you carry out a search of BNI and the RCN data bases =
thru the=20
    RCN website ( if you are a member) you will be able to access some =
quite old=20
    research that was done in the 80s and 90s on first aid at work =
provision by=20
    some, then eminent, OHNs.</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>5. Bottom line - we, as RGNs should all be able =
to perform=20
    first aid when required to do so - but that does not replace the =
employers=20
    duty to make suitable and sufficient provision for first aid in the =

    workplace which is different from OH.</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>Good luck, </FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational =
Health &amp;=20
    Education<BR>Consultant Editor, OH Journal<BR><A=20
    =
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR=
>Tel:=20
    01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT size=3D2>----- Original Message ----- </FONT>
    <DIV><FONT size=3D2>From: "Julia J Collins" &lt;</FONT><A=20
    href=3D"mailto:[log in to unmask]"><FONT=20
    size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
    <DIV><FONT size=3D2>To: &lt;</FONT><A=20
    href=3D"mailto:[log in to unmask]"><FONT=20
    size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
    <DIV><FONT size=3D2>Sent: Monday, November 01, 2004 12:01 =
PM</FONT></DIV>
    <DIV><FONT size=3D2>Subject: Research Proposal</FONT></DIV></DIV>
    <DIV><FONT size=3D2><BR></FONT></DIV>
    <DIV><FONT size=3D2>&gt; Hi everyone<BR>&gt; <BR>&gt; I was =
wondering if any=20
    of you can help me with my uni research proposal.<BR>&gt; I'm in my =
first=20
    year of the degree and we have to submit a research<BR>&gt; =
question and=20
    then work through the process -I think!<BR>&gt; <BR>&gt; My =
proposed=20
    question is:<BR>&gt; <BR>&gt; Should Occupational Health Nurses =
provide a=20
    reactive first aid treatment<BR>&gt; service?<BR>&gt; <BR>&gt; Do =
any of you=20
    have comments, ideas or know of any research that has been<BR>&gt; =
done=20
    previously?<BR>&gt; <BR>&gt; I would value any info I get back and =
following=20
    the debates of late I know<BR>&gt; that there is a wealth of =
knowledge out=20
    there.<BR>&gt; <BR>&gt; <BR>&gt; Many thanks<BR>&gt; <BR>&gt; =
Julia<BR>&gt;=20
    <BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove this footer before=20
    replying.<BR>&gt; <BR>&gt; For list archives and documents, go =
to<BR>&gt;=20
    </FONT><A =
href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT=20
    =
size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT=
=20
    size=3D2> for list archives<BR>&gt; <BR>&gt; For jobs in =
Occupational Health,=20
    go to<BR>&gt; </FONT><A=20
    href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
    =
size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT=20
    color=3D#0000ff size=3D2></FONT></U></DIV>
    <DIV>&nbsp;</DIV>
    <DIV><U><FONT color=3D#0000ff size=3D2><BR>---<BR>Outgoing mail is =
certified=20
    Virus Free.<BR>Checked by AVG anti-virus system (<A=20
    =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version:=
=20
    6.0.786 / Virus Database: 532 - Release Date:=20
    29/10/2004</FONT></U></DIV>~~~~~~~~~~~~~~~ Please remove this =
footer before=20
    replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C634.DAA45BA0--
=========================================================================
Date:         Tue, 9 Nov 2004 08:19:11 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jay Chapman <[log in to unmask]>
Subject:      Re: Research Proposal
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0008_01C4C634.CB1A1620"

This is a multi-part message in MIME format.

------=_NextPart_000_0008_01C4C634.CB1A1620
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

Thank you Lynda!

Good idea.

Jay
  ----- Original Message -----=20
  From: Hawkes, Lynda=20
  To: [log in to unmask]
  Sent: Tuesday, November 09, 2004 8:19 AM
  Subject: Re: Research Proposal


  Have you visited FirstAidCafe.co.uk?  It is an excellent site with =
loads of information plus a message board.

  Lynda
    -----Original Message-----
    From: Jay Chapman [mailto:[log in to unmask]]
    Sent: Thursday, November 04, 2004 9:19 AM
    To: [log in to unmask]
    Subject: Re: Research Proposal


    Good Morning Greta

    I am aware that the First Aid Regs have been updated and will soon =
come into action.  I have tried to get a resum=E9 of the changes but =
have been unsuccessful even though I subscribe to HSE Direct.

    Could you please point me in the right direction I should be most =
grateful.

    Jay Chapman
      ----- Original Message -----=20
      From: Greta Thornbory=20
      To: [log in to unmask]
      Sent: Wednesday, November 03, 2004 10:41 PM
      Subject: Re: Research Proposal


      Julia
      You asked for comments and any known research on OHNs providing a =
'reactive first aid treatment service' - well here goes.....

      1. What do you mean by 'provide'? It is the employer's duty to =
make suitable first aid provision within their organisation (First aid =
at work Regs 1981) So presumably you are asking if that provision should =
be that the OHNs are the first aiders themselves. Might be a bit =
difficult on a multi sited company, or with a peripatetic service when =
the OHN is in one place and the employees elsewhere. Seems more sensible =
to have first aiders in relevant places rather than an OHN sitting in =
the first aid room waiting for casualties. Expensive and rather a waste =
of an RGN & OH qualification - bit of a difference between a 3 year =
degree and a 4 day (soon to be less with the first aid update) course!

      2. I agree with some of the respondents who have said that RGNs =
don't always know first aid - but then 2002 NMC code of practice 8.5 =
says that 'in an emergency, in or outside the work setting, you have a =
professional duty to provide care etc....' which means all RGNs should =
know first aid - they have a professional duty to know it.

      3. Therefore every OHN should be able to 'provide' first aid when =
necessary. It must be reactive because you cannot provide first aid =
proactively. However, this is not sufficient on its own and does not =
fulfil the requirements of the legislation until an assessment of the =
first aid needs of the organisation has been made by the employer. I =
gather from HSE that the update of the guidance on the First aid =
provision will include detailed guidance for employers on making these =
assessments.

      4. Finally - 'research' was undertaken around the time that the =
First Aid Regs were drafted, although random control trials and grounded =
research were probably not the words used by EMAS at the time. However, =
if you carry out a search of BNI and the RCN data bases thru the RCN =
website ( if you are a member) you will be able to access some quite old =
research that was done in the 80s and 90s on first aid at work provision =
by some, then eminent, OHNs.

      5. Bottom line - we, as RGNs should all be able to perform first =
aid when required to do so - but that does not replace the employers =
duty to make suitable and sufficient provision for first aid in the =
workplace which is different from OH.


      Good luck,=20

      Greta Thornbory
      Consultant, Occupational Health & Education
      Consultant Editor, OH Journal
      www.gtenterprises-uk.com
      Tel: 01235 770156
      Mob: 07778 518 027


      ----- Original Message -----=20
      From: "Julia J Collins" <[log in to unmask]>
      To: <[log in to unmask]>
      Sent: Monday, November 01, 2004 12:01 PM
      Subject: Research Proposal


      > Hi everyone
      >=20
      > I was wondering if any of you can help me with my uni research =
proposal.
      > I'm in my first year of the degree and we have to submit a =
research
      > question and then work through the process -I think!
      >=20
      > My proposed question is:
      >=20
      > Should Occupational Health Nurses provide a reactive first aid =
treatment
      > service?
      >=20
      > Do any of you have comments, ideas or know of any research that =
has been
      > done previously?
      >=20
      > I would value any info I get back and following the debates of =
late I know
      > that there is a wealth of knowledge out there.
      >=20
      >=20
      > Many thanks
      >=20
      > Julia
      >=20
      > ~~~~~~~~~~~~~~~
      > Please remove this footer before replying.
      >=20
      > For list archives and documents, go to
      > http://www.jiscmail.ac.uk/lists/occ-health.html for list =
archives
      >=20
      > For jobs in Occupational Health, go to
      > http://uk.groups.yahoo.com/group/OHJobs/


      ---
      Outgoing mail is certified Virus Free.
      Checked by AVG anti-virus system (http://www.grisoft.com).
      Version: 6.0.786 / Virus Database: 532 - Release Date: 29/10/2004
      ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
      For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

      For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0008_01C4C634.CB1A1620
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dwindows-1252">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV>Thank you Lynda!</DIV>
<DIV>&nbsp;</DIV>
<DIV>Good idea.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Jay</DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Hawkes, Lynda</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Tuesday, November 09, =
2004 8:19=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Research =
Proposal</DIV>
  <DIV><BR></DIV>
  <DIV><SPAN class=3D018042708-09112004><FONT face=3DArial =
color=3D#0000ff size=3D2>Have=20
  you visited FirstAidCafe.co.uk?&nbsp; It is an excellent site with =
loads of=20
  information plus a message board.</FONT></SPAN></DIV>
  <DIV><SPAN class=3D018042708-09112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D018042708-09112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>Lynda</FONT></SPAN></DIV>
  <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
    <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
    size=3D2>-----Original Message-----<BR><B>From:</B> Jay Chapman=20
    [mailto:[log in to unmask]]<BR><B>Sent:</B> Thursday, =
November 04,=20
    2004 9:19 AM<BR><B>To:</B> <A=20
    =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A><B=
R><B>Subject:</B>=20
    Re: Research Proposal<BR><BR></FONT></DIV>
    <DIV>Good Morning Greta</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>I am aware that the First Aid Regs have been updated and will =
soon come=20
    into action.&nbsp; I have tried to get a resum=E9 of the changes but =
have been=20
    unsuccessful even though I subscribe to HSE Direct.</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>Could you please point me in the right direction I should be =
most=20
    grateful.</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>Jay Chapman</DIV>
    <BLOCKQUOTE dir=3Dltr=20
    style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
      <DIV style=3D"FONT: 10pt arial">----- Original Message ----- =
</DIV>
      <DIV=20
      style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
      <A [log in to unmask]
      href=3D"mailto:[log in to unmask]">Greta Thornbory</A> =
</DIV>
      <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A=20
      [log in to unmask]
      =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A>=20
      </DIV>
      <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, November =
03, 2004=20
      10:41 PM</DIV>
      <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Research =
Proposal</DIV>
      <DIV><BR></DIV>
      <DIV><FONT size=3D2>Julia</FONT></DIV>
      <DIV><FONT size=3D2>You asked for comments and any known research =
on OHNs=20
      providing a 'reactive first aid treatment service' - well here=20
      goes.....</FONT></DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2>1. What do you mean by 'provide'?&nbsp;It =
is&nbsp;the=20
      employer's duty to make suitable first aid provision within their=20
      organisation (First aid at work Regs 1981) So presumably you are =
asking if=20
      that provision should be that the OHNs are the first aiders =
themselves.=20
      Might be a bit difficult on a multi sited company, or with a =
peripatetic=20
      service&nbsp;when the OHN is in one place and the employees =
elsewhere.=20
      Seems more sensible to have first aiders in relevant places rather =
than an=20
      OHN sitting in the first aid room waiting for casualties. =
Expensive and=20
      rather a waste of an RGN &amp; OH qualification - bit of a =
difference=20
      between a 3 year degree and a 4 day (soon to be less with the =
first aid=20
      update) course!</FONT></DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2>2. I agree with some of the respondents who =
have said=20
      that RGNs don't always know first aid - but then 2002 NMC code of =
practice=20
      8.5 says that <EM>'in an emergency, in or outside the work =
setting, you=20
      have a professional duty to provide care etc..</EM>..' which means =
all=20
      RGNs should know first aid - they have a professional duty to know =

      it.</FONT></DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2>3. Therefore every OHN should be able to =
'provide' first=20
      aid when necessary. It must be reactive because you cannot provide =
first=20
      aid proactively. However, this is not sufficient on its own and =
does not=20
      fulfil the requirements of the legislation until an assessment of =
the=20
      first aid needs of the organisation has been made by the employer. =
I=20
      gather from HSE that the update of the guidance on the First aid =
provision=20
      will include detailed guidance for employers&nbsp;on making these=20
      assessments.</FONT></DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2>4. Finally - 'research' was undertaken around =
the time=20
      that the First Aid Regs were drafted, although random control =
trials and=20
      grounded research were probably not the words used by EMAS at the =
time.=20
      However, if you carry out a search of BNI and the RCN data bases =
thru the=20
      RCN website ( if you are a member) you will be able to access some =
quite=20
      old research that was done in the 80s and 90s on first aid at work =

      provision by some, then eminent, OHNs.</FONT></DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2>5. Bottom line - we, as RGNs should all be =
able to=20
      perform first aid when required to do so - but that does not =
replace the=20
      employers duty to make suitable and sufficient provision for first =
aid in=20
      the workplace which is different from OH.</FONT></DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2>Good luck, </FONT></DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational =
Health &amp;=20
      Education<BR>Consultant Editor, OH Journal<BR><A=20
      =
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
      01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2></FONT>&nbsp;</DIV>
      <DIV><FONT size=3D2>----- Original Message ----- </FONT>
      <DIV><FONT size=3D2>From: "Julia J Collins" &lt;</FONT><A=20
      href=3D"mailto:[log in to unmask]"><FONT=20
      size=3D2>[log in to unmask]</FONT></A><FONT=20
      size=3D2>&gt;</FONT></DIV>
      <DIV><FONT size=3D2>To: &lt;</FONT><A=20
      href=3D"mailto:[log in to unmask]"><FONT=20
      size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
      <DIV><FONT size=3D2>Sent: Monday, November 01, 2004 12:01 =
PM</FONT></DIV>
      <DIV><FONT size=3D2>Subject: Research Proposal</FONT></DIV></DIV>
      <DIV><FONT size=3D2><BR></FONT></DIV>
      <DIV><FONT size=3D2>&gt; Hi everyone<BR>&gt; <BR>&gt; I was =
wondering if any=20
      of you can help me with my uni research proposal.<BR>&gt; I'm in =
my first=20
      year of the degree and we have to submit a research<BR>&gt; =
question and=20
      then work through the process -I think!<BR>&gt; <BR>&gt; My =
proposed=20
      question is:<BR>&gt; <BR>&gt; Should Occupational Health Nurses =
provide a=20
      reactive first aid treatment<BR>&gt; service?<BR>&gt; <BR>&gt; Do =
any of=20
      you have comments, ideas or know of any research that has =
been<BR>&gt;=20
      done previously?<BR>&gt; <BR>&gt; I would value any info I get =
back and=20
      following the debates of late I know<BR>&gt; that there is a =
wealth of=20
      knowledge out there.<BR>&gt; <BR>&gt; <BR>&gt; Many thanks<BR>&gt; =

      <BR>&gt; Julia<BR>&gt; <BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please =
remove this=20
      footer before replying.<BR>&gt; <BR>&gt; For list archives and =
documents,=20
      go to<BR>&gt; </FONT><A=20
      href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT=20
      =
size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =

      size=3D2> for list archives<BR>&gt; <BR>&gt; For jobs in =
Occupational=20
      Health, go to<BR>&gt; </FONT><A=20
      href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
      =
size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT=20
      color=3D#0000ff size=3D2></FONT></U></DIV>
      <DIV>&nbsp;</DIV>
      <DIV><U><FONT color=3D#0000ff size=3D2><BR>---<BR>Outgoing mail is =
certified=20
      Virus Free.<BR>Checked by AVG anti-virus system (<A=20
      =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =

      6.0.786 / Virus Database: 532 - Release Date:=20
      29/10/2004</FONT></U></DIV>~~~~~~~~~~~~~~~ Please remove this =
footer=20
      before replying.=20
      <P>For list archives and documents, go to=20
      http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
      <P>For jobs in Occupational Health, go to=20
      http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE>~~~~~~~~~~~~~~~=20
    Please remove this footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0008_01C4C634.CB1A1620--
=========================================================================
Date:         Tue, 9 Nov 2004 10:13:42 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: health surveillance
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C644.CA0C8370"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4C644.CA0C8370
Content-Type: text/plain;
        charset="iso-8859-1"

I provide the Health & Safety Manager with a "Fitness to work" certificate
which does not contain any medical information.  It does include any
restrictions or recomendations as a result of the health surveillance.

Lynda

-----Original Message-----
From: Helen Hannar [mailto:[log in to unmask]]
Sent: Saturday, November 06, 2004 9:20 AM
To: [log in to unmask]
Subject: Re: health surveillance



Can I ask what information colleagues give to employers after undertaking
health surveillance on employees.

Do you just issue a fitness for work statement or do you give further
information regarding HSE classification of Audioresults and appropriate
advice given etc.

I am aware that anything other than a fit for work requires employee
consent, but wondered what the standard, or general consensus of opinion
upon this was.

Many thanks for your help,

Helen

Helen Hannar
OH Advisor

OHServices (NE).
Tel:- 01388 777962
Mob:- 07950 154541
Fax:- 01388 777962



  _____

Whatever you Wanadoo <http://www.wanadoo.co.uk/time/>

This email has been checked for most known viruses - find out more here
<http://www.wanadoo.co.uk/help/id/7098.htm>  ~~~~~~~~~~~~~~~ Please remove
this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C644.CA0C8370
Content-Type: text/html;
        charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 5.50.4943.2100" name=GENERATOR></HEAD>
<BODY>
<DIV><SPAN class=272461910-09112004><FONT face=Arial color=#0000ff size=2>I
provide the Health &amp; Safety Manager with a "Fitness to work" certificate
which does not contain any medical information.&nbsp; It does include any
restrictions or recomendations as a result of the health
surveillance.</FONT></SPAN></DIV>
<DIV><SPAN class=272461910-09112004><FONT face=Arial color=#0000ff
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=272461910-09112004><FONT face=Arial color=#0000ff
size=2>Lynda</FONT></SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> Helen Hannar
  [mailto:[log in to unmask]]<BR><B>Sent:</B> Saturday, November 06, 2004 9:20
  AM<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: health
  surveillance<BR><BR></FONT></DIV>
  <P>Can I ask what information colleagues give to employers after undertaking
  health surveillance on employees.</P>
  <P>Do you just issue a fitness for work statement or do you give further
  information regarding HSE classification of Audioresults and appropriate
  advice given etc.</P>
  <P>I am aware that anything other than a&nbsp;fit for work requires employee
  consent, but wondered what the standard, or&nbsp;general consensus of opinion
  upon this&nbsp;was.</P>
  <P>Many thanks for your&nbsp;help,</P>
  <P>Helen </P>
  <P><STRONG>Helen Hannar <BR>OH Advisor <BR><BR>OHServices (NE). <BR>Tel:-
  01388 777962 <BR>Mob:- 07950 154541 <BR>Fax:- 01388
777962</STRONG></P><BR><BR>
  <HR SIZE=1>
  Whatever you <A target=_blank
  href="http://www.wanadoo.co.uk/time/">Wanadoo</A><BR><BR>This email has been
  checked for most known viruses - find out more <A target=_blank
  href="http://www.wanadoo.co.uk/help/id/7098.htm">here</A> ~~~~~~~~~~~~~~~
  Please remove this footer before replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C644.CA0C8370--
=========================================================================
Date:         Tue, 9 Nov 2004 12:38:58 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Kath Griffiths <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C659.1538E73A"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4C659.1538E73A
Content-Type: text/plain;
 charset=iso-8859-1
Content-Transfer-Encoding: quoted-printable

Is there any guidance on  prolonged standing and /or working nights during =
 =
pregnancy=3F I seem to remember from the the distant past that expectant =
mothers shouldn't stand for more that 5 hours a day.=20
=20
Kath Griffiths
Occupational Health Manager
=46reshfields Bruckhaus Deringer
65 Fleet Street
EC4Y 1HS
[log in to unmask]
0207  716 4024
07966 961 821

This email and any attachments is strictly confidential. Accordingly this =
email and its attachments should not be forwarded, reproduced or made =
available to any third party under any circumstances without prior consent =
=66rom Occupational Health .  If you are not the intended recipient  please=
 =
advise the sender immediately by reply email and delete the message and any=
 =
attachments without reading, distributing or copying.

=20

This e-mail is confidential and may well also be legally privileged. If you=
 =
have received it in error, you are on notice of its status.  Please notify =
us immediately by reply e-mail and then delete this message from your =
system.  Please do not copy it or use it for any purposes, or disclose its =
contents to any other person:  to do so could be a breach of confidence.  =
Thank you for your co-operation.  Please contact our IT Helpdesk on +44 (0)=
 =
20 7936 4000 Ext.2000 or email [log in to unmask] if you need =
assistance.





~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C659.1538E73A
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<META content=3D"MSHTML 6.00.2800.1476" name=3DGENERATOR></HEAD>
<BODY>
<DIV><FONT face=3DArial size=3D2><SPAN class=3D591523512-09112004>Is there =
any=20
guidance on&nbsp; prolonged standing and /or working nights during&nbsp;=20
pregnancy=3F&nbsp;I seem to remember&nbsp;from the&nbsp;the distant past=20
that&nbsp;expectant mothers shouldn't stand for more that 5 hours a=20
day.&nbsp;</SPAN></FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Kath Griffiths</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Occupational Health Manager</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Freshfields Bruckhaus Deringer</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>65 Fleet Street</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>EC4Y 1HS</FONT></DIV>
<DIV><FONT face=3DArial size=3D2><A=20
href=3D"mailto:[log in to unmask]">[log in to unmask]
om</A></FONT></DIV>
<DIV><FONT face=3DArial size=3D2>0207&nbsp; 716 4024</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>07966 961 821</FONT></DIV>
<DIV>
<P><FONT face=3DArial color=3D#ff0000 size=3D1>This email and any =
attachments is=20
strictly confidential. Accordingly this email and its attachments should no=
t=
 be=20
=66orwarded, reproduced or made available to any third party under any=20
circumstances without prior consent from Occupational Health .&nbsp; If you=
 =
are=20
not the intended recipient&nbsp; please advise the sender immediately by =
reply=20
email and delete the message and any attachments without reading, =
distributing=20
or copying.</FONT></P></DIV>
<DIV>&nbsp;</DIV></BODY></HTML>

<P>This e-mail is confidential and may well also be legally privileged. If =
you have received it in error, you are on notice of its status.  Please =
notify us immediately by reply e-mail and then delete this message from you=
r=
 system.  Please do not copy it or use it for any purposes, or disclose its=
 =
contents to any other person:  to do so could be a breach of confidence.  =
Thank you for your co-operation.  Please contact our IT Helpdesk on +44 (0)=
 =
20 7936 4000 Ext.2000 or email [log in to unmask] if you need =
assistance.<br>
<br>
<br>
<br>
<br>
</P>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4C659.1538E73A--
=========================================================================
Date:         Tue, 9 Nov 2004 12:31:31 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Stress & Riddor
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Hi Maudie

I have tried all morning unsucessfully for this pp presentation on
stress with the address you gave out. Could you re send to ensure that I
am reading it right?

Many thanks

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/08/04 08:18pm >>>
A couple of listers have asked me for this so here it is
http://www.tuc.org.uk/h_and_s/tuc-5771-f0.cfm
 Then click on as directed-it is a 354KB file
Good Luck!
Maudie

----- Original Message -----
From: "Diane Davies" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, November 08, 2004 3:39 PM
Subject: Re: Stress & Riddor


> Maudie
> Where on the website is the good downloadable power point
presentation of
> stress. I've looked and cannot find anything.
> Regards
> Magi
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 9 Nov 2004 13:42:42 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Stackhouse, Amy ." <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C662.40F71570"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4C662.40F71570
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hi,
=20
If you refer to the HSE New and Expectant Mothers guide for Employers =
that gives you all the information. Its on their website and can be =
downloaded.
=20
Hope this helps.
=20
Amy Stackhouse
Trainee Occupational Health Nurse

________________________________

From: Kath Griffiths [mailto:[log in to unmask]]
Sent: Tue 09/11/2004 12:38
To: [log in to unmask]
Subject:=20


Is there any guidance on  prolonged standing and /or working nights =
during  pregnancy? I seem to remember from the the distant past that =
expectant mothers shouldn't stand for more that 5 hours a day.=20
=20
Kath Griffiths
Occupational Health Manager
Freshfields Bruckhaus Deringer
65 Fleet Street
EC4Y 1HS
[log in to unmask]
0207  716 4024
07966 961 821

This email and any attachments is strictly confidential. Accordingly =
this email and its attachments should not be forwarded, reproduced or =
made available to any third party under any circumstances without prior =
consent from Occupational Health .  If you are not the intended =
recipient  please advise the sender immediately by reply email and =
delete the message and any attachments without reading, distributing or =
copying.

=20

This e-mail is confidential and may well also be legally privileged. If =
you have received it in error, you are on notice of its status. Please =
notify us immediately by reply e-mail and then delete this message from =
your system. Please do not copy it or use it for any purposes, or =
disclose its contents to any other person: to do so could be a breach of =
confidence. Thank you for your co-operation. Please contact our IT =
Helpdesk on +44 (0) 20 7936 4000 Ext.2000 or email =
[log in to unmask] if you need assistance.






~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C662.40F71570
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">=0A=
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">=0A=
<HTML><HEAD>=0A=
=0A=
=0A=
=0A=
<META content=3D"MSHTML 6.00.2800.1476" name=3DGENERATOR></HEAD>=0A=
<BODY>=0A=
<DIV id=3DidOWAReplyText60677 dir=3Dltr>=0A=
<DIV dir=3Dltr><FONT face=3DArial color=3D#000000 =
size=3D2>Hi,</FONT></DIV>=0A=
<DIV dir=3Dltr><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>=0A=
<DIV dir=3Dltr><FONT face=3DArial size=3D2>If you refer to the HSE New =
and Expectant =0A=
Mothers guide for Employers that gives you all the information. Its on =
their =0A=
website and can be downloaded.</FONT></DIV>=0A=
<DIV dir=3Dltr><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>=0A=
<DIV dir=3Dltr><FONT face=3DArial size=3D2>Hope this helps.</FONT></DIV>=0A=
<DIV dir=3Dltr><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>=0A=
<DIV dir=3Dltr><FONT face=3DArial size=3D2>Amy Stackhouse</FONT></DIV>=0A=
<DIV dir=3Dltr><FONT face=3DArial size=3D2>Trainee Occupational Health =0A=
Nurse</FONT></DIV></DIV>=0A=
<DIV dir=3Dltr><BR>=0A=
<HR tabIndex=3D-1>=0A=
<FONT face=3DTahoma size=3D2><B>From:</B> Kath Griffiths =0A=
[mailto:[log in to unmask]]<BR><B>Sent:</B> Tue 09/11/2004 =0A=
12:38<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =0A=
<BR></FONT><BR></DIV>=0A=
<DIV>=0A=
<DIV><FONT face=3DArial size=3D2><SPAN class=3D591523512-09112004>Is =
there any =0A=
guidance on&nbsp; prolonged standing and /or working nights during&nbsp; =0A=
pregnancy?&nbsp;I seem to remember&nbsp;from the&nbsp;the distant past =0A=
that&nbsp;expectant mothers shouldn't stand for more that 5 hours a =0A=
day.&nbsp;</SPAN></FONT></DIV>=0A=
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>=0A=
<DIV><FONT face=3DArial size=3D2>Kath Griffiths</FONT></DIV>=0A=
<DIV><FONT face=3DArial size=3D2>Occupational Health Manager</FONT></DIV>=0A=
<DIV><FONT face=3DArial size=3D2>Freshfields Bruckhaus =
Deringer</FONT></DIV>=0A=
<DIV><FONT face=3DArial size=3D2>65 Fleet Street</FONT></DIV>=0A=
<DIV><FONT face=3DArial size=3D2>EC4Y 1HS</FONT></DIV>=0A=
<DIV><FONT face=3DArial size=3D2><A =0A=
href=3D"mailto:[log in to unmask]">kath.griffiths@freshfields=
.com</A></FONT></DIV>=0A=
<DIV><FONT face=3DArial size=3D2>0207&nbsp; 716 4024</FONT></DIV>=0A=
<DIV><FONT face=3DArial size=3D2>07966 961 821</FONT></DIV>=0A=
<DIV>=0A=
<P><FONT face=3DArial color=3D#ff0000 size=3D1>This email and any =
attachments is =0A=
strictly confidential. Accordingly this email and its attachments should =
not be =0A=
forwarded, reproduced or made available to any third party under any =0A=
circumstances without prior consent from Occupational Health .&nbsp; If =
you are =0A=
not the intended recipient&nbsp; please advise the sender immediately by =
reply =0A=
email and delete the message and any attachments without reading, =
distributing =0A=
or copying.</FONT></P></DIV>=0A=
<DIV>&nbsp;</DIV></DIV></BODY></HTML>=0A=
=0A=
<P>This e-mail is confidential and may well also be legally privileged. =
If you have received it in error, you are on notice of its status.  =
Please notify us immediately by reply e-mail and then delete this =
message from your system.  Please do not copy it or use it for any =
purposes, or disclose its contents to any other person:  to do so could =
be a breach of confidence.  Thank you for your co-operation.  Please =
contact our IT Helpdesk on +44 (0) 20 7936 4000 Ext.2000 or email =
[log in to unmask] if you need assistance.<br>=0A=
<br>=0A=
<br>=0A=
<br>=0A=
<br>=0A=
</P>=0A=
~~~~~~~~~~~~~~~=0A=
Please remove this footer before replying.=0A=
<p>=0A=
For list archives and documents, go to=0A=
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=0A=
<p>=0A=
For jobs in Occupational Health, go to=0A=
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4C662.40F71570--
=========================================================================
Date:         Tue, 9 Nov 2004 15:20:28 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: text/plain; format=flowed; charset="iso-8859-1";
              reply-type=original
Content-Transfer-Encoding: 7bit

It worked first time for me - so it is correct - I just double clicked on it
and up came the TUC page with it on!

Greta


----- Original Message -----
From: "Tracie McKelvie" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, November 09, 2004 12:31 PM
Subject: Re: Stress & Riddor


> Hi Maudie
>
> I have tried all morning unsucessfully for this pp presentation on
> stress with the address you gave out. Could you re send to ensure that I
> am reading it right?
>
> Many thanks
>
> Tracie Mckelvie
> Occupational Health Nurse / Adviser
> Pembrokeshire College
> Merlins Bridge
> Haverfordwest
> Pembs.
> SA61 1SZ
>
> TEL: 01437 765247 Ext 393
> FAX: 01437 767279
> E-mail: [log in to unmask]
>
>
>>>> [log in to unmask] 11/08/04 08:18pm >>>
> A couple of listers have asked me for this so here it is
> http://www.tuc.org.uk/h_and_s/tuc-5771-f0.cfm
> Then click on as directed-it is a 354KB file
> Good Luck!
> Maudie
>
> ----- Original Message -----
> From: "Diane Davies" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Monday, November 08, 2004 3:39 PM
> Subject: Re: Stress & Riddor
>
>
>> Maudie
>> Where on the website is the good downloadable power point
> presentation of
>> stress. I've looked and cannot find anything.
>> Regards
>> Magi
>>
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.788 / Virus Database: 533 - Release Date: 01/11/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 9 Nov 2004 17:14:04 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Fw: EPINet
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0009_01C4C67F.83B37920"

This is a multi-part message in MIME format.

------=_NextPart_000_0009_01C4C67F.83B37920
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

EPINetFor those of you who wondered about EPINet below is an answer!!

Greta

----- Original Message -----=20
From: Watterson Linda=20
To: 'Greta Thornbory'=20
Cc: [log in to unmask]
Sent: Tuesday, November 09, 2004 4:51 PM
Subject: EPINet


Dear Greta,=20
Thanks for forwarding the enquiry about EPINet. The person colleagues =
need to contact is Summa Davies at BD:=20
[log in to unmask]
tel no. 01865 781609 or mobile 07860470316.=20
I do hope that is helpful, do come back to me if you have any problems.=20
I am not sure why the RCN said they couldn't help Debbie,  - if  she =
lets me know who she spoke to I'll make sure the information is lodged =
with them for future reference.

Best wishes=20
Linda=20

Linda Watterson=20
Senior Research and Development Fellow=20
Quality Improvement Programme=20
RCN Institute=20
Radcliffe Infirmary=20
Oxford=20
OX2 6HE=20
tel +44 (0)1865 228407=20
fax +44 (0)1865 246787=20
PA Maureen Thomson +44 (0)1865 228443=20

Mobile : 07739877251=20

[log in to unmask]
"working with healthcare professionals to improve the quality of patient =
care"=20





      =
-------------------------------------------------------------------------=
-------------------------------------------
      http://www.rcn.org.uk

      This email is confidential and intended solely for the use of the =
individual to=20
      whom it is addressed. Any views or opinions presented are solely =
those of=20
      the author and do not necessarily represent those of the Royal =
College of
      Nursing or any of its affiliates.

      If you are not the intended recipient be advised that you have =
received
      this email in error and that any use, dissemination, forwarding, =
printing or
      copying of this email is strictly prohibited.  If you have =
received this email in=20
      error please return it to the sender immediately.  The contents of =
this message
      may be legally privileged.

      Royal College of Nursing of the United Kingdom
      20 Cavendish Square
      London   W1G ORN
      Registered Charity Number: 276435
      Tel: +44 (0) 20 7409 3333
      Fax: +44 (0) 20 7647 3436


    =20




---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.788 / Virus Database: 533 - Release Date: 01/11/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_0009_01C4C67F.83B37920
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD><TITLE>EPINet</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dwindows-1252">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT size=3D2>For those of you who wondered about EPINet below is =
an=20
answer!!</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV style=3D"FONT: 10pt arial">----- Original Message -----=20
<DIV style=3D"BACKGROUND: #e4e4e4; font-color: black"><B>From:</B> <A=20
[log in to unmask]
href=3D"mailto:[log in to unmask]">Watterson Linda</A> </DIV>
<DIV><B>To:</B> <A [log in to unmask]
href=3D"mailto:[log in to unmask]">'Greta Thornbory'</A> </DIV>
<DIV><B>Cc:</B> <A [log in to unmask]
href=3D"mailto:[log in to unmask]">[log in to unmask]</=
A> </DIV>
<DIV><B>Sent:</B> Tuesday, November 09, 2004 4:51 PM</DIV>
<DIV><B>Subject:</B> EPINet</DIV></DIV>
<DIV><BR></DIV>
<P><FONT face=3DArial size=3D2>Dear Greta, </FONT><BR><FONT face=3DArial =
size=3D2>Thanks=20
for forwarding the enquiry about EPINet. The person colleagues need to =
contact=20
is Summa Davies at BD: </FONT><BR><FONT face=3Dsans-serif size=3D2><A=20
href=3D"mailto:[log in to unmask]">[log in to unmask]</A>=
</FONT>=20
<BR><FONT face=3Dsans-serif size=3D2>tel no. 01865 781609 or mobile=20
07860470316.</FONT><FONT face=3D"Times New Roman"> </FONT><BR><FONT=20
face=3D"Times New Roman">I do hope that is helpful, do come back to me =
if you have=20
any problems. </FONT><BR><FONT face=3D"Times New Roman">I am not sure =
why the RCN=20
said they couldn't help Debbie,&nbsp; - if&nbsp; she lets me know who =
she spoke=20
to I'll make sure the information is lodged with them for future=20
reference.</FONT></P>
<P><FONT face=3DArial size=3D2>Best wishes</FONT> <BR><I><FONT=20
face=3D"Baskerville Old Face" color=3D#008080 size=3D4>Linda</FONT></I> =
</P>
<P><FONT face=3DArial size=3D1>Linda Watterson</FONT> <BR><FONT =
face=3DArial=20
size=3D1>Senior Research and Development Fellow</FONT> <BR><FONT =
face=3DArial=20
size=3D1>Quality Improvement Programme</FONT> <BR><FONT face=3DArial =
size=3D1>RCN=20
Institute</FONT> <BR><FONT face=3DArial size=3D1>Radcliffe =
Infirmary</FONT>=20
<BR><FONT face=3DArial size=3D1>Oxford</FONT> <BR><FONT face=3DArial =
size=3D1>OX2=20
6HE</FONT> <BR><FONT face=3DArial size=3D1>tel +44 (0)1865 228407</FONT> =
<BR><FONT=20
face=3DArial size=3D1>fax +44 (0)1865 246787</FONT> <BR><FONT =
face=3DArial size=3D1>PA=20
Maureen Thomson +44 (0)1865 228443</FONT> </P>
<P><FONT face=3DArial size=3D1>Mobile : 07739877251</FONT> </P>
<P><B><FONT face=3DArial size=3D1>[log in to unmask]</FONT></B> =
<BR><I><FONT=20
face=3DArial color=3D#008080 size=3D1>"working with healthcare =
professionals to=20
improve the quality of patient care"</FONT></I> </P><BR><BR><BR>
<TABLE style=3D"COLOR: black" bgColor=3Dwhite>
  <TBODY>
  <TR>
    =
<TD><BR>-----------------------------------------------------------------=
---------------------------------------------------<BR>http://www.rcn.org=
.uk<BR><BR>This&nbsp;email&nbsp;is&nbsp;confidential&nbsp;and&nbsp;intend=
ed&nbsp;solely&nbsp;for&nbsp;the&nbsp;use&nbsp;of&nbsp;the&nbsp;individua=
l&nbsp;to&nbsp;<BR>whom&nbsp;it&nbsp;is&nbsp;addressed.&nbsp;Any&nbsp;vie=
ws&nbsp;or&nbsp;opinions&nbsp;presented&nbsp;are&nbsp;solely&nbsp;those&n=
bsp;of&nbsp;<BR>the&nbsp;author&nbsp;and&nbsp;do&nbsp;not&nbsp;necessaril=
y&nbsp;represent&nbsp;those&nbsp;of&nbsp;the&nbsp;Royal&nbsp;College&nbsp=
;of<BR>Nursing&nbsp;or&nbsp;any&nbsp;of&nbsp;its&nbsp;affiliates.<BR><BR>=
If&nbsp;you&nbsp;are&nbsp;not&nbsp;the&nbsp;intended&nbsp;recipient&nbsp;=
be&nbsp;advised&nbsp;that&nbsp;you&nbsp;have&nbsp;received<BR>this&nbsp;e=
mail&nbsp;in&nbsp;error&nbsp;and&nbsp;that&nbsp;any&nbsp;use,&nbsp;dissem=
ination,&nbsp;forwarding,&nbsp;printing&nbsp;or<BR>copying&nbsp;of&nbsp;t=
his&nbsp;email&nbsp;is&nbsp;strictly&nbsp;prohibited.&nbsp;&nbsp;If&nbsp;=
you&nbsp;have&nbsp;received&nbsp;this&nbsp;email&nbsp;in&nbsp;<BR>error&n=
bsp;please&nbsp;return&nbsp;it&nbsp;to&nbsp;the&nbsp;sender&nbsp;immediat=
ely.&nbsp;&nbsp;The&nbsp;contents&nbsp;of&nbsp;this&nbsp;message<BR>may&n=
bsp;be&nbsp;legally&nbsp;privileged.<BR><BR>Royal&nbsp;College&nbsp;of&nb=
sp;Nursing&nbsp;of&nbsp;the&nbsp;United&nbsp;Kingdom<BR>20&nbsp;Cavendish=
&nbsp;Square<BR>London&nbsp;&nbsp;&nbsp;W1G&nbsp;ORN<BR>Registered&nbsp;C=
harity&nbsp;Number:&nbsp;276435<BR>Tel:&nbsp;+44&nbsp;(0)&nbsp;20&nbsp;74=
09&nbsp;3333<BR>Fax:&nbsp;+44&nbsp;(0)&nbsp;20&nbsp;7647&nbsp;3436<BR><BR=
><BR></TD></TR></TBODY></TABLE>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV><FONT size=3D2><BR>---<BR>Outgoing mail is certified Virus =
Free.<BR>Checked=20
by AVG anti-virus system (<A=20
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.788 /=20
Virus Database: 533 - Release Date: =
01/11/2004</FONT></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0009_01C4C67F.83B37920--
=========================================================================
Date:         Tue, 9 Nov 2004 19:07:38 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Davies <[log in to unmask]>
Subject:      Re: Stress & Riddor
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

Hi Maudie
Thanks for your help. Much appreciated!
Regards
Magi

>From: mchardy <[log in to unmask]>
>Reply-To: Occupational Health mailing list <[log in to unmask]>
>To: [log in to unmask]
>Subject: Re: Stress & Riddor
>Date: Mon, 8 Nov 2004 20:18:18 -0000
>
>A couple of listers have asked me for this so here it is
>http://www.tuc.org.uk/h_and_s/tuc-5771-f0.cfm
>  Then click on as directed-it is a 354KB file
>Good Luck!
>Maudie
>
>----- Original Message -----
>From: "Diane Davies" <[log in to unmask]>
>To: <[log in to unmask]>
>Sent: Monday, November 08, 2004 3:39 PM
>Subject: Re: Stress & Riddor
>
>
> > Maudie
> > Where on the website is the good downloadable power point presentation
>of
> > stress. I've looked and cannot find anything.
> > Regards
> > Magi
> >
>
>~~~~~~~~~~~~~~~
>Please remove this footer before replying.
>
>For list archives and documents, go to
>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
>For jobs in Occupational Health, go to
>http://uk.groups.yahoo.com/group/OHJobs/

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 10 Nov 2004 07:39:01 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Darcy <[log in to unmask]>
Subject:      Re: Fw: EPINet
Comments: To: [log in to unmask]
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Dear all,

I've already arranged installation of the new EPINet. Summa Davies is
very helpful indeed and is looking forward to receiving more
requests!!!

Becton Dickson will install the software on standalone PCs or on a
network at no cost and with no significant waiting period.

I'd be interested to hear how those who already use it find it
especially for report writing/ statistics etc.

Regards

Paul



Paul D'Arcy,
Occupational Health Manager (Acting)

Occupational Health
Hammersmith Hospital

Developing And Supporting People To Make Healthcare Better

Direct Line  020 8383 1024
Internal Ext 31024



*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Hammersmith Hospitals NHS Trust on 020 8746 1000 and ask for the person who sent you the email. Please also delete the message from your computer.

**
*

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 10 Nov 2004 09:22:08 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Stress & Riddor
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

I have it now, thanks

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/09/04 03:20pm >>>
It worked first time for me - so it is correct - I just double clicked
on it
and up came the TUC page with it on!

Greta


----- Original Message -----
From: "Tracie McKelvie" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, November 09, 2004 12:31 PM
Subject: Re: Stress & Riddor


> Hi Maudie
>
> I have tried all morning unsucessfully for this pp presentation on
> stress with the address you gave out. Could you re send to ensure
that I
> am reading it right?
>
> Many thanks
>
> Tracie Mckelvie
> Occupational Health Nurse / Adviser
> Pembrokeshire College
> Merlins Bridge
> Haverfordwest
> Pembs.
> SA61 1SZ
>
> TEL: 01437 765247 Ext 393
> FAX: 01437 767279
> E-mail: [log in to unmask]
>
>
>>>> [log in to unmask] 11/08/04 08:18pm >>>
> A couple of listers have asked me for this so here it is
> http://www.tuc.org.uk/h_and_s/tuc-5771-f0.cfm
> Then click on as directed-it is a 354KB file
> Good Luck!
> Maudie
>
> ----- Original Message -----
> From: "Diane Davies" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Monday, November 08, 2004 3:39 PM
> Subject: Re: Stress & Riddor
>
>
>> Maudie
>> Where on the website is the good downloadable power point
> presentation of
>> stress. I've looked and cannot find anything.
>> Regards
>> Magi
>>
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.788 / Virus Database: 533 - Release Date: 01/11/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 10 Nov 2004 09:31:00 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Catherine Wood <[log in to unmask]>
Subject:      Re: Stress & Riddor
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Bed and Breakfast!!!

Cath

>>> [log in to unmask] 10/11/2004 09:22:08 >>>
I have it now, thanks

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/09/04 03:20pm >>>
It worked first time for me - so it is correct - I just double clicked
on it
and up came the TUC page with it on!

Greta


----- Original Message -----
From: "Tracie McKelvie" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, November 09, 2004 12:31 PM
Subject: Re: Stress & Riddor


> Hi Maudie
>
> I have tried all morning unsucessfully for this pp presentation on
> stress with the address you gave out. Could you re send to ensure
that I
> am reading it right?
>
> Many thanks
>
> Tracie Mckelvie
> Occupational Health Nurse / Adviser
> Pembrokeshire College
> Merlins Bridge
> Haverfordwest
> Pembs.
> SA61 1SZ
>
> TEL: 01437 765247 Ext 393
> FAX: 01437 767279
> E-mail: [log in to unmask]
>
>
>>>> [log in to unmask] 11/08/04 08:18pm >>>
> A couple of listers have asked me for this so here it is
> http://www.tuc.org.uk/h_and_s/tuc-5771-f0.cfm
> Then click on as directed-it is a 354KB file
> Good Luck!
> Maudie
>
> ----- Original Message -----
> From: "Diane Davies" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Monday, November 08, 2004 3:39 PM
> Subject: Re: Stress & Riddor
>
>
>> Maudie
>> Where on the website is the good downloadable power point
> presentation of
>> stress. I've looked and cannot find anything.
>> Regards
>> Magi
>>
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.788 / Virus Database: 533 - Release Date: 01/11/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 10 Nov 2004 09:36:11 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Stress & Riddor
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

oh right. Yes I hope to be there as does Fiona.



Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/10/04 09:31am >>>
Bed and Breakfast!!!

Cath

>>> [log in to unmask] 10/11/2004 09:22:08 >>>
I have it now, thanks

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/09/04 03:20pm >>>
It worked first time for me - so it is correct - I just double clicked
on it
and up came the TUC page with it on!

Greta


----- Original Message -----
From: "Tracie McKelvie" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, November 09, 2004 12:31 PM
Subject: Re: Stress & Riddor


> Hi Maudie
>
> I have tried all morning unsucessfully for this pp presentation on
> stress with the address you gave out. Could you re send to ensure
that I
> am reading it right?
>
> Many thanks
>
> Tracie Mckelvie
> Occupational Health Nurse / Adviser
> Pembrokeshire College
> Merlins Bridge
> Haverfordwest
> Pembs.
> SA61 1SZ
>
> TEL: 01437 765247 Ext 393
> FAX: 01437 767279
> E-mail: [log in to unmask]
>
>
>>>> [log in to unmask] 11/08/04 08:18pm >>>
> A couple of listers have asked me for this so here it is
> http://www.tuc.org.uk/h_and_s/tuc-5771-f0.cfm
> Then click on as directed-it is a 354KB file
> Good Luck!
> Maudie
>
> ----- Original Message -----
> From: "Diane Davies" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Monday, November 08, 2004 3:39 PM
> Subject: Re: Stress & Riddor
>
>
>> Maudie
>> Where on the website is the good downloadable power point
> presentation of
>> stress. I've looked and cannot find anything.
>> Regards
>> Magi
>>
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.788 / Virus Database: 533 - Release Date: 01/11/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 10 Nov 2004 11:33:50 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         joan Twigger <[log in to unmask]>
Subject:      Shingles
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII

I am sure this question has been asked before but how long are employees or
work mates at risk from contracting chicken pox  ( If they have never had
the illness) from someone newly diagnosed with shingles.

Thanks in anticipation.

Joan

Joan Twigger
Occupational Health Advisor
3M Healthcare Limited
Tel:  01509 613720
Fax:  01509 613065
e-mail [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 10 Nov 2004 12:26:26 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sara Werry <[log in to unmask]>
Subject:      Re: Shingles
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit

Hi

Local policy for healthcare workers is that somebody could potentially
be infectious from the 8th to 21st day after a positive contact (it used
to be 10-21 days).

Hope useful
Sara



Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579


-----Original Message-----
From: joan Twigger [mailto:[log in to unmask]]
Sent: 10 November 2004 11:34
To: [log in to unmask]
Subject: Shingles


I am sure this question has been asked before but how long are employees
or work mates at risk from contracting chicken pox  ( If they have never
had the illness) from someone newly diagnosed with shingles.

Thanks in anticipation.

Joan

Joan Twigger
Occupational Health Advisor
3M Healthcare Limited
Tel:  01509 613720
Fax:  01509 613065
e-mail [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 10 Nov 2004 12:36:50 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Porter Suzanne <[log in to unmask]>
Subject:      Sick Notes
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C721.F33072DC"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4C721.F33072DC
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Has anybody read the summary at the end of the NHS Agreement with GP =
Practices where the clause about sick certificates is? It seems that =
they are ceasing issuing sick certs from 2006 and I am wondering if =
anybody has put together any proposals for their organisation to monitor =
absences previously covered by GP sick notes?=20

Many thanks
Su Porter
Senior Occupational Health Nurse Advisor (Healthcare)
Isle of Wight Healthcare NHS Trust
01983 534209 / 4884
[log in to unmask]



~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C721.F33072DC
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version =
6.0.6487.1">
<TITLE>Sick Notes</TITLE>
</HEAD>
<BODY>
<!-- Converted from text/rtf format -->

<P><FONT SIZE=3D2 FACE=3D"Arial">Has anybody read the summary at the end =
of the NHS Agreement with GP Practices where the clause about sick =
certificates is? It seems that they are ceasing issuing sick certs from =
2006 and I am wondering if anybody has put together any proposals for =
their organisation to monitor absences previously covered by GP sick =
notes? </FONT></P>

<P><FONT SIZE=3D2 FACE=3D"Arial">Many thanks</FONT>

<BR><B><FONT COLOR=3D"#FF00FF" SIZE=3D4 FACE=3D"Arial">Su =
Porter</FONT></B>

<BR><I><FONT COLOR=3D"#00FF00" SIZE=3D2 FACE=3D"Arial">Senior =
Occupational Health Nurse Advisor (Healthcare)</FONT></I>

<BR><FONT COLOR=3D"#00FF00" SIZE=3D2 FACE=3D"Arial">Isle of Wight =
Healthcare NHS Trust</FONT>

<BR><FONT COLOR=3D"#0000FF" SIZE=3D2 FACE=3D"Arial">01983 534209 / =
4884</FONT>

<BR><B><FONT COLOR=3D"#FF0000" SIZE=3D2 =
FACE=3D"Arial">[log in to unmask]</FONT></B>
</P>
<BR>

</BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4C721.F33072DC--
=========================================================================
Date:         Wed, 10 Nov 2004 16:13:18 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         heather bearpark <[log in to unmask]>
Subject:      Vaccination updates
Mime-Version: 1.0
Content-Type: text/html

<html><div style='background-color:'>Please can anyone advise on any vaccination / immunisation update course providers&nbsp;in the north (yorks, lancs or manchester).<BR><BR><BR>
<DIV>
<DIV>Regards </DIV>Heather Bearpark </DIV></div></html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 10 Nov 2004 16:27:11 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Bonser Julia <[log in to unmask]>
Subject:      Re: Shingles
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

When I had an employee diagnosed with shingles I phoned NHS direct they
stated that as long as others are not coming into contact with the
pus/discharge there is no risk. Not sure about chicken pox

Julia

-----Original Message-----
From: joan Twigger [mailto:[log in to unmask]]
Sent: Wednesday, November 10, 2004 11:34 AM
To: [log in to unmask]
Subject: Shingles


I am sure this question has been asked before but how long are employees or
work mates at risk from contracting chicken pox  ( If they have never had
the illness) from someone newly diagnosed with shingles.

Thanks in anticipation.

Joan

Joan Twigger
Occupational Health Advisor
3M Healthcare Limited
Tel:  01509 613720
Fax:  01509 613065
e-mail [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


***********************************************************************************
The information in this E-mail is strictly confidential, is intended solely for the named recipient and may be privileged.  If you are not the intended recipient, you must not read, copy, distribute or take any action based on this transmission.
***********************************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 10 Nov 2004 16:59:34 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Shingles
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0008_01C4C746.A763CBF0"

This is a multi-part message in MIME format.

------=_NextPart_000_0008_01C4C746.A763CBF0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

As I understand it you can't catch shingles (Herpes Zoster) from someone =
who has it. But anyone who has not had chickenpox and is exposed to =
shingles may develop chickenpox, because both diseases are caused by the =
same (? similar) virus. However, you do have to have direct contact with =
the shingles blisters to catch the pox. So anyone who has not had =
chicken pox is at risk if they are in direct contact.=20

So, providing it is covered so there is no direct contact and personal =
hygiene is good there should be no problem. Having said that in my =
experience you should restrict anyone from  working with autoimmune =
people - just in case. Chicken pox is infectious from 3 days before the =
spots appear until they have all scabbed over - how on earth you know =
before the spots appear I have no idea!!!!

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


----- Original Message -----=20
From: "Bonser Julia" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, November 10, 2004 4:27 PM
Subject: Re: Shingles


> When I had an employee diagnosed with shingles I phoned NHS direct =
they
> stated that as long as others are not coming into contact with the
> pus/discharge there is no risk. Not sure about chicken pox
>=20
> Julia
>=20
> -----Original Message-----
> From: joan Twigger [mailto:[log in to unmask]]
> Sent: Wednesday, November 10, 2004 11:34 AM
> To: [log in to unmask]
> Subject: Shingles
>=20
>=20
> I am sure this question has been asked before but how long are =
employees or
> work mates at risk from contracting chicken pox  ( If they have never =
had
> the illness) from someone newly diagnosed with shingles.
>=20
> Thanks in anticipation.
>=20
> Joan
>=20
> Joan Twigger
> Occupational Health Advisor
> 3M Healthcare Limited
> Tel:  01509 613720
> Fax:  01509 613065
> e-mail [log in to unmask]
>=20
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>=20
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>=20
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>=20
>=20
> =
*************************************************************************=
**********
> The information in this E-mail is strictly confidential, is intended =
solely for the named recipient and may be privileged.  If you are not =
the intended recipient, you must not read, copy, distribute or take any =
action based on this transmission.
> =
*************************************************************************=
**********
>=20
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>=20
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>=20
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.788 / Virus Database: 533 - Release Date: 01/11/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_0008_01C4C746.A763CBF0
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY>
<DIV><FONT size=3D2>As I understand it you can't catch shingles (Herpes =
Zoster)=20
from someone who has it. But anyone who has not had chickenpox and is =
exposed to=20
shingles may develop chickenpox, because both diseases are caused by the =
same (?=20
similar)&nbsp;virus. However, you do have to have direct contact with =
the=20
shingles blisters to catch the pox. So anyone who has not had chicken =
pox is at=20
risk if they are in direct contact. </FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>So, providing it is covered so there is no direct =
contact and=20
personal hygiene is good there should be no problem. Having said that in =
my=20
experience you should restrict anyone from &nbsp;working with autoimmune =
people=20
- just in case. Chicken pox is infectious from 3 days before the spots =
appear=20
until they have all scabbed over - how on earth you know before the =
spots appear=20
I have no idea!!!!</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta Thornbory<BR>Consultant, Occupational Health =
&amp;=20
Education<BR>Consultant Editor, OH Journal<BR><A=20
href=3D"http://www.gtenterprises-uk.com">www.gtenterprises-uk.com</A><BR>=
Tel:=20
01235 770156<BR>Mob: 07778 518 027</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>----- Original Message ----- </FONT>
<DIV><FONT size=3D2>From: "Bonser Julia" &lt;</FONT><A=20
href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><FONT=20
size=3D2>&gt;</FONT></DIV>
<DIV><FONT size=3D2>To: &lt;</FONT><A=20
href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
<DIV><FONT size=3D2>Sent: Wednesday, November 10, 2004 4:27 =
PM</FONT></DIV>
<DIV><FONT size=3D2>Subject: Re: Shingles</FONT></DIV></DIV>
<DIV><FONT size=3D2><BR></FONT></DIV>
<DIV><FONT size=3D2>&gt; When I had an employee diagnosed with shingles =
I phoned=20
NHS direct they<BR>&gt; stated that as long as others are not coming =
into=20
contact with the<BR>&gt; pus/discharge there is no risk. Not sure about =
chicken=20
pox<BR>&gt; <BR>&gt; Julia<BR>&gt; <BR>&gt; -----Original =
Message-----<BR>&gt;=20
From: joan Twigger [mailto:[log in to unmask]]<BR>&gt; Sent: Wednesday, =
November=20
10, 2004 11:34 AM<BR>&gt; To: </FONT><A=20
href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><BR><FONT size=3D2>&gt; =
Subject:=20
Shingles<BR>&gt; <BR>&gt; <BR>&gt; I am sure this question has been =
asked before=20
but how long are employees or<BR>&gt; work mates at risk from =
contracting=20
chicken pox&nbsp; ( If they have never had<BR>&gt; the illness) from =
someone=20
newly diagnosed with shingles.<BR>&gt; <BR>&gt; Thanks in =
anticipation.<BR>&gt;=20
<BR>&gt; Joan<BR>&gt; <BR>&gt; Joan Twigger<BR>&gt; Occupational Health=20
Advisor<BR>&gt; 3M Healthcare Limited<BR>&gt; Tel:&nbsp; 01509 =
613720<BR>&gt;=20
Fax:&nbsp; 01509 613065<BR>&gt; e-mail </FONT><A=20
href=3D"mailto:[log in to unmask]"><FONT =
size=3D2>[log in to unmask]</FONT></A><BR><FONT=20
size=3D2>&gt; <BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove this footer =
before=20
replying.<BR>&gt; <BR>&gt; For list archives and documents, go =
to<BR>&gt;=20
</FONT><A href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT =

size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =
size=3D2>=20
for list archives<BR>&gt; <BR>&gt; For jobs in Occupational Health, go=20
to<BR>&gt; </FONT><A =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><BR><FONT =
size=3D2>&gt;=20
<BR>&gt; <BR>&gt;=20
*************************************************************************=
**********<BR>&gt;=20
The information in this E-mail is strictly confidential, is intended =
solely for=20
the named recipient and may be privileged.&nbsp; If you are not the =
intended=20
recipient, you must not read, copy, distribute or take any action based =
on this=20
transmission.<BR>&gt;=20
*************************************************************************=
**********<BR>&gt;=20
<BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove this footer before=20
replying.<BR>&gt; <BR>&gt; For list archives and documents, go =
to<BR>&gt;=20
</FONT><A href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT =

size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =
size=3D2>=20
for list archives<BR>&gt; <BR>&gt; For jobs in Occupational Health, go=20
to<BR>&gt; </FONT><A =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT =
color=3D#0000ff=20
size=3D2></FONT></U></DIV>
<DIV>&nbsp;</DIV>
<DIV><U><FONT color=3D#0000ff size=3D2><BR>---<BR>Outgoing mail is =
certified Virus=20
Free.<BR>Checked by AVG anti-virus system (<A=20
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.788 /=20
Virus Database: 533 - Release Date: =
01/11/2004</FONT></U></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0008_01C4C746.A763CBF0--
=========================================================================
Date:         Wed, 10 Nov 2004 16:55:27 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sara Werry <[log in to unmask]>
Subject:      Re: Shingles
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit

Apologies for previous response I misunderstood the question!! And was
referring to potential infectivity period after a significant exposure
for  someone not immune to VZV...

Sara



Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579


-----Original Message-----
From: Sara Werry [mailto:[log in to unmask]]
Sent: 10 November 2004 12:26
To: 'Occupational Health mailing list'
Subject: RE: Shingles


Hi

Local policy for healthcare workers is that somebody could potentially
be infectious from the 8th to 21st day after a positive contact (it used
to be 10-21 days).

Hope useful
Sara



Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579


-----Original Message-----
From: joan Twigger [mailto:[log in to unmask]]
Sent: 10 November 2004 11:34
To: [log in to unmask]
Subject: Shingles


I am sure this question has been asked before but how long are employees
or work mates at risk from contracting chicken pox  ( If they have never
had the illness) from someone newly diagnosed with shingles.

Thanks in anticipation.

Joan

Joan Twigger
Occupational Health Advisor
3M Healthcare Limited
Tel:  01509 613720
Fax:  01509 613065
e-mail [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 10 Nov 2004 17:01:55 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         heather bearpark <[log in to unmask]>
Subject:      Re: Shingles
Mime-Version: 1.0
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<html><div style=3D'background-color:'><P>
<TABLE style=3D"BORDER-RIGHT: medium none; BORDER-TOP: medium none; BORDE=
R-LEFT: medium none; BORDER-BOTTOM: medium none; BORDER-COLLAPSE: collaps=
e; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm =
5.4pt" cellSpacing=3D0 cellPadding=3D0 border=3D1>
<TBODY>
<TR>
<TD style=3D"BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; =
BORDER-TOP: windowtext 0.5pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: =
0cm; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 106.5pt; PADDING-TOP: 0c=
m; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent" =
vAlign=3Dtop width=3D142>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt"><STRONG>Illness<=
/STRONG></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt"></SPAN>&nbsp;</P=
>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt"></SPAN>&nbsp;</P=
>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt">Shingles<?xml:na=
mespace prefix =3D o ns =3D "urn:schemas-microsoft-com:office:office" /><=
o:p></o:p></SPAN></P></TD>
<TD style=3D"BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; =
BORDER-TOP: windowtext 0.5pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: =
0cm; BORDER-LEFT: #d4d0c8; WIDTH: 106.5pt; PADDING-TOP: 0cm; BORDER-BOTTO=
M: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent; mso-border-left=
-alt: solid windowtext .5pt" vAlign=3Dtop width=3D142>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt"><STRONG>Incubati=
on</STRONG></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt"></SPAN>&nbsp;</P=
>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt"></SPAN>&nbsp;</P=
>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt">13 =96 17 days<o=
:p></o:p></SPAN></P></TD>
<TD style=3D"BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; =
BORDER-TOP: windowtext 0.5pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: =
0cm; BORDER-LEFT: #d4d0c8; WIDTH: 106.55pt; PADDING-TOP: 0cm; BORDER-BOTT=
OM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent; mso-border-lef=
t-alt: solid windowtext .5pt" vAlign=3Dtop width=3D142>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt"><STRONG>Means of=
 transmission</STRONG></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt"></SPAN>&nbsp;</P=
>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt">Person to person=
 contact with blister fluid</SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPA=
N>&nbsp;</P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt">Person to articl=
e to person contact with blister fluid.<o:p></o:p></SPAN></P></TD>
<TD style=3D"BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; =
BORDER-TOP: windowtext 0.5pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: =
0cm; BORDER-LEFT: #d4d0c8; WIDTH: 405.85pt; PADDING-TOP: 0cm; BORDER-BOTT=
OM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent; mso-border-lef=
t-alt: solid windowtext .5pt" vAlign=3Dtop width=3D541>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt"><STRONG>Guidance=
 on work restrictions / other advice</STRONG></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt"></SPAN>&nbsp;</P=
>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt">Only occurs wher=
e there has been history of Chicken pox.<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt">&nbsp;<o:p></o:p=
></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt">If well enough t=
o work keep blisters covered by clothing.<SPAN style=3D"mso-spacerun: yes=
">&nbsp; </SPAN><o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt">&nbsp;<o:p></o:p=
></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt">Facial shingles =
=96 stay off work until blisters dry.<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt">&nbsp;<o:p></o:p=
></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt">Seek advice from=
 GP re treatment.<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN><o:p></o=
:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt">Pregnant women i=
n contact with c pox / shingles =96 consult with GP</SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPA=
N>&nbsp;</P>
<P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><SPAN style=3D"FONT-SI=
ZE: 9pt; FONT-FAMILY: Arial; mso-bidi-font-size: 12.0pt">Seek advice from=
 OH if in doubt.<o:p></o:p></SPAN></P></TD></TR></TBODY></TABLE><BR>In th=
eory they should be OK if not touching the lesions or contaminated items.=
<BR></P><BR><BR><BR>
<DIV>
<DIV>Regards </DIV>Heather Bearpark </DIV></div></html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 10 Nov 2004 16:41:32 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jane L Pitt <[log in to unmask]>
Organization: University of Manchester
Subject:      Re: Vaccination updates
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7BIT

Dr David Baxter at Stepping Hill does a vaccs update course and
its very good.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 10 Nov 2004 20:30:25 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Gibson, Pauline (UK)" <[log in to unmask]>
Subject:      Re: Vaccination updates
MIME-version: 1.0
Content-type: text/plain; charset="iso-8859-1"
Content-transfer-encoding: quoted-printable

Hi Heather,
If you find out who your local  vaccine rep for Glaxo Smithkline vaccines=
 or Aventis Pasteur MSD is they have free vaccine updates and study dates.=
 The number for Glaxo is 0208-990-9000, they also have an online=
 service.AVENTIS PASTEUR is 01628785291
Regards
Pauline

-----Original Message-----
From: heather bearpark [mailto:[log in to unmask]]
Sent: 10 November 2004 16:13
To: [log in to unmask]
Subject: Vaccination updates


               *** WARNING ***

This mail has originated outside your organization,
either from an external partner or the Global Internet.=0D
     Keep this in mind if you answer this message.=0D

********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 11 Nov 2004 10:17:39 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Muir, Jackie" <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

I've also managed to get into the presentation which is quite long. But I
was not able to print it.

Jackie

-----Original Message-----
From: Greta Thornbory [mailto:[log in to unmask]]
Sent: 09 November 2004 15:20
To: [log in to unmask]
Subject: Re: Stress & Riddor


It worked first time for me - so it is correct - I just double clicked on it
and up came the TUC page with it on!

Greta


----- Original Message -----
From: "Tracie McKelvie" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, November 09, 2004 12:31 PM
Subject: Re: Stress & Riddor


> Hi Maudie
>
> I have tried all morning unsucessfully for this pp presentation on
> stress with the address you gave out. Could you re send to ensure that I
> am reading it right?
>
> Many thanks
>
> Tracie Mckelvie
> Occupational Health Nurse / Adviser
> Pembrokeshire College
> Merlins Bridge
> Haverfordwest
> Pembs.
> SA61 1SZ
>
> TEL: 01437 765247 Ext 393
> FAX: 01437 767279
> E-mail: [log in to unmask]
>
>
>>>> [log in to unmask] 11/08/04 08:18pm >>>
> A couple of listers have asked me for this so here it is
> http://www.tuc.org.uk/h_and_s/tuc-5771-f0.cfm
> Then click on as directed-it is a 354KB file
> Good Luck!
> Maudie
>
> ----- Original Message -----
> From: "Diane Davies" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Monday, November 08, 2004 3:39 PM
> Subject: Re: Stress & Riddor
>
>
>> Maudie
>> Where on the website is the good downloadable power point
> presentation of
>> stress. I've looked and cannot find anything.
>> Regards
>> Magi
>>
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.788 / Virus Database: 533 - Release Date: 01/11/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


.sophos.3.86.10.05.


Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 11 Nov 2004 10:23:10 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Angela Southworth <[log in to unmask]>
Subject:      Re: Fw: EPINet
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

Hi,
Could someone let me know more about this EPINet product and how we go
about ordering it.
Thanks

Angela Southworth
OCCUPATIONAL HEALTH

Ext: 1294



             Paul Darcy
             <[log in to unmask]>
                                                                        To
             10/11/04 07:39            [log in to unmask]
                                                                        cc

             Please respond to                                     Subject
               Occupational            Re: Fw: EPINet
              Health mailing
                   list
             <OCC-HEALTH@JISCM
                AIL.AC.UK>






Dear all,

I've already arranged installation of the new EPINet. Summa Davies is
very helpful indeed and is looking forward to receiving more
requests!!!

Becton Dickson will install the software on standalone PCs or on a
network at no cost and with no significant waiting period.

I'd be interested to hear how those who already use it find it
especially for report writing/ statistics etc.

Regards

Paul



Paul D'Arcy,
Occupational Health Manager (Acting)

Occupational Health
Hammersmith Hospital

Developing And Supporting People To Make Healthcare Better

Direct Line  020 8383 1024
Internal Ext 31024



*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of the
e-mail address to which it is addressed and may also be privileged. If you
are not the addressee of this e-mail you may not copy, forward, disclose or
otherwise use it in any form whatsoever. If you have received this e-mail
in error please telephone the Hammersmith Hospitals NHS Trust on 020 8746
1000 and ask for the person who sent you the email. Please also delete the
message from your computer.

**
*

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/




**********************************************************************
This email and any files transmitted with it are confidential to Polyflor 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 Polyflor System Manager at [log in to unmask]

This e-mail has been checked for viruses using Sophos Anti-Virus.

www.polyflor.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 11 Nov 2004 10:39:35 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Darcy <[log in to unmask]>
Subject:      Re: Fw: EPINet
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Dear Angela (and list)

EPINet is software that allows you to record and analyse needlestick
injury data.  It is primarily aimed at those exposed to human blood/
body fluids but I think can be adapted to other sharps injuries.

The link below is for the safer needles network and contains details of
EPINet (and a Powerpoint presentation).

http://www.needlestickforum.co.uk/

Best wishes



Paul D'Arcy,
Occupational Health Manager (Acting)

Occupational Health
Hammersmith Hospital

Developing And Supporting People To Make Healthcare Better

Direct Line  020 8383 1024
Internal Ext 31024


>>> [log in to unmask] 11/11/2004 >>>
Hi,
Could someone let me know more about this EPINet product and how we go
about ordering it.
Thanks

Angela Southworth
OCCUPATIONAL HEALTH

Ext: 1294



             Paul Darcy
             <[log in to unmask]>

To
             10/11/04 07:39            [log in to unmask]

cc

             Please respond to
Subject
               Occupational            Re: Fw: EPINet
              Health mailing
                   list
             <OCC-HEALTH@JISCM
                AIL.AC.UK>






Dear all,

I've already arranged installation of the new EPINet. Summa Davies is
very helpful indeed and is looking forward to receiving more
requests!!!

Becton Dickson will install the software on standalone PCs or on a
network at no cost and with no significant waiting period.

I'd be interested to hear how those who already use it find it
especially for report writing/ statistics etc.

Regards

Paul



Paul D'Arcy,
Occupational Health Manager (Acting)

Occupational Health
Hammersmith Hospital

Developing And Supporting People To Make Healthcare Better

Direct Line  020 8383 1024
Internal Ext 31024



*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of
the
e-mail address to which it is addressed and may also be privileged. If
you
are not the addressee of this e-mail you may not copy, forward,
disclose or
otherwise use it in any form whatsoever. If you have received this
e-mail
in error please telephone the Hammersmith Hospitals NHS Trust on 020
8746
1000 and ask for the person who sent you the email. Please also delete
the
message from your computer.

**
*

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/




**********************************************************************
This email and any files transmitted with it are confidential to
Polyflor 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 Polyflor System Manager at [log in to unmask]

This e-mail has been checked for viruses using Sophos Anti-Virus.

www.polyflor.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Hammersmith Hospitals NHS Trust on 020 8746 1000 and ask for the person who sent you the email. Please also delete the message from your computer.

**
*

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 11 Nov 2004 10:44:33 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Angela Southworth <[log in to unmask]>
Subject:      Re: Fw: EPINet
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

Thanks
Angela Southworth
OCCUPATIONAL HEALTH

Ext: 1294



             Paul Darcy
             <[log in to unmask]>
                                                                        To
             11/11/04 10:39            [log in to unmask]
                                                                        cc

             Please respond to                                     Subject
               Occupational            Re: Fw: EPINet
              Health mailing
                   list
             <OCC-HEALTH@JISCM
                AIL.AC.UK>






Dear Angela (and list)

EPINet is software that allows you to record and analyse needlestick
injury data.  It is primarily aimed at those exposed to human blood/
body fluids but I think can be adapted to other sharps injuries.

The link below is for the safer needles network and contains details of
EPINet (and a Powerpoint presentation).

http://www.needlestickforum.co.uk/

Best wishes



Paul D'Arcy,
Occupational Health Manager (Acting)

Occupational Health
Hammersmith Hospital

Developing And Supporting People To Make Healthcare Better

Direct Line  020 8383 1024
Internal Ext 31024


>>> [log in to unmask] 11/11/2004 >>>
Hi,
Could someone let me know more about this EPINet product and how we go
about ordering it.
Thanks

Angela Southworth
OCCUPATIONAL HEALTH

Ext: 1294



             Paul Darcy
             <[log in to unmask]>

To
             10/11/04 07:39            [log in to unmask]

cc

             Please respond to
Subject
               Occupational            Re: Fw: EPINet
              Health mailing
                   list
             <OCC-HEALTH@JISCM
                AIL.AC.UK>






Dear all,

I've already arranged installation of the new EPINet. Summa Davies is
very helpful indeed and is looking forward to receiving more
requests!!!

Becton Dickson will install the software on standalone PCs or on a
network at no cost and with no significant waiting period.

I'd be interested to hear how those who already use it find it
especially for report writing/ statistics etc.

Regards

Paul



Paul D'Arcy,
Occupational Health Manager (Acting)

Occupational Health
Hammersmith Hospital

Developing And Supporting People To Make Healthcare Better

Direct Line  020 8383 1024
Internal Ext 31024



*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of
the
e-mail address to which it is addressed and may also be privileged. If
you
are not the addressee of this e-mail you may not copy, forward,
disclose or
otherwise use it in any form whatsoever. If you have received this
e-mail
in error please telephone the Hammersmith Hospitals NHS Trust on 020
8746
1000 and ask for the person who sent you the email. Please also delete
the
message from your computer.

**
*

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/




**********************************************************************
This email and any files transmitted with it are confidential to
Polyflor 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 Polyflor System Manager at [log in to unmask]

This e-mail has been checked for viruses using Sophos Anti-Virus.

www.polyflor.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of the
e-mail address to which it is addressed and may also be privileged. If you
are not the addressee of this e-mail you may not copy, forward, disclose or
otherwise use it in any form whatsoever. If you have received this e-mail
in error please telephone the Hammersmith Hospitals NHS Trust on 020 8746
1000 and ask for the person who sent you the email. Please also delete the
message from your computer.

**
*

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/




**********************************************************************
This email and any files transmitted with it are confidential to Polyflor 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 Polyflor System Manager at [log in to unmask]

This e-mail has been checked for viruses using Sophos Anti-Virus.

www.polyflor.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 11 Nov 2004 13:30:56 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         JOSEPH BUGGY <[log in to unmask]>
Subject:      EPINET
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: quoted-printable
Content-Disposition: inline

Re Epinet

try.....

www.eucomed.be/docs/ UK%206%20Month%20EPInet%20Presentation.pdf=20

for sample presentation of the product

Also Nursing Times article "Monitoring Sharps Injuries: EPINET surveillance=
 results" Sept 29/ vol19/ no3/ 2004

Joseph Buggy
Occupational Health Advisor
QEQMH
East Kent Hospitals NHS Trust
01843-234478 Direct
0r 01843-225544 Ext 62301
[log in to unmask]



**********************************************************************
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.
Any views or opinions presented are solely those of the author and do=20
not necessarily represent those of East Kent Hospitals NHS Trust.  If
you are not the intended recipient, be advised that you have received
this email in error and that any use, dissemination, forwarding, printing
or copying of this email is strictly prohibited.

If you have received this email in error please notify the system
manager at the following email address: [log in to unmask]

www.kentandmedway.nhs.uk

This footnote also confirms that although this email message has been
swept by MIMEsweeper for the presence of computer viruses, it is strongly r=
ecommended that you carry out your own virus scan of this
message and any attachments.

www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 11 Nov 2004 13:37:14 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Baldwin Chris (RFF) Occupational Health Nurse Advisor"
              <[log in to unmask]>
Subject:      drivers medical
MIME-Version: 1.0
Content-Type: text/plain;charset="iso-8859-1"

We are currently working on our Occupational Health Policy inc. medical
screening for  trust drivers excluding "professional" drivers such as
ambulance crew.  I would be grateful for the chance to look at colleagues
examples of their policy or sharing of procedure for their minibus ( patient
carrying) light goods vehicle for hospital supplies, truck and tug, fork
lift etc.

thanks you

Chris Baldwin
This e-mail is confidential and privileged.  If you are not the intended recipient please accept our apologies; please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful.  Please inform us that this message has gone astray before deleting it.  Thank you for your co-operation.



Unless expressly stated otherwise, the contents of this e-mail represent only the views of the sender as expressed only to the intended recipient, do not commit Barnsley District General Hospital NHS Trust to any course of action and, in particular, are not intended to impose any legal obligation upon the Trust.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 11 Nov 2004 13:52:28 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Mcclurg <[log in to unmask]>
Subject:      Re: Pregnancy at work
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_002F_01C4C7F5.AE7BCB40"

This is a multi-part message in MIME format.

------=_NextPart_000_002F_01C4C7F5.AE7BCB40
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hi=20
 Do you have a set risk assessment for this subject and procedure. Is =
there any chance I could have a copy or pointed in the direction of some =
guidence. Much appreciated.
Diane McClurg
  ----- Original Message -----=20
  From: Hawkes, Lynda=20
  To: [log in to unmask]
  Sent: Wednesday, November 03, 2004 8:15 AM
  Subject: Re: Pregnancy at work


  All pregnant ladies in this company have to come and see me and then I =
conduct a risk assessment and make recomendations accordingly.  The risk =
assessment is then updated at 12 and 24 weeks or sooner if the lady =
tells me that either her work has changed or that she is finding it =
difficult to cope for any reason.
  Lynda
    -----Original Message-----
    From: Stackhouse, Amy . [mailto:[log in to unmask]]
    Sent: Tuesday, November 02, 2004 2:21 PM
    To: [log in to unmask]
    Subject: Pregnancy at work


    Hi All,

    I am doing a degree in primary health care with OH qualification. My =
occuaptional health assignment is on pregnant women at work.

    I am wondering if anyone has an protocals or contact with the =
pregnant women in thier workplace. At the NHS trust I work for we do not =
have a requirement for pregnant workers to contact OH. =20

    If anyone has any other information it would be greatly recieved.

    Many Thanks

    Amy Stackhouse
    Trainee Occupational Health Nurse
    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_002F_01C4C7F5.AE7BCB40
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML dir=3Dltr><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>Hi </FONT></DIV>
<DIV><FONT face=3DArial size=3D2>&nbsp;Do you have a set risk assessment =
for this=20
subject and procedure. Is there any chance I could have a copy or =
pointed in the=20
direction of some guidence. Much appreciated.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Diane McClurg</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Hawkes, Lynda</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, November 03, =
2004 8:15=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Pregnancy at =
work</DIV>
  <DIV><BR></DIV>
  <DIV><SPAN class=3D344082108-03112004><FONT face=3DArial =
color=3D#0000ff size=3D2>All=20
  pregnant ladies in this company have to come and see me and then I =
conduct a=20
  risk assessment and make recomendations accordingly.&nbsp; The risk =
assessment=20
  is then updated at 12 and 24 weeks or sooner if the lady tells me that =
either=20
  her work has changed or that she is finding it difficult to cope for =
any=20
  reason.</FONT></SPAN></DIV>
  <DIV><SPAN class=3D344082108-03112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>Lynda</FONT></SPAN></DIV>
  <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
    <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
    size=3D2>-----Original Message-----<BR><B>From:</B> Stackhouse, Amy =
.=20
    [mailto:[log in to unmask]]<BR><B>Sent:</B> Tuesday, November =
02, 2004=20
    2:21 PM<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> =
Pregnancy=20
    at work<BR><BR></FONT></DIV>
    <DIV><FONT color=3D#000000>Hi All,</FONT></DIV>
    <DIV>&nbsp;</DIV>
    <DIV>I am doing a degree in primary health care with OH =
qualification. My=20
    occuaptional health assignment is on pregnant women at work.</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>I&nbsp;am wondering if anyone has an protocals or contact with =
the=20
    pregnant women in thier workplace. At the NHS trust I work for =
we&nbsp;do=20
    not have a requirement for pregnant workers to contact OH. =
&nbsp;</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>If anyone has any other information it would be greatly =
recieved.</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>Many Thanks</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>Amy Stackhouse</DIV>
    <DIV>Trainee Occupational Health Nurse</DIV>~~~~~~~~~~~~~~~ Please =
remove=20
    this footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE>~~~~~~~~~~~~~~~ =

  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_002F_01C4C7F5.AE7BCB40--
=========================================================================
Date:         Thu, 11 Nov 2004 16:18:44 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: text/plain; format=flowed; charset="iso-8859-1";
              reply-type=original
Content-Transfer-Encoding: 7bit

Not sure why - it just printed for me okay!

Greta


----- Original Message -----
From: "Muir, Jackie" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, November 11, 2004 10:17 AM
Subject: Re: Stress & Riddor


> I've also managed to get into the presentation which is quite long. But I
> was not able to print it.
>
> Jackie
>
> -----Original Message-----
> From: Greta Thornbory [mailto:[log in to unmask]]
> Sent: 09 November 2004 15:20
> To: [log in to unmask]
> Subject: Re: Stress & Riddor
>
>
> It worked first time for me - so it is correct - I just double clicked on
> it
> and up came the TUC page with it on!
>
> Greta
>
>
> ----- Original Message -----
> From: "Tracie McKelvie" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Tuesday, November 09, 2004 12:31 PM
> Subject: Re: Stress & Riddor
>
>
>> Hi Maudie
>>
>> I have tried all morning unsucessfully for this pp presentation on
>> stress with the address you gave out. Could you re send to ensure that I
>> am reading it right?
>>
>> Many thanks
>>
>> Tracie Mckelvie
>> Occupational Health Nurse / Adviser
>> Pembrokeshire College
>> Merlins Bridge
>> Haverfordwest
>> Pembs.
>> SA61 1SZ
>>
>> TEL: 01437 765247 Ext 393
>> FAX: 01437 767279
>> E-mail: [log in to unmask]
>>
>>
>>>>> [log in to unmask] 11/08/04 08:18pm >>>
>> A couple of listers have asked me for this so here it is
>> http://www.tuc.org.uk/h_and_s/tuc-5771-f0.cfm
>> Then click on as directed-it is a 354KB file
>> Good Luck!
>> Maudie
>>
>> ----- Original Message -----
>> From: "Diane Davies" <[log in to unmask]>
>> To: <[log in to unmask]>
>> Sent: Monday, November 08, 2004 3:39 PM
>> Subject: Re: Stress & Riddor
>>
>>
>>> Maudie
>>> Where on the website is the good downloadable power point
>> presentation of
>>> stress. I've looked and cannot find anything.
>>> Regards
>>> Magi
>>>
>>
>> ~~~~~~~~~~~~~~~
>> Please remove this footer before replying.
>>
>> For list archives and documents, go to
>> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>>
>> For jobs in Occupational Health, go to
>> http://uk.groups.yahoo.com/group/OHJobs/
>>
>> ~~~~~~~~~~~~~~~
>> Please remove this footer before replying.
>>
>> For list archives and documents, go to
>> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>>
>> For jobs in Occupational Health, go to
>> http://uk.groups.yahoo.com/group/OHJobs/
>
>
> ---
> Outgoing mail is certified Virus Free.
> Checked by AVG anti-virus system (http://www.grisoft.com).
> Version: 6.0.788 / Virus Database: 533 - Release Date: 01/11/2004
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>
> .sophos.3.86.10.05.
>
>
> Emails aren't always secure, and they may be intercepted or changed after
> they've been sent. Abbey doesn't accept liability if this happens. If you
> think someone may have interfered with this email, please get in touch
> with the sender another way.
>
> This message doesn't create or change any contract. Abbey doesn't accept
> responsibility for damage caused by any viruses contained in this email or
> its attachments. Emails may be monitored.
>
> If you've received this email by mistake, please let the sender know at
> once that it's gone to the wrong person and then destroy it without
> copying, using, or telling anyone about its contents.
>
> Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg.
> No. 3839455 are registered in England and have their Registered Offices at
> Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.
>
> Abbey National plc and Inscape Investments Limited are authorised and
> regulated by the Financial Services Authority. Abbey National plc only
> advises on its own life assurance, pension and collective investment
> scheme products. Inscape Investments Limited is a member of the Abbey
> Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are
> registered trademarks of Abbey National plc.
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.788 / Virus Database: 533 - Release Date: 01/11/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 11 Nov 2004 16:31:23 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Robert Dunn
              <[log in to unmask]>
Organization: University of Oxford
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: text/plain; format=flowed; charset="iso-8859-1";
              reply-type=response
Content-Transfer-Encoding: 7bit

Greta, that was because you are SO perfect........:0)

----- Original Message -----
From: "Greta Thornbory" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, November 11, 2004 4:18 PM
Subject: Re: Stress & Riddor


> Not sure why - it just printed for me okay!
>
> Greta
>
>
> ----- Original Message -----
> From: "Muir, Jackie" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Thursday, November 11, 2004 10:17 AM
> Subject: Re: Stress & Riddor
>
>
>> I've also managed to get into the presentation which is quite long. But I
>> was not able to print it.
>>
>> Jackie
>>
>> -----Original Message-----
>> From: Greta Thornbory [mailto:[log in to unmask]]
>> Sent: 09 November 2004 15:20
>> To: [log in to unmask]
>> Subject: Re: Stress & Riddor
>>
>>
>> It worked first time for me - so it is correct - I just double clicked on
>> it
>> and up came the TUC page with it on!
>>
>> Greta
>>
>>
>> ----- Original Message -----
>> From: "Tracie McKelvie" <[log in to unmask]>
>> To: <[log in to unmask]>
>> Sent: Tuesday, November 09, 2004 12:31 PM
>> Subject: Re: Stress & Riddor
>>
>>
>>> Hi Maudie
>>>
>>> I have tried all morning unsucessfully for this pp presentation on
>>> stress with the address you gave out. Could you re send to ensure that I
>>> am reading it right?
>>>
>>> Many thanks
>>>
>>> Tracie Mckelvie
>>> Occupational Health Nurse / Adviser
>>> Pembrokeshire College
>>> Merlins Bridge
>>> Haverfordwest
>>> Pembs.
>>> SA61 1SZ
>>>
>>> TEL: 01437 765247 Ext 393
>>> FAX: 01437 767279
>>> E-mail: [log in to unmask]
>>>
>>>
>>>>>> [log in to unmask] 11/08/04 08:18pm >>>
>>> A couple of listers have asked me for this so here it is
>>> http://www.tuc.org.uk/h_and_s/tuc-5771-f0.cfm
>>> Then click on as directed-it is a 354KB file
>>> Good Luck!
>>> Maudie
>>>
>>> ----- Original Message -----
>>> From: "Diane Davies" <[log in to unmask]>
>>> To: <[log in to unmask]>
>>> Sent: Monday, November 08, 2004 3:39 PM
>>> Subject: Re: Stress & Riddor
>>>
>>>
>>>> Maudie
>>>> Where on the website is the good downloadable power point
>>> presentation of
>>>> stress. I've looked and cannot find anything.
>>>> Regards
>>>> Magi
>>>>
>>>
>>> ~~~~~~~~~~~~~~~
>>> Please remove this footer before replying.
>>>
>>> For list archives and documents, go to
>>> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>>>
>>> For jobs in Occupational Health, go to
>>> http://uk.groups.yahoo.com/group/OHJobs/
>>>
>>> ~~~~~~~~~~~~~~~
>>> Please remove this footer before replying.
>>>
>>> For list archives and documents, go to
>>> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>>>
>>> For jobs in Occupational Health, go to
>>> http://uk.groups.yahoo.com/group/OHJobs/
>>
>>
>> ---
>> Outgoing mail is certified Virus Free.
>> Checked by AVG anti-virus system (http://www.grisoft.com).
>> Version: 6.0.788 / Virus Database: 533 - Release Date: 01/11/2004
>>
>> ~~~~~~~~~~~~~~~
>> Please remove this footer before replying.
>>
>> For list archives and documents, go to
>> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>>
>> For jobs in Occupational Health, go to
>> http://uk.groups.yahoo.com/group/OHJobs/
>>
>>
>> .sophos.3.86.10.05.
>>
>>
>> Emails aren't always secure, and they may be intercepted or changed after
>> they've been sent. Abbey doesn't accept liability if this happens. If you
>> think someone may have interfered with this email, please get in touch
>> with the sender another way.
>>
>> This message doesn't create or change any contract. Abbey doesn't accept
>> responsibility for damage caused by any viruses contained in this email
>> or
>> its attachments. Emails may be monitored.
>>
>> If you've received this email by mistake, please let the sender know at
>> once that it's gone to the wrong person and then destroy it without
>> copying, using, or telling anyone about its contents.
>>
>> Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg.
>> No. 3839455 are registered in England and have their Registered Offices
>> at
>> Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.
>>
>> Abbey National plc and Inscape Investments Limited are authorised and
>> regulated by the Financial Services Authority. Abbey National plc only
>> advises on its own life assurance, pension and collective investment
>> scheme products. Inscape Investments Limited is a member of the Abbey
>> Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are
>> registered trademarks of Abbey National plc.
>>
>> ~~~~~~~~~~~~~~~
>> Please remove this footer before replying.
>>
>> For list archives and documents, go to
>> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>>
>> For jobs in Occupational Health, go to
>> http://uk.groups.yahoo.com/group/OHJobs/
>
>
> ---
> Outgoing mail is certified Virus Free.
> Checked by AVG anti-virus system (http://www.grisoft.com).
> Version: 6.0.788 / Virus Database: 533 - Release Date: 01/11/2004
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 10 Nov 2004 17:08:47 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lucy & Adrian <[log in to unmask]>
Subject:      Re: Sick Notes
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_06E1_01C4C747.F0D9AF60"

This is a multi-part message in MIME format.

------=_NextPart_000_06E1_01C4C747.F0D9AF60
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Sick NotesI am going to a meeting tomorrow about a trial into not using =
them.  Will feed back when I know more.

Lucy
  ----- Original Message -----=20
  From: Porter Suzanne=20
  To: [log in to unmask]
  Sent: Wednesday, November 10, 2004 12:36 PM
  Subject: Sick Notes


  Has anybody read the summary at the end of the NHS Agreement with GP =
Practices where the clause about sick certificates is? It seems that =
they are ceasing issuing sick certs from 2006 and I am wondering if =
anybody has put together any proposals for their organisation to monitor =
absences previously covered by GP sick notes?=20

  Many thanks=20
  Su Porter=20
  Senior Occupational Health Nurse Advisor (Healthcare)=20
  Isle of Wight Healthcare NHS Trust=20
  01983 534209 / 4884=20
  [log in to unmask]


  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_06E1_01C4C747.F0D9AF60
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><TITLE>Sick Notes</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>I am going to a meeting tomorrow about =
a trial into=20
not using them.&nbsp; Will feed back when I know more.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2><BR>Lucy</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Porter Suzanne</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, November 10, =
2004 12:36=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Sick Notes</DIV>
  <DIV><BR></DIV><!-- Converted from text/rtf format -->
  <P><FONT face=3DArial size=3D2>Has anybody read the summary at the end =
of the NHS=20
  Agreement with GP Practices where the clause about sick certificates =
is? It=20
  seems that they are ceasing issuing sick certs from 2006 and I am =
wondering if=20
  anybody has put together any proposals for their organisation to =
monitor=20
  absences previously covered by GP sick notes? </FONT></P>
  <P><FONT face=3DArial size=3D2>Many thanks</FONT> <BR><B><FONT =
face=3DArial=20
  color=3D#ff00ff size=3D4>Su Porter</FONT></B> <BR><I><FONT =
face=3DArial=20
  color=3D#00ff00 size=3D2>Senior Occupational Health Nurse Advisor=20
  (Healthcare)</FONT></I> <BR><FONT face=3DArial color=3D#00ff00 =
size=3D2>Isle of=20
  Wight Healthcare NHS Trust</FONT> <BR><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>01983 534209 / 4884</FONT> <BR><B><FONT face=3DArial =
color=3D#ff0000=20
  size=3D2>[log in to unmask]</FONT></B> </P><BR>~~~~~~~~~~~~~~~ =
Please=20
  remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_06E1_01C4C747.F0D9AF60--
=========================================================================
Date:         Fri, 12 Nov 2004 09:21:43 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sharon Jones <[log in to unmask]>
Subject:      DSE chairs

Can anyone recommend where to go for a good general DSE operators chair? We
are currently trialing a couple from different companies and there seem to
be wild price differences around (Not necessarily meaning that you get what
you pay for!)

Thanks
Sharon

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 12 Nov 2004 04:31:27 EST
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         [log in to unmask]
Subject:      Re: DSE chairs
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1100251887"

-------------------------------1100251887
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit



Contact Advance Seating Designs, Unit H, Field Way, Metropolitan  Park,
Greenford, Middlesex, UB6 8UN.  Freephone 0808 100 60 80 (_www.asd.co.uk_
(http://www.asd.co.uk) ).  They have a  good range of chairs and will be able to send
you out a catalogue and  price list.  Various organisations I have worked for
have used  this company and have been happy with the range, quality of
products, and  customer service.  Above all, the chairs, although they may be more
expensive than some in the short term, do seem to last for many years,  which
makes them more cost effective.

Regards

Maxine Oliver
SPOHN



~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1100251887
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD><TITLE>AOL Email</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<META content=3Dhttp://cdn-cf.aol.com/se/stationery/occs/winter-st/wpwinter.=
htm=20
name=3DStationery></HEAD>
<BODY style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: Arial" bottomMa=
rgin=3D0=20
leftMargin=3D0 topMargin=3D0 rightMargin=3D0>
<DIV id=3Drole_document>
<TABLE id=3Drole_layout height=3D"100%" cellSpacing=3D0 cellPadding=3D7 widt=
h=3D"100%"=20
align=3Dcenter=20
background=3Dhttp://cdn-cf.aol.com/se/stationery/occs/winter-st/winter/wpwin=
ter=20
border=3D0>
  <TBODY>
  <TR height=3D"100%">
    <TD width=3D"100%">
      <DIV id=3Drole_body=20
      style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: Arial; HEIGHT:=20=
100%">
      <DIV>Contact&nbsp;Advance Seating Designs, Unit H, Field Way, Metropol=
itan=20
      Park, Greenford, Middlesex, UB6 8UN.&nbsp; Freephone 0808 100 60 80 (<=
A=20
      href=3D"http://www.asd.co.uk">www.asd.co.uk</A>).&nbsp; They&nbsp;have=
 a=20
      good range of chairs and will be able to send you out a catalogue and=20
      price list.&nbsp; Various organisations&nbsp;I have worked for have us=
ed=20
      this company and have been happy with the range, quality of products,=20=
and=20
      customer service.&nbsp; Above all, the chairs, although they may be mo=
re=20
      expensive than some in the short term, do seem to last for many years,=
=20
      which makes them more cost effective.</DIV>
      <DIV>&nbsp;</DIV>
      <DIV>Regards</DIV>
      <DIV>&nbsp;</DIV>
      <DIV>Maxine Oliver</DIV>
      <DIV>SPOHN</DIV></DIV></TD></TR></TBODY></TABLE></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1100251887--
=========================================================================
Date:         Fri, 12 Nov 2004 09:35:21 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Oduntan, Ayoola" <[log in to unmask]>
Subject:      Re: DSE chairs
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

If you have not contacted Posturite already, It's worth giving them a try.
Details: Posturite(UK) Ltd
www.posturite.co.uk or e-mail for enquiries [log in to unmask]

Ayoola Oduntan
Occupational Health Adviser
Occupational Health Unit
Bexley Council
1st Floor Crayford Library, 110 Crayford Road,
Crayford, Kent DA1 1ER
Tel: 0208 303 7777 ext 3681


-----Original Message-----
From: Sharon Jones [mailto:[log in to unmask]]
Sent: 12 November 2004 09:22
To: [log in to unmask]
Subject: DSE chairs


Can anyone recommend where to go for a good general DSE operators chair? We
are currently trialing a couple from different companies and there seem to
be wild price differences around (Not necessarily meaning that you get what
you pay for!)

Thanks
Sharon

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

This Email is confidential and intended solely for the use of the individua=
l to whom it is addressed.  If you are not the intended recipient, be advis=
ed that you have received this email in error and that any use, disseminati=
on, forwarding, printing or copying of the email is strictly prohibited.

If you have received this email in error please notify Bexley Council by te=
lephone on +44 (0) 208 303 7777.

        Web Site: http://www.bexley.gov.uk

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 12 Nov 2004 09:58:16 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Porter Suzanne <[log in to unmask]>
Subject:      Re: Sick Notes
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4C89E.2136E613"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4C89E.2136E613
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Lucy
=20
thank you, I will be really interested to know how you get on.
=20
Su

-----Original Message-----
From: Lucy & Adrian [mailto:[log in to unmask]]
Sent: 10 November 2004 17:09
To: [log in to unmask]
Subject: Re: Sick Notes


I am going to a meeting tomorrow about a trial into not using them.  =
Will feed back when I know more.

Lucy

----- Original Message -----=20
From: Porter Suzanne <mailto:[log in to unmask]> =20
To: [log in to unmask]
Sent: Wednesday, November 10, 2004 12:36 PM
Subject: Sick Notes


Has anybody read the summary at the end of the NHS Agreement with GP =
Practices where the clause about sick certificates is? It seems that =
they are ceasing issuing sick certs from 2006 and I am wondering if =
anybody has put together any proposals for their organisation to monitor =
absences previously covered by GP sick notes?=20

Many thanks=20
Su Porter=20
Senior Occupational Health Nurse Advisor (Healthcare)=20
Isle of Wight Healthcare NHS Trust=20
01983 534209 / 4884=20
[log in to unmask]


~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C89E.2136E613
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<TITLE>Sick Notes</TITLE>

<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><SPAN class=3D534455709-12112004><FONT face=3DArial color=3D#0000ff =

size=3D2>Lucy</FONT></SPAN></DIV>
<DIV><SPAN class=3D534455709-12112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D534455709-12112004><FONT face=3DArial color=3D#0000ff =
size=3D2>thank=20
you, I will be really interested to know how you get =
on.</FONT></SPAN></DIV>
<DIV><SPAN class=3D534455709-12112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D534455709-12112004><FONT face=3DArial color=3D#0000ff =

size=3D2>Su</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> Lucy &amp; Adrian=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 10 November 2004=20
  17:09<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
Sick=20
  Notes<BR><BR></FONT></DIV>
  <DIV><FONT face=3DArial size=3D2>I am going to a meeting tomorrow =
about a trial=20
  into not using them.&nbsp; Will feed back when I know =
more.</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2><BR>Lucy</FONT></DIV>
  <BLOCKQUOTE dir=3Dltr=20
  style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
    <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
    <DIV=20
    style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
    <A [log in to unmask]
    href=3D"mailto:[log in to unmask]">Porter Suzanne</A> </DIV>
    <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
    =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, November 10, =
2004=20
    12:36 PM</DIV>
    <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Sick Notes</DIV>
    <DIV><BR></DIV><!-- Converted from text/rtf format -->
    <P><FONT face=3DArial size=3D2>Has anybody read the summary at the =
end of the=20
    NHS Agreement with GP Practices where the clause about sick =
certificates is?=20
    It seems that they are ceasing issuing sick certs from 2006 and I am =

    wondering if anybody has put together any proposals for their =
organisation=20
    to monitor absences previously covered by GP sick notes? </FONT></P>
    <P><FONT face=3DArial size=3D2>Many thanks</FONT> <BR><B><FONT =
face=3DArial=20
    color=3D#ff00ff size=3D4>Su Porter</FONT></B> <BR><I><FONT =
face=3DArial=20
    color=3D#00ff00 size=3D2>Senior Occupational Health Nurse Advisor=20
    (Healthcare)</FONT></I> <BR><FONT face=3DArial color=3D#00ff00 =
size=3D2>Isle of=20
    Wight Healthcare NHS Trust</FONT> <BR><FONT face=3DArial =
color=3D#0000ff=20
    size=3D2>01983 534209 / 4884</FONT> <BR><B><FONT face=3DArial =
color=3D#ff0000=20
    size=3D2>[log in to unmask]</FONT></B> =
</P><BR>~~~~~~~~~~~~~~~ Please=20
    remove this footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE>~~~~~~~~~~~~~~~ =

  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4C89E.2136E613--
=========================================================================
Date:         Fri, 12 Nov 2004 09:06:26 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Anne Harriss <[log in to unmask]>
Subject:      Re: Sick Notes
In-Reply-To:  <[log in to unmask]>
Mime-version: 1.0
Content-type: multipart/alternative;
              boundary="MS_Mac_OE_3183095186_474686_MIME_Part"

> This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

--MS_Mac_OE_3183095186_474686_MIME_Part
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

on 12/11/04 9:58 am, Porter Suzanne at [log in to unmask] wrote:

Lucy

thank you, I will be really interested to know how you get on.

Su
-----Original Message-----
From: Lucy & Adrian [mailto:[log in to unmask]]
Sent: 10 November 2004 17:09
To: [log in to unmask]
Subject: Re: Sick Notes

I am going to a meeting tomorrow about a trial into not using them.  Will
feed back when I know more.

Lucy
----- Original Message -----
From: Porter Suzanne <mailto:[log in to unmask]>
To: [log in to unmask]
Sent: Wednesday, November 10, 2004 12:36 PM
Subject: Sick Notes


Has anybody read the summary at the end of the NHS Agreement with GP
Practices where the clause about sick certificates is? It seems that they
are ceasing issuing sick certs from 2006 and I am wondering if anybody has
put together any proposals for their organisation to monitor absences
previously covered by GP sick notes?

Many thanks
Su Porter
Senior Occupational Health Nurse Advisor (Healthcare)
Isle of Wight Healthcare NHS Trust
01983 534209 / 4884
[log in to unmask]
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

I understand that Coca Cola have been involved in a trial too. They may be a
useful resource.

Anne

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--MS_Mac_OE_3183095186_474686_MIME_Part
Content-type: text/html; charset="US-ASCII"
Content-transfer-encoding: quoted-printable

<HTML>
<HEAD>
<TITLE>Re: Sick Notes</TITLE>
</HEAD>
<BODY>
on 12/11/04 9:58 am, Porter Suzanne at [log in to unmask] wrote:<BR>
<BR>
<BLOCKQUOTE><FONT COLOR=3D"#0000FF"><FONT SIZE=3D"2"><FONT FACE=3D"Arial">Lucy<BR=
>
</FONT></FONT></FONT> <BR>
<FONT COLOR=3D"#0000FF"><FONT SIZE=3D"2"><FONT FACE=3D"Arial">thank you, I will b=
e really interested to know how you get on.<BR>
</FONT></FONT></FONT> <BR>
<FONT COLOR=3D"#0000FF"><FONT SIZE=3D"2"><FONT FACE=3D"Arial">Su<BR>
</FONT></FONT></FONT><BLOCKQUOTE><FONT SIZE=3D"2">-----Original Message-----<=
BR>
<B>From:</B> Lucy &amp; Adrian [mailto:[log in to unmask]]<BR>
<B>Sent:</B> 10 November 2004 17:09<BR>
<B>To:</B> [log in to unmask]<BR>
<B>Subject:</B> Re: Sick Notes<BR>
<BR>
<FONT FACE=3D"Arial">I am going to a meeting tomorrow about a trial into not =
using them. &nbsp;Will feed back when I know more.<BR>
<BR>
Lucy<BR>
</FONT></FONT><BLOCKQUOTE>----- Original Message ----- <BR>
<B>From:</B> Porter Suzanne &lt;mailto:[log in to unmask]&gt; &nbsp;=
<BR>
<B>To:</B> [log in to unmask] <BR>
<B>Sent:</B> Wednesday, November 10, 2004 12:36 PM<BR>
<B>Subject:</B> Sick Notes<BR>
<BR>
<BR>
<FONT SIZE=3D"2"><FONT FACE=3D"Arial">Has anybody read the summary at the end o=
f the NHS Agreement with GP Practices where the clause about sick certificat=
es is? It seems that they are ceasing issuing sick certs from 2006 and I am =
wondering if anybody has put together any proposals for their organisation t=
o monitor absences previously covered by GP sick notes? <BR>
</FONT></FONT><BR>
<FONT SIZE=3D"2"><FONT FACE=3D"Arial">Many thanks</FONT></FONT> <BR>
<FONT COLOR=3D"#FF00FF"><FONT SIZE=3D"4"><FONT FACE=3D"Arial"><B>Su Porter</B></F=
ONT></FONT></FONT> <BR>
<FONT COLOR=3D"#00FF00"><FONT SIZE=3D"2"><FONT FACE=3D"Arial"><I>Senior Occupatio=
nal Health Nurse Advisor (Healthcare)</I></FONT></FONT></FONT> <BR>
<FONT COLOR=3D"#00FF00"><FONT SIZE=3D"2"><FONT FACE=3D"Arial">Isle of Wight Healt=
hcare NHS Trust</FONT></FONT></FONT> <BR>
<FONT COLOR=3D"#0000FF"><FONT SIZE=3D"2"><FONT FACE=3D"Arial">01983 534209 / 4884=
</FONT></FONT></FONT> <BR>
<FONT COLOR=3D"#FF0000"><FONT SIZE=3D"2"><FONT FACE=3D"Arial"><B>suzanne.porter@i=
ow.nhs.uk</B></FONT></FONT></FONT> <BR>
~~~~~~~~~~~~~~~ Please remove this footer before replying. <BR>
<BR>
For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-=
health.html for list archives <BR>
<BR>
For jobs in Occupational Health, go to http://uk.groups.yahoo.com/group/OHJ=
obs/<BR>
</BLOCKQUOTE>~~~~~~~~~~~~~~~ Please remove this footer before replying. <BR=
>
<BR>
For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-=
health.html for list archives <BR>
<BR>
For jobs in Occupational Health, go to http://uk.groups.yahoo.com/group/OHJ=
obs/ <BR>
</BLOCKQUOTE>~~~~~~~~~~~~~~~ Please remove this footer before replying. <BR=
>
<BR>
For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-=
health.html for list archives <BR>
<BR>
For jobs in Occupational Health, go to http://uk.groups.yahoo.com/group/OHJ=
obs/ <BR>
</BLOCKQUOTE><BR>
I understand that Coca Cola have been involved in a trial too. They may be =
a useful resource.<BR>
<BR>
Anne
</BODY>
</HTML>

~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--MS_Mac_OE_3183095186_474686_MIME_Part--
=========================================================================
Date:         Fri, 12 Nov 2004 10:07:25 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Muir, Jackie" <[log in to unmask]>
Subject:      Re: DSE chairs
MIME-Version: 1.0
Content-Type: multipart/mixed; boundary="----_=_NextPart_000_01C4C89E.96F02508"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_000_01C4C89E.96F02508
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Try Giroflex through Orange Box on 01443 816604.=20

The Giroflex 64 chair is brilliant and is the one we have adopted as our
standard chair. We used to use it as the orthopaedic chair of choice as you
can accomodate 95% of users with the wide range of adjustment and variables
that can be built into the chair. They cost us about =A3240 (as we buy in
bulk). Orange Box have an ergonomist on site who can also advise the
professional and individuals needing 'special chairs'. The lead time for
delivery is also very good usually a couple of weeks but can be done
quicker.
Hope this helps

Regards

Jackie Muir BA RGN SP(OH) MIOSH
Occupational Health Consultant (Technical)
Occupational Health & Safety=20
Abbey House
AHM 406
Tel: 01908-343184
Fax: 01908-343855
Mobile: 07703-517098
E-mail: [log in to unmask]
=20

-----Original Message-----
From: Sharon Jones [mailto:[log in to unmask]]
Sent: 12 November 2004 09:22
To: [log in to unmask]
Subject: DSE chairs


Can anyone recommend where to go for a good general DSE operators chair? We
are currently trialing a couple from different companies and there seem to
be wild price differences around (Not necessarily meaning that you get what
you pay for!)

Thanks
Sharon

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


.sophos.3.87.11.12.



Emails aren't always secure, and they may be intercepted or changed after t=
hey've been sent. Abbey doesn't accept liability if this happens. If you th=
ink someone may have interfered with this email, please get in touch with t=
he sender another way.

This message doesn't create or change any contract. Abbey doesn't accept re=
sponsibility for damage caused by any viruses contained in this email or it=
s attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at onc=
e that it's gone to the wrong person and then destroy it without copying, u=
sing, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No=
. 3839455 are registered in England and have their Registered Offices at Ab=
bey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regul=
ated by the Financial Services Authority. Abbey National plc only advises o=
n its own life assurance, pension and collective investment scheme products=
. Inscape Investments Limited is a member of the Abbey Marketing Group and =
provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks =
of Abbey National plc.=20


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_000_01C4C89E.96F02508
Content-Type: application/octet-stream;
        name="Muir, Jackie.vcf"
Content-Disposition: attachment;
        filename="Muir, Jackie.vcf"

BEGIN:VCARD
VERSION:2.1
N:Muir;Jackie
FN:Muir, Jackie
EMAIL;PREF;INTERNET:[log in to unmask]
REV:20040413T152512Z
END:VCARD

------_=_NextPart_000_01C4C89E.96F02508--
=========================================================================
Date:         Fri, 12 Nov 2004 09:53:06 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Duncan Abbott <[log in to unmask]>
Subject:      DSE chairs
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 8bit

The RH range of chairs are not too bad, and come in various size
combinations (Online Ergonomics 01502 585571 or Posturite 01323 84 77 77),
The Opera range from Advanced Seating (0208 578 4308) are reasonable and
come in more size variations (they do various styles 20, 30 and 60). The
Hoganasmobler chairs are more expensive but is one of the best on the
market. Prices for these chairs range from #350 to around #1000 (0207 487
2663). In having carried out over 2,500 ergonomic assessments these chairs
have been on the whole very reliable, and adapted to suit various
requirements.

However the suitability of the chair will depend on the persons stature and
the type of work carried out. You may like to read an article I wrote for
Safety and Health Practitioner
http://www.enricosmog.com/resources/articles.htm (ergonomics and seating).
This details ins and outs of using ISO9241-5 for chair selection.

In Janaury's edition of EZ-1 ergonomics there is a start of a two part
series on seating which will give a run down of chair suppliers and update
on seating.


Duncan Abbott
enricoSmog ergonomic practitioners
www.enricosmog.com
Tel: 01747 871868

Subscribe for free to EZ-1 ergonomic news, research and good practice. Send
a blank email to [log in to unmask] with subscribe in the subject line.




From: "Sharon Jones" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, November 12, 2004 9:21 AM
Subject: DSE chairs


> Can anyone recommend where to go for a good general DSE operators chair?
We
> are currently trialing a couple from different companies and there seem to
> be wild price differences around (Not necessarily meaning that you get
what
> you pay for!)
>
> Thanks
> Sharon
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 12 Nov 2004 11:33:34 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         John Caffrey <[log in to unmask]>
Subject:      First Aid Instructors/Assessors Training
MIME-Version: 1.0
Content-Type: MULTIPART/ALTERNATIVE; DIFFERENCES=Content-Language;
              BOUNDARY="16324514-31581-1100259214=:165"

--16324514-31581-1100259214=:165
Content-Type: TEXT/PLAIN; CHARSET=US-ASCII
Content-Language: en-GBR

To All

I have so far not been able to locate a first aid instructor/assessor
training provider in the north of England.  Does anybody have any
information or contacts that they could share?

Cheers

John
_______________________________________________________________________________________________________________________________________
John Caffrey
Occupational Health Manager
Lever Faberge Ltd.
Coal Road
Seacroft
LEEDS LS14 2AR

Tel: 0113 222 5323  Fax: 0113 222 5377

"At the leading edge in Occupational Health we will be an integral part of
the business, promoting a quality service that protects, promotes and
enhances the health of all our employees at work"
________________________________________________________________________________________________________________________________________
This email, and any attachments, is strictly confidential.  Accordingly
this email and its attachments should not be forwarded, reproduced or made
available to any third party under any circumstances without prior consent
from Occupational Health.  If you are not the intended recipient please
advise the sender immediately by reply email and delete the message and
any attachments without reading, distributing or copying.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--16324514-31581-1100259214=:165
Content-Type: TEXT/x-cdsi-msrtf; CHARSET=US-ASCII
Content-ID: 0
Content-Language: en-GBR

{\rtf1\ansi\ansicpg1252\fromhtml1 \deff0{\fonttbl
{\f0\fswiss\fcharset0 Arial;}
{\f1\fmodern Courier New;}
{\f2\fnil\fcharset2 Symbol;}
{\f3\fmodern\fcharset0 Courier New;}
{\f4\fswiss\fcharset0 Arial;}}
{\colortbl\red0\green0\blue0;\red0\green0\blue255;\red255\green0\blue0;}
\uc1\pard\plain\deftab360 \f0\fs24\cf0
{\*\htmltag243 <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">}
{\*\htmltag3 \par }
{\*\htmltag19 <HTML>}
{\*\htmltag34 <HEAD>}
{\*\htmltag1 \par }
{\*\htmltag1 \par }
{\*\htmltag161 <META content="MSHTML 6.00.2716.2200" name=GENERATOR>}
{\*\htmltag41 </HEAD>}
{\*\htmltag2 \par }
{\*\htmltag50 <BODY bgColor=#ffffff>}\htmlrtf \viewkind5
{\*\background {\shp{\*\shpinst{\sp{\sn fillColor}{\sv 16777215}}{\sp{\sn fFilled}{\sv 1}}}}}\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag84 <SPAN class=461593011-12112004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Arial size=2>}\htmlrtf {\f4 \fs20 \htmlrtf0 To
{\*\htmltag4 \par }All
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag84 <SPAN class=461593011-12112004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Arial \par size=2>}\htmlrtf {\f4 \fs20 \htmlrtf0
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag84 <SPAN class=461593011-12112004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Arial size=2>}\htmlrtf {\f4 \fs20 \htmlrtf0 I have so far not
{\*\htmltag4 \par }been able to locate a first aid instructor/assessor training provider in the
{\*\htmltag4 \par }north of England.
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0  Does anybody have any information or contacts that they
{\*\htmltag4 \par }could share?
{\*\htmltag116 <BR>}\htmlrtf \line
\htmlrtf0
{\*\htmltag116 <BR>}\htmlrtf \line
\htmlrtf0 Cheers
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag84 <SPAN class=461593011-12112004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Arial \par size=2>}\htmlrtf {\f4 \fs20 \htmlrtf0
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag84 <SPAN class=461593011-12112004>}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT face=Arial \par size=2>}\htmlrtf {\f4 \fs20 \htmlrtf0 John
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag92 </SPAN>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT \par size=2>}\htmlrtf {\fs20 \htmlrtf0 _______________________________________________________________________________________________________________________________________
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0 John Caffrey
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0 Occupational Health Manager
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0 Lever Faberge Ltd.
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0 Coal Road
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0 Seacroft
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0 LEEDS LS14 2AR
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0 Tel: 0113 222 5323
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0  Fax: 0113 222 5377
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT size=2>}\htmlrtf {\fs20 \htmlrtf0 "At the leading edge in Occupational Health we will be an
{\*\htmltag4 \par }integral part of the business, promoting a quality service that protects,
{\*\htmltag4 \par }promotes and enhances the health of all our employees at work"
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT \par size=2>}\htmlrtf {\fs20 \htmlrtf0 ________________________________________________________________________________________________________________________________________
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag148 <FONT color=#ff0000 size=2>}\htmlrtf {\cf2 \fs20 \htmlrtf0 This email, and any attachments, is strictly
{\*\htmltag4 \par }confidential.
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0  Accordingly this email and its attachments should not be
{\*\htmltag4 \par }forwarded, reproduced or made available to any third party under any
{\*\htmltag4 \par }circumstances without prior consent from Occupational Health.
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0  If you are
{\*\htmltag4 \par }not the intended recipient please advise the sender immediately by reply email
{\*\htmltag4 \par }and delete the message and any attachments without reading, distributing or
{\*\htmltag4 \par }copying.
{\*\htmltag156 </FONT>}\htmlrtf }\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag0 \par }
{\*\htmltag96 <DIV>}\htmlrtf {\htmlrtf0 {\*\htmltag64}\htmlrtf {\htmlrtf0
{\*\htmltag84 &nbsp;}\htmlrtf \'a0\htmlrtf0 {\*\htmltag72}\htmlrtf\par}\htmlrtf0

{\*\htmltag104 </DIV>}\htmlrtf }\htmlrtf0
{\*\htmltag58 </BODY>}
{\*\htmltag27 </HTML>}
{\*\htmltag3 \par }}
--16324514-31581-1100259214=:165--
=========================================================================
Date:         Fri, 12 Nov 2004 11:36:08 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Carrington, June" <[log in to unmask]>
Subject:      Re: First Aid Instructors/Assessors Training
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

I have used John Gardiner 01665 713887 booked through Kay's medical. He was
excellent.


June

-----Original Message-----
From: John Caffrey [mailto:[log in to unmask]]
Sent: 12 November 2004 11:34
To: [log in to unmask]
Subject: First Aid Instructors/Assessors Training


To All

I have so far not been able to locate a first aid instructor/assessor
training provider in the north of England.  Does anybody have any
information or contacts that they could share?

Cheers

John
____________________________________________________________________________
___________________________________________________________
John Caffrey
Occupational Health Manager
Lever Faberge Ltd.
Coal Road
Seacroft
LEEDS LS14 2AR

Tel: 0113 222 5323  Fax: 0113 222 5377

"At the leading edge in Occupational Health we will be an integral part of
the business, promoting a quality service that protects, promotes and
enhances the health of all our employees at work"
____________________________________________________________________________
____________________________________________________________
This email, and any attachments, is strictly confidential.  Accordingly
this email and its attachments should not be forwarded, reproduced or made
available to any third party under any circumstances without prior consent
from Occupational Health.  If you are not the intended recipient please
advise the sender immediately by reply email and delete the message and
any attachments without reading, distributing or copying.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


Confidentiality.
This electronic transmission is strictly confidential to the sender 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, or someone authorised by the intended addressee to
receive transmissions on behalf of the addressee, you must not retain,
disclose in any form, copy or take any action in reliance on this
transmission.  If you have received this transmission in error, please
notify the sender as soon as possible and destroy this message.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 12 Nov 2004 11:36:29 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Gibson, Pauline (UK)" <[log in to unmask]>
Subject:      Re: First Aid Instructors/Assessors Training
MIME-version: 1.0
Content-type: text/plain; charset="iso-8859-1"
Content-transfer-encoding: quoted-printable

ohn,
Have you tried the British Red Cross, that is who we use for all our First=
 adi and defib training
Regards
Pauline

Pauline Gibson,
Occupational Health Adviser,
BAE Systems,
Rochester
Kent
ME1 2XX

-----Original Message-----
From: John Caffrey [mailto:[log in to unmask]]
Sent: 12 November 2004 11:34
To: [log in to unmask]
Subject: First Aid Instructors/Assessors Training


To All

I have so far not been able to locate a first aid instructor/assessor
training provider in the north of England.  Does anybody have any
information or contacts that they could share?

Cheers

John
___________________________________________________________________________=
____________________________________________________________
John Caffrey
Occupational Health Manager
Lever Faberge Ltd.
Coal Road
Seacroft
LEEDS LS14 2AR

Tel: 0113 222 5323  Fax: 0113 222 5377

"At the leading edge in Occupational Health we will be an integral part of
the business, promoting a quality service that protects, promotes and
enhances the health of all our employees at work"
___________________________________________________________________________=
_____________________________________________________________
This email, and any attachments, is strictly confidential.  Accordingly
this email and its attachments should not be forwarded, reproduced or made
available to any third party under any circumstances without prior consent
from Occupational Health.  If you are not the intended recipient please
advise the sender immediately by reply email and delete the message and
any attachments without reading, distributing or copying.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 12 Nov 2004 11:44:20 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Karen Talbot <[log in to unmask]>
Subject:      Re: First Aid Instructors/Assessors Training
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

John

We supply through our company (Based in North East) talk to me off line if
you want to discuss further.

Cheers

Karen

Karen Talbot
Regional Manager

The information contained in this email is confidential and may be
privileged.  It is intended for the addressee only.  If you are not the
intended recipient, please delete this email immediately.  The contents of
this email must not be disclosed or copied without the sender's consent.  We
cannot accept any responsibility for viruses, so please scan all
attachments.  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.

Company Health Limited (registered No 02378176) Registered office Suite 309,
New Loom House, 101 Back Church lane, London, E1 1LU.
www.companyhealth.co.uk



-----Original Message-----
From: John Caffrey [mailto:[log in to unmask]]
Sent: 12 November 2004 11:34
To: [log in to unmask]
Subject: First Aid Instructors/Assessors Training


To All

I have so far not been able to locate a first aid instructor/assessor
training provider in the north of England.  Does anybody have any
information or contacts that they could share?

Cheers

John
____________________________________________________________________________
___________________________________________________________
John Caffrey
Occupational Health Manager
Lever Faberge Ltd.
Coal Road
Seacroft
LEEDS LS14 2AR

Tel: 0113 222 5323  Fax: 0113 222 5377

"At the leading edge in Occupational Health we will be an integral part of
the business, promoting a quality service that protects, promotes and
enhances the health of all our employees at work"
____________________________________________________________________________
____________________________________________________________
This email, and any attachments, is strictly confidential.  Accordingly
this email and its attachments should not be forwarded, reproduced or made
available to any third party under any circumstances without prior consent
from Occupational Health.  If you are not the intended recipient please
advise the sender immediately by reply email and delete the message and
any attachments without reading, distributing or copying.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 12 Nov 2004 12:48:11 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         karen coomer <[log in to unmask]>
Subject:      Re: First Aid Instructors/Assessors Training
MIME-Version: 1.0
Content-Type: text/plain; format=flowed; charset="iso-8859-1";
              reply-type=original
Content-Transfer-Encoding: 7bit

John
Try Essential First Aid Services (E.F.A.S Ltd) based in York. Tel:01430
860663. Claire Adrian is the Training Manager.

Regards

Karen Coomer
Occupational Health Nurse Consultant

----- Original Message -----
From: "John Caffrey" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, November 12, 2004 11:33 AM
Subject: First Aid Instructors/Assessors Training


> To All
>
> I have so far not been able to locate a first aid instructor/assessor
> training provider in the north of England.  Does anybody have any
> information or contacts that they could share?
>
> Cheers
>
> John
> _______________________________________________________________________________________________________________________________________
> John Caffrey
> Occupational Health Manager
> Lever Faberge Ltd.
> Coal Road
> Seacroft
> LEEDS LS14 2AR
>
> Tel: 0113 222 5323  Fax: 0113 222 5377
>
> "At the leading edge in Occupational Health we will be an integral part of
> the business, promoting a quality service that protects, promotes and
> enhances the health of all our employees at work"
> ________________________________________________________________________________________________________________________________________
> This email, and any attachments, is strictly confidential.  Accordingly
> this email and its attachments should not be forwarded, reproduced or made
> available to any third party under any circumstances without prior consent
> from Occupational Health.  If you are not the intended recipient please
> advise the sender immediately by reply email and delete the message and
> any attachments without reading, distributing or copying.
>
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 12 Nov 2004 15:01:53 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sweeney Mary <[log in to unmask]>
Subject:      Re: DSE chairs
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

From Anglian Water

Sharon
I deal with Gary Abraham of Arden Products. His mobile is: 07880 550 966.
Best wishes
Mary


-----Original Message-----
From: Sharon Jones [mailto:[log in to unmask]]
Sent: 12 November 2004 09:22
To: [log in to unmask]
Subject: DSE chairs


TREAT THIS MESSAGE WITH CAUTION - it has passed through one or more externa=
l networks
*****

Can anyone recommend where to go for a good general DSE operators chair? We
are currently trialing a couple from different companies and there seem to
be wild price differences around (Not necessarily meaning that you get what
you pay for!)

Thanks
Sharon

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


--*----*----*----*----*----*----*----*----*----*----*----*----*----*--
The information contained in this message is likely to be confidential
and may be legally privileged. The dissemination, distribution, copying
or disclosure of this message, or its contents, is strictly prohibited
unless authorised by Anglian Water. It is intended only for the person
named as addressee.

Anglian Water cannot accept any responsibility for the accuracy
or completeness of this message, and does not authorise any contract
to be made using the Internet.

If you have received this message in error, please immediately
return it to the sender at the above address and delete it from your comput=
er.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 12 Nov 2004 15:45:43 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         joan Twigger <[log in to unmask]>
Subject:      Joan Twigger/UK-Europe/3M/US is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII

I will be out of the office starting  12/11/2004 and will not return until
24/11/2004.

 I will respond to your message when I return.On Fri PM

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 12 Nov 2004 18:58:18 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         mchardy <[log in to unmask]>
Subject:      Re: Stress & Riddor
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Jackie
You can save it as a word file and use/adapt for your own presentation
Maudie
----- Original Message -----
From: "Muir, Jackie" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, November 11, 2004 10:17 AM
Subject: Re: Stress & Riddor


> I've also managed to get into the presentation which is quite long. But I
> was not able to print it.
>
> Jackie
>
> -----Original Message-----
> From: Greta Thornbory [mailto:[log in to unmask]]
> Sent: 09 November 2004 15:20
> To: [log in to unmask]
> Subject: Re: Stress & Riddor
>
>
> It worked first time for me - so it is correct - I just double clicked on
it
> and up came the TUC page with it on!
>
> Greta
>
>
> ----- Original Message -----
> From: "Tracie McKelvie" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Tuesday, November 09, 2004 12:31 PM
> Subject: Re: Stress & Riddor
>
>
> > Hi Maudie
> >
> > I have tried all morning unsucessfully for this pp presentation on
> > stress with the address you gave out. Could you re send to ensure that I
> > am reading it right?
> >
> > Many thanks
> >
> > Tracie Mckelvie
> > Occupational Health Nurse / Adviser
> > Pembrokeshire College
> > Merlins Bridge
> > Haverfordwest
> > Pembs.
> > SA61 1SZ
> >
> > TEL: 01437 765247 Ext 393
> > FAX: 01437 767279
> > E-mail: [log in to unmask]
> >
> >
> >>>> [log in to unmask] 11/08/04 08:18pm >>>
> > A couple of listers have asked me for this so here it is
> > http://www.tuc.org.uk/h_and_s/tuc-5771-f0.cfm
> > Then click on as directed-it is a 354KB file
> > Good Luck!
> > Maudie
> >
> > ----- Original Message -----
> > From: "Diane Davies" <[log in to unmask]>
> > To: <[log in to unmask]>
> > Sent: Monday, November 08, 2004 3:39 PM
> > Subject: Re: Stress & Riddor
> >
> >
> >> Maudie
> >> Where on the website is the good downloadable power point
> > presentation of
> >> stress. I've looked and cannot find anything.
> >> Regards
> >> Magi
> >>
> >

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 15 Nov 2004 08:38:09 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Pregnancy at work
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4CAEE.6F8C2820"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4CAEE.6F8C2820
Content-Type: text/plain;
        charset="iso-8859-1"

We have just one risk assessment form which is used for all assessments,
including pregnancy.  No reason why it should be any different really - just
use your standard one.
Lynda

-----Original Message-----
From: Diane Mcclurg [mailto:[log in to unmask]]
Sent: Thursday, November 11, 2004 1:52 PM
To: [log in to unmask]
Subject: Re: Pregnancy at work


Hi
 Do you have a set risk assessment for this subject and procedure. Is there
any chance I could have a copy or pointed in the direction of some guidence.
Much appreciated.
Diane McClurg

----- Original Message -----
From: Hawkes, Lynda <mailto:[log in to unmask]>
To: [log in to unmask] <mailto:[log in to unmask]>
Sent: Wednesday, November 03, 2004 8:15 AM
Subject: Re: Pregnancy at work

All pregnant ladies in this company have to come and see me and then I
conduct a risk assessment and make recomendations accordingly.  The risk
assessment is then updated at 12 and 24 weeks or sooner if the lady tells me
that either her work has changed or that she is finding it difficult to cope
for any reason.
Lynda

-----Original Message-----
From: Stackhouse, Amy . [mailto:[log in to unmask]]
Sent: Tuesday, November 02, 2004 2:21 PM
To: [log in to unmask]
Subject: Pregnancy at work


Hi All,

I am doing a degree in primary health care with OH qualification. My
occuaptional health assignment is on pregnant women at work.

I am wondering if anyone has an protocals or contact with the pregnant women
in thier workplace. At the NHS trust I work for we do not have a requirement
for pregnant workers to contact OH.

If anyone has any other information it would be greatly recieved.

Many Thanks

Amy Stackhouse
Trainee Occupational Health Nurse
~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4CAEE.6F8C2820
Content-Type: text/html;
        charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML dir=ltr><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 5.50.4943.2100" name=GENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=#ffffff>
<DIV><SPAN class=607004508-15112004><FONT face=Arial color=#0000ff size=2>We
have just one risk assessment form which is used for all assessments, including
pregnancy.&nbsp; No reason why it should be any different really - just use your
standard one.</FONT></SPAN></DIV>
<DIV><SPAN class=607004508-15112004><FONT face=Arial color=#0000ff
size=2>Lynda</FONT></SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> Diane Mcclurg
  [mailto:[log in to unmask]]<BR><B>Sent:</B> Thursday, November 11,
  2004 1:52 PM<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re:
  Pregnancy at work<BR><BR></FONT></DIV>
  <DIV><FONT face=Arial size=2>Hi </FONT></DIV>
  <DIV><FONT face=Arial size=2>&nbsp;Do you have a set risk assessment for this
  subject and procedure. Is there any chance I could have a copy or pointed in
  the direction of some guidence. Much appreciated.</FONT></DIV>
  <DIV><FONT face=Arial size=2>Diane McClurg</FONT></DIV>
  <BLOCKQUOTE dir=ltr
  style="PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
    <DIV style="FONT: 10pt arial">----- Original Message ----- </DIV>
    <DIV
    style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: black"><B>From:</B>
    <A [log in to unmask]
    href="mailto:[log in to unmask]">Hawkes, Lynda</A> </DIV>
    <DIV style="FONT: 10pt arial"><B>To:</B> <A [log in to unmask]
    href="mailto:[log in to unmask]">[log in to unmask]</A> </DIV>
    <DIV style="FONT: 10pt arial"><B>Sent:</B> Wednesday, November 03, 2004 8:15
    AM</DIV>
    <DIV style="FONT: 10pt arial"><B>Subject:</B> Re: Pregnancy at work</DIV>
    <DIV><BR></DIV>
    <DIV><SPAN class=344082108-03112004><FONT face=Arial color=#0000ff
    size=2>All pregnant ladies in this company have to come and see me and then
    I conduct a risk assessment and make recomendations accordingly.&nbsp; The
    risk assessment is then updated at 12 and 24 weeks or sooner if the lady
    tells me that either her work has changed or that she is finding it
    difficult to cope for any reason.</FONT></SPAN></DIV>
    <DIV><SPAN class=344082108-03112004><FONT face=Arial color=#0000ff
    size=2>Lynda</FONT></SPAN></DIV>
    <BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
      <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
      size=2>-----Original Message-----<BR><B>From:</B> Stackhouse, Amy .
      [mailto:[log in to unmask]]<BR><B>Sent:</B> Tuesday, November 02, 2004
      2:21 PM<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B>
      Pregnancy at work<BR><BR></FONT></DIV>
      <DIV><FONT color=#000000>Hi All,</FONT></DIV>
      <DIV>&nbsp;</DIV>
      <DIV>I am doing a degree in primary health care with OH qualification. My
      occuaptional health assignment is on pregnant women at work.</DIV>
      <DIV>&nbsp;</DIV>
      <DIV>I&nbsp;am wondering if anyone has an protocals or contact with the
      pregnant women in thier workplace. At the NHS trust I work for we&nbsp;do
      not have a requirement for pregnant workers to contact OH. &nbsp;</DIV>
      <DIV>&nbsp;</DIV>
      <DIV>If anyone has any other information it would be greatly
      recieved.</DIV>
      <DIV>&nbsp;</DIV>
      <DIV>Many Thanks</DIV>
      <DIV>&nbsp;</DIV>
      <DIV>Amy Stackhouse</DIV>
      <DIV>Trainee Occupational Health Nurse</DIV>~~~~~~~~~~~~~~~ Please remove
      this footer before replying.
      <P>For list archives and documents, go to
      http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
      <P>For jobs in Occupational Health, go to
      http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE>~~~~~~~~~~~~~~~
    Please remove this footer before replying.
    <P>For list archives and documents, go to
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
    <P>For jobs in Occupational Health, go to
    http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE>~~~~~~~~~~~~~~~
  Please remove this footer before replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4CAEE.6F8C2820--
=========================================================================
Date:         Mon, 15 Nov 2004 14:48:41 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Clayton.Mary" <[log in to unmask]>
Subject:      Re: Sick Notes
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4CB22.32D1BFB0"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4CB22.32D1BFB0
Content-Type: text/plain

Lucy,

Please could you in clued me in the feedback list too?

Thanks,

Mary.


-----Original Message-----
From: Lucy & Adrian [mailto:[log in to unmask]]
Sent: 10 November 2004 17:09
To: [log in to unmask]
Subject: Re: Sick Notes

I am going to a meeting tomorrow about a trial into not using them.  Will
feed back when I know more.

Lucy
----- Original Message -----
From: Porter Suzanne <mailto:[log in to unmask]>
To: [log in to unmask] <mailto:[log in to unmask]>
Sent: Wednesday, November 10, 2004 12:36 PM
Subject: Sick Notes

Has anybody read the summary at the end of the NHS Agreement with GP
Practices where the clause about sick certificates is? It seems that they
are ceasing issuing sick certs from 2006 and I am wondering if anybody has
put together any proposals for their organisation to monitor absences
previously covered by GP sick notes?
Many thanks
Su Porter
Senior Occupational Health Nurse Advisor (Healthcare)
Isle of Wight Healthcare NHS Trust
01983 534209 / 4884
[log in to unmask]

~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4CB22.32D1BFB0
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<html xmlns:v=3D"urn:schemas-microsoft-com:vml" =
xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">


<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 10">
<meta name=3DOriginator content=3D"Microsoft Word 10">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C4CB22.53A42750">
<title>Sick Notes</title>
<!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]-->
<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;
        mso-font-charset:0;
        mso-generic-font-family:swiss;
        mso-font-pitch:variable;
        mso-font-signature:1627421319 -2147483648 8 0 66047 0;}
@font-face
        {font-family:"Monotype Corsiva";
        panose-1:3 1 1 1 1 2 1 1 1 1;
        mso-font-charset:0;
        mso-generic-font-family:script;
        mso-font-pitch:variable;
        mso-font-signature:647 0 0 0 159 0;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
p
        {mso-margin-top-alt:auto;
        margin-right:0cm;
        mso-margin-bottom-alt:auto;
        margin-left:0cm;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
span.EmailStyle18
        {mso-style-type:personal-reply;
        mso-style-noshow:yes;
        mso-ansi-font-size:14.0pt;
        mso-bidi-font-size:14.0pt;
        font-family:"Monotype Corsiva";
        mso-ascii-font-family:"Monotype Corsiva";
        mso-hansi-font-family:"Monotype Corsiva";
        mso-bidi-font-family:Arial;
        color:navy;}
span.SpellE
        {mso-style-name:"";
        mso-spl-e:yes;}
@page Section1
        {size:612.0pt 792.0pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;
        mso-header-margin:35.4pt;
        mso-footer-margin:35.4pt;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]--><!--[if gte mso 9]><xml>
 <o:shapedefaults v:ext=3D"edit" spidmax=3D"1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
 <o:shapelayout v:ext=3D"edit">
  <o:idmap v:ext=3D"edit" data=3D"1" />
 </o:shapelayout></xml><![endif]-->
</head>

<body bgcolor=3Dwhite lang=3DEN-US link=3Dblue vlink=3Dblue =
style=3D'tab-interval:36.0pt'>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'>Lucy,<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'>Please could you in clued me in the feedback list =
too?<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'>Thanks, <o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'>Mary.<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D4 color=3Dnavy face=3D"Monotype =
Corsiva"><span
style=3D'font-size:14.0pt;font-family:"Monotype =
Corsiva";mso-bidi-font-family:
Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DTahoma><span
style=3D'font-size:10.0pt;font-family:Tahoma'>-----Original =
Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Lucy &amp; Adrian
[mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 10 November 2004 =
17:09<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Re: Sick =
Notes</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>I am going to a meeting =
tomorrow
about a trial into not using them.&nbsp; Will feed back when I know =
more.</span></font><o:p></o:p></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'><br>
Lucy</span></font><o:p></o:p></p>

</div>

<blockquote style=3D'border:none;border-left:solid black =
1.5pt;padding:0cm 0cm 0cm 4.0pt;
margin-left:3.75pt;margin-top:5.0pt;margin-right:0cm;margin-bottom:5.0pt=
'>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>----- Original Message =
----- <o:p></o:p></span></font></p>

</div>

<div style=3D'font-color:black'>

<p class=3DMsoNormal =
style=3D'margin-left:36.0pt;background:#E4E4E4'><b><font
size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;font-weight:
bold'>From:</span></font></b><font size=3D2 face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial'> <a href=3D"mailto:[log in to unmask]"
title=3D"[log in to unmask]">Porter Suzanne</a> =
<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><b><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;font-weight:bold'>To:</span>=
</font></b><font
size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'> <a
href=3D"mailto:[log in to unmask]" =
title=3D"[log in to unmask]">[log in to unmask]</a>
<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><b><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;font-weight:bold'>Sent:</spa=
n></font></b><font
size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'> Wednesday,
November 10, 2004 12:36 PM<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><b><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;font-weight:bold'>Subject:</=
span></font></b><font
size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial'> Sick =
Notes<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

</div>

<p style=3D'margin-left:36.0pt'><font size=3D2 face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial'><!-- Converted from text/rtf format -->Has =
anybody
read the summary at the end of the NHS Agreement with GP Practices =
where the
clause about sick certificates is? It seems that they are ceasing =
issuing sick
certs from 2006 and I am wondering if anybody has put together any =
proposals
for their organisation to monitor absences previously covered by GP =
sick notes?
</span></font><o:p></o:p></p>

<p style=3D'margin-left:36.0pt'><font size=3D2 face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial'>Many thanks</span></font> <br>
<b><font size=3D4 color=3Dfuchsia face=3DArial><span =
style=3D'font-size:13.5pt;
font-family:Arial;color:fuchsia;font-weight:bold'>Su =
Porter</span></font></b> <br>
<i><font size=3D2 color=3Dlime face=3DArial><span =
style=3D'font-size:10.0pt;font-family:
Arial;color:lime;font-style:italic'>Senior Occupational Health Nurse =
Advisor
(Healthcare)</span></font></i> <br>
<font size=3D2 color=3Dlime face=3DArial><span =
style=3D'font-size:10.0pt;font-family:
Arial;color:lime'>Isle of Wight Healthcare NHS Trust</span></font> <br>
<font size=3D2 color=3Dblue face=3DArial><span =
style=3D'font-size:10.0pt;font-family:
Arial;color:blue'>01983 534209 / 4884</span></font> <br>
<b><font size=3D2 color=3Dred face=3DArial><span =
style=3D'font-size:10.0pt;font-family:
Arial;color:red;font-weight:bold'>[log in to unmask]</span></font=
></b> <o:p></o:p></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span style=3D'font-size:12.0pt'><br>
~~~~~~~~~~~~~~~ Please remove this footer before replying. =
<o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives =
<o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/<o:p></o:p></span></font></p>

</blockquote>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4CB22.32D1BFB0--
=========================================================================
Date:         Mon, 15 Nov 2004 14:57:45 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Nicola Johns <[log in to unmask]>
Subject:      Re: Sick Notes
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4CB23.76DA9AB2"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4CB23.76DA9AB2
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable
X-NAIMIME-Disclaimer: 1
X-NAIMIME-Modified: 1

Hi Lucy,
=20
I would also be interested in any feedback you have following your
meeting.
=20
Kind regards
=20
Nicky Johns
=09-----Original Message-----
=09From: Clayton.Mary [mailto:[log in to unmask]]=20
=09Sent: 15 November 2004 14:49
=09To: [log in to unmask]
=09Subject: Re: Sick Notes
=09
=09
=09Lucy,
=09=20
=09Please could you in clued me in the feedback list too?
=09=20
=09Thanks,=20
=09=20
=09Mary.
=09=20
=09=20
=09-----Original Message-----
=09From: Lucy & Adrian [mailto:[log in to unmask]]=20
=09Sent: 10 November 2004 17:09
=09To: [log in to unmask]
=09Subject: Re: Sick Notes
=09=20
=09I am going to a meeting tomorrow about a trial into not using
them.  Will feed back when I know more.
=09
=09Lucy
=09=09----- Original Message -----=20
=09=09From: Porter Suzanne <mailto:[log in to unmask]>

=09=09To: [log in to unmask]
=09=09Sent: Wednesday, November 10, 2004 12:36 PM
=09=09Subject: Sick Notes
=09=09=20
=09=09Has anybody read the summary at the end of the NHS
Agreement with GP Practices where the clause about sick certificates is?
It seems that they are ceasing issuing sick certs from 2006 and I am
wondering if anybody has put together any proposals for their
organisation to monitor absences previously covered by GP sick notes?=20
=09=09Many thanks=20
=09=09Su Porter=20
=09=09Senior Occupational Health Nurse Advisor (Healthcare)=20
=09=09Isle of Wight Healthcare NHS Trust=20
=09=0901983 534209 / 4884=20
[log in to unmask]
=09=09
=09=09~~~~~~~~~~~~~~~ Please remove this footer before
replying.=20
=09=09For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
=09=09For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=09~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
=09For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
=09For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/ ~~~~~~~~~~~~~~~ Please remove
this footer before replying.=20
=09For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
=09For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


Swansea College=0ATycoch Road, Tycoch, Swansea. SA2 9EB=0Awebsite: http:/=
/www.swancoll.ac.uk=0A***************************************************=
*************************************************************************=
**************=0AThe information contained in this message is intended fo=
r the addressee only and may contain confidential and/or =0Aprivileged in=
formation. If you are not the addressee, please delete this message and n=
otify the sender; you should not=0Acopy or distribute this message or dis=
close its contents to anyone without the express permission of the author=
 who =0Ais the copyright holder.=0A**************************************=
*************************************************************************=
***************************=0A

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4CB23.76DA9AB2
Content-Type: text/HTML;
  charset="us-ascii"
Content-Transfer-Encoding: quoted-printable
X-NAIMIME-Disclaimer: 1
X-NAIMIME-Modified: 1

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns=3D"http://www.w3.org/TR/REC-html40" xmlns:v =3D=20
"urn:schemas-microsoft-com:vml" xmlns:o =3D=20
"urn:schemas-microsoft-com:office:office" xmlns:w =3D=20
"urn:schemas-microsoft-com:office:word"><HEAD><TITLE>Message</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"=
>
<META content=3DWord.Document name=3DProgId>
<META content=3D"MSHTML 6.00.2800.1226" name=3DGENERATOR>
<META content=3D"Microsoft Word 10" name=3DOriginator><LINK=20
href=3D"cid:filelist.xml@01C4CB22.53A42750" rel=3DFile-List><!--[if gte m=
so 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]-->
<STYLE>@font-face {
=09font-family: Tahoma;
}
@font-face {
=09font-family: Monotype Corsiva;
}
@page Section1 {size: 612.0pt 792.0pt; margin: 72.0pt 90.0pt 72.0pt 90.0p=
t; mso-header-margin: 35.4pt; mso-footer-margin: 35.4pt; mso-paper-source=
: 0; }
P.MsoNormal {
=09FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; mso-fareast-font-fami=
ly: "Times New Roman"
}
LI.MsoNormal {
=09FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; mso-fareast-font-fami=
ly: "Times New Roman"
}
DIV.MsoNormal {
=09FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"; =
mso-style-parent: ""; mso-pagination: widow-orphan; mso-fareast-font-fami=
ly: "Times New Roman"
}
A:link {
=09COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
SPAN.MsoHyperlink {
=09COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
A:visited {
=09COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
SPAN.MsoHyperlinkFollowed {
=09COLOR: blue; TEXT-DECORATION: underline; text-underline: single
}
P {
=09FONT-SIZE: 12pt; MARGIN-LEFT: 0cm; MARGIN-RIGHT: 0cm; FONT-FAMILY: "Ti=
mes New Roman"; mso-pagination: widow-orphan; mso-fareast-font-family: "T=
imes New Roman"; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
SPAN.EmailStyle18 {
=09COLOR: navy; FONT-FAMILY: "Monotype Corsiva"; mso-bidi-font-family: Ar=
ial; mso-style-type: personal-reply; mso-style-noshow: yes; mso-ansi-font=
-size: 14.0pt; mso-bidi-font-size: 14.0pt; mso-ascii-font-family: "Monoty=
pe Corsiva"; mso-hansi-font-family: "Monotype Corsiva"
}
SPAN.SpellE {
=09mso-style-name: ""; mso-spl-e: yes
}
DIV.Section1 {
=09page: Section1
}
</STYLE>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]--><!--[if gte mso 9]><xml>
 <o:shapedefaults v:ext=3D"edit" spidmax=3D"1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
 <o:shapelayout v:ext=3D"edit">
  <o:idmap v:ext=3D"edit" data=3D"1" />
 </o:shapelayout></xml><![endif]--></HEAD>
<BODY lang=3DEN-US style=3D"tab-interval: 36.0pt" vLink=3Dblue link=3Dblu=
e=20
bgColor=3Dwhite>
<DIV><SPAN class=3D526235614-15112004><FONT face=3DArial color=3D#0000ff =
size=3D2>Hi=20
Lucy,</FONT></SPAN></DIV>
<DIV><SPAN class=3D526235614-15112004><FONT face=3DArial color=3D#0000ff=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D526235614-15112004><FONT face=3DArial color=3D#0000ff =
size=3D2>I=20
would also be interested in any feedback you have following your=20
meeting.</FONT></SPAN></DIV>
<DIV><SPAN class=3D526235614-15112004><FONT face=3DArial color=3D#0000ff=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D526235614-15112004><FONT face=3DArial color=3D#0000ff =
size=3D2>Kind=20
regards</FONT></SPAN></DIV>
<DIV><SPAN class=3D526235614-15112004><FONT face=3DArial color=3D#0000ff=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D526235614-15112004><FONT face=3DArial color=3D#0000ff =
size=3D2>Nicky=20
Johns</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV></DIV>
  <DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr align=3Dleft><=
FONT=20
  face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B> Clayt=
on.Mary=20
  [mailto:[log in to unmask]] <BR><B>Sent:</B> 15 November 2004=20
  14:49<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: Si=
ck=20
  Notes<BR><BR></FONT></DIV>
  <DIV class=3DSection1>
  <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy size=3D=
4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva';=
 mso-bidi-font-family: Arial">Lucy,<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy size=3D=
4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva';=
 mso-bidi-font-family: Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy size=3D=
4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva';=
 mso-bidi-font-family: Arial">Please=20
  could you in clued me in the feedback list too?<o:p></o:p></SPAN></FONT=
></P>
  <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy size=3D=
4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva';=
 mso-bidi-font-family: Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy size=3D=
4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva';=
 mso-bidi-font-family: Arial">Thanks,=20
  <o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy size=3D=
4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva';=
 mso-bidi-font-family: Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy size=3D=
4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva';=
 mso-bidi-font-family: Arial">Mary.<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy size=3D=
4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva';=
 mso-bidi-font-family: Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"Monotype Corsiva" color=3Dnavy size=3D=
4><SPAN=20
  style=3D"FONT-SIZE: 14pt; COLOR: navy; FONT-FAMILY: 'Monotype Corsiva';=
 mso-bidi-font-family: Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DTahoma si=
ze=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
  Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: bold">From:</SPAN></B> L=
ucy &amp;=20
  Adrian [mailto:[log in to unmask]] <BR><B><SPAN=20
  style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 10 November 2004 17:09<BR>=
<B><SPAN=20
  style=3D"FONT-WEIGHT: bold">To:</SPAN></B> [log in to unmask]<BR=
><B><SPAN=20
  style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Re: Sick Notes</SPAN></=
FONT></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times Ne=
w Roman"=20
  size=3D3><SPAN style=3D"FONT-SIZE: 12pt"><o:p>&nbsp;</o:p></SPAN></FONT=
></P>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial siz=
e=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial">I am going to a meeting t=
omorrow=20
  about a trial into not using them.&nbsp; Will feed back when I know=20
  more.</SPAN></FONT><o:p></o:p></P></DIV>
  <DIV>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial siz=
e=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial"><BR>Lucy</SPAN></FONT><o:=
p></o:p></P></DIV>
  <BLOCKQUOTE=20
  style=3D"BORDER-RIGHT: medium none; PADDING-RIGHT: 0cm; BORDER-TOP: med=
ium none; PADDING-LEFT: 4pt; PADDING-BOTTOM: 0cm; MARGIN: 5pt 0cm 5pt 3.7=
5pt; BORDER-LEFT: black 1.5pt solid; PADDING-TOP: 0cm; BORDER-BOTTOM: med=
ium none">
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial s=
ize=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial">----- Original Message =
-----=20
    <o:p></o:p></SPAN></FONT></P></DIV>
    <DIV style=3D"font-color: black">
    <P class=3DMsoNormal style=3D"BACKGROUND: #e4e4e4; MARGIN-LEFT: 36pt"=
><B><FONT=20
    face=3DArial size=3D2><SPAN=20
    style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">From=
:</SPAN></FONT></B><FONT=20
    face=3DArial size=3D2><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Ar=
ial"> <A=20
    [log in to unmask]
    href=3D"mailto:[log in to unmask]">Porter Suzanne</A>=20
    <o:p></o:p></SPAN></FONT></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><B><FONT face=3DAria=
l=20
    size=3D2><SPAN=20
    style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">To:<=
/SPAN></FONT></B><FONT=20
    face=3DArial size=3D2><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Ar=
ial"> <A=20
    [log in to unmask]
    href=3D"mailto:[log in to unmask]">[log in to unmask]</=
A>=20
    <o:p></o:p></SPAN></FONT></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><B><FONT face=3DAria=
l=20
    size=3D2><SPAN=20
    style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">Sent=
:</SPAN></FONT></B><FONT=20
    face=3DArial size=3D2><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Ar=
ial">=20
    Wednesday, November 10, 2004 12:36 PM<o:p></o:p></SPAN></FONT></P></D=
IV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><B><FONT face=3DAria=
l=20
    size=3D2><SPAN=20
    style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Arial">Subj=
ect:</SPAN></FONT></B><FONT=20
    face=3DArial size=3D2><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Ar=
ial"> Sick=20
    Notes<o:p></o:p></SPAN></FONT></P></DIV>
    <DIV>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
    size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P></DIV>
    <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial"><!-- Converted from tex=
t/rtf format -->Has=20
    anybody read the summary at the end of the NHS Agreement with GP Prac=
tices=20
    where the clause about sick certificates is? It seems that they are c=
easing=20
    issuing sick certs from 2006 and I am wondering if anybody has put to=
gether=20
    any proposals for their organisation to monitor absences previously c=
overed=20
    by GP sick notes? </SPAN></FONT><o:p></o:p></P>
    <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3DArial size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial">Many thanks</SPAN></FON=
T>=20
    <BR><B><FONT face=3DArial color=3Dfuchsia size=3D4><SPAN=20
    style=3D"FONT-WEIGHT: bold; FONT-SIZE: 13.5pt; COLOR: fuchsia; FONT-F=
AMILY: Arial">Su=20
    Porter</SPAN></FONT></B> <BR><I><FONT face=3DArial color=3Dlime size=3D=
2><SPAN=20
    style=3D"FONT-SIZE: 10pt; COLOR: lime; FONT-STYLE: italic; FONT-FAMIL=
Y: Arial">Senior=20
    Occupational Health Nurse Advisor (Healthcare)</SPAN></FONT></I> <BR>=
<FONT=20
    face=3DArial color=3Dlime size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; COLOR: lime; FONT-FAMILY: Arial">Isle of Wi=
ght=20
    Healthcare NHS Trust</SPAN></FONT> <BR><FONT face=3DArial color=3Dblu=
e=20
    size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Ar=
ial">01983=20
    534209 / 4884</SPAN></FONT> <BR><B><FONT face=3DArial color=3Dred siz=
e=3D2><SPAN=20
    style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: red; FONT-FAMILY:=
 Arial">[log in to unmask]</SPAN></FONT></B>=20
    <o:p></o:p></P>
    <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
    size=3D3><SPAN style=3D"FONT-SIZE: 12pt"><BR>~~~~~~~~~~~~~~~ Please r=
emove this=20
    footer before replying. <o:p></o:p></SPAN></FONT></P>
    <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" size=3D=
3><SPAN=20
    style=3D"FONT-SIZE: 12pt">For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <o:p></o:p></SPAN></FONT></P>
    <P style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times New Roman" size=3D=
3><SPAN=20
    style=3D"FONT-SIZE: 12pt">For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/<o:p></o:p></SPAN></FONT></P>=
</BLOCKQUOTE></DIV>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ ~~~~~~~~~~~~~~~ Please remove =
this=20
  footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE>
<DIV><P><HR>
Swansea College<BR>=0ATycoch Road, Tycoch, Swansea. SA2 9EB<BR>=0Awebsite=
: http://www.swancoll.ac.uk<BR>=0A***************************************=
*************************************************************************=
**************************<BR>=0AThe information contained in this messag=
e is intended for the addressee only and may contain confidential and/or =
<BR>=0Aprivileged information. If you are not the addressee, please delet=
e this message and notify the sender; you should not<BR>=0Acopy or distri=
bute this message or disclose its contents to anyone without the express =
permission of the author who <BR>=0Ais the copyright holder.<BR>=0A******=
*************************************************************************=
***********************************************************<BR>=0A
</P></DIV>
</BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4CB23.76DA9AB2--
=========================================================================
Date:         Tue, 16 Nov 2004 01:00:25 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Donna Dixon <[log in to unmask]>
Subject:      Donna Dixon/National Britannia is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=us-ascii

I will be out of the office starting  15/11/2004 and will not return until
18/11/2004.

Thank you for your email.  I am away from the office until the 18th
November.  If you require assistance, please leave me a message on 07718
661614 and I will get back to you.  Thank you

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 16 Nov 2004 09:25:00 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Barnes Anne A <[log in to unmask]>
Subject:      Re: First Aid Instructors/Assessors Training
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Elite Executives, based at Snaith could sort it for you, 01405 860555  anne

-----Original Message-----
From: John Caffrey [mailto:[log in to unmask]]
Sent: 12 November 2004 11:34
To: [log in to unmask]
Subject: First Aid Instructors/Assessors Training


To All

I have so far not been able to locate a first aid instructor/assessor
training provider in the north of England.  Does anybody have any
information or contacts that they could share?

Cheers

John
____________________________________________________________________________
___________________________________________________________
John Caffrey
Occupational Health Manager
Lever Faberge Ltd.
Coal Road
Seacroft
LEEDS LS14 2AR

Tel: 0113 222 5323  Fax: 0113 222 5377

"At the leading edge in Occupational Health we will be an integral part of
the business, promoting a quality service that protects, promotes and
enhances the health of all our employees at work"
____________________________________________________________________________
____________________________________________________________
This email, and any attachments, is strictly confidential.  Accordingly
this email and its attachments should not be forwarded, reproduced or made
available to any third party under any circumstances without prior consent
from Occupational Health.  If you are not the intended recipient please
advise the sender immediately by reply email and delete the message and
any attachments without reading, distributing or copying.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 16 Nov 2004 10:37:16 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Harrop, Chris" <[log in to unmask]>
Subject:      Re: First Aid Instructors/Assessors Training
MIME-Version: 1.0
Content-Type: text/plain

I have seen an advert in Occupational Health for a company called PFE First
Aid at Work Training based in Huddersfield. Tel 01484 306030


Christine

Occupational Health Nurse Manager
Kraft Foods (UK) Ltd
Banbury
Oxfordshire
OX16 2QU

Tel No   01295 223311
Fax No   01295 223252
Page No  157




-----Original Message-----
From: John Caffrey [mailto:[log in to unmask]]
Sent: 12 November 2004 11:34
To: [log in to unmask]
Subject: First Aid Instructors/Assessors Training


To All

I have so far not been able to locate a first aid instructor/assessor
training provider in the north of England.  Does anybody have any
information or contacts that they could share?

Cheers

John
____________________________________________________________________________
___________________________________________________________
John Caffrey
Occupational Health Manager
Lever Faberge Ltd.
Coal Road
Seacroft
LEEDS LS14 2AR

Tel: 0113 222 5323  Fax: 0113 222 5377

"At the leading edge in Occupational Health we will be an integral part of
the business, promoting a quality service that protects, promotes and
enhances the health of all our employees at work"
____________________________________________________________________________
____________________________________________________________
This email, and any attachments, is strictly confidential.  Accordingly
this email and its attachments should not be forwarded, reproduced or made
available to any third party under any circumstances without prior consent
from Occupational Health.  If you are not the intended recipient please
advise the sender immediately by reply email and delete the message and
any attachments without reading, distributing or copying.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 16 Nov 2004 12:09:27 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: First Aid Instructors/Assessors Training
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

and another....they sould travle??

Could you please arrange in the staff development mandatory section
training / updates for the cleaning team 2-3 times a year. They are more
than happy to do this.

Thanks Cerie

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/16/04 09:37am >>>
I have seen an advert in Occupational Health for a company called PFE
First
Aid at Work Training based in Huddersfield. Tel 01484 306030


Christine

Occupational Health Nurse Manager
Kraft Foods (UK) Ltd
Banbury
Oxfordshire
OX16 2QU

Tel No   01295 223311
Fax No   01295 223252
Page No  157




-----Original Message-----
From: John Caffrey [mailto:[log in to unmask]]
Sent: 12 November 2004 11:34
To: [log in to unmask]
Subject: First Aid Instructors/Assessors Training


To All

I have so far not been able to locate a first aid instructor/assessor
training provider in the north of England.  Does anybody have any
information or contacts that they could share?

Cheers

John
____________________________________________________________________________
___________________________________________________________
John Caffrey
Occupational Health Manager
Lever Faberge Ltd.
Coal Road
Seacroft
LEEDS LS14 2AR

Tel: 0113 222 5323  Fax: 0113 222 5377

"At the leading edge in Occupational Health we will be an integral part
of
the business, promoting a quality service that protects, promotes and
enhances the health of all our employees at work"
____________________________________________________________________________
____________________________________________________________
This email, and any attachments, is strictly confidential.
Accordingly
this email and its attachments should not be forwarded, reproduced or
made
available to any third party under any circumstances without prior
consent
from Occupational Health.  If you are not the intended recipient
please
advise the sender immediately by reply email and delete the message
and
any attachments without reading, distributing or copying.


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 16 Nov 2004 12:58:53 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Janet Yap <[log in to unmask]>
Subject:      Re: OH Group Meeting
Comments: cc: [log in to unmask], [log in to unmask]
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii

Following our first OH group meeting in June, a second meeting is planned
for

Date:  30th November

Time:  from 1630 hours

Venue:  Watford

Please contact for further details if anyone is interested.

Regards.

Janet



______________________________________________________________________

+ + + + + + + + + + + + + + + + + + + + + + + + + + + +
                        Visit BPL's new website
                         http://www.bpl.co.uk
+ + + + + + + + + + + + + + + + + + + + + + + + + + + +


This e-mail is confidential to the intended recipient. If you have received
it in error you must not copy, disclose, distribute or rely on its contents
but delete it immediately from your computer and notify BPL please by
telephoning +44 (0) 20 8258 2589.

BPL is not responsible and cannot be held liable
-for any reason to anyone who has received this e-mail in error
-for the contents of personal or private messages sent by members of staff
-for the security of information sent by e-mail at your request

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 16 Nov 2004 13:08:21 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lucy & Adrian <[log in to unmask]>
Subject:      change of email
Comments: To: Yvonne & Renne <[log in to unmask]>,
          Vikki <[log in to unmask]>,
          Vicky Wright <[log in to unmask]>,
          ukohn <[log in to unmask]>,
          TrainMgr HAMSDepot <[log in to unmask]>,
          Tim Smith <[log in to unmask]>,
          Tim Pearce <[log in to unmask]>,
          "Thurston, Jill" <[log in to unmask]>,
          thorney <[log in to unmask]>,
          "Taylor, Emma" <[log in to unmask]>,
          "Swingler, Peter" <[log in to unmask]>,
          Susan Parr <[log in to unmask]>,
          sophie corbett <[log in to unmask]>,
          Smith Helen <[log in to unmask]>,
          [log in to unmask], Simon Thomas <[log in to unmask]>,
          Simon Andrews <[log in to unmask]>,
          Simon & Pippa Langston <[log in to unmask]>,
          Sarah Reading <[log in to unmask]>,
          Sarah Nightingale <[log in to unmask]>,
          Sandra Beaufoy <[log in to unmask]>,
          Rita Patel <[log in to unmask]>,
          [log in to unmask], Richard Kenyon
          <[log in to unmask]>,
          Rebecca Pickett <[log in to unmask]>,
          PTM Kenilworth <[log in to unmask]>,
          PTM FossePark <[log in to unmask]>,
          prenelle <[log in to unmask]>, Prabu Prabaharans <[log in to unmask]>,
          Powell Angela <[log in to unmask]>,
          "Pickett,Rebecca (AXA-PPPOHS)" <[log in to unmask]>,
          "Perkins, Rosemary" <[log in to unmask]>,
          Paul Thompson <[log in to unmask]>,
          "Paul Doody (work)" <[log in to unmask]>,
          "Paul Doody (home)" <[log in to unmask]>,
          Paul Cooper <[log in to unmask]>,
          Paul and julie-Home email <[log in to unmask]>,
          "Parkes-Rolfe, Nigel" <[log in to unmask]>,
          "Owen, Christine" <[log in to unmask]>,
          Olumide Afolayan <[log in to unmask]>,
          OccHealth HYDKDepot <[log in to unmask]>,
          nic jottkandt <[log in to unmask]>,
          [log in to unmask], [log in to unmask],
          Neil and Paul <[log in to unmask]>,
          Natasha McGuiness <[log in to unmask]>,
          [log in to unmask], Michele Andrews <[log in to unmask]>,
          "Mcintyre, Brighid" <[log in to unmask]>,
          Marc Day <[log in to unmask]>,
          [log in to unmask], [log in to unmask],
          "Clayton.Mary" <[log in to unmask]>,
          alison gorton <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_001C_01C4CBDD.58D3E830"

This is a multi-part message in MIME format.

------=_NextPart_000_001C_01C4CBDD.58D3E830
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

As of tomorrow we will be known as [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_001C_01C4CBDD.58D3E830
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>As of tomorrow we will be known as <A=20
href=3D"mailto:[log in to unmask]">[log in to unmask]</A>.&=
nbsp;=20
</FONT></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001C_01C4CBDD.58D3E830--
=========================================================================
Date:         Tue, 16 Nov 2004 14:23:12 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Gibson, Pauline (UK)" <[log in to unmask]>
Subject:      Re: OH Group Meeting
MIME-version: 1.0
Content-type: text/plain; charset="iso-8859-1"
Content-transfer-encoding: quoted-printable

Hi Janet,
Is this meeting for all OHAs?And where in Watford and how are the meetings=
 run
Regards
Pauline Gibson

-----Original Message-----
From: Janet Yap [mailto:[log in to unmask]]
Sent: 16 November 2004 12:59
To: [log in to unmask]
Subject: Re: OH Group Meeting


               *** WARNING ***

This mail has originated outside your organization,
either from an external partner or the Global Internet.=0D
     Keep this in mind if you answer this message.=0D

Following our first OH group meeting in June, a second meeting is planned
for

Date:  30th November

Time:  from 1630 hours

Venue:  Watford

Please contact for further details if anyone is interested.

Regards.

Janet



______________________________________________________________________

+ + + + + + + + + + + + + + + + + + + + + + + + + + + +
                        Visit BPL's new website
                         http://www.bpl.co.uk
+ + + + + + + + + + + + + + + + + + + + + + + + + + + +


This e-mail is confidential to the intended recipient. If you have received
it in error you must not copy, disclose, distribute or rely on its contents
but delete it immediately from your computer and notify BPL please by
telephoning +44 (0) 20 8258 2589.

BPL is not responsible and cannot be held liable
-for any reason to anyone who has received this e-mail in error
-for the contents of personal or private messages sent by members of staff
-for the security of information sent by e-mail at your request

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 16 Nov 2004 15:18:47 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Janet Yap <[log in to unmask]>
Subject:      Re: OH Group Meeting
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii

Pauline,

The meeting is for nurses or anyone working in OH.  This is our second
meeting and would try to run it quaterly or however often the group would
like to meet..  There will be  discussions related to OH from speakers from
other fields.

My workplace is the chosen venue,  which is in Elstree - Watford, Herts,
but I am not the organiser.   If you are travelling from Heathrow
direction, it is off Jnctn 19, and off Jnctn 5 from the M1.   Map is
available if required.

Regards.

Janet




"Gibson, Pauline (UK)" <[log in to unmask]>@BAESYSTEMS.COM> on
16/11/2004 14:23:12

Please respond to Occupational Health mailing list
       <[log in to unmask]>

To:    [log in to unmask]
cc:
Subject:    Re: OH Group Meeting


Hi Janet,
Is this meeting for all OHAs?And where in Watford and how are the meetings
run
Regards
Pauline Gibson

-----Original Message-----
From: Janet Yap [mailto:[log in to unmask]]
Sent: 16 November 2004 12:59
To: [log in to unmask]
Subject: Re: OH Group Meeting


               *** WARNING ***

This mail has originated outside your organization,
either from an external partner or the Global Internet.
     Keep this in mind if you answer this message.

Following our first OH group meeting in June, a second meeting is planned
for

Date:  30th November

Time:  from 1630 hours

Venue:  Watford

Please contact for further details if anyone is interested.

Regards.

Janet



______________________________________________________________________

+ + + + + + + + + + + + + + + + + + + + + + + + + + + +
                        Visit BPL's new website
                         http://www.bpl.co.uk
+ + + + + + + + + + + + + + + + + + + + + + + + + + + +


This e-mail is confidential to the intended recipient. If you have received
it in error you must not copy, disclose, distribute or rely on its contents
but delete it immediately from your computer and notify BPL please by
telephoning +44 (0) 20 8258 2589.

BPL is not responsible and cannot be held liable
-for any reason to anyone who has received this e-mail in error
-for the contents of personal or private messages sent by members of staff
-for the security of information sent by e-mail at your request

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/





______________________________________________________________________









______________________________________________________________________

+ + + + + + + + + + + + + + + + + + + + + + + + + + + +
                        Visit BPL's new website
                         http://www.bpl.co.uk
+ + + + + + + + + + + + + + + + + + + + + + + + + + + +


This e-mail is confidential to the intended recipient. If you have received
it in error you must not copy, disclose, distribute or rely on its contents
but delete it immediately from your computer and notify BPL please by
telephoning +44 (0) 20 8258 2589.

BPL is not responsible and cannot be held liable
-for any reason to anyone who has received this e-mail in error
-for the contents of personal or private messages sent by members of staff
-for the security of information sent by e-mail at your request

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 16 Nov 2004 15:33:25 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Gibson, Pauline (UK)" <[log in to unmask]>
Subject:      Re: OH Group Meeting
MIME-version: 1.0
Content-type: text/plain; charset="iso-8859-1"
Content-transfer-encoding: quoted-printable

Hi Janet
A map would be most helpful my fax number is 01634-205616
Regards
Pauline

-----Original Message-----
From: Janet Yap [mailto:[log in to unmask]]
Sent: 16 November 2004 15:19
To: [log in to unmask]
Subject: Re: OH Group Meeting


Pauline,

The meeting is for nurses or anyone working in OH.  This is our second
meeting and would try to run it quaterly or however often the group would
like to meet..  There will be  discussions related to OH from speakers from
other fields.

My workplace is the chosen venue,  which is in Elstree - Watford, Herts,
but I am not the organiser.   If you are travelling from Heathrow
direction, it is off Jnctn 19, and off Jnctn 5 from the M1.   Map is
available if required.

Regards.

Janet




"Gibson, Pauline (UK)" <[log in to unmask]>@BAESYSTEMS.COM> on
16/11/2004 14:23:12

Please respond to Occupational Health mailing list
       <[log in to unmask]>

To:    [log in to unmask]
cc:
Subject:    Re: OH Group Meeting


Hi Janet,
Is this meeting for all OHAs?And where in Watford and how are the meetings
run
Regards
Pauline Gibson

-----Original Message-----
From: Janet Yap [mailto:[log in to unmask]]
Sent: 16 November 2004 12:59
To: [log in to unmask]
Subject: Re: OH Group Meeting


               *** WARNING ***

This mail has originated outside your organization,
either from an external partner or the Global Internet.
     Keep this in mind if you answer this message.

Following our first OH group meeting in June, a second meeting is planned
for

Date:  30th November

Time:  from 1630 hours

Venue:  Watford

Please contact for further details if anyone is interested.

Regards.

Janet



______________________________________________________________________

+ + + + + + + + + + + + + + + + + + + + + + + + + + + +
                        Visit BPL's new website
                         http://www.bpl.co.uk
+ + + + + + + + + + + + + + + + + + + + + + + + + + + +


This e-mail is confidential to the intended recipient. If you have received
it in error you must not copy, disclose, distribute or rely on its contents
but delete it immediately from your computer and notify BPL please by
telephoning +44 (0) 20 8258 2589.

BPL is not responsible and cannot be held liable
-for any reason to anyone who has received this e-mail in error
-for the contents of personal or private messages sent by members of staff
-for the security of information sent by e-mail at your request

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/





______________________________________________________________________









______________________________________________________________________

+ + + + + + + + + + + + + + + + + + + + + + + + + + + +
                        Visit BPL's new website
                         http://www.bpl.co.uk
+ + + + + + + + + + + + + + + + + + + + + + + + + + + +


This e-mail is confidential to the intended recipient. If you have received
it in error you must not copy, disclose, distribute or rely on its contents
but delete it immediately from your computer and notify BPL please by
telephoning +44 (0) 20 8258 2589.

BPL is not responsible and cannot be held liable
-for any reason to anyone who has received this e-mail in error
-for the contents of personal or private messages sent by members of staff
-for the security of information sent by e-mail at your request

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 17 Nov 2004 08:42:37 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         heather bearpark <[log in to unmask]>
Subject:      Blood collection venepuncture systems
Mime-Version: 1.0
Content-Type: text/html

<html><div style='background-color:'><P>I am looking for advice from colleagues working with&nbsp;various types of blood collection systems.&nbsp; Are your employees experiencing upper limb &amp; especially hand problems due to repetitive actions?&nbsp; Apart from job rotation have you found any other solutions / ergonomic modifications which have had any degree of success in reducing symptoms.&nbsp; I am particularly interested to know about your experience with Sarstedt Movovette and with Vacutainer systems.<BR></P>
<P>Regards </P>
<DIV>Heather Bearpark </DIV></div></html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 17 Nov 2004 10:51:30 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Julia J Collins <[log in to unmask]>
Subject:      Dermatitis

Hello All

I'm searching for a dermatitis advice leaflet for employees. I have the HSE
'Preventing Dermatitis at Work' (advice for employers and employees) but I
would really like one aimed at employees only.

Can anyone help?


Many thanks

Julia

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 17 Nov 2004 10:52:50 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Baldwin Chris (RFF) Occupational Health Nurse Advisor"
              <[log in to unmask]>
Subject:      Re: Dermatitis
MIME-Version: 1.0
Content-Type: text/plain;charset="iso-8859-1"

try "Contact Dermatitis at Work"
National Excema Society

0870 241 3604
www.eczema.org

you can preview the booklet on line
regards

Chris Baldwin
Barnsley

-----Original Message-----
From: Julia J Collins [mailto:[log in to unmask]]
Sent: 17/mm/2004 10:52 AM
To: [log in to unmask]
Subject: Dermatitis


Hello All

I'm searching for a dermatitis advice leaflet for employees. I have the HSE
'Preventing Dermatitis at Work' (advice for employers and employees) but I
would really like one aimed at employees only.

Can anyone help?


Many thanks

Julia

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
This e-mail is confidential and privileged.  If you are not the intended recipient please accept our apologies; please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful.  Please inform us that this message has gone astray before deleting it.  Thank you for your co-operation.



Unless expressly stated otherwise, the contents of this e-mail represent only the views of the sender as expressed only to the intended recipient, do not commit Barnsley District General Hospital NHS Trust to any course of action and, in particular, are not intended to impose any legal obligation upon the Trust.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 17 Nov 2004 23:41:42 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Dermatitis
MIME-Version: 1.0
Content-Type: text/plain; format=flowed; charset="Windows-1252";
              reply-type=original
Content-Transfer-Encoding: 7bit

Have you been to www.enviroderm.co.uk and asked Chris Packham. He is always
willing to help and is the leading expert in this field. His cd roms for
employees are great!

Greta



----- Original Message -----
From: "Julia J Collins" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, November 17, 2004 10:51 AM
Subject: Dermatitis


> Hello All
>
> I'm searching for a dermatitis advice leaflet for employees. I have the
> HSE
> 'Preventing Dermatitis at Work' (advice for employers and employees) but I
> would really like one aimed at employees only.
>
> Can anyone help?
>
>
> Many thanks
>
> Julia
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.796 / Virus Database: 540 - Release Date: 13/11/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 18 Nov 2004 08:42:43 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sue Hawkins <[log in to unmask]>
Subject:      Re: OH Group Meeting
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

To those of you living/working in Hertfordshire, the Herts Occupational
Health Nurses Group is still thriving!
We meet 4-5 times a year usually in the Post Grad Centre at St Albans City
Hospital, meetings start at 6.00pm.
The next meeting is 30th November.
Group contacts. Sue Shaw  [log in to unmask]
            or      Jackie Parker  [log in to unmask]

New members always welcome.
Regards
Sue

-----Original Message-----
From: Janet Yap [mailto:[log in to unmask]]
Sent: Tuesday, November 16, 2004 3:19 PM
To: [log in to unmask]
Subject: Re: OH Group Meeting


Pauline,

The meeting is for nurses or anyone working in OH.  This is our second
meeting and would try to run it quaterly or however often the group would
like to meet..  There will be  discussions related to OH from speakers from
other fields.

My workplace is the chosen venue,  which is in Elstree - Watford, Herts,
but I am not the organiser.   If you are travelling from Heathrow
direction, it is off Jnctn 19, and off Jnctn 5 from the M1.   Map is
available if required.

Regards.

Janet




"Gibson, Pauline (UK)" <[log in to unmask]>@BAESYSTEMS.COM> on
16/11/2004 14:23:12

Please respond to Occupational Health mailing list
       <[log in to unmask]>

To:    [log in to unmask]
cc:
Subject:    Re: OH Group Meeting


Hi Janet,
Is this meeting for all OHAs?And where in Watford and how are the meetings
run
Regards
Pauline Gibson

-----Original Message-----
From: Janet Yap [mailto:[log in to unmask]]
Sent: 16 November 2004 12:59
To: [log in to unmask]
Subject: Re: OH Group Meeting


               *** WARNING ***

This mail has originated outside your organization,
either from an external partner or the Global Internet.
     Keep this in mind if you answer this message.

Following our first OH group meeting in June, a second meeting is planned
for

Date:  30th November

Time:  from 1630 hours

Venue:  Watford

Please contact for further details if anyone is interested.

Regards.

Janet



______________________________________________________________________

+ + + + + + + + + + + + + + + + + + + + + + + + + + + +
                        Visit BPL's new website
                         http://www.bpl.co.uk
+ + + + + + + + + + + + + + + + + + + + + + + + + + + +


This e-mail is confidential to the intended recipient. If you have received
it in error you must not copy, disclose, distribute or rely on its contents
but delete it immediately from your computer and notify BPL please by
telephoning +44 (0) 20 8258 2589.

BPL is not responsible and cannot be held liable
-for any reason to anyone who has received this e-mail in error
-for the contents of personal or private messages sent by members of staff
-for the security of information sent by e-mail at your request

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/





______________________________________________________________________









______________________________________________________________________

+ + + + + + + + + + + + + + + + + + + + + + + + + + + +
                        Visit BPL's new website
                         http://www.bpl.co.uk
+ + + + + + + + + + + + + + + + + + + + + + + + + + + +


This e-mail is confidential to the intended recipient. If you have received
it in error you must not copy, disclose, distribute or rely on its contents
but delete it immediately from your computer and notify BPL please by
telephoning +44 (0) 20 8258 2589.

BPL is not responsible and cannot be held liable
-for any reason to anyone who has received this e-mail in error
-for the contents of personal or private messages sent by members of staff
-for the security of information sent by e-mail at your request

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 18 Nov 2004 10:32:21 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Oduntan, Ayoola" <[log in to unmask]>
Subject:      Re: Hepatitis B Booster vaccinations
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="--=_NextPart_ST_10_32_37_Thursday_November_18_2004_14979"

This is a multi-part message in MIME format.

----=_NextPart_ST_10_32_37_Thursday_November_18_2004_14979
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hi all,=20
Does any one know if it is still recommended to give a Hep. B booster dose =
 5 years following an adequate response to the primary course? Is it no lon=
ger necessary to have a Hep. B booster dose, as a good response from a bloo=
d test after 3 injections is sufficient to give immunity for life?
Your views on this would be appreciated.
Thanks=20
Ayoola.

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

This Email is confidential and intended solely for the use of the individua=
l to whom it is addressed.  If you are not the intended recipient, be advis=
ed that you have received this email in error and that any use, disseminati=
on, forwarding, printing or copying of the email is strictly prohibited.

If you have received this email in error please notify Bexley Council by te=
lephone on +44 (0) 208 303 7777.

        Web Site: http://www.bexley.gov.uk

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

----=_NextPart_ST_10_32_37_Thursday_November_18_2004_14979
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; charset=3Diso-8859-=
1">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version 6.0.6249.1">
<TITLE>Re: Hepatitis B Booster vaccinations</TITLE>
</HEAD>
<BODY>
<!-- Converted from text/rtf format -->

<P><FONT SIZE=3D2 FACE=3D"Arial">Hi all, </FONT>

<BR><FONT SIZE=3D2 FACE=3D"Arial">Does any one know if it is still recommen=
ded to give a Hep. B booster dose&nbsp; 5 years following an adequate respo=
nse to the primary course? Is it no longer necessary to have a Hep. B boost=
er dose, as a good response from a blood test after 3 injections is suffici=
ent to give immunity for life?</FONT></P>

<P><FONT SIZE=3D2 FACE=3D"Arial">Your views on this would be appreciated.</=
FONT>

<BR><FONT SIZE=3D2 FACE=3D"Arial">Thanks </FONT>

<BR><FONT SIZE=3D2 FACE=3D"Arial">Ayoola.</FONT>
</P>

<br><br>_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _=
 _ _ _ _<br><br>This Email is confidential and intended solely for the use =
of the individual to whom it is addressed.  If you are not the intended rec=
ipient, be advised that you have received this email in error and that any =
use, dissemination, forwarding, printing or copying of the email is strictl=
y prohibited.<br><br>If you have received this email in error please notify=
 Bexley Council by telephone on +44 (0) 208 303 7777.<br><br>        Web Si=
te: http://www.bexley.gov.uk<br></BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
----=_NextPart_ST_10_32_37_Thursday_November_18_2004_14979--
=========================================================================
Date:         Thu, 18 Nov 2004 10:53:05 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Hepatitis B Booster vaccinations
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Re: Hep B Booster.

From what I understand the booster given after the primary course of
three is thought to give sufficient immunity, but is there a blood test
first to identify antibody levels prior to administering booster? -  not
sure from there. Any info would be gratefully recieved.

Regards

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/18/04 10:32am >>>
Hi all,
Does any one know if it is still recommended to give a Hep. B booster
dose  5 years following an adequate response to the primary course? Is
it no longer necessary to have a Hep. B booster dose, as a good response
from a blood test after 3 injections is sufficient to give immunity for
life?
Your views on this would be appreciated.
Thanks
Ayoola.

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _

This Email is confidential and intended solely for the use of the
individual to whom it is addressed.  If you are not the intended
recipient, be advised that you have received this email in error and
that any use, dissemination, forwarding, printing or copying of the
email is strictly prohibited.

If you have received this email in error please notify Bexley Council
by telephone on +44 (0) 208 303 7777.

        Web Site: http://www.bexley.gov.uk

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 18 Nov 2004 11:25:57 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         JOSEPH BUGGY <[log in to unmask]>
Subject:      Re: Hepatitis B Booster vaccinations
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: quoted-printable
Content-Disposition: inline

Here, Primary course given
If titre >100miu/ml, then one booster due in 5 years
Further titres required to be >10miu/ml

(Hello Tracie)

Joseph Buggy
Occupational Health Advisor
QEQMH
East Kent Hospitals NHS Trust
01843-234478 Direct
0r 01843-225544 Ext 62301
[log in to unmask]

>>> [log in to unmask] 11/18/04 10:53am >>>
Re: Hep B Booster.

From what I understand the booster given after the primary course of
three is thought to give sufficient immunity, but is there a blood test
first to identify antibody levels prior to administering booster? -  not
sure from there. Any info would be gratefully recieved.

Regards

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/18/04 10:32am >>>
Hi all,
Does any one know if it is still recommended to give a Hep. B booster
dose  5 years following an adequate response to the primary course? Is
it no longer necessary to have a Hep. B booster dose, as a good response
from a blood test after 3 injections is sufficient to give immunity for
life?
Your views on this would be appreciated.
Thanks
Ayoola.

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _

This Email is confidential and intended solely for the use of the
individual to whom it is addressed.  If you are not the intended
recipient, be advised that you have received this email in error and
that any use, dissemination, forwarding, printing or copying of the
email is strictly prohibited.

If you have received this email in error please notify Bexley Council
by telephone on +44 (0) 208 303 7777.

        Web Site: http://www.bexley.gov.uk=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



**********************************************************************
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.
Any views or opinions presented are solely those of the author and do=20
not necessarily represent those of East Kent Hospitals NHS Trust.  If
you are not the intended recipient, be advised that you have received
this email in error and that any use, dissemination, forwarding, printing
or copying of this email is strictly prohibited.

If you have received this email in error please notify the system
manager at the following email address: [log in to unmask]

www.kentandmedway.nhs.uk

This footnote also confirms that although this email message has been
swept by MIMEsweeper for the presence of computer viruses, it is strongly r=
ecommended that you carry out your own virus scan of this
message and any attachments.

www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 18 Nov 2004 11:27:48 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Porter Suzanne <[log in to unmask]>
Subject:      Re: Hepatitis B Booster vaccinations
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4CD61.A225A12A"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4CD61.A225A12A
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Ayoola
=20
The advice is may be changing and will appear on-line in the DOH book. =
Until such times I understand that we are to continue giving 5 year =
boosters.
=20
Su

-----Original Message-----
From: Oduntan, Ayoola [mailto:[log in to unmask]]
Sent: 18 November 2004 10:32
To: [log in to unmask]
Subject: Re: Hepatitis B Booster vaccinations



Hi all,=20
Does any one know if it is still recommended to give a Hep. B booster =
dose  5 years following an adequate response to the primary course? Is =
it no longer necessary to have a Hep. B booster dose, as a good response =
from a blood test after 3 injections is sufficient to give immunity for =
life?

Your views on this would be appreciated.=20
Thanks=20
Ayoola.=20



_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ =
_ _

This Email is confidential and intended solely for the use of the =
individual to whom it is addressed. If you are not the intended =
recipient, be advised that you have received this email in error and =
that any use, dissemination, forwarding, printing or copying of the =
email is strictly prohibited.

If you have received this email in error please notify Bexley Council by =
telephone on +44 (0) 208 303 7777.

Web Site: http://www.bexley.gov.uk
~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4CD61.A225A12A
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<TITLE>Re: Hepatitis B Booster vaccinations</TITLE>

<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D070512611-18112004><FONT face=3DArial color=3D#0000ff =

size=3D2>Ayoola</FONT></SPAN></DIV>
<DIV><SPAN class=3D070512611-18112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D070512611-18112004><FONT face=3DArial color=3D#0000ff =
size=3D2>The=20
advice is may be changing and will appear on-line in the DOH book. Until =
such=20
times I understand that we are to continue giving 5 year=20
boosters.</FONT></SPAN></DIV>
<DIV><SPAN class=3D070512611-18112004><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D070512611-18112004><FONT face=3DArial color=3D#0000ff =

size=3D2>Su</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> Oduntan, Ayoola=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 18 November 2004 =

  10:32<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
Hepatitis=20
  B Booster vaccinations<BR><BR></FONT></DIV><!-- Converted from =
text/rtf format -->
  <P><FONT face=3DArial size=3D2>Hi all, </FONT><BR><FONT face=3DArial =
size=3D2>Does any=20
  one know if it is still recommended to give a Hep. B booster =
dose&nbsp; 5=20
  years following an adequate response to the primary course? Is it no =
longer=20
  necessary to have a Hep. B booster dose, as a good response from a =
blood test=20
  after 3 injections is sufficient to give immunity for life?</FONT></P>
  <P><FONT face=3DArial size=3D2>Your views on this would be =
appreciated.</FONT>=20
  <BR><FONT face=3DArial size=3D2>Thanks </FONT><BR><FONT face=3DArial=20
  size=3D2>Ayoola.</FONT> </P><BR><BR>_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ =
_ _ _ _ _=20
  _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _<BR><BR>This Email is confidential and =
intended=20
  solely for the use of the individual to whom it is addressed. If you =
are not=20
  the intended recipient, be advised that you have received this email =
in error=20
  and that any use, dissemination, forwarding, printing or copying of =
the email=20
  is strictly prohibited.<BR><BR>If you have received this email in =
error please=20
  notify Bexley Council by telephone on +44 (0) 208 303 7777.<BR><BR>Web =
Site:=20
  http://www.bexley.gov.uk<BR>~~~~~~~~~~~~~~~ Please remove this footer =
before=20
  replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4CD61.A225A12A--
=========================================================================
Date:         Thu, 18 Nov 2004 11:29:35 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jo Poole <[log in to unmask]>
Subject:      Re: Hepatitis B Booster vaccinations
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hello Tracie,

I would like to know if you received a blood test after the initial =
course to confirm immunity. This is normal practice and ensures you are =
immunized appropriately. There is no check done prior to the booster as =
once this is completed you should have aquired immunity for life.

Jo

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: 18 November 2004 10:53
To: [log in to unmask]
Subject: Re: Hepatitis B Booster vaccinations


Re: Hep B Booster.

From what I understand the booster given after the primary course of
three is thought to give sufficient immunity, but is there a blood test
first to identify antibody levels prior to administering booster? -  not
sure from there. Any info would be gratefully recieved.

Regards

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/18/04 10:32am >>>
Hi all,
Does any one know if it is still recommended to give a Hep. B booster
dose  5 years following an adequate response to the primary course? Is
it no longer necessary to have a Hep. B booster dose, as a good response
from a blood test after 3 injections is sufficient to give immunity for
life?
Your views on this would be appreciated.
Thanks
Ayoola.

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _

This Email is confidential and intended solely for the use of the
individual to whom it is addressed.  If you are not the intended
recipient, be advised that you have received this email in error and
that any use, dissemination, forwarding, printing or copying of the
email is strictly prohibited.

If you have received this email in error please notify Bexley Council
by telephone on +44 (0) 208 303 7777.

        Web Site: http://www.bexley.gov.uk

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 18 Nov 2004 11:52:23 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Hepatitis B Booster vaccinations
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Hi Jo

Yes, you have bloods done after the primary course, and then a booster
(currently) after five years. I was querying if bloods would be required
after that stage and how often etc etc. Sorry for the nisunderstanding.

Tracie

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/18/04 11:29am >>>
Hello Tracie,

I would like to know if you received a blood test after the initial
course to confirm immunity. This is normal practice and ensures you are
immunized appropriately. There is no check done prior to the booster as
once this is completed you should have aquired immunity for life.

Jo

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: 18 November 2004 10:53
To: [log in to unmask]
Subject: Re: Hepatitis B Booster vaccinations


Re: Hep B Booster.

From what I understand the booster given after the primary course of
three is thought to give sufficient immunity, but is there a blood
test
first to identify antibody levels prior to administering booster? -
not
sure from there. Any info would be gratefully recieved.

Regards

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/18/04 10:32am >>>
Hi all,
Does any one know if it is still recommended to give a Hep. B booster
dose  5 years following an adequate response to the primary course? Is
it no longer necessary to have a Hep. B booster dose, as a good
response
from a blood test after 3 injections is sufficient to give immunity
for
life?
Your views on this would be appreciated.
Thanks
Ayoola.

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_
_ _

This Email is confidential and intended solely for the use of the
individual to whom it is addressed.  If you are not the intended
recipient, be advised that you have received this email in error and
that any use, dissemination, forwarding, printing or copying of the
email is strictly prohibited.

If you have received this email in error please notify Bexley Council
by telephone on +44 (0) 208 303 7777.

        Web Site: http://www.bexley.gov.uk

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 18 Nov 2004 12:20:56 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jo Poole <[log in to unmask]>
Subject:      Re: Hepatitis B Booster vaccinations
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hello Tracie,

We do not usually do a further blood test unless there is another factor =
involved such as serious ill health in the interum period that my have =
had an affect on the immune system.

Jo

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: 18 November 2004 11:52
To: [log in to unmask]
Subject: Re: Hepatitis B Booster vaccinations


Hi Jo

Yes, you have bloods done after the primary course, and then a booster
(currently) after five years. I was querying if bloods would be required
after that stage and how often etc etc. Sorry for the nisunderstanding.

Tracie

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/18/04 11:29am >>>
Hello Tracie,

I would like to know if you received a blood test after the initial
course to confirm immunity. This is normal practice and ensures you are
immunized appropriately. There is no check done prior to the booster as
once this is completed you should have aquired immunity for life.

Jo

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: 18 November 2004 10:53
To: [log in to unmask]
Subject: Re: Hepatitis B Booster vaccinations


Re: Hep B Booster.

From what I understand the booster given after the primary course of
three is thought to give sufficient immunity, but is there a blood
test
first to identify antibody levels prior to administering booster? -
not
sure from there. Any info would be gratefully recieved.

Regards

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/18/04 10:32am >>>
Hi all,
Does any one know if it is still recommended to give a Hep. B booster
dose  5 years following an adequate response to the primary course? Is
it no longer necessary to have a Hep. B booster dose, as a good
response
from a blood test after 3 injections is sufficient to give immunity
for
life?
Your views on this would be appreciated.
Thanks
Ayoola.

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_
_ _

This Email is confidential and intended solely for the use of the
individual to whom it is addressed.  If you are not the intended
recipient, be advised that you have received this email in error and
that any use, dissemination, forwarding, printing or copying of the
email is strictly prohibited.

If you have received this email in error please notify Bexley Council
by telephone on +44 (0) 208 303 7777.

        Web Site: http://www.bexley.gov.uk

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 18 Nov 2004 11:59:59 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jane L Pitt <[log in to unmask]>
Organization: University of Manchester
Subject:      Re: Hepatitis B Booster vaccinations
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7BIT

Our protocol is a primary course of Hep B with a blood test to
establish immunity then a booster at 5yrs. We do not re-test for
antibodies either before or after the booster.
Jane Pitt

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 18 Nov 2004 12:57:59 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Catherine Wood <[log in to unmask]>
Subject:      Hepatitis B

Our protocol also states a primary course of Hep B with a blood test to
establish immunity then a booster is given at 5yrs. We do not re-test for
antibodies either before or after the booster.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 18 Nov 2004 13:15:18 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jo Poole <[log in to unmask]>
Subject:      Re: Hepatitis B
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hello Catherine,

Thankou for your reply. I am pleased to hear that we are in line with =
NHS practice. I am now working for the National Star College of FE for =
Disabled and Brain Injured students and it is very different to my last =
post as a OHA for the NHS Trust. Are you attending the Conference in =
Telford? Acommodation was full at the Conference centre so I have had to =
book in at Much Wenlock. I am told it is very pretty but 10 miles away.

Jo

-----Original Message-----
From: Catherine Wood [mailto:[log in to unmask]]
Sent: 18 November 2004 12:58
To: [log in to unmask]
Subject: Hepatitis B


Our protocol also states a primary course of Hep B with a blood test to
establish immunity then a booster is given at 5yrs. We do not re-test =
for
antibodies either before or after the booster.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 18 Nov 2004 13:56:21 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jon Patterson <[log in to unmask]>
Subject:      Re: Hepatitis B
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Hi all - interesting to see all the feed-back - can I throw in the
question of stat boosters in the event of an exposure incident
(needlestick / sharps / splash)?.  Currently we work on the lines of
giving a booster in the absence of a decent Anti-HBs within the past
year ............

Jon.

>>> [log in to unmask] 18/11/04 12:57:59 >>>
Our protocol also states a primary course of Hep B with a blood test
to
establish immunity then a booster is given at 5yrs. We do not re-test
for
antibodies either before or after the booster.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


[log in to unmask]

**********************************************************************
DISCLAIMER:

Any opinions expressed in this email are those of the individual and
not necessarily the Trust. 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. Any unauthorised disclosure of
the information contained in this email is strictly prohibited.

The contents of this email may contain software viruses which could
damage your own computer system. Whilst we have taken every
reasonable precaution to minimise this risk, we cannot accept liability
for any damage which you sustain as a result of software viruses.
You should therefore carry out your own virus checks before opening
the attachment.

If you have received this email in error please notify the sender or
[log in to unmask] Please then delete this email.

University Hospital Lewisham
Tel: 020 8333 3000
Web: http://www.lewisham.nhs.uk/
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 18 Nov 2004 14:08:25 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jane L Pitt <[log in to unmask]>
Organization: University of Manchester
Subject:      Re: Hepatitis B
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7BIT

Post contamination we give a booster if the last one was more than
2yrs ago.
Jane

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 18 Nov 2004 14:32:18 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Catherine Wood <[log in to unmask]>
Subject:      Hepatitis B

We also give a booster postexposure, if the previous booster was more than
2yrs ago.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 18 Nov 2004 14:53:23 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         JOSEPH BUGGY <[log in to unmask]>
Subject:      Re: Hepatitis B
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: quoted-printable
Content-Disposition: inline

Here it is given if more than 5 years!!

>>> [log in to unmask] 11/18/04 02:32pm >>>
We also give a booster postexposure, if the previous booster was more than
2yrs ago.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



**********************************************************************
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.
Any views or opinions presented are solely those of the author and do=20
not necessarily represent those of East Kent Hospitals NHS Trust.  If
you are not the intended recipient, be advised that you have received
this email in error and that any use, dissemination, forwarding, printing
or copying of this email is strictly prohibited.

If you have received this email in error please notify the system
manager at the following email address: [log in to unmask]

www.kentandmedway.nhs.uk

This footnote also confirms that although this email message has been
swept by MIMEsweeper for the presence of computer viruses, it is strongly r=
ecommended that you carry out your own virus scan of this
message and any attachments.

www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 18 Nov 2004 14:59:37 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         June Carrington <[log in to unmask]>
Subject:      Counselling

Hi
Can anyone recommend a counselling service in or around Newport,Wales.
Many thanks

June

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 18 Nov 2004 15:24:32 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sara Werry <[log in to unmask]>
Subject:      Re: Hepatitis B post exposure
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Hi
The section in the green DoH book on Hep B post exposure prophylaxis is
really useful,page 106 for any that have a hard copy of the book.
All the best
Sara

Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579


-----Original Message-----
From: JOSEPH BUGGY [mailto:[log in to unmask]]
Sent: 18 November 2004 14:53
To: [log in to unmask]
Subject: Re: Hepatitis B


Here it is given if more than 5 years!!

>>> [log in to unmask] 11/18/04 02:32pm >>>
We also give a booster postexposure, if the previous booster was more
than 2yrs ago.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



**********************************************************************
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. Any views or opinions presented are solely those of the
author and do
not necessarily represent those of East Kent Hospitals NHS Trust.  If
you are not the intended recipient, be advised that you have received
this email in error and that any use, dissemination, forwarding,
printing or copying of this email is strictly prohibited.

If you have received this email in error please notify the system
manager at the following email address: [log in to unmask]

www.kentandmedway.nhs.uk

This footnote also confirms that although this email message has been
swept by MIMEsweeper for the presence of computer viruses, it is
strongly recommended that you carry out your own virus scan of this
message and any attachments.

www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 18 Nov 2004 14:09:01 EST
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
Subject:      Re: Hepatitis B Booster vaccinations
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1100804941"

-------------------------------1100804941
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

hello all,

whilst the Green Book has set guidelines, it is really essential to  adhere
to your local policy (which should have been written with the above in  mind).

That said, check with the microbiologist at your drug supplier, and  there is
evidence more recent than the Green Book to suggest boosters are given
unnecessarily.

Personally I offer the individual information and allow them to  make an
informed choice and decision. If they wish to have levels checked rather  than
having a booster that's fine, after all if they are doing EPP for example,  and
can provide a satisfactory titre level within the past 5 years there's no
problem. The question next though, is should we routinely be testing surface
antigens as a titre above 100 miu/ml does not necessarily mean a negative  surface
antigen.

When are the DoH going to get some clarity with the Green  Book?

Glenn

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1100804941
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2600.0" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #000000; FONT-FAMILY: Eras Demi ITC"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3D"Eras Demi ITC" color=3D#000000 size=3D3>
<DIV><STRONG>hello all,</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>whilst the Green Book has set guidelines, it is really essentia=
l to=20
adhere to your local policy (which should have been written with the above i=
n=20
mind).</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>That said, check with the microbiologist at your drug supplier,=
 and=20
there is evidence more recent than the Green Book to suggest boosters are gi=
ven=20
unnecessarily.</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Personally I offer the individual information and allow them to=
=20
make an informed choice and decision. If they wish to have levels checked ra=
ther=20
than having a booster that's fine, after all if they are doing EPP for examp=
le,=20
and can provide a satisfactory titre level within the past 5 years there's n=
o=20
problem. The question next though, is should we routinely be testing surface=
=20
antigens as a titre above 100 miu/ml does not necessarily mean a negative=20
surface antigen.</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>When are the DoH going to get some clarity with the Green=20
Book?</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Glenn</STRONG></DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1100804941--
=========================================================================
Date:         Fri, 19 Nov 2004 08:14:39 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Collins, Julia (UK)" <[log in to unmask]>
Subject:      Re: Dermatitis
MIME-version: 1.0
Content-type: text/plain; charset="Windows-1252"
Content-transfer-encoding: quoted-printable

Hi Greta

Thank you for your email.

Chris has invited me to ring him today to have a chat - I will ask him=
 about his CD roms!


Julia

-----Original Message-----
From: Greta Thornbory [mailto:[log in to unmask]]
Sent: 17 November 2004 23:42
To: [log in to unmask]
Subject: Re: Dermatitis


               *** WARNING ***

This mail has originated outside your organization,
either from an external partner or the Global Internet.=0D
     Keep this in mind if you answer this message.=0D

Have you been to www.enviroderm.co.uk and asked Chris Packham. He is always
willing to help and is the leading expert in this field. His cd roms for
employees are great!

Greta



----- Original Message -----
From: "Julia J Collins" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, November 17, 2004 10:51 AM
Subject: Dermatitis


> Hello All
>
> I'm searching for a dermatitis advice leaflet for employees. I have the
> HSE
> 'Preventing Dermatitis at Work' (advice for employers and employees) but=
 I
> would really like one aimed at employees only.
>
> Can anyone help?
>
>
> Many thanks
>
> Julia
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.796 / Virus Database: 540 - Release Date: 13/11/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


********************************************************************
This email and any attachments are confidential to the intended
recipient and may also be privileged. If you are not the intended
recipient please delete it from your system and notify the sender.
You should not copy it or use it for any purpose nor disclose or
distribute its contents to any other person.
********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 19 Nov 2004 13:14:14 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Regan, Frances" <[log in to unmask]>
Subject:      Hep B for all
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

*** Before reading or acting on this e-mail, or opening any attachment, please read Derby City Council's disclaimer and confidentiality statement at the end of this e-mail ***


> Following on from your recent emails, you may be interested in the
> following article.  These discussions on Hepatitis B jabs may be a thing
> of the past!
>
>  http://www.eurosurveillance.org/ew/2004/041118.asp
>
> Regards
> Frances Regan
>


**********************************************************************
The views expressed in this email are personal and may not
necessarily reflect those of Derby City Council, unless explicitly
stated otherwise

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 me immediately.

If you are not the intended recipient of this email, you should not
copy it for any purpose, or disclose its contents to any other
person.

Senders and recipients of e-mail should be aware that under the Data Protection Act 1998 and Freedom of Information Act 2000, the contents may have to be disclosed.

This footnote also confirms that this email message has been
swept by MIMEsweeper for the presence of computer viruses.
However, we cannot accept liability for viruses that may be in
this e-mail. We recommend that you check all e-mails with an
appropriate virus scanner.

www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 19 Nov 2004 14:19:10 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Evans, Catherine" <[log in to unmask]>
Subject:      Re: Hep B for all
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Just a note to say thankyou, I found the website really interesting,
Cath Evans, Liverppol John Moore's University

> -----Original Message-----
> From: Regan, Frances [mailto:[log in to unmask]]
> Sent: 19 November 2004 13:14
> To: [log in to unmask]
> Subject: Hep B for all
>=20
>=20
> *** Before reading or acting on this e-mail, or opening any=20
> attachment, please read Derby City Council's disclaimer and=20
> confidentiality statement at the end of this e-mail ***
>=20
>=20
> > Following on from your recent emails, you may be interested in the
> > following article.  These discussions on Hepatitis B jabs=20
> may be a thing
> > of the past!
> >
> >  http://www.eurosurveillance.org/ew/2004/041118.asp
> >
> > Regards
> > Frances Regan
> >
>=20
>=20
> **********************************************************************
> The views expressed in this email are personal and may not
> necessarily reflect those of Derby City Council, unless explicitly
> stated otherwise
>=20
> 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 me immediately.
>=20
> If you are not the intended recipient of this email, you should not
> copy it for any purpose, or disclose its contents to any other
> person.
>=20
> Senders and recipients of e-mail should be aware that under=20
> the Data Protection Act 1998 and Freedom of Information Act=20
> 2000, the contents may have to be disclosed.
>=20
> This footnote also confirms that this email message has been
> swept by MIMEsweeper for the presence of computer viruses.
> However, we cannot accept liability for viruses that may be in
> this e-mail. We recommend that you check all e-mails with an
> appropriate virus scanner.
>=20
> www.mimesweeper.com
> **********************************************************************
>=20
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>=20
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>=20
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 19 Nov 2004 18:41:42 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandra Babbings <[log in to unmask]>
Subject:      Re: Sick Notes
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_01AE_01C4CE67.69B8F960"

This is a multi-part message in MIME format.

------=_NextPart_000_01AE_01C4CE67.69B8F960
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Sick Notesme too

sandra
  ----- Original Message -----=20
  From: Porter Suzanne=20
  To: [log in to unmask]
  Sent: Friday, November 12, 2004 9:58 AM
  Subject: Re: Sick Notes


  Lucy

  thank you, I will be really interested to know how you get on.

  Su
    -----Original Message-----
    From: Lucy & Adrian [mailto:[log in to unmask]]
    Sent: 10 November 2004 17:09
    To: [log in to unmask]
    Subject: Re: Sick Notes


    I am going to a meeting tomorrow about a trial into not using them.  =
Will feed back when I know more.

    Lucy
      ----- Original Message -----=20
      From: Porter Suzanne=20
      To: [log in to unmask]
      Sent: Wednesday, November 10, 2004 12:36 PM
      Subject: Sick Notes


      Has anybody read the summary at the end of the NHS Agreement with =
GP Practices where the clause about sick certificates is? It seems that =
they are ceasing issuing sick certs from 2006 and I am wondering if =
anybody has put together any proposals for their organisation to monitor =
absences previously covered by GP sick notes?=20

      Many thanks=20
      Su Porter=20
      Senior Occupational Health Nurse Advisor (Healthcare)=20
      Isle of Wight Healthcare NHS Trust=20
      01983 534209 / 4884=20
      [log in to unmask]


      ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
      For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

      For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_01AE_01C4CE67.69B8F960
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><TITLE>Sick Notes</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>me too</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>sandra</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Porter Suzanne</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Friday, November 12, 2004 =
9:58=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Sick Notes</DIV>
  <DIV><BR></DIV>
  <DIV><SPAN class=3D534455709-12112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>Lucy</FONT></SPAN></DIV>
  <DIV><SPAN class=3D534455709-12112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D534455709-12112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>thank you, I will be really interested to know how you get=20
  on.</FONT></SPAN></DIV>
  <DIV><SPAN class=3D534455709-12112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2></FONT></SPAN>&nbsp;</DIV>
  <DIV><SPAN class=3D534455709-12112004><FONT face=3DArial =
color=3D#0000ff=20
  size=3D2>Su</FONT></SPAN></DIV>
  <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
    <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
    size=3D2>-----Original Message-----<BR><B>From:</B> Lucy &amp; =
Adrian=20
    [mailto:[log in to unmask]]<BR><B>Sent:</B> 10 November 2004=20
    17:09<BR><B>To:</B> <A=20
    =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A><B=
R><B>Subject:</B>=20
    Re: Sick Notes<BR><BR></FONT></DIV>
    <DIV><FONT face=3DArial size=3D2>I am going to a meeting tomorrow =
about a trial=20
    into not using them.&nbsp; Will feed back when I know =
more.</FONT></DIV>
    <DIV><FONT face=3DArial size=3D2><BR>Lucy</FONT></DIV>
    <BLOCKQUOTE dir=3Dltr=20
    style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
      <DIV style=3D"FONT: 10pt arial">----- Original Message ----- =
</DIV>
      <DIV=20
      style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
      <A [log in to unmask]
      href=3D"mailto:[log in to unmask]">Porter Suzanne</A> =
</DIV>
      <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A=20
      [log in to unmask]
      =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A>=20
      </DIV>
      <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, November =
10, 2004=20
      12:36 PM</DIV>
      <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Sick Notes</DIV>
      <DIV><BR></DIV><!-- Converted from text/rtf format -->
      <P><FONT face=3DArial size=3D2>Has anybody read the summary at the =
end of the=20
      NHS Agreement with GP Practices where the clause about sick =
certificates=20
      is? It seems that they are ceasing issuing sick certs from 2006 =
and I am=20
      wondering if anybody has put together any proposals for their =
organisation=20
      to monitor absences previously covered by GP sick notes? =
</FONT></P>
      <P><FONT face=3DArial size=3D2>Many thanks</FONT> <BR><B><FONT =
face=3DArial=20
      color=3D#ff00ff size=3D4>Su Porter</FONT></B> <BR><I><FONT =
face=3DArial=20
      color=3D#00ff00 size=3D2>Senior Occupational Health Nurse Advisor=20
      (Healthcare)</FONT></I> <BR><FONT face=3DArial color=3D#00ff00 =
size=3D2>Isle of=20
      Wight Healthcare NHS Trust</FONT> <BR><FONT face=3DArial =
color=3D#0000ff=20
      size=3D2>01983 534209 / 4884</FONT> <BR><B><FONT face=3DArial =
color=3D#ff0000=20
      size=3D2>[log in to unmask]</FONT></B> =
</P><BR>~~~~~~~~~~~~~~~ Please=20
      remove this footer before replying.=20
      <P>For list archives and documents, go to=20
      http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
      <P>For jobs in Occupational Health, go to=20
      =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE>~~~~~~~~~~~~~~~ =

    Please remove this footer before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_01AE_01C4CE67.69B8F960--
=========================================================================
Date:         Fri, 19 Nov 2004 19:53:00 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jo Jenkins <[log in to unmask]>
Subject:      Jo Jenkins/UK/CAMPSOUP/CSC is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

I will be out of the office starting  19/11/2004 and will not return until
23/11/2004.

Please forward your message to Siobhan Lawson who may be able to help you.



**********************************************************************
This e-mail and any files transmitted with it may contain
confidential information and is intended solely for use by
the individual to whom it is addressed.  If you received
this e-mail in error, please notify the sender, do not
disclose its contents to others and delete it from your
system.

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

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sun, 21 Nov 2004 13:47:40 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jane Perry <[log in to unmask]>
Subject:      Re: EPINET
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit

Dear All
Apologies for being repetitive, but I now need the contact name/number to
find out more about Epinet. I know that this has been posted before but I
didn't need it then and ignored it - sorry.
In hope (and vowing to keep all old Jiscmail emails!)

Jane

-----Original Message-----
From: JOSEPH BUGGY [mailto:[log in to unmask]]
Sent: 11 November 2004 13:31
To: [log in to unmask]
Subject: EPINET

Re Epinet

try.....

www.eucomed.be/docs/ UK%206%20Month%20EPInet%20Presentation.pdf

for sample presentation of the product

Also Nursing Times article "Monitoring Sharps Injuries: EPINET surveillance
results" Sept 29/ vol19/ no3/ 2004

Joseph Buggy
Occupational Health Advisor
QEQMH
East Kent Hospitals NHS Trust
01843-234478 Direct
0r 01843-225544 Ext 62301
[log in to unmask]



**********************************************************************
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.
Any views or opinions presented are solely those of the author and do
not necessarily represent those of East Kent Hospitals NHS Trust.  If
you are not the intended recipient, be advised that you have received
this email in error and that any use, dissemination, forwarding, printing
or copying of this email is strictly prohibited.

If you have received this email in error please notify the system
manager at the following email address: [log in to unmask]

www.kentandmedway.nhs.uk

This footnote also confirms that although this email message has been
swept by MIMEsweeper for the presence of computer viruses, it is strongly
recommended that you carry out your own virus scan of this
message and any attachments.

www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sun, 21 Nov 2004 19:59:28 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lucy and Adrian <[log in to unmask]>
Subject:      Re: Hepatitis B Booster vaccinations
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0057_01C4D004.9BA53A80"

This is a multi-part message in MIME format.

------=_NextPart_000_0057_01C4D004.9BA53A80
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Re: Hepatitis B Booster vaccinationsBefore you write off hep b boosters, =
you might want to look at whether the existing studies have actually =
retrospectively looked at lifelong immune levels or have extrapolated =
them.  A good friend of mine has just done a literature review of this =
very subject with very interesting findings that will certainly change =
my practice.  I will be checking antibody status and looking at exposure =
risk before deciding not to boost in future.  You might want to contact =
Warwick University to see if they have decided to publish this or not.

Lucy
  ----- Original Message -----=20
  From: Oduntan, Ayoola=20
  To: [log in to unmask]
  Sent: Thursday, November 18, 2004 10:32 AM
  Subject: Re: Hepatitis B Booster vaccinations


  Hi all,=20
  Does any one know if it is still recommended to give a Hep. B booster =
dose  5 years following an adequate response to the primary course? Is =
it no longer necessary to have a Hep. B booster dose, as a good response =
from a blood test after 3 injections is sufficient to give immunity for =
life?

  Your views on this would be appreciated.=20
  Thanks=20
  Ayoola.=20



  _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ =
_ _ _

  This Email is confidential and intended solely for the use of the =
individual to whom it is addressed. If you are not the intended =
recipient, be advised that you have received this email in error and =
that any use, dissemination, forwarding, printing or copying of the =
email is strictly prohibited.

  If you have received this email in error please notify Bexley Council =
by telephone on +44 (0) 208 303 7777.

  Web Site: http://www.bexley.gov.uk
  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0057_01C4D004.9BA53A80
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><TITLE>Re: Hepatitis B Booster vaccinations</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>Before you write off hep b boosters, =
you might want=20
to look at whether the existing studies have actually retrospectively =
looked at=20
lifelong immune levels or have extrapolated them.&nbsp;&nbsp;A good =
friend of=20
mine has just done a literature review of this very subject with very=20
interesting findings that will certainly change my practice.&nbsp; I =
will be=20
checking antibody status and looking at exposure risk before deciding =
not to=20
boost in future.&nbsp; You might want to contact Warwick University to =
see if=20
they have decided to publish this or not.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Lucy</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Oduntan, Ayoola</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Thursday, November 18, =
2004 10:32=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Hepatitis B =
Booster=20
  vaccinations</DIV>
  <DIV><BR></DIV><!-- Converted from text/rtf format -->
  <P><FONT face=3DArial size=3D2>Hi all, </FONT><BR><FONT face=3DArial =
size=3D2>Does any=20
  one know if it is still recommended to give a Hep. B booster =
dose&nbsp; 5=20
  years following an adequate response to the primary course? Is it no =
longer=20
  necessary to have a Hep. B booster dose, as a good response from a =
blood test=20
  after 3 injections is sufficient to give immunity for life?</FONT></P>
  <P><FONT face=3DArial size=3D2>Your views on this would be =
appreciated.</FONT>=20
  <BR><FONT face=3DArial size=3D2>Thanks </FONT><BR><FONT face=3DArial=20
  size=3D2>Ayoola.</FONT> </P><BR><BR>_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ =
_ _ _ _ _=20
  _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _<BR><BR>This Email is confidential and =
intended=20
  solely for the use of the individual to whom it is addressed. If you =
are not=20
  the intended recipient, be advised that you have received this email =
in error=20
  and that any use, dissemination, forwarding, printing or copying of =
the email=20
  is strictly prohibited.<BR><BR>If you have received this email in =
error please=20
  notify Bexley Council by telephone on +44 (0) 208 303 7777.<BR><BR>Web =
Site:=20
  http://www.bexley.gov.uk<BR>~~~~~~~~~~~~~~~ Please remove this footer =
before=20
  replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0057_01C4D004.9BA53A80--
=========================================================================
Date:         Mon, 22 Nov 2004 14:23:40 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Therona Goldsmith <[log in to unmask]>
Subject:      Re: DSE chairs
In-Reply-To:  <[log in to unmask]>
Mime-Version: 1.0
Content-Type: text/plain; format=flowed
Content-Transfer-Encoding: quoted-printable

I can second Jackie's recommendation regarding the Giroflex 64. We are=20
recommending it as the standard chair for the new building when the first=
=20
phase is complete in 2005. What I like about is that makes it stand out, =
is=20
the ability to adjust the seat length as well as everything else that is=20
required under the DSe regs.

Therona Goldsmith


>From: "Muir, Jackie" <[log in to unmask]>
>Reply-To: Occupational Health mailing list <[log in to unmask]>
>To: [log in to unmask]
>Subject: Re: DSE chairs
>Date: Fri, 12 Nov 2004 10:07:25 -0000
>
>Try Giroflex through Orange Box on 01443 816604.
>
>The Giroflex 64 chair is brilliant and is the one we have adopted as our
>standard chair. We used to use it as the orthopaedic chair of choice as =
you
>can accomodate 95% of users with the wide range of adjustment and variab=
les
>that can be built into the chair. They cost us about =A3240 (as we buy i=
n
>bulk). Orange Box have an ergonomist on site who can also advise the
>professional and individuals needing 'special chairs'. The lead time for
>delivery is also very good usually a couple of weeks but can be done
>quicker.
>Hope this helps
>
>Regards
>
>Jackie Muir BA RGN SP(OH) MIOSH
>Occupational Health Consultant (Technical)
>Occupational Health & Safety
>Abbey House
>AHM 406
>Tel: 01908-343184
>Fax: 01908-343855
>Mobile: 07703-517098
>E-mail: [log in to unmask]
>
>
>-----Original Message-----
>From: Sharon Jones [mailto:[log in to unmask]]
>Sent: 12 November 2004 09:22
>To: [log in to unmask]
>Subject: DSE chairs
>
>
>Can anyone recommend where to go for a good general DSE operators chair?=
 We
>are currently trialing a couple from different companies and there seem =
to
>be wild price differences around (Not necessarily meaning that you get w=
hat
>you pay for!)
>
>Thanks
>Sharon
>
>~~~~~~~~~~~~~~~
>Please remove this footer before replying.
>
>For list archives and documents, go to
>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
>For jobs in Occupational Health, go to
>http://uk.groups.yahoo.com/group/OHJobs/
>
>
>.sophos.3.87.11.12.
>
>
>
>Emails aren't always secure, and they may be intercepted or changed afte=
r=20
>they've been sent. Abbey doesn't accept liability if this happens. If yo=
u=20
>think someone may have interfered with this email, please get in touch w=
ith=20
>the sender another way.
>
>This message doesn't create or change any contract. Abbey doesn't accept=
=20
>responsibility for damage caused by any viruses contained in this email =
or=20
>its attachments. Emails may be monitored.
>
>If you've received this email by mistake, please let the sender know at=20
>once that it's gone to the wrong person and then destroy it without=20
>copying, using, or telling anyone about its contents.
>
>Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg.=
=20
>No. 3839455 are registered in England and have their Registered Offices =
at=20
>Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.
>
>Abbey National plc and Inscape Investments Limited are authorised and=20
>regulated by the Financial Services Authority. Abbey National plc only=20
>advises on its own life assurance, pension and collective investment sch=
eme=20
>products. Inscape Investments Limited is a member of the Abbey Marketing=
=20
>Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registere=
d=20
>trademarks of Abbey National plc.
>
>
>~~~~~~~~~~~~~~~
>Please remove this footer before replying.
>
>For list archives and documents, go to
>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
>For jobs in Occupational Health, go to
>http://uk.groups.yahoo.com/group/OHJobs/
><< Muir,Jackie.vcf >>

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!=20
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 22 Nov 2004 20:20:55 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandy Townsend <[log in to unmask]>
Subject:      Re: Hepatitis B Booster vaccinations
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0025_01C4D0D0.C6761960"

This is a multi-part message in MIME format.

------=_NextPart_000_0025_01C4D0D0.C6761960
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: 7bit

More Hep B concerns
I understood that when a response to the hepatitis B vaccine had been
established memory cells would respond to further hep B infection
challenge if necessary (eg NSI with inoculation of hep B positive
blood)and that as no vaccine is 100%effective hence a booster
dose/immunoglobulin for the recipient in such cases.

 I have also been advised that a surface antibody titre may not be
detectable by laboratory methods even though the memory cells were fully
charged following successful immunisation and also the response to
infection stimulation may not be detectable for any pre determined
period.

Microbiologists may feel comfortable with this but I find it hard to
convince some people that they have adequate levels of protection if a
result of <10 is identified following a previous good response. This
should not happen if the guidance is followed of a course of three
vaccines-satisfactory immunity check and a booster at 5 years, but there
are some individuals who for various reasons are rechecked.

 I look forward to policies from high to enable all organisations to
sing from the same hymn sheet.

Sandy

-----
~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
---
Incoming mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.788 / Virus Database: 533 - Release Date: 01/11/2004


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.788 / Virus Database: 533 - Release Date: 01/11/2004


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0025_01C4D0D0.C6761960
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<html xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns:st1=3D"urn:schemas-microsoft-com:office:smarttags" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3DWindows-1252">


<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 10">
<meta name=3DOriginator content=3D"Microsoft Word 10">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C4D0D0.C4D058A0">
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"City"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"place"/>
<!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if !mso]>
<style>
st1\:*{behavior:url(#default#ieooui) }
</style>
<![endif]-->
<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:"Eras Demi ITC";
        panose-1:0 0 0 0 0 0 0 0 0 0;
        mso-font-alt:"Times New Roman";
        mso-font-charset:0;
        mso-generic-font-family:roman;
        mso-font-format:other;
        mso-font-pitch:auto;
        mso-font-signature:0 0 0 0 0 0;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;
        text-underline:single;}
span.EmailStyle18
        {mso-style-type:personal-reply;
        mso-style-noshow:yes;
        mso-ansi-font-size:10.0pt;
        mso-bidi-font-size:10.0pt;
        font-family:Arial;
        mso-ascii-font-family:Arial;
        mso-hansi-font-family:Arial;
        mso-bidi-font-family:Arial;
        color:navy;}
span.SpellE
        {mso-style-name:"";
        mso-spl-e:yes;}
span.GramE
        {mso-style-name:"";
        mso-gram-e:yes;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;
        mso-header-margin:35.4pt;
        mso-footer-margin:35.4pt;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]-->
</head>

<body lang=3DEN-GB link=3Dblue vlink=3Dpurple =
style=3D'tab-interval:36.0pt'
id=3D"role_body" bottomMargin=3D7 leftmargin=3D7 topmargin=3D7 =
rightMargin=3D7>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial =
id=3D"role_document"><span
style=3D'font-size:10.0pt;font-family:Arial;color:navy'>More Hep B =
concerns<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>I understood that when a response =
to the
hepatitis B vaccine had been established memory cells would respond to =
further
hep B infection challenge if necessary (<span class=3DSpellE>eg</span> =
NSI with inoculation
of hep B positive blood)and that as no vaccine is 100%effective hence a =
booster
dose/immunoglobulin for the recipient in such =
cases.<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>I have also been advised that a =
surface
antibody titre may not be detectable by laboratory methods even though =
the
memory cells were fully charged following successful immunisation and =
also the
response to infection stimulation may not be detectable for any pre =
determined
period. <o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Microbiologists may feel =
comfortable with
this but I find it hard to convince some people that they have adequate =
levels
of protection if a result of &lt;10 is identified following a previous =
good
response. This should not happen if the guidance is followed of a course =
of
three vaccines-satisfactory immunity <span class=3DGramE>check</span> =
and a
booster at 5 years, but there are some individuals who for various =
reasons are
rechecked.<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>I look forward to policies from =
high to
enable all organisations to sing from the same hymn =
sheet.<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><st1:City><st1:place><font size=3D2 color=3Dnavy =
face=3DArial><span
  =
style=3D'font-size:10.0pt;font-family:Arial;color:navy'>Sandy</span></fon=
t></st1:place></st1:City><font
size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
color:navy'><o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span lang=3DEN-US =
style=3D'font-size:12.0pt;mso-ansi-language:
EN-US'>-----</span></font><font color=3Dblack face=3D"Eras Demi =
ITC"><span
style=3D'font-family:"Eras Demi =
ITC";color:black'><o:p></o:p></span></font></p>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
<BR>
<FONT SIZE=3D2>---<BR>
Incoming mail is certified Virus Free.<BR>
Checked by AVG anti-virus system (http://www.grisoft.com).<BR>
Version: 6.0.788 / Virus Database: 533 - Release Date: 01/11/2004<BR>
</FONT><BR>
<FONT SIZE=3D2>---<BR>
Outgoing mail is certified Virus Free.<BR>
Checked by AVG anti-virus system (http://www.grisoft.com).<BR>
Version: 6.0.788 / Virus Database: 533 - Release Date: 01/11/2004<BR>
</FONT>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_0025_01C4D0D0.C6761960--
=========================================================================
Date:         Mon, 22 Nov 2004 21:14:03 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jacqui Livock <[log in to unmask]>
Subject:      New web page

hi all
have you visited this site yet?
http://whig.org.uk/

allow yourself a little time to look around, there is lots of useful stuff.
after you have registered there is more available information and lots of
relevant links.

helps to share
jacqui

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 23 Nov 2004 13:08:50 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Susanna Townley <[log in to unmask]>
Subject:      Respiratory Machines

Dear All,

Some advice please. We have at present a transportable respiratory machine
which is about 4 years old, is very heavy, constantly malfunctioning and is
not easy to use or callibrate.

Does anybody know of any easy to use, handle and callibrate respiratory
machine?

We want that is easy to transport as well.

Thanks

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 23 Nov 2004 13:23:41 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Robert Dunn
              <[log in to unmask]>
Organization: University of Oxford
Subject:      Re: Respiratory Machines
MIME-Version: 1.0
Content-Type: text/plain; format=flowed; charset="iso-8859-1";
              reply-type=original
Content-Transfer-Encoding: 7bit

Susanna, why not try a Vitalograph Pneumotrac linked to a laptop computer?

Regards, Bob

----- Original Message -----
From: "Susanna Townley" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, November 23, 2004 1:08 PM
Subject: Respiratory Machines


> Dear All,
>
> Some advice please. We have at present a transportable respiratory machine
> which is about 4 years old, is very heavy, constantly malfunctioning and
> is
> not easy to use or callibrate.
>
> Does anybody know of any easy to use, handle and callibrate respiratory
> machine?
>
> We want that is easy to transport as well.
>
> Thanks
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 23 Nov 2004 13:23:36 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Baldwin Chris (RFF) Occupational Health Nurse Advisor"
              <[log in to unmask]>
Subject:      Re: Respiratory Machines
MIME-Version: 1.0
Content-Type: text/plain;charset="iso-8859-1"

hi Susanna
if you are referring to a spirometer, we have here at Barnsley a Vitalograph
Alpha, which is lightweight and has its own small carry case. the syringe
for calibration has to be carried also, but generally makes easy carrying
all over the hospital.

Chris Baldwin

-----Original Message-----
From: Susanna Townley [mailto:[log in to unmask]]
Sent: 23/mm/2004 1:09 PM
To: [log in to unmask]
Subject: Respiratory Machines


Dear All,

Some advice please. We have at present a transportable respiratory machine
which is about 4 years old, is very heavy, constantly malfunctioning and is
not easy to use or callibrate.

Does anybody know of any easy to use, handle and callibrate respiratory
machine?

We want that is easy to transport as well.

Thanks

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
This e-mail is confidential and privileged.  If you are not the intended recipient please accept our apologies; please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful.  Please inform us that this message has gone astray before deleting it.  Thank you for your co-operation.



Unless expressly stated otherwise, the contents of this e-mail represent only the views of the sender as expressed only to the intended recipient, do not commit Barnsley District General Hospital NHS Trust to any course of action and, in particular, are not intended to impose any legal obligation upon the Trust.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 23 Nov 2004 13:25:43 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Townley Susanna <[log in to unmask]>
Subject:      Re: Respiratory Machines
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Where would I get further information from Bob


Susanna Townley RGN, Dip OH
OH Nurse Advisor
Occupational Health Services
0121 424 3040
[log in to unmask]

                -----Original Message-----
                From:   Robert Dunn [mailto:robert.dunn@UNIVERSITY-OCCUPATIONAL-HEALTH-SERV=
ICE.OXFORD.AC.UK]
                Sent:   Tuesday, November 23, 2004 1:24 PM
                To:     [log in to unmask]
                Subject:        Re: Respiratory Machines

                Susanna, why not try a Vitalograph Pneumotrac linked to a laptop computer?

                Regards, Bob

                ----- Original Message -----
                From: "Susanna Townley" <[log in to unmask]>
                To: <[log in to unmask]>
                Sent: Tuesday, November 23, 2004 1:08 PM
                Subject: Respiratory Machines


                > Dear All,
                >
                > Some advice please. We have at present a transportable respiratory mach=
ine
                > which is about 4 years old, is very heavy, constantly malfunctioning and
                > is
                > not easy to use or callibrate.
                >
                > Does anybody know of any easy to use, handle and callibrate respiratory
                > machine?
                >
                > We want that is easy to transport as well.
                >
                > Thanks
                >
                > ~~~~~~~~~~~~~~~
                > Please remove this footer before replying.
                >
                > For list archives and documents, go to
                > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
                >
                > For jobs in Occupational Health, go to
                > http://uk.groups.yahoo.com/group/OHJobs/
                >
                >

                ~~~~~~~~~~~~~~~
                Please remove this footer before replying.

                For list archives and documents, go to
                http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

                For jobs in Occupational Health, go to
                http://uk.groups.yahoo.com/group/OHJobs/


**********************************************************************
This email contains proprietary information some or all of which may be leg=
ally privileged. It is for the intended recipient(s) only. If an addressing=
 or transmission error has misdirected this e-mail, please notify the autho=
r by replying to this e-mail. If you are not the intended recipient you mus=
t not use, disclose, distribute, copy, print, or rely on this e-mail.
This footnote also confirms that this email message has been swept by
MIMEsweeper for the presence of computer viruses.
www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 23 Nov 2004 14:14:38 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Robert Dunn
              <[log in to unmask]>
Organization: University of Oxford
Subject:      Re: Respiratory Machines
MIME-Version: 1.0
Content-Type: text/plain; format=flowed; charset="iso-8859-1";
              reply-type=original
Content-Transfer-Encoding: quoted-printable

Hi Susanna, the Vitalograph address is=20
http://www.vitalograph.co.uk/index2.html
If you check under Spirometry on the left-hand menu list you'll find it. =
 We=20
have two Spirotracs in use here at Oxford University, replacing our agein=
g=20
Alpha's.  All my team think they are the "best things since sliced bread"=
,=20
although they are not cheap at around =A31000 each, plus a computer (desk=
top=20
or laptop).   However, they are the same price as a Vitalograph Alpha, al=
so=20
they interface with the OPAS database if you have it.  Alternatively,=20
Microlab spirometers are cheaper but in my opinion not as good.

Regards, Bob
----- Original Message -----=20
From: "Townley Susanna" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, November 23, 2004 1:25 PM
Subject: Re: Respiratory Machines


Where would I get further information from Bob


Susanna Townley RGN, Dip OH
OH Nurse Advisor
Occupational Health Services
0121 424 3040
[log in to unmask]

                -----Original Message-----
                From:   Robert Dunn=20
[mailto:[log in to unmask]]
                Sent:   Tuesday, November 23, 2004 1:24 PM
                To:     [log in to unmask]
                Subject:        Re: Respiratory Machines

                Susanna, why not try a Vitalograph Pneumotrac linked to a=
=20
laptop computer?

                Regards, Bob

                ----- Original Message -----
                From: "Susanna Townley"=20
<[log in to unmask]>
                To: <[log in to unmask]>
                Sent: Tuesday, November 23, 2004 1:08 PM
                Subject: Respiratory Machines


                > Dear All,
                >
                > Some advice please. We have at present a transportable=20
respiratory machine
                > which is about 4 years old, is very heavy, constantly=20
malfunctioning and
                > is
                > not easy to use or callibrate.
                >
                > Does anybody know of any easy to use, handle and=20
callibrate respiratory
                > machine?
                >
                > We want that is easy to transport as well.
                >
                > Thanks
                >
                > ~~~~~~~~~~~~~~~
                > Please remove this footer before replying.
                >
                > For list archives and documents, go to
                > http://www.jiscmail.ac.uk/lists/occ-health.html for lis=
t=20
archives
                >
                > For jobs in Occupational Health, go to
                > http://uk.groups.yahoo.com/group/OHJobs/
                >
                >

                ~~~~~~~~~~~~~~~
                Please remove this footer before replying.

                For list archives and documents, go to
                http://www.jiscmail.ac.uk/lists/occ-health.html for list=20
archives

                For jobs in Occupational Health, go to
                http://uk.groups.yahoo.com/group/OHJobs/


**********************************************************************
This email contains proprietary information some or all of which may be=20
legally privileged. It is for the intended recipient(s) only. If an=20
addressing or transmission error has misdirected this e-mail, please noti=
fy=20
the author by replying to this e-mail. If you are not the intended recipi=
ent=20
you must not use, disclose, distribute, copy, print, or rely on this e-ma=
il.
This footnote also confirms that this email message has been swept by
MIMEsweeper for the presence of computer viruses.
www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 23 Nov 2004 15:35:49 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Stackhouse, Amy ." <[log in to unmask]>
Subject:      Placements
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4D172.1BEFFB04"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4D172.1BEFFB04
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

 Hi All,
=20
I am a trainee occupational health nurse working at Gloucestershire =
Hospital. I am completing my degree at Wolverhampton in Primary Health =
Care with Occupational Health.
=20
I have 3 weeks from the 17/01/05 to 04/02/05 to visit different OH =
departments. I would like to get some experience in industry as I have =
only worked in the NHS.
=20
If anyone within resonable distance is willing to put up with me asking =
lots of questions for a day I would be very grateful.
=20
Many Thanks=20
=20
Amy Stackhouse
Trainee Occupational Health Nurse Adviser

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4D172.1BEFFB04
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML =
DIR=3Dltr><HEAD><META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1"></HEAD><BODY><DIV><FONT face=3D'Arial' =
color=3D#000000 size=3D2>&nbsp;Hi All,</FONT></DIV>=0A=
<DIV>&nbsp;</DIV>=0A=
<DIV><FONT face=3DArial size=3D2>I am a trainee occupational health =
nurse working at =0A=
Gloucestershire Hospital. I am completing my degree at Wolverhampton in =
Primary =0A=
Health Care with Occupational Health.</FONT></DIV>=0A=
<DIV>&nbsp;</DIV>=0A=
<DIV><FONT face=3DArial size=3D2>I have 3 weeks from the 17/01/05 to =
04/02/05 to =0A=
visit different OH departments. I would like to get some experience in =
industry =0A=
as I have only worked in the NHS.</FONT></DIV>=0A=
<DIV>&nbsp;</DIV>=0A=
<DIV><FONT face=3DArial size=3D2>If anyone within resonable distance is =
willing to =0A=
put up with me asking lots of questions for a day I would be very =0A=
grateful.</FONT></DIV>=0A=
<DIV>&nbsp;</DIV>=0A=
<DIV><FONT face=3DArial size=3D2>Many Thanks </FONT></DIV>=0A=
<DIV>&nbsp;</DIV>=0A=
<DIV><FONT face=3DArial size=3D2>Amy Stackhouse</FONT></DIV>=0A=
<DIV><FONT face=3DArial size=3D2>Trainee Occupational Health Nurse =0A=
Adviser</FONT></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4D172.1BEFFB04--
=========================================================================
Date:         Tue, 23 Nov 2004 15:41:25 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lucy and Adrian <[log in to unmask]>
Subject:      Re: Placements
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0570_01C4D172.E3D8F520"

This is a multi-part message in MIME format.

------=_NextPart_000_0570_01C4D172.E3D8F520
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

you might give Chris Danks a ring at Univ of Gloc in Cheltenham.  She is =
really nice & ex nhs herself.

Lucy
  ----- Original Message -----=20
  From: Stackhouse, Amy .=20
  To: [log in to unmask]
  Sent: Tuesday, November 23, 2004 3:35 PM
  Subject: Placements


   Hi All,

  I am a trainee occupational health nurse working at Gloucestershire =
Hospital. I am completing my degree at Wolverhampton in Primary Health =
Care with Occupational Health.

  I have 3 weeks from the 17/01/05 to 04/02/05 to visit different OH =
departments. I would like to get some experience in industry as I have =
only worked in the NHS.

  If anyone within resonable distance is willing to put up with me =
asking lots of questions for a day I would be very grateful.

  Many Thanks=20

  Amy Stackhouse
  Trainee Occupational Health Nurse Adviser
  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0570_01C4D172.E3D8F520
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML dir=3Dltr><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>you might give Chris Danks a ring at =
Univ of Gloc=20
in Cheltenham.&nbsp; She is really nice &amp; ex nhs =
herself.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Lucy</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Stackhouse, Amy .</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Tuesday, November 23, =
2004 3:35=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Placements</DIV>
  <DIV><BR></DIV>
  <DIV><FONT face=3DArial color=3D#000000 size=3D2>&nbsp;Hi =
All,</FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>I am a trainee occupational health =
nurse working=20
  at Gloucestershire Hospital. I am completing my degree at =
Wolverhampton in=20
  Primary Health Care with Occupational Health.</FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>I have 3 weeks from the 17/01/05 to =
04/02/05 to=20
  visit different OH departments. I would like to get some experience in =

  industry as I have only worked in the NHS.</FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>If anyone within resonable distance =
is willing to=20
  put up with me asking lots of questions for a day I would be very=20
  grateful.</FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>Many Thanks </FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>Amy Stackhouse</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2>Trainee Occupational Health Nurse=20
  Adviser</FONT></DIV>~~~~~~~~~~~~~~~ Please remove this footer before =
replying.=20

  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0570_01C4D172.E3D8F520--
=========================================================================
Date:         Tue, 23 Nov 2004 19:09:38 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Nigel Bacon <[log in to unmask]>
Subject:      Re: Hepatitis B Booster vaccinations
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0007_01C4D18F.FAA348B0"

This is a multi-part message in MIME format.

------=_NextPart_000_0007_01C4D18F.FAA348B0
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

Even more HB concerns!
Like most places, our policy is HB course, followed by blood test and if =
>100 mIU/ml, boost 5 years.  We don't do blood test before giving the =
booster. My concern is about people who do have a blood test at the time =
they are due a booster and the result is still >100 mIU/ml.  What is the =
reason for giving the booster? Is it because we don't know if and when =
the antibody level may drop and we can't realistically keep doing =
regular blood tests until the level might drop?  Are we just blindly =
following a policy without considering if they really need the booster?=20
Also someone from Aventis Pasteur indicated that if a person who =
initially had good response from course but then later tested 10-100 and =
was then given a booster, should really have a blood test 1-2 weeks =
after booster to see if there has been a response from memory cells. He =
suggested that if you wait the usual 2-3 months the antibodies may =
initially have risen with memory response but then fallen back again. =
Does anyone practice this? =20
I feel when one asks questions about HB one seems to get even more =
questions than answers!
Anna Bacon, OHA, SBucks NHS
  ----- Original Message -----=20
  From: Sandy Townsend=20
  To: [log in to unmask]
  Sent: Monday, November 22, 2004 8:20 PM
  Subject: Re: Hepatitis B Booster vaccinations


  More Hep B concerns

  I understood that when a response to the hepatitis B vaccine had been =
established memory cells would respond to further hep B infection =
challenge if necessary (eg NSI with inoculation of hep B positive =
blood)and that as no vaccine is 100%effective hence a booster =
dose/immunoglobulin for the recipient in such cases.

  =20

   I have also been advised that a surface antibody titre may not be =
detectable by laboratory methods even though the memory cells were fully =
charged following successful immunisation and also the response to =
infection stimulation may not be detectable for any pre determined =
period.=20

  =20

  Microbiologists may feel comfortable with this but I find it hard to =
convince some people that they have adequate levels of protection if a =
result of <10 is identified following a previous good response. This =
should not happen if the guidance is followed of a course of three =
vaccines-satisfactory immunity check and a booster at 5 years, but there =
are some individuals who for various reasons are rechecked.

  =20

   I look forward to policies from high to enable all organisations to =
sing from the same hymn sheet.

  =20

  Sandy

  =20

  -----

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20
  ---
  Incoming mail is certified Virus Free.
  Checked by AVG anti-virus system (http://www.grisoft.com).
  Version: 6.0.788 / Virus Database: 533 - Release Date: 01/11/2004

  ---
  Outgoing mail is certified Virus Free.
  Checked by AVG anti-virus system (http://www.grisoft.com).
  Version: 6.0.788 / Virus Database: 533 - Release Date: 01/11/2004
  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0007_01C4D18F.FAA348B0
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns=3D"http://www.w3.org/TR/REC-html40" xmlns:o =3D=20
"urn:schemas-microsoft-com:office:office" xmlns:w =3D=20
"urn:schemas-microsoft-com:office:word" xmlns:st1 =3D=20
"urn:schemas-microsoft-com:office:smarttags"><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3DWindows-1252">
<META content=3DWord.Document name=3DProgId>
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<META content=3D"Microsoft Word 10" name=3DOriginator><LINK=20
href=3D"cid:filelist.xml@01C4D0D0.C4D058A0" =
rel=3DFile-List><o:SmartTagType=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"=20
name=3D"City"></o:SmartTagType><o:SmartTagType=20
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"=20
name=3D"place"></o:SmartTagType><!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if !mso]>
<STYLE>st1\:* {
        BEHAVIOR: url(#default#ieooui)
}
</STYLE>
<![endif]-->
<STYLE>
<!--
 /* Font Definitions */
 @font-face
        {font-family:"Eras Demi ITC";
        panose-1:0 0 0 0 0 0 0 0 0 0;
        mso-font-alt:"Times New Roman";
        mso-font-charset:0;
        mso-generic-font-family:roman;
        mso-font-format:other;
        mso-font-pitch:auto;
        mso-font-signature:0 0 0 0 0 0;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;
        text-underline:single;}
span.EmailStyle18
        {mso-style-type:personal-reply;
        mso-style-noshow:yes;
        mso-ansi-font-size:10.0pt;
        mso-bidi-font-size:10.0pt;
        font-family:Arial;
        mso-ascii-font-family:Arial;
        mso-hansi-font-family:Arial;
        mso-bidi-font-family:Arial;
        color:navy;}
span.SpellE
        {mso-style-name:"";
        mso-spl-e:yes;}
span.GramE
        {mso-style-name:"";
        mso-gram-e:yes;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;
        mso-header-margin:35.4pt;
        mso-footer-margin:35.4pt;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
-->
</STYLE>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]--></HEAD>
<BODY lang=3DEN-GB id=3Drole_body style=3D"tab-interval: 36.0pt" =
bottomMargin=3D7=20
vLink=3Dpurple link=3Dblue bgColor=3D#ffffff leftMargin=3D7 =
topMargin=3D7 rightMargin=3D7>
<DIV><FONT face=3DArial size=3D2>Even more HB concerns!</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Like most places, our policy is HB =
course, followed=20
by blood test and if &gt;100 mIU/ml, boost 5 years.&nbsp; We don't do =
blood test=20
before giving the booster. My&nbsp;concern&nbsp;is about people who do =
have a=20
blood test at the time they are due a booster and the result is still =
&gt;100=20
mIU/ml.&nbsp; What is the reason for giving the booster? Is it because =
we don't=20
know if and when the antibody level may drop and we can't realistically =
keep=20
doing regular blood tests until the level might drop?&nbsp; Are we just =
blindly=20
following a policy without considering if they really need the booster?=20
</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Also someone from Aventis Pasteur =
indicated that if=20
a person who initially had good response from course but then later =
tested=20
10-100 and was then given a booster, should really have a blood test 1-2 =

weeks&nbsp;after&nbsp;booster&nbsp;to see if there has been a response =
from=20
memory cells. He suggested that if you wait the usual 2-3 months the =
antibodies=20
may initially have risen with memory response but then fallen back =
again. Does=20
anyone practice this?&nbsp; </FONT></DIV>
<DIV><FONT face=3DArial size=3D2>I feel when one asks questions about HB =
one seems=20
to get even more questions than answers!</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Anna Bacon, OHA, SBucks =
NHS</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Sandy Townsend</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, November 22, 2004 =
8:20=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Hepatitis B =
Booster=20
  vaccinations</DIV>
  <DIV><BR></DIV>
  <DIV class=3DSection1>
  <P class=3DMsoNormal><FONT id=3Drole_document face=3DArial =
color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">More Hep B=20
  concerns<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">I =
understood that=20
  when a response to the hepatitis B vaccine had been established memory =
cells=20
  would respond to further hep B infection challenge if necessary (<SPAN =

  class=3DSpellE>eg</SPAN> NSI with inoculation of hep B positive =
blood)and that=20
  as no vaccine is 100%effective hence a booster dose/immunoglobulin for =
the=20
  recipient in such cases.<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><SPAN=20
  style=3D"mso-spacerun: yes">&nbsp;</SPAN>I have also been advised that =
a surface=20
  antibody titre may not be detectable by laboratory methods even though =
the=20
  memory cells were fully charged following successful immunisation and =
also the=20
  response to infection stimulation may not be detectable for any pre =
determined=20
  period. <o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: =
Arial">Microbiologists may=20
  feel comfortable with this but I find it hard to convince some people =
that=20
  they have adequate levels of protection if a result of &lt;10 is =
identified=20
  following a previous good response. This should not happen if the =
guidance is=20
  followed of a course of three vaccines-satisfactory immunity <SPAN=20
  class=3DGramE>check</SPAN> and a booster at 5 years, but there are =
some=20
  individuals who for various reasons are=20
rechecked.<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><SPAN=20
  style=3D"mso-spacerun: yes">&nbsp;</SPAN>I look forward to policies =
from high to=20
  enable all organisations to sing from the same hymn=20
  sheet.<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><st1:City><st1:place><FONT face=3DArial =
color=3Dnavy=20
  size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: =
Arial">Sandy</SPAN></FONT></st1:place></st1:City><FONT=20
  face=3DArial color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: =
Arial"><o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal style=3D"MARGIN-LEFT: 36pt"><FONT face=3D"Times =
New Roman"=20
  size=3D3><SPAN lang=3DEN-US=20
  style=3D"FONT-SIZE: 12pt; mso-ansi-language: =
EN-US">-----</SPAN></FONT><FONT=20
  face=3D"Eras Demi ITC" color=3Dblack><SPAN=20
  style=3D"COLOR: black; FONT-FAMILY: 'Eras Demi =
ITC'"><o:p></o:p></SPAN></FONT></P></DIV>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ <BR><FONT =
size=3D2>---<BR>Incoming mail=20
  is certified Virus Free.<BR>Checked by AVG anti-virus system=20
  (http://www.grisoft.com).<BR>Version: 6.0.788 / Virus Database: 533 - =
Release=20
  Date: 01/11/2004<BR></FONT><BR><FONT size=3D2>---<BR>Outgoing mail is =
certified=20
  Virus Free.<BR>Checked by AVG anti-virus system=20
  (http://www.grisoft.com).<BR>Version: 6.0.788 / Virus Database: 533 - =
Release=20
  Date: 01/11/2004<BR></FONT>~~~~~~~~~~~~~~~ Please remove this footer =
before=20
  replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0007_01C4D18F.FAA348B0--
=========================================================================
Date:         Tue, 23 Nov 2004 21:11:41 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         =?iso-8859-1?Q?Samantha_=A0Chapman?= <[log in to unmask]>
Subject:      Re: Placements
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_388478_28230332.1101240701035"

------=_Part_388478_28230332.1101240701035
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

Amy
I work for Warwickshire Police & more than happy for you to come over, but not sure if distance too much. Feel free to contact me off the list if you want to visit.
Sam Chapman





========================================
Message date : Nov 23 2004, 03:36 PM
From : "Stackhouse, Amy ."

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 23 Nov 2004 20:58:34 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lindsey Hall <[log in to unmask]>
Subject:      Re: Placements
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0040_01C4D19F.3238B940"

This is a multi-part message in MIME format.

------=_NextPart_000_0040_01C4D19F.3238B940
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Amy

If you want to give me a ring off list, we may be able to help you with =
a couple of placements.=20

Lindsey

Lindsey Hall
Head of Nursing Services=20
AXA PPP healthcare
07779 014294
  ----- Original Message -----=20
  From: Stackhouse, Amy .=20
  To: [log in to unmask]
  Sent: Tuesday, November 23, 2004 3:35 PM
  Subject: Placements


   Hi All,

  I am a trainee occupational health nurse working at Gloucestershire =
Hospital. I am completing my degree at Wolverhampton in Primary Health =
Care with Occupational Health.

  I have 3 weeks from the 17/01/05 to 04/02/05 to visit different OH =
departments. I would like to get some experience in industry as I have =
only worked in the NHS.

  If anyone within resonable distance is willing to put up with me =
asking lots of questions for a day I would be very grateful.

  Many Thanks=20

  Amy Stackhouse
  Trainee Occupational Health Nurse Adviser
  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0040_01C4D19F.3238B940
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML dir=3Dltr><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1106" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>Amy</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>If you want to give me a ring off list, =
we may be=20
able to help you with a couple of placements. </FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Lindsey</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Lindsey Hall</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Head of Nursing Services </FONT></DIV>
<DIV><FONT face=3DArial size=3D2>AXA PPP healthcare</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>07779 014294</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Stackhouse, Amy .</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Tuesday, November 23, =
2004 3:35=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Placements</DIV>
  <DIV><BR></DIV>
  <DIV><FONT face=3DArial color=3D#000000 size=3D2>&nbsp;Hi =
All,</FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>I am a trainee occupational health =
nurse working=20
  at Gloucestershire Hospital. I am completing my degree at =
Wolverhampton in=20
  Primary Health Care with Occupational Health.</FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>I have 3 weeks from the 17/01/05 to =
04/02/05 to=20
  visit different OH departments. I would like to get some experience in =

  industry as I have only worked in the NHS.</FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>If anyone within resonable distance =
is willing to=20
  put up with me asking lots of questions for a day I would be very=20
  grateful.</FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>Many Thanks </FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=3DArial size=3D2>Amy Stackhouse</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2>Trainee Occupational Health Nurse=20
  Adviser</FONT></DIV>~~~~~~~~~~~~~~~ Please remove this footer before =
replying.=20

  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0040_01C4D19F.3238B940--
=========================================================================
Date:         Wed, 24 Nov 2004 08:28:58 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Respiratory Machines
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

I also use a Vitalograph Alpha which I transport to various sites.  In =
the
past I have used a Microlab which is also a good and easily portable
machine.
Lynda

-----Original Message-----
From: Robert Dunn
[mailto:[log in to unmask]]=

Sent: Tuesday, November 23, 2004 2:15 PM
To: [log in to unmask]
Subject: Re: Respiratory Machines


Hi Susanna, the Vitalograph address is=20
http://www.vitalograph.co.uk/index2.html
If you check under Spirometry on the left-hand menu list you'll find =
it.  We

have two Spirotracs in use here at Oxford University, replacing our =
ageing=20
Alpha's.  All my team think they are the "best things since sliced =
bread",=20
although they are not cheap at around =A31000 each, plus a computer =
(desktop=20
or laptop).   However, they are the same price as a Vitalograph Alpha, =
also=20
they interface with the OPAS database if you have it.  Alternatively,=20
Microlab spirometers are cheaper but in my opinion not as good.

Regards, Bob
----- Original Message -----=20
From: "Townley Susanna" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, November 23, 2004 1:25 PM
Subject: Re: Respiratory Machines


Where would I get further information from Bob


Susanna Townley RGN, Dip OH
OH Nurse Advisor
Occupational Health Services
0121 424 3040
[log in to unmask]

                -----Original Message-----
                From:   Robert Dunn=20
[mailto:[log in to unmask]]=

                Sent:   Tuesday, November 23, 2004 1:24 PM
                To:     [log in to unmask]
                Subject:        Re: Respiratory Machines

                Susanna, why not try a Vitalograph Pneumotrac linked to =
a=20
laptop computer?

                Regards, Bob

                ----- Original Message -----
                From: "Susanna Townley"=20
<[log in to unmask]>
                To: <[log in to unmask]>
                Sent: Tuesday, November 23, 2004 1:08 PM
                Subject: Respiratory Machines


                > Dear All,
                >
                > Some advice please. We have at present a =
transportable=20
respiratory machine
                > which is about 4 years old, is very heavy, constantly =

malfunctioning and
                > is
                > not easy to use or callibrate.
                >
                > Does anybody know of any easy to use, handle and=20
callibrate respiratory
                > machine?
                >
                > We want that is easy to transport as well.
                >
                > Thanks
                >
                > ~~~~~~~~~~~~~~~
                > Please remove this footer before replying.
                >
                > For list archives and documents, go to
                > http://www.jiscmail.ac.uk/lists/occ-health.html for =
list=20
archives
                >
                > For jobs in Occupational Health, go to
                > http://uk.groups.yahoo.com/group/OHJobs/
                >
                >

                ~~~~~~~~~~~~~~~
                Please remove this footer before replying.

                For list archives and documents, go to
                http://www.jiscmail.ac.uk/lists/occ-health.html for =
list=20
archives

                For jobs in Occupational Health, go to
                http://uk.groups.yahoo.com/group/OHJobs/


**********************************************************************
This email contains proprietary information some or all of which may be =

legally privileged. It is for the intended recipient(s) only. If an=20
addressing or transmission error has misdirected this e-mail, please =
notify=20
the author by replying to this e-mail. If you are not the intended =
recipient

you must not use, disclose, distribute, copy, print, or rely on this =
e-mail.
This footnote also confirms that this email message has been swept by
MIMEsweeper for the presence of computer viruses.
www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 24 Nov 2004 09:23:22 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Respiratory Machines
Mime-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
Content-Transfer-Encoding: quoted-printable
Content-Disposition: inline

re: spirometery

Would anyone out there like to share their training experience in this =
field, i.e, do you have an asthma diploma etc etc or have you just done a =
spiro course.....how long did your training last and was it certificated. =
When testing, do you do reversals etc etc.

Please advise=20
Many thanks

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/24/04 08:28am >>>
I also use a Vitalograph Alpha which I transport to various sites.  In the
past I have used a Microlab which is also a good and easily portable
machine.
Lynda

-----Original Message-----
From: Robert Dunn
[mailto:[log in to unmask]]=20=

Sent: Tuesday, November 23, 2004 2:15 PM
To: [log in to unmask]
Subject: Re: Respiratory Machines


Hi Susanna, the Vitalograph address is=20
http://www.vitalograph.co.uk/index2.html=20
If you check under Spirometry on the left-hand menu list you'll find it.  =
We

have two Spirotracs in use here at Oxford University, replacing our =
ageing=20
Alpha's.  All my team think they are the "best things since sliced =
bread",=20
although they are not cheap at around =A31000 each, plus a computer =
(desktop=20
or laptop).   However, they are the same price as a Vitalograph Alpha, =
also=20
they interface with the OPAS database if you have it.  Alternatively,=20
Microlab spirometers are cheaper but in my opinion not as good.

Regards, Bob
----- Original Message -----=20
From: "Townley Susanna" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, November 23, 2004 1:25 PM
Subject: Re: Respiratory Machines


Where would I get further information from Bob


Susanna Townley RGN, Dip OH
OH Nurse Advisor
Occupational Health Services
0121 424 3040
[log in to unmask]

                -----Original Message-----
                From:   Robert Dunn=20
[mailto:[log in to unmask]]=20=

                Sent:   Tuesday, November 23, 2004 1:24 PM
                To:     [log in to unmask]
                Subject:        Re: Respiratory Machines

                Susanna, why not try a Vitalograph Pneumotrac linked to =
a=20
laptop computer?

                Regards, Bob

                ----- Original Message -----
                From: "Susanna Townley"=20
<[log in to unmask]>
                To: <[log in to unmask]>
                Sent: Tuesday, November 23, 2004 1:08 PM
                Subject: Respiratory Machines


                > Dear All,
                >
                > Some advice please. We have at present a transportable=20=

respiratory machine
                > which is about 4 years old, is very heavy, constantly=20
malfunctioning and
                > is
                > not easy to use or callibrate.
                >
                > Does anybody know of any easy to use, handle and=20
callibrate respiratory
                > machine?
                >
                > We want that is easy to transport as well.
                >
                > Thanks
                >
                > ~~~~~~~~~~~~~~~
                > Please remove this footer before replying.
                >
                > For list archives and documents, go to
                > http://www.jiscmail.ac.uk/lists/occ-health.html for =
list=20
archives
                >
                > For jobs in Occupational Health, go to
                > http://uk.groups.yahoo.com/group/OHJobs/=20
                >
                >

                ~~~~~~~~~~~~~~~
                Please remove this footer before replying.

                For list archives and documents, go to
                http://www.jiscmail.ac.uk/lists/occ-health.html for =
list=20
archives

                For jobs in Occupational Health, go to
                http://uk.groups.yahoo.com/group/OHJobs/=20


**********************************************************************
This email contains proprietary information some or all of which may be=20
legally privileged. It is for the intended recipient(s) only. If an=20
addressing or transmission error has misdirected this e-mail, please =
notify=20
the author by replying to this e-mail. If you are not the intended =
recipient

you must not use, disclose, distribute, copy, print, or rely on this =
e-mail.
This footnote also confirms that this email message has been swept by
MIMEsweeper for the presence of computer viruses.
www.mimesweeper.com=20
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 24 Nov 2004 09:47:52 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Dermatitis
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

NEXT OH MEETING IN WEST WALES TO BE HELD ON DEC 9TH IN LLANGUNNOR.

FOR MORE DETAILS, PLEASE CONTACT 01437 765247 EXT 393

Tracie Mckelvie

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/17/04 11:41pm >>>
Have you been to www.enviroderm.co.uk and asked Chris Packham. He is
always
willing to help and is the leading expert in this field. His cd roms
for
employees are great!

Greta



----- Original Message -----
From: "Julia J Collins" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, November 17, 2004 10:51 AM
Subject: Dermatitis


> Hello All
>
> I'm searching for a dermatitis advice leaflet for employees. I have
the
> HSE
> 'Preventing Dermatitis at Work' (advice for employers and employees)
but I
> would really like one aimed at employees only.
>
> Can anyone help?
>
>
> Many thanks
>
> Julia
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.796 / Virus Database: 540 - Release Date: 13/11/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 24 Nov 2004 12:02:44 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Respiratory Machines
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

I did a one day course run by Micro Medical (who manufacture the =
mocrolab).
The course was very good. No assessment at the end but an attendance
certificate given.  They advertise in OH magazine.
Lynda

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: Wednesday, November 24, 2004 9:23 AM
To: [log in to unmask]
Subject: Re: Respiratory Machines


re: spirometery

Would anyone out there like to share their training experience in this
field, i.e, do you have an asthma diploma etc etc or have you just done =
a
spiro course.....how long did your training last and was it =
certificated.
When testing, do you do reversals etc etc.

Please advise=20
Many thanks

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/24/04 08:28am >>>
I also use a Vitalograph Alpha which I transport to various sites.  In =
the
past I have used a Microlab which is also a good and easily portable
machine.
Lynda

-----Original Message-----
From: Robert Dunn
[mailto:[log in to unmask]]=
=20
Sent: Tuesday, November 23, 2004 2:15 PM
To: [log in to unmask]
Subject: Re: Respiratory Machines


Hi Susanna, the Vitalograph address is=20
http://www.vitalograph.co.uk/index2.html=20
If you check under Spirometry on the left-hand menu list you'll find =
it.  We

have two Spirotracs in use here at Oxford University, replacing our =
ageing=20
Alpha's.  All my team think they are the "best things since sliced =
bread",=20
although they are not cheap at around =A31000 each, plus a computer =
(desktop=20
or laptop).   However, they are the same price as a Vitalograph Alpha, =
also=20
they interface with the OPAS database if you have it.  Alternatively,=20
Microlab spirometers are cheaper but in my opinion not as good.

Regards, Bob
----- Original Message -----=20
From: "Townley Susanna" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, November 23, 2004 1:25 PM
Subject: Re: Respiratory Machines


Where would I get further information from Bob


Susanna Townley RGN, Dip OH
OH Nurse Advisor
Occupational Health Services
0121 424 3040
[log in to unmask]

                -----Original Message-----
                From:   Robert Dunn=20
[mailto:[log in to unmask]]=
=20
                Sent:   Tuesday, November 23, 2004 1:24 PM
                To:     [log in to unmask]
                Subject:        Re: Respiratory Machines

                Susanna, why not try a Vitalograph Pneumotrac linked to =
a=20
laptop computer?

                Regards, Bob

                ----- Original Message -----
                From: "Susanna Townley"=20
<[log in to unmask]>
                To: <[log in to unmask]>
                Sent: Tuesday, November 23, 2004 1:08 PM
                Subject: Respiratory Machines


                > Dear All,
                >
                > Some advice please. We have at present a =
transportable=20
respiratory machine
                > which is about 4 years old, is very heavy, constantly =

malfunctioning and
                > is
                > not easy to use or callibrate.
                >
                > Does anybody know of any easy to use, handle and=20
callibrate respiratory
                > machine?
                >
                > We want that is easy to transport as well.
                >
                > Thanks
                >
                > ~~~~~~~~~~~~~~~
                > Please remove this footer before replying.
                >
                > For list archives and documents, go to
                > http://www.jiscmail.ac.uk/lists/occ-health.html for =
list=20
archives
                >
                > For jobs in Occupational Health, go to
                > http://uk.groups.yahoo.com/group/OHJobs/=20
                >
                >

                ~~~~~~~~~~~~~~~
                Please remove this footer before replying.

                For list archives and documents, go to
                http://www.jiscmail.ac.uk/lists/occ-health.html for =
list=20
archives

                For jobs in Occupational Health, go to
                http://uk.groups.yahoo.com/group/OHJobs/=20


**********************************************************************
This email contains proprietary information some or all of which may be =

legally privileged. It is for the intended recipient(s) only. If an=20
addressing or transmission error has misdirected this e-mail, please =
notify=20
the author by replying to this e-mail. If you are not the intended =
recipient

you must not use, disclose, distribute, copy, print, or rely on this =
e-mail.
This footnote also confirms that this email message has been swept by
MIMEsweeper for the presence of computer viruses.
www.mimesweeper.com=20
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 24 Nov 2004 13:04:27 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Respiratory Machines
Mime-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
Content-Transfer-Encoding: quoted-printable
Content-Disposition: inline

Hi Lynda

Did you have any previous knowledge of spirometery prior to the course? I =
have the microloop monitor and am looking for some form of training, but =
personally feel that a one day course owuld nit be sufficient.

Regards

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/24/04 12:02pm >>>
I did a one day course run by Micro Medical (who manufacture the mocrolab).=

The course was very good. No assessment at the end but an attendance
certificate given.  They advertise in OH magazine.
Lynda

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]=20
Sent: Wednesday, November 24, 2004 9:23 AM
To: [log in to unmask]
Subject: Re: Respiratory Machines


re: spirometery

Would anyone out there like to share their training experience in this
field, i.e, do you have an asthma diploma etc etc or have you just done a
spiro course.....how long did your training last and was it certificated.
When testing, do you do reversals etc etc.

Please advise=20
Many thanks

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/24/04 08:28am >>>
I also use a Vitalograph Alpha which I transport to various sites.  In the
past I have used a Microlab which is also a good and easily portable
machine.
Lynda

-----Original Message-----
From: Robert Dunn
[mailto:[log in to unmask]]=20=

Sent: Tuesday, November 23, 2004 2:15 PM
To: [log in to unmask]
Subject: Re: Respiratory Machines


Hi Susanna, the Vitalograph address is=20
http://www.vitalograph.co.uk/index2.html=20
If you check under Spirometry on the left-hand menu list you'll find it.  =
We

have two Spirotracs in use here at Oxford University, replacing our =
ageing=20
Alpha's.  All my team think they are the "best things since sliced =
bread",=20
although they are not cheap at around =A31000 each, plus a computer =
(desktop=20
or laptop).   However, they are the same price as a Vitalograph Alpha, =
also=20
they interface with the OPAS database if you have it.  Alternatively,=20
Microlab spirometers are cheaper but in my opinion not as good.

Regards, Bob
----- Original Message -----=20
From: "Townley Susanna" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, November 23, 2004 1:25 PM
Subject: Re: Respiratory Machines


Where would I get further information from Bob


Susanna Townley RGN, Dip OH
OH Nurse Advisor
Occupational Health Services
0121 424 3040
[log in to unmask]

                -----Original Message-----
                From:   Robert Dunn=20
[mailto:[log in to unmask]]=20=

                Sent:   Tuesday, November 23, 2004 1:24 PM
                To:     [log in to unmask]
                Subject:        Re: Respiratory Machines

                Susanna, why not try a Vitalograph Pneumotrac linked to =
a=20
laptop computer?

                Regards, Bob

                ----- Original Message -----
                From: "Susanna Townley"=20
<[log in to unmask]>
                To: <[log in to unmask]>
                Sent: Tuesday, November 23, 2004 1:08 PM
                Subject: Respiratory Machines


                > Dear All,
                >
                > Some advice please. We have at present a transportable=20=

respiratory machine
                > which is about 4 years old, is very heavy, constantly=20
malfunctioning and
                > is
                > not easy to use or callibrate.
                >
                > Does anybody know of any easy to use, handle and=20
callibrate respiratory
                > machine?
                >
                > We want that is easy to transport as well.
                >
                > Thanks
                >
                > ~~~~~~~~~~~~~~~
                > Please remove this footer before replying.
                >
                > For list archives and documents, go to
                > http://www.jiscmail.ac.uk/lists/occ-health.html for =
list=20
archives
                >
                > For jobs in Occupational Health, go to
                > http://uk.groups.yahoo.com/group/OHJobs/=20
                >
                >

                ~~~~~~~~~~~~~~~
                Please remove this footer before replying.

                For list archives and documents, go to
                http://www.jiscmail.ac.uk/lists/occ-health.html for =
list=20
archives

                For jobs in Occupational Health, go to
                http://uk.groups.yahoo.com/group/OHJobs/=20


**********************************************************************
This email contains proprietary information some or all of which may be=20
legally privileged. It is for the intended recipient(s) only. If an=20
addressing or transmission error has misdirected this e-mail, please =
notify=20
the author by replying to this e-mail. If you are not the intended =
recipient

you must not use, disclose, distribute, copy, print, or rely on this =
e-mail.
This footnote also confirms that this email message has been swept by
MIMEsweeper for the presence of computer viruses.
www.mimesweeper.com=20
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 24 Nov 2004 13:47:53 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Amanda Savage <[log in to unmask]>
Subject:      JOB!

Hi Folks,
Ive been away for a long time but now Im back & once again job searching!

Im looking for an OH post in the midlands ideally with an employer or NHS,
not OH provider. Got lots of experience in many different areas, I.T.
literate but geographically challenged!
Let me know.....
Regards
Manda

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 24 Nov 2004 16:29:40 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Respiratory Machines
MIME-Version: 1.0
Content-Type: text/plain; format=flowed; charset="iso-8859-1";
              reply-type=original
Content-Transfer-Encoding: quoted-printable

Recently I went on the one day spirometry course at the National Respirat=
ory=20
Training Centre (NRTC) in Warwick. It was v.v. good and only cost =A385. =
The=20
day is shared with GPs and practice nurses and very practical. I am writi=
ng=20
an article about it for OH journal which will be published in February.

However, as the NRTC do a number of very interesting courses useful to OH=
=20
you may want to visit their website www.nrts.org.uk and request a=20
prospectus. They do diplomas, degrees and masters validated by the Open=20
University.

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


----- Original Message -----=20
From: "Tracie McKelvie" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, November 24, 2004 9:23 AM
Subject: Re: Respiratory Machines


re: spirometery

Would anyone out there like to share their training experience in this=20
field, i.e, do you have an asthma diploma etc etc or have you just done a=
=20
spiro course.....how long did your training last and was it certificated.=
=20
When testing, do you do reversals etc etc.

Please advise
Many thanks

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/24/04 08:28am >>>
I also use a Vitalograph Alpha which I transport to various sites.  In th=
e
past I have used a Microlab which is also a good and easily portable
machine.
Lynda

-----Original Message-----
From: Robert Dunn
[mailto:[log in to unmask]]
Sent: Tuesday, November 23, 2004 2:15 PM
To: [log in to unmask]
Subject: Re: Respiratory Machines


Hi Susanna, the Vitalograph address is
http://www.vitalograph.co.uk/index2.html
If you check under Spirometry on the left-hand menu list you'll find it. =
 We

have two Spirotracs in use here at Oxford University, replacing our agein=
g
Alpha's.  All my team think they are the "best things since sliced bread"=
,
although they are not cheap at around =A31000 each, plus a computer (desk=
top
or laptop).   However, they are the same price as a Vitalograph Alpha, al=
so
they interface with the OPAS database if you have it.  Alternatively,
Microlab spirometers are cheaper but in my opinion not as good.

Regards, Bob
----- Original Message -----=20
From: "Townley Susanna" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, November 23, 2004 1:25 PM
Subject: Re: Respiratory Machines


Where would I get further information from Bob


Susanna Townley RGN, Dip OH
OH Nurse Advisor
Occupational Health Services
0121 424 3040
[log in to unmask]

                -----Original Message-----
                From:   Robert Dunn
[mailto:[log in to unmask]]
                Sent:   Tuesday, November 23, 2004 1:24 PM
                To:     [log in to unmask]
                Subject:        Re: Respiratory Machines

                Susanna, why not try a Vitalograph Pneumotrac linked to a
laptop computer?

                Regards, Bob

                ----- Original Message -----
                From: "Susanna Townley"
<[log in to unmask]>
                To: <[log in to unmask]>
                Sent: Tuesday, November 23, 2004 1:08 PM
                Subject: Respiratory Machines


                > Dear All,
                >
                > Some advice please. We have at present a transportable
respiratory machine
                > which is about 4 years old, is very heavy, constantly
malfunctioning and
                > is
                > not easy to use or callibrate.
                >
                > Does anybody know of any easy to use, handle and
callibrate respiratory
                > machine?
                >
                > We want that is easy to transport as well.
                >
                > Thanks
                >
                > ~~~~~~~~~~~~~~~
                > Please remove this footer before replying.
                >
                > For list archives and documents, go to
                > http://www.jiscmail.ac.uk/lists/occ-health.html for lis=
t
archives
                >
                > For jobs in Occupational Health, go to
                > http://uk.groups.yahoo.com/group/OHJobs/
                >
                >

                ~~~~~~~~~~~~~~~
                Please remove this footer before replying.

                For list archives and documents, go to
                http://www.jiscmail.ac.uk/lists/occ-health.html for list
archives

                For jobs in Occupational Health, go to
                http://uk.groups.yahoo.com/group/OHJobs/


**********************************************************************
This email contains proprietary information some or all of which may be
legally privileged. It is for the intended recipient(s) only. If an
addressing or transmission error has misdirected this e-mail, please noti=
fy
the author by replying to this e-mail. If you are not the intended recipi=
ent

you must not use, disclose, distribute, copy, print, or rely on this e-ma=
il.
This footnote also confirms that this email message has been swept by
MIMEsweeper for the presence of computer viruses.
www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.796 / Virus Database: 540 - Release Date: 13/11/2004=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 24 Nov 2004 16:43:05 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: re nrts.org.uk
Comments: To: Gina Jones <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0118_01C4D244.AC159080"

This is a multi-part message in MIME format.

------=_NextPart_000_0118_01C4D244.AC159080
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

re nrts.org.ukSorry Gina et al - I am just back from the SOHN conference =
and a bit tired!! the website for the NRTC is www.nrtc.org.uk

Sincere apologies for my typo..........

Greta
  ----- Original Message -----=20
  From: Gina Jones=20
  To: [log in to unmask]
  Sent: Wednesday, November 24, 2004 4:35 PM
  Subject: re nrts.org.uk


  i tried the link in your email re: spirometry training and it would =
not open their site. please advise=20
  Gina=20


  A DIVISION OF SAMWORTH BROTHERS LIMITED.
  Registered Office: Chetwode House, Leicester Road, Melton Mowbray,
  Leicestershire, LE13 1GA.=20
  Registered Number: 03116767, Registered in England.

  PRIVATE AND CONFIDENTIAL
  This message is private and confidential. It must not be disclosed to,
  copied or used by anyone other than the addressee. If you receive this
  message in error, please notify our email administrator at=20
  [log in to unmask] and destroy the message.

  E-MAIL VIRUS WARNING
  Although this email and any attachment are believed to be free from
  viruses which might affect any system into which they are received or
  opened, it is the responsibility of the recipient to ensure that they =
are virus free. No responsibility is accepted by Samworth Brothers for
  any loss or damage arising in any way from their receipt, opening or
  use.
  ___________________________________________________________________
  This email has been scanned for all viruses by the MessageLabs SkyScan
  service. For more information on a proactive anti-virus service =
working
  around the clock, around the globe, visit http://www.messagelabs.com
  =
________________________________________________________________________



  ---
  Outgoing mail is certified Virus Free.
  Checked by AVG anti-virus system (http://www.grisoft.com).
  Version: 6.0.796 / Virus Database: 540 - Release Date: 13/11/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_0118_01C4D244.AC159080
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><TITLE>re nrts.org.uk</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT size=3D2>Sorry Gina et al - I am just back from the SOHN =
conference and=20
a bit tired!! the website for the NRTC is <A=20
href=3D"http://www.nrtc.org.uk">www.nrtc.org.uk</A></FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Sincere apologies for my typo..........</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta</FONT></DIV>
<BLOCKQUOTE=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Gina Jones</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</=
A>=20
  </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Wednesday, November 24, =
2004 4:35=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> re nrts.org.uk</DIV>
  <DIV><BR></DIV><!-- Converted from text/rtf format -->
  <P><FONT face=3DArial size=3D2>i tried the link in your email re: =
spirometry=20
  training and it would not open their site. please advise</FONT> =
<BR><FONT=20
  face=3DArial size=3D2>Gina</FONT> </P>
  <DIV><BR>A DIVISION OF SAMWORTH BROTHERS LIMITED.<BR>Registered =
Office:=20
  Chetwode House, Leicester Road, Melton Mowbray,<BR>Leicestershire, =
LE13 1GA.=20
  <BR>Registered Number: 03116767, Registered in England.<BR><BR>PRIVATE =
AND=20
  CONFIDENTIAL<BR>This message is private and confidential. It must not =
be=20
  disclosed to,<BR>copied or used by anyone other than the addressee. If =
you=20
  receive this<BR>message in error, please notify our email =
administrator at=20
  <BR>[log in to unmask] and destroy the =
message.<BR><BR>E-MAIL=20
  VIRUS WARNING<BR>Although this email and any attachment are believed =
to be=20
  free from<BR>viruses which might affect any system into which they are =

  received or<BR>opened, it is the responsibility of the recipient to =
ensure=20
  that they are virus free. No responsibility is accepted by Samworth =
Brothers=20
  for<BR>any loss or damage arising in any way from their receipt, =
opening=20
  =
or<BR>use.<BR>___________________________________________________________=
________<BR>This=20
  email has been scanned for all viruses by the MessageLabs =
SkyScan<BR>service.=20
  For more information on a proactive anti-virus service =
working<BR>around the=20
  clock, around the globe, visit=20
  =
http://www.messagelabs.com<BR>___________________________________________=
_____________________________<BR></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><BR>---<BR>Outgoing mail is certified Virus Free.<BR>Checked by =
AVG=20
  anti-virus system (<A=20
  =
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.796=20
  / Virus Database: 540 - Release Date:=20
13/11/2004</DIV></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0118_01C4D244.AC159080--
=========================================================================
Date:         Wed, 24 Nov 2004 17:28:42 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Susan Ford <[log in to unmask]>
Subject:      Sue Ford/Bville/Confy/CadSchw is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

I will be out of the office starting  24/11/2004 and will not return until
30/11/2004.




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

This e-mail is confidential and may contain privileged information.  If you
are not the addressee or if you have received the e-mail in error, it may
be unlawful for you to read, copy, distribute, disclose or otherwise use the information which it contains.  Under these circumstances, please notify us immediately by returning this mail to [log in to unmask] and deleting this e-mail from your system.

Any views expressed by an individual within this e-mail do not necessarily reflect the views of Cadbury Schweppes Plc or its subsidiaries.  Cadbury Schweppes Plc will not be bound by any agreement entered into as a result of this email, unless its intention is clearly evidenced in the body of the email.  Whilst we have taken reasonable steps to ensure that this e-mail and attachments are free from viruses, recipients are advised to subject this mail to their own virus checking, in keeping with good computing practice. Please
note that email received by Cadbury Schweppes Plc or its subsidiaries may be monitored in accordance with the prevailing law in the United Kingdom.

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

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 24 Nov 2004 17:47:38 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Neil Loach <[log in to unmask]>
Subject:      Re: JOB!
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Manda

contact me on 07736646999

Neil
>-- Original Message --
>Date:         Wed, 24 Nov 2004 13:47:53 +0000
>Reply-To:     Occupational Health mailing list <[log in to unmask]
K>
>From:         Amanda Savage <[log in to unmask]>
>Subject: JOB!
>To:           [log in to unmask]
>
>
>Hi Folks,
>Ive been away for a long time but now Im back & once again job searching=
!
>
>Im looking for an OH post in the midlands ideally with an employer or NH=
S,
>not OH provider. Got lots of experience in many different areas, I.T.
>literate but geographically challenged!
>Let me know.....
>Regards
>Manda
>
>~~~~~~~~~~~~~~~
>Please remove this footer before replying.
>
>For list archives and documents, go to
>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
>For jobs in Occupational Health, go to
>http://uk.groups.yahoo.com/group/OHJobs/


___________________________________________________________

FREE weekend phone calls! NO monthly fee, NO contract!

http://www.tiscali.co.uk/services/smarttalk/?StartupCode=3DOL063&srccode=3D=
COD_563

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 25 Nov 2004 08:18:27 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Angela Southworth <[log in to unmask]>
Subject:      Re: Respiratory Machines
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

Suzanna

Microlab machine is light ,in a case,with room for spare rolls, mouthpieces
etc
Very good

Angela Southworth
OCCUPATIONAL HEALTH

Ext: 1294



**********************************************************************
This email and any files transmitted with it are confidential to Polyflor 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 Polyflor System Manager at [log in to unmask]

This e-mail has been checked for viruses using Sophos Anti-Virus.

www.polyflor.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 25 Nov 2004 08:33:17 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Angela Southworth <[log in to unmask]>
Subject:      Re: Respiratory Machines
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

Hi Tracie

The initial course I did with micromedical was 2 days
day 1 use of the machines different types etc
day 2 how to interperate the results
excellent
years later I just did a one day refresher which was fine to just refresh

Regards
Angela Southworth
OCCUPATIONAL HEALTH

Ext: 1294



**********************************************************************
This email and any files transmitted with it are confidential to Polyflor 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 Polyflor System Manager at [log in to unmask]

This e-mail has been checked for viruses using Sophos Anti-Virus.

www.polyflor.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 25 Nov 2004 09:49:27 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Respiratory Machines
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Thanks. So if you have a reading of below 70 do you do reversals....or
refer them on or what?

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/25/04 08:33am >>>
Hi Tracie

The initial course I did with micromedical was 2 days
day 1 use of the machines different types etc
day 2 how to interperate the results
excellent
years later I just did a one day refresher which was fine to just
refresh

Regards
Angela Southworth
OCCUPATIONAL HEALTH

Ext: 1294



**********************************************************************
This email and any files transmitted with it are confidential to
Polyflor 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 Polyflor System Manager at [log in to unmask]

This e-mail has been checked for viruses using Sophos Anti-Virus.

www.polyflor.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 25 Nov 2004 10:02:02 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jo Jenkins <[log in to unmask]>
Subject:      Jo Jenkins/UK/CAMPSOUP/CSC is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

I will be out of the office starting  24/11/2004 and will not return until
01/12/2004.

Please forward your message to Siobhan Lawson who may be able to help you.



**********************************************************************
This e-mail and any files transmitted with it may contain
confidential information and is intended solely for use by
the individual to whom it is addressed.  If you received
this e-mail in error, please notify the sender, do not
disclose its contents to others and delete it from your
system.

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

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 25 Nov 2004 14:46:18 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "MASLEN-JONES David, Clinical Nurse Mgr"
              <[log in to unmask]>
Subject:      Re: Respiratory Machines
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Dear Tracie and All,

You may be interested to know of a company called Simply Spirometry =
which specialises in lung function training and is Run by Richard Wood =
who used to work for Vitalograph.

He does an excellent course with a really practical workbook which is =
designed for OH practitioners
 richards E mail is [log in to unmask] he can tailor =
make courses to suit or may be running one near you you can book in to.

regards

David

David R Maslen-Jones RGN BA Spohn MIOSH

Clinical Nurse Manager, Occupational Health
Plymouth Hospitals NHS Trust
Derriford
Plymouth
PL6 8DH
Tel: 01752 763588      int:53588=20
[log in to unmask]


-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: 24 November 2004 09:23
To: [log in to unmask]
Subject: Re: Respiratory Machines


re: spirometery

Would anyone out there like to share their training experience in this =
field, i.e, do you have an asthma diploma etc etc or have you just done =
a spiro course.....how long did your training last and was it =
certificated. When testing, do you do reversals etc etc.

Please advise=20
Many thanks

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/24/04 08:28am >>>
I also use a Vitalograph Alpha which I transport to various sites.  In =
the
past I have used a Microlab which is also a good and easily portable
machine.
Lynda

-----Original Message-----
From: Robert Dunn
[mailto:[log in to unmask]] =

Sent: Tuesday, November 23, 2004 2:15 PM
To: [log in to unmask]
Subject: Re: Respiratory Machines


Hi Susanna, the Vitalograph address is=20
http://www.vitalograph.co.uk/index2.html=20
If you check under Spirometry on the left-hand menu list you'll find it. =
 We

have two Spirotracs in use here at Oxford University, replacing our =
ageing=20
Alpha's.  All my team think they are the "best things since sliced =
bread",=20
although they are not cheap at around =A31000 each, plus a computer =
(desktop=20
or laptop).   However, they are the same price as a Vitalograph Alpha, =
also=20
they interface with the OPAS database if you have it.  Alternatively,=20
Microlab spirometers are cheaper but in my opinion not as good.

Regards, Bob
----- Original Message -----=20
From: "Townley Susanna" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, November 23, 2004 1:25 PM
Subject: Re: Respiratory Machines


Where would I get further information from Bob


Susanna Townley RGN, Dip OH
OH Nurse Advisor
Occupational Health Services
0121 424 3040
[log in to unmask]

                -----Original Message-----
                From:   Robert Dunn=20
[mailto:[log in to unmask]] =

                Sent:   Tuesday, November 23, 2004 1:24 PM
                To:     [log in to unmask]
                Subject:        Re: Respiratory Machines

                Susanna, why not try a Vitalograph Pneumotrac linked to =
a=20
laptop computer?

                Regards, Bob

                ----- Original Message -----
                From: "Susanna Townley"=20
<[log in to unmask]>
                To: <[log in to unmask]>
                Sent: Tuesday, November 23, 2004 1:08 PM
                Subject: Respiratory Machines


                > Dear All,
                >
                > Some advice please. We have at present a transportable =

respiratory machine
                > which is about 4 years old, is very heavy, constantly=20
malfunctioning and
                > is
                > not easy to use or callibrate.
                >
                > Does anybody know of any easy to use, handle and=20
callibrate respiratory
                > machine?
                >
                > We want that is easy to transport as well.
                >
                > Thanks
                >
                > ~~~~~~~~~~~~~~~
                > Please remove this footer before replying.
                >
                > For list archives and documents, go to
                > http://www.jiscmail.ac.uk/lists/occ-health.html for =
list=20
archives
                >
                > For jobs in Occupational Health, go to
                > http://uk.groups.yahoo.com/group/OHJobs/=20
                >
                >

                ~~~~~~~~~~~~~~~
                Please remove this footer before replying.

                For list archives and documents, go to
                http://www.jiscmail.ac.uk/lists/occ-health.html for list =

archives

                For jobs in Occupational Health, go to
                http://uk.groups.yahoo.com/group/OHJobs/=20


**********************************************************************
This email contains proprietary information some or all of which may be=20
legally privileged. It is for the intended recipient(s) only. If an=20
addressing or transmission error has misdirected this e-mail, please =
notify=20
the author by replying to this e-mail. If you are not the intended =
recipient

you must not use, disclose, distribute, copy, print, or rely on this =
e-mail.
This footnote also confirms that this email message has been swept by
MIMEsweeper for the presence of computer viruses.
www.mimesweeper.com=20
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

This message has been categorized as "Legitimate" by Bayesian Analyzer.
If you do not agree, please click on the link below to train the =
Analyzer.
http://10.1.15.239/bt/a.aspx?M=3DC:%5Csmtpmail%5CBayesTraining%5C2004-11-=
24%5Cde7e0e4df6634ce6a031e3070c4bc30e&C=3D2

--=20
This email has been electronically scanned using=20
DynaComm i:mail filtering software.

If you have any questions please email=20
[log in to unmask]

Tony Daniel=20
Sam Shayer
Information Security Team

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 25 Nov 2004 14:48:36 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Respiratory Machines
Mime-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
Content-Transfer-Encoding: quoted-printable
Content-Disposition: inline

Much appreciated David. Many thanks

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/25/04 02:46pm >>>
Dear Tracie and All,

You may be interested to know of a company called Simply Spirometry which =
specialises in lung function training and is Run by Richard Wood who used =
to work for Vitalograph.

He does an excellent course with a really practical workbook which is =
designed for OH practitioners
 richards E mail is [log in to unmask] he can tailor =
make courses to suit or may be running one near you you can book in to.

regards

David

David R Maslen-Jones RGN BA Spohn MIOSH

Clinical Nurse Manager, Occupational Health
Plymouth Hospitals NHS Trust
Derriford
Plymouth
PL6 8DH
Tel: 01752 763588      int:53588=20
[log in to unmask]


-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]=20
Sent: 24 November 2004 09:23
To: [log in to unmask]
Subject: Re: Respiratory Machines


re: spirometery

Would anyone out there like to share their training experience in this =
field, i.e, do you have an asthma diploma etc etc or have you just done a =
spiro course.....how long did your training last and was it certificated. =
When testing, do you do reversals etc etc.

Please advise=20
Many thanks

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/24/04 08:28am >>>
I also use a Vitalograph Alpha which I transport to various sites.  In the
past I have used a Microlab which is also a good and easily portable
machine.
Lynda

-----Original Message-----
From: Robert Dunn
[mailto:[log in to unmask]]=20=

Sent: Tuesday, November 23, 2004 2:15 PM
To: [log in to unmask]
Subject: Re: Respiratory Machines


Hi Susanna, the Vitalograph address is=20
http://www.vitalograph.co.uk/index2.html=20
If you check under Spirometry on the left-hand menu list you'll find it.  =
We

have two Spirotracs in use here at Oxford University, replacing our =
ageing=20
Alpha's.  All my team think they are the "best things since sliced =
bread",=20
although they are not cheap at around =A31000 each, plus a computer =
(desktop=20
or laptop).   However, they are the same price as a Vitalograph Alpha, =
also=20
they interface with the OPAS database if you have it.  Alternatively,=20
Microlab spirometers are cheaper but in my opinion not as good.

Regards, Bob
----- Original Message -----=20
From: "Townley Susanna" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, November 23, 2004 1:25 PM
Subject: Re: Respiratory Machines


Where would I get further information from Bob


Susanna Townley RGN, Dip OH
OH Nurse Advisor
Occupational Health Services
0121 424 3040
[log in to unmask]

                -----Original Message-----
                From:   Robert Dunn=20
[mailto:[log in to unmask]]=20=

                Sent:   Tuesday, November 23, 2004 1:24 PM
                To:     [log in to unmask]
                Subject:        Re: Respiratory Machines

                Susanna, why not try a Vitalograph Pneumotrac linked to =
a=20
laptop computer?

                Regards, Bob

                ----- Original Message -----
                From: "Susanna Townley"=20
<[log in to unmask]>
                To: <[log in to unmask]>
                Sent: Tuesday, November 23, 2004 1:08 PM
                Subject: Respiratory Machines


                > Dear All,
                >
                > Some advice please. We have at present a transportable=20=

respiratory machine
                > which is about 4 years old, is very heavy, constantly=20
malfunctioning and
                > is
                > not easy to use or callibrate.
                >
                > Does anybody know of any easy to use, handle and=20
callibrate respiratory
                > machine?
                >
                > We want that is easy to transport as well.
                >
                > Thanks
                >
                > ~~~~~~~~~~~~~~~
                > Please remove this footer before replying.
                >
                > For list archives and documents, go to
                > http://www.jiscmail.ac.uk/lists/occ-health.html for =
list=20
archives
                >
                > For jobs in Occupational Health, go to
                > http://uk.groups.yahoo.com/group/OHJobs/=20
                >
                >

                ~~~~~~~~~~~~~~~
                Please remove this footer before replying.

                For list archives and documents, go to
                http://www.jiscmail.ac.uk/lists/occ-health.html for =
list=20
archives

                For jobs in Occupational Health, go to
                http://uk.groups.yahoo.com/group/OHJobs/=20


**********************************************************************
This email contains proprietary information some or all of which may be=20
legally privileged. It is for the intended recipient(s) only. If an=20
addressing or transmission error has misdirected this e-mail, please =
notify=20
the author by replying to this e-mail. If you are not the intended =
recipient

you must not use, disclose, distribute, copy, print, or rely on this =
e-mail.
This footnote also confirms that this email message has been swept by
MIMEsweeper for the presence of computer viruses.
www.mimesweeper.com=20
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20
crvices
0121 424 3040

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

This message has been categorized as "Legitimate" by Bayesian Analyzer.
If you do not agree, please click on the link below to train the Analyzer.
http://10.1.15.239/bt/a.aspx?M=3DC:%5Csmtpmail%5CBayesTraining%5C2004-11-24=
%5Cde7e0e4df6634ce6a031e3070c4bc30e&C=3D2=20

--=20
This email has been electronically scanned using=20
DynaComm i:mail filtering software.

If you have any questions please email=20
[log in to unmask]

Tony Daniel=20
Sam Shayer
Information Security Team

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 25 Nov 2004 15:33:42 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Stackhouse, Amy ." <[log in to unmask]>
Subject:      Re: Placements
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4D304.6AE6DAF5"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4D304.6AE6DAF5
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Lindsey,
=20
I am not sure what you mean by a ring off list. If you could e-mail me =
back I would be very grateful and will send the information.
=20
Regards
=20
Amy Stackhouse
Trainee Occupational Health Nurse Adviser

________________________________

From: Lindsey Hall [mailto:[log in to unmask]]
Sent: Tue 23/11/2004 20:58
To: [log in to unmask]
Subject: Re: Placements


Amy
=20
If you want to give me a ring off list, we may be able to help you with =
a couple of placements.=20
=20
Lindsey
=20
Lindsey Hall
Head of Nursing Services=20
AXA PPP healthcare
07779 014294

        ----- Original Message -----=20
        From: Stackhouse, Amy . <mailto:[log in to unmask]> =20
        To: [log in to unmask]
        Sent: Tuesday, November 23, 2004 3:35 PM
        Subject: Placements

         Hi All,
        =20
        I am a trainee occupational health nurse working at Gloucestershire =
Hospital. I am completing my degree at Wolverhampton in Primary Health =
Care with Occupational Health.
        =20
        I have 3 weeks from the 17/01/05 to 04/02/05 to visit different OH =
departments. I would like to get some experience in industry as I have =
only worked in the NHS.
        =20
        If anyone within resonable distance is willing to put up with me asking =
lots of questions for a day I would be very grateful.
        =20
        Many Thanks=20
        =20
        Amy Stackhouse
        Trainee Occupational Health Nurse Adviser
        ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

        For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

        For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4D304.6AE6DAF5
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">=0A=
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">=0A=
<HTML dir=3Dltr><HEAD>=0A=
=0A=
<META content=3D"MSHTML 6.00.2800.1106" name=3DGENERATOR>=0A=
<STYLE></STYLE>=0A=
</HEAD>=0A=
<BODY bgColor=3D#ffffff>=0A=
<DIV dir=3Dltr id=3DidOWAReplyText50745>=0A=
<DIV dir=3Dltr><FONT color=3D#000000 face=3DArial =
size=3D2>Lindsey,</FONT></DIV>=0A=
<DIV dir=3Dltr>&nbsp;</DIV>=0A=
<DIV dir=3Dltr><FONT face=3DArial size=3D2>I am not sure what&nbsp;you =
mean by a ring =0A=
off list. If you could e-mail me back I would be very grateful and will =
send the =0A=
information.</FONT></DIV></DIV>=0A=
<DIV dir=3Dltr>&nbsp;</DIV>=0A=
<DIV dir=3Dltr>Regards</DIV>=0A=
<DIV dir=3Dltr>&nbsp;</DIV>=0A=
<DIV dir=3Dltr>Amy Stackhouse</DIV>=0A=
<DIV dir=3Dltr>Trainee Occupational Health Nurse Adviser</DIV><BR>=0A=
<DIV dir=3Dltr>=0A=
<HR tabIndex=3D-1>=0A=
</DIV><FONT face=3DTahoma size=3D2><B>From:</B> Lindsey Hall =0A=
[mailto:[log in to unmask]]<BR><B>Sent:</B> Tue 23/11/2004 =0A=
20:58<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =0A=
Placements<BR></FONT><BR>=0A=
<DIV dir=3Dltr>=0A=
<DIV><FONT face=3DArial size=3D2>Amy</FONT></DIV>=0A=
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>=0A=
<DIV><FONT face=3DArial size=3D2>If you want to give me a ring off list, =
we may be =0A=
able to help you with a couple of placements. </FONT></DIV>=0A=
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>=0A=
<DIV><FONT face=3DArial size=3D2>Lindsey</FONT></DIV>=0A=
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>=0A=
<DIV><FONT face=3DArial size=3D2>Lindsey Hall</FONT></DIV>=0A=
<DIV><FONT face=3DArial size=3D2>Head of Nursing Services </FONT></DIV>=0A=
<DIV><FONT face=3DArial size=3D2>AXA PPP healthcare</FONT></DIV>=0A=
<DIV><FONT face=3DArial size=3D2>07779 014294</FONT></DIV>=0A=
<BLOCKQUOTE dir=3Dltr =0A=
style=3D"BORDER-LEFT: #000000 2px solid; MARGIN-LEFT: 5px; MARGIN-RIGHT: =
0px; PADDING-LEFT: 5px; PADDING-RIGHT: 0px">=0A=
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>=0A=
  <DIV style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial"><B>From:</B> <A =0A=
  href=3D"mailto:[log in to unmask]" =
[log in to unmask]>Stackhouse, =0A=
  Amy .</A> </DIV>=0A=
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =0A=
  href=3D"mailto:[log in to unmask]" =0A=
  [log in to unmask]>[log in to unmask]</A> </DIV>=0A=
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Tuesday, November 23, =
2004 3:35 =0A=
  PM</DIV>=0A=
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Placements</DIV>=0A=
  <DIV><BR></DIV>=0A=
  <DIV><FONT color=3D#000000 face=3DArial size=3D2>&nbsp;Hi =
All,</FONT></DIV>=0A=
  <DIV>&nbsp;</DIV>=0A=
  <DIV><FONT face=3DArial size=3D2>I am a trainee occupational health =
nurse working =0A=
  at Gloucestershire Hospital. I am completing my degree at =
Wolverhampton in =0A=
  Primary Health Care with Occupational Health.</FONT></DIV>=0A=
  <DIV>&nbsp;</DIV>=0A=
  <DIV><FONT face=3DArial size=3D2>I have 3 weeks from the 17/01/05 to =
04/02/05 to =0A=
  visit different OH departments. I would like to get some experience in =0A=
  industry as I have only worked in the NHS.</FONT></DIV>=0A=
  <DIV>&nbsp;</DIV>=0A=
  <DIV><FONT face=3DArial size=3D2>If anyone within resonable distance =
is willing to =0A=
  put up with me asking lots of questions for a day I would be very =0A=
  grateful.</FONT></DIV>=0A=
  <DIV>&nbsp;</DIV>=0A=
  <DIV><FONT face=3DArial size=3D2>Many Thanks </FONT></DIV>=0A=
  <DIV>&nbsp;</DIV>=0A=
  <DIV><FONT face=3DArial size=3D2>Amy Stackhouse</FONT></DIV>=0A=
  <DIV><FONT face=3DArial size=3D2>Trainee Occupational Health Nurse =0A=
  Adviser</FONT></DIV>~~~~~~~~~~~~~~~ Please remove this footer before =
replying. =0A=
=0A=
  <P>For list archives and documents, go to =0A=
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives =0A=
  <P>For jobs in Occupational Health, go to =0A=
  =
http://uk.groups.yahoo.com/group/OHJobs/</P></BLOCKQUOTE></DIV></BODY></H=
TML>=0A=
~~~~~~~~~~~~~~~=0A=
Please remove this footer before replying.=0A=
<p>=0A=
For list archives and documents, go to=0A=
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=0A=
<p>=0A=
For jobs in Occupational Health, go to=0A=
http://uk.groups.yahoo.com/group/OHJobs/=0A=
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4D304.6AE6DAF5--
=========================================================================
Date:         Thu, 25 Nov 2004 20:43:37 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Donna Dixon <[log in to unmask]>
Subject:      Donna Dixon/National Britannia is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=us-ascii

I will be out of the office starting  25/11/2004 and will not return until
29/11/2004.

Thank you for your email.  I am away from the office until the 29th
November.  If you require assistance, please leave me a message on 07718
661614 and I will get back to you.  Thank you

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 26 Nov 2004 10:00:07 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Alison Chaundy <[log in to unmask]>
Subject:      Re: Placements
MIME-Version: 1.0
Content-Type: TEXT/PLAIN; CHARSET=US-ASCII

Amy,
You are most welcome to come and spend a day at Unilever ice Cream and
Frozen Foods (formerly known as Walls ice Cream). We have a large
manufacturing environment in Gloucester which you may find interesting.
Give me a call and we can organise something. I am out of the office on
Mon & Tues 29/30th Nov, so avoid calling then.

Look forward to hearing from you

Ali

Alison J. Chaundy
RGN. DipOHN. MIOSH. RSP.
Departmental Manager
Department of Occupational Health
Unilever (ICF)
Gloucester

+44 (0)1452 392232
[log in to unmask]



  -----Original Message-----
  From: Lindsey Hall [mailto:[log in to unmask]]
  Sent: 23 November 2004 20:59
  To: [log in to unmask]
  Subject: Re: Placements


  Amy

  If you want to give me a ring off list, we may be able to help you with
a couple of placements.

  Lindsey

  Lindsey Hall
  Head of Nursing Services
  AXA PPP healthcare
  07779 014294
    ----- Original Message -----
    From: Stackhouse, Amy .
    To: [log in to unmask]
    Sent: Tuesday, November 23, 2004 3:35 PM
    Subject: Placements


     Hi All,

    I am a trainee occupational health nurse working at Gloucestershire
Hospital. I am completing my degree at Wolverhampton in Primary Health
Care with Occupational Health.

    I have 3 weeks from the 17/01/05 to 04/02/05 to visit different OH
departments. I would like to get some experience in industry as I have
only worked in the NHS.

    If anyone within resonable distance is willing to put up with me
asking lots of questions for a day I would be very grateful.

    Many Thanks

    Amy Stackhouse
    Trainee Occupational Health Nurse Adviser
    ~~~~~~~~~~~~~~~ Please remove this footer before replying.
    For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

    For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.
  For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

  For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 26 Nov 2004 13:38:47 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Susanna Townley <[log in to unmask]>
Subject:      Pre-employment health questionnaires

Thank you all for your info on respiratory machines, can I ask again for
more ideas.

Our department at present is updating our pre-employment health
questionnaire. Does anybody have a copy of their pre-employment health
questionnaire that they could electronically send to me.

Also as far as the DDA is concerned, what do you have on your
questionnaires to identify any disabilities. I am aware people are not
registered disabled anymore!

All help much appreciated!

Susanna

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 26 Nov 2004 17:11:52 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Swann, Alan B" <[log in to unmask]>
Subject:      Hepatitis B boosters
Comments: cc: HEOPS <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4D3DB.05BDE458"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4D3DB.05BDE458
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

Given the recent discussion in the OccHealth jiscmail group on the need
for Hep B boosters, people may be interested in the latest copy of Viral
Hepatitis, published by the viral Hepatitis Prevention Board. It has
several papers on the issue.
The consensus view (WHO, CDC Atlanta, European Consensus Group
Consensus) is, that although there's still some unanswered questions,
boosters are not required in immuno-competent people who have completed
a course of vaccination & had an anti-HBs level of >10 miu/ml checked
1-3 months after completing the primary course. Prof Banalava, the UK
Hepatitis Guru presented the European paper.
You can read it all on-line at http://www.vhpb.org/=20

Doubly impressive given the VHPB is funded by the vaccine companies!

Dr. Alan Swann, BM, AFOM
Director of Occupational Health
Occupational Health Service
Imperial College London
Southside building
South Kensington Campus
London
SW7 2AZ
Tel:       +44 (20) 7594 9385
Fax:      +44 (20) 7594 9407
 https://www.imperial.ac.uk/spectrum/occhealth=20



~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4D3DB.05BDE458
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version =
6.0.6603.0">
<TITLE>Hepatitis B boosters</TITLE>
</HEAD>
<BODY>
<!-- Converted from text/rtf format -->

<P ALIGN=3DLEFT><SPAN LANG=3D"en-gb"><FONT SIZE=3D2 FACE=3D"Arial">Given =
the recent discussion in the</FONT></SPAN><SPAN =
LANG=3D"en-gb"></SPAN><SPAN LANG=3D"en-gb"> <FONT SIZE=3D2 =
FACE=3D"Arial">OccH</FONT></SPAN><SPAN LANG=3D"en-gb"></SPAN><SPAN =
LANG=3D"en-gb"><FONT SIZE=3D2 FACE=3D"Arial">ealth jiscmail group on the =
need for Hep B boosters, people may be interested in the =
latest</FONT></SPAN><SPAN LANG=3D"en-gb"></SPAN><SPAN LANG=3D"en-gb"> =
<FONT SIZE=3D2 FACE=3D"Arial">copy of Viral Hepatitis, published by the =
viral Hepatitis Prevention Board. It has several papers on the =
issue.</FONT></SPAN></P>

<P ALIGN=3DLEFT><SPAN LANG=3D"en-gb"><FONT SIZE=3D2 =
FACE=3D"Arial">T</FONT></SPAN><SPAN LANG=3D"en-gb"></SPAN><SPAN =
LANG=3D"en-gb"><FONT SIZE=3D2 FACE=3D"Arial">he consensus =
view</FONT></SPAN><SPAN LANG=3D"en-gb"></SPAN><SPAN LANG=3D"en-gb"> =
<FONT SIZE=3D2 FACE=3D"Arial">(</FONT></SPAN><SPAN =
LANG=3D"en-gb"></SPAN><SPAN LANG=3D"en-gb"><FONT SIZE=3D2 =
FACE=3D"Arial">WHO, CDC Atlanta</FONT></SPAN><SPAN =
LANG=3D"en-gb"></SPAN><SPAN LANG=3D"en-gb"><FONT SIZE=3D2 =
FACE=3D"Arial">, European Consensus Group</FONT></SPAN><SPAN =
LANG=3D"en-gb"></SPAN><SPAN LANG=3D"en-gb"><FONT SIZE=3D2 =
FACE=3D"Arial"></FONT></SPAN><SPAN LANG=3D"en-gb"></SPAN><SPAN =
LANG=3D"en-gb"> <FONT SIZE=3D2 =
FACE=3D"Arial">Consensus</FONT></SPAN><SPAN LANG=3D"en-gb"></SPAN><SPAN =
LANG=3D"en-gb"><FONT SIZE=3D2 FACE=3D"Arial">)</FONT></SPAN><SPAN =
LANG=3D"en-gb"></SPAN><SPAN LANG=3D"en-gb"><FONT SIZE=3D2 =
FACE=3D"Arial"> is, that</FONT></SPAN><SPAN LANG=3D"en-gb"></SPAN><SPAN =
LANG=3D"en-gb"> <FONT SIZE=3D2 =
FACE=3D"Arial">although</FONT></SPAN><SPAN LANG=3D"en-gb"></SPAN><SPAN =
LANG=3D"en-gb"><FONT SIZE=3D2 FACE=3D"Arial"> there</FONT></SPAN><SPAN =
LANG=3D"en-gb"></SPAN><SPAN LANG=3D"en-gb"><FONT SIZE=3D2 =
FACE=3D"Arial">&#8217;</FONT></SPAN><SPAN LANG=3D"en-gb"></SPAN><SPAN =
LANG=3D"en-gb"><FONT SIZE=3D2 FACE=3D"Arial">s still some unanswered =
questions</FONT></SPAN><SPAN LANG=3D"en-gb"></SPAN><SPAN =
LANG=3D"en-gb"><FONT SIZE=3D2 FACE=3D"Arial">,</FONT></SPAN><SPAN =
LANG=3D"en-gb"></SPAN><SPAN LANG=3D"en-gb">&nbsp;<FONT SIZE=3D2 =
FACE=3D"Arial"></FONT></SPAN><SPAN LANG=3D"en-gb"></SPAN><SPAN =
LANG=3D"en-gb"> <FONT SIZE=3D2 FACE=3D"Arial">b</FONT></SPAN><SPAN =
LANG=3D"en-gb"></SPAN><SPAN LANG=3D"en-gb"><FONT SIZE=3D2 =
FACE=3D"Arial">oosters are not required in immuno-</FONT></SPAN><SPAN =
LANG=3D"en-gb"></SPAN><SPAN LANG=3D"en-gb"><FONT SIZE=3D2 =
FACE=3D"Arial">competent</FONT></SPAN><SPAN LANG=3D"en-gb"></SPAN><SPAN =
LANG=3D"en-gb"><FONT SIZE=3D2 FACE=3D"Arial"> people who have completed =
a course of vaccination &amp; had an anti-HBs level =
of</FONT></SPAN><SPAN LANG=3D"en-gb"></SPAN><SPAN LANG=3D"en-gb"> <FONT =
SIZE=3D2 FACE=3D"Arial">&gt;</FONT></SPAN><SPAN =
LANG=3D"en-gb"></SPAN><SPAN LANG=3D"en-gb"><FONT SIZE=3D2 =
FACE=3D"Arial">10 miu</FONT></SPAN><SPAN LANG=3D"en-gb"></SPAN><SPAN =
LANG=3D"en-gb"><FONT SIZE=3D2 FACE=3D"Arial">/ml checked 1-3 months =
after completing the primary course.</FONT></SPAN><SPAN =
LANG=3D"en-gb"></SPAN><SPAN LANG=3D"en-gb"><FONT SIZE=3D2 =
FACE=3D"Arial"> Prof Banalava, the UK Hepatitis Guru =
pre</FONT></SPAN><SPAN LANG=3D"en-gb"></SPAN><SPAN LANG=3D"en-gb"><FONT =
SIZE=3D2 FACE=3D"Arial">se</FONT></SPAN><SPAN =
LANG=3D"en-gb"></SPAN><SPAN LANG=3D"en-gb"><FONT SIZE=3D2 =
FACE=3D"Arial">nted the European paper.</FONT></SPAN><SPAN =
LANG=3D"en-gb"></SPAN><SPAN LANG=3D"en-gb"></SPAN></P>

<P ALIGN=3DLEFT><SPAN LANG=3D"en-gb"><FONT SIZE=3D2 FACE=3D"Arial">You =
can read it all on-line at</FONT></SPAN><SPAN LANG=3D"en-gb"> </SPAN><A =
HREF=3D"http://www.vhpb.org/"><SPAN LANG=3D"en-gb"></SPAN><SPAN =
LANG=3D"en-gb"><U><FONT COLOR=3D"#0000FF" SIZE=3D2 =
FACE=3D"Arial">http://www.vhpb.org/</FONT></U></SPAN><SPAN =
LANG=3D"en-gb"></SPAN></A><SPAN LANG=3D"en-gb"></SPAN><SPAN =
LANG=3D"en-gb"><FONT SIZE=3D2 FACE=3D"Arial"> </FONT></SPAN></P>

<P ALIGN=3DLEFT><SPAN LANG=3D"en-gb"><FONT SIZE=3D2 =
FACE=3D"Arial">Doubly impressive given the VHPB is funded by the vaccine =
companies!</FONT></SPAN><SPAN LANG=3D"en-gb"></SPAN><SPAN =
LANG=3D"en-gb"></SPAN></P>

<P ALIGN=3DLEFT><SPAN LANG=3D"en-gb"></SPAN><A NAME=3D""><SPAN =
LANG=3D"en-gb"><FONT SIZE=3D2 FACE=3D"Arial Narrow">Dr. Alan Swann, BM, =
AFOM<BR>
</FONT></SPAN></A><SPAN LANG=3D"en-gb"><B></B></SPAN><SPAN =
LANG=3D"en-gb"><B></B></SPAN><B><SPAN LANG=3D"en-gb"><FONT SIZE=3D2 =
FACE=3D"Arial Narrow">Director of Occupational Health<BR>
</FONT></SPAN></B><SPAN LANG=3D"en-gb"></SPAN><SPAN =
LANG=3D"en-gb"></SPAN><SPAN LANG=3D"en-gb"><FONT SIZE=3D2 FACE=3D"Arial =
Narrow">Occupational Health Service<BR>
Imperial College London<BR>
Southside building<BR>
South Kensington Campus<BR>
London<BR>
SW7 2AZ</FONT></SPAN></P>

<P ALIGN=3DLEFT><SPAN LANG=3D"en-gb"><FONT SIZE=3D2 FACE=3D"Arial =
Narrow">Tel: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; +44 (20) 7594 9385<BR>
Fax: &nbsp;&nbsp;&nbsp;&nbsp; +44 (20) 7594 9407<BR>
&nbsp;<A =
HREF=3D"https://www.imperial.ac.uk/spectrum/occhealth">https://www.imperi=
al.ac.uk/spectrum/occhealth</A> </FONT></SPAN></P>

<P ALIGN=3DLEFT><SPAN LANG=3D"en-gb"></SPAN></P>

</BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4D3DB.05BDE458--
=========================================================================
Date:         Sat, 27 Nov 2004 04:08:10 EST
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Carole Anness <[log in to unmask]>
Subject:      Re: JOB!
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1101546490"

-------------------------------1101546490
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

I'm looking for 2 OHA's 3 days/week - one covering wales/west (with car)  one
covering uxbridge poyle - major blue chip company with benefits

if interested send CV

rgds

carole anness

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1101546490
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY:=20=
Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3DArial color=3D#000000 size=3D2>
<DIV>I'm looking for 2 OHA's 3 days/week - one covering wales/west (with car=
)=20
one covering uxbridge poyle - major blue chip company with benefits</DIV>
<DIV>&nbsp;</DIV>
<DIV>if interested send CV</DIV>
<DIV>&nbsp;</DIV>
<DIV>rgds</DIV>
<DIV>&nbsp;</DIV>
<DIV>carole anness</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1101546490--
=========================================================================
Date:         Mon, 29 Nov 2004 01:00:50 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Ann Wilson <[log in to unmask]>
Subject:      Ann Wilson/National Britannia is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=us-ascii

I will be out of the office starting  26/11/2004 and will not return until
30/11/2004.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 29 Nov 2004 08:26:31 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Respiratory Machines
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

I had not had any formal training, but was trained by my manager at a
previous company and had been doing spirometry for a year or so. Still =
found
the course very useful and informative though and am glad I did it.
Lynda

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: Wednesday, November 24, 2004 1:04 PM
To: [log in to unmask]
Subject: Re: Respiratory Machines


Hi Lynda

Did you have any previous knowledge of spirometery prior to the course? =
I
have the microloop monitor and am looking for some form of training, =
but
personally feel that a one day course owuld nit be sufficient.

Regards

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/24/04 12:02pm >>>
I did a one day course run by Micro Medical (who manufacture the =
mocrolab).
The course was very good. No assessment at the end but an attendance
certificate given.  They advertise in OH magazine.
Lynda

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]=20
Sent: Wednesday, November 24, 2004 9:23 AM
To: [log in to unmask]
Subject: Re: Respiratory Machines


re: spirometery

Would anyone out there like to share their training experience in this
field, i.e, do you have an asthma diploma etc etc or have you just done =
a
spiro course.....how long did your training last and was it =
certificated.
When testing, do you do reversals etc etc.

Please advise=20
Many thanks

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 11/24/04 08:28am >>>
I also use a Vitalograph Alpha which I transport to various sites.  In =
the
past I have used a Microlab which is also a good and easily portable
machine.
Lynda

-----Original Message-----
From: Robert Dunn
[mailto:[log in to unmask]]=
=20
Sent: Tuesday, November 23, 2004 2:15 PM
To: [log in to unmask]
Subject: Re: Respiratory Machines


Hi Susanna, the Vitalograph address is=20
http://www.vitalograph.co.uk/index2.html=20
If you check under Spirometry on the left-hand menu list you'll find =
it.  We

have two Spirotracs in use here at Oxford University, replacing our =
ageing=20
Alpha's.  All my team think they are the "best things since sliced =
bread",=20
although they are not cheap at around =A31000 each, plus a computer =
(desktop=20
or laptop).   However, they are the same price as a Vitalograph Alpha, =
also=20
they interface with the OPAS database if you have it.  Alternatively,=20
Microlab spirometers are cheaper but in my opinion not as good.

Regards, Bob
----- Original Message -----=20
From: "Townley Susanna" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, November 23, 2004 1:25 PM
Subject: Re: Respiratory Machines


Where would I get further information from Bob


Susanna Townley RGN, Dip OH
OH Nurse Advisor
Occupational Health Services
0121 424 3040
[log in to unmask]

                -----Original Message-----
                From:   Robert Dunn=20
[mailto:[log in to unmask]]=
=20
                Sent:   Tuesday, November 23, 2004 1:24 PM
                To:     [log in to unmask]
                Subject:        Re: Respiratory Machines

                Susanna, why not try a Vitalograph Pneumotrac linked to =
a=20
laptop computer?

                Regards, Bob

                ----- Original Message -----
                From: "Susanna Townley"=20
<[log in to unmask]>
                To: <[log in to unmask]>
                Sent: Tuesday, November 23, 2004 1:08 PM
                Subject: Respiratory Machines


                > Dear All,
                >
                > Some advice please. We have at present a =
transportable=20
respiratory machine
                > which is about 4 years old, is very heavy, constantly =

malfunctioning and
                > is
                > not easy to use or callibrate.
                >
                > Does anybody know of any easy to use, handle and=20
callibrate respiratory
                > machine?
                >
                > We want that is easy to transport as well.
                >
                > Thanks
                >
                > ~~~~~~~~~~~~~~~
                > Please remove this footer before replying.
                >
                > For list archives and documents, go to
                > http://www.jiscmail.ac.uk/lists/occ-health.html for =
list=20
archives
                >
                > For jobs in Occupational Health, go to
                > http://uk.groups.yahoo.com/group/OHJobs/=20
                >
                >

                ~~~~~~~~~~~~~~~
                Please remove this footer before replying.

                For list archives and documents, go to
                http://www.jiscmail.ac.uk/lists/occ-health.html for =
list=20
archives

                For jobs in Occupational Health, go to
                http://uk.groups.yahoo.com/group/OHJobs/=20


**********************************************************************
This email contains proprietary information some or all of which may be =

legally privileged. It is for the intended recipient(s) only. If an=20
addressing or transmission error has misdirected this e-mail, please =
notify=20
the author by replying to this e-mail. If you are not the intended =
recipient

you must not use, disclose, distribute, copy, print, or rely on this =
e-mail.
This footnote also confirms that this email message has been swept by
MIMEsweeper for the presence of computer viruses.
www.mimesweeper.com=20
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 29 Nov 2004 08:27:53 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lynn Holland <[log in to unmask]>
Subject:      Re: Placements[Scanned]
Content-Transfer-Encoding: 7bit
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4D5ED.51F94CE3"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4D5ED.51F94CE3
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: base64

SGkgDQoNCkkgd29yayBhcyBhbiBPSCBDb25zdWx0YW50IHdpdGggVGVtcHVzIHNvZnR3YXJlLCB5
b3UgYXJlIHdlbGNvbWUgdG8gc3BlbmQNCnNvbWV0aW1lIHdpdGggbWUgaWYgaXQgaGVscHMNCg0K
IA0KDQpHaXZlIG1lIGNhbGwNCg0KIA0KDQpMeW5uDQoNCiANCg0KTHlubiBIb2xsYW5kDQoNCk9j
Y3VwYXRpb25hbCBIZWFsdGggQ29uc3VsdGFudA0KDQpUZW1wdXMgU29mdHdhcmUgTGltaXRlZA0K
DQogDQoNClRlbDogMDc4MTMwMDg0NzIgb3IgZW1haWwgbHlubi5ob2xsYW5kQHRlbXB1cy5jby51
aw0KDQotLS0tLU9yaWdpbmFsIE1lc3NhZ2UtLS0tLQ0KRnJvbTogU3RhY2tob3VzZSwgQW15IC4g
W21haWx0bzpBLlN0YWNraG91c2VAV0xWLkFDLlVLXSANClNlbnQ6IDIzIE5vdmVtYmVyIDIwMDQg
MTU6MzYNClRvOiBPQ0MtSEVBTFRIQEpJU0NNQUlMLkFDLlVLDQpTdWJqZWN0OiBQbGFjZW1lbnRz
W1NjYW5uZWRdDQoNCiANCg0KIEhpIEFsbCwNCg0KIA0KDQpJIGFtIGEgdHJhaW5lZSBvY2N1cGF0
aW9uYWwgaGVhbHRoIG51cnNlIHdvcmtpbmcgYXQgR2xvdWNlc3RlcnNoaXJlIEhvc3BpdGFsLg0K
SSBhbSBjb21wbGV0aW5nIG15IGRlZ3JlZSBhdCBXb2x2ZXJoYW1wdG9uIGluIFByaW1hcnkgSGVh
bHRoIENhcmUgd2l0aA0KT2NjdXBhdGlvbmFsIEhlYWx0aC4NCg0KIA0KDQpJIGhhdmUgMyB3ZWVr
cyBmcm9tIHRoZSAxNy8wMS8wNSB0byAwNC8wMi8wNSB0byB2aXNpdCBkaWZmZXJlbnQgT0gNCmRl
cGFydG1lbnRzLiBJIHdvdWxkIGxpa2UgdG8gZ2V0IHNvbWUgZXhwZXJpZW5jZSBpbiBpbmR1c3Ry
eSBhcyBJIGhhdmUgb25seQ0Kd29ya2VkIGluIHRoZSBOSFMuDQoNCiANCg0KSWYgYW55b25lIHdp
dGhpbiByZXNvbmFibGUgZGlzdGFuY2UgaXMgd2lsbGluZyB0byBwdXQgdXAgd2l0aCBtZSBhc2tp
bmcgbG90cw0Kb2YgcXVlc3Rpb25zIGZvciBhIGRheSBJIHdvdWxkIGJlIHZlcnkgZ3JhdGVmdWwu
DQoNCiANCg0KTWFueSBUaGFua3MgDQoNCiANCg0KQW15IFN0YWNraG91c2UNCg0KVHJhaW5lZSBP
Y2N1cGF0aW9uYWwgSGVhbHRoIE51cnNlIEFkdmlzZXINCg0Kfn5+fn5+fn5+fn5+fn5+IFBsZWFz
ZSByZW1vdmUgdGhpcyBmb290ZXIgYmVmb3JlIHJlcGx5aW5nLiANCg0KRm9yIGxpc3QgYXJjaGl2
ZXMgYW5kIGRvY3VtZW50cywgZ28gdG8NCmh0dHA6Ly93d3cuamlzY21haWwuYWMudWsvbGlzdHMv
b2NjLWhlYWx0aC5odG1sIGZvciBsaXN0IGFyY2hpdmVzIA0KDQpGb3Igam9icyBpbiBPY2N1cGF0
aW9uYWwgSGVhbHRoLCBnbyB0bw0KaHR0cDovL3VrLmdyb3Vwcy55YWhvby5jb20vZ3JvdXAvT0hK
b2JzLw0KIA0KIA0KIA0KVGVtcHVzIENvbXB1dGVycyBMdGQgDQpTdCBQYXVsJ3MgSG91c2UsIDIx
IC0gMjMgU3QgUGF1bCdzIFNxdWFyZSwgQmlybWluZ2hhbSANClRlbDogKzQ0ICgwKTEyMTIzMzMx
MDAgDQpGYXg6ICs0NCAoMCkxMjEyMzM0NTYwDQogDQpTYWxlcyAmIE9yZGVyIEZheCArNDQgKDAp
MTIxMjM2Njk4OQ0KIA0KIA0KRSZPRS4gUHJpY2VzIGFyZSBzdWJqZWN0IHRvIFZBVCAuIFF1b3Rl
cyB2YWxpZCBmb3IgNyBkYXlzIHN1YmplY3QgdG8gYXZhaWxhYmlsaXR5LiBBbGwgZ29vZHMgYXJl
IHNvbGQgc3ViamVjdCB0byBUZW1wdXMgdGVybXMgYW5kIGNvbmRpdGlvbnMgd2hpY2ggY2FuIGJl
IHNlZW4gb24gcmVxdWVzdC4NCiANClRoaXMgbWVzc2FnZSAoYW5kIGFueSBhc3NvY2lhdGVkIGZp
bGVzKSBpcyBpbnRlbmRlZCBvbmx5IGZvciB0aGUgIHVzZSBvZiB0aGUgaW5kaXZpZHVhbCBvciBl
bnRpdHkgdG8gd2hpY2ggaXQgaXMgYWRkcmVzc2VkIGFuZCBtYXkgIGNvbnRhaW4gaW5mb3JtYXRp
b24gdGhhdCBpcyBjb25maWRlbnRpYWwsIHN1YmplY3QgdG8gY29weXJpZ2h0IG9yIGNvbnN0aXR1
dGVzIGEgdHJhZGUgc2VjcmV0LiBJZiB5b3UgYXJlIG5vdCB0aGUgaW50ZW5kZWQgcmVjaXBpZW50
ICB5b3UgYXJlIGhlcmVieSBub3RpZmllZCB0aGF0IGFueSBkaXNzZW1pbmF0aW9uLCBjb3B5aW5n
IG9yICBkaXN0cmlidXRpb24gb2YgdGhpcyBtZXNzYWdlLCBvciBmaWxlcyBhc3NvY2lhdGVkIHdp
dGggdGhpcyBtZXNzYWdlLCAgaXMgc3RyaWN0bHkgcHJvaGliaXRlZC4gSWYgeW91IGhhdmUgcmVj
ZWl2ZWQgdGhpcyBtZXNzYWdlIGluIGVycm9yLCAgcGxlYXNlIG5vdGlmeSB1cyBpbW1lZGlhdGVs
eSBieSByZXBseWluZyB0byB0aGUgbWVzc2FnZSBhbmQgZGVsZXRpbmcgIGl0IGZyb20geW91ciBj
b21wdXRlci4gTWVzc2FnZXMgc2VudCB0byBhbmQgZnJvbSB1cyBtYXkgYmUgbW9uaXRvcmVkLiAg
DQogIA0KSW50ZXJuZXQgY29tbXVuaWNhdGlvbnMgY2Fubm90IGJlIGd1YXJhbnRlZWQgdG8gYmUg
c2VjdXJlIG9yIGVycm9yLWZyZWUgIGFzIGluZm9ybWF0aW9uIGNvdWxkIGJlIGludGVyY2VwdGVk
LCBjb3JydXB0ZWQsIGxvc3QsIGRlc3Ryb3llZCwgYXJyaXZlIGxhdGUgb3IgaW5jb21wbGV0ZSwg
b3IgY29udGFpbiB2aXJ1c2VzLiBUaGVyZWZvcmUsIHdlIGRvIG5vdCBhY2NlcHQgcmVzcG9uc2li
aWxpdHkgZm9yIGFueSBlcnJvcnMgb3Igb21pc3Npb25zIHRoYXQgYXJlIHByZXNlbnQgaW4gdGhp
cyBtZXNzYWdlLCBvciBhbnkgYXR0YWNobWVudCwgdGhhdCBoYXZlIGFyaXNlbiBhcyBhIHJlc3Vs
dCBvZiBlLW1haWwgdHJhbnNtaXNzaW9uLiBJZiB2ZXJpZmljYXRpb24gaXMgcmVxdWlyZWQsIHBs
ZWFzZSByZXF1ZXN0IGEgaGFyZC1jb3B5IHZlcnNpb24uIEFueSB2aWV3cyBvciBvcGluaW9ucyBw
cmVzZW50ZWQgYXJlIHNvbGVseSB0aG9zZSBvZiB0aGUgYXV0aG9yIGFuZCBkbyBub3QgbmVjZXNz
YXJpbHkgcmVwcmVzZW50IHRob3NlIG9mIHRoZSBjb21wYW55Lg0KIA0KIA0KIA0KIA0KIA0K

------_=_NextPart_001_01C4D5ED.51F94CE3
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<HTML xmlns:eXclaimer=3D"http://www.exclaimer.co.uk">
<HEAD>
<META http-equiv=3D"Content-Type" content=3D"text/html; =
charset=3DUTF-16">
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3DUTF-16">
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">


<meta name=3DGenerator content=3D"Microsoft Word 10 (filtered)">

<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {margin:0cm;
        margin-bottom:.0001pt;
        font-size:12.0pt;
        font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;}
span.EmailStyle17
        {font-family:Arial;
        color:navy;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;}
div.Section1
        {page:Section1;}
-->
</style>

</HEAD><BODY lang=3DEN-GB link=3Dblue vlink=3Dpurple><DIV>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Hi </span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>I work as an OH Consultant with =
Tempus software,
you are welcome to spend sometime with me if it helps</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>&nbsp;</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Give me call</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>&nbsp;</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Lynn</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>&nbsp;</span></font></p>

<div>

<p class=3DMsoNormal><strong><b><i><font size=3D2 color=3Dnavy =
face=3DArial><span
 =
style=3D'font-size:10.0pt;font-family:Arial;color:navy;font-style:italic'=
>Lynn
 Holland</span></font></i></b></strong></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Occupational Health =
Consultant</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Tempus Software =
Limited</span></font></p>

<p class=3DMsoNormal><font size=3D3 color=3Dnavy face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt;color:navy'>&nbsp;</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Tel: 07813008472 or email
[log in to unmask]</span></font></p>

</div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DTahoma><span
lang=3DEN-US style=3D'font-size:10.0pt;font-family:Tahoma'>-----Original
Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Stackhouse, Amy .
[mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 23 November 2004 =
15:36<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> =
Placements[Scanned]</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblack
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:black'>&nbsp;Hi
All,</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>I am a trainee occupational =
health
nurse working at Gloucestershire Hospital. I am completing my degree at
Wolverhampton in Primary Health Care with Occupational =
Health.</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>I have 3 weeks from the =
17/01/05 to
04/02/05 to visit different OH departments. I would like to get some =
experience
in industry as I have only worked in the NHS.</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>If anyone within resonable =
distance
is willing to put up with me asking lots of questions for a day I would =
be very
grateful.</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>Many Thanks =
</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>Amy =
Stackhouse</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>Trainee Occupational Health =
Nurse
Adviser</span></font></p>

</div>

</div>

</DIV>
<DIV> </DIV>
<DIV>
<FONT COLOR=3D"blue">Tempus Computers Ltd<BR>St Paul's House, 21 - 23 St =
Paul's Square, Birmingham<BR>Tel: +44 (0)1212333100<BR>Fax: +44 =
(0)1212334560</FONT>
</DIV>
<DIV>
<FONT COLOR=3D"#0000ff">Sales &amp; Order Fax +44 (0)1212366989</FONT>
</DIV>
<DIV><BR><FONT SIZE=3D"1">E&amp;OE. Prices are subject to VAT . Quotes =
valid for 7 days subject to availability. All goods are sold subject to =
Tempus terms and conditions which can be seen on request.</FONT>
</DIV>
<DIV>
<FONT SIZE=3D"1">This message (and any associated files) is intended =
only for the  use of the individual or entity to which it is addressed =
and may  contain information that is confidential, subject to copyright =
or constitutes a trade secret. If you are not the intended recipient  =
you are hereby notified that any dissemination, copying or  distribution =
of this message, or files associated with this message,  is strictly =
prohibited. If you have received this message in error,  please notify =
us immediately by replying to the message and deleting  it from your =
computer. Messages sent to and from us may be monitored. <BR> =
<BR>Internet communications cannot be guaranteed to be secure or =
error-free  as information could be intercepted, corrupted, lost, =
destroyed, arrive late or incomplete, or contain viruses. Therefore, we =
do not accept responsibility for any errors or omissions that are =
present in this message, or any attachment, that have arisen as a result =
of e-mail transmission. If verification is required, please request a =
hard-copy version. Any views or opinions presented are solely those of =
the author and do not necessarily represent those of the =
company</FONT>.</DIV>
<DIV> </DIV>
<DIV> </DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4D5ED.51F94CE3--
=========================================================================
Date:         Mon, 29 Nov 2004 10:28:14 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Fitness to work
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Please can anyone help with the following:

We have an employee currently off on long-term sick absence with ?sciatica.
His GP is happy to provide sick certs ad nauseum.  His Physio has told him
he is fit to return to work.  He agreed to be seen by our OH Physician who
examined him and declared him fit to work.  The employee is insisting that
he is not fit and I believe his GP will continue to issue sick certs as he
wishes.

Can we insist that he return to work as declared by our OH Physician or can
he refuse if his GP provides a further cert?

Has anyone had a similar experience or does anyone have knowledge of any
regs etc that I can quote please???  Can any of you Doctors out there help
please?

Many thanks
Lynda

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 29 Nov 2004 10:46:21 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Kath Griffiths <[log in to unmask]>
Subject:      Re: Fitness to work
MIME-Version: 1.0
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: quoted-printable

My belief is that although you cant make him come back to work , you can =
treat his absence as absence rather than sickness absence and stop paying =
him. Providing that you have all the information ( specialist reports etc) =
your OHP is in a better position that the GP to make a judgement on his =
=66itness to work and my understanding is that the company can manage this =
on the basis of the OHP opinion (worth considering having a  company/OH =
policy on  all this )=20

I'm sure you or your OHP would have written to the GP explaining your role =
and asking on what basis s/he continues to provide sick notes - you may wan=
t=
 to point out some of the evidence or advice form DWP  and the fact that =
remaining off work is more harmful to the patient than RTW with adjustments=
=20

Kath Griffiths
Occupational Health Manager
=46reshfields Bruckhaus Deringer
65 Fleet Street
EC4Y 1HS
[log in to unmask] <mailto:[log in to unmask]>=20
0207  716 4024
07966 961 821

This email and any attachments is strictly confidential. Accordingly this =
email and its attachments should not be forwarded, reproduced or made =
available to any third party under any circumstances without prior consent =
=66rom Occupational Health .  If you are not the intended recipient  please=
 =
advise the sender immediately by reply email and delete the message and any=
 =
attachments without reading, distributing or copying.



-----Original Message-----
=46rom: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 29 November 2004 10:28
To: [log in to unmask]
Subject: Fitness to work


Please can anyone help with the following:

We have an employee currently off on long-term sick absence with =
=3Fsciatica.
His GP is happy to provide sick certs ad nauseum.  His Physio has told him
he is fit to return to work.  He agreed to be seen by our OH Physician who
examined him and declared him fit to work.  The employee is insisting that
he is not fit and I believe his GP will continue to issue sick certs as he
wishes.

Can we insist that he return to work as declared by our OH Physician or can
he refuse if his GP provides a further cert=3F

Has anyone had a similar experience or does anyone have knowledge of any
regs etc that I can quote please=3F=3F=3F  Can any of you Doctors out there=
 =
help
please=3F

Many thanks
Lynda

~~~~~~~~~~~~~~~
Please remove this footer before replying.

=46or list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

=46or jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


This e-mail is confidential and may well also be legally privileged. If you=
 =
have received it in error, you are on notice of its status.  Please notify =
us immediately by reply e-mail and then delete this message from your =
system.  Please do not copy it or use it for any purposes, or disclose its =
contents to any other person:  to do so could be a breach of confidence.  =
Thank you for your co-operation.  Please contact our IT Helpdesk on +44 (0)=
 =
20 7936 4000 Ext.2000 or email [log in to unmask] if you need =
assistance.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 29 Nov 2004 11:01:37 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         SBlair <[log in to unmask]>
Subject:      Re: Fitness to work
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Have you considered writing to the GP. Informing him of the conflicting
information and informing him of any adjustments that can be made in
relation to his job if necessary. Alternatively would he consent to you
receiving a medical report from his GP. His doctor is afterall the person
who probably knows your employee best. Perhaps then you could ask him to
comment on all the guidance which is in place for Back pain rehab, etc. Sian

-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 29 November 2004 10:28
To: [log in to unmask]
Subject: Fitness to work


Please can anyone help with the following:

We have an employee currently off on long-term sick absence with ?sciatica.
His GP is happy to provide sick certs ad nauseum.  His Physio has told him
he is fit to return to work.  He agreed to be seen by our OH Physician who
examined him and declared him fit to work.  The employee is insisting that
he is not fit and I believe his GP will continue to issue sick certs as he
wishes.

Can we insist that he return to work as declared by our OH Physician or can
he refuse if his GP provides a further cert?

Has anyone had a similar experience or does anyone have knowledge of any
regs etc that I can quote please???  Can any of you Doctors out there help
please?

Many thanks
Lynda

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


-----------------------------------------------------------------------
John Heathcoat and Company Ltd is registered in England No. 450787.
Registered Office: Westexe, Tiverton, Devon EX16 5LL.

This email is confidential and intended solely for the use of the
individual to whom it is addressed. Any views or opinions presented
are solely those of the author and do not necessarily represent those
of John Heathcoat and Company Ltd. If you are not the intended
recipient and have received this email in error, any use, dissemination,
forwarding, printing or copying of this email is strictly prohibited.
------------------------------------------------------------------------

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 29 Nov 2004 11:06:37 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Fitness to work
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

He will not give consent for us to write to his GP.  He has an appalling
sick absence record by the way.
Lynda

-----Original Message-----
From: SBlair [mailto:[log in to unmask]]
Sent: Monday, November 29, 2004 11:02 AM
To: [log in to unmask]
Subject: Re: Fitness to work


Have you considered writing to the GP. Informing him of the conflicting
information and informing him of any adjustments that can be made in
relation to his job if necessary. Alternatively would he consent to you
receiving a medical report from his GP. His doctor is afterall the person
who probably knows your employee best. Perhaps then you could ask him to
comment on all the guidance which is in place for Back pain rehab, etc. Sian

-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 29 November 2004 10:28
To: [log in to unmask]
Subject: Fitness to work


Please can anyone help with the following:

We have an employee currently off on long-term sick absence with ?sciatica.
His GP is happy to provide sick certs ad nauseum.  His Physio has told him
he is fit to return to work.  He agreed to be seen by our OH Physician who
examined him and declared him fit to work.  The employee is insisting that
he is not fit and I believe his GP will continue to issue sick certs as he
wishes.

Can we insist that he return to work as declared by our OH Physician or can
he refuse if his GP provides a further cert?

Has anyone had a similar experience or does anyone have knowledge of any
regs etc that I can quote please???  Can any of you Doctors out there help
please?

Many thanks
Lynda

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


-----------------------------------------------------------------------
John Heathcoat and Company Ltd is registered in England No. 450787.
Registered Office: Westexe, Tiverton, Devon EX16 5LL.

This email is confidential and intended solely for the use of the
individual to whom it is addressed. Any views or opinions presented
are solely those of the author and do not necessarily represent those
of John Heathcoat and Company Ltd. If you are not the intended
recipient and have received this email in error, any use, dissemination,
forwarding, printing or copying of this email is strictly prohibited.
------------------------------------------------------------------------

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 29 Nov 2004 11:12:21 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Swann, Alan B" <[log in to unmask]>
Subject:      Re: Fitness to work
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Not sure I agree 'his doctor knows him best'. Chances are both you & =
your OP have spent more time with him carrying out a functional =
assessment as well as a clinical examination. And you certainly should =
have a far more accurate view of the demands of his work than the GP. =
His GP may well be issuing sick notes with misgivings, but feeling he =
has no alternative because his patient insists his pain experience at =
work is intolerable.
It will be worth contacting the GP to ask if there is any underlying =
medical condition you need be aware of in assessing him and, if so, the =
GPs  management plan for this. At the same time you can appraise the GP =
of your assessment of both job demands and employee. You might usefully =
add some info on the deleterious effect of prolonged absence on =
successful rehabilitation back into work and (perhaps) the hint that if =
this guy doesn't get back into work his job may be in jeopardy.
If the GP cannot provide a substantive argument then this is no longer =
primarily an OH matter. It should be passed to HR for them to decide =
(who to trust?: GP, employee or OccHealth)and act on.



Dr. Alan Swann, BM, AFOM
Director of Occupational Health
Occupational Health Service
Imperial College London
Southside building
South Kensington Campus
London
SW7 2AZ
Tel: =A0=A0=A0=A0=A0 +44 (20) 7594 9385
Fax: =A0=A0=A0=A0 +44 (20) 7594 9407
 https://www.imperial.ac.uk/spectrum/occhealth=20


-----Original Message-----
From: SBlair [mailto:[log in to unmask]]=20
Sent: 29 November 2004 11:02
To: [log in to unmask]
Subject: Re: Fitness to work

Have you considered writing to the GP. Informing him of the conflicting
information and informing him of any adjustments that can be made in
relation to his job if necessary. Alternatively would he consent to you
receiving a medical report from his GP. His doctor is afterall the =
person
who probably knows your employee best. Perhaps then you could ask him to
comment on all the guidance which is in place for Back pain rehab, etc. =
Sian

-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 29 November 2004 10:28
To: [log in to unmask]
Subject: Fitness to work


Please can anyone help with the following:

We have an employee currently off on long-term sick absence with =
?sciatica.
His GP is happy to provide sick certs ad nauseum.  His Physio has told =
him
he is fit to return to work.  He agreed to be seen by our OH Physician =
who
examined him and declared him fit to work.  The employee is insisting =
that
he is not fit and I believe his GP will continue to issue sick certs as =
he
wishes.

Can we insist that he return to work as declared by our OH Physician or =
can
he refuse if his GP provides a further cert?

Has anyone had a similar experience or does anyone have knowledge of any
regs etc that I can quote please???  Can any of you Doctors out there =
help
please?

Many thanks
Lynda

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


-----------------------------------------------------------------------
John Heathcoat and Company Ltd is registered in England No. 450787.
Registered Office: Westexe, Tiverton, Devon EX16 5LL.

This email is confidential and intended solely for the use of the
individual to whom it is addressed. Any views or opinions presented
are solely those of the author and do not necessarily represent those
of John Heathcoat and Company Ltd. If you are not the intended
recipient and have received this email in error, any use, dissemination,
forwarding, printing or copying of this email is strictly prohibited.
------------------------------------------------------------------------

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 29 Nov 2004 11:14:27 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Swann, Alan B" <[log in to unmask]>
Subject:      Re: Fitness to work
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

In that case, I'd pass it over to HR now. OccHealth has done its best =
and provided management with as much information as possible on the =
health/ fitness aspects. They should deal with it as a conduct issue. =
The employee is failing to carry out duties, despite expert medical =
advice they are fit to do so.


Dr. Alan Swann, BM, AFOM
Director of Occupational Health
Occupational Health Service
Imperial College London
Southside building
South Kensington Campus
London
SW7 2AZ
Tel: =A0=A0=A0=A0=A0 +44 (20) 7594 9385
Fax: =A0=A0=A0=A0 +44 (20) 7594 9407
 https://www.imperial.ac.uk/spectrum/occhealth=20


-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]=20
Sent: 29 November 2004 11:07
To: [log in to unmask]
Subject: Re: Fitness to work

He will not give consent for us to write to his GP.  He has an appalling
sick absence record by the way.
Lynda

-----Original Message-----
From: SBlair [mailto:[log in to unmask]]
Sent: Monday, November 29, 2004 11:02 AM
To: [log in to unmask]
Subject: Re: Fitness to work


Have you considered writing to the GP. Informing him of the conflicting
information and informing him of any adjustments that can be made in
relation to his job if necessary. Alternatively would he consent to you
receiving a medical report from his GP. His doctor is afterall the =
person
who probably knows your employee best. Perhaps then you could ask him to
comment on all the guidance which is in place for Back pain rehab, etc. =
Sian

-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 29 November 2004 10:28
To: [log in to unmask]
Subject: Fitness to work


Please can anyone help with the following:

We have an employee currently off on long-term sick absence with =
?sciatica.
His GP is happy to provide sick certs ad nauseum.  His Physio has told =
him
he is fit to return to work.  He agreed to be seen by our OH Physician =
who
examined him and declared him fit to work.  The employee is insisting =
that
he is not fit and I believe his GP will continue to issue sick certs as =
he
wishes.

Can we insist that he return to work as declared by our OH Physician or =
can
he refuse if his GP provides a further cert?

Has anyone had a similar experience or does anyone have knowledge of any
regs etc that I can quote please???  Can any of you Doctors out there =
help
please?

Many thanks
Lynda

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


-----------------------------------------------------------------------
John Heathcoat and Company Ltd is registered in England No. 450787.
Registered Office: Westexe, Tiverton, Devon EX16 5LL.

This email is confidential and intended solely for the use of the
individual to whom it is addressed. Any views or opinions presented
are solely those of the author and do not necessarily represent those
of John Heathcoat and Company Ltd. If you are not the intended
recipient and have received this email in error, any use, dissemination,
forwarding, printing or copying of this email is strictly prohibited.
------------------------------------------------------------------------

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 29 Nov 2004 11:17:47 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Hair <[log in to unmask]>
Subject:      Re: Fitness to work
MIME-Version: 1.0
MIME-Version: 1.0
Content-Type: text/html; charset=ISO-8859-1
Content-Transfer-Encoding: base64

PEZPTlQgZmFjZT0iRGVmYXVsdCBTYW5zIFNlcmlmLCBWZXJkYW5hLCBBcmlhbCwgSGVsdmV0aWNh
LCBzYW5zLXNlcmlmIiBzaXplPTI+PGRpdj5zb3VuZHMgdG8gbWUgbGlrZSB5b3UgaGF2ZSBkb25l
IGFsbCB5b3UgY2FuLCBJIHdvdWxkIGFkdmlzZSBIUiB0aGF0IHRoZSBPSCBvcGluaW9uIGlzIHRo
YXQgaGUgaXMgZml0IGZvciB3b3JrIGFuZCBsZXQgdGhlbSBkZWFsIHdpdGggaXQuPC9kaXY+PERJ
Vj4mbmJzcDs8L0RJVj48RElWPmNoZWVyczwvRElWPjxESVY+UGF1bDwvRElWPjxESVY+Jm5ic3A7
PC9ESVY+PC9GT05UPg==
=========================================================================
Date:         Mon, 29 Nov 2004 11:18:03 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Kinselley, Gillian E" <[log in to unmask]>
Subject:      Re: Fitness to work
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

I have been catching the emails...as this chap has withheld his consent you
can only use the information available...which is that 2 professionals feel
he is fit for work.  I would investigate the rational why he feels he is
unable to cary out his role with or with out adjustments. how his condition
or conditions affect his ability to work.

If he still feels he is unable to work I would inform HR that you have done
all possible and let them make an employment decision.

Gill

-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 29 November 2004 11:07
To: [log in to unmask]
Subject: Re: Fitness to work


He will not give consent for us to write to his GP.  He has an appalling
sick absence record by the way.
Lynda

-----Original Message-----
From: SBlair [mailto:[log in to unmask]]
Sent: Monday, November 29, 2004 11:02 AM
To: [log in to unmask]
Subject: Re: Fitness to work


Have you considered writing to the GP. Informing him of the conflicting
information and informing him of any adjustments that can be made in
relation to his job if necessary. Alternatively would he consent to you
receiving a medical report from his GP. His doctor is afterall the person
who probably knows your employee best. Perhaps then you could ask him to
comment on all the guidance which is in place for Back pain rehab, etc. Sian

-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 29 November 2004 10:28
To: [log in to unmask]
Subject: Fitness to work


Please can anyone help with the following:

We have an employee currently off on long-term sick absence with ?sciatica.
His GP is happy to provide sick certs ad nauseum.  His Physio has told him
he is fit to return to work.  He agreed to be seen by our OH Physician who
examined him and declared him fit to work.  The employee is insisting that
he is not fit and I believe his GP will continue to issue sick certs as he
wishes.

Can we insist that he return to work as declared by our OH Physician or can
he refuse if his GP provides a further cert?

Has anyone had a similar experience or does anyone have knowledge of any
regs etc that I can quote please???  Can any of you Doctors out there help
please?

Many thanks
Lynda

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


-----------------------------------------------------------------------
John Heathcoat and Company Ltd is registered in England No. 450787.
Registered Office: Westexe, Tiverton, Devon EX16 5LL.

This email is confidential and intended solely for the use of the
individual to whom it is addressed. Any views or opinions presented
are solely those of the author and do not necessarily represent those
of John Heathcoat and Company Ltd. If you are not the intended
recipient and have received this email in error, any use, dissemination,
forwarding, printing or copying of this email is strictly prohibited.
------------------------------------------------------------------------

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 29 Nov 2004 12:09:52 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Fitness to work
MIME-Version: 1.0
Content-Type: text/plain; format=flowed; charset="iso-8859-1";
              reply-type=original
Content-Transfer-Encoding: 7bit

I would agree with this. Having run and attended conferences on Managing
Absence and Rehab and other OH topics all the 'experts' are saying that it
is an HR problem as you are saying that in OH's opinion he is fit for work
and bearing in mind he refuses to give consent in his own best interest for
GP info.

It is management's problem to deal with sickness absence - it is OH's job to
advise them......

Greta

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027

----- Original Message -----
From: "Swann, Alan B" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, November 29, 2004 11:14 AM
Subject: Re: Fitness to work


In that case, I'd pass it over to HR now. OccHealth has done its best and
provided management with as much information as possible on the health/
fitness aspects. They should deal with it as a conduct issue. The employee
is failing to carry out duties, despite expert medical advice they are fit
to do so.


Dr. Alan Swann, BM, AFOM
Director of Occupational Health
Occupational Health Service
Imperial College London
Southside building
South Kensington Campus
London
SW7 2AZ
Tel: +44 (20) 7594 9385
Fax: +44 (20) 7594 9407
 https://www.imperial.ac.uk/spectrum/occhealth


-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 29 November 2004 11:07
To: [log in to unmask]
Subject: Re: Fitness to work

He will not give consent for us to write to his GP.  He has an appalling
sick absence record by the way.
Lynda

-----Original Message-----
From: SBlair [mailto:[log in to unmask]]
Sent: Monday, November 29, 2004 11:02 AM
To: [log in to unmask]
Subject: Re: Fitness to work


Have you considered writing to the GP. Informing him of the conflicting
information and informing him of any adjustments that can be made in
relation to his job if necessary. Alternatively would he consent to you
receiving a medical report from his GP. His doctor is afterall the person
who probably knows your employee best. Perhaps then you could ask him to
comment on all the guidance which is in place for Back pain rehab, etc. Sian

-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 29 November 2004 10:28
To: [log in to unmask]
Subject: Fitness to work


Please can anyone help with the following:

We have an employee currently off on long-term sick absence with ?sciatica.
His GP is happy to provide sick certs ad nauseum.  His Physio has told him
he is fit to return to work.  He agreed to be seen by our OH Physician who
examined him and declared him fit to work.  The employee is insisting that
he is not fit and I believe his GP will continue to issue sick certs as he
wishes.

Can we insist that he return to work as declared by our OH Physician or can
he refuse if his GP provides a further cert?

Has anyone had a similar experience or does anyone have knowledge of any
regs etc that I can quote please???  Can any of you Doctors out there help
please?

Many thanks
Lynda

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


-----------------------------------------------------------------------
John Heathcoat and Company Ltd is registered in England No. 450787.
Registered Office: Westexe, Tiverton, Devon EX16 5LL.

This email is confidential and intended solely for the use of the
individual to whom it is addressed. Any views or opinions presented
are solely those of the author and do not necessarily represent those
of John Heathcoat and Company Ltd. If you are not the intended
recipient and have received this email in error, any use, dissemination,
forwarding, printing or copying of this email is strictly prohibited.
------------------------------------------------------------------------

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.796 / Virus Database: 540 - Release Date: 13/11/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 29 Nov 2004 12:40:22 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Duncan Abbott <[log in to unmask]>
Subject:      Re: Fitness to work
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

I have probably seen about 750 people with sciatica and I can't ever recall
a case where they could not return to work, providing adequate job
accommodations were made. Sciatica can be very debilitating but in general
people do work and live with it and I have seen some very extreme cases.
(some postural awareness and a spirited rocking footrest can make the world
of difference on many occassions).

In relation to your employee, has this chap ever attended a pain management
course? Is there a specific aspect of the work or work equipent that they
are refusing to use or do? Do they try and keep fit outside of work? Have
they been given a specific advice on how to improve their fitness and
prepare for work?

As an ergonomist undertaking personal risk assessments, I come across this
situation quite often. OH have done what they can, HR then decide on their
options, having done so they have asked for an independent assessment. This
tends to work well as often the client is given the chance to discuss the
situation with an impartial assessor whom they have no history with, this
allows them to tell their story and gives them the chance to open up. This
can help them face up to the situation without the history of previous
meetings and outcomes. It does not always work, but it willl clarify the
situation for both parties and alllow the way forward to be clearly marked
out.

Incidentally, The Government's white paper is trying to end 'sick note
culture', to do this they are cajoling GPs to emphasise the postive benefits
for their patients to return  to work. But, and quite rightly the TUC has
voiced caution, due to the lack of knowledge (little or non-existent) of OH
by most GPs.

Having undertaken ergonomic assessments on a number of GPs their lack of
awareness on basic issues such as posture is a point of considerable concern
and a potential contributing factor to many patients (that I have assessed)
slow return to work. If only they were taught basic ergonomics and knew a
little about workarounds - many of the problems that I come across could be
reduced rather than elongated. This is something that I am instigating at
the moment with local GPs many of whom are quite enthusiastic, as it may
help them to reduce their workload.

Hope what I have said is not too obvious.

Duncan Abbott
www.enriciosmog.com

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 29 Nov 2004 14:14:01 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Swann, Alan B" <[log in to unmask]>
Subject:      Re: Fitness to work
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Dear Duncan,

A rocking footrest helps sciatica?? Tell us more! Always will to learn =
of new rehab possibilities

Dr. Alan Swann, BM, AFOM
Director of Occupational Health
Occupational Health Service
Imperial College London
Southside building
South Kensington Campus
London
SW7 2AZ
Tel: =A0=A0=A0=A0=A0 +44 (20) 7594 9385
Fax: =A0=A0=A0=A0 +44 (20) 7594 9407
 https://www.imperial.ac.uk/spectrum/occhealth=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 29 Nov 2004 14:37:20 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Duncan Abbott <[log in to unmask]>
Subject:      Rocking footrests
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Hi Alan

Using a footrest like the Hag footrest allows the legs to move, which
improves cicculation and reduces muscle loading. The rocking motion provides
gentle movement from the mid lumbar to the tip of the toes. This type of
product is great for people who have sit for long periods, unless they have
the potential for going into spasm (cerebral palsy, MS). One drawback of the
Hag is that it can slip across the floor, but in general all my clients have
notice a lot of difference.

Hag have underaken a number of studies into dynamic seating which touch on
their footrest. I do not have the references at hand but will forward if I
can locate.

Hope this helps.

Duncan



----- Original Message -----
From: "Swann, Alan B" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, November 29, 2004 2:14 PM
Subject: Re: Fitness to work


Dear Duncan,

A rocking footrest helps sciatica?? Tell us more! Always will to learn of
new rehab possibilities

Dr. Alan Swann, BM, AFOM
Director of Occupational Health
Occupational Health Service
Imperial College London
Southside building
South Kensington Campus
London
SW7 2AZ
Tel: +44 (20) 7594 9385
Fax: +44 (20) 7594 9407
 https://www.imperial.ac.uk/spectrum/occhealth

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 30 Nov 2004 20:14:01 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chloe Coleridge <[log in to unmask]>
Subject:      Wed night TV!
Mime-version: 1.0
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

Dear all,

2 programmes of interest on the Beeb tomorrow December 1:
1930 BBC2   the sicknote scandal...v topical at the moment
2100 BBC1   Bhopal  documentary about the Bhopal disaster of 1984.

Not that I'm a telly addict of course, but any excuse to get out of going to
the gym...........

Chloe

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 1 Dec 2004 09:36:29 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Godfrey Farerell (RGC) OHNA" <[log in to unmask]>
Subject:      Re: Wed night TV!
MIME-Version: 1.0
Content-Type: text/plain

Thank you for your info.  Good one.

-----Original Message-----
From: Chloe Coleridge [mailto:[log in to unmask]]
Sent: 30 November 2004 20:14
To: [log in to unmask]
Subject: Wed night TV!


Dear all,

2 programmes of interest on the Beeb tomorrow December 1:
1930 BBC2   the sicknote scandal...v topical at the moment
2100 BBC1   Bhopal  documentary about the Bhopal disaster of 1984.

Not that I'm a telly addict of course, but any excuse to get out of going to
the gym...........

Chloe

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 2 Dec 2004 08:14:46 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Angela Southworth <[log in to unmask]>
Subject:      Fork Lift Truck Medicals
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit

Hi all,
Advice please on Fork Lift Truck - how often should eye testing be done

Thanks

Angela Southworth
OCCUPATIONAL HEALTH

Ext: 1294


**********************************************************************
This email and any files transmitted with it are confidential to Polyflor 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 Polyflor System Manager at [log in to unmask]

This e-mail has been checked for viruses using Sophos Anti-Virus.

www.polyflor.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 2 Dec 2004 14:14:35 EST
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Matthew Thomason <[log in to unmask]>
Subject:      Re: Fork Lift Truck Medicals
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1102014875"

-------------------------------1102014875
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Dear Angela

We perform FLT medicals (including eye tests) pre employment and then  every
3yrs. If over 50yrs of age they are performed yearly.

Regards

Mat


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1102014875
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY:=20=
Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3DArial color=3D#000000 size=3D2>
<DIV>Dear Angela</DIV>
<DIV>&nbsp;</DIV>
<DIV>We perform FLT medicals (including eye tests)&nbsp;pre employment and t=
hen=20
every 3yrs. If over 50yrs of age&nbsp;they are performed yearly.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Regards</DIV>
<DIV>&nbsp;</DIV>
<DIV>Mat</DIV>
<DIV>&nbsp;</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1102014875--
=========================================================================
Date:         Fri, 3 Dec 2004 01:00:50 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Donna Dixon <[log in to unmask]>
Subject:      Donna Dixon/National Britannia is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=us-ascii

I will be out of the office starting  02/12/2004 and will not return until
06/12/2004.

Thank you for your email.  I am away from the office until the 6th
November.  If you require assistance, please leave me a message on 07718
661614 and I will get back to you.  Thank you

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 3 Dec 2004 08:09:44 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Occupational Health <[log in to unmask]>
Subject:      Re: Fork Lift Truck Medicals
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

Hello Angela

Suggest you refer to HSE publication HSG6 Safety in Working with lift
Trucks (published 2000) which gives good practice recommendations for
frequency of screening.

Regards.

Jackie

Jackie Parker=20
SOHA for Grosvenor Health based at London Luton Airport





*********************************************************************
*
* The views of the author of this e-mail may not reflect those of
* London Luton Airport Operations Limited, or its associates.
* London Luton Airport Operations Limited accepts no responsibility
* for the views, statements, or opinions of the author.
*
* This e-mail and its attachments are intended for the above named
* recipient(s) only and may contain confidential information. Any
* liability (in negligence, contract, or otherwise) arising as a
* result of any third party taking any action or refraining from
* taking any action on the basis of the information contained in
* this e-mail is hereby excluded.
*
* If you are not the intended recipient(s) of this e-mail please
* notify the sender or [log in to unmask] immediately. Do not
* discuss, disclose the content to any person, store, copy, or
* forward the information in any medium or use it for any purpose
* whatsoever.
*
* No warranty is given that this e-mail and any attachments are free
* from viruses.
*
* The integrity of unencrypted Internet e-mail cannot be guaranteed.
* All liability is excluded to the extent permitted by law for any
* claims arising as a result of the use of this medium.
*
* Any communication using London Luton Airport Operations
* Limited Computer or Telecommunication systems may be
* monitored and/or recorded, for security and quality assurance
* purposes.
*
* e-mail:  [log in to unmask]
* www:     http://www.ltn.aero
*
*********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 8 Dec 2004 07:17:53 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jacqui Livock <[log in to unmask]>
Subject:      DPA

hi all
i know this is probably an old chestnut but searching the archives did not
provide the info i require...
i am aware that there is new guidance pending and i was seeking opinions
on the use of email.(i am writing guidance for managers on contacting OH.)
if a manager puts a name and diagnosis (or possible diagnosis) in an email
on a monitored system is this a breach of the data protection act?
also- what are the lists' opinions or best practice on emailling of OH
reports to HR or managers?

i already have a standard phrase to inform managers that individuals can
read what they write on an email/referral so they are aware of that.

jacqui

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 8 Dec 2004 08:51:42 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         L KENYON <[log in to unmask]>
Subject:      Re: DPA
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative; boundary="0-1536709274-1102495902=:57480"
Content-Transfer-Encoding: 8bit

--0-1536709274-1102495902=:57480
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

I always suggest that information is only shared according to data protection principles - ie what we need to know in order to advise the employer on reasonable adjustments.  When I did my nurse training, we worked under the philosophy of not putting diagnostic labels on care plans and this actually stood me in good stead for my practice now.  After all Roper's activities of daily living (however antiquated now) are what the DDA's all about.  So I would suggest that HR stick to functional and emotional capabilities and limitations and how those are impacting on attendance, attitude or performance.  That way noone gets into muddy water.

The only exception to this I can see is when someone has a terminal diagnosis or prognosis with a foreseeably short time frame and financial decisions need to be made re IHER.

Would be interested to know what others think.  Am I being too simplistic?

Lucy

Jacqui Livock <[log in to unmask]> wrote:
hi all
i know this is probably an old chestnut but searching the archives did not
provide the info i require...
i am aware that there is new guidance pending and i was seeking opinions
on the use of email.(i am writing guidance for managers on contacting OH.)
if a manager puts a name and diagnosis (or possible diagnosis) in an email
on a monitored system is this a breach of the data protection act?
also- what are the lists' opinions or best practice on emailling of OH
reports to HR or managers?

i already have a standard phrase to inform managers that individuals can
read what they write on an email/referral so they are aware of that.

jacqui

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--0-1536709274-1102495902=:57480
Content-Type: text/html; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

<DIV>I always suggest that information is only shared according to data protection principles - ie what we need to know in order to advise the employer on reasonable adjustments.&nbsp; When I did my nurse training, we worked under the philosophy of not putting diagnostic labels on care plans and this actually stood me in good stead for my practice now.&nbsp; After all Roper's activities of daily living (however antiquated now) are what the DDA's all about.&nbsp; So I would suggest that HR stick to functional and emotional capabilities and limitations and how those are impacting on attendance, attitude or performance.&nbsp; That way noone gets into muddy water.</DIV>
<DIV>&nbsp;</DIV>
<DIV>The only exception to this I can see is when someone has a terminal diagnosis or prognosis with a foreseeably short time frame and financial decisions need to be made re IHER.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Would be interested to know what others think.&nbsp; Am I being too simplistic?</DIV>
<DIV>&nbsp;</DIV>
<DIV>Lucy<BR><BR><B><I>Jacqui Livock &lt;[log in to unmask]&gt;</I></B> wrote:</DIV>
<BLOCKQUOTE class=replbq style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #1010ff 2px solid">hi all<BR>i know this is probably an old chestnut but searching the archives did not<BR>provide the info i require...<BR>i am aware that there is new guidance pending and i was seeking opinions<BR>on the use of email.(i am writing guidance for managers on contacting OH.)<BR>if a manager puts a name and diagnosis (or possible diagnosis) in an email<BR>on a monitored system is this a breach of the data protection act?<BR>also- what are the lists' opinions or best practice on emailling of OH<BR>reports to HR or managers?<BR><BR>i already have a standard phrase to inform managers that individuals can<BR>read what they write on an email/referral so they are aware of that.<BR><BR>jacqui<BR><BR>~~~~~~~~~~~~~~~<BR>Please remove this footer before replying.<BR><BR>For list archives and documents, go to<BR>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives<BR><BR>For job!
s in
 Occupational Health, go to<BR>http://uk.groups.yahoo.com/group/OHJobs/<BR></BLOCKQUOTE>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-1536709274-1102495902=:57480--
=========================================================================
Date:         Wed, 8 Dec 2004 08:57:23 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Swann, Alan B" <[log in to unmask]>
Subject:      Re: DPA
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

The DPA doesn't proscribe use of e-mail to convey sensitive data, though =
company policies may..
I do not regard e-mail as any less secure than ordinary mail (letters =
can be opened, go astray etc) However, I always ask the person referred =
to in a report whether they have any objection, before doing so. And =
double check addresses.
E-mail does have great advantages: speed, an automatically filed (on my =
PC) record of the letter, and both manager & member of staff receive the =
report at the same time. Each can see from the headers that the other =
has received a copy.
Reports do not usually contain any confidential information on =
diagnosis. Surely we should be limiting our reports to the functional =
impact of health problems & possible adjustments, rather than giving the =
manager information on the underlying medical condition, if any.=20
And, with short-term absence, with over 50%, the report is only saying =
that the person hasn't any medical problems and should be capable of =
regular, reliable attendance!
Regards

Dr. Alan Swann, BM, AFOM
Director of Occupational Health
Occupational Health Service
Imperial College London
Southside building
South Kensington Campus
London
SW7 2AZ
Tel: =A0=A0=A0=A0=A0 +44 (20) 7594 9385
Fax: =A0=A0=A0=A0 +44 (20) 7594 9407
 https://www.imperial.ac.uk/spectrum/occhealth=20


-----Original Message-----
From: Jacqui Livock [mailto:[log in to unmask]]=20
Sent: 08 December 2004 07:18
To: [log in to unmask]
Subject: DPA

hi all
i know this is probably an old chestnut but searching the archives did =
not
provide the info i require...
i am aware that there is new guidance pending and i was seeking opinions
on the use of email.(i am writing guidance for managers on contacting =
OH.)
if a manager puts a name and diagnosis (or possible diagnosis) in an =
email
on a monitored system is this a breach of the data protection act?
also- what are the lists' opinions or best practice on emailling of OH
reports to HR or managers?

i already have a standard phrase to inform managers that individuals can
read what they write on an email/referral so they are aware of that.

jacqui

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 8 Dec 2004 08:59:49 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Clayton.Mary" <[log in to unmask]>
Subject:      Re: DPA
MIME-Version: 1.0
Content-Type: text/plain

Maybe I'm old fashioned (or paranoid) but I just don't like emailing medical
reports. You cannot guarantee they will always be read solely by the
addressee, and I have heard of emails being inadvertently sent to
distribution lists with disastrous consequences. I much prefer paper
systems, but acknowledge the have problems too.

Mary

-----Original Message-----
From: Jacqui Livock [mailto:[log in to unmask]]
Sent: 08 December 2004 07:18
To: [log in to unmask]
Subject: DPA

hi all
i know this is probably an old chestnut but searching the archives did not
provide the info i require...
i am aware that there is new guidance pending and i was seeking opinions
on the use of email.(i am writing guidance for managers on contacting OH.)
if a manager puts a name and diagnosis (or possible diagnosis) in an email
on a monitored system is this a breach of the data protection act?
also- what are the lists' opinions or best practice on emailling of OH
reports to HR or managers?

i already have a standard phrase to inform managers that individuals can
read what they write on an email/referral so they are aware of that.

jacqui

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 8 Dec 2004 09:01:13 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Susanna Townley <[log in to unmask]>
Subject:      Wolverhampton MBC Occupational Health Service

HI,

Bashir will probably be able to help me with this, or anyone elses help
would be appreciated.

My partner works as a music teacher in a Wolverhampton School, and has
never had any contact with an Occupational Health Practitioner, even though
they are exposed to high levels of noise and everything else that goes with
being a teacher.

Does anyone know who provides the Occupational Health for I assume
wolverhamton MBC?

Many thanks

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 8 Dec 2004 09:38:00 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         MARILYN MUMFORD <[log in to unmask]>
Subject:      Re: Rocking footrests
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

>>> [log in to unmask] 29/11/2004 14:37:20 >>>
Hi Alan

Using a footrest like the Hag footrest allows the legs to move, which
improves cicculation and reduces muscle loading. The rocking motion
provides
gentle movement from the mid lumbar to the tip of the toes. This type
of
product is great for people who have sit for long periods, unless they
have
the potential for going into spasm (cerebral palsy, MS). One drawback
of the
Hag is that it can slip across the floor, but in general all my clients
have
notice a lot of difference.

Hag have underaken a number of studies into dynamic seating which touch
on
their footrest. I do not have the references at hand but will forward
if I
can locate.

Hope this helps.

Duncan



----- Original Message -----
From: "Swann, Alan B" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, November 29, 2004 2:14 PM
Subject: Re: Fitness to work


Dear Duncan,

A rocking footrest helps sciatica?? Tell us more! Always will to learn
of
new rehab possibilities

Dr. Alan Swann, BM, AFOM
Director of Occupational Health
Occupational Health Service
Imperial College London
Southside building
South Kensington Campus
London
SW7 2AZ
Tel: +44 (20) 7594 9385
Fax: +44 (20) 7594 9407
 https://www.imperial.ac.uk/spectrum/occhealth

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 8 Dec 2004 10:02:09 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jo Jenkins <[log in to unmask]>
Subject:      Jo Jenkins/UK/CAMPSOUP/CSC is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

I will be out of the office starting  03/12/2004 and will not return until
13/12/2004.

Please forward your message to Siobhan Lawson who may be able to help you.



**********************************************************************
This e-mail and any files transmitted with it may contain
confidential information and is intended solely for use by
the individual to whom it is addressed.  If you received
this e-mail in error, please notify the sender, do not
disclose its contents to others and delete it from your
system.

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

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 8 Dec 2004 10:09:46 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jean Greening-Jackson <[log in to unmask]>
Subject:      Re: Wolverhampton MBC Occupational Health Service
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative; boundary="0-716772704-1102500586=:20746"
Content-Transfer-Encoding: 8bit

--0-716772704-1102500586=:20746
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

In Bradford, it is the City Council.
I suggest you start there.
Jean Greening-Jackson.
Occupational Health degree Student. St Lukes Hospital Bradford

Susanna Townley <[log in to unmask]> wrote:
HI,

Bashir will probably be able to help me with this, or anyone elses help
would be appreciated.

My partner works as a music teacher in a Wolverhampton School, and has
never had any contact with an Occupational Health Practitioner, even though
they are exposed to high levels of noise and everything else that goes with
being a teacher.

Does anyone know who provides the Occupational Health for I assume
wolverhamton MBC?

Many thanks

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


Jean G-J


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--0-716772704-1102500586=:20746
Content-Type: text/html; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

<DIV>In Bradford, it is the City Council.</DIV>
<DIV>I suggest you start there.</DIV>
<DIV>Jean Greening-Jackson.</DIV>
<DIV>Occupational Health degree Student. St Lukes Hospital Bradford<BR><BR><B><I>Susanna Townley &lt;[log in to unmask]&gt;</I></B> wrote:</DIV>
<BLOCKQUOTE class=replbq style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #1010ff 2px solid">HI,<BR><BR>Bashir will probably be able to help me with this, or anyone elses help<BR>would be appreciated.<BR><BR>My partner works as a music teacher in a Wolverhampton School, and has<BR>never had any contact with an Occupational Health Practitioner, even though<BR>they are exposed to high levels of noise and everything else that goes with<BR>being a teacher.<BR><BR>Does anyone know who provides the Occupational Health for I assume<BR>wolverhamton MBC?<BR><BR>Many thanks<BR><BR>~~~~~~~~~~~~~~~<BR>Please remove this footer before replying.<BR><BR>For list archives and documents, go to<BR>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives<BR><BR>For jobs in Occupational Health, go to<BR>http://uk.groups.yahoo.com/group/OHJobs/<BR></BLOCKQUOTE><BR><BR><DIV><FONT face="comic sans ms" color=#60bf00>Jean G-J</FONT></DIV>
<DIV><IMG src="http://us.i1.yimg.com/us.yimg.com/i/mesg/tsmileys2/01.gif"></DIV>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
--0-716772704-1102500586=:20746--
=========================================================================
Date:         Wed, 8 Dec 2004 10:45:39 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Fields Shirley <[log in to unmask]>
Subject:      Rubella Screening
MIME-Version: 1.0
Content-Type: multipart/related; type="multipart/alternative";
              boundary="----_=_NextPart_001_01C4DD13.0ED3EF46"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4DD13.0ED3EF46
Content-Type: multipart/alternative;
        boundary="----_=_NextPart_002_01C4DD13.0ED3EF46"


------_=_NextPart_002_01C4DD13.0ED3EF46
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

To NHS Colleagues
=20
Please can you let me know whether you screen all staff with patient =
contact for Rubella Antibodies or just staff working in Paediatrics and =
Obs & Gynae.=20
=20
We currently only screen the latter but looking into whether this should =
be widen - stats obtained from Health Protection Agency shows continual =
decline in Rubella for the working age group.
=20
Shirley Fields
Occupational Health Manager
Burton Hospitals NHS Trust
Queen's Hospital
Burton on Trent
DE13 0RB
=20
01283 511511 ext 2372


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_002_01C4DD13.0ED3EF46
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><TITLE>Message</TITLE>
<META content=3D"text/html; charset=3Diso-8859-1" =
http-equiv=3DContent-Type>
<STYLE>P.msoNormal {
        COLOR: black; FONT-FAMILY: "MS Sans Serif", "sans serif"; FONT-SIZE: =
12pt; FONT-WEIGHT: normal; MARGIN: 0in 0in 0pt
}
LI.msoNormal {
        COLOR: black; FONT-FAMILY: "MS Sans Serif", "sans serif"; FONT-SIZE: =
12pt; FONT-WEIGHT: normal; MARGIN: 0in 0in 0pt
}
BODY {
        COLOR: black; FONT-FAMILY: "MS Sans Serif", "sans serif"; FONT-SIZE: =
12pt; FONT-WEIGHT: normal; MARGIN-LEFT: 50px
}
HR {
        COLOR: #00ffff; HEIGHT: 1px; WIDTH: 100%
}
</STYLE>

<META content=3D"MSHTML 5.00.3526.800" name=3DGENERATOR></HEAD>
<BODY background=3Dcid:285074010@08122004-0F20 bgColor=3D#ffffff=20
style=3D"COLOR: #000000; FONT-FAMILY: Arial">
<DIV><FONT face=3D'"MS Sans Serif"'><SPAN class=3D285074010-08122004>To =
NHS=20
Colleagues</SPAN></FONT></DIV>
<DIV><FONT face=3D'"MS Sans Serif"'><SPAN=20
class=3D285074010-08122004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3D'"MS Sans Serif"'><SPAN =
class=3D285074010-08122004>Please can you=20
let me know whether you screen all staff with patient contact for =
Rubella=20
Antibodies or just staff working in Paediatrics and Obs &amp; Gynae.=20
</SPAN></FONT></DIV>
<DIV><FONT face=3D'"MS Sans Serif"'><SPAN=20
class=3D285074010-08122004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3D'"MS Sans Serif"'><SPAN class=3D285074010-08122004>We =
currently=20
only screen the latter but looking into whether this should be widen - =
stats=20
obtained from Health Protection Agency shows continual decline in =
Rubella for=20
the working age group.</SPAN></FONT></DIV>
<DIV>&nbsp;</DIV>
<DIV align=3Dleft><EM><FONT face=3D"Arial Black" size=3D2>Shirley=20
Fields</FONT></EM></DIV>
<DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>Occupational =
Health=20
Manager</EM></FONT></DIV>
<DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>Burton =
Hospitals NHS=20
Trust</EM></FONT></DIV>
<DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>Queen's=20
Hospital</EM></FONT></DIV>
<DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>Burton on=20
Trent</EM></FONT></DIV>
<DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>DE13 =
0RB</EM></FONT></DIV>
<DIV align=3Dleft>&nbsp;</DIV>
<DIV align=3Dleft><FONT face=3D"Arial Black" size=3D2><EM>01283 511511 =
ext=20
2372</EM></FONT></DIV>
<P></P></BODY></HTML>
=00
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_002_01C4DD13.0ED3EF46--

------_=_NextPart_001_01C4DD13.0ED3EF46
Content-Type: image/jpeg;
        name="Notebook.jpg"
Content-Transfer-Encoding: base64
Content-ID: <285074010@08122004-0F20>
Content-Description: Notebook.jpg
Content-Location: Notebook.jpg
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------_=_NextPart_001_01C4DD13.0ED3EF46--
=========================================================================
Date:         Wed, 8 Dec 2004 10:58:45 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Catherine Wood <[log in to unmask]>
Subject:      Rubella screening

We screen all new employees with close patient contact for rubella and
varicella zoster antibodies, and have recently undertaken screening for all
existing employees in high risk areas.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 8 Dec 2004 11:16:40 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         JOSEPH BUGGY <[log in to unmask]>
Subject:      Re: Rubella Screening
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: quoted-printable
Content-Disposition: inline

All screened here
Green book recommends that all health service staff, both male and female, =
should be screened and those seronegative immunised with rubella vaccine


Joseph Buggy
Occupational Health Advisor
QEQMH
East Kent Hospitals NHS Trust
01843-234478 Direct
0r 01843-225544 Ext 62301
[log in to unmask]

>>> [log in to unmask] 12/08/04 10:45am >>>
To NHS Colleagues
=20
Please can you let me know whether you screen all staff with patient contac=
t for Rubella Antibodies or just staff working in Paediatrics and Obs & Gyn=
ae.=20
=20
We currently only screen the latter but looking into whether this should be=
 widen - stats obtained from Health Protection Agency shows continual decli=
ne in Rubella for the working age group.
=20
Shirley Fields
Occupational Health Manager
Burton Hospitals NHS Trust
Queen's Hospital
Burton on Trent
DE13 0RB
=20
01283 511511 ext 2372


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



**********************************************************************
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.
Any views or opinions presented are solely those of the author and do=20
not necessarily represent those of East Kent Hospitals NHS Trust.  If
you are not the intended recipient, be advised that you have received
this email in error and that any use, dissemination, forwarding, printing
or copying of this email is strictly prohibited.

If you have received this email in error please notify the system
manager at the following email address: [log in to unmask]

www.kentandmedway.nhs.uk

This footnote also confirms that although this email message has been
swept by MIMEsweeper for the presence of computer viruses, it is strongly r=
ecommended that you carry out your own virus scan of this
message and any attachments.

www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 8 Dec 2004 12:27:19 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
Subject:      More Hep B debate...

Hello everyone,

at the risk of appearing daft can I ask for comments on the following
please;

we're aware of the 'Green Book' guidelines for Hepatitis B titre levels and
whether boosters are required or not. As I understood it Immunity was
classed as being a result >100 miu/ml. This also stems from HSG(93)40.
However, the addendum to this document clearly states in Annex B that
>10miu/ml can be classed as Immune.

How are others interpreting this?

Good to meet some of you at the RCN conference this year, and can I be one
of the first to wish you all a restful festive season and a peaceful 2005.

regards

Glenn Raybone

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 8 Dec 2004 13:30:56 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jacqueline Ward <[log in to unmask]>
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Dear All,

I have two queries.

1.  Can anyone tell me where it is documented the ratio prediction for
Occupational Health Nurses per Employees?
I had thought ANHOPS had something documented like 1 OHN per 2000 employees.
However am aware that the type of service delivery can be so varied that it
is difficult to be prescriptive.

2. I will be looking for an Occupational Health Physician to work 1 day per
week for Cancer Research UK, based in Holborn, Central London from April
2005. Other than going through an agency I would prefer to deal directly
with the OHP.  Can anyone offer advice on how to do so or know of anyone who
might be interested.

Many thanks

Jacqueline Ward
Occupational Health Manager
Cancer Research-UK

0207 061 8245 Direct line
0207 061 8246 Reception
0207 061 8218 Fax


HR Message of the Month December: EAP
*       Did you know that all employees and their immediate family have free
access to specialist information consultants and counsellors who can offer
assistance 24 hours a day?
*       This service is available via telephone advice or face to face counselling
throughout the UK. Advice is available on a wide range of issues such as
financial, legal, family care, work or personal. Professional qualified
counsellors are available to offer short term, solution focused advice.
*       The 24 hour personal support number 0800 072 7 072 is available 365 day a
year.
        Disclaimer: The information contained in this message is confidential and
may also be privileged. The disclosure, copying or alteration of this
message is strictly prohibited. This message is intended for the addressee
named above. If you are not the addressee (or responsible for the delivery
of the message to the addressee) please notify the originator immediately by
return message and destroy the original message. The originator does not
guarantee the security of this message and will not be responsible for any
damages arising from any alteration of this message by a third party.

        Registered Charity Number. 1089464

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 8 Dec 2004 13:40:18 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Swann, Alan B" <[log in to unmask]>
Subject:      Re: More Hep B debate...
Comments: cc: "Onuoha, Elisa A" <[log in to unmask]>,
          "Boyle, Sheila" <[log in to unmask]>,
          "Lailey, Janet" <[log in to unmask]>,
          "O'Brien, Claire" <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4DD2B.74BB5338"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4DD2B.74BB5338
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

Immunity to Hep B infection is achieved if, following a complete course
of vaccination, the person achieves an anti-HBs level of >10miu/ml.

=20

The 100miu/ ml level used to be thought necessary to achieve lasting
immunity (stimulating production of memory cells- the amnestic
response). However, studies have now shown that this is achieved at
levels greater than 10.

=20

Another reason 100miu/ml was considered important in the past was the
belief that this was proof the person was not infected with HepB.
Chronic HepB infection tends to produce low levels of anti-HBs [if the
person could produce a strong response, they'd clear the infection].

A level of >100 could only be produced through vaccine-induced anti-body
response.

This is now questioned as some HepB virus variants do not stimulate
anti-HBs production & so a person might produce a good response to HepB
vaccination, despite already having been infected & still infectious
with one of the mutant strains. This is why direct serological tests for
infection [HBsAg] is now required for all EPP workers, rather than only
testing those who failed to respond well to vaccination.

=20

So the 100miu/ml level has no special relevance now. We should perhaps
encourage our pathology colleagues to stop classifying anti-HBs tests
into the <10, 10-99 and >100 ranges and especially get rid of the 'poor
response' label to the 10-99 range. If it's greater than 10, it is good
enough!

=20

=20

=20

Dr. Alan Swann, BM, AFOM

Director of Occupational Health

Occupational Health Service

Imperial College London

Southside building

South Kensington Campus

London

SW7 2AZ

Tel:       +44 (20) 7594 9385

Fax:      +44 (20) 7594 9407

 https://www.imperial.ac.uk/spectrum/occhealth=20

=20

=20

-----Original Message-----
From: Glenn Raybone [mailto:[log in to unmask]]=20
Sent: 08 December 2004 12:27
To: [log in to unmask]
Subject: More Hep B debate...

=20

Hello everyone,

=20

at the risk of appearing daft can I ask for comments on the following

please;

=20

we're aware of the 'Green Book' guidelines for Hepatitis B titre levels
and

whether boosters are required or not. As I understood it Immunity was

classed as being a result >100 miu/ml. This also stems from HSG(93)40.

However, the addendum to this document clearly states in Annex B that

>10miu/ml can be classed as Immune.

=20

How are others interpreting this?

=20

Good to meet some of you at the RCN conference this year, and can I be
one

of the first to wish you all a restful festive season and a peaceful
2005.

=20

regards

=20

Glenn Raybone

=20

~~~~~~~~~~~~~~~

Please remove this footer before replying.

=20

For list archives and documents, go to

http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

=20

For jobs in Occupational Health, go to

http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4DD2B.74BB5338
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<html>

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">


<meta name=3DGenerator content=3D"Microsoft Word 10 (filtered)">

<style>
<!--
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {margin:0cm;
        margin-bottom:.0001pt;
        font-size:12.0pt;
        font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;}
p.MsoPlainText, li.MsoPlainText, div.MsoPlainText
        {margin:0cm;
        margin-bottom:.0001pt;
        font-size:10.0pt;
        font-family:"Courier New";}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 69.6pt 72.0pt 69.6pt;}
div.Section1
        {page:Section1;}
-->
</style>

</head>

<body lang=3DEN-GB link=3Dblue vlink=3Dpurple>

<div class=3DSection1>

<p class=3DMsoPlainText><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial'>Immunity to Hep B infection is achieved if, following =
a
complete course of vaccination, the person achieves an anti-HBs level of
&gt;10miu/ml.</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial'>&nbsp;</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial'>The 100miu/ ml level used to be thought necessary to =
achieve
lasting immunity (stimulating production of memory cells- the amnestic
response). However, studies have now shown that this is achieved at =
levels
greater than 10.</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial'>&nbsp;</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial'>Another reason 100miu/ml was considered important in =
the
past was the belief that this was proof the person was not infected with =
HepB.
Chronic HepB infection tends to produce low levels of anti-HBs [if the =
person
could produce a strong response, they&#8217;d clear the =
infection].</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial'>A level of &gt;100 could only be produced through
vaccine-induced anti-body response.</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial'>This is now questioned as some HepB virus variants do =
not
stimulate anti-HBs production &amp; so a person might produce a good =
response
to HepB vaccination, despite already having been infected &amp; still =
infectious
with one of the mutant strains. This is why direct serological tests for
infection [HBsAg] is now required for all EPP workers, rather than only =
testing
those who failed to respond well to vaccination.</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial'>&nbsp;</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3DArial><span =
style=3D'font-size:10.0pt;
font-family:Arial'>So the 100miu/ml level has no special relevance now. =
We
should perhaps encourage our pathology colleagues to stop classifying =
anti-HBs
tests into the &lt;10, 10-99 and &gt;100 ranges and especially get rid =
of the
'poor response' label to the 10-99 range. If it&#8217;s greater than 10, =
it is
good enough!</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>Dr. Alan Swann, BM, AFOM</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>Director of Occupational Health</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
 10.0pt'>Occupational Health Service</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>Imperial College London</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>Southside building</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>South Kensington Campus</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>London</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>SW7 2AZ</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>Tel: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; +44 (20) 7594 =
9385</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>Fax: &nbsp;&nbsp;&nbsp;&nbsp; +44 (20) 7594 =
9407</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>&nbsp;https://www.imperial.ac.uk/spectrum/occhealth =
</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
lang=3DEN-US
style=3D'font-size:10.0pt'>-----Original Message-----<br>
From: Glenn Raybone [mailto:[log in to unmask]] <br>
Sent: 08 December 2004 12:27<br>
To: [log in to unmask]<br>
Subject: More Hep B debate...</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>Hello everyone,</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>at the risk of appearing daft can I ask for comments on the =
following</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>please;</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>we're aware of the 'Green Book' guidelines for Hepatitis B titre =
levels
and</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>whether boosters are required or not. As I understood it =
Immunity was</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>classed as being a result &gt;100 miu/ml. This also stems from
HSG(93)40.</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>However, the addendum to this document clearly states in Annex B =
that</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>&gt;10miu/ml can be classed as Immune.</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>How are others interpreting this?</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>Good to meet some of you at the RCN conference this year, and =
can I be
one</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>of the first to wish you all a restful festive season and a =
peaceful
2005.</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>regards</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>Glenn Raybone</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>~~~~~~~~~~~~~~~</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>Please remove this footer before replying.</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>For list archives and documents, go to</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>http://www.jiscmail.ac.uk/lists/occ-health.html for list =
archives</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>For jobs in Occupational Health, go to</span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'>http://uk.groups.yahoo.com/group/OHJobs/</span></font></p>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4DD2B.74BB5338--
=========================================================================
Date:         Wed, 8 Dec 2004 15:04:04 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Smith Eileen (RLN) City Hospitals Sunderland - Occupational
              Health" <[log in to unmask]>
Subject:      Re: More Hep B debate...
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4DD37.284DBEA0"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4DD37.284DBEA0
Content-Type: text/plain;
        charset="iso-8859-1"

Alan I would appreciate it if you could supply the references for the
information regarding HBsAg for all EPP workers as we are updating our
protocol.

Thanks,
Eileen Smith

-----Original Message-----
From: Swann, Alan B [mailto:[log in to unmask]]
Sent: 08 December 2004 13:40
To: [log in to unmask]
Subject: Re: More Hep B debate...



Immunity to Hep B infection is achieved if, following a complete course of
vaccination, the person achieves an anti-HBs level of >10miu/ml.



The 100miu/ ml level used to be thought necessary to achieve lasting
immunity (stimulating production of memory cells- the amnestic response).
However, studies have now shown that this is achieved at levels greater than
10.



Another reason 100miu/ml was considered important in the past was the belief
that this was proof the person was not infected with HepB. Chronic HepB
infection tends to produce low levels of anti-HBs [if the person could
produce a strong response, they'd clear the infection].

A level of >100 could only be produced through vaccine-induced anti-body
response.

This is now questioned as some HepB virus variants do not stimulate anti-HBs
production & so a person might produce a good response to HepB vaccination,
despite already having been infected & still infectious with one of the
mutant strains. This is why direct serological tests for infection [HBsAg]
is now required for all EPP workers, rather than only testing those who
failed to respond well to vaccination.



So the 100miu/ml level has no special relevance now. We should perhaps
encourage our pathology colleagues to stop classifying anti-HBs tests into
the <10, 10-99 and >100 ranges and especially get rid of the 'poor response'
label to the 10-99 range. If it's greater than 10, it is good enough!







Dr. Alan Swann, BM, AFOM

Director of Occupational Health

Occupational Health Service

Imperial College London

Southside building

South Kensington Campus

London

SW7 2AZ

Tel:       +44 (20) 7594 9385

Fax:      +44 (20) 7594 9407

 https://www.imperial.ac.uk/spectrum/occhealth





-----Original Message-----
From: Glenn Raybone [mailto:[log in to unmask]]
Sent: 08 December 2004 12:27
To: [log in to unmask]
Subject: More Hep B debate...



Hello everyone,



at the risk of appearing daft can I ask for comments on the following

please;



we're aware of the 'Green Book' guidelines for Hepatitis B titre levels and

whether boosters are required or not. As I understood it Immunity was

classed as being a result >100 miu/ml. This also stems from HSG(93)40.

However, the addendum to this document clearly states in Annex B that

>10miu/ml can be classed as Immune.



How are others interpreting this?



Good to meet some of you at the RCN conference this year, and can I be one

of the first to wish you all a restful festive season and a peaceful 2005.



regards



Glenn Raybone



~~~~~~~~~~~~~~~

Please remove this footer before replying.



For list archives and documents, go to

http://www.jiscmail.ac.uk/lists/occ-health.html for list archives



For jobs in Occupational Health, go to

http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4DD37.284DBEA0
Content-Type: text/html;
        charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 6.00.2800.1400" name=GENERATOR>
<STYLE>@page Section1 {size: 595.3pt 841.9pt; margin: 72.0pt 69.6pt 72.0pt 69.6pt; }
P.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"
}
LI.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"
}
DIV.MsoNormal {
        FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New Roman"
}
A:link {
        COLOR: blue; TEXT-DECORATION: underline
}
SPAN.MsoHyperlink {
        COLOR: blue; TEXT-DECORATION: underline
}
A:visited {
        COLOR: purple; TEXT-DECORATION: underline
}
SPAN.MsoHyperlinkFollowed {
        COLOR: purple; TEXT-DECORATION: underline
}
P.MsoPlainText {
        FONT-SIZE: 10pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Courier New"
}
LI.MsoPlainText {
        FONT-SIZE: 10pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Courier New"
}
DIV.MsoPlainText {
        FONT-SIZE: 10pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Courier New"
}
DIV.Section1 {
        page: Section1
}
</STYLE>
</HEAD>
<BODY lang=EN-GB vLink=purple link=blue>
<DIV><SPAN class=500590515-08122004><FONT face=Arial color=#0000ff size=2>Alan I
would appreciate it if you could supply the references for the information
regarding HBsAg for all EPP workers as we are updating our
protocol.</FONT></SPAN></DIV>
<DIV><SPAN class=500590515-08122004><FONT face=Arial color=#0000ff
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=500590515-08122004><FONT face=Arial color=#0000ff
size=2>Thanks, </FONT></SPAN></DIV>
<DIV><SPAN class=500590515-08122004><FONT face=Arial color=#0000ff size=2>Eileen
Smith</FONT></SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> Swann, Alan B
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 08 December 2004
  13:40<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: More Hep
  B debate...<BR><BR></FONT></DIV>
  <DIV class=Section1>
  <P class=MsoPlainText><FONT face=Arial size=2><SPAN
  style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">Immunity to Hep B infection is
  achieved if, following a complete course of vaccination, the person achieves
  an anti-HBs level of &gt;10miu/ml.</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face=Arial size=2><SPAN
  style="FONT-SIZE: 10pt; FONT-FAMILY: Arial"></SPAN></FONT>&nbsp;</P>
  <P class=MsoPlainText><FONT face=Arial size=2><SPAN
  style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">The 100miu/ ml level used to be
  thought necessary to achieve lasting immunity (stimulating production of
  memory cells- the amnestic response). However, studies have now shown that
  this is achieved at levels greater than 10.</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face=Arial size=2><SPAN
  style="FONT-SIZE: 10pt; FONT-FAMILY: Arial"></SPAN></FONT>&nbsp;</P>
  <P class=MsoPlainText><FONT face=Arial size=2><SPAN
  style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">Another reason 100miu/ml was
  considered important in the past was the belief that this was proof the person
  was not infected with HepB. Chronic HepB infection tends to produce low levels
  of anti-HBs [if the person could produce a strong response, they'd clear the
  infection].</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face=Arial size=2><SPAN
  style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">A level of &gt;100 could only be
  produced through vaccine-induced anti-body response.</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face=Arial size=2><SPAN
  style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">This is now questioned as some
  HepB virus variants do not stimulate anti-HBs production &amp; so a person
  might produce a good response to HepB vaccination, despite already having been
  infected &amp; still infectious with one of the mutant strains. This is why
  direct serological tests for infection [HBsAg] is now required for all EPP
  workers, rather than only testing those who failed to respond well to
  vaccination.</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face=Arial size=2><SPAN
  style="FONT-SIZE: 10pt; FONT-FAMILY: Arial"></SPAN></FONT>&nbsp;</P>
  <P class=MsoPlainText><FONT face=Arial size=2><SPAN
  style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">So the 100miu/ml level has no
  special relevance now. We should perhaps encourage our pathology colleagues to
  stop classifying anti-HBs tests into the &lt;10, 10-99 and &gt;100 ranges and
  especially get rid of the 'poor response' label to the 10-99 range. If it's
  greater than 10, it is good enough!</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt"></SPAN></FONT>&nbsp;</P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt"></SPAN></FONT>&nbsp;</P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt"></SPAN></FONT>&nbsp;</P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">Dr. Alan Swann, BM, AFOM</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">Director of Occupational Health</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">Occupational Health Service</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">Imperial College London</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">Southside building</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">South Kensington Campus</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">London</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">SW7 2AZ</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">Tel: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; +44 (20) 7594
  9385</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">Fax: &nbsp;&nbsp;&nbsp;&nbsp; +44 (20) 7594
  9407</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">&nbsp;https://www.imperial.ac.uk/spectrum/occhealth
  </SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt"></SPAN></FONT>&nbsp;</P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt"></SPAN></FONT>&nbsp;</P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN lang=EN-US
  style="FONT-SIZE: 10pt">-----Original Message-----<BR>From: Glenn Raybone
  [mailto:[log in to unmask]] <BR>Sent: 08 December 2004 12:27<BR>To:
  [log in to unmask]<BR>Subject: More Hep B debate...</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt"></SPAN></FONT>&nbsp;</P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">Hello everyone,</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt"></SPAN></FONT>&nbsp;</P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">at the risk of appearing daft can I ask for comments
  on the following</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">please;</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt"></SPAN></FONT>&nbsp;</P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">we're aware of the 'Green Book' guidelines for
  Hepatitis B titre levels and</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">whether boosters are required or not. As I understood
  it Immunity was</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">classed as being a result &gt;100 miu/ml. This also
  stems from HSG(93)40.</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">However, the addendum to this document clearly states
  in Annex B that</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">&gt;10miu/ml can be classed as
  Immune.</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt"></SPAN></FONT>&nbsp;</P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">How are others interpreting this?</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt"></SPAN></FONT>&nbsp;</P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">Good to meet some of you at the RCN conference this
  year, and can I be one</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">of the first to wish you all a restful festive season
  and a peaceful 2005.</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt"></SPAN></FONT>&nbsp;</P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">regards</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt"></SPAN></FONT>&nbsp;</P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">Glenn Raybone</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt"></SPAN></FONT>&nbsp;</P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">~~~~~~~~~~~~~~~</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">Please remove this footer before
  replying.</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt"></SPAN></FONT>&nbsp;</P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">For list archives and documents, go
  to</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">http://www.jiscmail.ac.uk/lists/occ-health.html for
  list archives</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt"></SPAN></FONT>&nbsp;</P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">For jobs in Occupational Health, go
  to</SPAN></FONT></P>
  <P class=MsoPlainText><FONT face="Courier New" size=2><SPAN
  style="FONT-SIZE: 10pt">http://uk.groups.yahoo.com/group/OHJobs/</SPAN></FONT></P></DIV>~~~~~~~~~~~~~~~
  Please remove this footer before replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4DD37.284DBEA0--
=========================================================================
Date:         Wed, 8 Dec 2004 15:54:41 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Baldwin Chris (RFF) Occupational Health Nurse Advisor"
              <[log in to unmask]>
Subject:      Re: Rubella Screening
MIME-Version: 1.0
Content-Type: text/plain;charset="iso-8859-1"

Our policy is also the same here in Barnsley

Chris Baldwin

-----Original Message-----
From: JOSEPH BUGGY [mailto:[log in to unmask]]
Sent: 08/mm/2004 11:17 AM
To: [log in to unmask]
Subject: Re: Rubella Screening


All screened here
Green book recommends that all health service staff, both male and female,
should be screened and those seronegative immunised with rubella vaccine


Joseph Buggy
Occupational Health Advisor
QEQMH
East Kent Hospitals NHS Trust
01843-234478 Direct
0r 01843-225544 Ext 62301
[log in to unmask]

>>> [log in to unmask] 12/08/04 10:45am >>>
To NHS Colleagues

Please can you let me know whether you screen all staff with patient contact
for Rubella Antibodies or just staff working in Paediatrics and Obs & Gynae.


We currently only screen the latter but looking into whether this should be
widen - stats obtained from Health Protection Agency shows continual decline
in Rubella for the working age group.

Shirley Fields
Occupational Health Manager
Burton Hospitals NHS Trust
Queen's Hospital
Burton on Trent
DE13 0RB

01283 511511 ext 2372


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



**********************************************************************
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.
Any views or opinions presented are solely those of the author and do
not necessarily represent those of East Kent Hospitals NHS Trust.  If
you are not the intended recipient, be advised that you have received
this email in error and that any use, dissemination, forwarding, printing
or copying of this email is strictly prohibited.

If you have received this email in error please notify the system
manager at the following email address: [log in to unmask]

www.kentandmedway.nhs.uk

This footnote also confirms that although this email message has been
swept by MIMEsweeper for the presence of computer viruses, it is strongly
recommended that you carry out your own virus scan of this
message and any attachments.

www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
This e-mail is confidential and privileged.  If you are not the intended recipient please accept our apologies; please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful.  Please inform us that this message has gone astray before deleting it.  Thank you for your co-operation.



Unless expressly stated otherwise, the contents of this e-mail represent only the views of the sender as expressed only to the intended recipient, do not commit Barnsley District General Hospital NHS Trust to any course of action and, in particular, are not intended to impose any legal obligation upon the Trust.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 8 Dec 2004 17:04:19 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Davies <[log in to unmask]>
Subject:      Re: DPA
In-Reply-To:  <[log in to unmask]>
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

Jacqui
I too had my own reservations about sending report via email but there are
ways around this. You can send a report with a password which can only be
opened by using the agreed password. For ease of use it is quick but can
still pose similar issues of sending a letter through the mail. For me I
prefer emai and I agree with some of the suggestions posed. I hope this
helps.
Regards
Magi Opomu

>From: Jacqui Livock <[log in to unmask]>
>Reply-To: Occupational Health mailing list <[log in to unmask]>
>To: [log in to unmask]
>Subject: DPA
>Date: Wed, 8 Dec 2004 07:17:53 +0000
>
>hi all
>i know this is probably an old chestnut but searching the archives did not
>provide the info i require...
>i am aware that there is new guidance pending and i was seeking opinions
>on the use of email.(i am writing guidance for managers on contacting OH.)
>if a manager puts a name and diagnosis (or possible diagnosis) in an email
>on a monitored system is this a breach of the data protection act?
>also- what are the lists' opinions or best practice on emailling of OH
>reports to HR or managers?
>
>i already have a standard phrase to inform managers that individuals can
>read what they write on an email/referral so they are aware of that.
>
>jacqui
>
>~~~~~~~~~~~~~~~
>Please remove this footer before replying.
>
>For list archives and documents, go to
>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
>For jobs in Occupational Health, go to
>http://uk.groups.yahoo.com/group/OHJobs/

_________________________________________________________________
Express yourself with cool new emoticons http://www.msn.co.uk/specials/myemo

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 8 Dec 2004 12:44:04 EST
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
Subject:      Re: Wolverhampton MBC Occupational Health Service
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1102527843"

-------------------------------1102527843
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit


In a message dated 08/12/2004 09:01:45 GMT Standard Time,
[log in to unmask] writes:

Does  anyone know who provides the Occupational Health for I assume
wolverhamton  MBC?



Try ringing the Occupational Health department at the council. They  are
based within the Civic Centre, St. Peter's Square. Directories should be  able to
get you a contact number.

I'm not sure if local education/schools is under their remit or not  but give
them a call.

Regards,

Glenn

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1102527843
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2600.0" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #000000; FONT-FAMILY: Eras Demi ITC"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3D"Eras Demi ITC" color=3D#000000 size=3D3>
<DIV>
<DIV>In a message dated 08/12/2004 09:01:45 GMT Standard Time,=20
[log in to unmask] writes:</DIV>
<BLOCKQUOTE style=3D"PADDING-LEFT: 0px; MARGIN-LEFT: 0px"><FONT=20
  style=3D"BACKGROUND-COLOR: transparent" face=3DArial color=3D#000000 size=
=3D2>Does=20
  anyone know who provides the Occupational Health for I assume<BR>wolverham=
ton=20
  MBC?<BR></FONT></BLOCKQUOTE></DIV>
<DIV></DIV>
<DIV><STRONG>Try ringing the Occupational Health department at the council.=20=
They=20
are based within the Civic Centre, St. Peter's Square. Directories should be=
=20
able to get you a contact number.</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>I'm not sure if local education/schools is under their remit or=
 not=20
but give them a call.</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Regards,</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Glenn</STRONG></DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1102527843--
=========================================================================
Date:         Wed, 8 Dec 2004 12:46:28 EST
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
Subject:      Re: Rubella Screening
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1102527988"

-------------------------------1102527988
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit


In a message dated 08/12/2004 10:46:33 GMT Standard Time,
[log in to unmask] writes:

To NHS  Colleagues

Please can  you let me know whether you screen all staff with patient contact
for Rubella  Antibodies or just staff working in Paediatrics and Obs & Gynae.


We currently  only screen the latter but looking into whether this should be
widen - stats  obtained from Health Protection Agency shows continual decline
in Rubella for  the working age group.



hello Shirley,

we screen all staff. The difficulty is that those who've delivered  children
within the UK we assume are immune but I have recently been informed  that
immunity can fall, so should we be bleeding and re-checking  people?

regards

Glenn

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1102527988
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2600.0" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #000000; FONT-FAMILY: Eras Demi ITC"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3D"Eras Demi ITC" color=3D#000000 size=3D3>
<DIV>
<DIV>In a message dated 08/12/2004 10:46:33 GMT Standard Time,=20
[log in to unmask] writes:</DIV>
<BLOCKQUOTE style=3D"PADDING-LEFT: 0px; MARGIN-LEFT: 0px"><FONT=20
  style=3D"BACKGROUND-COLOR: transparent" face=3DArial color=3D#000000 size=
=3D3>
  <DIV><FONT face=3D'"MS Sans Serif"'><SPAN class=3D285074010-08122004>To NH=
S=20
  Colleagues</SPAN></FONT></DIV>
  <DIV><FONT face=3D'"MS Sans Serif"'><SPAN=20
  class=3D285074010-08122004></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT face=3D'"MS Sans Serif"'><SPAN class=3D285074010-08122004>Pleas=
e can=20
  you let me know whether you screen all staff with patient contact for Rube=
lla=20
  Antibodies or just staff working in Paediatrics and Obs &amp; Gynae.=20
  </SPAN></FONT></DIV>
  <DIV><FONT face=3D'"MS Sans Serif"'><SPAN=20
  class=3D285074010-08122004></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT face=3D'"MS Sans Serif"'><SPAN class=3D285074010-08122004>We cu=
rrently=20
  only screen the latter but looking into whether this should be widen - sta=
ts=20
  obtained from Health Protection Agency shows continual decline in Rubella=20=
for=20
  the working age group.</SPAN></FONT></DIV></FONT></BLOCKQUOTE></DIV>
<DIV></DIV>
<DIV><STRONG>hello Shirley,</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>we screen all staff. The difficulty is that those who've delive=
red=20
children within the UK we assume are immune but I have recently been informe=
d=20
that immunity can fall, so should we be bleeding and re-checking=20
people?</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>regards</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Glenn</STRONG></DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1102527988--
=========================================================================
Date:         Wed, 8 Dec 2004 20:30:10 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         =?iso-8859-1?Q?Samantha_=A0Chapman?= <[log in to unmask]>
Subject:      Confidentiality & Invoices
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_7596_11558415.1102534210433"

------=_Part_7596_11558415.1102534210433
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

Hello All!
I'm after some guidance re: invoices & treatments provided. The current way we deal with invoices is changing in the organisation. All invoices will go direct to our finance dept, whereas they currently come to us. The invoices at present state the employees name, so we can update records on how much has been spent & what they've had ie counselling/physio etc.
I've had a meeting with finance today & tried to explain about confidentiality etc with some effect although not as much as I would hope. I would be grateful to find out what others do as the solution we came up with is to allocate staff a number, so we can identify them but others can't. This will create more paperwork for us (oh joy!!).
Any suggestions welcomed.
Sam Chapman

--

Whatever you Wanadoo:
http://www.wanadoo.co.uk/time/

This email has been checked for most known viruses - find out more at: http://www.wanadoo.co.uk/help/id/7098.htm

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_7596_11558415.1102534210433
Content-Type: text/html
Content-Transfer-Encoding: 7bit

<P>Hello All!</P>
<P>I'm after some guidance re: invoices &amp; treatments provided. The current way we deal with invoices is changing in the organisation. All invoices will go direct to our finance dept, whereas they currently come to us. The invoices at present state the employees name, so we can update records on how much has been spent&nbsp;&amp; what they've had ie counselling/physio etc.</P>
<P>I've had a meeting with finance today &amp; tried to explain about confidentiality etc with some effect although not as much as I would hope. I would be grateful to find out what others do as the solution we came up with is to allocate staff a number, so we can identify them but others can't. This will create more paperwork for us (oh joy!!).</P>
<P>Any suggestions welcomed.</P>
<P>Sam Chapman</P><BR><BR><hr size="1">Whatever you <a href="http://www.wanadoo.co.uk/time/" target="_blank">Wanadoo</a><br><br>This email has been checked for most known viruses - find out more <a href="http://www.wanadoo.co.uk/help/id/7098.htm" target="_blank">here</a>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_7596_11558415.1102534210433--
=========================================================================
Date:         Wed, 8 Dec 2004 19:36:27 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandy Townsend <[log in to unmask]>
Subject:      Re: Wolverhampton MBC Occupational Health Service
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="Windows-1252"
Content-Transfer-Encoding: 7bit

Wolverhampton City Council has its own OH service and it is based in the
Civic Centre in Wolverhampton. (I seem to remember that the MBC became a
city Council in 2000) I can give you more contact info if you wish to
contact me direct.
Sandy

-----Original Message-----
From: Susanna Townley [mailto:[log in to unmask]]
Sent: 08 December 2004 09:01
To: [log in to unmask]
Subject: Wolverhampton MBC Occupational Health Service

HI,

Bashir will probably be able to help me with this, or anyone elses help
would be appreciated.

My partner works as a music teacher in a Wolverhampton School, and has
never had any contact with an Occupational Health Practitioner, even
though
they are exposed to high levels of noise and everything else that goes
with
being a teacher.

Does anyone know who provides the Occupational Health for I assume
wolverhamton MBC?

Many thanks

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

---
Incoming mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.802 / Virus Database: 545 - Release Date: 26/11/2004


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.802 / Virus Database: 545 - Release Date: 26/11/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 8 Dec 2004 20:15:45 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandy Townsend <[log in to unmask]>
Subject:      Re: More Hep B debate...
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0030_01C4DD62.B49B59F0"

This is a multi-part message in MIME format.

------=_NextPart_000_0030_01C4DD62.B49B59F0
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: 7bit



Glen
I would be sad to see the Old Year go out without you stimulating a
debate and also what better than the Hep B topic.

Our Trust has been working on the assumption that if good immunity i.e.
>100miu/L a booster is given at 5 years and the programme considered
complete.
10-100 then the individual is given an immediate booster and a booster
at 5 years.

In the case of a needle stick injury bloods are obtained for storage and
if evidence of immunity exists then no further action unless a Hep B
positive serology is identified in the donor.

Recently this was questioned by a new member of staff who feels that
there should be an automatic re-assessment of titre levels if the
previous serology is more than two years prior to the incident. The
argument is that the individual may have been immunosuppressed to some
degree and then the effectiveness of the vaccine not be protection
against acquiring the disease. We already ask a routine question when
taking details of the incident as to whether the recipient is/has been
knowingly immunosuppressed.

Do other OH departments recheck titre levels after NSI? Why is 2 years a
time frame to take further action?

Also whilst we are in the immunization mode- re routinely screen (by
evidence of serology check) for rubella in employees going to work in
obs/gynae or potentially with the pregnant mum (no we we don't resort to
the crystal ball)  We include health visitors and nurses working in the
perinatal team, For varicella we are reviewing all new employees and
doing a look back exercise of those in the high risk areas.

I am concerned that the Green Book reads that all NHS staff should be
screened for rubella and the DoH guidelines stated all staff for
varicella.

Do you all do serology for rubella or is a verbal history of remembering
having had the disease or rubella vaccine sufficient. We don't think
twice if someone says they have had chickenpox in the past.

Season Greetings to all from a confused NHS OHNA
Sandy
-----

---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.802 / Virus Database: 545 - Release Date: 26/11/2004


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0030_01C4DD62.B49B59F0
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<html xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns:st1=3D"urn:schemas-microsoft-com:office:smarttags" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3DWindows-1252">


<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 10">
<meta name=3DOriginator content=3D"Microsoft Word 10">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C4DD62.B2F8A670">
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"City"/>
<o:SmartTagType =
namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"place"/>
<!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:View>Normal</w:View>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:Compatibility>
   <w:BreakWrappedTables/>
   <w:SnapToGridInCell/>
   <w:WrapTextWithPunct/>
   <w:UseAsianBreakRules/>
  </w:Compatibility>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if !mso]>
<style>
st1\:*{behavior:url(#default#ieooui) }
</style>
<![endif]-->
<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:"Comic Sans MS";
        panose-1:3 15 7 2 3 3 2 2 2 4;
        mso-font-charset:0;
        mso-generic-font-family:script;
        mso-font-pitch:variable;
        mso-font-signature:647 0 0 0 159 0;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;
        text-underline:single;}
p.MsoPlainText, li.MsoPlainText, div.MsoPlainText
        {margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Courier New";
        mso-fareast-font-family:"Times New Roman";}
span.SpellE
        {mso-style-name:"";
        mso-spl-e:yes;}
span.GramE
        {mso-style-name:"";
        mso-gram-e:yes;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 69.6pt 72.0pt 69.6pt;
        mso-header-margin:35.4pt;
        mso-footer-margin:35.4pt;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]-->
</head>

<body lang=3DEN-GB link=3Dblue vlink=3Dpurple =
style=3D'tab-interval:36.0pt'>

<div class=3DSection1>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D2 face=3D"Courier New"><span =
style=3D'font-size:
10.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D3 color=3D"#3366ff" face=3D"Comic =
Sans MS"><span
lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;
mso-ansi-language:EN-US'>Glen<o:p></o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D3 color=3D"#3366ff" face=3D"Comic =
Sans MS"><span
lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;
mso-ansi-language:EN-US'>I would be sad to see the Old Year go out =
without you
stimulating a debate and also what better than the <span =
class=3DSpellE>Hep</span>
B topic.<o:p></o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D3 color=3D"#3366ff" face=3D"Comic =
Sans MS"><span
lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;
mso-ansi-language:EN-US'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D3 color=3D"#3366ff" face=3D"Comic =
Sans MS"><span
lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;
mso-ansi-language:EN-US'>Our Trust has been working on the assumption =
that if good
immunity i.e. &gt;100miu/L a booster is given at 5 years and the <span
class=3DSpellE>programme</span> considered complete. =
<o:p></o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D3 color=3D"#3366ff" face=3D"Comic =
Sans MS"><span
lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;
mso-ansi-language:EN-US'>10-100 then the individual is given an =
immediate
booster and a booster at 5 years. <o:p></o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D3 color=3D"#3366ff" face=3D"Comic =
Sans MS"><span
lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;
mso-ansi-language:EN-US'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D3 color=3D"#3366ff" face=3D"Comic =
Sans MS"><span
lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;
mso-ansi-language:EN-US'>In the case of a needle stick injury bloods are
obtained for storage and if evidence of immunity exists then no further =
action
unless a <span class=3DSpellE>Hep</span> B positive serology is =
identified in the
donor. <o:p></o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D3 color=3D"#3366ff" face=3D"Comic =
Sans MS"><span
lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;
mso-ansi-language:EN-US'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D3 color=3D"#3366ff" face=3D"Comic =
Sans MS"><span
lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;
mso-ansi-language:EN-US'>Recently this was questioned by a new member of =
staff
who feels that there should be an automatic re-assessment of <span
class=3DSpellE>titre</span> levels if the previous serology is more than =
two
years prior to the incident. The argument is that the individual may =
have been <span
class=3DSpellE>immunosuppressed</span> to some degree and then the =
effectiveness
of the vaccine not <span class=3DGramE>be</span> protection against =
acquiring the
disease. We already ask a routine question when taking details of the =
incident
as to whether the recipient is/has been knowingly <span =
class=3DSpellE>immunosuppressed</span>.
<o:p></o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D3 color=3D"#3366ff" face=3D"Comic =
Sans MS"><span
lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;
mso-ansi-language:EN-US'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D3 color=3D"#3366ff" face=3D"Comic =
Sans MS"><span
lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;
mso-ansi-language:EN-US'>Do other OH departments recheck <span =
class=3DSpellE>titre</span>
levels after NSI? Why is 2 years a time frame to take further =
action?<o:p></o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D3 color=3D"#3366ff" face=3D"Comic =
Sans MS"><span
lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;
mso-ansi-language:EN-US'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D3 color=3D"#3366ff" face=3D"Comic =
Sans MS"><span
lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;
mso-ansi-language:EN-US'>Also whilst we are in the immunization mode- re
routinely screen (by evidence of serology check) for rubella in =
employees going
to work in <span class=3DSpellE>obs/gynae</span> or potentially with the =
pregnant
mum (no we <span class=3DSpellE>we</span> don't resort to the crystal =
ball<span
class=3DGramE>) <span style=3D'mso-spacerun:yes'>&nbsp;</span>We</span> =
include
health visitors and nurses working in the <span =
class=3DSpellE>perinatal</span>
team, For <span class=3DSpellE>varicella</span> we are reviewing all new
employees and doing a look back exercise of those in the high risk =
areas.<o:p></o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D3 color=3D"#3366ff" face=3D"Comic =
Sans MS"><span
lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;
mso-ansi-language:EN-US'><br>
I am concerned that the Green Book reads that <u>all</u> NHS staff =
should be
screened for rubella and the <span class=3DSpellE>DoH</span> guidelines =
stated <u>all</u>
staff for <span =
class=3DSpellE>varicella</span>.<o:p></o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D3 color=3D"#3366ff" face=3D"Comic =
Sans MS"><span
lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;
mso-ansi-language:EN-US'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D3 color=3D"#3366ff" face=3D"Comic =
Sans MS"><span
lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;
mso-ansi-language:EN-US'>Do you all do serology for rubella or is a =
verbal
history of remembering having had the disease or rubella vaccine =
sufficient. We
don't think twice if someone says they have had chickenpox in the past. =
<o:p></o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D3 color=3D"#3366ff" face=3D"Comic =
Sans MS"><span
lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;
mso-ansi-language:EN-US'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D3 color=3D"#3366ff" face=3D"Comic =
Sans MS"><span
lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;
mso-ansi-language:EN-US'>Season Greetings to all from a confused NHS =
OHNA<o:p></o:p></span></font></p>

<p class=3DMsoPlainText><st1:City><st1:place><font size=3D3 =
color=3D"#3366ff"
  face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:
  "Comic Sans =
MS";color:#3366FF;mso-ansi-language:EN-US'>Sandy</span></font></st1:place=
></st1:City><font
size=3D3 color=3D"#3366ff" face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:
12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;mso-ansi-language:EN-US'><o:p></o:p></span></font></p>

<p class=3DMsoPlainText><font size=3D3 color=3D"#3366ff" face=3D"Comic =
Sans MS"><span
lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF;
mso-ansi-language:EN-US'>-----</span></font><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'> </span></font><font size=3D3 color=3D"#3366ff" =
face=3D"Comic Sans MS"><span
style=3D'font-size:12.0pt;font-family:"Comic Sans =
MS";color:#3366FF'><o:p></o:p></span></font></p>

</div>

</body>

</html>
<BR>

<P><FONT SIZE=3D2>---<BR>
Outgoing mail is certified Virus Free.<BR>
Checked by AVG anti-virus system (http://www.grisoft.com).<BR>
Version: 6.0.802 / Virus Database: 545 - Release Date: 26/11/2004<BR>
</FONT> </P>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0030_01C4DD62.B49B59F0--
=========================================================================
Date:         Wed, 8 Dec 2004 20:18:17 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         angie hickman <[log in to unmask]>
Subject:      Re: Rubella Screening
In-Reply-To:  <[log in to unmask]>
Mime-Version: 1.0
Content-Type: text/html; format=flowed

<html><div style='background-color:'><P>Hi</P>
<P>All employees having patient contact are screened for Rubella<BR><BR><IMG height=12 src="http://graphics.hotmail.com/emsmile.gif" width=12><FONT color=#ff3333>&nbsp;<STRONG><EM>Angie</EM></STRONG></FONT></P>&gt;From: JOSEPH BUGGY &lt;[log in to unmask]&gt; &gt;Reply-To: Occupational Health mailing list &lt;[log in to unmask]&gt; &gt;To: [log in to unmask] &gt;Subject: Re: Rubella Screening &gt;Date: Wed, 8 Dec 2004 11:16:40 +0000 &gt; &gt;All screened here &gt;Green book recommends that all health service staff, both male and female, should be screened and those seronegative immunised with rubella vaccine &gt; &gt; &gt;Joseph Buggy &gt;Occupational Health Advisor &gt;QEQMH &gt;East Kent Hospitals NHS Trust &gt;01843-234478 Direct &gt;0r 01843-225544 Ext 62301 &gt;[log in to unmask] &gt; &gt; &gt;&gt;&gt; [log in to unmask] 12/08/04 10:45am
&gt;&gt;&gt; &gt;To NHS Colleagues &gt; &gt;Please can you let me know whether you screen all staff with patient contact for Rubella Antibodies or just staff working in Paediatrics and Obs &amp; Gynae. &gt; &gt;We currently only screen the latter but looking into whether this should be widen - stats obtained from Health Protection Agency shows continual decline in Rubella for the working age group. &gt; &gt;Shirley Fields &gt;Occupational Health Manager &gt;Burton Hospitals NHS Trust &gt;Queen's Hospital &gt;Burton on Trent &gt;DE13 0RB &gt; &gt;01283 511511 ext 2372 &gt; &gt; &gt;~~~~~~~~~~~~~~~ &gt;Please remove this footer before replying. &gt; &gt;For list archives and documents, go to &gt;http://www.jiscmail.ac.uk/lists/occ-health.html for list archives &gt; &gt;For jobs in Occupational Health, go to &gt;http://uk.groups.yahoo.com/group/OHJobs/ &gt; &gt; &gt;
&gt;********************************************************************** &gt;This email and any files transmitted with it are confidential and intended &gt;solely for the use of the individual or entity to whom they are addressed. &gt;Any views or opinions presented are solely those of the author and do &gt;not necessarily represent those of East Kent Hospitals NHS Trust. If &gt;you are not the intended recipient, be advised that you have received &gt;this email in error and that any use, dissemination, forwarding, printing &gt;or copying of this email is strictly prohibited. &gt; &gt;If you have received this email in error please notify the system &gt;manager at the following email address: [log in to unmask] &gt; &gt;www.kentandmedway.nhs.uk &gt; &gt;This footnote also confirms that although this email message has been &gt;swept by MIMEsweeper for the presence of computer
viruses, it is strongly recommended that you carry out your own virus scan of this &gt;message and any attachments. &gt; &gt;www.mimesweeper.com &gt;********************************************************************** &gt; &gt;~~~~~~~~~~~~~~~ &gt;Please remove this footer before replying. &gt; &gt;For list archives and documents, go to &gt;http://www.jiscmail.ac.uk/lists/occ-health.html for list archives &gt; &gt;For jobs in Occupational Health, go to &gt;http://uk.groups.yahoo.com/group/OHJobs/ </div></html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 8 Dec 2004 18:13:33 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         mchardy <[log in to unmask]>
Subject:      Ratio OHN to employees
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

I seem to remember that the RCN did something on this many many moons
ago-the ratio was 1:1000 but like you say, very much depends on the nature
of the work!
Maudie

----- Original Message -----
From: "Jacqueline Ward" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, December 08, 2004 1:30 PM


> Dear All,
>
> I have two queries.
>
> 1.  Can anyone tell me where it is documented the ratio prediction for
> Occupational Health Nurses per Employees?
> I had thought ANHOPS had something documented like 1 OHN per 2000
employees.
> However am aware that the type of service delivery can be so varied that
it
> is difficult to be prescriptive.
>
> 2. I will be looking for an Occupational Health Physician to work 1 day
per
> week for Cancer Research UK, based in Holborn, Central London from April
> 2005. Other than going through an agency I would prefer to deal directly
> with the OHP.  Can anyone offer advice on how to do so or know of anyone
who
> might be interested.
>
> Many thanks
>
> Jacqueline Ward
> Occupational Health Manager
> Cancer Research-UK
>
> 0207 061 8245 Direct line
> 0207 061 8246 Reception
> 0207 061 8218 Fax
>
>
> HR Message of the Month December: EAP
> *       Did you know that all employees and their immediate family have
free
> access to specialist information consultants and counsellors who can offer
> assistance 24 hours a day?
> *       This service is available via telephone advice or face to face
counselling
> throughout the UK. Advice is available on a wide range of issues such as
> financial, legal, family care, work or personal. Professional qualified
> counsellors are available to offer short term, solution focused advice.
> *       The 24 hour personal support number 0800 072 7 072 is available
365 day a
> year.
>         Disclaimer: The information contained in this message is
confidential and
> may also be privileged. The disclosure, copying or alteration of this
> message is strictly prohibited. This message is intended for the addressee
> named above. If you are not the addressee (or responsible for the delivery
> of the message to the addressee) please notify the originator immediately
by
> return message and destroy the original message. The originator does not
> guarantee the security of this message and will not be responsible for any
> damages arising from any alteration of this message by a third party.
>
>         Registered Charity Number. 1089464
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 8 Dec 2004 21:55:31 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Wolverhampton MBC Occupational Health Service
MIME-Version: 1.0
Content-Type: text/plain; format=flowed; charset="Windows-1252";
              reply-type=original
Content-Transfer-Encoding: 7bit

Having been a school governor I know that the provision of state schools are
generally under the county council and therefore the county councils OH
service provides OH cover for the schools. However, this may differ in other
counties as City of Bradford Met. District Council deals with their schools,
but Oxford City council doesn't. So try City first and then County..

Greta

Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027


----- Original Message -----
From: "Susanna Townley" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, December 08, 2004 9:01 AM
Subject: Wolverhampton MBC Occupational Health Service


> HI,
>
> Bashir will probably be able to help me with this, or anyone elses help
> would be appreciated.
>
> My partner works as a music teacher in a Wolverhampton School, and has
> never had any contact with an Occupational Health Practitioner, even
> though
> they are exposed to high levels of noise and everything else that goes
> with
> being a teacher.
>
> Does anyone know who provides the Occupational Health for I assume
> wolverhamton MBC?
>
> Many thanks
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.796 / Virus Database: 540 - Release Date: 13/11/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 9 Dec 2004 09:50:43 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Swann, Alan B" <[log in to unmask]>
Subject:      Re: More Hep B debate...
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4DDD4.8C5BB690"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4DDD4.8C5BB690
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

Memory recall of rubella will have zilch validity. There are many other
infections with (superficially) similar signs & symptoms. Doctors often
get it wrong too. The HPA figures for the last quarter show 273
notifications of suspected rubella (diagnosis based on clinical
grounds). 242 of these had tests for Rubella serology. Infection was
confirmed in only 1 case i.e. in the other 241 cases, the illness
thought to be rubella wasn't.=20

=20

Dr. Alan Swann, BM, AFOM
Director of Occupational Health
Occupational Health Service
Imperial College London
Southside building
South Kensington Campus
London
SW7 2AZ

Tel:       +44 (20) 7594 9385
Fax:      +44 (20) 7594 9407
 https://www.imperial.ac.uk/spectrum/occhealth=20

=20

-----Original Message-----
From: Sandy Townsend [mailto:[log in to unmask]]=20
Sent: 08 December 2004 20:16
To: [log in to unmask]
Subject: Re: More Hep B debate...

=20

=20

=20

Glen

I would be sad to see the Old Year go out without you stimulating a
debate and also what better than the Hep B topic.

=20

Our Trust has been working on the assumption that if good immunity i.e.
>100miu/L a booster is given at 5 years and the programme considered
complete.=20

10-100 then the individual is given an immediate booster and a booster
at 5 years.=20

=20

In the case of a needle stick injury bloods are obtained for storage and
if evidence of immunity exists then no further action unless a Hep B
positive serology is identified in the donor.=20

=20

Recently this was questioned by a new member of staff who feels that
there should be an automatic re-assessment of titre levels if the
previous serology is more than two years prior to the incident. The
argument is that the individual may have been immunosuppressed to some
degree and then the effectiveness of the vaccine not be protection
against acquiring the disease. We already ask a routine question when
taking details of the incident as to whether the recipient is/has been
knowingly immunosuppressed.=20

=20

Do other OH departments recheck titre levels after NSI? Why is 2 years a
time frame to take further action?

=20

Also whilst we are in the immunization mode- re routinely screen (by
evidence of serology check) for rubella in employees going to work in
obs/gynae or potentially with the pregnant mum (no we we don't resort to
the crystal ball)  We include health visitors and nurses working in the
perinatal team, For varicella we are reviewing all new employees and
doing a look back exercise of those in the high risk areas.


I am concerned that the Green Book reads that all NHS staff should be
screened for rubella and the DoH guidelines stated all staff for
varicella.

=20

Do you all do serology for rubella or is a verbal history of remembering
having had the disease or rubella vaccine sufficient. We don't think
twice if someone says they have had chickenpox in the past.=20

=20

Season Greetings to all from a confused NHS OHNA

Sandy

-----=20


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.802 / Virus Database: 545 - Release Date: 26/11/2004


~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4DDD4.8C5BB690
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<html>

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">


<meta name=3DGenerator content=3D"Microsoft Word 10 (filtered)">

<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:"Arial Narrow";
        panose-1:2 11 5 6 2 2 2 3 2 4;}
@font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;}
@font-face
        {font-family:"Comic Sans MS";
        panose-1:3 15 7 2 3 3 2 2 2 4;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {margin:0cm;
        margin-bottom:.0001pt;
        font-size:12.0pt;
        font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;}
p.MsoPlainText, li.MsoPlainText, div.MsoPlainText
        {margin:0cm;
        margin-bottom:.0001pt;
        font-size:10.0pt;
        font-family:"Courier New";}
span.EmailStyle18
        {font-family:Arial;
        color:navy;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 69.6pt 72.0pt 69.6pt;}
div.Section1
        {page:Section1;}
-->
</style>

</head>

<body lang=3DEN-GB link=3Dblue vlink=3Dpurple>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Memory recall of rubella will have =
zilch
validity. There are many other infections with (superficially) similar =
signs &amp;
symptoms. Doctors often get it wrong too. The HPA figures for the last =
quarter
show 273 notifications of suspected rubella (diagnosis based on clinical
grounds). 242 of these had tests for Rubella serology. Infection was =
confirmed
in only 1 case i.e. in the other 241 cases, the illness thought to be =
rubella
wasn&#8217;t. </span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>&nbsp;</span></font></p>

<div>

<p class=3DMsoNormal style=3D'text-autospace:none'><font size=3D2 =
color=3Dnavy
face=3D"Arial Narrow"><span style=3D'font-size:10.0pt;font-family:"Arial =
Narrow";
color:navy'>Dr. Alan Swann, BM, AFOM<br>
<b><span style=3D'font-weight:bold'>Director of Occupational Health<br>
</span></b></span></font><font size=3D2 color=3Dnavy face=3D"Arial =
Narrow"><span
 style=3D'font-size:10.0pt;font-family:"Arial =
Narrow";color:navy'>Occupational
 Health Service</span></font><font size=3D2 color=3Dnavy face=3D"Arial =
Narrow"><span
style=3D'font-size:10.0pt;font-family:"Arial Narrow";color:navy'><br>
</span></font><font size=3D2 color=3Dnavy face=3D"Arial Narrow"><span
  style=3D'font-size:10.0pt;font-family:"Arial =
Narrow";color:navy'>Imperial</span></font><font
 size=3D2 color=3Dnavy face=3D"Arial Narrow"><span =
style=3D'font-size:10.0pt;
 font-family:"Arial Narrow";color:navy'> </span></font><font size=3D2 =
color=3Dnavy
  face=3D"Arial Narrow"><span =
style=3D'font-size:10.0pt;font-family:"Arial Narrow";
  color:navy'>College</span></font><font size=3D2 color=3Dnavy =
face=3D"Arial Narrow"><span
style=3D'font-size:10.0pt;font-family:"Arial Narrow";color:navy'> =
</span></font><font
  size=3D2 color=3Dnavy face=3D"Arial Narrow"><span =
style=3D'font-size:10.0pt;
  font-family:"Arial Narrow";color:navy'>London</span></font><font =
size=3D2
color=3Dnavy face=3D"Arial Narrow"><span =
style=3D'font-size:10.0pt;font-family:"Arial Narrow";
color:navy'><br>
Southside building<br>
South Kensington Campus<br>
</span></font><font size=3D2 color=3Dnavy face=3D"Arial Narrow"><span
  style=3D'font-size:10.0pt;font-family:"Arial =
Narrow";color:navy'>London</span></font><font
size=3D2 color=3Dnavy face=3D"Arial Narrow"><span =
style=3D'font-size:10.0pt;font-family:
"Arial Narrow";color:navy'><br>
SW7 2AZ</span></font></p>

<p class=3DMsoNormal style=3D'text-autospace:none'><font size=3D2 =
color=3Dnavy
face=3D"Arial Narrow"><span style=3D'font-size:10.0pt;font-family:"Arial =
Narrow";
color:navy'>Tel: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; +44 (20) 7594 9385<br>
Fax: &nbsp;&nbsp;&nbsp;&nbsp; +44 (20) 7594 9407<br>
&nbsp;https://www.imperial.ac.uk/spectrum/occhealth </span></font></p>

</div>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>&nbsp;</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DTahoma><span
lang=3DEN-US style=3D'font-size:10.0pt;font-family:Tahoma'>-----Original
Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Sandy Townsend
[mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> </span></font><font =
size=3D2 face=3DTahoma><span lang=3DEN-US =
style=3D'font-size:10.0pt;font-family:Tahoma'>08
 December 2004</span></font><font size=3D2 face=3DTahoma><span =
lang=3DEN-US
style=3D'font-size:10.0pt;font-family:Tahoma'> </span></font><font
 size=3D2 face=3DTahoma><span lang=3DEN-US =
style=3D'font-size:10.0pt;font-family:Tahoma'>20:16</span></font><font
size=3D2 face=3DTahoma><span lang=3DEN-US =
style=3D'font-size:10.0pt;font-family:Tahoma'><br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Re: More Hep B =
debate...</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'>Glen</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'>I would be sad to see the Old Year go out without you
stimulating a debate and also what better than the Hep B =
topic.</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'>Our Trust has been working on the assumption that if good
immunity i.e. &gt;100miu/L a booster is given at 5 years and the =
programme
considered complete. </span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'>10-100 then the individual is given an immediate booster =
and a
booster at 5 years. </span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'>In the case of a needle stick injury bloods are obtained =
for
storage and if evidence of immunity exists then no further action unless =
a Hep
B positive serology is identified in the donor. </span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'>Recently this was questioned by a new member of staff who =
feels
that there should be an automatic re-assessment of titre levels if the =
previous
serology is more than two years prior to the incident. The argument is =
that the
individual may have been immunosuppressed to some degree and then the
effectiveness of the vaccine not be protection against acquiring the =
disease.
We already ask a routine question when taking details of the incident as =
to
whether the recipient is/has been knowingly immunosuppressed. =
</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'>Do other OH departments recheck titre levels after NSI? =
Why is 2
years a time frame to take further action?</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'>Also whilst we are in the immunization mode- re routinely =
screen
(by evidence of serology check) for rubella in employees going to work =
in
obs/gynae or potentially with the pregnant mum (no we we don't resort to =
the
crystal ball)&nbsp; We include health visitors and nurses working in the
perinatal team, For varicella we are reviewing all new employees and =
doing a
look back exercise of those in the high risk areas.</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'><br>
I am concerned that the Green Book reads that <u>all</u> NHS staff =
should be
screened for rubella and the DoH guidelines stated <u>all</u> staff for
varicella.</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'>Do you all do serology for rubella or is a verbal history =
of
remembering having had the disease or rubella vaccine sufficient. We =
don't
think twice if someone says they have had chickenpox in the past. =
</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'>Season Greetings to all from a confused NHS =
OHNA</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
  face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:
  "Comic Sans MS";color:#3366FF'>Sandy</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D3 =
color=3D"#3366ff"
face=3D"Comic Sans MS"><span lang=3DEN-US =
style=3D'font-size:12.0pt;font-family:"Comic Sans MS";
color:#3366FF'>----- </span></font></p>

</div>

</body>

</html>
<BR>

<P><FONT SIZE=3D2>---<BR>
Outgoing mail is certified Virus Free.<BR>
Checked by AVG anti-virus system (http://www.grisoft.com).<BR>
Version: 6.0.802 / Virus Database: 545 - Release Date: 26/11/2004<BR>
</FONT> </P>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4DDD4.8C5BB690--
=========================================================================
Date:         Thu, 9 Dec 2004 10:07:57 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Swann, Alan B" <[log in to unmask]>
Subject:      Re: More Hep B debate...
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4DDD6.F4F37B38"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4DDD6.F4F37B38
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

See the DoH guidance on health clearance
http://www.dh.gov.uk/assetRoot/04/07/51/22/04075122.pdf page 15. Still
in proposal, but the debate is on who to test. There is no disagreement
that HBsAg is the right test to establish non-infectivity.

=20

Dr. Alan Swann, BM, AFOM
Director of Occupational Health
Occupational Health Service
Imperial College London
Southside building
South Kensington Campus
London
SW7 2AZ

Tel:       +44 (20) 7594 9385
Fax:      +44 (20) 7594 9407
 https://www.imperial.ac.uk/spectrum/occhealth=20

=20

-----Original Message-----
From: Smith Eileen (RLN) City Hospitals Sunderland - Occupational Health
[mailto:[log in to unmask]]=20
Sent: 08 December 2004 15:04
To: [log in to unmask]
Subject: Re: More Hep B debate...

=20

Alan I would appreciate it if you could supply the references for the
information regarding HBsAg for all EPP workers as we are updating our
protocol.

=20

Thanks,=20

Eileen Smith

-----Original Message-----
From: Swann, Alan B [mailto:[log in to unmask]]
Sent: 08 December 2004 13:40
To: [log in to unmask]
Subject: Re: More Hep B debate...

Immunity to Hep B infection is achieved if, following a complete course
of vaccination, the person achieves an anti-HBs level of >10miu/ml.

=20

The 100miu/ ml level used to be thought necessary to achieve lasting
immunity (stimulating production of memory cells- the amnestic
response). However, studies have now shown that this is achieved at
levels greater than 10.

=20

Another reason 100miu/ml was considered important in the past was the
belief that this was proof the person was not infected with HepB.
Chronic HepB infection tends to produce low levels of anti-HBs [if the
person could produce a strong response, they'd clear the infection].

A level of >100 could only be produced through vaccine-induced anti-body
response.

This is now questioned as some HepB virus variants do not stimulate
anti-HBs production & so a person might produce a good response to HepB
vaccination, despite already having been infected & still infectious
with one of the mutant strains. This is why direct serological tests for
infection [HBsAg] is now required for all EPP workers, rather than only
testing those who failed to respond well to vaccination.

=20

So the 100miu/ml level has no special relevance now. We should perhaps
encourage our pathology colleagues to stop classifying anti-HBs tests
into the <10, 10-99 and >100 ranges and especially get rid of the 'poor
response' label to the 10-99 range. If it's greater than 10, it is good
enough!

=20

=20

=20

Dr. Alan Swann, BM, AFOM

Director of Occupational Health

Occupational Health Service

Imperial College London

Southside building

South Kensington Campus

London

SW7 2AZ

Tel:       +44 (20) 7594 9385

Fax:      +44 (20) 7594 9407

 https://www.imperial.ac.uk/spectrum/occhealth=20

=20

=20

-----Original Message-----
From: Glenn Raybone [mailto:[log in to unmask]]=20
Sent: 08 December 2004 12:27
To: [log in to unmask]
Subject: More Hep B debate...

=20

Hello everyone,

=20

at the risk of appearing daft can I ask for comments on the following

please;

=20

we're aware of the 'Green Book' guidelines for Hepatitis B titre levels
and

whether boosters are required or not. As I understood it Immunity was

classed as being a result >100 miu/ml. This also stems from HSG(93)40.

However, the addendum to this document clearly states in Annex B that

>10miu/ml can be classed as Immune.

=20

How are others interpreting this?

=20

Good to meet some of you at the RCN conference this year, and can I be
one

of the first to wish you all a restful festive season and a peaceful
2005.

=20

regards

=20

Glenn Raybone

=20

~~~~~~~~~~~~~~~

Please remove this footer before replying.

=20

For list archives and documents, go to

http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

=20

For jobs in Occupational Health, go to

http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4DDD6.F4F37B38
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<html>

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">


<meta name=3DGenerator content=3D"Microsoft Word 10 (filtered)">

<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:"Arial Narrow";
        panose-1:2 11 5 6 2 2 2 3 2 4;}
@font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {margin:0cm;
        margin-bottom:.0001pt;
        font-size:12.0pt;
        font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;}
p.MsoPlainText, li.MsoPlainText, div.MsoPlainText
        {margin:0cm;
        margin-bottom:.0001pt;
        font-size:10.0pt;
        font-family:"Courier New";}
p
        {margin-right:0cm;
        margin-left:0cm;
        font-size:12.0pt;
        font-family:"Times New Roman";}
span.EmailStyle19
        {font-family:Arial;
        color:navy;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 69.6pt 72.0pt 69.6pt;}
div.Section1
        {page:Section1;}
-->
</style>

</head>

<body lang=3DEN-GB link=3Dblue vlink=3Dpurple>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>See the DoH guidance on health =
clearance <a
href=3D"http://www.dh.gov.uk/assetRoot/04/07/51/22/04075122.pdf">http://w=
ww.dh.gov.uk/assetRoot/04/07/51/22/04075122.pdf</a>
page 15. Still in proposal, but the debate is on who to test. There is =
no
disagreement that HBsAg is the right test to establish =
non-infectivity.</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>&nbsp;</span></font></p>

<div>

<p class=3DMsoNormal style=3D'text-autospace:none'><font size=3D2 =
color=3Dnavy
face=3D"Arial Narrow"><span style=3D'font-size:10.0pt;font-family:"Arial =
Narrow";
color:navy'>Dr. Alan Swann, BM, AFOM<br>
<b><span style=3D'font-weight:bold'>Director of Occupational Health<br>
</span></b></span></font><font size=3D2 color=3Dnavy face=3D"Arial =
Narrow"><span
 style=3D'font-size:10.0pt;font-family:"Arial =
Narrow";color:navy'>Occupational
 Health Service</span></font><font size=3D2 color=3Dnavy face=3D"Arial =
Narrow"><span
style=3D'font-size:10.0pt;font-family:"Arial Narrow";color:navy'><br>
Imperial College London<br>
Southside building<br>
South Kensington Campus<br>
London<br>
SW7 2AZ</span></font></p>

<p class=3DMsoNormal style=3D'text-autospace:none'><font size=3D2 =
color=3Dnavy
face=3D"Arial Narrow"><span style=3D'font-size:10.0pt;font-family:"Arial =
Narrow";
color:navy'>Tel: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; +44 (20) 7594 9385<br>
Fax: &nbsp;&nbsp;&nbsp;&nbsp; +44 (20) 7594 9407<br>
&nbsp;https://www.imperial.ac.uk/spectrum/occhealth </span></font></p>

</div>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>&nbsp;</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DTahoma><span
lang=3DEN-US style=3D'font-size:10.0pt;font-family:Tahoma'>-----Original =
Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Smith Eileen (RLN) =
City
Hospitals Sunderland - Occupational Health
[mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 08 December 2004 =
15:04<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Re: More Hep B =
debate...</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblue
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:blue'>Alan I
would appreciate it if you could supply the references for the =
information
regarding HBsAg for all EPP workers as we are updating our =
protocol.</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblue
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:blue'>Thanks, =
</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblue
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:blue'>Eileen
Smith</span></font></p>

</div>

<blockquote =
style=3D'margin-top:5.0pt;margin-right:0cm;margin-bottom:5.0pt'>

<p class=3DMsoNormal =
style=3D'margin-right:0cm;margin-bottom:12.0pt;margin-left:
36.0pt'><font size=3D2 face=3DTahoma><span =
style=3D'font-size:10.0pt;font-family:
Tahoma'>-----Original Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Swann, Alan B
[mailto:[log in to unmask]]<br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 08 December 2004 =
13:40<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Re: More Hep B =
debate...</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>Immunity to Hep B infection =
is achieved
if, following a complete course of vaccination, the person achieves an =
anti-HBs
level of &gt;10miu/ml.</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>The 100miu/ ml level used =
to be
thought necessary to achieve lasting immunity (stimulating production of =
memory
cells- the amnestic response). However, studies have now shown that this =
is
achieved at levels greater than 10.</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>Another reason 100miu/ml =
was
considered important in the past was the belief that this was proof the =
person
was not infected with HepB. Chronic HepB infection tends to produce low =
levels
of anti-HBs [if the person could produce a strong response, they'd clear =
the
infection].</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>A level of &gt;100 could =
only be
produced through vaccine-induced anti-body response.</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>This is now questioned as =
some HepB
virus variants do not stimulate anti-HBs production &amp; so a person =
might
produce a good response to HepB vaccination, despite already having been
infected &amp; still infectious with one of the mutant strains. This is =
why
direct serological tests for infection [HBsAg] is now required for all =
EPP workers,
rather than only testing those who failed to respond well to =
vaccination.</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial'>So the 100miu/ml level has =
no
special relevance now. We should perhaps encourage our pathology =
colleagues to
stop classifying anti-HBs tests into the &lt;10, 10-99 and &gt;100 =
ranges and
especially get rid of the 'poor response' label to the 10-99 range. If =
it's
greater than 10, it is good enough!</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>Dr. Alan Swann, BM, AFOM</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>Director of Occupational =
Health</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>Occupational Health Service</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>Imperial College London</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>Southside building</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>South Kensington Campus</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>London</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>SW7 2AZ</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>Tel: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; +44 (20) =
7594 9385</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>Fax: &nbsp;&nbsp;&nbsp;&nbsp; +44 (20) 7594 =
9407</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;https://www.imperial.ac.uk/spectrum/occh=
ealth </span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
lang=3DEN-US style=3D'font-size:10.0pt'>-----Original Message-----<br>
From: Glenn Raybone [mailto:[log in to unmask]] <br>
Sent: 08 December 2004 12:27<br>
To: [log in to unmask]<br>
Subject: More Hep B debate...</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>Hello everyone,</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>at the risk of appearing daft can I ask for =
comments
on the following</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>please;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>we're aware of the 'Green Book' guidelines =
for
Hepatitis B titre levels and</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>whether boosters are required or not. As I =
understood
it Immunity was</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>classed as being a result &gt;100 miu/ml. =
This also
stems from HSG(93)40.</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>However, the addendum to this document =
clearly states
in Annex B that</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&gt;10miu/ml can be classed as =
Immune.</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>How are others interpreting =
this?</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>Good to meet some of you at the RCN =
conference this
year, and can I be one</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>of the first to wish you all a restful =
festive season
and a peaceful 2005.</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>regards</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>Glenn Raybone</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>~~~~~~~~~~~~~~~</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>Please remove this footer before =
replying.</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>For list archives and documents, go =
to</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>http://www.jiscmail.ac.uk/lists/occ-health.htm=
l for
list archives</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>&nbsp;</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>For jobs in Occupational Health, go =
to</span></font></p>

<p class=3DMsoPlainText style=3D'margin-left:36.0pt'><font size=3D2 =
face=3D"Courier New"><span
style=3D'font-size:10.0pt'>http://uk.groups.yahoo.com/group/OHJobs/</span=
></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>~~~~~~~~~~~~~~~ Please
remove this footer before replying. </span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives =
</span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/ </span></font></p>

</blockquote>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4DDD6.F4F37B38--
=========================================================================
Date:         Thu, 9 Dec 2004 10:29:36 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Townley Susanna <[log in to unmask]>
Subject:      Re: Wolverhampton MBC Occupational Health Service
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Thank you everyone for all that useful information


Susanna Townley RGN, Dip OH
OH Nurse Advisor
Occupational Health Services
0121 424 3040
[log in to unmask]

                -----Original Message-----
                From:   Greta Thornbory [mailto:[log in to unmask]]
                Sent:   Wednesday, December 08, 2004 9:56 PM
                To:     [log in to unmask]
                Subject:        Re: Wolverhampton MBC Occupational Health Service

                Having been a school governor I know that the provision of state schools =
are
                generally under the county council and therefore the county councils OH
                service provides OH cover for the schools. However, this may differ in ot=
her
                counties as City of Bradford Met. District Council deals with their schoo=
ls,
                but Oxford City council doesn't. So try City first and then County..

                Greta

                Greta Thornbory
                Consultant, Occupational Health & Education
                Consultant Editor, OH Journal
                www.gtenterprises-uk.com
                Tel: 01235 770156
                Mob: 07778 518 027


                ----- Original Message -----
                From: "Susanna Townley" <[log in to unmask]>
                To: <[log in to unmask]>
                Sent: Wednesday, December 08, 2004 9:01 AM
                Subject: Wolverhampton MBC Occupational Health Service


                > HI,
                >
                > Bashir will probably be able to help me with this, or anyone elses help
                > would be appreciated.
                >
                > My partner works as a music teacher in a Wolverhampton School, and has
                > never had any contact with an Occupational Health Practitioner, even
                > though
                > they are exposed to high levels of noise and everything else that goes
                > with
                > being a teacher.
                >
                > Does anyone know who provides the Occupational Health for I assume
                > wolverhamton MBC?
                >
                > Many thanks
                >
                > ~~~~~~~~~~~~~~~
                > Please remove this footer before replying.
                >
                > For list archives and documents, go to
                > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
                >
                > For jobs in Occupational Health, go to
                > http://uk.groups.yahoo.com/group/OHJobs/


                ---
                Outgoing mail is certified Virus Free.
                Checked by AVG anti-virus system (http://www.grisoft.com).
                Version: 6.0.796 / Virus Database: 540 - Release Date: 13/11/2004

                ~~~~~~~~~~~~~~~
                Please remove this footer before replying.

                For list archives and documents, go to
                http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

                For jobs in Occupational Health, go to
                http://uk.groups.yahoo.com/group/OHJobs/


**********************************************************************
This email contains proprietary information some or all of which may be leg=
ally privileged. It is for the intended recipient(s) only. If an addressing=
 or transmission error has misdirected this e-mail, please notify the autho=
r by replying to this e-mail. If you are not the intended recipient you mus=
t not use, disclose, distribute, copy, print, or rely on this e-mail.
This footnote also confirms that this email message has been swept by
MIMEsweeper for the presence of computer viruses.
www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 9 Dec 2004 18:05:03 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Josie Mills <[log in to unmask]>
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/mixed;
              boundary="----=_NextPart_000_0000_01C4DE19.9BA70720"

This is a multi-part message in MIME format.

------=_NextPart_000_0000_01C4DE19.9BA70720
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

With compliments

Josie Mills
Occupational Health Consultant
BSc(Hons); RGN; RMN; OHND; MIOSH

Tel: 01733 575581
Mobile: 07833 593236
Email: [log in to unmask]
Website:  http://www.jmoccupationalhealth.co.uk/default.asp

NB:  The nature of my business is peripatetic, and as such I do not have set
office hours.  Please allow 24hrs response times to emails and messages.

This email and any files transmitted with it are confidential and intended
solely for the use of the person to whom it has been addressed.  If you are
not the intended recipient, be advised that you have received this mail in
error and that any use, dissemination, forwarding, printing or copying of
this email is strictly prohibited. If you have received this email in error
please return the message to the sender by replying to it and then delete
the message from your computer.

This footnote also confirms that this email message has been checked by
anti-virus software for the presence of computer viruses. However, Josie
Mills accepts no responsibility for any virus or defect that might arise
from opening this email or attachments




-----Original Message-----
From: Jacqueline Ward [mailto:[log in to unmask]]
Sent: 08 December 2004 13:31
To: [log in to unmask]
Subject:


Dear All,

I have two queries.

1.  Can anyone tell me where it is documented the ratio prediction for
Occupational Health Nurses per Employees?
I had thought ANHOPS had something documented like 1 OHN per 2000 employees.
However am aware that the type of service delivery can be so varied that it
is difficult to be prescriptive.

2. I will be looking for an Occupational Health Physician to work 1 day per
week for Cancer Research UK, based in Holborn, Central London from April
2005. Other than going through an agency I would prefer to deal directly
with the OHP.  Can anyone offer advice on how to do so or know of anyone who
might be interested.

Many thanks

Jacqueline Ward
Occupational Health Manager
Cancer Research-UK

0207 061 8245 Direct line
0207 061 8246 Reception
0207 061 8218 Fax


HR Message of the Month December: EAP
*       Did you know that all employees and their immediate family have free
access to specialist information consultants and counsellors who can offer
assistance 24 hours a day?
*       This service is available via telephone advice or face to face
counselling
throughout the UK. Advice is available on a wide range of issues such as
financial, legal, family care, work or personal. Professional qualified
counsellors are available to offer short term, solution focused advice.
*       The 24 hour personal support number 0800 072 7 072 is available 365
day a
year.
        Disclaimer: The information contained in this message is
confidential and
may also be privileged. The disclosure, copying or alteration of this
message is strictly prohibited. This message is intended for the addressee
named above. If you are not the addressee (or responsible for the delivery
of the message to the addressee) please notify the originator immediately by
return message and destroy the original message. The originator does not
guarantee the security of this message and will not be responsible for any
damages arising from any alteration of this message by a third party.

        Registered Charity Number. 1089464

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0000_01C4DE19.9BA70720
Content-Type: application/msword;
        name="Staffing levels 1999.doc"
Content-Transfer-Encoding: base64
Content-Disposition: attachment;
        filename="Staffing levels 1999.doc"
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------=_NextPart_000_0000_01C4DE19.9BA70720--
=========================================================================
Date:         Fri, 10 Dec 2004 16:57:41 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Helen Hannar <[log in to unmask]>
Subject:      Re: Policies (again!!)
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_4359_19417131.1102694261330"

------=_Part_4359_19417131.1102694261330
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

Does anyone out there have any advice or guidance on Mantal Health policies and Physical Activity policies.
Our local managers are not keen on implementing a stress policy as the current HR manager stated that when they implemented one in their previous employment sickness absence due to stress rose by 10%!!! They would however consider a Mental Health policy dealing with all aspect of mental health !! They are also considering a physical activity policy as this has come as a 'do it now' suggestion from the parent company in the States.
Any help advice or examples would be gratefully received.
Thank you,
Helen
Helen Hannar
OH Advisor

OHServices (NE).
Tel:- 01388 777962
Mob:- 07950 154541
Fax:- 01388 777962

--

Whatever you Wanadoo:
http://www.wanadoo.co.uk/time/

This email has been checked for most known viruses - find out more at: http://www.wanadoo.co.uk/help/id/7098.htm

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_4359_19417131.1102694261330
Content-Type: text/html
Content-Transfer-Encoding: 7bit

<P>Does anyone out there have any advice or guidance on&nbsp;Mantal Health&nbsp;policies and Physical Activity policies.</P>
<P>Our local managers are not keen on implementing a stress policy as the current HR manager stated that when they implemented one in their previous employment sickness absence due to stress rose by 10%!!! They would however consider a Mental Health policy dealing with all aspect of mental health !! They are also considering a physical activity policy as this has come as a 'do it now' suggestion from the parent company in the States.</P>
<P>Any help advice or examples would be gratefully received.</P>
<P>Thank you,</P>
<P>Helen</P>
<P><STRONG>Helen Hannar <BR>OH Advisor <BR><BR>OHServices (NE). <BR>Tel:- 01388 777962 <BR>Mob:- 07950 154541 <BR>Fax:- 01388 777962</STRONG></P><BR><BR><hr size="1">Whatever you <a href="http://www.wanadoo.co.uk/time/" target="_blank">Wanadoo</a><br><br>This email has been checked for most known viruses - find out more <a href="http://www.wanadoo.co.uk/help/id/7098.htm" target="_blank">here</a>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_4359_19417131.1102694261330--
=========================================================================
Date:         Fri, 10 Dec 2004 16:06:18 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Clare McArdell <[log in to unmask]>
Subject:      Second had screening equipment

I'm looking to puchase some equipment, for my new Occupational Health
Business, preferably second hand, to reduce costs at present. Does anyone
know of any web sites or phone contacts.

Many thanks
Clare

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 10 Dec 2004 18:06:25 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandy Townsend <[log in to unmask]>
Subject:      Re: Policies (again!!)
In-Reply-To:  <26875971.1102694261336.JavaMail.www@wwinf3001>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_000B_01C4DEE2.F8146D80"

This is a multi-part message in MIME format.

------=_NextPart_000_000B_01C4DEE2.F8146D80
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: 7bit

Our Stress/ Mental Health policy is titled Positive Mental Health Policy
and addresses all mental health issues but is in need of review
Sandy

-----Original Message-----
From: Helen Hannar [mailto:[log in to unmask]]
Sent: 10 December 2004 15:58
To: [log in to unmask]
Subject: Re: Policies (again!!)
Importance: High

Does anyone out there have any advice or guidance on Mantal Health
policies and Physical Activity policies.
Our local managers are not keen on implementing a stress policy as the
current HR manager stated that when they implemented one in their
previous employment sickness absence due to stress rose by 10%!!! They
would however consider a Mental Health policy dealing with all aspect of
mental health !! They are also considering a physical activity policy as
this has come as a 'do it now' suggestion from the parent company in the
States.
Any help advice or examples would be gratefully received.
Thank you,
Helen
Helen Hannar
OH Advisor

OHServices (NE).
Tel:- 01388 777962
Mob:- 07950 154541
Fax:- 01388 777962

   _____

Whatever you HYPERLINK "http://www.wanadoo.co.uk/time/" \nWanadoo

This email has been checked for most known viruses - find out more
HYPERLINK "http://www.wanadoo.co.uk/help/id/7098.htm" \nhere
~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
---
Incoming mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.802 / Virus Database: 545 - Release Date: 26/11/2004

---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.802 / Virus Database: 545 - Release Date: 26/11/2004


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_000B_01C4DEE2.F8146D80
Content-Type: text/html;
        charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable

<html xmlns:v=3D"urn:schemas-microsoft-com:vml" =
xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3DWindows-1252">


<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 10">
<meta name=3DOriginator content=3D"Microsoft Word 10">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C4DEE2.F612F830">
<link rel=3DEdit-Time-Data href=3D"cid:editdata.mso@01C4DEE2.F612F830">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]-->
<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;
        mso-font-charset:0;
        mso-generic-font-family:swiss;
        mso-font-pitch:variable;
        mso-font-signature:1627421319 -2147483648 8 0 66047 0;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
p
        {mso-margin-top-alt:auto;
        margin-right:0cm;
        mso-margin-bottom-alt:auto;
        margin-left:0cm;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
span.EmailStyle19
        {mso-style-type:personal-reply;
        mso-style-noshow:yes;
        mso-ansi-font-size:10.0pt;
        mso-bidi-font-size:10.0pt;
        font-family:Arial;
        mso-ascii-font-family:Arial;
        mso-hansi-font-family:Arial;
        mso-bidi-font-family:Arial;
        color:navy;}
span.SpellE
        {mso-style-name:"";
        mso-spl-e:yes;}
span.GramE
        {mso-style-name:"";
        mso-gram-e:yes;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;
        mso-header-margin:35.4pt;
        mso-footer-margin:35.4pt;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]-->
</head>

<body lang=3DEN-GB link=3Dblue vlink=3Dblue =
style=3D'tab-interval:36.0pt'>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Our Stress/ Mental Health policy is =
titled
Positive Mental Health Policy and addresses all mental health issues but =
is in
need of review<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Sandy<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DTahoma><span
lang=3DEN-US =
style=3D'font-size:10.0pt;font-family:Tahoma;mso-ansi-language:EN-US'>---=
--Original
Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Helen Hannar
[mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 10 December 2004 =
15:58<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Re: Policies =
(again!!)<br>
<b><span style=3D'font-weight:bold'>Importance:</span></b> =
High</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>Does anyone out there have any advice or =
guidance
on&nbsp;Mantal Health&nbsp;policies and Physical Activity =
policies.<o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>Our local managers are not keen on =
implementing a
stress policy as the current HR manager stated that when they =
implemented one
in their previous employment sickness absence due to stress rose by =
10%!!! They
would however consider a Mental Health policy dealing with all aspect of =
mental
health !! They are also considering a physical activity policy as this =
has come
as a 'do it now' suggestion from the parent company in the =
States.<o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>Any help advice or examples would be =
gratefully
received.<o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>Thank you,<o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>Helen<o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><strong><b><font size=3D3 face=3D"Times =
New Roman"><span
style=3D'font-size:12.0pt'>Helen Hannar =
</span></font></b></strong><b><span
style=3D'font-weight:bold'><br>
<strong><b><font face=3D"Times New Roman">OH Advisor =
</font></b></strong><br>
<br>
<strong><b><font face=3D"Times New Roman">OHServices (NE). =
</font></b></strong><br>
<strong><b><font face=3D"Times New Roman">Tel:- 01388 777962 =
</font></b></strong><br>
<strong><b><font face=3D"Times New Roman">Mob:- 07950 154541 =
</font></b></strong><br>
<strong><b><font face=3D"Times New Roman">Fax:- 01388 =
777962</font></b></strong></span></b><o:p></o:p></p>

<p class=3DMsoNormal =
style=3D'mso-margin-top-alt:0cm;margin-right:0cm;margin-bottom:
12.0pt;margin-left:36.0pt'><font size=3D3 face=3D"Times New Roman"><span
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<div class=3DMsoNormal align=3Dcenter =
style=3D'margin-left:36.0pt;text-align:center'><font
size=3D3 face=3D"Times New Roman"><span style=3D'font-size:12.0pt'>

<hr size=3D1 width=3D"100%" align=3Dcenter>

</span></font></div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span style=3D'font-size:12.0pt'>Whatever you =
<a
href=3D"http://www.wanadoo.co.uk/time/" =
target=3D"_blank">Wanadoo</a><br>
<br>
This email has been checked for most known viruses - find out more <a
href=3D"http://www.wanadoo.co.uk/help/id/7098.htm" =
target=3D"_blank">here</a>
~~~~~~~~~~~~~~~ Please remove this footer before replying. =
<o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives =
<o:p></o:p></span></font></p>

<p style=3D'margin-left:36.0pt'><font size=3D3 face=3D"Times New =
Roman"><span
style=3D'font-size:12.0pt'>For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/<br>
</span></font><font size=3D2><span style=3D'font-size:10.0pt'>---<br>
Incoming mail is certified Virus Free.<br>
Checked by AVG anti-virus system (http://www.grisoft.com).<br>
Version: 6.0.802 / Virus Database: 545 - Release Date: =
26/11/2004</span></font><o:p></o:p></p>

</div>

</body>

</html>
<BR>

<P><FONT SIZE=3D2>---<BR>
Outgoing mail is certified Virus Free.<BR>
Checked by AVG anti-virus system (http://www.grisoft.com).<BR>
Version: 6.0.802 / Virus Database: 545 - Release Date: 26/11/2004<BR>
</FONT> </P>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_000B_01C4DEE2.F8146D80--
=========================================================================
Date:         Sat, 11 Dec 2004 10:45:29 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Policies (again!!)
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Dear Helen

I was suprised to read that your employers are reluctant to implememt a
stress policy. As you know, stress is a worldwide issue and is being
recognised more and more - we have a stress prevention and management
policy in place as well as a work life balance policy and many other
policies surrounding both of these topics. I personally feel it sends
out a positive message to staff and reduces the stigma that
unfortunately surrounds the "S" word. We also have an on site gym who
may have some info on physical activity policy - I will find out for
you. If you do get some info on such a policy however, I would be
interested in this too.

Kind Redards

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]

>>> [log in to unmask] 12/10/04 3:57 PM >>>
Does anyone out there have any advice or guidance on Mantal Health
policies and Physical Activity policies.
Our local managers are not keen on implementing a stress policy as the
current HR manager stated that when they implemented one in their
previous employment sickness absence due to stress rose by 10%!!! They
would however consider a Mental Health policy dealing with all aspect of
mental health !! They are also considering a physical activity policy as
this has come as a 'do it now' suggestion from the parent company in the
States.
Any help advice or examples would be gratefully received.
Thank you,
Helen
Helen Hannar
OH Advisor

OHServices (NE).
Tel:- 01388 777962
Mob:- 07950 154541
Fax:- 01388 777962

--

Whatever you Wanadoo:
http://www.wanadoo.co.uk/time/

This email has been checked for most known viruses - find out more at:
http://www.wanadoo.co.uk/help/id/7098.htm

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sat, 11 Dec 2004 06:29:59 EST
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         [log in to unmask]
Subject:      Re: Policies (again!!)
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="part1_143.3a8b4d90.2eec3437_boundary"

--part1_143.3a8b4d90.2eec3437_boundary
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

The States use a RTW policy based on work load/motion...it is important to
know the load (weight) of each job...thus an employee can be RTW at three
levels; sedentary, light or heavy duty, that can also have specific restrictions
(repetitive motion) ...ie...limited climbing stairs, lifting up to 10 pounds no
more than 8 times/day, using computer (typing) 30 minutes with resting 30
minutes...etc....why can't they send you their policy...being an occ. nurse it seem
it would be rather universal...
Nancy Snyder

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--part1_143.3a8b4d90.2eec3437_boundary
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<HTML><FONT FACE=3Darial,helvetica><FONT  SIZE=3D2 PTSIZE=3D10>The States us=
e a RTW policy based on work load/motion...it is important to know the load=20=
(weight) of each job...thus an employee can be RTW at three levels; sedentar=
y, light or heavy duty, that can also have specific restrictions (repetitive=
 motion) ...ie...limited climbing stairs, lifting up to 10 pounds no more th=
an 8 times/day, using computer (typing) 30 minutes with resting 30 minutes..=
.etc....why can't they send you their policy...being an occ. nurse it seem i=
t would be rather universal...
<BR>Nancy Snyder &nbsp;</FONT></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--part1_143.3a8b4d90.2eec3437_boundary--
=========================================================================
Date:         Mon, 13 Dec 2004 08:17:20 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
Subject:      OH Service Provider in Cheltenham

Hello all,

can I ask if anyone provides a service within the Cheltenham area?

Please mail me off-list, Thanks

Glenn Raybone

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 13 Dec 2004 09:23:38 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jo Poole <[log in to unmask]>
Subject:      Re: OH Service Provider in Cheltenham
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

I have sent you a message Glenn. just contact me if you need any other =
info.

Jo Poole

-----Original Message-----
From: Glenn Raybone [mailto:[log in to unmask]]
Sent: 13 December 2004 08:17
To: [log in to unmask]
Subject: OH Service Provider in Cheltenham


Hello all,

can I ask if anyone provides a service within the Cheltenham area?

Please mail me off-list, Thanks

Glenn Raybone

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 13 Dec 2004 11:59:23 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         june clarkson <[log in to unmask]>
Subject:      RECONNECT THIS CHRISTMAS !
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_32121_4180035.1102935563506"

------=_Part_32121_4180035.1102935563506
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

www.nursesreconnected.com/resource

Find that nursing friend that you lost contact with!
Excellent reunion site connecting Nurses & Health care workers throughout the world. Superb free nursing resources & the ability to find nurses worldwide.
FREE registration
MERRY CHRISTMAS FROM NURSES RECONNECTED

--

Whatever you Wanadoo:
http://www.wanadoo.co.uk/time/

This email has been checked for most known viruses - find out more at: http://www.wanadoo.co.uk/help/id/7098.htm

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_32121_4180035.1102935563506
Content-Type: text/html
Content-Transfer-Encoding: 7bit

<P><A href="http://www.nursesreconnected.com/resource">www.nursesreconnected.com/resource</A></P>
<P><BR>Find that nursing friend that you lost contact with!</P>
<P>Excellent reunion site connecting Nurses &amp; Health care workers throughout the world. Superb free nursing resources &amp; the ability to find nurses worldwide.</P>
<P>FREE registration </P>
<P>MERRY CHRISTMAS FROM NURSES RECONNECTED</P>
<P>&nbsp;</P><BR><BR><hr size="1">Whatever you <a href="http://www.wanadoo.co.uk/time/" target="_blank">Wanadoo</a><br><br>This email has been checked for most known viruses - find out more <a href="http://www.wanadoo.co.uk/help/id/7098.htm" target="_blank">here</a>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_32121_4180035.1102935563506--
=========================================================================
Date:         Mon, 13 Dec 2004 11:05:17 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         [log in to unmask]
Subject:      Cholesterol testing in OH
MIME-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
Content-Transfer-Encoding: 7bit

Can anyone tell me their feelings and point me in the way of any research that has been done regarding a cholesterol screening programme in the workplace? I am a bit of an occ health purist and would never willingly offer this service - (there is usually plenty OH stuff to be done without this and I think it is more the role of the practice nurse). However, I could inherit a programme currently up and running and would like to know more about the benefits and downfalls and its place in OH,
many thanks
Dawn K

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 13 Dec 2004 11:12:16 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Cholesterol testing in OH
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Hi Dawn

I am currently involved in a community project involving the local
council, Trust BHF and the local health board - the prevention of CHD,
Cancer and Stroke. I have opted to offer on site cholesterol testing to
our employees and the reason is to link in with the community and
identify any health issues before medical/surgical intervention is
needed. I currently offer staff MOT's (timetabled due to time of course)
and this involves B/P, HT, WT, body fat readings, work/home life,
stress, blood glucose, urinalysis and general advise on a healthy life.
If you want more information, let me know.

Regards

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 12/13/04 11:05am >>>
Can anyone tell me their feelings and point me in the way of any
research that has been done regarding a cholesterol screening programme
in the workplace? I am a bit of an occ health purist and would never
willingly offer this service - (there is usually plenty OH stuff to be
done without this and I think it is more the role of the practice
nurse). However, I could inherit a programme currently up and running
and would like to know more about the benefits and downfalls and its
place in OH,
many thanks
Dawn K

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 13 Dec 2004 15:48:42 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jon Patterson <[log in to unmask]>
Subject:      Re: More Hep B debate...
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

I agree with the comments about unreliability of the individual
remembering whether they had the disease.

I am aware of some OH units in the NHS accepting a definite history of
Rubella /MMR vaccination
(ideally with some written evidence) as being satisfactory for staff in
contact with patients in 'low risk' areas
(e.g. general surgery, orthopaedics) but routinely testing all staff
(regardless of vaccination history) in
'high risk' areas (e.g. midwifery, O&G).

I would be interested to hear whether others on the list think this is
a reasonable rationale.

Jon.


>>> [log in to unmask] 09/12/04 09:50:43 >>>
Memory recall of rubella will have zilch validity. There are many
other
infections with (superficially) similar signs & symptoms. Doctors
often
get it wrong too. The HPA figures for the last quarter show 273
notifications of suspected rubella (diagnosis based on clinical
grounds). 242 of these had tests for Rubella serology. Infection was
confirmed in only 1 case i.e. in the other 241 cases, the illness
thought to be rubella wasn't.



Dr. Alan Swann, BM, AFOM
Director of Occupational Health
Occupational Health Service
Imperial College London
Southside building
South Kensington Campus
London
SW7 2AZ

Tel:       +44 (20) 7594 9385
Fax:      +44 (20) 7594 9407
 https://www.imperial.ac.uk/spectrum/occhealth



-----Original Message-----
From: Sandy Townsend [mailto:[log in to unmask]]
Sent: 08 December 2004 20:16
To: [log in to unmask]
Subject: Re: More Hep B debate...







Glen

I would be sad to see the Old Year go out without you stimulating a
debate and also what better than the Hep B topic.



Our Trust has been working on the assumption that if good immunity
i.e.
>100miu/L a booster is given at 5 years and the programme considered
complete.

10-100 then the individual is given an immediate booster and a booster
at 5 years.



In the case of a needle stick injury bloods are obtained for storage
and
if evidence of immunity exists then no further action unless a Hep B
positive serology is identified in the donor.



Recently this was questioned by a new member of staff who feels that
there should be an automatic re-assessment of titre levels if the
previous serology is more than two years prior to the incident. The
argument is that the individual may have been immunosuppressed to some
degree and then the effectiveness of the vaccine not be protection
against acquiring the disease. We already ask a routine question when
taking details of the incident as to whether the recipient is/has been
knowingly immunosuppressed.



Do other OH departments recheck titre levels after NSI? Why is 2 years
a
time frame to take further action?



Also whilst we are in the immunization mode- re routinely screen (by
evidence of serology check) for rubella in employees going to work in
obs/gynae or potentially with the pregnant mum (no we we don't resort
to
the crystal ball)  We include health visitors and nurses working in
the
perinatal team, For varicella we are reviewing all new employees and
doing a look back exercise of those in the high risk areas.


I am concerned that the Green Book reads that all NHS staff should be
screened for rubella and the DoH guidelines stated all staff for
varicella.



Do you all do serology for rubella or is a verbal history of
remembering
having had the disease or rubella vaccine sufficient. We don't think
twice if someone says they have had chickenpox in the past.



Season Greetings to all from a confused NHS OHNA

Sandy

-----


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.802 / Virus Database: 545 - Release Date: 26/11/2004


~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


[log in to unmask]

**********************************************************************
DISCLAIMER:

Any opinions expressed in this email are those of the individual and
not necessarily the Trust. 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. Any unauthorised disclosure of
the information contained in this email is strictly prohibited.

The contents of this email may contain software viruses which could
damage your own computer system. Whilst we have taken every
reasonable precaution to minimise this risk, we cannot accept liability
for any damage which you sustain as a result of software viruses.
You should therefore carry out your own virus checks before opening
the attachment.

If you have received this email in error please notify the sender or
[log in to unmask] Please then delete this email.

University Hospital Lewisham
Tel: 020 8333 3000
Web: http://www.lewisham.nhs.uk/
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 13 Dec 2004 14:43:53 EST
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
Subject:      Re: OH Service Provider in Cheltenham
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1102967033"

-------------------------------1102967033
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Hello Jo,

thanks for the reply. I work at Wolverhampton but a company has  asked me if
I can find out a provider for their Cheltenham base. Is this  something you'd
be interested in /able to do?

regards

Glenn

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1102967033
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2600.0" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #000000; FONT-FAMILY: Eras Demi ITC"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3D"Eras Demi ITC" color=3D#000000 size=3D3>
<DIV><STRONG>Hello Jo,</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>thanks for the reply. I work at Wolverhampton but a company has=
=20
asked me if I can find out a provider for their Cheltenham base. Is this=20
something you'd be interested in&nbsp;/able to do?</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>regards</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Glenn</STRONG></DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1102967033--
=========================================================================
Date:         Mon, 13 Dec 2004 14:46:47 EST
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Glenn Raybone <[log in to unmask]>
Subject:      Re: Cholesterol testing in OH
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1102967206"

-------------------------------1102967206
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Dawn

this is an area I've been interested in but the problems I ran into  were;

Cost

This is the cost of the testing, and time
and then the cost implications to GP's who'd have to prescribe  drugs which
If we hadn't "stuck our noses" wouldn't have been a problem. I guess  the view
was 'don't look for it and it's not there', which is far from  pro-active and
ideal.

regards,

Glenn

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1102967206
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2600.0" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #000000; FONT-FAMILY: Eras Demi ITC"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3D"Eras Demi ITC" color=3D#000000 size=3D3>
<DIV><STRONG>Dawn</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>this is an area I've been interested in but the problems I ran=20=
into=20
were;</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Cost</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>This is the cost of the testing, and time</STRONG></DIV>
<DIV><STRONG>and then the cost implications to GP's who'd have to prescribe=20
drugs which If we hadn't "stuck our noses" wouldn't have been a problem. I g=
uess=20
the view was 'don't look for it and it's not there', which is far from=20
pro-active and ideal.</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>regards,</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Glenn</STRONG></DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1102967206--
=========================================================================
Date:         Mon, 13 Dec 2004 23:07:40 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         nicola SPENCER <[log in to unmask]>
Subject:      Re: OH Service Provider in Cheltenham
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0027_01C4E168.8B7BA0C0"

This is a multi-part message in MIME format.

------=_NextPart_000_0027_01C4E168.8B7BA0C0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Glen

Try Abbott Burke, a small OH provider who do another contract in =
Cheltenham.

Nicola
  ----- Original Message -----=20
  From: Glenn Raybone=20
  To: [log in to unmask]
  Sent: Monday, December 13, 2004 7:43 PM
  Subject: Re: OH Service Provider in Cheltenham


  Hello Jo,

  thanks for the reply. I work at Wolverhampton but a company has asked =
me if I can find out a provider for their Cheltenham base. Is this =
something you'd be interested in /able to do?

  regards

  Glenn
  ~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_0027_01C4E168.8B7BA0C0
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1106" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #000000; FONT-FAMILY: Eras Demi ITC"=20
bottomMargin=3D7 bgColor=3D#ffffff leftMargin=3D7 topMargin=3D7 =
rightMargin=3D7>
<DIV><FONT face=3DTahoma color=3D#000080 size=3D2>Glen</FONT></DIV>
<DIV><FONT face=3DTahoma color=3D#000080 size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DTahoma color=3D#000080 size=3D2>Try Abbott Burke, a =
small OH=20
provider who do another contract in Cheltenham.</FONT></DIV>
<DIV><FONT face=3DTahoma color=3D#000080 size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DTahoma color=3D#000080 size=3D2>Nicola</FONT></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000080 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask] =
href=3D"mailto:[log in to unmask]">Glenn=20
  Raybone</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, December 13, 2004 =
7:43=20
  PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: OH Service =
Provider in=20
  Cheltenham</DIV>
  <DIV><BR></DIV><FONT id=3Drole_document face=3D"Eras Demi ITC" =
color=3D#000000=20
  size=3D3>
  <DIV><STRONG>Hello Jo,</STRONG></DIV>
  <DIV><STRONG></STRONG>&nbsp;</DIV>
  <DIV><STRONG>thanks for the reply. I work at Wolverhampton but a =
company has=20
  asked me if I can find out a provider for their Cheltenham base. Is =
this=20
  something you'd be interested in&nbsp;/able to do?</STRONG></DIV>
  <DIV><STRONG></STRONG>&nbsp;</DIV>
  <DIV><STRONG>regards</STRONG></DIV>
  <DIV><STRONG></STRONG>&nbsp;</DIV>
  <DIV><STRONG>Glenn</STRONG></DIV></FONT>~~~~~~~~~~~~~~~=20
</BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0027_01C4E168.8B7BA0C0--
=========================================================================
Date:         Tue, 14 Dec 2004 01:00:32 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Donna Dixon <[log in to unmask]>
Subject:      Donna Dixon/National Britannia is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=us-ascii

I will be out of the office starting  13/12/2004 and will not return until
15/12/2004.

Thank you for your email.  I am on annual leave until Wed 15th December.r.
If you require assistance, please contact client support on 02920 852852 or
leave me a message on 07718 661614 and I will get back to you as soon as I
can.  Thank you

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 14 Dec 2004 08:46:45 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: OH Service Provider in Cheltenham
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4E1B9.70D58FA0"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4E1B9.70D58FA0
Content-Type: text/plain;
        charset="iso-8859-1"

I also work for Abbottburke Associates who are an excellent employer and I
have forwarded this email to Lesly Abbott.
Lynda

-----Original Message-----
From: nicola SPENCER [mailto:[log in to unmask]]
Sent: Monday, December 13, 2004 11:08 PM
To: [log in to unmask]
Subject: Re: OH Service Provider in Cheltenham


Glen

Try Abbott Burke, a small OH provider who do another contract in Cheltenham.

Nicola

----- Original Message -----
From: Glenn  <mailto:[log in to unmask]> Raybone
To: [log in to unmask] <mailto:[log in to unmask]>
Sent: Monday, December 13, 2004 7:43 PM
Subject: Re: OH Service Provider in Cheltenham


Hello Jo,

thanks for the reply. I work at Wolverhampton but a company has asked me if
I can find out a provider for their Cheltenham base. Is this something you'd
be interested in /able to do?

regards

Glenn
~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~ Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4E1B9.70D58FA0
Content-Type: text/html;
        charset="iso-8859-1"

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">


<META content="MSHTML 5.50.4943.2100" name=GENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY id=role_body
style="FONT-SIZE: 12pt; COLOR: #000000; FONT-FAMILY: Eras Demi ITC"
bottomMargin=7 bgColor=#ffffff leftMargin=7 topMargin=7 rightMargin=7>
<DIV><SPAN class=770365408-14122004><FONT face="Eras Demi ITC">I also work for
Abbottburke Associates who are an excellent employer and I have forwarded this
email to Lesly Abbott.</FONT></SPAN></DIV>
<DIV><SPAN class=770365408-14122004>Lynda</SPAN></DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
  size=2>-----Original Message-----<BR><B>From:</B> nicola SPENCER
  [mailto:[log in to unmask]]<BR><B>Sent:</B> Monday, December 13,
  2004 11:08 PM<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re:
  OH Service Provider in Cheltenham<BR><BR></FONT></DIV>
  <DIV><FONT face=Tahoma color=#000080 size=2>Glen</FONT></DIV>
  <DIV><FONT face=Tahoma color=#000080 size=2></FONT>&nbsp;</DIV>
  <DIV><FONT face=Tahoma color=#000080 size=2>Try Abbott Burke, a small OH
  provider who do another contract in Cheltenham.</FONT></DIV>
  <DIV><FONT face=Tahoma color=#000080 size=2></FONT>&nbsp;</DIV>
  <DIV><FONT face=Tahoma color=#000080 size=2>Nicola</FONT></DIV>
  <BLOCKQUOTE dir=ltr
  style="PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #000080 2px solid; MARGIN-RIGHT: 0px">
    <DIV style="FONT: 10pt arial">----- Original Message ----- </DIV>
    <DIV
    style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: black"><B>From:</B>
    <A [log in to unmask] href="mailto:[log in to unmask]">Glenn
    Raybone</A> </DIV>
    <DIV style="FONT: 10pt arial"><B>To:</B> <A [log in to unmask]
    href="mailto:[log in to unmask]">[log in to unmask]</A> </DIV>
    <DIV style="FONT: 10pt arial"><B>Sent:</B> Monday, December 13, 2004 7:43
    PM</DIV>
    <DIV style="FONT: 10pt arial"><B>Subject:</B> Re: OH Service Provider in
    Cheltenham</DIV>
    <DIV><BR></DIV><FONT id=role_document face="Eras Demi ITC" color=#000000
    size=3>
    <DIV><STRONG>Hello Jo,</STRONG></DIV>
    <DIV><STRONG></STRONG>&nbsp;</DIV>
    <DIV><STRONG>thanks for the reply. I work at Wolverhampton but a company has
    asked me if I can find out a provider for their Cheltenham base. Is this
    something you'd be interested in&nbsp;/able to do?</STRONG></DIV>
    <DIV><STRONG></STRONG>&nbsp;</DIV>
    <DIV><STRONG>regards</STRONG></DIV>
    <DIV><STRONG></STRONG>&nbsp;</DIV>
    <DIV><STRONG>Glenn</STRONG></DIV></FONT>~~~~~~~~~~~~~~~
  </BLOCKQUOTE>~~~~~~~~~~~~~~~ Please remove this footer before replying.
  <P>For list archives and documents, go to
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
  <P>For jobs in Occupational Health, go to
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4E1B9.70D58FA0--
=========================================================================
Date:         Tue, 14 Dec 2004 11:49:06 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      HI all
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

HI all

I wondered if anyone had a check list for iver seas travel when it
comes to health assessments prior to travel??? inc. DVT, LONG HAUL
LFIGHT ETC ETC.

Look forward to your replies!!!

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 14 Dec 2004 14:03:13 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jo Poole <[log in to unmask]>
Subject:      Re: OH Service Provider in Cheltenham
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4E1E5.A6C024D6"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4E1E5.A6C024D6
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Hello Glen,
=20
Thank you for your reply. I have been setting up and running the OH =
provision for the College since last year and am contracted to 22 hours =
but would be interested in providing OH to others in the area. I =
qualified at Bristol University in 1992 whilst working for Unilever food =
industry and then took a Job with the Post Office as an OHA Area South =
West South Wales and then as a Community Occ Health Advisor for the NHS. =
A good experience and foundation for this role was completing the BSc in =
Community Health in 1995. I qualified as a PGCE Post Compulsory Ed at =
Oxford in 2003 and this is very useful with my Staff training hat on. I =
also worked as a Commercial FAW Trainer and Examiner for the Red cross =
for five years and that was very enjoyable. I was looking to income =
generate for the College in some way as the facilities here are very =
good.
=20
Jo

-----Original Message-----
From: Hawkes, Lynda [mailto:[log in to unmask]]
Sent: 14 December 2004 08:47
To: [log in to unmask]
Subject: Re: OH Service Provider in Cheltenham


I also work for Abbottburke Associates who are an excellent employer and =
I have forwarded this email to Lesly Abbott.
Lynda

-----Original Message-----
From: nicola SPENCER [mailto:[log in to unmask]]
Sent: Monday, December 13, 2004 11:08 PM
To: [log in to unmask]
Subject: Re: OH Service Provider in Cheltenham


Glen
=20
Try Abbott Burke, a small OH provider who do another contract in =
Cheltenham.
=20
Nicola

----- Original Message -----=20
From: Glenn  <mailto:[log in to unmask]> Raybone=20
To: [log in to unmask]
Sent: Monday, December 13, 2004 7:43 PM
Subject: Re: OH Service Provider in Cheltenham


Hello Jo,
=20
thanks for the reply. I work at Wolverhampton but a company has asked me =
if I can find out a provider for their Cheltenham base. Is this =
something you'd be interested in /able to do?
=20
regards
=20
Glenn
~~~~~~~~~~~~~~~=20

~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4E1E5.A6C024D6
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 HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">


<META content=3D"MSHTML 6.00.2800.1479" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY id=3Drole_body=20
style=3D"FONT-SIZE: 12pt; COLOR: #000000; FONT-FAMILY: Eras Demi ITC"=20
bottomMargin=3D7 bgColor=3D#ffffff leftMargin=3D7 topMargin=3D7 =
rightMargin=3D7>
<DIV><SPAN class=3D437445009-14122004><FONT color=3D#0000ff>Hello=20
Glen,</FONT></SPAN></DIV>
<DIV><SPAN class=3D437445009-14122004><FONT=20
color=3D#0000ff></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D437445009-14122004><FONT color=3D#0000ff>Thank you =
for your=20
reply. I have been setting up and running the OH provision for the =
College since=20
last year and am contracted to 22 hours but would be interested in =
providing OH=20
to others in the area. I qualified at Bristol University in 1992 whilst =
working=20
for Unilever food industry and then took a Job with the Post Office as =
an OHA=20
Area South West South Wales and then as a Community Occ Health Advisor =
for the=20
NHS. A good experience and foundation for this role was completing the =
BSc in=20
Community Health in 1995. I qualified as a PGCE Post Compulsory Ed at =
Oxford=20
in&nbsp;2003 and this is very useful with my Staff training hat on. I =
also=20
worked as a Commercial FAW Trainer and Examiner for the Red cross for =
five years=20
and that was very enjoyable. I was looking to income generate for the =
College in=20
some way as the facilities here are very good.</FONT></SPAN></DIV>
<DIV><SPAN class=3D437445009-14122004><FONT=20
color=3D#0000ff></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D437445009-14122004><FONT =
color=3D#0000ff>Jo</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> Hawkes, Lynda=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> 14 December =
2004=20
  08:47<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
OH=20
  Service Provider in Cheltenham<BR><BR></FONT></DIV>
  <DIV><SPAN class=3D770365408-14122004><FONT face=3D"Eras Demi ITC">I =
also work for=20
  Abbottburke Associates who are an excellent employer and I have =
forwarded this=20
  email to Lesly Abbott.</FONT></SPAN></DIV>
  <DIV><SPAN class=3D770365408-14122004>Lynda</SPAN></DIV>
  <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
    <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
    size=3D2>-----Original Message-----<BR><B>From:</B> nicola SPENCER=20
    [mailto:[log in to unmask]]<BR><B>Sent:</B> Monday, =
December 13,=20
    2004 11:08 PM<BR><B>To:</B> =
[log in to unmask]<BR><B>Subject:</B> Re:=20
    OH Service Provider in Cheltenham<BR><BR></FONT></DIV>
    <DIV><FONT face=3DTahoma color=3D#000080 size=3D2>Glen</FONT></DIV>
    <DIV><FONT face=3DTahoma color=3D#000080 =
size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT face=3DTahoma color=3D#000080 size=3D2>Try Abbott Burke, =
a small OH=20
    provider who do another contract in Cheltenham.</FONT></DIV>
    <DIV><FONT face=3DTahoma color=3D#000080 =
size=3D2></FONT>&nbsp;</DIV>
    <DIV><FONT face=3DTahoma color=3D#000080 =
size=3D2>Nicola</FONT></DIV>
    <BLOCKQUOTE dir=3Dltr=20
    style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000080 2px solid; MARGIN-RIGHT: 0px">
      <DIV style=3D"FONT: 10pt arial">----- Original Message ----- =
</DIV>
      <DIV=20
      style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
      <A [log in to unmask] =
href=3D"mailto:[log in to unmask]">Glenn=20
      Raybone</A> </DIV>
      <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A=20
      [log in to unmask]
      =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A>=20
      </DIV>
      <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, December 13, =
2004 7:43=20
      PM</DIV>
      <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: OH Service =
Provider in=20
      Cheltenham</DIV>
      <DIV><BR></DIV><FONT id=3Drole_document face=3D"Eras Demi ITC" =
color=3D#000000=20
      size=3D3>
      <DIV><STRONG>Hello Jo,</STRONG></DIV>
      <DIV><STRONG></STRONG>&nbsp;</DIV>
      <DIV><STRONG>thanks for the reply. I work at Wolverhampton but a =
company=20
      has asked me if I can find out a provider for their Cheltenham =
base. Is=20
      this something you'd be interested in&nbsp;/able to =
do?</STRONG></DIV>
      <DIV><STRONG></STRONG>&nbsp;</DIV>
      <DIV><STRONG>regards</STRONG></DIV>
      <DIV><STRONG></STRONG>&nbsp;</DIV>
      <DIV><STRONG>Glenn</STRONG></DIV></FONT>~~~~~~~~~~~~~~~=20
    </BLOCKQUOTE>~~~~~~~~~~~~~~~ Please remove this footer before =
replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE>~~~~~~~~~~~~~~~=20
  Please remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4E1E5.A6C024D6--
=========================================================================
Date:         Tue, 14 Dec 2004 15:23:54 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         LESLEY KING <[log in to unmask]>
Subject:      Re: JOB!
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0007_01C4E1F0.ECA4CB00"

This is a multi-part message in MIME format.

------=_NextPart_000_0007_01C4E1F0.ECA4CB00
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: 7bit

Carole ,
good afternoon, may I ask I remember from our last meeting that one of
these sites was your head office and the other was sales of your drink
dispensers or so. I would be grateful for an electronic version of a job
description if you have any. I look forward to hearing from you,thanks,
Lesley King

-----Original Message-----
From: Carole Anness [mailto:[log in to unmask]]
Sent: 27 November 2004 09:08
To: [log in to unmask]
Subject: Re: JOB!

I'm looking for 2 OHA's 3 days/week - one covering wales/west (with car)
one covering uxbridge poyle - major blue chip company with benefits

if interested send CV

rgds

carole anness
~~~~~~~~~~~~~~~ Please remove this footer before replying.
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0007_01C4E1F0.ECA4CB00
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<html xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">


<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 10">
<meta name=3DOriginator content=3D"Microsoft Word 10">
<link rel=3DFile-List href=3D"cid:filelist.xml@01C4E1F0.EC354050">
<!--[if gte mso 9]><xml>
 <o:OfficeDocumentSettings>
  <o:DoNotRelyOnCSS/>
 </o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:DocumentKind>DocumentEmail</w:DocumentKind>
  <w:EnvelopeVis/>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]-->
<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;
        mso-font-charset:0;
        mso-generic-font-family:swiss;
        mso-font-pitch:variable;
        mso-font-signature:553679495 -2147483648 8 0 66047 0;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {mso-style-parent:"";
        margin:0cm;
        margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:12.0pt;
        font-family:"Times New Roman";
        mso-fareast-font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;
        text-underline:single;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;
        text-underline:single;}
span.EmailStyle17
        {mso-style-type:personal-reply;
        mso-style-noshow:yes;
        mso-ansi-font-size:10.0pt;
        mso-bidi-font-size:10.0pt;
        font-family:Arial;
        mso-ascii-font-family:Arial;
        mso-hansi-font-family:Arial;
        mso-bidi-font-family:Arial;
        color:navy;}
span.GramE
        {mso-style-name:"";
        mso-gram-e:yes;}
@page Section1
        {size:612.0pt 792.0pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;
        mso-header-margin:35.4pt;
        mso-footer-margin:35.4pt;
        mso-paper-source:0;}
div.Section1
        {page:Section1;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */=20
 table.MsoNormalTable
        {mso-style-name:"Table Normal";
        mso-tstyle-rowband-size:0;
        mso-tstyle-colband-size:0;
        mso-style-noshow:yes;
        mso-style-parent:"";
        mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
        mso-para-margin:0cm;
        mso-para-margin-bottom:.0001pt;
        mso-pagination:widow-orphan;
        font-size:10.0pt;
        font-family:"Times New Roman";}
</style>
<![endif]-->
</head>

<body lang=3DEN-US link=3Dblue vlink=3Dpurple =
style=3D'tab-interval:36.0pt'
id=3D"role_body" bottomMargin=3D7 leftmargin=3D7 topmargin=3D7 =
rightMargin=3D7>

<div class=3DSection1>

<p class=3DMsoNormal><span class=3DGramE><font size=3D2 color=3Dnavy =
face=3DArial
id=3D"role_document"><span =
style=3D'font-size:10.0pt;font-family:Arial;color:navy'>Carole
,</span></font></span><font size=3D2 color=3Dnavy face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;color:navy'> =
<o:p></o:p></span></font></p>

<p class=3DMsoNormal><span class=3DGramE><font size=3D2 color=3Dnavy =
face=3DArial><span
style=3D'font-size:10.0pt;font-family:Arial;color:navy'>good</span></font=
></span><font
size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;
color:navy'> afternoon, may I ask I remember from our last meeting that =
one of
these sites was your head office and the other was sales of your drink
dispensers or so. I would be grateful for an electronic version of a job
description if you have any. I look forward to hearing from you,thanks, =
Lesley King<o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DTahoma><span
style=3D'font-size:10.0pt;font-family:Tahoma'>-----Original =
Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Carole Anness
[mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 27 November 2004 =
09:08<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Re: =
JOB!</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblack
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:black'>I'm
looking for 2 OHA's 3 days/week - one covering wales/west (with car) one
covering uxbridge poyle - major blue chip company with =
benefits<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblack
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:black'>&nbsp;<o:p></o:p=
></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblack
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:black'>if
interested send CV<o:p></o:p></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblack
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:black'>&nbsp;<o:p></o:p=
></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblack
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:black'>rgds<o:p></o:p><=
/span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblack
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:black'>&nbsp;<o:p></o:p=
></span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblack
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:black'>carole
anness<o:p></o:p></span></font></p>

</div>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_0007_01C4E1F0.ECA4CB00--
=========================================================================
Date:         Tue, 14 Dec 2004 16:42:19 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Deville, Stephanie" <[log in to unmask]>
Subject:      Re: HI all
MIME-Version: 1.0
Content-Type: multipart/mixed; boundary="----_=_NextPart_001_01C4E1FB.E0626DBC"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4E1FB.E0626DBC
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

Hi Tracie,

Hope these are of some use.

Travax is a Scottish based organization, they also give on line up to
date info on vaccination etc requirements, risk assessment forms etc
highly recommended, I think you may need to pay a small charge for this
service.=20


best wishes
=20
Stephanie Deville
=20
Occupational Health Advisor
Glasgow Caledonian University
Tel: 3835
=20
-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]=20
Sent: 14 December 2004 11:49
To: [log in to unmask]
Subject: HI all

HI all

I wondered if anyone had a check list for iver seas travel when it
comes to health assessments prior to travel??? inc. DVT, LONG HAUL
LFIGHT ETC ETC.

Look forward to your replies!!!

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]



~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4E1FB.E0626DBC
Content-Type: application/msword;
        name="Overseatravquest.doc"
Content-Transfer-Encoding: base64
Content-Description: Overseatravquest.doc
Content-Disposition: attachment;
        filename="Overseatravquest.doc"
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=

------_=_NextPart_001_01C4E1FB.E0626DBC
Content-Type: application/msword;
        name="Travel policy as on web dec 04.doc"
Content-Transfer-Encoding: base64
Content-Description: Travel policy as on web dec 04.doc
Content-Disposition: attachment;
        filename="Travel policy as on web dec 04.doc"
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------_=_NextPart_001_01C4E1FB.E0626DBC
Content-Type: application/msword;
        name="Travelcert.doc"
Content-Transfer-Encoding: base64
Content-Description: Travelcert.doc
Content-Disposition: attachment;
        filename="Travelcert.doc"
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------_=_NextPart_001_01C4E1FB.E0626DBC
Content-Type: application/msword;
        name="Travel leaflets Advice.doc"
Content-Transfer-Encoding: base64
Content-Description: Travel leaflets Advice.doc
Content-Disposition: attachment;
        filename="Travel leaflets Advice.doc"

0M8R4KGxGuEAAAAAAAAAAAAAAAAAAAAAPgADAP7/CQAGAAAAAAAAAAAAAAABAAAAcwAAAAAAAAAA
EAAAdQAAAAEAAAD+////AAAAAHQAAAD/////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
///////////////////////////////////////////////////////////////////////////s
pcEANUAJBAAA+BK/AAAAAAAAEAAAAAAABgAAwkEAAA4AYmpias8yzzIAAAAAAAAAAAAAAAAAAAAA
AAAJBBYALloAAK1YAACtWAAAwjkAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAD//w8AAAAA
AAAAAAD//w8AAAAAAAAAAAD//w8AAAAAAAAAAAAAAAAAAAAAAIgAAAAAAKgCAAAAAAAAqAIAAKgC
AAAAAAAAqAIAAAAAAACoAgAAAAAAAKgCAAAAAAAAqAIAABQAAAAAAAAAAAAAALwCAAAAAAAAhB0A
AAAAAACEHQAAAAAAAIQdAAAAAAAAhB0AACwAAACwHQAANAAAALwCAAAAAAAAz0kAADIBAADwHQAA
cAAAAGAeAAAAAAAAYB4AAAAAAABgHgAAAAAAAGAeAAAAAAAAYB4AAEYAAACmHgAAJAAAAMoeAAAU
AAAATkkAAAIAAABQSQAAAAAAAFBJAAAAAAAAUEkAAAAAAABQSQAAAAAAAFBJAAAAAAAAUEkAACQA
AAABSwAAUgIAAFNNAACqAAAAdEkAABUAAAAAAAAAAAAAAAAAAAAAAAAAqAIAAAAAAABdIQAAAAAA
AAAAAAAAAAAAAAAAAAAAAABgHgAAAAAAAGAeAAAAAAAAXSEAAAAAAABdIQAAAAAAAHRJAAAAAAAA
AAAAAAAAAACoAgAAAAAAAKgCAAAAAAAAYB4AAAAAAAAAAAAAAAAAAGAeAAAAAAAAiUkAABYAAAAx
JAAAAAAAADEkAAAAAAAAMSQAAAAAAABdIQAA0gEAAKgCAAAAAAAAYB4AAAAAAACoAgAAAAAAAGAe
AAAAAAAATkkAAAAAAAAAAAAAAAAAADEkAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAXSEAAAAAAABOSQAAAAAAADEkAAAQAAAAMSQAAAAAAABBJAAA
bgEAACJGAAAIAQAAqAIAAAAAAACoAgAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAakcAAAAAAABgHgAAAAAAAOQdAAAMAAAAAH+Uk/vh
xAEAAAAAAAAAAIQdAAAAAAAALyMAAEYAAAAqRwAAIAAAAAAAAAAAAAAATkkAAAAAAACfSQAAMAAA
AM9JAAAAAAAASkcAACAAAAD9TQAAAAAAAHUjAACyAAAA/U0AAEAAAABqRwAAAAAAAAAAAAAAAAAA
vAIAAAAAAAC8AgAAAAAAAKgCAAAAAAAAqAIAAAAAAACoAgAAAAAAAKgCAAAAAAAAAAAAAAAAAABq
RwAAxAEAAP1NAAAAAAAAAAAAAAAAAACoAgAAAAAAAC5JAAAgAAAA3h4AAKAAAAB+HwAAcgAAADEk
AAAAAAAA8B8AAFwAAABMIAAAEQEAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA3h4A
AAAAAADeHgAAAAAAAN4eAAAAAAAAdEkAAAAAAAB0SQAAAAAAALwCAAAAAAAAvAIAAAQOAADAEAAA
xAwAAAAAAAAAAAAAJyQAAAoAAAC8AgAAAAAAALwCAAAAAAAAwBAAAAAAAAACAAEBAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAEFkdmlj
ZSBmcm9tIFRyYXZheCBXZWJzaXRlIGFzIG9mIERlY2VtYmVyIDIwMDQgIBMgSFlQRVJMSU5LICJo
dHRwOi8vd3d3LnRyYXZheC5zY290Lm5ocy51ay9yZWdpc3RlcmVkL2luZGV4Mi5hc3AiIAEUaHR0
cDovL3d3dy50cmF2YXguc2NvdC5uaHMudWsvcmVnaXN0ZXJlZC9pbmRleDIuYXNwFQ1TdWdnZXN0
aW9ucyB0byBndWlkZSBwcmFjdGl0aW9uZXJzIGdpdmluZyBhZHZpY2UgdG8gdGhlIGluZGl2aWR1
YWwgdHJhdmVsbGVyIG9uIHByZXZlbnRpbmcgZGVlcCB2ZWluIHRocm9tYm9zaXMgYW5kIHB1bG1v
bmFyeSBlbWJvbHVzIGR1cmluZyBhaXIgZmxpZ2h0c6AgDUJlIGF3YXJlIG9mIHByZWRpc3Bvc2lu
ZyBmYWN0b3JzIA1BdCBhIHBoeXNpb2xvZ2ljYWwgbGV2ZWwgcHJlZGlzcG9zaW5nIGZhY3RvcnMg
Zm9yIERWVCAoaW4gYWRkaXRpb24gdG8gdGhlIHBvc3NpYmxlIGVmZmVjdHMgb2YgcHJvbG9uZ2Vk
IGltbW9iaWxpdHkgd2hpbGUgdHJhdmVsbGluZykgYXJlIGVuZG90aGVsaWFsIHZhc2N1bGFyIGxl
c2lvbnMsIGh5cGVyY29hZ3VsYWJpbHRpdHkgb2YgdGhlIGJsb29kIGFuZCB0aHJvbWJvcGhpbGlh
IChpbmNsdWRpbmcgaGVyZWRpdGFyeSBmb3JtcyBzdWNoIGFzIGZhY3RvciBWIExlaWRlbiB3aGlj
aCBjYW4gYmUgdGVzdGVkIGZvciByb3V0aW5lbHkgYnkgbW9zdCBoZW1hdG9sb2d5IGxhYm9yYXRv
cmllcykgDVRoZXNlIGZhY3RvcnMgbWF5IHNwZWNpZmljYWxseSBpbmNsdWRlIHRob3NlIG92ZXIg
NjAgeWVhcnMgb2YgYWdlLCBzbW9rZXJzLCBwcmV2aW91cyAoZXNwZWNpYWxseSByZWNlbnQpIERW
VCBvciBwdWxtb25hcnkgZW1ib2x1cywgcmVjZW50IHN1cmdlcnkgb3IgaW5qdXJ5LCBwcmVnbmFu
Y3kgb3IgbGVzcyB0aGFuIDIgbW9udGhzIHBvc3QtcGFydHVtLCBtYWxpZ25hbmN5LCBjYXJkaW8t
cmVzcGlyYXRvcnkgZGlzZWFzZSwgb3RoZXIgY2hyb25pYyBpbGxuZXNzZXMsIG9lc3Ryb2dlbiBt
ZWRpY2F0aW9uIChjb250cmFjZXB0aXZlIGFuZCBob3Jtb25lIHJlcGxhY2VtZW50KSwgdmFyaWNv
c2UgdmVpbnMuIFN5bXB0b21zIGNhbiBiZSBkZWxheWVkIGZvciBzZXZlcmFsIHdlZWtzIGFmdGVy
IHRoZSBmbGlnaHQuIENhc2VzIG9mIERWVCBtYXkgaGF2ZSBhbiBhdmVyYWdlIG9mIDMgZmFjdG9y
cy4gDUFkdmljZSBmb3IgdGhvc2UgYXQgbWluaW1hbCByaXNrIChuaWwgb3Igb25lIHByZWRpc3Bv
c2luZyBmYWN0b3IpIA1XaGlsZSBmdXJ0aGVyIHN0dWRpZXMgYXJlIHVuZGVydGFrZW4gcHJlbGlt
aW5hcnkgYWR2aWNlIGZvciB0aG9zZSBhdCBsb3cgcmlzayBjb3VsZCBiZSB0byBleGVyY2lzZSB0
aGUgbGVncyB3aGVuIHBvc3NpYmxlLCBtYWludGFpbiBoeWRyYXRpb24gYW5kIGxpbWl0IGFsY29o
b2wgY29uc3VtcHRpb24uIA1BZHZpY2UgZm9yIHRob3NlIGF0IGxvdyBvciBtb2RlcmF0ZSByaXNr
IChlLmcuIDIgb3IgMyBwcmVkaXNwb3NpbmcgZmFjdG9ycykgDUV4ZXJjaXNlIGluIHRoZSBhaXJj
cmFmdCBjYWJpbiB3aGVyZXZlciBwb3NzaWJsZSwgbWFpbnRhaW4gaHlkcmF0aW9uIGFuZCBsaW1p
dCBhbGNvaG9sIGNvbnN1bXB0aW9uLCBjb25zaWRlciB1c2luZyBiZWxvdyBrbmVlIGNvbXByZXNz
aW9uIHN0b2NraW5ncy4gUG9zc2libHkgY29uc2lkZXIgdGFraW5nIGEgZGFpbHkgZG9zZSBvZiBh
c3BpcmluIHdoaWxlIGF0IHJpc2sgKHNvIGxvbmcgYXMgYXNwaXJpbiBpcyBub3QgY29udHJhLWlu
ZGljYXRlZCkuIFRoZSBlZmZlY3RpdmUgZG9zZSBpcyB1bmNsZWFyIJYgcGVyaGFwcyA3NS0zMDBt
Zy4gDUFkdmljZSBmb3IgdGhvc2UgYXQgaGlnaC1yaXNrIChlLmcuIG1vcmUgdGhhbiAzIHByZWRp
c3Bvc2luZyBmYWN0b3JzKSANRXhlcmNpc2UsIGNvbXByZXNzaW9uIHN0b2NraW5ncywgbWFpbnRh
aW4gaHlkcmF0aW9uIGFuZCBsaW1pdCBhbGNvaG9sIGNvbnN1bXB0aW9uLiBQb3NzaWJseSBjb25z
aWRlciBhIHN1YmN1dGFuZW91cyBpbmplY3Rpb25zIG9mIE1pbmloZXAgKHNvZGl1bSBoZXBhcmlu
IDUwMDAgSVUgdHdpY2UgZGFpbHkpIG9yIGxvdyBtb2xlY3VsYXIgd2VpZ2h0IGhlcGFyaW4gKGUu
Zy4gZGFsdGVwYXJpbiAyNTAwIGRhaWx5IG9yIGVub3hhcGFyaW4gNDBtZyBkYWlseSkgd2hpbGUg
YXQgcmlzayAoc28gbG9uZyBhcyBhbnRpY29hZ3VsYXRpb24gaXMgbm90IGNvbnRyYS1pbmRpY2F0
ZWQpLiANDQxJbi1GbGlnaHQgcHJvYmxlbXMNoA1BIG5ldyBjb21wcmVoZW5zaXZlIHJlcG9ydCBp
cyBhdmFpbGFibGUgEyBIWVBFUkxJTksgImh0dHA6Ly93d3cuYm1hLm9yZy9hcC5uc2YvQ29udGVu
dC9GbHlpbmciIBRUaGUgSW1wYWN0IG9mIEZseWluZyBvbiBQYXNzZW5nZXIgSGVhbHRoFSBmcm9t
IAtCcml0aXNoIE1lZGljYWwgQXNzb2NpYXRpb24gKEJvYXJkIG9mIFNjaWVuY2UgYW5kIEVkdWNh
dGlvbikNRGVoeWRyYXRpb24LVGhlIGNpcmN1bGF0aW5nIGFpciBpbiBhaXJjcmFmdCBjYWJpbnMg
aXMgZHJ5IHNpbmNlIHRoZXJlIGlzIHZlcnkgbGl0dGxlIG1vaXN0dXJlIGluIHRoZSBhaXIgdGFr
ZW4gZnJvbSBvdXRzaWRlIHRoZSBjYWJpbiB0byByZXBsZW5pc2ggc3VwcGxpZXMgd2hlbiB0aGUg
cGxhbmVzIGFyZSBhdCBoaWdoIGFsdGl0dWRlLiBTa2luIG1vaXN0dXJpemVycyBjYW4gaGVscCBh
bGxldmlhdGUgZHJ5IHNraW4gYW5kIGxpcHMgYW5kIGlmIGNvbnRhY3QgbGVuc2VzIGlycml0YXRl
IHRoZXkgc2hvdWxkIGJlIHJlbW92ZWQgYW5kIHNwZWN0YWNsZXMgdXNlZCBpbnN0ZWFkIGlmIG5l
Y2Vzc2FyeS4NVGhlcmUgaXMgbm8gZXZpZGVuY2UgdGhhdCB0aGUgZHJ5IGFpciByZXN1bHRzIGlu
IHNpZ25pZmljYW50IGludGVybmFsIGRlaHlkcmF0aW9uIGluIHRob3NlIG90aGVyd2lzZSBmaXQg
YW5kIHdlbGwuIEFsY29ob2wgKGVzcGVjaWFsbHkgc3Bpcml0cykgYW5kIGNhZmZlaW5lIGNvbnRh
aW5pbmcgZHJpbmtzIGNhbiBob3dldmVyIGNhdXNlIGRlaHlkcmF0aW9uIGVzcGVjaWFsbHkgd2hl
biBpbmFkZXF1YXRlIGNsZWFyIGZsdWlkIGFyZSBkcnVuayAtIHBhc3NlbmdlcnMgc2hvdWxkIHRy
eSBhbmQgZHJpbmsgc3VmZmljaWVudCB0byBrZWVwIHRoZSB1cmluZSBpdHMgbm9ybWFsIHBhbGUg
Y29sb3VyLiANUG9vciBjaXJjdWxhdGlvbiBhbmQgdmVub3VzIHRocm9tYm9zaXMLU2l0dGluZyBz
dGlsbCBmb3IgbG9uZyBwZXJpb2RzIGluIHRoZSBpbmV2aXRhYmx5IGNyYW1wZWQgcG9zaXRpb25z
IGluIGFpcmNyYWZ0IGZyZXF1ZW50bHkgbGVhZHMgdG8gc3dvbGxlbiBhbmtsZXMgYW5kIHNvbWV0
aW1lcyBtdXNjbGUgY3JhbXBzLiBWZW5vdXMgdGhyb21ib3NpcyBpbiB0aGUgbGVncyBhbmQgb2Nj
YXNpb25hbGx5IHB1bG1vbmFyeSBlbWJvbGkgY2FuIG9jY3VyIGJ1dCB0aGlzIGlzIG5vdCB1bmlx
dWUgdG8gYWlyIHRyYXZlbCBhbmQgY2FuIG9jY3VyIHdoZW5ldmVyIHBlb3BsZSBhcmUgaW1tb2Jp
bGUgZm9yIHByb2xvbmdlZCBwZXJpb2RzLCBpbmNsdWRpbmcgbG9uZyBidXMsIHRyYWluIGFuZCBj
YXIgam91cm5leXMuIFByZXZlbnRpdmUgbWVhc3VyZXMgc2hvdWxkIGluY2x1ZGUgZ2VuZXJhbCBh
ZHZpY2UgdG8gYWxsIHBhc3NlbmdlcnMuIFJlZ3VsYXIgc3RyZXRjaGluZyBhbmQgbW9iaWxpdHkg
ZXhlcmNpc2VzIHNob3VsZCBiZSBlbmNvdXJhZ2VkIGFuZCB3YWxraW5nIGFyb3VuZCB0aGUgY2Fi
aW4gaWYgcHJhY3RpY2FsLg1UaG9zZSB3aXRoIHRoZSBmb2xsb3dpbmcgbWF5IGJlIGF0IGdyZWF0
ZXIgcmlzayBhbmQgdGhpcyBzaG91bGQgYmUgYXNzZXNzZWQgaW4gYWR2YW5jZSBvZiB0cmF2ZWwg
YnkgdGhlIHBhdGllbnQncyBkb2N0b3INQSBoaXN0b3J5IG9mIGRlZXAgdmVpbiB0aHJvbWJvc2lz
IHdpdGhpbiB0aGUgbGFzdCA1IHllYXJzIG9yIGlmIHRoZSBsaWtlbHkgcmVhc29uIGZvciB0aGlz
IERWVCBpcyBzdGlsbCBwcmVzZW50LiANRGlzc2VtaW5hdGVkIG1hbGlnbmFuY3kgYW5kIGNocm9u
aWMgZGViaWxpdGF0aW5nIGlsbG5lc3MgZXNwZWNpYWxseSB0aG9zZSBjYXVzaW5nIHNlcmlvdXMg
aW1tb2JpbGl0eSBwcm9ibGVtcyANUmVjZW50IHN1cmdlcnkgb3IgZGVlcCBpbmp1cmllcyAoZS5n
LiBoaXAgZnJhY3R1cmVzKSANVGhvc2Ugb3ZlciA2MCB5ZWFycyBvZiBhZ2UgDVByZWduYW5jeSBv
ciBsZXNzIHRoYW4gMiBtb250aHMgYWZ0ZXIgZGVsaXZlcnkgDUNhcmRpby1yZXNwaXJhdG9yeSBk
aXNlYXNlIA1PZXN0cm9nZW4gbWVkaWNhdGlvbiAoY29udHJhY2VwdGl2ZSBhbmQvb3IgaG9ybW9u
ZSByZXBsYWNlbWVudCkgDVZhcmljb3NlIHZlaW5zIA1UaHJvbWJvcGhpbGlhIGVzcGVjaWFsbHkg
d2hlbiBkdWUgdG8gdGhlIHByZXNlbmNlIG9mEyBIWVBFUkxJTksgImh0dHA6Ly93d3cucGhndS5v
cmcudWsvaW5mb19kYXRhYmFzZS9kaXNlYXNlcy90aHJvbWJvc2lzL3Rocm9tYm9waGlsaWEuaHRt
bCIgXGwgIkcxIiBcdCAiX2JsYW5rIiAUIGZhY3RvciBWIExlaWRlbiBtdXRhdGlvbhUuIA1BZHZp
Y2UgZm9yIHRob3NlIHRob3VnaHQgdG8gYmUgYSBzcGVjaWFsIHJpc2sgaW5jbHVkZXMgdGhlIGdl
bmVyYWwgcHJldmVudGl2ZSBtZWFzdXJlcyBkZXNjcmliZWQgYWJvdmUgYW5kIHRoZSB1c2Ugb2Yg
Z3JhZGVkIGNvbXByZXNzaW9uIHN0b2NraW5ncyAod2hpbGUgcmVkdWNpbmcgYW5rbGUgc3dlbGxp
bmcsIHRoZWlyIHJvbGUgaW4gcHJldmVudGluZyB0aHJvbWJvc2lzIGlzIGxlc3MgY2VydGFpbiku
IEZvciB0aG9zZSBhdCBzZXJpb3VzIHJpc2sgc3ViY3V0YW5lb3VzIGluamVjdGlvbnMgb2YgbG93
IG1vbGVjdWxhciB3ZWlnaHQgaGVwYXJpbiwgZ2l2ZW4gc2hvcnRseSBiZWZvcmUgZGVwYXJ0dXJl
IGFuZCBmb3IgdGhlIHBlcmlvZCBvZiByaXNrIGNhbiBiZSBjb25zaWRlcmVkIChpLmUuIE1pbmlo
ZXAgKHNvZGl1bSBoZXBhcmluIDUwMDAgSVUgdHdpY2UgZGFpbHkpIG9yIGxvdyBtb2xlY3VsYXIg
d2VpZ2h0IGhlcGFyaW4gKGUuZy4gZGFsdGVwYXJpbiAyNTAwIGRhaWx5IG9yIGVub3hhcGFyaW4g
NDBtZyBkYWlseSkgc28gbG9uZyBhcyBhbnRpY29hZ3VsYXRpb24gaXMgbm90IGNvbnRyYS1pbmRp
Y2F0ZWQuIEEgc21hbGwgZG9zZSBvZiBhc3BpcmluIGZvciBpdHMgYW50aS1hZGhlc2l2ZSBlZmZl
Y3Qgb24gYmxvb2QgcGxhdGVsZXRzIGlzIG5vdyBhY3RpdmVseSBkaXNjb3VyYWdlZCBieSB0aGUg
Qk1BIHJlcG9ydCAoc2VlIGFib3ZlKSBpbiB2aWV3IG9mIHBvdGVudGlhbCBzaWRlLWVmZmVjdHMg
YW5kIGxhY2sgb2YgZXZpZGVuY2UgdGhhdCBpdCBpcyBiZW5lZmljaWFsLg1SZXNwaXJhdG9yeSB0
cmFjdCBpbmZlY3Rpb25zC1RoZXJlIGlzIG5vIGV2aWRlbmNlIHRoYXQgcmUtY2lyY3VsYXRpb24g
b2YgYWlyIGluIGFpcmNyYWZ0IGNhYmlucyBpbmNyZWFzZXMgdGhlIHJpc2sgb2YgdHJhbnNtaXR0
aW5nIGluZmVjdGlvbnMgc2luY2UgdmVyeSBlZmZlY3RpdmUgZmlsdGVycyBhcmUgdXNlZCB0byBy
ZW1vdmUgYmFjdGVyaWEgYW5kIHZpcnVzZXMuIEhvd2V2ZXIgc2l0dGluZyBpbiBjbG9zZSBwcm94
aW1pdHkgZm9yIGxvbmcgcGVyaW9kcyBuZXh0IHRvIHBhc3NlbmdlcnMgd2hvIGFyZSBzdWZmZXJp
bmcsIGZvciBleGFtcGxlLCBmcm9tIGNvbW1vbiBjb2xkcyBvciBpbmZsdWVuemEgY2xlYXJseSBt
YXkgaW5jcmVhc2UgdGhlIGNoYW5jZXMgb2YgYSBwYXNzZW5nZXIgYmVjb21pbmcgaW5mZWN0ZWQu
IFRoaXMgaXMgd2h5IGFpcmxpbmVzIGRpc2NvdXJhZ2UgcGFzc2VuZ2VycyBmcm9tIHRyYXZlbGxp
bmcgd2hpbGUgdW53ZWxsIHdpdGggaW5mZWN0aW91cyBjb25kaXRpb25zLiANVHViZXJjdWxvc2lz
C1RoZSBXb3JsZCBIZWFsdGggT3JnYW5pemF0aW9uIGFkdmlzZXMgdGhhdCwgd2l0aCB0dWJlcmN1
bG9zaXMgaW5jcmVhc2luZyB3b3JsZHdpZGUsIHRoZXJlIGlzIGEgc21hbGwgYnV0IHJlYWwgcmlz
ayBvZiBpbmZlY3Rpb24gYmVpbmcgdHJhbnNtaXR0ZWQgZHVyaW5nIGFpciBmbGlnaHRzIGFzIG5v
dGVkIGJ5IFRTVCBjb252ZXJzaW9uLiBUcmFuc21pc3Npb24gaGFzIG9ubHkgYmVlbiByZWNvcmRl
ZCBpbiBmbGlnaHRzIGxhc3Rpbmcgb3ZlciBlaWdodCBob3Vycy4gVGhlIHJpc2sgaXMgY2xlYXJs
eSBncmVhdGVyIHdoZW4gbWFueSBvZiB0aG9zZSBvbiBib2FyZCBhcmUgZnJvbSBjb3VudHJpZXMg
d2l0aCBhIGhpZ2ggaW5jaWRlbmNlIG9mIHRoZSBkaXNlYXNlLiANU2tpbiBQYXJhc2l0ZSBpbmZl
Y3Rpb25zC09jY2FzaW9uYWxseSBoZWFkIGxpY2UgYW5kIG90aGVyIHNraW4gcGFyYXNpdGVzIGhh
dmUgYmVlbiBwYXNzZWQgdGhyb3VnaCBjb250YWN0IHdpdGggYWlyY3JhZnQgc2VhdHMgd2hlbiBh
IHByZXZpb3VzIHBhc3NlbmdlciBoYXMgYmVlbiBpbmZlc3RlZC4gVGhpcyBpcyBtb3JlIGxpa2Vs
eSBvbiBpbnRlcm5hbCBmbGlnaHRzIGluIGNvdW50cmllcyB3aGVyZSB0aGVzZSBpbmZlY3Rpb25z
IGFyZSBjb21tb24uIA0NDUZlYXIgb2YgZmx5aW5nDUluIEJyaXRhaW4gYW4gZXN0aW1hdGVkIG5p
bmUgbWlsbGlvbiBwZW9wbGUgc3VmZmVyIGFueGlldHkgYWJvdXQgZmx5aW5nIGFuZCBtYXkgbWlz
cyBvdXQgb24gcHJvZmVzc2lvbmFsIGFuZCBwZXJzb25hbCBvcHBvcnR1bml0aWVzLiBUaGVyZSBp
cyBubyBzaW5nbGUgcGVyc29uYWxpdHktdHlwZSBwcm9uZSB0byBmZWFyIG9mIGZseWluZyBhbmQg
dGhlcmUgbWF5IGJlIGEgbGluayB3aXRoIHByb2JsZW1zIGF0IHdvcmsgb3IgaG9tZS4NRmVhciBt
YXkgZGV2ZWxvcCBmcm9tIGEgYmFkIGV4cGVyaWVuY2UgLSBhIHJvdWdoIGZsaWdodCwgb3IgYWZ0
ZXIgYSBuZXdzIHJlcG9ydCBvZiBhIGhpZ2ggamFja2luZyBvciBjcmFzaC4gUGFuaWMgYXR0YWNr
cyBhcmUgY29tbW9uIChzdWRkZW4sIGludGVuc2UgYW54aWV0eSwgc3dlYXRpbmcgYW5kIHRyZW1i
bGluZykuIFRoZSBzZW5zYXRpb24gaXMgb2Z0ZW4gc28gZnJpZ2h0ZW5pbmcgdGhhdCB0aGUgc3Vm
ZmVyZXIgbWF5IGZyb20gdGhlbiBvbiByZWZ1c2UgdG8gZmx5LiANQWR2aWNlIGZvciB0aGUgdHJh
dmVsbGVyIHdobyBpcyBhZnJhaWQgb2YgZmx5aW5nIA1FeHBsYWluIHRoYXQgZmVhciBvZiBmbHlp
bmcgaXMgY29tbW9uIGFuZCBlbXBoYXNpemUgdGhhdCBmbHlpbmcgaXMgc2FmZXIgdGhhbiByb2Fk
IG9yIHJhaWwgdHJhdmVsIGluIG1vc3QgZGV2ZWxvcGVkIGNvdW50cmllcy4gDVRyeSBkaXN0cmFj
dGlvbiBieSB0YWxraW5nIHdpdGggb3RoZXIgcGFzc2VuZ2Vycywgd2F0Y2hpbmcgaW4tZmxpZ2h0
IGZpbG1zLCBlYXRpbmcgb3IgcmVhZGluZy4gDVRlbGwgdGhlIGNhYmluIGNyZXcuIFJlYXNzdXJh
bmNlIGFib3V0IHN0cmFuZ2Ugc291bmRzIGNhbiBoZWxwLiANQSB2aXNpdCB0byB0aGUgZG9jdG9y
IHByaW9yIHRvIHRyYXZlbCBjYW4gcHJvdmlkZSByZWFzc3VyYW5jZSBhYm91dCBnZW5lcmFsIGZp
dG5lc3MgZm9yIGFpciB0cmF2ZWwuIA1BIHRyYW5xdWlsbGl6ZXIgYmVmb3JlIGRlcGFydHVyZSBh
cmUgc29tZXRpbWVzIHVzZWQgYnV0IHRoaXMgc2hvdWxkIGJlIGEgZGVjaXNpb24gbWFkZSBvbiBt
ZWRpY2FsIGdyb3VuZHMuIEl0IG11c3QgYmUgc3RyZXNzZWQgdGhhdCB0aGVzZSBkcnVncyBkbyBu
b3QgbWl4IHdlbGwgd2l0aCBhbGNvaG9sIHdoaWNoIHRob3NlIGFmcmFpZCBvZiBmbHlpbmcgb2Z0
ZW4gbWF5IHdlbGwgYmUgdGFraW5nIGluIGFkZGl0aW9uLiANQ29nbml0aXZlIEJlaGF2aW91ciBU
aGVyYXB5OiBSZWNlbnQgcmVzZWFyY2ggaGFzIGluZGljYXRlZCB0aGF0ICJjb2duaXRpdmUgYmVo
YXZpb3VyIHRoZXJhcHkiIGNhbiBiZSBoZWxwZnVsIGZvciBtb3JlIHNldmVyZSBjYXNlcy4gVGhl
IHBlcnNvbiBpZGVudGlmaWVzIHdoYXQgdGhleSBhY3R1YWxseSBmZWFyLCBhbmQgdGhlbiBsZWFy
bnMgZGlmZmVyZW50IHdheXMgb2Ygb3ZlcmNvbWluZyBpdC6gDUNvdXJzZXMgYW5kIGNvdW5zZWxs
aW5nIG9uIGZlYXIgb2YgZmx5aW5nIA1BdmlhdG91cnMgcHJvdmlkZSBjb3Vyc2VzIGF0IEhlYXRo
cm93IGFuZCBNYW5jaGVzdGVyIGFpcnBvcnRzIChUZWw6IDAxMjUyIDc5MyAyNTApLiANJ0ZyZWVk
b20gdG8gRmx5JyBjb3Vyc2VzIGFyZSBydW4gaW5kZXBlbmRhbnRseSBieSBFbGFpbmUgRm9yZW1h
biwgY2xpbmljYWwgcHN5Y2hvbG9naXN0IChUZWwvZmF4IDAyMCA4NDU5IDM0MjgsIGVtYWlsIDog
EyBIWVBFUkxJTksgIm1haWx0bzpmcmVlMmZseUBkaWFsLnBpcGV4LmNvbSIgFGZyZWUyZmx5QGRp
YWwucGlwZXguY29tFSAsIHdlYnNpdGU6IBMgSFlQRVJMSU5LICJodHRwOi8vd3d3LmZyZWUyZmx5
LmRpYWwucGlwZXguY29tIiAUd3d3LmZyZWUyZmx5LmRpYWwucGlwZXguY29tFSApIA0NDUFpciBy
YWdlDVRoaXMgdGVybSBoYXMgcmVjZW50bHkgYmVlbiBpbnRyb2R1Y2VkIHRvIGRlc2NyaWJlIHBz
eWNob2xvZ2ljYWwgb3IgcGh5c2ljYWwgdmlvbGVuY2Ugb2NjdXJyaW5nIHdpdGhpbiBhaXJjcmFm
dC4gSXQgaXMgb2YgcGFydGljdWxhciBjb25jZXJuIGJlY2F1c2Ugb2YgdGhlIGNyYW1wZWQgY29u
ZGl0aW9ucyBpbnNpZGUgYW4gYWlyY3JhZnQgYW5kIHRoZSBpbmV2aXRhYmxlIGludm9sdmVtZW50
IG9mIG5vdCBvbmx5IHRoZSBjYWJpbiBjcmV3IGJ1dCBhbHNvIG90aGVyIHBhc3NlbmdlcnMuIFRo
ZXJlIGhhdmUgYmVlbiBpbnN0YW5jZXMgd2hlcmUgYWlyY3JhZnQgaGF2ZSBoYWQgdG8gbGFuZCBw
cmVtYXR1cmVseSB0byBvZmZsb2FkIGRpc3J1cHRpdmUgcGFzc2VuZ2VycyBhbmQgbGVnYWwgYWN0
aW9uIHRha2VuIGFnYWluc3QgdGhvc2UgaW52b2x2ZWQuDVdoYXQgaXMgYWlyIHJhZ2U/IAtUaGVy
ZSBpcyBvZnRlbiBhIGRldmVsb3BpbmcgY3ljbGUgb2YgZXZlbnRzLCB3aGljaCBtYXkgaW5jbHVk
ZSBkZWxheXMsIGV4aGF1c3Rpb24gZHVlIHRvIGxhY2sgb2Ygc2xlZXAsIGV4Y2Vzc2l2ZSB1c2Ug
b2YgYWxjb2hvbCBzb21ldGltZXMgdG8gY29tcGVuc2F0ZSBmZWFyIG9mIGZseWluZywgbWlub3Ig
aXJyaXRhdGlvbnMgZHVlIHRvIGJlaGF2aW91ciBvZiBmZWxsb3cgcGFzc2VuZ2VycyB3aGljaCBl
bHNld2hlcmUgd291bGQgbGFyZ2VseSBnbyB1bm5vdGljZWQgYW5kIHNvbWV0aW1lcyBhbm94aWEg
Y2F1c2luZyBpcnJpdGFiaWxpdHkgaW4gdGhvc2Ugd2l0aCBwcmUtZXhpc3RpbmcgaHlwb3hpYyBp
bGxuZXNzZXMuIEl0IGhhcyByZWNlbnRseSBiZWVuIHJlY29nbmlzZWQgdGhhdCBhaXIgcmFnZSBt
YXkgYmUgY29udHJpYnV0ZWQgdG8gYnkgbmljb3RpbmUgd2l0aGRyYXdhbCBpbiBoZWF2eSBzbW9r
ZXJzIG9uIGxvbmctZGlzdGFuY2UgJ25vIHNtb2tpbmcnIGZsaWdodHMuIFNtb2tpbmcgYWdhaW5z
dCB0aGUgcnVsZXMgaW4gdGhlIHRvaWxldHMsIGZvciBleGFtcGxlLCBjYW4gcHJlY2lwaXRhdGUg
YSBkaXN0dXJiYW5jZS4gDVByZXZlbnRpb24gC05pY290aW5lIGd1bSBtYXkgYmUgdXNlZnVsICdw
cm9waHlsYXhpcycuIFBhc3NlbmdlcnMgc2hvdWxkIGF2b2lkIGV4Y2Vzc2l2ZSBhbGNvaG9sIGNv
bnN1bXB0aW9uIGFuZCBkaXNjb3VyYWdpbmcgaGVhdnkgZHJpbmtpbmcgYnkgdGhlaXIgdHJhdmVs
bGluZyBjb21wYW5pb25zLiBBaXJsaW5lcyBoYXZlIHRoZSByaWdodCB0byByZWZ1c2UgdG8gY2Fy
cnkgdGhvc2Ugd2hvIGhhdmUgcHJldmlvdXNseSBjYXVzZWQgZGlzcnVwdGlvbiBvbiBhIGZsaWdo
dCAtIHdhcm5pbmdzIG1heSBiZSBpc3N1ZWQgKHRoZSBlcXVpdmFsZW50IG9mICd5ZWxsb3cvcmVk
IGNhcmQgc3lzdGVtIGFzIHVzZWQgYXQgZm9vdGJhbGwgbWF0Y2hlcykgDQ0NSmV0IExhZyANQ2hh
bmdlcyB0byBjaXJjYWRpYW4gcmh5dGhtcwtUaGVzZSByZWd1bGF0ZSBvdXIgc2xlZXAgcGF0dGVy
bnMsIG5lZWQgdGltZSB0byBhZGp1c3QgdG8gY2hhbmdlcyBpbiBsb2NhbCB0aW1lICh1c3VhbGx5
IGFib3V0IG9uZSBkYXkgcGVyIHRpbWUgem9uZSBjcm9zc2VkKS4gV2VzdHdhcmQgdHJhdmVsIG1h
eSBiZSBiZXR0ZXIgdG9sZXJhdGVkIHRoYW4gZWFzdHdhcmQgdHJhdmVsIGJ1dCBwcm9ibGVtcyBv
Y2N1ciB3aGVuIHRyYXZlbGxpbmcgaW4gYm90aCBkaXJlY3Rpb25zLiBUaGUgZWZmZWN0cyBvZiBq
ZXQgbGFnIGluY2x1ZGUgLSBzbGVlcCBkaXN0dXJiYW5jZSwgbG9zcyBvZiBhcHBldGl0ZSwgbmF1
c2VhIGFuZCBzb21ldGltZXMgdm9taXRpbmcsIGJvd2VsIGNoYW5nZXMgKGUuZy4gY29uc3RpcGF0
aW9uKSwgZ2VuZXJhbCBtYWxhaXNlLCB0aXJlZG5lc3MgYW5kIHBvb3IgY29uY2VudHJhdGlvbi4N
QSByZWxheGVkIGZsaWdodCBpcyBpbXBvcnRhbnQuIA1Bdm9pZCB0cmF2ZWxsaW5nIHdoZW4geW91
IGFyZSBhbHJlYWR5IHRpcmVkIGFuZCB0YWtlIHJlc3QgYmVmb3JlIGRlcGFydHVyZS4gDVJlbWVt
YmVyIHRoZSBhY3R1YWwgaG9tZSB0byBkZXN0aW5hdGlvbiB0cmF2ZWxsaW5nIHRpbWUgd2lsbCB1
c3VhbGx5IGJlIGF0IGxlYXN0IHR3aWNlIHRoZSBhY3R1YWwgdGltZSBzcGVudCBpbiB0aGUgYWly
IHNpbmNlIGl0IHdpbGwgaW5jbHVkZSB3YWl0aW5nIGluIGFpcnBvcnRzIGFuZCBvZnRlbiB1bmV4
cGVjdGVkIGRlbGF5cy4gDUJyZWFraW5nIHZlcnkgbG9uZyBqb3VybmV5cyBoYWxmd2F5IHdpdGgg
YSBzdG9wb3ZlciBjYW4gYmUgaGVscGZ1bC4gDU9uIHRoZSBmbGlnaHQgZ2V0IG1heGltdW0gc2xl
ZXAuIA1TdHJldGNoIGFuZCBleGVyY2lzZSBhcyBtdWNoIGFzIHBvc3NpYmxlIHRvIGFpZCBjaXJj
dWxhdGlvbiBhbmQgcHJldmVudCBzd29sbGVuIGFua2xlcy4gDURyaW5rIHBsZW50eSBvZiB3YXRl
ciBvciBzb2Z0IGRyaW5rcyBhbmQgcmVtZW1iZXIgYWxjb2hvbCBpbiBzcGlyaXRzIGFuZCB3aW5l
IGFuZCBhbHNvIGNhZmZlaW5lIGluY3JlYXNlIGRlaHlkcmF0aW9uIChjYWZmZWluZSBpcyBwcmVz
ZW50IGluIGNvZmZlZSwgdGVhLCBjaG9jb2xhdGUsIENvY2EgYW5kIFBlcHNpIENvbGEpLiANSmV0
IGxhZyBpcyBtYWRlIHdvcnNlIGJ5IGEgaGFuZ292ZXIhIA1Bdm9pZCBoZWF2eSBjb21taXRtZW50
cyBvbiB0aGUgZmlyc3QgZGF5LiBCZSBwcmVwYXJlZCBmb3IgdGlyZWRuZXNzIGluIHRoZSBldmVu
aW5ncyBhbmQgZWFybHkgd2FraW5nIHdoaWNoIGNhbiBsYXN0IHVwIHRvIDUgb3IgbW9yZSBkYXlz
LiANQWZ0ZXIgYXJycml2YWwgaHlwbm90aWNzIChzbGVlcGluZyB0YWJsZXRzKSBzdWNoIGFzIHRl
bWF6ZXBhbSBoYXZlIGJlZW4gc2hvd24gdG8gaGVscCBhbmQgY29ycmVzcG9uZGluZ2x5IGFsZXJ0
bmVzcyBkdXJpbmcgdGhlIGZvbGxvd2luZyBkYXkuIFRoZXkgZG8gbm90IHNwZWVkIHVwIGFkanVz
dG1lbnQgdGhlIG5ldyB0aW1lIHpvbmUgYW5kIHRoZXJlZm9yZSBtYXkgbmVlZCB0byBiZSB1c2Vk
IGZvciBzZXZlcmFsIG5pZ2h0cy4gDVNvbWUgdHJhdmVsbGVycyBmaW5kIHRha2luZyByZWd1bGFy
IG1lbGF0b25pbiBoZWxwZnVsLiBJdCBtYXkgaGVscCB0aGUgYm9keSB0byBhZGp1c3QgaXRzIGNp
cmNhZGlhbiByaHl0aG1zIGJ1dCBpdHMgZWZmZWN0IGlzIHNjaWVudGlmaWNhbGx5IHVucHJvdmVu
LiBJdCBpcyBub3QgcmVhZGlseSBhdmFpbGFibGUgaW4gQnJpdGFpbiBidXQgY2FuIGJlIHB1cmNo
YXNlZCBpbiBzb21lIGNvdW50cmllcyBzdWNoIGFzIFVTQSBhbmQgSG9uZyBLb25nIGZyb20gaGVh
bHRoIGZvb2Qgc2hvcHMgb3IgcGhhcm1hY2llcy4gDQ0NQWlybGluZSByZXN0cmljdGlvbnMgb24g
Zmx5aW5nDUFpcmxpbmVzIG1heSBub3QgYWxsb3cgcGFzc2VuZ2VycyB3aXRoIHRoZSBmb2xsb3dp
bmcgY29uZGl0aW9ucyB0byBmbHkuDVByZWduYW5jeSBiZXlvbmQgMzYgd2Vla3MuIA1OZW9uYXRl
cyBkdXJpbmcgdGhlIGZpcnN0IGZldyBkYXlzIGFmdGVyIGJpcnRoIChsb25nZXIgYWZ0ZXIgcHJl
bWF0dXJlIGJpcnRocykuIA1SZWNlbnQgb3IgY3VycmVudCBtaWRkbGUgZWFyIGluZmVjdGlvbnMg
b3Igc2ludXNpdGlzLiANVW5zdGFibGUgcHN5Y2hpYXRyaWMgaWxsbmVzcy4gDVVuc3RhYmxlIGVw
aWxlcHN5LiANUHJldmlvdXNseSBkb2N1bWVudGVkIGFpciByYWdlIG9yIGEgcmVjb3JkIG9mIHBy
ZXZpb3VzbHkgY2F1c2luZyBkaXNydXB0aW9uIGR1cmluZyBmbGlnaHRzIChzb21lIGFpcmxpbmVz
IHVzZSBhICd5ZWxsb3cgY2FyZCcgd2FybmluZyBzeXN0ZW0pLiANUmVjZW50IG15b2NhcmRpYWwg
aW5mYXJjdGlvbi4gDU1vZGVyYXRlL3NldmVyZSBoZWFydCBmYWlsdXJlLiANTW9kZXJhdGUvc2V2
ZXJlIGh5cG94aWMgcHVsbW9uYXJ5IGRpc2Vhc2UuIA1SZWNlbnQgY2hlc3QsIGludHJhY3Jhbmlh
bCBvciBhYmRvbWluYWwgc3VyZ2VyeS4gDVJlY2VudCBwbnVlbW90aG9yYXguIA1UaGUgcHJlc2Vu
Y2Ugb2YgYW4gaW5mZWN0aW9uIHdoaWNoIG1heSBiZSB0cmFuc21pdHRlZCB0byBvdGhlcnMgaW4g
dGhlIGFpcmNyYWZ0LiANQWlybGluZXMnIHJlZ3VsYXRpb25zIG1heSB2YXJ5IHNvIGlmIGluIGRv
dWJ0IGFkdmljZSBzaG91bGQgYmUgc291Z2h0IGZyb20gdGhlIG1lZGljYWwgZGVwYXJ0bWVudCBv
ZiB0aGUgYWlybGluZSBjb25jZXJuZWQuIEZyZXF1ZW50bHkgYSBtZWRpY2FsIG9waW5pb24gb24g
J2luZmVjdGl2aXR5JyB3aWxsIGJlIHNvdWdodCAtIGZvciBleGFtcGxlIHdoZXRoZXIgYSB0cmF2
ZWxsZXIgd2l0aCBjaGlja2VucG94IGhhcyBwYXNzZWQgdGhlIHN0YWdlIG9mIGJlaW5nIGxpa2Vs
eSB0byB0cmFuc21pdCB0aGUgaW5mZWN0aW9uIHRvIG90aGVycy4gDQ1TZWN1cml0eSBpbiBBaXJj
cmFmdKAgDU5vbmUgb2YgdGhlIGZvbGxvd2luZyBhcmUgYWxsb3dlZCBpbiBCcml0aXNoIEFpcndh
eXMgYWlyY3JhZnQgY2FiaW5zIChzaW1pbGFyIHJlZ3VsYXRpb25zIGFyZSBsaWtlbHkgdG8gYmUg
aW50cm9kdWNlZCBieSBvdGhlciBhaXJsaW5lcykuDVRveSBvciByZXBsaWNhIGd1bnMgKHBsYXN0
aWMgb3IgbWV0YWwpIA1Ib3VzZWhvbGQgY3V0bGVyeSANS25pdmVzIHdpdGggYmxhZGVzIG9mIGFu
eSBsZW5ndGggKGluY2x1ZGluZyBzdGVlbCBuYWlsIGZpbGVzKSANUGFwZXIga25pdmVzIA1SYXpv
ciBibGFkZXMgDVRyYWRlc21lbpJzIHRvb2xzIA1EYXJ0cyANU2Npc3NvcnMgb2YgYW55IHNpemUg
DUh5cG9kZXJtaWMgc3lyaW5nZXMgKiANS25pdHRpbmcgbmVlZGxlcyANU3BvcnRpbmcgYmF0cyAo
aW5jbHVkaW5nIHJhY2tldHMsIGNyaWNrZXQgYmF0cyBhbmQgZ29sZiBjbHVicykgDUJpbGxpYXJk
LCBzbm9va2VyLCBvciBwb29sIGN1ZXMgDUNhdGFwdWx0cyANQ29ya3NjcmV3cyB3aXRoIGJsYWRl
cyBhdHRhY2hlZCANKiAgQ3VzdG9tZXJzIHdobyByZXF1aXJlIHRoZSB1c2Ugb2YgaHlwb2Rlcm1p
YyBuZWVkbGVzIGZvciBtZWRpY2FsIHJlYXNvbnMgKGZvciBleGFtcGxlLCBkaWFiZXRpY3MgYW5k
IGN1c3RvbWVycyB3aXRoIGFsbGVyZ2llcyksIHdpbGwgYmUgYXNrZWQgZm9yIHByb29mIG9mIG1l
ZGljYWwgbmVlZC4gIFBsZWFzZSBiZSBhZHZpc2VkIHRoYXQgY3VzdG9tZXJzIGNhcnJ5aW5nIGFu
eSBvZiB0aGUgYWJvdmUgaXRlbXMgKHdpdGggdGhlIGV4Y2VwdGlvbiBvZiBoeXBvZGVybWljIG5l
ZWRsZXMpIHdpbGwgYmUgYXNrZWQgdG8gcGxhY2UgaXQgaW4gdGhlaXIgaG9sZCBiYWdnYWdlLiAg
oEN1c3RvbWVycyBjYXJyeWluZyBoYW5kIGJhZ2dhZ2Ugb25seSB3aWxsIGJlIGFza2VkIHRvIHN1
cnJlbmRlciB0aGUgaXRlbSBmb3IgZGlzcG9zYWwgYnkgQnJpdGlzaCBBaXJ3YXlzLiANRnVydGhl
ciBhZHZpY2UgbWF5IGJlIGF2YWlsYWJsZSBmcm9tIHRoZSBhaXJsaW5lcyBjb25jZXJuZWQgb3Ig
ZnJvbSATIEhZUEVSTElOSyAiaHR0cDovL3d3dy5icml0aXNoYWlyd2F5cy5jb20iIBRCcml0aXNo
IEFpcndheXMVLiANDUFsdGl0dWRlIHNpY2tuZXNzIGluIGZsaWdodHMgYW5kIGFmdGVyIGxhbmRp
bmcgYXQgaGlnaCBhbHRpdHVkZXMNSGlnaCBhbHRpdHVkZSBpcyBnZW5lcmFsbHkgY29uc2lkZXJl
ZCB0byBiZSBmcm9tIDI0MDAgbWV0cmVzICg4MDAwIGZlZXQpLiBBaXJjcmFmdCBjYWJpbnMgYXJl
IG1haW50YWluZWQgYXQgYSBwcmVzc3VyZSBhcHByb3hpbWF0ZWx5IGVxdWl2YWxlbnQgdG8gYmV0
d2VlbiAxODAwLTI0MDAgbWV0cmVzIGFuZCBzbyBhbHRpdHVkZSBzaWNrbmVzcyBzeW1wdG9tcyBh
cmUgbm90IHVzdWFsIGR1cmluZyBmbGlnaHRzLg1BIGZldyBhaXJwb3J0cyBhcmUgc2l0ZWQgYWJv
dmUgMjQwMCBtZXRyZXMsIGZvciBleGFtcGxlLCBpbiB0aGUgQW5kZXMgYW5kIEhpbWFsYXlhcyAt
IGhlYWx0aHkgcGVvcGxlIGNhbiB0aGVuIGRldmVsb3Agc3ltcHRvbXMgYWZ0ZXIgYXJyaXZhbCAo
aGVhZGFjaGUsIG5hdXNlYSwgYnJlYXRoaW5nIGRpZmZpY3VsdHksIG1lbnRhbCBjb25mdXNpb24p
LiANVGhvc2Ugd2l0aCBwcmUtZXhpc3RpbmcgcmVzcGlyYXRvcnkgb3IgY2FyZGlhYyBwcm9ibGVt
cyBtYXkgYmUgbW9yZSBsaWtlbHkgdG8gZXhwZXJpZW5jZSBzeW1wdG9tcyBkdXJpbmcgb3IgYWZ0
ZXIgZmxpZ2h0cy4gQmVpbmcgYXdhcmUgdGhhdCB0aGV5IG1heSBiZSBkdWUgdG8gYWx0aXR1ZGUg
Y2FuIGJlIGhlbHBmdWwuIERlaHlkcmF0aW9uIG1heSBtYWtlIHN5bXB0b21zIHdvcnNlIGFzIG1h
eSBzdHJlbnVvdXMgZXhlcnRpb24uDVRob3NlIHdpdGggc2VyaW91cyBwcmUtZXhpc3RpbmcgaHlw
b3hpYyByZXNwaXJhdG9yeSBkaXNlYXNlIG1heSBuZWVkIHRvIHNlZWsgc3BlY2lhbGlzdCBhZHZp
Y2UgYmVmb3JlIHBsYW5uaW5nIGFpciBmbGlnaHRzIGFuZCBzb21ldGltZXMgcmVxdWVzdCwgaW4g
YWR2YW5jZSwgc3VwcGxlbWVudGFyeSBveHlnZW4gc3VwcGxpZXMgaW4gZmxpZ2h0IG9yIGFmdGVy
IGFycml2YWwuIEFuIGVzdGltYXRlIG9mIHRoZSBkZWdyZWUgb2YgaHlwb3hpYSBvY2N1cnJpbmcg
b24gZXhlcmNpc2UgbWF5IGJlIGFibGUgdG8gcHJlZGljdCB3aGV0aGVyIHRoZXkgd2lsbCBleHBl
cmllbmNlIHByb2JsZW1zDQ0NAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAABgAAMAgAADEIAAByCAAAcwgAAHQIAACnCAAAqAgAAEQJ
AABlCQAAfQwAAL8MAABuDQAAug0AAPAOAAA2DwAAgxAAAJUQAADAEAAAwRAAAPcQAAD4EAAAIBEA
AO/a78Lar9rvm++b75vvm++D72lTaToAADAVaDMNJQAWaDMNJQAwShIANQiBNgiBQ0oWAE9KAgBR
SgIAXAiBXQiBXkoCAGFKFgAAKhVoMw0lABZoMw0lADBKEQA1CIFDShYAT0oCAFFKAgBcCIFeSgIA
YUoWAAAzA2oAAAAAFWgzDSUAFmgzDSUAMEoRADUIgUNKFgBPSgIAUUoCAFUIAVwIgV5KAgBhShYA
LxVoMw0lABZoMw0lADUIgUIqDENKFgBPSgIAUUoCAFwIgV5KAgBhShYAcGgxAGMAJhVoMw0lABZo
Mw0lADYIgUNKFgBPSgIAUUoCAF0IgV5KAgBhShYAACQVaDMNJQAWaDMNJQAwShIAQ0oWAE9KAgBR
SgIAXkoCAGFKFgAALwIIgQNqAAAAAAYIARVoMw0lABZoMw0lAENKFgBPSgIAUUoCAFUIAV5KAgBh
ShYAKQNqAAAAABVoMw0lABZoMw0lAENKFgBPSgIAUUoCAFUIAV5KAgBhShYAIBVoMw0lABZoMw0l
AENKFgBPSgIAUUoCAF5KAgBhShYAFgAGAACpCAAARAkAAGYJAAC4CgAAfQwAAMAMAABuDQAAuw0A
APAOAAA3DwAAgRAAAIIQAACWEAAAmBAAAGURAAD3AAAAAAAAAAAAAAAA9wAAAAAAAAAAAAAAAPIA
AAAAAAAAAAAAAADjAAAAAAAAAAAAAAAA1AAAAAAAAAAAAAAAAPIAAAAAAAAAAAAAAADFAAAAAAAA
AAAAAAAA8gAAAAAAAAAAAAAAALYAAAAAAAAAAAAAAACxAAAAAAAAAAAAAAAAogAAAAAAAAAAAAAA
AJYAAAAAAAAAAAAAAACOAAAAAAAAAAAAAAAAjgAAAAAAAAAAAAAAAI4AAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAcPAAMkAWEkAWdkMw0lAAALAAATpGQAFKRkAFskAVwkAWdk
Mw0lAA8AAAomAAtGBQATpGQAFKRkAFskAVwkAWdkMw0lAAAEAwBnZDMNJQAPAAAKJgALRgQAE6Rk
ABSkZABbJAFcJAFnZDMNJQAPAAAKJgALRgMAE6RkABSkZABbJAFcJAFnZDMNJQAPAAAKJgALRgIA
E6RkABSkZABbJAFcJAFnZDMNJQAPAAAKJgALRgEAE6RkABSkZABbJAFcJAFnZDMNJQAABAEAZ2Qz
DSUAAAcBAAMkAWEkAWdkMw0lAAAPAAYAAMJBAAD9AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAEBAABAQEgEQAAIREAAGURAABwEQAAFBQAADoUAADTGAAA1BgAAEEZAABC
GQAAWxkAAFwZAACaGQAAtRkAANUZAADxGQAAfRoAAJkaAAB0HAAAkBwAAHYeAACCHgAA/x8AABcg
AAAFIQAAEyEAAB0jAABNIwAATyMAAOXUwNSo1JPUk4CT1GrUatRq1MDUwNTA1FLUwNQAAAAAAAAA
AAAAAAAAAAAAAAAAAC8VaDMNJQAWaDMNJQA1CIFCKgxDShYAT0oCAFFKAgBcCIFeSgIAYUoWAHBo
MQBjACoVaDMNJQAWaDMNJQAwShAANgiBQ0oWAE9KAgBRSgIAXQiBXkoCAGFKFgAAJBVoMw0lABZo
Mw0lADBKEgBDShYAT0oCAFFKAgBeSgIAYUoWAAApA2oAAAAAFWgzDSUAFmgzDSUAQ0oWAE9KAgBR
SgIAVQgBXkoCAGFKFgAvFWgzDSUAFmgzDSUANQiBQioBQ0oWAE9KAgBRSgIAXAiBXkoCAGFKFgBw
aAAAAAAmFWgzDSUAFmgzDSUANQiBQ0oWAE9KAgBRSgIAXAiBXkoCAGFKFgAAIBVoMw0lABZoMw0l
AENKFgBPSgIAUUoCAF5KAgBhShYAADMDagAAAAAVaDMNJQAWaDMNJQAwShEANQiBQ0oWAE9KAgBR
SgIAVQgBXAiBXkoCAGFKFgAAHGURAAC+EgAAFBQAAFYWAADPFgAAQRcAALAXAADmFwAAAhgAADIY
AABOGAAAjxgAAJ8YAABfGQAAdBwAAHYeAAD/HwAAAyEAAAQhAAAFIQAAFCEAAPoAAAAAAAAAAAAA
AAD6AAAAAAAAAAAAAAAA+gAAAAAAAAAAAAAAAPoAAAAAAAAAAAAAAADnAAAAAAAAAAAAAAAA5wAA
AAAAAAAAAAAAAOcAAAAAAAAAAAAAAADUAAAAAAAAAAAAAAAA1AAAAAAAAAAAAAAAANQAAAAAAAAA
AAAAAADUAAAAAAAAAAAAAAAA1AAAAAAAAAAAAAAAANQAAAAAAAAAAAAAAAD6AAAAAAAAAAAAAAAA
+gAAAAAAAAAAAAAAAMEAAAAAAAAAAAAAAADBAAAAAAAAAAAAAAAAtQAAAAAAAAAAAAAAALUAAAAA
AAAAAAAAAACtAAAAAAAAAAAAAAAAAAAABw8AAyQBYSQBZ2QzDSUAAAsAABOkZAAUpGQAWyQBXCQB
Z2QzDSUAEwAACiYAC0YIAA+EoAUTpGQAFKRkAFskAVwkAV6EoAVnZDMNJQATAAAKJgALRgcAD4Sg
BROkZAAUpGQAWyQBXCQBXoSgBWdkMw0lABMAAAomAAtGBgAPhKAFE6RkABSkZABbJAFcJAFehKAF
Z2QzDSUAAAQPAGdkMw0lAAAUFCEAAAwiAAAdIwAATyMAAM8jAAAvJAAAcCQAANUkAADGJQAAqyYA
ANYmAAArJwAARygAAEgoAABJKAAAUigAAP8pAABgLAAA0S0AANItAADTLQAA3C0AAKcvAAD6AAAA
AAAAAAAAAAAA+gAAAAAAAAAAAAAAAPoAAAAAAAAAAAAAAADnAAAAAAAAAAAAAAAA5wAAAAAAAAAA
AAAAAOcAAAAAAAAAAAAAAADnAAAAAAAAAAAAAAAA5wAAAAAAAAAAAAAAAPoAAAAAAAAAAAAAAAD6
AAAAAAAAAAAAAAAA1AAAAAAAAAAAAAAAANQAAAAAAAAAAAAAAADIAAAAAAAAAAAAAAAAyAAAAAAA
AAAAAAAAAMAAAAAAAAAAAAAAAAD6AAAAAAAAAAAAAAAA+gAAAAAAAAAAAAAAAPoAAAAAAAAAAAAA
AADIAAAAAAAAAAAAAAAAyAAAAAAAAAAAAAAAAMAAAAAAAAAAAAAAAAD6AAAAAAAAAAAAAAAAAAAA
AAAAAAcPAAMkAWEkAWdkMw0lAAALAAATpGQAFKRkAFskAVwkAWdkMw0lABMAAAomAAtGCgAPhKAF
E6RkABSkZABbJAFcJAFehKAFZ2QzDSUAEwAACiYAC0YJAA+EoAUTpGQAFKRkAFskAVwkAV6EoAVn
ZDMNJQAABA8AZ2QzDSUAABZPIwAAzSMAAM8jAAAtJAAALyQAAG4kAABwJAAA0yQAANUkAADEJQAA
xiUAAOIlAACrJgAA1CYAAKMnAACkJwAA0CcAANEnAADoJwAA6ScAAPUnAAD2JwAAJigAACcoAABC
KAAAQygAAEkoAABRKAAA/ykAABEqAABgLAAAaywAANMtAADbLQAA3C0AAPgtAACnLwAAxS8AAMcv
AAASMAAAFDAAANIwAADUMAAAFzEAABkxAAA5MQAAOzEAAJIxAACUMQAATjIAAFAyAAB0MgAAdjIA
AOrZ6tnq2erZ6tnF2cXZsNmwnbDZsNmwnbDZhdnF2cXZhdnF2erZ6tnq2erZ6tnq2erZ6tkAAC8V
aDMNJQAWaDMNJQA1CIFCKgxDShYAT0oCAFFKAgBcCIFeSgIAYUoWAHBoMQBjACQVaDMNJQAWaDMN
JQAwShIAQ0oWAE9KAgBRSgIAXkoCAGFKFgAAKQNqAAAAABVoMw0lABZoMw0lAENKFgBPSgIAUUoC
AFUIAV5KAgBhShYAJhVoMw0lABZoMw0lADUIgUNKFgBPSgIAUUoCAFwIgV5KAgBhShYAACAVaDMN
JQAWaDMNJQBDShYAT0oCAFFKAgBeSgIAYUoWAAApFWgzDSUAFmgzDSUAQioBQ0oWAE9KAgBRSgIA
XkoCAGFKFgBwaAAAAAAANKcvAADHLwAAFDAAANQwAAAZMQAAOzEAAJQxAABQMgAAdjIAAAEzAAD4
MwAAHjUAAB81AAAgNQAAPzUAAIc1AACjNQAA9DUAACs2AABKNgAAXjYAAO42AAANNwAA7AAAAAAA
AAAAAAAAAOwAAAAAAAAAAAAAAADsAAAAAAAAAAAAAAAA7AAAAAAAAAAAAAAAAOwAAAAAAAAAAAAA
AADsAAAAAAAAAAAAAAAA7AAAAAAAAAAAAAAAAOwAAAAAAAAAAAAAAADsAAAAAAAAAAAAAAAA7AAA
AAAAAAAAAAAAAOwAAAAAAAAAAAAAAADgAAAAAAAAAAAAAAAA4AAAAAAAAAAAAAAAANgAAAAAAAAA
AAAAAADTAAAAAAAAAAAAAAAAwAAAAAAAAAAAAAAAAMAAAAAAAAAAAAAAAADAAAAAAAAAAAAAAAAA
wAAAAAAAAAAAAAAAAMAAAAAAAAAAAAAAAADAAAAAAAAAAAAAAAAAwAAAAAAAAAAAAAAAAAAAAAAA
ABMAAAomAAtGDAAPhKAFE6RkABSkZABbJAFcJAFehKAFZ2QzDSUAAAQPAGdkMw0lAAAHDwADJAFh
JAFnZDMNJQAACwAAE6RkABSkZABbJAFcJAFnZDMNJQATAAAKJgALRgsAD4SgBROkZAAUpGQAWyQB
XCQBXoSgBWdkMw0lAAAWdjIAAP8yAAABMwAA9jMAAPgzAAAdNQAAIDUAAD41AAA/NQAAhjUAAIc1
AAChNQAAozUAAPI1AAD0NQAAKTYAACs2AABINgAASjYAAFw2AABeNgAA7DYAAO42AAALNwAADTcA
ACs3AAAtNwAAVzcAAFk3AACJNwAAizcAAJ83AAChNwAA8TcAACo5AAA+OQAAQDkAAEE5AADKOQAA
yzkAAPI5AADzOQAABToAAAY6AABEOgAARToAAFI6AABTOgAAYDoAAGE6AABzOgAAdDoAAHo6AAB7
OgAAkDoAAJE6AAClOgAA6tnq2erZwdmt2erZ6tnq2erZ6tnq2erZ6tnq2erZ6tnq2cHq2ZXZ6tnq
2erZ6tnq2erZ6tnq2eoAAAAAAAAAAAAAAAAAAC8VaDMNJQAWaDMNJQA1CIFCKgZDShYAT0oCAFFK
AgBcCIFeSgIAYUoWAHBo/wAAACYVaDMNJQAWaDMNJQA1CIFDShYAT0oCAFFKAgBcCIFeSgIAYUoW
AAAvFWgzDSUAFmgzDSUANQiBQioMQ0oWAE9KAgBRSgIAXAiBXkoCAGFKFgBwaDEAYwAgFWgzDSUA
FmgzDSUAQ0oWAE9KAgBRSgIAXkoCAGFKFgAAKRVoMw0lABZoMw0lAEIqAUNKFgBPSgIAUUoCAF5K
AgBhShYAcGgAAAAAADgNNwAALTcAAFk3AACLNwAAoTcAAPM3AAApOQAAKjkAAEE5AADLOQAA8zkA
AAY6AABFOgAAUzoAAGE6AAB0OgAAezoAAJE6AACoOgAAujoAAPo6AADsAAAAAAAAAAAAAAAA7AAA
AAAAAAAAAAAAAOwAAAAAAAAAAAAAAADsAAAAAAAAAAAAAAAA7AAAAAAAAAAAAAAAAOcAAAAAAAAA
AAAAAADbAAAAAAAAAAAAAAAA0wAAAAAAAAAAAAAAAMQAAAAAAAAAAAAAAACwAAAAAAAAAAAAAAAA
sAAAAAAAAAAAAAAAALAAAAAAAAAAAAAAAACwAAAAAAAAAAAAAAAAsAAAAAAAAAAAAAAAALAAAAAA
AAAAAAAAAACwAAAAAAAAAAAAAAAAsAAAAAAAAAAAAAAAALAAAAAAAAAAAAAAAACwAAAAAAAAAAAA
AAAAsAAAAAAAAAAAAAAAAAAAAAAAAAAAFAAACiYAC0YNAA6ESQEPhOsDEYTl/l2ESQFehOsDYITl
/mdkMw0lAAAOAAASZGgBAQATpGQAFKRkAFskAVwkAWdkMw0lAAAHDwADJAFhJAFnZDMNJQAACwAA
E6RkABSkZABbJAFcJAFnZDMNJQAABA8AZ2QzDSUAEwAACiYAC0YMAA+EoAUTpGQAFKRkAFskAVwk
AV6EoAVnZDMNJQAAFKU6AACnOgAAqDoAALk6AAC6OgAA+ToAAPo6AAAaOwAAGzsAACU7AAAmOwAA
RjsAAEc7AABJOwAA/DwAAP08AABBPQAAQj0AAG09AABuPQAAfT0AAH49AACAPQAAgj0AAMI9AADC
QQAA6djD2MPYw9jD2MPY6cPYw6nDqZapw9h+2AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAC8VaDMNJQAWaDMNJQA1CIFCKgxD
ShYAT0oCAFFKAgBcCIFeSgIAYUoWAHBoMQBjACQVaDMNJQAWaDMNJQAwShIAQ0oWAE9KAgBRSgIA
XkoCAGFKFgAAMgNqAAAAABVoMw0lABZoMw0lAEIqAUNKFgBPSgIAUUoCAFUIAV5KAgBhShYAcGgA
AAAAACkVaDMNJQAWaDMNJQBCKgFDShYAT0oCAFFKAgBeSgIAYUoWAHBoAAAAACAVaDMNJQAWaDMN
JQBDShYAT0oCAFFKAgBeSgIAYUoWAAAsFWgzDSUAFmgzDSUANQiBQioBQ0oWAE9KAgBRSgIAXkoC
AGFKFgBwaAAAAAAZ+joAABs7AAAmOwAARzsAAP08AACBPQAAgj0AAMM9AACvPgAAeT8AAHBAAADA
QQAAwUEAAMJBAADrAAAAAAAAAAAAAAAA6wAAAAAAAAAAAAAAAOsAAAAAAAAAAAAAAADcAAAAAAAA
AAAAAAAA3AAAAAAAAAAAAAAAANAAAAAAAAAAAAAAAADIAAAAAAAAAAAAAAAAwwAAAAAAAAAAAAAA
AMMAAAAAAAAAAAAAAADDAAAAAAAAAAAAAAAAwwAAAAAAAAAAAAAAANAAAAAAAAAAAAAAAADBAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AQAAAAQPAGdkMw0lAAAHDwADJAFhJAFnZDMNJQAACwAAE6RkABSkZABbJAFcJAFnZDMNJQAADg8A
AyQDDoRLARJk8AAAAF2ESwFhJANnZDMNJQAUAAAKJgALRg0ADoRJAQ+E6wMRhOX+XYRJAV6E6wNg
hOX+Z2QzDSUAAA0sADGQaAEfsNAvILDgPSGwCAcisAgHI5CgBSSQoAUlsAAAF7DEAhiwxAIMkMQC
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAEUBAABEAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAANDJ6nn5us4RjIIAqgBLqQsCAAAAFwAAADQAAABoAHQAdABw
ADoALwAvAHcAdwB3AC4AdAByAGEAdgBhAHgALgBzAGMAbwB0AC4AbgBoAHMALgB1AGsALwByAGUA
ZwBpAHMAdABlAHIAZQBkAC8AaQBuAGQAZQB4ADIALgBhAHMAcAAAAODJ6nn5us4RjIIAqgBLqQto
AAAAaAB0AHQAcAA6AC8ALwB3AHcAdwAuAHQAcgBhAHYAYQB4AC4AcwBjAG8AdAAuAG4AaABzAC4A
dQBrAC8AcgBlAGcAaQBzAHQAZQByAGUAZAAvAGkAbgBkAGUAeAAyAC4AYQBzAHAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAUABMAEgABAJwADwADAAAAAAAAAAAAQAAAQPH/AgBAAAwAAAAAAAAAAAAGAE4AbwByAG0AYQBs
AAAAAgAAABgAQ0oYAF9IAQRhShgAbUgJBHNICQR0SAkEUgABQAEAEgBSAAwAAAAzDSUAAAAJAEgA
ZQBhAGQAaQBuAGcAIAAxAAAAEwABABOkZAAUpGQAQCYAWyQBXCQBABIANQiBQ0owAEtIJABcCIFh
SjAAAABOAANAAQAyAE4ADAAAADMNJQAAAAkASABlAGEAZABpAG4AZwAgADMAAAATAAMAE6RkABSk
ZABAJgJbJAFcJAEADgA1CIFDShsAXAiBYUobAAAAAAAAAAAAAAAAAEQAQUDy/6EARAAMAQAAAAAA
AAAAFgBEAGUAZgBhAHUAbAB0ACAAUABhAHIAYQBnAHIAYQBwAGgAIABGAG8AbgB0AAAAAABSAGkA
8/+zAFIADAEAAAAAAAAAAAwAVABhAGIAbABlACAATgBvAHIAbQBhAGwAAAAcABf2AwAANNYGAAEK
A2wANNYGAAEFAwAAYfYDAAACAAsAAAAoAGsA9P/BACgAAAEAAAAAAAAAAAcATgBvACAATABpAHMA
dAAAAAIAAAAAAAAAQgBeQAEA8gBCAAwAAAAzDSUAAAAMAE4AbwByAG0AYQBsACAAKABXAGUAYgAp
AAAAEAAPABOkZAAUpGQAWyQBXCQBAAAqAFdAogABASoADAAAADMNJQAAAAYAUwB0AHIAbwBuAGcA
AAAGADUIgVwIgS4AWECiABEBLgAMAAAAMw0lAAAACABFAG0AcABoAGEAcwBpAHMAAAAGADYIgV0I
gTQAVUCiACEBNAAMAAAAMw0lAAAACQBIAHkAcABlAHIAbABpAG4AawAAAAkAPioBcGgAAP8AAAAA
AADCOQAABwAAWgAAAAD/////AAAAAKkAAABEAQAAZgEAALgCAAB9BAAAwAQAAG4FAAC7BQAA8AYA
ADcHAACBCAAAgggAAJYIAACYCAAAZQkAAL4KAAAUDAAAVg4AAM8OAABBDwAAsA8AAOYPAAACEAAA
MhAAAE4QAACPEAAAnxAAAF8RAAB0FAAAdhYAAP8XAAADGQAABBkAAAUZAAAUGQAADBoAAB0bAABP
GwAAzxsAAC8cAABwHAAA1RwAAMYdAACrHgAA1h4AACsfAABHIAAASCAAAEkgAABSIAAA/yEAAGAk
AADRJQAA0iUAANMlAADcJQAApycAAMcnAAAUKAAA1CgAABkpAAA7KQAAlCkAAFAqAAB2KgAAASsA
APgrAAAeLQAAHy0AACAtAAA/LQAAhy0AAKMtAAD0LQAAKy4AAEouAABeLgAA7i4AAA0vAAAtLwAA
WS8AAIsvAAChLwAA8y8AACkxAAAqMQAAQTEAAMsxAADzMQAABjIAAEUyAABTMgAAYTIAAHQyAAB7
MgAAkTIAAKgyAAC6MgAA+jIAABszAAAmMwAARzMAAP00AACBNQAAgjUAAMM1AACvNgAAeTcAAHA4
AADAOQAAwTkAAMQ5AAAIAAAAATAAAAAAAAAAgAAAAIAAAAAAAAAAAAAACAAAAAEwAAAAAAAAAIAA
AACAAAAAcAAAAAAAAAgAAAABMAAAAAAAAACAAAAAgAAAAHAAAAAAAACYAAEgADAAAAAAAAAAgAAA
AIAAAAAAAAAAAAAAmAACIAAwAAAAAAAAAIAAAACAAAAAAAAAAAAAAAgAAAABMAAAAAAAAACAAAAA
gAAAAAAAAAAAAACYAAMgADAAAAAAAAAAgAAAAIAAAAAAAAAAAAAACAAAAAEwAAAAAAAAAIAAAACA
AAAAAAAAAAAAAJgABCAAMAAAAAAAAACAAAAAgAAAAAAAAAAAAAAoAAAAAzAAAAAAAAAAgAAAAIAA
AAAAAAAAAAAAmAAFIAAwAAAAAAAAAIAAAACAAAAAAAAAAAAAAJgAAAAAMAAAAAAAAACAAAAAgAAA
AAAAAAAAAACYAAAADzAAAAAAAAAAgAAAAIAAAAAIAAAAAAAAmAAAAA8wAAAAAAAAAIAAAACAAAAA
cAAAAAAAAJgAAAAPMAAAAAAAAACAAAAAgAAAAHAAAAAAAACYAAAADzAAAAAAAAAAgAAAAIAAAABw
AAAAAAAAmAAAAA8wAAAAAAAAAIAAAACAAAAAcAAAAAAAAJgAAAAPMAAAAAAAAACAAAAAgAAAAHAA
AAAAAACYAAAADzAAAAAAAAAAgAAAAIAAAABwAAAAAAAAmAAGIAAwAAAAAAAAAIAAAACAAAAAcAAA
AAAAAJgABiAAMAAAAAAAAACAAAAAgAAAAHAAAAAAAACYAAYgADAAAAAAAAAAgAAAAIAAAAAAAAAA
AAAAmAAHIAAwAAAAAAAAAIAAAACAAAAAcAAAAAAAAJgAByAAMAAAAAAAAACAAAAAgAAAAHAAAAAA
AACYAAcgADAAAAAAAAAAgAAAAIAAAACIAAAAAAAAmAAHIAAwAAAAAAAAAIAAAACAAAAAcAAAAAAA
AJgAByAAMAAAAAAAAACAAAAAgAAAAIgAAAAAAACYAAcgADAAAAAAAAAAgAAAAIAAAACIAAAAAAAA
mAAAAA8wAAAAAAAAAIAAAACAAAAAcAAAAAAAAJgAAAAPMAAAAAAAAACAAAAAgAAAAHAAAAAAAACY
AAggADAAAAAAAAAAgAAAAIAAAABwAAAAAAAAmAAIIAAwAAAAAAAAAIAAAACAAAAAcAAAAAAAAJgA
AAAAMAAAAAAAAACAAAAAgAAAAHAAAAAAAACYAAAAADAAAAAAAAAAgAAAAIAAAABwAAAAAAAAmAAA
AA8wAAAAAAAAAIAAAACAAAAAcAAAAAAAAJgAAAAPMAAAAAAAAACAAAAAgAAAAHAAAAAAAACYAAAA
DzAAAAAAAAAAgAAAAIAAAABwAAAAAAAAmAAAAA8wAAAAAAAAAIAAAACAAAAAcAAAAAAAAJgACSAA
MAAAAAAAAACAAAAAgAAAAHAAAAAAAACYAAkgADAAAAAAAAAAgAAAAIAAAABwAAAAAAAAmAAJIAAw
AAAAAAAAAIAAAACAAAAAiAAAAAAAAJgACSAAMAAAAAAAAACAAAAAgAAAAHAAAAAAAACYAAkgADAA
AAAAAAAAgAAAAIAAAAAYAAAAAAAAmAAAAA8wAAAAAAAAAIAAAACAAAAAcAAAAAAAAJgAAAAPMAAA
AAAAAACAAAAAgAAAAHAAAAAAAACYAAogADAAAAAAAAAAgAAAAIAAAABwAAAAAAAAmAAKIAAwAAAA
AAAAAIAAAACAAAAAcAAAAAAAAJgAAAAAMAAAAAAAAACAAAAAgAAAAHAAAAAAAACYAAAAADAAAAAA
AAAAgAAAAIAAAABwAAAAAAAAmAAAAA8wAAAAAAAAAIAAAACAAAAAAAAAAAAAAJgAAAAPMAAAAAAA
AACAAAAAgAAAAAAAAAAAAACYAAAADzAAAAAAAAAAgAAAAIAAAAAAAAAAAAAAmAAAAA8wAAAAAAAA
AIAAAACAAAAAcAAAAAAAAJgAAAAAMAAAAAAAAACAAAAAgAAAAHAAAAAAAACYAAAAADAAAAAAAAAA
gAAAAIAAAAAAAAAAAAAAmAAAAA8wAAAAAAAAAIAAAACAAAAAcAAAAAAAAJgAAAAPMAAAAAAAAACA
AAAAgAAAACAAAAAAAACYAAsgADAAAAAAAAAAgAAAAIAAAABwAAAAAAAAmAALIAAwAAAAAAAAAIAA
AACAAAAAcAAAAAAAAJgACyAAMAAAAAAAAACAAAAAgAAAAHAAAAAAAACYAAsgADAAAAAAAAAAgAAA
AIAAAABwAAAAAAAAmAALIAAwAAAAAAAAAIAAAACAAAAAcAAAAAAAAJgACyAAMAAAAAAAAACAAAAA
gAAAAHAAAAAAAACYAAsgADAAAAAAAAAAgAAAAIAAAABwAAAAAAAAmAALIAAwAAAAAAAAAIAAAACA
AAAAcAAAAAAAAJgACyAAMAAAAAAAAACAAAAAgAAAAHAAAAAAAACYAAsgADAAAAAAAAAAgAAAAIAA
AACIAAAAAAAAmAALIAAwAAAAAAAAAIAAAACAAAAAcAAAAAAAAJgAAAAAMAAAAAAAAACAAAAAgAAA
AIgAAAAAAACYAAAAADAAAAAAAAAAgAAAAIAAAAAAAAAAAAAAmAAAAA8wAAAAAAAAAIAAAACAAAAA
cAAAAAAAAJgAAAAPMAAAAAAAAACAAAAAgAAAAAAAAAAAAACYAAwgADAAAAAAAAAAgAAAAIAAAABw
AAAAAAAAmAAMIAAwAAAAAAAAAIAAAACAAAAAcAAAAAAAAJgADCAAMAAAAAAAAACAAAAAgAAAAHAA
AAAAAACYAAwgADAAAAAAAAAAgAAAAIAAAABwAAAAAAAAmAAMIAAwAAAAAAAAAIAAAACAAAAAiAAA
AAAAAJgADCAAMAAAAAAAAACAAAAAgAAAAIgAAAAAAACYAAwgADAAAAAAAAAAgAAAAIAAAAAoAAAA
AAAAmAAMIAAwAAAAAAAAAIAAAACAAAAAcAAAAAAAAJgADCAAMAAAAAAAAACAAAAAgAAAAHAAAAAA
AACYAAwgADAAAAAAAAAAgAAAAIAAAABwAAAAAAAAmAAMIAAwAAAAAAAAAIAAAACAAAAAcAAAAAAA
AJgADCAAMAAAAAAAAACAAAAAgAAAAHAAAAAAAACYAAAADzAAAAAAAAAAgAAAAIAAAABwAAAAAAAA
mAAAAAAwAAAAAAAAAIAAAACAAAAAiAAAAAAAAJgAAAAPMAAAAAAAAACAAAAAgAAAAHAAAAAAAACY
AAAAADAAAAAAAAAAgAAAAIAAAABwAAAAAAAAmAANIAAwAAAAAAAAAIAAAACAAAAAcAAAAAAAAJgA
DSAAMAAAAAAAAACAAAAAgAAAAIgAAAAAAACYAA0gADAAAAAAAAAAgAAAAIAAAACIAAAAAAAAmAAN
IAAwAAAAAAAAAIAAAACAAAAAiAAAAAAAAJgADSAAMAAAAAAAAACAAAAAgAAAAIgAAAAAAACYAA0g
ADAAAAAAAAAAgAAAAIAAAACIAAAAAAAAmAANIAAwAAAAAAAAAIAAAACAAAAAiAAAAAAAAJgADSAA
MAAAAAAAAACAAAAAgAAAAIgAAAAAAACYAA0gADAAAAAAAAAAgAAAAIAAAACIAAAAAAAAmAANIAAw
AAAAAAAAAIAAAACAAAAAcAAAAAAAAJgADSAAMAAAAAAAAACAAAAAgAAAAHAAAAAAAACYAA0gADAA
AAAAAAAAgAAAAIAAAABwAAAAAAAAmAANIAAwAAAAAAAAAIAAAACAAAAAcAAAAAAAAJgADSAAMAAA
AAAAAACAAAAAgAAAAHAAAAAAAACYAAAADzAAAAAAAAAAgAAAAIAAAABwAAAAAAAAmAAAAA8wAAAA
AAAAAIAAAACAAAAAAAAAAAAAAJgAAAAAMAAAAAAAAACAAAAAgAAAAHAAAAAAAACYAAAADzAAAAAA
AAAAgAAAAIAAAABwAAAAAAAAmAAAAA8wAAAAAAAAAIAAAACAAAAAMAAAAAAAAJgAAAAPMAAAAAAA
AACAAAAAgAAAAHAAAAAAAACYAAAADzAAAAAAAAAAgAAAAIAAAABwAAAAAAAAmAAAAA8wAAAAAAAA
AIAAAACAAAAAcAAAAAAAAJgAAAAAMAAAAAAAAACAAAAAgAAAAHAAAAAAAACYAAAAADAAAAAAAAAA
gAAAAIAAAABwAAAAAAAAAAAAAEQBAABmAQAAuAIAAH0EAADABAAAbgUAALsFAADwBgAANwcAAJYI
AACYCAAAZQkAAL4KAAAUDAAAVg4AAM8OAABBDwAAsA8AAOYPAAACEAAAMhAAAE4QAACPEAAAnxAA
AF8RAAB0FAAAdhYAAP8XAAADGQAAFBkAAAwaAAAdGwAATxsAAM8bAAAvHAAAcBwAANUcAADGHQAA
qx4AANYeAAArHwAARyAAAEggAABJIAAAUiAAAP8hAABgJAAA0SUAANwlAACnJwAAxycAABQoAADU
KAAAGSkAADspAACUKQAAUCoAAHYqAAABKwAA+CsAAB4tAAAfLQAAPy0AAIctAACjLQAA9C0AACsu
AABKLgAAXi4AAO4uAAANLwAALS8AAFkvAACLLwAAoS8AAPMvAAApMQAAQTEAAMsxAADzMQAABjIA
AEUyAABTMgAAYTIAAHQyAAB7MgAAkTIAAKgyAAC6MgAA+jIAABszAAAmMwAARzMAAP00AACBNQAA
wzUAAK82AAB5NwAAcDgAAMA5AADBOQAAxDkAAE95ATAAMAAAAAAAAAIAAAABAAAAAAAAAAAAKwdP
eQEwADAAAAAAAAACAAAAAQAAAAAAAAAAACsHT3kBMAAwAAAAAAAAAQAAAAEAAAAAwAAAAACbB095
ATACMAAAAAAAAAIAAAABAAAAAAAAAAAAKwdPeQEwADAAAAAAAAABAAAAAQAAAADAAAAAAJsHmkAA
AAAwAAAAAAAAAIAAAACAAAAAwAAAAAAAB5pAAAAAMAAAAAAAAACAAAAAgAAAAMAAAAAAAAeaQAAA
ADAAAAAAAAAAgAAAAIAAAADAAAAAAAAHmkAAAAAwAAAAAAAAAIAAAACAAAAAwAAAAAAAB095ATAA
MAAAAAAAAAIAAAABAAAAAAAAAAAAcgdPeQEwADAAAAAAAAABAAAAAQAAAAAAAAAAAJsHT3kBMAAw
AAAAAAAAAgAAAAEAAAAAAAAAAAByB095ATAAMAAAAAAAAAIAAAABAAAAAAAAAAAAcgdPeQEwADAA
AAAAAAACAAAAAQAAAAAAAAAAAHIHT3kBMAAwAAAAAAAAAgAAAAEAAAAAAAAAAAByB095ATAAMAAA
AAAAAAIAAAABAAAAAAAAAAAAcgdPeQEwADAAAAAAAAACAAAAAQAAAAAAAAAAAHIHT3kBMAAwAAAA
AAAAAgAAAAEAAAAAAAAAAAByB095ATAAMAAAAAAAAAIAAAABAAAAAAAAAAAAcgdPeQEwADAAAAAA
AAACAAAAAQAAAAAAAAAAAHIHT3kBMAAwAAAAAAAAAgAAAAEAAAAAAAAAAAByB095ATAAMAAAAAAA
AAIAAAABAAAAAAAAAAAAcgdPeQEwADAAAAAAAAACAAAAAQAAAAAAAAAAAHIHT3kBMAAwAAAAAAAA
AgAAAAEAAAAAAAAAAAAAB095ATAAMAAAAAAAAAIAAAABAAAAAAAAAAAAAAdPeQEwADAAAAAAAAAC
AAAAAQAAAAAAAAAAAAAHT3kBMAAwAAAAAAAAAgAAAAEAAAAAAAAAAAAAB095ATAAMAAAAAAAAAEA
AAABAAAAAAAAAAAAgAeaQAAAADAAAAAAAAAAgEcGAAAAAAAAAAAAAAAHT3kBMAAwAAAAAAAAAgAA
AAEAAAAAAAAAAADlB095ATABMAAAAAAAAAIAAAABAAAAAAAAAAAA5QdPeQEwADAAAAAAAAABAAAA
AQAAAAAAAAAAAJsHT3kBMAAwAAAAAAAAAgAAAAEAAAAAAAAAAADlB095ATAAMAAAAAAAAAIAAAAB
AAAAAAAAAAAA5QdPeQEwADAAAAAAAAACAAAAAQAAAAAAAAAAAOUHT3kBMAAwAAAAAAAAAgAAAAEA
AAAAAAAAAADlB095ATAAMAAAAAAAAAIAAAABAAAAAAAAAAAA5QdPeQEwADAAAAAAAAACAAAAAQAA
AAAAAAAAAOUHT3kBMAAwAAAAAAAAAgAAAAEAAAAAAAAAAADlB095ATAAMAAAAAAAAAIAAAABAAAA
AAAAAAAAgAdPeQEwADAAAAAAAAABAAAAAQAAAAAAAAAAAIAHmkAAAAAwAAAAAAAAAIAAAACAAAAA
AAAAAACAB5pAAAAAMAAAAAAAAACAAAAAgAAAAMAAAAAAAAeaQAAAADAAAAAAAAAAgAAAAIAAAADA
AAAAAAAHT3kBMAAwAAAAAAAAAgAAAAEAAAAAAAAAAADlB095ATAAMAAAAAAAAAIAAAABAAAAAAAA
AAAAgAdPeQEwADAAAAAAAAABAAAAAQAAAAAAAAAAAIAHmkAAAAAwAAAAAAAAAIAAAACAAAAAAAAA
AACAB095ATAAMAAAAAAAAAIAAAABAAAAAAAAAAAA5QdPeQEwATAAAAAAAAACAAAAAQAAAAAAAAAA
AOUHT3kBMAAwAAAAAAAAAQAAAAEAAAAAAAAAAACbB095ATAAMAAAAAAAAAIAAAABAAAAAAAAAAAA
5QdPeQEwADAAAAAAAAACAAAAAQAAAAAAAAAAAOUHT3kBMAAwAAAAAAAAAgAAAAEAAAAAAAAAAADl
B095ATAAMAAAAAAAAAIAAAABAAAAAAAAAAAA5QdPeQEwADAAAAAAAAACAAAAAQAAAAAAAAAAAOUH
T3kBMAAwAAAAAAAAAgAAAAEAAAAAAAAAAADlB095ATAAMAAAAAAAAAIAAAABAAAAAAAAAAAA5QdP
eQEwADAAAAAAAAACAAAAAQAAAAAAAAAAAIAHT3kBMAAwAAAAAAAAAQAAAAEAAAAAAAAAAACAB5pA
AAAAMAAAAAAAAACAAAAAgAAAAAAAAAAAAAeaQAAAADAAAAAAAAAAgAAAAIAAAADAAAAAAAAHT3kB
MAAwAAAAAAAAAgAAAAEAAAAAAAAAAADlB095ATABMAAAAAAAAAIAAAABAAAAAAAAAAAA5QdPeQEw
ADAAAAAAAAABAAAAAQAAAAAAAAAAAJsHT3kBMAAwAAAAAAAAAgAAAAEAAAAAAAAAAADlB095ATAA
MAAAAAAAAAIAAAABAAAAAAAAAAAA5QdPeQEwADAAAAAAAAACAAAAAQAAAAAAAAAAAOUHT3kBMAAw
AAAAAAAAAgAAAAEAAAAAAAAAAADlB095ATAAMAAAAAAAAAIAAAABAAAAAAAAAAAA5QdPeQEwADAA
AAAAAAACAAAAAQAAAAAAAAAAAOUHT3kBMAAwAAAAAAAAAgAAAAEAAAAAAAAAAADlB095ATAAMAAA
AAAAAAIAAAABAAAAAAAAAAAA5QdPeQEwADAAAAAAAAACAAAAAQAAAAAAAAAAAOUHT3kBMAAwAAAA
AAAAAgAAAAEAAAAAAAAAAACAB095ATAAMAAAAAAAAAEAAAABAAAAAAAAAAAAgAeaQAAAADAAAAAA
AAAAgAAAAIAAAAAAAAAAAIAHT3kBMAAwAAAAAAAAAgAAAAEAAAAAAAAAAADlB095ATABMAAAAAAA
AAIAAAABAAAAAAAAAAAA5QdPeQEwADAAAAAAAAABAAAAAQAAAAAAAAAAAJsHT3kBMAMwAAAAAAAA
AQAAAAEAAAAAAAAAAADlB095ATADMAAAAAAAAAEAAAABAAAAAAAAAAAA5QdPeQEwAzAAAAAAAAAB
AAAAAQAAAAAAAAAAAOUHT3kBMAMwAAAAAAAAAQAAAAEAAAAAAAAAAADlB095ATADMAAAAAAAAAEA
AAABAAAAAAAAAAAA5QdPeQEwAzAAAAAAAAABAAAAAQAAAAAAAAAAAOUHT3kBMAMwAAAAAAAAAQAA
AAEAAAAAAAAAAADlB095ATADMAAAAAAAAAEAAAABAAAAAAAAAAAA5QdPeQEwAzAAAAAAAAABAAAA
AQAAAAAAAAAAAOUHT3kBMAMwAAAAAAAAAQAAAAEAAAAAAAAAAADlB095ATADMAAAAAAAAAEAAAAB
AAAAAAAAAAAA5QdPeQEwAzAAAAAAAAABAAAAAQAAAAAAAAAAAOUHTXkBMAAwAAAAAAAAAgAAAAEA
AAAAAAAAAACAAU15ATAAMAAAAAAAAAEAAAABAAAAAAAAAAAAgAGYQAAAADAAAAAAAAAAgAAAAIAA
AAAAAAAAAIABT3kBMAAwAAAAAAAAAgAAAAEAAAAAAAAAAADlA015ATABMAAAAAAAAAEAAAABAAAA
AAAAAAAA5QNNeQEwADAAAAAAAAACAAAAAQAAAAAAAAAAAIABTXkBMAAwAAAAAAAAAQAAAAEAAAAA
AAAAAACAAZhAAAAAMAAAAAAAAACAAAAAgAAAAAAAAAAAgAGaQAAAADAAAAAAAAAAgAAAAIAAAADA
AAAAAAAHCgAAAAAwAAAAAAAAAAAAAAAAAAAAuAAAAAAABwAGAAAgEQAATyMAAHYyAAClOgAAwkEA
ACEAAAAkAAAAJwAAACkAAAArAAAAAAYAAGURAAAUIQAApy8AAA03AAD6OgAAwkEAACIAAAAlAAAA
JgAAACgAAAAqAAAALAAAAAAGAADCQQAAIwAAADAAAABzAAAApwAAAMAIAAD3CAAAIAkAANMQAABB
EQAAWxEAAKMfAADQHwAA6B8AAPUfAAAmIAAAQiAAAEE1AABtNQAAfTUAAMI5AAATWBT/FYQTWBT/
FYwTWBT/FYwTWBT/FYwTWBT/FYwTWBT/FYz//wQAAAAIAGkAbgBmAGwAaQBnAGgAdAAGAHIAZQBw
AG8AcgB0AAMAZAB2AHQACwByAGUAcwBwAGkAcgBhAHQAbwByAHkAgwgAAJgIAAAUDAAAdBQAAMQ5
AAAAAAAAAQAAAAIAAAADAAAAgwgAAJgIAAAUDAAAdBQAAMQ5AAD//wsAAAAGALDfEgAAAAEARAw+
AgYAsd8SAAEAAQDUpjYCBgCy3xIAAAABAEQOPgIGALPfEgABAAEAhA4+AgYAtN8SAAAAAQD06D0C
BgC13xIAAQABAEQPPgIGALbfEgAAAAEAxAw+AgYAt98SAAEAAQAEDz4CBgC43xIAAAABAJSRHQAG
ALnfEgAAAAEAxA4+AgYAut8SAAAAAQDUkR0AFxkAABcZAAAAHwAAAB8AAK4sAACuLAAA5SwAAOUs
AADtLAAA7zYAAPk2AADEOQAAAAAAAAIAAQAAAAIAAgAAAAIAAwAAAAIABAAAAAIABQAAAAIABgAA
AAIABwAAAAIACAAAAAEACQAAAAEACgAAAAEAHhkAAB4ZAAAKHwAACh8AALUsAAC1LAAA6CwAAOgs
AAD2LAAA9DYAAAI3AADEOQAAAAAAAAEAAAACAAAAAwAAAAQAAAAFAAAABgAAAAcAAAAIAAAACQAA
AAoAAAADAAAAOAAAAAgAAAAqgHVybjpzY2hlbWFzLW1pY3Jvc29mdC1jb206b2ZmaWNlOnNtYXJ0
dGFncwSAQ2l0eQCAQgAAAAoAAAAqgHVybjpzY2hlbWFzLW1pY3Jvc29mdC1jb206b2ZmaWNlOnNt
YXJ0dGFncw6AY291bnRyeS1yZWdpb24AgDkAAAALAAAAKoB1cm46c2NoZW1hcy1taWNyb3NvZnQt
Y29tOm9mZmljZTpzbWFydHRhZ3MFgHBsYWNlAIAMAAABAQAAAAAAAAALAAAAAAAKAAAAAAALAAAA
AAAIAAAAAAALAAAAAAAKAAAAAAALAAAAAAAKAAAAAAALAAAAAAALAAAAAAALAAAAAAAAAAAADAAA
ABIAAADsAAAA9QAAAN8BAADpAQAADQIAACACAAAyAgAAPwIAAG0CAABzAgAAwwMAAMwDAAC5BwAA
wAcAAAwIAAAWCAAAJQgAAC8IAAALDAAAEQwAAE4QAABXEAAAnxAAAKwQAABMEQAAUhEAAO0SAAD0
EgAAQBMAAEoTAABZEwAAYxMAAEEWAABLFgAALBsAADUbAADQHQAA2R0AABEeAAAaHgAAtx4AAMIe
AADWHgAA3x4AAEwfAABZHwAA1CIAAN0iAACLIwAAlSMAAPUkAAD/JAAAzSYAANcmAADNJwAA1ycA
ADwoAABGKAAABysAAA8rAAA1KwAAPisAAP0rAAAHLAAAki8AAJ4vAADEMAAAzTAAAPk1AAD/NQAA
aDYAAG42AADTNgAA2TYAAMQ5AAAHABwABwAcAAcAHAAHABwABwAcAAcAHAAHABwABwAcAAcAHAAH
ABwABwAcAAcAHAAHABwABwAcAAcAHAAHABwABwAcAAcAHAAHABwABwAcAAcAHAAHABwABwAcAAcA
HAAHABwABwAcAAcAHAAHABwABwAcAAcAHAAHABwABwAcAAcAHAAHABwABwAcAAcAHAAHABwABwAc
AAcAAAAAACoAAAAwAAAAkAYAAJIGAAAYGAAAJBgAANUcAAD5HAAARzMAAFMzAADEOQAABwAzAAcA
MwAHADMABwAzAAcAMwAHAAAAAABEAQAAZgEAAE0EAAB9BAAAvQYAAPAGAADmDwAAAhAAADIQAABO
EAAAjxAAAJ8QAACHLQAAoy0AACsuAABeLgAA7i4AAC0vAACLLwAAoS8AACoxAABBMQAA8zEAAAYy
AABFMgAAujIAAPoyAABHMwAAxDkAAAcABQAHAAUABwAFAAcABQAHAAUABwAFAAcABQAHAAUABwAF
AAcABQAHAAUABwAFAAcABQAHAAUABwAAAAAAxDkAAAcA//8CAAAAAwBzAGQAZQAAAA0A4SglDMZf
VPP/D/8P/w//D/8P/w//D/8P/w8AAAUtJQ8i0nyR/w//D/8P/w//D/8P/w//D/8PAACQb1ITMhYK
U/8P/w//D/8P/w//D/8P/w//DwAAYknAIgIX2AT/D/8P/w//D/8P/w//D/8P/w8AADxbUilQ0w6j
/w//D/8P/w//D/8P/w//D/8PAAClP+ApjvMY1v8P/w//D/8P/w//D/8P/w//DwAAtxaCMMyE+i7/
D/8P/w//D/8P/w//D/8P/w8AAKBNRDFu5Oht/w//D/8P/w//D/8P/w//D/8PAAA5D/A0nO8QfP8P
/w//D/8P/w//D/8P/w//DwAApAaHN5y3QNX/D/8P/w//D/8P/w//D/8P/w8AAK0Hsz56cghE/w//
D/8P/w//D/8P/w//D/8PAACkI25r7AU0Jv8P/w//D/8P/w//D/8P/w//DwAAt1M8dWDlANX/D/8P
/w//D/8P/w//D/8P/w8AAAEAAAAXAAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhNACEYSY/hXGBQAB
0AIGXoTQAmCEmP5DShQAT0oBAFFKAQBvKAABALfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgA
AA+EoAURhJj+FcYFAAGgBQZehKAFYISY/kNKFABPSgEAUUoBAG8oAAEAt/ABAAAAF4AAAAAAAAAA
AAAAAAAAAAAAAAAPGAAAD4RwCBGEmP4VxgUAAXAIBl6EcAhghJj+Q0oUAE9KAQBRSgEAbygAAQC3
8AEAAAAXgAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhEALEYSY/hXGBQABQAsGXoRAC2CEmP5DShQA
T0oBAFFKAQBvKAABALfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EEA4RhJj+FcYFAAEQ
DgZehBAOYISY/kNKFABPSgEAUUoBAG8oAAEAt/ABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAA
D4TgEBGEmP4VxgUAAeAQBl6E4BBghJj+Q0oUAE9KAQBRSgEAbygAAQC38AEAAAAXgAAAAAAAAAAA
AAAAAAAAAAAAAA8YAAAPhLATEYSY/hXGBQABsBMGXoSwE2CEmP5DShQAT0oBAFFKAQBvKAABALfw
AQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EgBYRhJj+FcYFAAGAFgZehIAWYISY/kNKFABP
SgEAUUoBAG8oAAEAt/ABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4RQGRGEmP4VxgUAAVAZ
Bl6EUBlghJj+Q0oUAE9KAQBRSgEAbygAAQC38AEAAAAXAAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAP
hNACEYSY/hXGBQAB0AIGXoTQAmCEmP5DShQAT0oBAFFKAQBvKAABALfwAQAAABeAAAAAAAAAAAAA
AAAAAAAAAAAADxgAAA+EoAURhJj+FcYFAAGgBQZehKAFYISY/kNKFABPSgMAUUoDAG8oAAEAbwAB
AAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4RwCBGEmP4VxgUAAXAIBl6EcAhghJj+Q0oUAE9K
BABRSgQAbygAAQCn8AEAAAAXgAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhEALEYSY/hXGBQABQAsG
XoRAC2CEmP5DShQAT0oEAFFKBABvKAABAKfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+E
EA4RhJj+FcYFAAEQDgZehBAOYISY/kNKFABPSgQAUUoEAG8oAAEAp/ABAAAAF4AAAAAAAAAAAAAA
AAAAAAAAAAAPGAAAD4TgEBGEmP4VxgUAAeAQBl6E4BBghJj+Q0oUAE9KBABRSgQAbygAAQCn8AEA
AAAXgAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhLATEYSY/hXGBQABsBMGXoSwE2CEmP5DShQAT0oE
AFFKBABvKAABAKfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EgBYRhJj+FcYFAAGAFgZe
hIAWYISY/kNKFABPSgQAUUoEAG8oAAEAp/ABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4RQ
GRGEmP4VxgUAAVAZBl6EUBlghJj+Q0oUAE9KBABRSgQAbygAAQCn8AEAAAAXAAAAAAAAAAAAAAAA
AAAAAAAAAA8YAAAPhNACEYSY/hXGBQAB0AIGXoTQAmCEmP5DShQAT0oBAFFKAQBvKAABALfwAQAA
ABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EoAURhJj+FcYFAAGgBQZehKAFYISY/kNKFABPSgMA
UUoDAG8oAAEAbwABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4RwCBGEmP4VxgUAAXAIBl6E
cAhghJj+Q0oUAE9KBABRSgQAbygAAQCn8AEAAAAXgAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhEAL
EYSY/hXGBQABQAsGXoRAC2CEmP5DShQAT0oEAFFKBABvKAABAKfwAQAAABeAAAAAAAAAAAAAAAAA
AAAAAAAADxgAAA+EEA4RhJj+FcYFAAEQDgZehBAOYISY/kNKFABPSgQAUUoEAG8oAAEAp/ABAAAA
F4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4TgEBGEmP4VxgUAAeAQBl6E4BBghJj+Q0oUAE9KBABR
SgQAbygAAQCn8AEAAAAXgAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhLATEYSY/hXGBQABsBMGXoSw
E2CEmP5DShQAT0oEAFFKBABvKAABAKfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EgBYR
hJj+FcYFAAGAFgZehIAWYISY/kNKFABPSgQAUUoEAG8oAAEAp/ABAAAAF4AAAAAAAAAAAAAAAAAA
AAAAAAAPGAAAD4RQGRGEmP4VxgUAAVAZBl6EUBlghJj+Q0oUAE9KBABRSgQAbygAAQCn8AEAAAAX
AAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhNACEYSY/hXGBQAB0AIGXoTQAmCEmP5DShQAT0oBAFFK
AQBvKAABALfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EoAURhJj+FcYFAAGgBQZehKAF
YISY/kNKFABPSgEAUUoBAG8oAAEAt/ABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4RwCBGE
mP4VxgUAAXAIBl6EcAhghJj+Q0oUAE9KAQBRSgEAbygAAQC38AEAAAAXgAAAAAAAAAAAAAAAAAAA
AAAAAA8YAAAPhEALEYSY/hXGBQABQAsGXoRAC2CEmP5DShQAT0oBAFFKAQBvKAABALfwAQAAABeA
AAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EEA4RhJj+FcYFAAEQDgZehBAOYISY/kNKFABPSgEAUUoB
AG8oAAEAt/ABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4TgEBGEmP4VxgUAAeAQBl6E4BBg
hJj+Q0oUAE9KAQBRSgEAbygAAQC38AEAAAAXgAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhLATEYSY
/hXGBQABsBMGXoSwE2CEmP5DShQAT0oBAFFKAQBvKAABALfwAQAAABeAAAAAAAAAAAAAAAAAAAAA
AAAADxgAAA+EgBYRhJj+FcYFAAGAFgZehIAWYISY/kNKFABPSgEAUUoBAG8oAAEAt/ABAAAAF4AA
AAAAAAAAAAAAAAAAAAAAAAAPGAAAD4RQGRGEmP4VxgUAAVAZBl6EUBlghJj+Q0oUAE9KAQBRSgEA
bygAAQC38AEAAAAXAAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhNACEYSY/hXGBQAB0AIGXoTQAmCE
mP5DShQAT0oBAFFKAQBvKAABALfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EoAURhJj+
FcYFAAGgBQZehKAFYISY/kNKFABPSgEAUUoBAG8oAAEAt/ABAAAAF4AAAAAAAAAAAAAAAAAAAAAA
AAAPGAAAD4RwCBGEmP4VxgUAAXAIBl6EcAhghJj+Q0oUAE9KAQBRSgEAbygAAQC38AEAAAAXgAAA
AAAAAAAAAAAAAAAAAAAAAA8YAAAPhEALEYSY/hXGBQABQAsGXoRAC2CEmP5DShQAT0oBAFFKAQBv
KAABALfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EEA4RhJj+FcYFAAEQDgZehBAOYISY
/kNKFABPSgEAUUoBAG8oAAEAt/ABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4TgEBGEmP4V
xgUAAeAQBl6E4BBghJj+Q0oUAE9KAQBRSgEAbygAAQC38AEAAAAXgAAAAAAAAAAAAAAAAAAAAAAA
AA8YAAAPhLATEYSY/hXGBQABsBMGXoSwE2CEmP5DShQAT0oBAFFKAQBvKAABALfwAQAAABeAAAAA
AAAAAAAAAAAAAAAAAAAADxgAAA+EgBYRhJj+FcYFAAGAFgZehIAWYISY/kNKFABPSgEAUUoBAG8o
AAEAt/ABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4RQGRGEmP4VxgUAAVAZBl6EUBlghJj+
Q0oUAE9KAQBRSgEAbygAAQC38AEAAAAXAAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhNACEYSY/hXG
BQAB0AIGXoTQAmCEmP5DShQAT0oBAFFKAQBvKAABALfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAA
DxgAAA+EoAURhJj+FcYFAAGgBQZehKAFYISY/kNKFABPSgMAUUoDAG8oAAEAbwABAAAAF4AAAAAA
AAAAAAAAAAAAAAAAAAAPGAAAD4RwCBGEmP4VxgUAAXAIBl6EcAhghJj+Q0oUAE9KBABRSgQAbygA
AQCn8AEAAAAXgAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhEALEYSY/hXGBQABQAsGXoRAC2CEmP5D
ShQAT0oEAFFKBABvKAABAKfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EEA4RhJj+FcYF
AAEQDgZehBAOYISY/kNKFABPSgQAUUoEAG8oAAEAp/ABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAP
GAAAD4TgEBGEmP4VxgUAAeAQBl6E4BBghJj+Q0oUAE9KBABRSgQAbygAAQCn8AEAAAAXgAAAAAAA
AAAAAAAAAAAAAAAAAA8YAAAPhLATEYSY/hXGBQABsBMGXoSwE2CEmP5DShQAT0oEAFFKBABvKAAB
AKfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EgBYRhJj+FcYFAAGAFgZehIAWYISY/kNK
FABPSgQAUUoEAG8oAAEAp/ABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4RQGRGEmP4VxgUA
AVAZBl6EUBlghJj+Q0oUAE9KBABRSgQAbygAAQCn8AEAAAAXAAAAAAAAAAAAAAAAAAAAAAAAAA8Y
AAAPhNACEYSY/hXGBQAB0AIGXoTQAmCEmP5DShQAT0oBAFFKAQBvKAABALfwAQAAABeAAAAAAAAA
AAAAAAAAAAAAAAAADxgAAA+EoAURhJj+FcYFAAGgBQZehKAFYISY/kNKFABPSgEAUUoBAG8oAAEA
t/ABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4RwCBGEmP4VxgUAAXAIBl6EcAhghJj+Q0oU
AE9KAQBRSgEAbygAAQC38AEAAAAXgAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhEALEYSY/hXGBQAB
QAsGXoRAC2CEmP5DShQAT0oBAFFKAQBvKAABALfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgA
AA+EEA4RhJj+FcYFAAEQDgZehBAOYISY/kNKFABPSgEAUUoBAG8oAAEAt/ABAAAAF4AAAAAAAAAA
AAAAAAAAAAAAAAAPGAAAD4TgEBGEmP4VxgUAAeAQBl6E4BBghJj+Q0oUAE9KAQBRSgEAbygAAQC3
8AEAAAAXgAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhLATEYSY/hXGBQABsBMGXoSwE2CEmP5DShQA
T0oBAFFKAQBvKAABALfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EgBYRhJj+FcYFAAGA
FgZehIAWYISY/kNKFABPSgEAUUoBAG8oAAEAt/ABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAA
D4RQGRGEmP4VxgUAAVAZBl6EUBlghJj+Q0oUAE9KAQBRSgEAbygAAQC38AEAAAAXAAAAAAAAAAAA
AAAAAAAAAAAAAA8YAAAPhNACEYSY/hXGBQAB0AIGXoTQAmCEmP5DShQAT0oBAFFKAQBvKAABALfw
AQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EoAURhJj+FcYFAAGgBQZehKAFYISY/kNKFABP
SgMAUUoDAG8oAAEAbwABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4RwCBGEmP4VxgUAAXAI
Bl6EcAhghJj+Q0oUAE9KBABRSgQAbygAAQCn8AEAAAAXgAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAP
hEALEYSY/hXGBQABQAsGXoRAC2CEmP5DShQAT0oEAFFKBABvKAABAKfwAQAAABeAAAAAAAAAAAAA
AAAAAAAAAAAADxgAAA+EEA4RhJj+FcYFAAEQDgZehBAOYISY/kNKFABPSgQAUUoEAG8oAAEAp/AB
AAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4TgEBGEmP4VxgUAAeAQBl6E4BBghJj+Q0oUAE9K
BABRSgQAbygAAQCn8AEAAAAXgAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhLATEYSY/hXGBQABsBMG
XoSwE2CEmP5DShQAT0oEAFFKBABvKAABAKfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+E
gBYRhJj+FcYFAAGAFgZehIAWYISY/kNKFABPSgQAUUoEAG8oAAEAp/ABAAAAF4AAAAAAAAAAAAAA
AAAAAAAAAAAPGAAAD4RQGRGEmP4VxgUAAVAZBl6EUBlghJj+Q0oUAE9KBABRSgQAbygAAQCn8AEA
AAAXAAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhNACEYSY/hXGBQAB0AIGXoTQAmCEmP5DShQAT0oB
AFFKAQBvKAABALfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EoAURhJj+FcYFAAGgBQZe
hKAFYISY/kNKFABPSgMAUUoDAG8oAAEAbwABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4Rw
CBGEmP4VxgUAAXAIBl6EcAhghJj+Q0oUAE9KBABRSgQAbygAAQCn8AEAAAAXgAAAAAAAAAAAAAAA
AAAAAAAAAA8YAAAPhEALEYSY/hXGBQABQAsGXoRAC2CEmP5DShQAT0oEAFFKBABvKAABAKfwAQAA
ABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EEA4RhJj+FcYFAAEQDgZehBAOYISY/kNKFABPSgQA
UUoEAG8oAAEAp/ABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4TgEBGEmP4VxgUAAeAQBl6E
4BBghJj+Q0oUAE9KBABRSgQAbygAAQCn8AEAAAAXgAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhLAT
EYSY/hXGBQABsBMGXoSwE2CEmP5DShQAT0oEAFFKBABvKAABAKfwAQAAABeAAAAAAAAAAAAAAAAA
AAAAAAAADxgAAA+EgBYRhJj+FcYFAAGAFgZehIAWYISY/kNKFABPSgQAUUoEAG8oAAEAp/ABAAAA
F4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4RQGRGEmP4VxgUAAVAZBl6EUBlghJj+Q0oUAE9KBABR
SgQAbygAAQCn8AEAAAAXAAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhNACEYSY/hXGBQAB0AIGXoTQ
AmCEmP5DShQAT0oBAFFKAQBvKAABALfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EoAUR
hJj+FcYFAAGgBQZehKAFYISY/kNKFABPSgMAUUoDAG8oAAEAbwABAAAAF4AAAAAAAAAAAAAAAAAA
AAAAAAAPGAAAD4RwCBGEmP4VxgUAAXAIBl6EcAhghJj+Q0oUAE9KBABRSgQAbygAAQCn8AEAAAAX
gAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhEALEYSY/hXGBQABQAsGXoRAC2CEmP5DShQAT0oEAFFK
BABvKAABAKfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EEA4RhJj+FcYFAAEQDgZehBAO
YISY/kNKFABPSgQAUUoEAG8oAAEAp/ABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4TgEBGE
mP4VxgUAAeAQBl6E4BBghJj+Q0oUAE9KBABRSgQAbygAAQCn8AEAAAAXgAAAAAAAAAAAAAAAAAAA
AAAAAA8YAAAPhLATEYSY/hXGBQABsBMGXoSwE2CEmP5DShQAT0oEAFFKBABvKAABAKfwAQAAABeA
AAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EgBYRhJj+FcYFAAGAFgZehIAWYISY/kNKFABPSgQAUUoE
AG8oAAEAp/ABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4RQGRGEmP4VxgUAAVAZBl6EUBlg
hJj+Q0oUAE9KBABRSgQAbygAAQCn8AEAAAAXAAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhNACEYSY
/hXGBQAB0AIGXoTQAmCEmP5DShQAT0oBAFFKAQBvKAABALfwAQAAABeAAAAAAAAAAAAAAAAAAAAA
AAAADxgAAA+EoAURhJj+FcYFAAGgBQZehKAFYISY/kNKFABPSgEAUUoBAG8oAAEAt/ABAAAAF4AA
AAAAAAAAAAAAAAAAAAAAAAAPGAAAD4RwCBGEmP4VxgUAAXAIBl6EcAhghJj+Q0oUAE9KAQBRSgEA
bygAAQC38AEAAAAXgAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhEALEYSY/hXGBQABQAsGXoRAC2CE
mP5DShQAT0oBAFFKAQBvKAABALfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EEA4RhJj+
FcYFAAEQDgZehBAOYISY/kNKFABPSgEAUUoBAG8oAAEAt/ABAAAAF4AAAAAAAAAAAAAAAAAAAAAA
AAAPGAAAD4TgEBGEmP4VxgUAAeAQBl6E4BBghJj+Q0oUAE9KAQBRSgEAbygAAQC38AEAAAAXgAAA
AAAAAAAAAAAAAAAAAAAAAA8YAAAPhLATEYSY/hXGBQABsBMGXoSwE2CEmP5DShQAT0oBAFFKAQBv
KAABALfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EgBYRhJj+FcYFAAGAFgZehIAWYISY
/kNKFABPSgEAUUoBAG8oAAEAt/ABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4RQGRGEmP4V
xgUAAVAZBl6EUBlghJj+Q0oUAE9KAQBRSgEAbygAAQC38AEAAAAXAAAAAAAAAAAAAAAAAAAAAAAA
AA8YAAAPhNACEYSY/hXGBQAB0AIGXoTQAmCEmP5DShQAT0oBAFFKAQBvKAABALfwAQAAABeAAAAA
AAAAAAAAAAAAAAAAAAAADxgAAA+EoAURhJj+FcYFAAGgBQZehKAFYISY/kNKFABPSgMAUUoDAG8o
AAEAbwABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4RwCBGEmP4VxgUAAXAIBl6EcAhghJj+
Q0oUAE9KBABRSgQAbygAAQCn8AEAAAAXgAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhEALEYSY/hXG
BQABQAsGXoRAC2CEmP5DShQAT0oEAFFKBABvKAABAKfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAA
DxgAAA+EEA4RhJj+FcYFAAEQDgZehBAOYISY/kNKFABPSgQAUUoEAG8oAAEAp/ABAAAAF4AAAAAA
AAAAAAAAAAAAAAAAAAAPGAAAD4TgEBGEmP4VxgUAAeAQBl6E4BBghJj+Q0oUAE9KBABRSgQAbygA
AQCn8AEAAAAXgAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhLATEYSY/hXGBQABsBMGXoSwE2CEmP5D
ShQAT0oEAFFKBABvKAABAKfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EgBYRhJj+FcYF
AAGAFgZehIAWYISY/kNKFABPSgQAUUoEAG8oAAEAp/ABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAP
GAAAD4RQGRGEmP4VxgUAAVAZBl6EUBlghJj+Q0oUAE9KBABRSgQAbygAAQCn8AEAAAAXAAAAAAAA
AAAAAAAAAAAAAAAAAA8YAAAPhNACEYSY/hXGBQAB0AIGXoTQAmCEmP5DShQAT0oBAFFKAQBvKAAB
ALfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgAAA+EoAURhJj+FcYFAAGgBQZehKAFYISY/kNK
FABPSgMAUUoDAG8oAAEAbwABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4RwCBGEmP4VxgUA
AXAIBl6EcAhghJj+Q0oUAE9KBABRSgQAbygAAQCn8AEAAAAXgAAAAAAAAAAAAAAAAAAAAAAAAA8Y
AAAPhEALEYSY/hXGBQABQAsGXoRAC2CEmP5DShQAT0oEAFFKBABvKAABAKfwAQAAABeAAAAAAAAA
AAAAAAAAAAAAAAAADxgAAA+EEA4RhJj+FcYFAAEQDgZehBAOYISY/kNKFABPSgQAUUoEAG8oAAEA
p/ABAAAAF4AAAAAAAAAAAAAAAAAAAAAAAAAPGAAAD4TgEBGEmP4VxgUAAeAQBl6E4BBghJj+Q0oU
AE9KBABRSgQAbygAAQCn8AEAAAAXgAAAAAAAAAAAAAAAAAAAAAAAAA8YAAAPhLATEYSY/hXGBQAB
sBMGXoSwE2CEmP5DShQAT0oEAFFKBABvKAABAKfwAQAAABeAAAAAAAAAAAAAAAAAAAAAAAAADxgA
AA+EgBYRhJj+FcYFAAGAFgZehIAWYISY/kNKFABPSgQAUUoEAG8oAAEAp/ABAAAAF4AAAAAAAAAA
AAAAAAAAAAAAAAAPGAAAD4RQGRGEmP4VxgUAAVAZBl6EUBlghJj+Q0oUAE9KBABRSgQAbygAAQCn
8A0AAACtB7M+AAAAAAAAAAAAAAAAYknAIgAAAAAAAAAAAAAAADxbUikAAAAAAAAAAAAAAAC3FoIw
AAAAAAAAAAAAAAAA4SglDAAAAAAAAAAAAAAAAKQjbmsAAAAAAAAAAAAAAAA5D/A0AAAAAAAAAAAA
AAAAt1M8dQAAAAAAAAAAAAAAAKU/4CkAAAAAAAAAAAAAAAAFLSUPAAAAAAAAAAAAAAAAkG9SEwAA
AAAAAAAAAAAAAKQGhzcAAAAAAAAAAAAAAACgTUQxAAAAAAAAAAAAAAAA////////////////////
////////////////////////////////////////////////////DQAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAA//8NAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAARAIYlLwQAAAAAAAAA
AAABAgACAIYY7wrKP4NKAQAAAA8BEgDQAgAA0AIAAGQAAABkAAAAAQDpT6sdpDyyPAEAAAAPARIA
0AIAANACAABkAAAAZAAAAAEAPRwEIwAAAAAAAAAAAAECAAIAEDF3JAAAAAAAAAAAAAECAAIAuiIv
JQAAAAAAAAAAAAECAAIAmnnKLLoiLyUBAAAADwESANACAADQAgAAZAAAAGQAAAABAKQ8sjwAAAAA
AAAAAAABAgACAII6hEg9HAQjAQAAAA8BEgDQAgAA0AIAAGQAAABkAAAAAQDKP4NKAAAAAAAAAAAA
AQIAAgB6AF9UAAAAAAAAAAAAAQIAAgD2ILpcAAAAAAAAAAAAAQIAAgBtT41gEDF3JAEAAAAPARIA
0AIAANACAABkAAAAZAAAAAEAsFGpbPYgulwBAAAADwESANACAADQAgAAZAAAAGQAAAABAIYLz2zK
P4NKAQAAAA8BEgDQAgAA0AIAAGQAAABkAAAAAQDFSb10egBfVAEAAAAPARIA0AIAANACAABkAAAA
ZAAAAAEAQnL2e4YlLwQBAAAADwESANACAADQAgAAZAAAAGQAAAABAAIAAAAEAAAACAAAAOUAAAAA
AAAAAQAAADMNJQBGIOkA/0ACgAEAAAAAAAAAAAAsUC0DAQABAAAAAAAAAAAAAAAAAAAAAAACEAAA
AAAAAADCOQAAcAAAEABAAAD//wEAAAAHAFUAbgBrAG4AbwB3AG4A//8BAAgAAAAAAAAAAAAAAP//
AQAAAAAA//8AAAIA//8AAAAA//8AAAIA//8AAAAABQAAAEcWkAEAAAICBgMFBAUCAwSHegAgAAAA
gAgAAAAAAAAA/wEAAAAAAABUAGkAbQBlAHMAIABOAGUAdwAgAFIAbwBtAGEAbgAAADUWkAECAAUF
AQIBBwYCBQcAAAAAAAAAEAAAAAAAAAAAAAAAgAAAAABTAHkAbQBiAG8AbAAAADMmkAEAAAILBgQC
AgICAgSHegAgAAAAgAgAAAAAAAAA/wEAAAAAAABBAHIAaQBhAGwAAAA/NZABAAACBwMJAgIFAgQE
h3oAIAAAAIAIAAAAAAAAAP8BAAAAAAAAQwBvAHUAcgBpAGUAcgAgAE4AZQB3AAAAOwaQAQIABQAA
AAAAAAAAAAAAAAAAAAAQAAAAAAAAAAAAAACAAAAAAFcAaQBuAGcAZABpAG4AZwBzAAAAIgAEAHEI
iBgA8NACAABoAQAAAAAodIxGKHSMRgAAAAACAAEAAACeCAAAJDEAAAEAHQAAAAQAAxBoAAAAnggA
ACQxAAABAB0AAABoAAAAAAAAAFkCAPAQAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAgHoAW0
ALQAgYEyNAAAAAAAAAAAAAAAAAAApTkAAKU5AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAACAAAAAAAAAAAAATODUQDwEAAIAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAABIAAAAAAAp8P8PAQABPwAA5AQAAP///3////9/////f///
/3////9/////f////38zDSUA//8SAAAAAAAAADoAQQBkAHYAaQBjAGUAIABmAHIAbwBtACAAVABy
AGEAdgBhAHgAIABXAGUAYgBzAGkAdABlACAAYQBzACAAbwBmACAARABlAGMAZQBtAGIAZQByACAA
MgAwADAANAAgACAAaAB0AHQAcAA6AC8ALwB3AHcAdwAAAAAAAAADAHMAZABlAAMAcwBkAGUAAAAA
AAAAAAAAAAAAAAAAAAAAAABAAAAABgAAAA0AAAAAAAwAAQAMAAIADAADAAwABAAMAAUADAAGAAwA
BwAMAAgADAAJAAwACgAMAAsADAAMAAwAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAP7/AAAFAQIAAAAAAAAAAAAAAAAAAAAAAAEAAADghZ/y+U9oEKuR
CAArJ7PZMAAAAJQBAAARAAAAAQAAAJAAAAACAAAAmAAAAAMAAADcAAAABAAAAOgAAAAFAAAA9AAA
AAYAAAAAAQAABwAAAAwBAAAIAAAAHAEAAAkAAAAoAQAAEgAAADQBAAAKAAAAUAEAAAwAAABcAQAA
DQAAAGgBAAAOAAAAdAEAAA8AAAB8AQAAEAAAAIQBAAATAAAAjAEAAAIAAADkBAAAHgAAADsAAABB
ZHZpY2UgZnJvbSBUcmF2YXggV2Vic2l0ZSBhcyBvZiBEZWNlbWJlciAyMDA0ICBodHRwOi8vd3d3
AAAeAAAAAQAAAABkdmkeAAAABAAAAHNkZQAeAAAAAQAAAABkZQAeAAAAAQAAAABkZQAeAAAABwAA
AE5vcm1hbABmHgAAAAQAAABzZGUAHgAAAAIAAAAyAGUAHgAAABQAAABNaWNyb3NvZnQgV29yZCAx
MC4wAEAAAAAARsMjAAAAAEAAAAAAcHyN++HEAUAAAAAAcHyN++HEAQMAAAABAAAAAwAAAJ4IAAAD
AAAAJDEAAAMAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAD+/wAABQECAAAAAAAAAAAAAAAAAAAAAAACAAAAAtXN1ZwuGxCTlwgAKyz5rkQA
AAAF1c3VnC4bEJOXCAArLPmuhAEAAEABAAAMAAAAAQAAAGgAAAAPAAAAcAAAAAUAAACYAAAABgAA
AKAAAAARAAAAqAAAABcAAACwAAAACwAAALgAAAAQAAAAwAAAABMAAADIAAAAFgAAANAAAAANAAAA
2AAAAAwAAAAfAQAAAgAAAOQEAAAeAAAAHgAAAEdsYXNnb3cgQ2FsZWRvbmlhbiBVbml2ZXJzaXR5
AGMAAwAAAGgAAAADAAAAHQAAAAMAAAClOQAAAwAAAEEKCgALAAAAAAAAAAsAAAAAAAAACwAAAAAA
AAALAAAAAAAAAB4QAAABAAAAOwAAAEFkdmljZSBmcm9tIFRyYXZheCBXZWJzaXRlIGFzIG9mIERl
Y2VtYmVyIDIwMDQgIGh0dHA6Ly93d3cADBAAAAIAAAAeAAAABgAAAFRpdGxlAAMAAAABAAAAAAAA
pAMAAAMAAAAAAAAAIAAAAAEAAAA4AAAAAgAAAEAAAAABAAAAAgAAAAwAAABfUElEX0hMSU5LUwAC
AAAA5AQAAEEAAABcAwAAJAAAAAMAAAAqACgAAwAAAA8AAAADAAAAAAAAAAMAAAAFAAAAHwAAAB8A
AABoAHQAdABwADoALwAvAHcAdwB3AC4AYgByAGkAdABpAHMAaABhAGkAcgB3AGEAeQBzAC4AYwBv
AG0ALwAAAAAAHwAAAAEAAAAAAAAAAwAAAD4AKwADAAAADAAAAAMAAAAAAAAAAwAAAAUAAAAfAAAA
JAAAAGgAdAB0AHAAOgAvAC8AdwB3AHcALgBmAHIAZQBlADIAZgBsAHkALgBkAGkAYQBsAC4AcABp
AHAAZQB4AC4AYwBvAG0ALwAAAB8AAAABAAAAAAAAAAMAAAAkAAwAAwAAAAkAAAADAAAAAAAAAAMA
AAAFAAAAHwAAAB8AAABtAGEAaQBsAHQAbwA6AGYAcgBlAGUAMgBmAGwAeQBAAGQAaQBhAGwALgBw
AGkAcABlAHgALgBjAG8AbQAAAAAAHwAAAAEAAAAAAAAAAwAAAFYAfQADAAAABgAAAAMAAAAAAAAA
AwAAAAUAAAAfAAAATAAAAGgAdAB0AHAAOgAvAC8AdwB3AHcALgBwAGgAZwB1AC4AbwByAGcALgB1
AGsALwBpAG4AZgBvAF8AZABhAHQAYQBiAGEAcwBlAC8AZABpAHMAZQBhAHMAZQBzAC8AdABoAHIA
bwBtAGIAbwBzAGkAcwAvAHQAaAByAG8AbQBiAG8AcABoAGkAbABpAGEALgBoAHQAbQBsAAAAHwAA
AAMAAABHADEAAAAAAAMAAABbAAsAAwAAAAMAAAADAAAAAAAAAAMAAAAFAAAAHwAAACkAAABoAHQA
dABwADoALwAvAHcAdwB3AC4AYgBtAGEALgBvAHIAZwAvAGEAcAAuAG4AcwBmAC8AQwBvAG4AdABl
AG4AdAAvAEYAbAB5AGkAbgBnAAAAAAAfAAAAAQAAAAAAAAADAAAAIgBnAAMAAAAAAAAAAwAAAAAA
AAADAAAABQAAAB8AAAA0AAAAaAB0AHQAcAA6AC8ALwB3AHcAdwAuAHQAcgBhAHYAYQB4AC4AcwBj
AG8AdAAuAG4AaABzAC4AdQBrAC8AcgBlAGcAaQBzAHQAZQByAGUAZAAvAGkAbgBkAGUAeAAyAC4A
YQBzAHAAAAAfAAAAAQAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAQAAAAIAAAADAAAABAAAAAUAAAAGAAAABwAAAAgAAAAJAAAACgAAAAsAAAAMAAAADQAAAA4A
AAAPAAAAEAAAABEAAAASAAAAEwAAABQAAAAVAAAAFgAAABcAAAAYAAAAGQAAABoAAAAbAAAAHAAA
AB0AAAAeAAAAHwAAACAAAAAhAAAAIgAAACMAAAAkAAAAJQAAACYAAAAnAAAAKAAAACkAAAAqAAAA
KwAAACwAAAAtAAAA/v///y8AAAAwAAAAMQAAADIAAAAzAAAANAAAADUAAAD+////NwAAADgAAAA5
AAAAOgAAADsAAAA8AAAAPQAAAD4AAAA/AAAAQAAAAEEAAABCAAAAQwAAAEQAAABFAAAARgAAAEcA
AABIAAAASQAAAEoAAABLAAAATAAAAE0AAABOAAAATwAAAFAAAABRAAAAUgAAAFMAAABUAAAAVQAA
AFYAAABXAAAAWAAAAFkAAABaAAAAWwAAAFwAAABdAAAA/v///18AAABgAAAAYQAAAGIAAABjAAAA
ZAAAAGUAAAD+////ZwAAAGgAAABpAAAAagAAAGsAAABsAAAAbQAAAP7////9////cAAAAP7////+
/////v//////////////////////////////////////////////////////////////////////
//9SAG8AbwB0ACAARQBuAHQAcgB5AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAFgAFAf//////////AwAAAAYJAgAAAAAAwAAAAAAAAEYAAAAAAAAAAAAAAADwG56T
++HEAXIAAACAAAAAAAAAAEQAYQB0AGEAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAKAAIB////////////////AAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAALgAAAAAQAAAAAAAAMQBUAGEAYgBsAGUAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA4AAgEBAAAABgAAAP////8AAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA2AAAAPU4AAAAAAABXAG8AcgBkAEQAbwBj
AHUAbQBlAG4AdAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAGgACAQIA
AAAFAAAA/////wAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAuWgAAAAAA
AAUAUwB1AG0AbQBhAHIAeQBJAG4AZgBvAHIAbQBhAHQAaQBvAG4AAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAoAAIB////////////////AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAXgAAAAAQAAAAAAAABQBEAG8AYwB1AG0AZQBuAHQAUwB1AG0AbQBhAHIAeQBJAG4AZgBvAHIA
bQBhAHQAaQBvAG4AAAAAAAAAAAAAADgAAgEEAAAA//////////8AAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAABmAAAAABAAAAAAAAABAEMAbwBtAHAATwBiAGoAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAEgACAP///////////////wAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAABqAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA////
////////////AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AQAAAP7/////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
//////////////////////////////////////////////////////////////////////////8B
AP7/AwoAAP////8GCQIAAAAAAMAAAAAAAABGGAAAAE1pY3Jvc29mdCBXb3JkIERvY3VtZW50AAoA
AABNU1dvcmREb2MAEAAAAFdvcmQuRG9jdW1lbnQuOAD0ObJxAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAFIA
bwBvAHQAIABFAG4AdAByAHkAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAWAAUB//////////8DAAAABgkCAAAAAADAAAAAAAAARgAAAAAAAAAAAAAAAAANUOD74cQB
egAAAMAGAAAAAAAARABhAHQAYQAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAoAAgH///////////////8AAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAuAAAAABAAAAAAAAAxAFQAYQBiAGwAZQAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAADgACAQEAAAAGAAAA/////wAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAADYAAAA9TgAAAAAAAFcAbwByAGQARABvAGMAdQBt
AGUAbgB0AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAaAAIBAgAAAAUA
AAD/////AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAC5aAAAAAAAAAQAA
AAIAAAADAAAABAAAAAUAAAAGAAAABwAAAAgAAAAJAAAACgAAAAsAAAAMAAAADQAAAA4AAAAPAAAA
EAAAABEAAAASAAAAEwAAABQAAAAVAAAAFgAAABcAAAAYAAAAGQAAABoAAAAbAAAAHAAAAB0AAAAe
AAAAHwAAACAAAAAhAAAAIgAAACMAAAAkAAAAJQAAACYAAAAnAAAAKAAAACkAAAAqAAAAKwAAACwA
AAAtAAAA/v///y8AAAAwAAAAMQAAADIAAAAzAAAANAAAADUAAAD+////NwAAADgAAAA5AAAAOgAA
ADsAAAA8AAAAPQAAAD4AAAA/AAAAQAAAAEEAAABCAAAAQwAAAEQAAABFAAAARgAAAEcAAABIAAAA
SQAAAEoAAABLAAAATAAAAE0AAABOAAAATwAAAFAAAABRAAAAUgAAAFMAAABUAAAAVQAAAFYAAABX
AAAAWAAAAFkAAABaAAAAWwAAAFwAAABdAAAA/v///18AAABgAAAAYQAAAGIAAABjAAAAZAAAAGUA
AAD+////////////////////////////////////////////////////////////////////////
/3kAAAD9/////v///3cAAAB4AAAA/v////7///92AAAA//////////////////////////8BAAAA
/v///wMAAAAEAAAABQAAAAYAAAAHAAAACAAAAAkAAAAKAAAACwAAAAwAAAANAAAADgAAAA8AAAAQ
AAAAEQAAABIAAAATAAAAFAAAABUAAAAWAAAAFwAAABgAAAAZAAAAGgAAAP7/////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
/////////////////////////////////////////////////////////////////////wAAAACw
BAAABwAAAAAAAABAAAAAAQAAAMAAAAACAAAAyAAAAAMAAAAsBAAABAAAADQEAAAFAAAATAQAAAYA
AACABAAABQAAAAIAAAAMAAAAX1BJRF9ITElOS1MAAwAAABQAAABfQWRIb2NSZXZpZXdDeWNsZUlE
AAQAAAAOAAAAX0VtYWlsU3ViamVjdAAFAAAADQAAAF9BdXRob3JFbWFpbAAGAAAAGAAAAF9BdXRo
b3JFbWFpbERpc3BsYXlOYW1lAAACAAAA5AQAAEEAAABcAwAAJAAAAAMAAAAqACgAAwAAAA8AAAAD
AAAAAAAAAAMAAAAFAAAAHwAAAB8AAABoAHQAdABwADoALwAvAHcAdwB3AC4AYgByAGkAdABpAHMA
aABhAGkAcgB3AGEAeQBzAC4AYwBvAG0ALwAAAAAAHwAAAAEAAAAAAAAAAwAAAD4AKwADAAAADAAA
AAMAAAAAAAAAAwAAAAUAAAAfAAAAJAAAAGgAdAB0AHAAOgAvAC8AdwB3AHcALgBmAHIAZQBlADIA
ZgBsAHkALgBkAGkAYQBsAC4AcABpAHAAZQB4AC4AYwBvAG0ALwAAAB8AAAABAAAAAAAAAAMAAAAk
AAwAAwAAAAkAAAADAAAAAAAAAAMAAAAFAAAAHwAAAB8AAABtAGEAaQBsAHQAbwA6AGYAcgBlAGUA
MgBmAGwAeQBAAGQAaQBhAGwALgBwAGkAcABlAHgALgBjAG8AbQAAAAAAHwAAAAEAAAAAAAAAAwAA
AFYAfQADAAAABgAAAAMAAAAAAAAAAwAAAAUAAAAfAAAATAAAAGgAdAB0AHAAOgAvAC8AdwB3AHcA
LgBwAGgAZwB1AC4AbwByAGcALgB1AGsALwBpAG4AZgBvAF8AZABhAHQAYQBiAGEAcwBlAC8AZABp
AHMAZQBhAHMAZQBzAC8AdABoAHIAbwBtAGIAbwBzAGkAcwAvAHQAaAByAG8AbQBiAG8AcABoAGkA
bABpAGEALgBoAHQAbQBsAAAAHwAAAAMAAABHADEAAAAAAAMAAABbAAsAAwAAAAMAAAADAAAAAAAA
AAMAAAAFAAAAHwAAACkAAABoAHQAdABwADoALwAvAHcAdwB3AC4AYgBtAGEALgBvAHIAZwAvAGEA
cAAuAG4AcwBmAC8AQwBvAG4AdABlAG4AdAAvAEYAbAB5AGkAbgBnAAAAAAAfAAAAAQAAAAAAAAAD
AAAAIgBnAAMAAAAAAAAAAwAAAAAAAAADAAAABQAAAB8AAAA0AAAAaAB0AHQAcAA6AC8ALwB3AHcA
dwAuAHQAcgBhAHYAYQB4AC4AcwBjAG8AdAAuAG4AaABzAC4AdQBrAC8AcgBlAGcAaQBzAHQAZQBy
AGUAZAAvAGkAbgBkAGUAeAAyAC4AYQBzAHAAAAAfAAAAAQAAAAAAAAADAAAAmDkQPh8AAAAHAAAA
SABJACAAYQBsAGwAAAAAAB8AAAAVAAAAUwAuAEQAZQB2AGkAbABsAGUAQABnAGMAYQBsAC4AYQBj
AC4AdQBrAAAAAAAfAAAAEwAAAEQAZQB2AGkAbABsAGUALAAgAFMAdABlAHAAaABhAG4AaQBlAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAUAUwB1AG0A
bQBhAHIAeQBJAG4AZgBvAHIAbQBhAHQAaQBvAG4AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAo
AAIB////////////////AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAXgAAAAAQ
AAAAAAAABQBEAG8AYwB1AG0AZQBuAHQAUwB1AG0AbQBhAHIAeQBJAG4AZgBvAHIAbQBhAHQAaQBv
AG4AAAAAAAAAAAAAADgAAgEEAAAA//////////8AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAACAAAANAYAAAAAAAABAEMAbwBtAHAATwBiAGoAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAEgACAP///////////////wAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAABqAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA////////////////
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAQD+/wMKAAD/
////BgkCAAAAAADAAAAAAAAARhgAAABNaWNyb3NvZnQgV29yZCBEb2N1bWVudAAKAAAATVNXb3Jk
RG9jABAAAABXb3JkLkRvY3VtZW50LjgA9DmycQAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAD+/wAABQECAAAAAAAAAAAAAAAAAAAAAAACAAAAAtXN1ZwuGxCTlwgAKyz5rkQAAAAF1c3V
nC4bEJOXCAArLPmuhAEAAEABAAAMAAAAAQAAAGgAAAAPAAAAcAAAAAUAAACYAAAABgAAAKAAAAAR
AAAAqAAAABcAAACwAAAACwAAALgAAAAQAAAAwAAAABMAAADIAAAAFgAAANAAAAANAAAA2AAAAAwA
AAAfAQAAAgAAAOQEAAAeAAAAHgAAAEdsYXNnb3cgQ2FsZWRvbmlhbiBVbml2ZXJzaXR5AGMAAwAA
AGgAAAADAAAAHQAAAAMAAAClOQAAAwAAAEEKCgALAAAAAAAAAAsAAAAAAAAACwAAAAAAAAALAAAA
AAAAAB4QAAABAAAAOwAAAEFkdmljZSBmcm9tIFRyYXZheCBXZWJzaXRlIGFzIG9mIERlY2VtYmVy
IDIwMDQgIGh0dHA6Ly93d3cADBAAAAIAAAAeAAAABgAAAFRpdGxlAAMAAAABAAA=

------_=_NextPart_001_01C4E1FB.E0626DBC--
=========================================================================
Date:         Tue, 14 Dec 2004 17:30:08 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chloe Coleridge <[log in to unmask]>
Subject:      Fitness test for breathing apparatus users
In-Reply-To:  <[log in to unmask]>
Mime-version: 1.0
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

Hello list
Query:
What fitness test regime ( e.g. Harvard step test) do any of you guys use to
determine fitness for employees using breathing apparatus, both high and low
aerobic users?

 The employer is an utilities company (water) and the BA users are sewage
operatives.

If you use the Harvard test, what is your step height ( recommendations vary
between 45cm and 60cm) and do you lower it for people of small stature?


Many thanks

Chloe

 (On 14/12/04 4:42 PM, "Deville, Stephanie" <[log in to unmask]> wrote:

> Hi Tracie,
>
> Hope these are of some use.
>
> Travax is a Scottish based organization, they also give on line up to
> date info on vaccination etc requirements, risk assessment forms etc
> highly recommended, I think you may need to pay a small charge for this
> service.
>
>
> best wishes
>
> Stephanie Deville
>
> Occupational Health Advisor
> Glasgow Caledonian University
> Tel: 3835
>
> -----Original Message-----
> From: Tracie McKelvie [mailto:[log in to unmask]]
> Sent: 14 December 2004 11:49
> To: [log in to unmask]
> Subject: HI all
>
> HI all
>
> I wondered if anyone had a check list for iver seas travel when it
> comes to health assessments prior to travel??? inc. DVT, LONG HAUL
> LFIGHT ETC ETC.
>
> Look forward to your replies!!!
>
> Tracie Mckelvie
> Occupational Health Nurse / Adviser
> Pembrokeshire College
> Merlins Bridge
> Haverfordwest
> Pembs.
> SA61 1SZ
>
> TEL: 01437 765247 Ext 393
> FAX: 01437 767279
> E-mail: [log in to unmask]
>
>
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 14 Dec 2004 22:47:26 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Travel Health
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_0023_01C4E22E.E1F417E0"

This is a multi-part message in MIME format.

------=_NextPart_000_0023_01C4E22E.E1F417E0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Interesting you should ask this question one week after out Business =
Travel Health conference last week. Here are a few things you might find =
useful:

Dr Mike Bagshaw from BA - shortly to be Professor Bagshaw, prof of =
aviation medicine at Kings and a qualified OH physician recommended =
visiting the BA website for info on all these topics - www.ba.com/health =
where you will find lots of useful info and research on DVT, long haul =
etc. This is what they do for all their staff too!

The other speaker who gave some really useful info was Dr Dipti Patel =
from the BBC and late of the FCO who looks after the BBC journalists who =
says:
Preparation does  not equate with immunisation, nor is it about stopping =
people going overseas as there are few contr-indication. The main =
concern is that individuals are adequately prepared for overseas work. =
The Beep sends people on a 7 day course in preparation for working =
abroad - then its about individual factors, what they will be doing and =
where.

Alexandra Jordon from Nathnac - National Travel Health Centre and =
Network spoke and they are in the process of updating the yellow book - =
which will be on line - but do visit their website www.nathnac.org. and =
go to the health professionals site where you will find allsorts of =
useful stuff.

Dr David Snashall, Principal Medical adviser to HSE suggests we follow =
the 5 steps to risk assessment and commented that 'Travel is hazardous, =
it broadens the mind and loosens the bowels'

And after all that Michelle Abbott of MASTA recommended www.masta.org as =
it has some useful info for travellers with special needs and =
downloadable fact sheets.

So don't know about checklists - maybe it needs a clear policy & =
procedure first.

Happy travels,

Greta Thornbory
Chair, Lexis Nexis OH Conferences
Consultant Editor OH journal
Tel: 01235 770156
Mob: 07778 518 027





----- Original Message -----=20
From: "Tracie McKelvie" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, December 14, 2004 11:49 AM
Subject: HI all


> HI all
>=20
> I wondered if anyone had a check list for iver seas travel when it
> comes to health assessments prior to travel??? inc. DVT, LONG HAUL
> LFIGHT ETC ETC.
>=20
> Look forward to your replies!!!
>=20
> Tracie Mckelvie
> Occupational Health Nurse / Adviser
> Pembrokeshire College
> Merlins Bridge
> Haverfordwest
> Pembs.
> SA61 1SZ
>=20
> TEL: 01437 765247 Ext 393
> FAX: 01437 767279
> E-mail: [log in to unmask]
>=20
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>=20
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>=20
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.809 / Virus Database: 551 - Release Date: 09/12/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_0023_01C4E22E.E1F417E0
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY>
<DIV><FONT size=3D2>Interesting you should ask this question one week =
after out=20
Business Travel Health conference last week. Here are a few things you =
might=20
find useful:</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Dr Mike Bagshaw from BA - shortly to be Professor =
Bagshaw,=20
prof of aviation medicine at Kings and a qualified OH physician =
recommended=20
visiting the BA website for info on all these topics - </FONT><A=20
href=3D"http://www.ba.com/health"><FONT =
size=3D2>www.ba.com/health</FONT></A><FONT=20
size=3D2> where you will find lots of useful info and research on DVT, =
long haul=20
etc. This is what they do for all their staff too!</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>The other speaker who gave some really useful info =
was Dr=20
Dipti Patel from the BBC and late of the FCO who looks after the BBC =
journalists=20
who says:</FONT></DIV>
<DIV><FONT size=3D2>Preparation does&nbsp; not equate with immunisation, =
nor is it=20
about stopping people going overseas as there are few contr-indication. =
The main=20
concern is that individuals are adequately prepared for overseas work. =
The Beep=20
sends people on a 7 day course in preparation for working abroad - then =
its=20
about individual factors, what they will be doing and =
where.</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Alexandra Jordon from Nathnac - National Travel =
Health Centre=20
and&nbsp;Network spoke and they are in the process of updating =
the&nbsp;yellow=20
book - which will be on line - but do visit their website </FONT><A=20
href=3D"http://www.nathnac.org"><FONT =
size=3D2>www.nathnac.org</FONT></A><FONT=20
size=3D2>. and go to the health professionals site where you will find =
allsorts of=20
useful stuff.</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Dr David Snashall, Principal Medical adviser to=20
HSE&nbsp;suggests we follow the 5 steps to risk assessment and commented =
that=20
<STRONG><EM>'Travel is hazardous, it broadens the mind and loosens the=20
bowels'</EM></STRONG></FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>And after all that Michelle Abbott of MASTA =
recommended=20
</FONT><A href=3D"http://www.masta.org"><FONT =
size=3D2>www.masta.org</FONT></A><FONT=20
size=3D2> as it has some useful info for travellers with special needs =
and=20
downloadable fact sheets.</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>So don't know about checklists - maybe it needs a =
clear policy=20
&amp; procedure first.</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Happy travels,</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Greta Thornbory<BR>Chair, Lexis Nexis OH=20
Conferences<BR>Consultant Editor OH journal<BR>Tel: 01235 770156<BR>Mob: =
07778=20
518 027<BR></FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>----- Original Message ----- </FONT>
<DIV><FONT size=3D2>From: "Tracie McKelvie" &lt;</FONT><A=20
href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><FONT=20
size=3D2>&gt;</FONT></DIV>
<DIV><FONT size=3D2>To: &lt;</FONT><A=20
href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><FONT =
size=3D2>&gt;</FONT></DIV>
<DIV><FONT size=3D2>Sent: Tuesday, December 14, 2004 11:49 =
AM</FONT></DIV>
<DIV><FONT size=3D2>Subject: HI all</FONT></DIV></DIV>
<DIV><FONT size=3D2><BR></FONT></DIV>
<DIV><FONT size=3D2>&gt; HI all<BR>&gt; <BR>&gt; I wondered if anyone =
had a check=20
list for iver seas travel when it<BR>&gt; comes to health assessments =
prior to=20
travel??? inc. DVT, LONG HAUL<BR>&gt; LFIGHT ETC ETC.<BR>&gt; <BR>&gt; =
Look=20
forward to your replies!!!<BR>&gt; <BR>&gt; Tracie Mckelvie<BR>&gt; =
Occupational=20
Health Nurse / Adviser<BR>&gt; Pembrokeshire College<BR>&gt; Merlins=20
Bridge<BR>&gt; Haverfordwest<BR>&gt; Pembs.<BR>&gt; SA61 1SZ<BR>&gt; =
<BR>&gt;=20
TEL: 01437 765247 Ext 393<BR>&gt; FAX: 01437 767279<BR>&gt; E-mail: =
</FONT><A=20
href=3D"mailto:[log in to unmask]"><FONT=20
size=3D2>[log in to unmask]</FONT></A><BR><FONT =
size=3D2>&gt;=20
<BR>&gt; ~~~~~~~~~~~~~~~<BR>&gt; Please remove this footer before=20
replying.<BR>&gt; <BR>&gt; For list archives and documents, go =
to<BR>&gt;=20
</FONT><A href=3D"http://www.jiscmail.ac.uk/lists/occ-health.html"><FONT =

size=3D2>http://www.jiscmail.ac.uk/lists/occ-health.html</FONT></A><FONT =
size=3D2>=20
for list archives<BR>&gt; <BR>&gt; For jobs in Occupational Health, go=20
to<BR>&gt; </FONT><A =
href=3D"http://uk.groups.yahoo.com/group/OHJobs/"><FONT=20
size=3D2>http://uk.groups.yahoo.com/group/OHJobs/</FONT></A><U><FONT =
color=3D#0000ff=20
size=3D2></FONT></U></DIV>
<DIV>&nbsp;</DIV>
<DIV><U><FONT color=3D#0000ff size=3D2><BR>---<BR>Outgoing mail is =
certified Virus=20
Free.<BR>Checked by AVG anti-virus system (<A=20
href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.809 /=20
Virus Database: 551 - Release Date: =
09/12/2004</FONT></U></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_0023_01C4E22E.E1F417E0--
=========================================================================
Date:         Wed, 15 Dec 2004 08:26:06 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: HI all
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

I have read through your notes with interest as I have recently attended a
Business Travel Health conference in London which was organised and chaired
by Greta.  The conference was excellent and the first speaker particularly
good.  Dr Michael Bagshaw leads the British Airways team of Occupational and
aviation physicians and is also a holder of an Airline Transport Pilot
licence.  His credentials go on.....  He spent much of his time dispelling
the myths surrounding air travel i.e. Traveller's Thrombosis and cosmic
radiation.
He informed us that over the last decade there had been no clinical studies
looking at asymptomatic travellers and the evidence is largely
circumstantial.  In March 2001, WHO reported a possible LINK between air
travel and venous thrombosis - not a CAUSE. The incidence in the general
population in 1/1000/yr. There are more cases reported in coach travel than
air travel. He also pointed out that there has been an increase in gastic
bleeds due to taking aspirin and reminded us that aspirin is effective for
ARTERIAL thrombosis and not VENOUS thrombosis.  He was very critical of the
tabloid press for their reporting on the few cases (of which he gave us
further information).
Interesting lecture and very thought provoking.  Should we really advise
taking aspirin etc risking gastric bleeds for such a minute risk???
If the conference is ever repeated I advise anyone involved in travel health
to attend.  It has made me revise my thinking and actions.
Oh dear - looks like an essay!!!

Lynda

-----Original Message-----
From: Deville, Stephanie [mailto:[log in to unmask]]
Sent: Tuesday, December 14, 2004 4:42 PM
To: [log in to unmask]
Subject: Re: HI all


Hi Tracie,

Hope these are of some use.

Travax is a Scottish based organization, they also give on line up to
date info on vaccination etc requirements, risk assessment forms etc
highly recommended, I think you may need to pay a small charge for this
service.


best wishes

Stephanie Deville

Occupational Health Advisor
Glasgow Caledonian University
Tel: 3835

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: 14 December 2004 11:49
To: [log in to unmask]
Subject: HI all

HI all

I wondered if anyone had a check list for iver seas travel when it
comes to health assessments prior to travel??? inc. DVT, LONG HAUL
LFIGHT ETC ETC.

Look forward to your replies!!!

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]



~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 15 Dec 2004 09:50:47 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: HI all
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Stephanie

Many thanks and a very merry christmas to you!!!

Regards

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> S.Deville@GCAL.AC.UK 12/14/04 04:42pm >>>
Hi Tracie,

Hope these are of some use.

Travax is a Scottish based organization, they also give on line up to
date info on vaccination etc requirements, risk assessment forms etc
highly recommended, I think you may need to pay a small charge for
this
service.


best wishes

Stephanie Deville

Occupational Health Advisor
Glasgow Caledonian University
Tel: 3835

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: 14 December 2004 11:49
To: [log in to unmask]
Subject: HI all

HI all

I wondered if anyone had a check list for iver seas travel when it
comes to health assessments prior to travel??? inc. DVT, LONG HAUL
LFIGHT ETC ETC.

Look forward to your replies!!!

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]



~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 15 Dec 2004 09:52:05 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Travel Health
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Thanks Greta

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 12/14/04 10:47pm >>>
Interesting you should ask this question one week after out Business
Travel Health conference last week. Here are a few things you might find
useful:

Dr Mike Bagshaw from BA - shortly to be Professor Bagshaw, prof of
aviation medicine at Kings and a qualified OH physician recommended
visiting the BA website for info on all these topics - www.ba.com/health
where you will find lots of useful info and research on DVT, long haul
etc. This is what they do for all their staff too!

The other speaker who gave some really useful info was Dr Dipti Patel
from the BBC and late of the FCO who looks after the BBC journalists who
says:
Preparation does  not equate with immunisation, nor is it about
stopping people going overseas as there are few contr-indication. The
main concern is that individuals are adequately prepared for overseas
work. The Beep sends people on a 7 day course in preparation for working
abroad - then its about individual factors, what they will be doing and
where.

Alexandra Jordon from Nathnac - National Travel Health Centre and
Network spoke and they are in the process of updating the yellow book -
which will be on line - but do visit their website www.nathnac.org. and
go to the health professionals site where you will find allsorts of
useful stuff.

Dr David Snashall, Principal Medical adviser to HSE suggests we follow
the 5 steps to risk assessment and commented that 'Travel is hazardous,
it broadens the mind and loosens the bowels'

And after all that Michelle Abbott of MASTA recommended www.masta.org
as it has some useful info for travellers with special needs and
downloadable fact sheets.

So don't know about checklists - maybe it needs a clear policy &
procedure first.

Happy travels,

Greta Thornbory
Chair, Lexis Nexis OH Conferences
Consultant Editor OH journal
Tel: 01235 770156
Mob: 07778 518 027





----- Original Message -----
From: "Tracie McKelvie" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, December 14, 2004 11:49 AM
Subject: HI all


> HI all
>
> I wondered if anyone had a check list for iver seas travel when it
> comes to health assessments prior to travel??? inc. DVT, LONG HAUL
> LFIGHT ETC ETC.
>
> Look forward to your replies!!!
>
> Tracie Mckelvie
> Occupational Health Nurse / Adviser
> Pembrokeshire College
> Merlins Bridge
> Haverfordwest
> Pembs.
> SA61 1SZ
>
> TEL: 01437 765247 Ext 393
> FAX: 01437 767279
> E-mail: [log in to unmask]
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.809 / Virus Database: 551 - Release Date: 09/12/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 15 Dec 2004 09:55:13 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: HI all
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Thanks Lynda

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 12/15/04 08:26am >>>
I have read through your notes with interest as I have recently
attended a
Business Travel Health conference in London which was organised and
chaired
by Greta.  The conference was excellent and the first speaker
particularly
good.  Dr Michael Bagshaw leads the British Airways team of
Occupational and
aviation physicians and is also a holder of an Airline Transport Pilot
licence.  His credentials go on.....  He spent much of his time
dispelling
the myths surrounding air travel i.e. Traveller's Thrombosis and
cosmic
radiation.
He informed us that over the last decade there had been no clinical
studies
looking at asymptomatic travellers and the evidence is largely
circumstantial.  In March 2001, WHO reported a possible LINK between
air
travel and venous thrombosis - not a CAUSE. The incidence in the
general
population in 1/1000/yr. There are more cases reported in coach travel
than
air travel. He also pointed out that there has been an increase in
gastic
bleeds due to taking aspirin and reminded us that aspirin is effective
for
ARTERIAL thrombosis and not VENOUS thrombosis.  He was very critical of
the
tabloid press for their reporting on the few cases (of which he gave
us
further information).
Interesting lecture and very thought provoking.  Should we really
advise
taking aspirin etc risking gastric bleeds for such a minute risk???
If the conference is ever repeated I advise anyone involved in travel
health
to attend.  It has made me revise my thinking and actions.
Oh dear - looks like an essay!!!

Lynda

-----Original Message-----
From: Deville, Stephanie [mailto:[log in to unmask]]
Sent: Tuesday, December 14, 2004 4:42 PM
To: [log in to unmask]
Subject: Re: HI all


Hi Tracie,

Hope these are of some use.

Travax is a Scottish based organization, they also give on line up to
date info on vaccination etc requirements, risk assessment forms etc
highly recommended, I think you may need to pay a small charge for
this
service.


best wishes

Stephanie Deville

Occupational Health Advisor
Glasgow Caledonian University
Tel: 3835

-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: 14 December 2004 11:49
To: [log in to unmask]
Subject: HI all

HI all

I wondered if anyone had a check list for iver seas travel when it
comes to health assessments prior to travel??? inc. DVT, LONG HAUL
LFIGHT ETC ETC.

Look forward to your replies!!!

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]



~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 15 Dec 2004 11:01:21 -0500
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Conway, Jackie" <[log in to unmask]>
Subject:      Audiometry Policy
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Can anybody share with me their policy on audiometry testing etc. I would be
grateful. Many thanks.
Jackie Conway
OH Advisor
Boston Scientific Ireland Ltd
[log in to unmask]
Tel 00353 91 517366
Fax 00353 91 701359

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 15 Dec 2004 16:49:32 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         heather bearpark <[log in to unmask]>
Subject:      Bank OHN post
In-Reply-To:  <004201c4aede$081a4a90$3d312bd9@gh0953f0versng>
Mime-Version: 1.0
Content-Type: text/html; format=flowed

<html><div style='background-color:'><P>If anyone is interested in registering on our OH bank please follow this link for info.<BR><BR><A href="http://www.trafford.nhs.uk//recruit/listings.asp?id=17&amp;t=Nursing+and+Midwifery&amp;PageIndex=4">http://www.trafford.nhs.uk//recruit/listings.asp?id=17&amp;t=Nursing+and+Midwifery&amp;PageIndex=4</A></P>
<DIV>
<DIV>Regards </DIV>Heather Bearpark </DIV></div></html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 15 Dec 2004 17:16:38 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         heather bearpark <[log in to unmask]>
Subject:      NHS free OH conference details
Mime-Version: 1.0
Content-Type: multipart/mixed; boundary="----=_NextPart_000_322b_2d6a_8fd"

This is a multi-part message in MIME format.

------=_NextPart_000_322b_2d6a_8fd
Content-Type: text/html; format=flowed

<html><div style='background-color:'><BR><BR><BR>
<DIV>
<DIV>Regards </DIV>Heather Bearpark </DIV></div></html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_322b_2d6a_8fd
Content-Type: application/msword; name="a Booking Form.doc"
Content-Transfer-Encoding: base64
Content-Disposition: attachment; filename="a Booking Form.doc"

0M8R4KGxGuEAAAAAAAAAAAAAAAAAAAAAPgADAP7/CQAGAAAAAAAAAAAAAAAB
AAAARgAAAAAAAAAAEAAASAAAAAEAAAD+////AAAAAEUAAAD/////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
///////////////////////spcEATSAJBAAA8BK/AAAAAAAAEAAAAAAABAAA
oxAAAA4AYmpiauI94j0AAAAAAAAAAAAAAAAAAAAAAAAJBBYALkYAAIBXAACA
VwAAlgwAAAAAAAAAAAAAAAAAAAAAAAAAAAAADAAAAAAAAAD//w8AAAAAAAAA
AAD//w8AAAAAAAAAAAD//w8AAAAAAAAAAAAAAAAAAAAAAGwAAAAAAKYDAAAA
AAAApgMAAKYDAAAAAAAApgMAAAAAAABeBQAAAAAAAF4FAAAAAAAAXgUAABQA
AAAAAAAAAAAAAHIFAAAAAAAA0BMAAAAAAADQEwAAAAAAANATAAAAAAAA0BMA
ABwAAADsEwAAtAAAAHIFAAAAAAAADh0AAAABAACsFAAAAAAAAKwUAAAAAAAA
rBQAAAAAAACsFAAAAAAAAKwUAAAAAAAAixUAAAAAAACLFQAAAAAAAIsVAAAA
AAAAjRwAAAIAAACPHAAAAAAAAI8cAAAAAAAAjxwAAAAAAACPHAAAAAAAAI8c
AAAAAAAAjxwAACQAAAAOHgAAIAIAAC4gAACGAAAAsxwAABUAAAAAAAAAAAAA
AAAAAAAAAAAAXgUAAAAAAACLFQAAAAAAAAAAAAAAAAAAAAAAAAAAAACHFQAA
BAAAAIsVAAAAAAAAixUAAAAAAACLFQAAAAAAALMcAAAAAAAAFxcAAAAAAACm
AwAAAAAAAKYDAAAAAAAArBQAAAAAAAAAAAAAAAAAAKwUAADbAAAAyBwAABYA
AAAXFwAAAAAAABcXAAAAAAAAFxcAAAAAAACLFQAAOgAAAKYDAAA8AQAArBQA
AAAAAABeBQAAAAAAAKwUAAAAAAAAjRwAAAAAAAAAAAAAAAAAABcXAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAixUAAAAAAACNHAAAAAAAABcXAAD6AQAAFxcAAAAAAAAAAAAAAAAAABEZ
AAAAAAAA4gQAAHwAAABeBQAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAERkAAAAAAACsFAAA
AAAAAKAUAAAMAAAA0Fjb4MbixAFyBQAAXg4AANATAAAAAAAAxRUAAEYAAAAR
GQAAAAAAAAAAAAAAAAAAERkAAHwDAADeHAAAMAAAAA4dAAAAAAAAERkAAAAA
AAC0IAAAAAAAAAsWAAAMAQAAtCAAAAAAAAARGQAAAAAAABcXAAAAAAAAcgUA
AAAAAAByBQAAAAAAAKYDAAAAAAAApgMAAAAAAACmAwAAAAAAAKYDAAAAAAAA
AgDZAAAADU5hdGlvbmFsIE9jY3VwYXRpb25hbCBIZWFsdGggJiBTYWZldHkg
Q29uZmVyZW5jZQ0JCTI1dGggliAyNnRoIEphbnVhcnkgMjAwNQ1USEUgTE9X
UlkgQ0VOVFJFLCBNQU5DSEVTVEVSDQ1Cb29raW5ncyBieSAxNHRoIEphbnVh
cnkgcGxlYXNlIC0gZGVsZWdhdGUgcGxhY2VzIHdpbGwgYmUgYWxsb2NhdGVk
IG9uIGEgZmlyc3QgY29tZSBmaXJzdCBzZXJ2ZWQgYmFzaXMuDUEgc2VwYXJh
dGUgZm9ybSBzaG91bGQgYmUgY29tcGxldGVkIGZvciBlYWNoIGFwcGxpY2Fu
dC4NDUZvcmVuYW1lIGFuZCBTdXJuYW1lIHRvIEFwcGVhciBvbiBCYWRnZToH
BwdKb2IgVGl0bGU6BwdEZXBhcnRtZW50L0FnZW5jeToHBwdBZGRyZXNzOgcN
DQcHVGVsZXBob25lOgcHRmF4OgcHB0VtYWlsOgcHB1NwZWNpYWwgUmVxdWly
ZW1lbnRzOg0oZS5nLiBEaWV0YXJ5LCBhY2Nlc3MsIG5vbi1zbW9raW5nKQcH
Bw0oVGhlIGluZm9ybWF0aW9uIGFib3ZlIGFuZCBvdGhlciBpbmZvcm1hdGlv
biBmcm9tIHRoaXMgcmVnaXN0cmF0aW9uIGZvcm0gbWF5IGJlIGluY2x1ZGVk
IGluIHRoZSBkZWxlZ2F0ZSBwYWNrKQ0NSSB3aXNoIHRvIGF0dGVuZCB0aGUg
Tk9IUyBDb25mZXJlbmNlIG9uIDI1dGggSmFudWFyeSAHB0kgd2lzaCB0byBh
dHRlbmQgdGhlIE5PSFMgQ29uZmVyZW5jZSBvbiAyNnRoIEphbnVhcnkHBwcN
DUkgd291bGQgbGlrZSB0byBhdHRlbmQgdGhlIEdhbGEgZGlubmVyIG9uIHRo
ZSAyNXRoIEphbnVhcnksIExvd3J5IENlbnRyZSBAIGEgY29zdCBvZiCjMjAN
KFBsYWNlcyBhcmUgbGltaXRlZCBzbyBib29rIGVhcmx5IHRvIGF2b2lkIGRp
c2FwcG9pbnRtZW50KQcHBw1CcmVhayBvdXQgc2Vzc2lvbnM6CVBsZWFzZSB0
aWNrIDEgc2Vzc2lvbiBmcm9tIGVhY2ggd29ya3Nob3AgeW91IHdvdWxkIGxp
a2UgdG8gYXR0ZW5kIG9uIFR1ZXNkYXkgMjV0aCBKYW51YXJ5DQ1Xb3Jrc2hv
cCAxCVdvcmtzaG9wIDINDUEgTmV3IEFwcHJvYWNoIHRvIERlbGl2ZXJpbmcg
T0ggU2VydmljZXMHB1Byb3Zpc2lvbiBvZiBEZXJ3ZW50IFNoYXJlZCBTZXJ2
aWNlcyBPY2N1cGF0aW9uYWwgSGVhbHRoIFNlcnZpY2VzBwcHDUEgQ28tb3Jk
aW5hdGVkIEFwcHJvYWNoIHRvIE9jY3VwYXRpb25hbCBIZWFsdGggJiBTYWZl
dHkgUmlza3MHBw1CQlYgdGhlIE5hdGlvbmFsIFBpY3R1cmUgIC0gNyBZZWFy
IFJlcG9ydCBmcm9tIHRoZSBIUEEHBwcNTWFuYWdpbmcgTmVlZGxlc3RpY2tz
IGluIEEmRQcHDVBlcnNvbmFsIFNhZmV0eQcHBw1IYW5kIFdhc2hpbmcHBw1B
cHBseWluZyB0aGUgU3RyZXNzIE1hbmFnZW1lbnQgU3RhbmRhcmRzIGluIEhl
YWx0aCBDYXJlBwcHDVdvcmtzaG9wIDMJV29ya3Nob3AgNA0NQSBUb29sIEtp
dCBmb3IgdGhlIEFuYWx5c2lzIG9mIFBvdGVudGlhbCBXb3JrIFJlbGF0ZWQg
U3RyZXNzb3JzIGluIHRoZSBOSFMHBw1BbiBPY2N1cGF0aW9uYWwgSGVhbHRo
IERpYWdub3N0aWMHBwcNQSBDby1vcmRpbmF0ZWQgQXBwcm9hY2ggdG8gT2Nj
dXBhdGlvbmFsIEhlYWx0aCAmIFNhZmV0eSBSaXNrcwcHDUEgU21va2UgRnJl
ZSBOSFMHBwcNVGFja2xpbmcgTXVzY29za2VsZXRhbCBTaWNrbmVzcyBBYnNl
bmNlIC0gRGV2ZWxvcG1lbnQgb2YgdGhlIE51cnNlIFdvcmsgSW5zdGFiaWxp
dHkgU2NhbGUHBw1BIFRvb2wgS2l0IGZvciB0aGUgQW5hbHlzaXMgb2YgUG90
ZW50aWFsIFdvcmsgUmVsYXRlZCBTdHJlc3NvcnMgaW4gdGhlIE5IUwcHBw1J
T1NIIEN1cnJlbnQgSXNzdWVzIGFuZCB0aGUgV2F5IEZvcndhcmQHBw1IJlMs
IHRoZSBDb250cmFjdG9ycyBWaWV3BwcHDUJyZWFrIG91dCBzZXNzaW9uczog
UGxlYXNlIHRpY2sgMSBzZXNzaW9uIGZyb20gZWFjaCB3b3Jrc2hvcCB5b3Ug
d291bGQgbGlrZSB0byBhdHRlbmQgb24gV2VkbmVzZGF5IDI2dGggSmFudWFy
eQ0NV29ya3Nob3AgMQlXb3Jrc2hvcCAyCVdvcmtzaG9wIDMNDUEgTmV3IEFw
cHJvYWNoIHRvIERlbGl2ZXJpbmcgT0ggU2VydmljZXMNBwcNUHJvdmlzaW9u
IG9mIERlcndlbnQgU2hhcmVkIFNlcnZpY2VzIE9jY3VwYXRpb25hbCBIZWFs
dGggU2VydmljZXMHBw1QZXJzb25hbCBTYWZldHkHBwcNQW4gT2NjdXBhdGlv
bmFsIEhlYWx0aCBEaWFnbm9zdGljBwcNU3VydmVpbGxhbmNlIG9mIE9jY3Vw
YXRpb25hbCBFeHBvc3VyZSB0byBCQlYncyBpbiBIZWFsdGhjYXJlIFdvcmtl
cnMNBwcNTWFuYWdpbmcgTmVlZGxlc3RpY2tzIGluIEEmRQcHBw1CYWNrIFBh
aW4gaW4gV29yazogVGhlIENvc3RzIGFuZCBTb2x1dGlvbnMHBw1UYWNrbGlu
ZyBNdXNjb3NrZWxldGFsIFNpY2tuZXNzIEFic2VuY2UgLSBEZXZlbG9wbWVu
dCBvZiB0aGUgTnVyc2UgV29yayBJbnN0YWJpbGl0eSBTY2FsZQcHDUlPU0gg
Q3VycmVudCBJc3N1ZXMgYW5kIHRoZSBXYXkgRm9yd2FyZAcHBw1SaXNrIEFz
c2Vzc21lbnQgb2YgV29ya3BsYWNlIFN0cmVzcyCWIFBhcnQgMQcHDVJpc2sg
QXNzZXNzbWVudCBvZiBXb3JrcGxhY2UgU3RyZXNzIJYgUGFydCAyBwcNSCZT
LCB0aGUgQ29udHJhY3RvcnMgVmlldwcHBw1DYW5jZWxsYXRpb25zOiAgQW55
IGNhbmNlbGxhdGlvbiBtdXN0IGJlIHJlY2VpdmVkIGluIHdyaXRpbmcgYnkg
dGhlIDI0dGggSmFudWFyeSAyMDA1LiAgDQ1QbGVhc2Ugbm90ZTogICBGYWls
dXJlIHRvIGluZm9ybSB1cyBpbiB3cml0aW5nIG9mIHlvdXIgY2FuY2VsbGF0
aW9uIHdpbGwgcmVzdWx0IGluIGEgbm9uLWFycml2YWwgY2hhcmdlIG9mIKMy
NTAuIFlvdSB3aWxsIGJlIGludm9pY2VkIGZvciB0aGlzIGJ5IE5hdGlvbmFs
IFBlcmZvcm1hbmNlIEFkdmlzb3J5IEdyb3VwLCBjL28gRXNzZXggQW1idWxh
bmNlIFNlcnZpY2UgTkhTIFRydXN0Lg0NUGxlYXNlIGNvbXBsZXRlIHRoaXMg
Zm9ybSBmb3IgYXR0ZW5kYW5jZSBhbmQgcmV0dXJuIGFzIHNvb24gYXMgcG9z
c2libGUgdG86DQ1TYWxseSBIYXJyaXMJQWx0ZXJuYXRpdmVseSBGYXg6IAkw
MTI0NSA1NDQ2MTANTmF0aW9uYWwgUGVyZm9ybWFuY2UgQWR2aXNvcnkgR3Jv
dXAJVGVsZXBob25lIGVucXVpcmllczoJMDEyNDUgNTQ0NjAwDTg3IENvdmFs
IExhbmUJDUNoZWxtc2ZvcmQsIEVzc2V4IENNMSAxVFEJZS1tYWlsOiByZWJl
Y2NhLm1vcmdhbkBucGFnLm9yZy51ayAgIA0NUGxlYXNlIHF1b3RlIJNOT0hT
IENvbmZlcmVuY2WUICBOQi4gQ29uZmlybWF0aW9uIGFuZCBmdXJ0aGVyIGlu
Zm9ybWF0aW9uIHdpbGwgYmUgc2VudCB0byB5b3Ugbm8gbGF0ZXIgdGhhbiB3
ZWVrIGNvbW1lbmNpbmcgM3JkIEphbnVhcnkgMjAwNS4NDQ0NDQ0NDQ0NDQ0N
DQAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAABAAAAQQAADYE
AAA4BAAAPQQAAD8EAABqBAAAawQAAHkEAAB7BAAACgUAAAsFAAAMBQAANQUA
ADYFAAA3BQAAQgUAAEMFAABWBQAAVwUAAFgFAABhBQAAZAUAAGUFAABwBQAA
cQUAAHYFAAB3BQAAeAUAAH8FAACABQAAgQUAAJcFAAC8BQAAvQUAAL4FAAAt
BgAALgYAAFgGAABaBgAAjwYAAJEGAACaBgAAnQYAAJ4GAADOBgAA9/Hp8enx
4dfM18S997i997j3uL33sb33sfexvfexvfexvaqiqrGasZqxk4l/AAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAABI1CIFDShAAT0oCAFFKAgBcCIEAEjUIgUNK
DABPSgIAUUoCAFwIgQAMQ0oSAE9KAgBRSgIAAA9DShAASCoBT0oCAFFKAgAP
NQiBQ0oSAE9KAgBRSgIADENKCABPSgIAUUoCAAAMQ0oQAE9KAgBRSgIAAAhP
SgIAUUoCAAAMQ0oMAE9KAgBRSgIAAA81CIFDShQAT0oCAFFKAgAVNQiBNgiB
Q0oUAEgqAU9KAgBRSgIAEjUIgTYIgUNKFABPSgIAUUoCAAAPNQiBQ0oMAE9K
AgBRSgIADjUIgUgqAU9KAgBRSgIAAAs1CIFPSgIAUUoCAA81CIFDShAAT0oC
AFFKAgAALQAEAAABBAAAMgQAAE0EAABqBAAAawQAANMEAAALBQAADAUAADUF
AAA2BQAANwUAAEIFAAD6AAAAAAAAAAAAAAAA+gAAAAAAAAAAAAAAAPMAAAAA
AAAAAAAAAADpAAAAAAAAAAAAAAAA6QAAAAAAAAAAAAAAAOkAAAAAAAAAAAAA
AADpAAAAAAAAAAAAAAAA4gAAAAAAAAAAAAAAANUAAAAAAAAAAAAAAADVAAAA
AAAAAAAAAAAAaoQAAAAAAAAAAAAAANUAAAAAAAAAAAAAAAAAAAAAawAAFiQB
FyQBSWYBAAAAApZsAAM0AQXWGAQBAAAEAQAABAEAAAQBAAAEAQAABAEAAAjW
MAAClP/gEBsnAAZMEQAAAAAAAAAAAAAAAP////8ABjsWAAAAAP////8AAAAA
AAAAABPWMAAAAP8EAQAAAAAA/wQBAAAAAAD/BAEAAAAAAP8EAQAAAAAA/wQB
AAAAAAD/BAEAABT2A4cnGtYIAAAA/wAAAP8b1ggAAAD//////xzWCAAAAP8A
AAD/HdYI/////wAAAP801gYAAQoDbABh9gMAAA0AAA3GCwADAAB4DxoiAAAC
FiQBSWYBAAAABwAADcYIAAIAAHQiAAIKAAADJAENxggAAgAAdCIAAmEkAQcA
AA3GCAAC2wBWEwABAAQAAAMkAWEkAQAMAAQAAJYQAACiEAAA/f0AAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAEBAABAQJCBQAA
QwUAAFYFAABXBQAAWAUAAGEFAABiBQAAYwUAAGQFAADyAAAAAAAAAAAAAAAA
8gAAAAAAAAAAAAAAAPIAAAAAAAAAAAAAAABiNAAAAAAAAAAAAAAA8gAAAAAA
AAAAAAAAAPIAAAAAAAAAAAAAAADyAAAAAAAAAAAAAAAA8gAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAI8AABYkARckAUlmAQAAAAKWbAAF1hgEAQAABAEAAAQB
AAAEAQAABAEAAAQBAAAI1lwABJT/jArgEOgXGycABvgKAAAAAAAAAAAEAQAA
/////wAGVAYAAAAA/////wQBAAAAAAAAAAYIBwAAAAAAAAAABAEAAP////8A
BjMPAAAAAP////8EAQAAAAAAABPWMAAAAP8EAQAAAAAA/wQBAAAAAAD/BAEA
AAAAAP8EAQAAAAAA/wQBAAAAAAD/BAEAABT2A4cnGtYQAAAA/wAAAP8AAAD/
AAAA/xvWEAAAAP//////AAAA//////8c1hAAAAD/AAAA/wAAAP8AAAD/HdYQ
/////wAAAP//////AAAA/zTWBgABCgNsAGH2AwAADQAADcYLAAMAAHgPGiIA
AAIWJAFJZgEAAAAACGQFAABlBQAAcAUAAHEFAAB2BQAAdwUAAJNMAAAAAAAA
AAAAAACGAAAAAAAAAAAAAAAAhgAAAAAAAAAAAAAAAIYAAAAAAAAAAAAAAACG
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAANAAANxgsAAwAAeA8aIgAAAhYkAUlmAQAAAABrAAAWJAEX
JAFJZgEAAAAClmwABdYYBAEAAAQBAAAEAQAABAEAAAQBAAAEAQAAB5T9AQjW
MAAClP+MChsnAAb4CgAAAAAAAAAABAEAAP////8ABo8cAAAAAP////8EAQAA
AAAAABPWMAAAAP8EAQAAAAAA/wQBAAAAAAD/BAEAAAAAAP8EAQAAAAAA/wQB
AAAAAAD/BAEAABT2A4cnGtYIAAAA/wAAAP8b1ggAAAD//////xzWCAAAAP8A
AAD/HdYI/////wAAAP801gYAAQoDbABh9gMAAAAFdwUAAHgFAAB/BQAAgAUA
AG0kAAAAAAAAAAAAAABgAAAAAAAAAAAAAAAAYAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAADQAA
DcYLAAMAAHgPGiIAAAIWJAFJZgEAAAAAkQAAFiQBFyQBSWYBAAAAApZsAAXW
GAQBAAAEAQAABAEAAAQBAAAEAQAABAEAAAeUNwEI1lwABJT/jAoYFegXGycA
BvgKAAAAAAAAAAAAAAAA/////wAGjAoAAAAA/////wAAAAAAAAAAAAbQAgAA
AAAAAAAAAAAAAP////8ABjMPAAAAAP////8AAAAAAAAAABPWMAAAAP8EAQAA
AAAA/wQBAAAAAAD/BAEAAAAAAP8EAQAAAAAA/wQBAAAAAAD/BAEAABT2A4cn
GtYQAAAA/wAAAP8AAAD/AAAA/xvWEAAAAP//////AAAA//////8c1hAAAAD/
AAAA/wAAAP8AAAD/HdYQ/////wAAAP//////AAAA/zTWBgABCgNsAGH2AwAA
AAOABQAAgQUAAJcFAAC7BQAAvAUAAJPwAAAAAAAAAAAAAACGAAAAAAAAAAAA
AAAAhgAAAAAAAAAAAAAAAIYAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
DQAADcYLAAMAAHgPGiIAAAIWJAFJZgEAAAAAawAAFiQBFyQBSWYBAAAAApZs
AAXWGAQBAAAEAQAABAEAAAQBAAAEAQAABAEAAAeUNQEI1jAAApT/jAobJwAG
+AoAAAAAAAAAAAAAAAD/////AAaPHAAAAAD/////AAAAAAAAAAAT1jAAAAD/
BAEAAAAAAP8EAQAAAAAA/wQBAAAAAAD/BAEAAAAAAP8EAQAAAAAA/wQBAAAU
9gOHJxrWCAAAAP8AAAD/G9YIAAAA//////8c1ggAAAD/AAAA/x3WCP////8A
AAD/NNYGAAEKA2wAYfYDAAAABLwFAAC9BQAAvgUAAC0GAAAuBgAAZAYAAGUG
AACaBgAAmwYAAJUAAAAAAAAAAAAAAACJAAAAAAAAAAAAAAAAiQAAAAAAAAAA
AAAAAHMAAAAAAAAAAAAAAABtAAAAAAAAAAAAAAAAYwAAAAAAAAAAAAAAAG0A
AAAAAAAAAAAAAABVAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAADgAAD4SU/xGEbAAWJAFJZgEAAABehJT/YIRsAAoAAA6E4P4W
JAFJZgEAAABdhOD+BgAAFiQBSWYBAAAAFgAADcYmAAwAALgHcAhACxAO4BCw
E4AWUBkgHPAewCEAAAAAAAAAAAAAAAAACwAADcYRAAUAAKAFeA9QGRoiAAAA
AAIAaQAAFiQBFyQBSWYBAAAAApZsAAXWGAQBAAAEAQAABAEAAAQBAAAEAQAA
BAEAAAjWMAAClP+MChsnAAb4CgAAAAAAAAAAAAAAAP////8ABo8cAAAAAP//
//8AAAAAAAAAABPWMAAAAP8EAQAAAAAA/wQBAAAAAAD/BAEAAAAAAP8EAQAA
AAAA/wQBAAAAAAD/BAEAABT2A4cnGtYIAAAA/wAAAP8b1ggAAAD//////xzW
CAAAAP8AAAD/HdYI/////wAAAP801gYAAQoDbABh9gMAAAAImwYAAJwGAACd
BgAAngYAAPcGAAAyBwAAagAAAAAAAAAAAAAAAFEAAAAAAAAAAAAAAAAzAAAA
AAAAAAAAAAAAMwAAAAAAAAAAAAAAADMAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAB0AAA3GLAAOAABoAdACuAdwCEALEA7gELATgBZQGSAc8B7AIQAAAAAA
AAAAAAAAAAAAFiQBSWYBAAAAGQAADcYsAA4AAGgB0AK4B3AIQAsQDuAQsBOA
FlAZIBzwHsAhAAAAAAAAAAAAAAAAAAAAlAAAFiQBFyQBSWYBAAAAApZsAAXW
GAQBAAAEAQAABAEAAAQBAAAEAQAABAEAAAjWXAAEAADgEPwS3COsJgAG4BD/
//////////////8AAAAAAAYcAgQBAAAAAAAAAAAAAAAAAAAABuAQ/////wAA
AAD/////AAAAAAAG0AIEAQAAAAAAAAAAAAAAAAAAE9YwAAAA/wQBAAAAAAD/
BAEAAAAAAP8EAQAAAAAA/wQBAAAAAAD/BAEAAAAAAP8EAQAAFPYDrCYX9gMA
ABj2AwAAGtYQ/////wAAAP//////AAAA/xvWEP////8AAAD/AAAA/wAAAP8c
1hD/////AAAA//////8AAAD/HdYQAAAA/wAAAP8AAAD/AAAA/zTWBgABCgNs
AGH2A2wAAAXOBgAA0AYAAPcGAAAyBwAANAcAADUHAABIBwAAmAcAAJoHAACj
BwAApAcAALoHAADlBwAAJwgAACkIAABpCAAAoQgAAKMIAADTCAAA1QgAAB0J
AAAfCQAAIAkAADYJAACmCQAAqAkAAOgJAAD6CQAA/AkAAKQKAACmCgAA6woA
AO0KAADuCgAAUwsAAFULAABeCwAAXwsAAIALAAABDAAAAwwAAG8MAACNDAAA
jwwAAEENAABDDQAAvA0AAL4NAAC/DQAA4A0AAPANAAAFDgAABw4AABgOAAAZ
DgAAJA4AAPTq4+rb2ADWANPPxr63xr63xrfGt67PxrfGqLfGt8a3pQDWANPP
xuPGqOPG48bjnQCbANYA05MAAAAAAAAAAAAAAAAAAAAPNQiBQ0oSAE9KAgBR
SgIAAz4qAQ81CIFDSgwAT0oCAFFKAgAEQ0oMAAALNQiBQ0oQAF5KAgAQQ0oM
AE9KAgBRSgIAXkoCAAAMQ0oSAE9KAgBRSgIAAA41CIFDShAAXAiBXkoCAAAQ
Q0oQAE9KAgBRSgIAXkoCAAAHXAiBXkoCAARDSggAAANIKgEEQ0oUAAAPNQiB
Q0oIAE9KAgBRSgIADENKEABPSgIAUUoCAAASNQiBQ0oQAE9KAgBRSgIAXAiB
ABU1CIFDShAASCoBT0oCAFFKAgBcCIEANzIHAAAzBwAANAcAADUHAACjBwAA
pAcAALoHAAC7BwAA5AcAAOUHAADhAAAAAAAAAAAAAAAAdgAAAAAAAAAAAAAA
AHQAAAAAAAAAAAAAAABtAAAAAAAAAAAAAAAAdAAAAAAAAAAAAAAAAFgAAAAA
AAAAAAAAAABSAAAAAAAAAAAAAAAAUgAAAAAAAAAAAAAAAFIAAAAAAAAAAAAA
AAAAAAAAAAAABgAAFiQBSWYBAAAAFQUABSQADcYhDgAAGALQAqAFcAhACxAO
4BCwE4AWUBkgHPAewCEBSBIABwQADcYIAAJoAdACAAAAAQAAawAAFiQBFyQB
SWYBAAAAApZsAAXWGAQBAAAEAQAABAEAAAQBAAAEAQAABAEAAAjWMAACAADc
I6wmAAbcIwAAAAAAAAAAAAAAAAAAAAAABtACAAAAAAAAAAAAAAAAAAAAABPW
MAAAAP8EAQAAAAAA/wQBAAAAAAD/BAEAAAAAAP8EAQAAAAAA/wQBAAAAAAD/
BAEAABT2A6wmFTYBGtYIAAAA/wAAAP8b1ggAAAD/AAAA/xzWCAAAAP8AAAD/
HdYIAAAA/wAAAP801gYAAQoDbABh9gNsAAAdAAANxiwADgAAaAHQArgHcAhA
CxAO4BCwE4AWUBkgHPAewCEAAAAAAAAAAAAAAAAAABYkAUlmAQAAAAAJ5QcA
ACcIAAAoCAAAKQgAACoIAABoCAAAaQgAAGoIAAChCAAA+QAAAAAAAAAAAAAA
APMAAAAAAAAAAAAAAABe6AEAAAAAAAAAAAAA8wAAAAAAAAAAAAAAAPMAAAAA
AAAAAAAAAADzAAAAAAAAAAAAAAAASQAAAAAAAAAAAAAAAEkAAAAAAAAAAAAA
AAAAAAAAAAAAFAQADcYaDAAAuAdwCEALEA7gELATgBZQGSAc8B7AIQAWJAFJ
ZgEAAAAAlAAAFiQBFyQBSWYBAAAAApZsAAXWGAQBAAAEAQAABAEAAAQBAAAG
AQAABgEAAAjWXAAElP94D5QRkCSsJgAG5A8AAAAAAAAAAAAAAAAAAAAAAAYc
AgAAAAAAAAAAAAAAAAAAAAAABvwSAAAAAAAAAAAAAAAAAAAAAAAGHAIAAAAA
AAAAAAAAAAAAAAAAE9YwAAAA/wQBAAAAAAD/BAEAAAAAAP8EAQAAAAAA/wQB
AAAAAAD/BgEAAAAAAP8GAQAAFPYDGCcX9gMAABj2AwAAGtYQAAAA/wAAAP8A
AAD/AAAA/xvWEAAAAP8AAAD/AAAA/wAAAP8c1hAAAAD/AAAA/wAAAP8AAAD/
HdYQAAAA/wAAAP8AAAD/AAAA/zTWBgABCgNsAGH2AwAABgAAFiQBSWYBAAAA
BgQAFiQBSWYBAAAAAAihCAAAoggAAKMIAACkCAAAwQgAAMIIAADDCAAA0wgA
ANQIAADVCAAA1ggAAOMIAAD5AAAAAAAAAAAAAAAAZMgAAAAAAAAAAAAAAPkA
AAAAAAAAAAAAAAD5AAAAAAAAAAAAAAAA+QAAAAAAAAAAAAAAAPkAAAAAAAAA
AAAAAAD5AAAAAAAAAAAAAAAA+QAAAAAAAAAAAAAAAGQoAQAAAAAAAAAAAAD5
AAAAAAAAAAAAAAAA+QAAAAAAAAAAAAAAAAAAAAAAAAAAAACUAAAWJAEXJAFJ
ZgEAAAAClmwABdYYBAEAAAQBAAAEAQAABAEAAAYBAAAGAQAACNZcAASU/3gP
lBGQJKwmAAbkDwAAAAAAAAAAAAAAAAAAAAAABhwCAAAAAAAAAAAAAAAAAAAA
AAAG/BIAAAAAAAAAAAAAAAAAAAAAAAYcAgAAAAAAAAAAAAAAAAAAAAAT1jAA
AAD/BAEAAAAAAP8EAQAAAAAA/wQBAAAAAAD/BAEAAAAAAP8GAQAAAAAA/wYB
AAAU9gMYJxf2AwAAGPYDAAAa1hAAAAD/AAAA/wAAAP8AAAD/G9YQAAAA/wAA
AP8AAAD/AAAA/xzWEAAAAP8AAAD/AAAA/wAAAP8d1hAAAAD/AAAA/wAAAP8A
AAD/NNYGAAEKA2wAYfYDAAAGAAAWJAFJZgEAAAAAC+MIAADkCAAA5QgAAB0J
AAAeCQAAHwkAACAJAAA2CQAANwkAAPkAAAAAAAAAAAAAAAD5AAAAAAAAAAAA
AAAA+QAAAAAAAAAAAAAAAPkAAAAAAAAAAAAAAABkAAAAAAAAAAAAAAAAYgAA
AAAAAAAAAAAAAE0AAAAAAAAAAAAAAAD5AAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAVBQAFJAANxiEOAAAYAtACoAVwCEALEA7gELATgBZQGSAc8B7AIQFI
EgAAAQAAAJQAABYkARckAUlmAQAAAAKWbAAF1hgEAQAABAEAAAQBAAAEAQAA
BgEAAAYBAAAI1lwABJT/eA+UEZAkrCYABuQPAAAAAAAAAAAAAAAAAAAAAAAG
HAIAAAAAAAAAAAAAAAAAAAAAAAb8EgAAAAAAAAAAAAAAAAAAAAAABhwCAAAA
AAAAAAAAAAAAAAAAABPWMAAAAP8EAQAAAAAA/wQBAAAAAAD/BAEAAAAAAP8E
AQAAAAAA/wYBAAAAAAD/BgEAABT2AxgnF/YDAAAY9gMAABrWEAAAAP8AAAD/
AAAA/wAAAP8b1hAAAAD/AAAA/wAAAP8AAAD/HNYQAAAA/wAAAP8AAAD/AAAA
/x3WEAAAAP8AAAD/AAAA/wAAAP801gYAAQoDbABh9gMAAAYAABYkAUlmAQAA
AAAINwkAAIIJAACDCQAAhAkAAKYJAACnCQAAqAkAAKkJAADnCQAA6AkAAPkA
AAAAAAAAAAAAAAD5AAAAAAAAAAAAAAAA+QAAAAAAAAAAAAAAAPkAAAAAAAAA
AAAAAAD5AAAAAAAAAAAAAAAAZFABAAAAAAAAAAAAAPkAAAAAAAAAAAAAAAD5
AAAAAAAAAAAAAAAA+QAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAlAAAFiQBFyQBSWYBAAAAApZsAAXW
GAQBAAAEAQAABAEAAAQBAAAGAQAABgEAAAjWXAAElP94D5QRkCSsJgAG5A8A
AAAAAAAAAAAAAAAAAAAAAAYcAgAAAAAAAAAAAAAAAAAAAAAABvwSAAAAAAAA
AAAAAAAAAAAAAAAGHAIAAAAAAAAAAAAAAAAAAAAAE9YwAAAA/wQBAAAAAAD/
BAEAAAAAAP8EAQAAAAAA/wQBAAAAAAD/BgEAAAAAAP8GAQAAFPYDGCcX9gMA
ABj2AwAAGtYQAAAA/wAAAP8AAAD/AAAA/xvWEAAAAP8AAAD/AAAA/wAAAP8c
1hAAAAD/AAAA/wAAAP8AAAD/HdYQAAAA/wAAAP8AAAD/AAAA/zTWBgABCgNs
AGH2AwAABgAAFiQBSWYBAAAAAAnoCQAA6QkAAPoJAAD7CQAA/AkAAP0JAABX
CgAAWAoAAFkKAACkCgAA6gAAAAAAAAAAAAAAAOoAAAAAAAAAAAAAAADkAAAA
AAAAAAAAAAAAT6gCAAAAAAAAAAAAAOQAAAAAAAAAAAAAAADkAAAAAAAAAAAA
AAAA5AAAAAAAAAAAAAAAAOQAAAAAAAAAAAAAAADkAAAAAAAAAAAAAAAAAACU
AAAWJAEXJAFJZgEAAAAClmwABdYYBAEAAAQBAAAEAQAABAEAAAYBAAAGAQAA
CNZcAASU/3gPlBGQJKwmAAbkDwAAAAAAAAAAAAAAAAAAAAAABhwCAAAAAAAA
AAAAAAAAAAAAAAAG/BIAAAAAAAAAAAAAAAAAAAAAAAYcAgAAAAAAAAAAAAAA
AAAAAAAT1jAAAAD/BAEAAAAAAP8EAQAAAAAA/wQBAAAAAAD/BAEAAAAAAP8G
AQAAAAAA/wYBAAAU9gMYJxf2AwAAGPYDAAAa1hAAAAD/AAAA/wAAAP8AAAD/
G9YQAAAA/wAAAP8AAAD/AAAA/xzWEAAAAP8AAAD/AAAA/wAAAP8d1hAAAAD/
AAAA/wAAAP8AAAD/NNYGAAEKA2wAYfYDAAAGAAAWJAFJZgEAAAAAFAQADcYa
DAAAuAdwCEALEA7gELATgBZQGSAc8B7AIQAWJAFJZgEAAAAACaQKAAClCgAA
pgoAAKcKAADPCgAA0AoAANEKAADrCgAA7AoAAO0KAADuCgAA+QAAAAAAAAAA
AAAAAGQcAQAAAAAAAAAAAAD5AAAAAAAAAAAAAAAA+QAAAAAAAAAAAAAAAPkA
AAAAAAAAAAAAAAD5AAAAAAAAAAAAAAAA+QAAAAAAAAAAAAAAAPkAAAAAAAAA
AAAAAABkAAAAAAAAAAAAAAAAXQAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAcE
AA3GCAACaAHQAgAAAJQAABYkARckAUlmAQAAAAKWbAAF1hgEAQAABAEAAAQB
AAAEAQAABgEAAAYBAAAI1lwABJT/eA+UEZAkrCYABuQPAAAAAAAAAAAAAAAA
AAAAAAAGHAIAAAAAAAAAAAAAAAAAAAAAAAb8EgAAAAAAAAAAAAAAAAAAAAAA
BhwCAAAAAAAAAAAAAAAAAAAAABPWMAAAAP8EAQAAAAAA/wQBAAAAAAD/BAEA
AAAAAP8EAQAAAAAA/wYBAAAAAAD/BgEAABT2AxgnF/YDAAAY9gMAABrWEAAA
AP8AAAD/AAAA/wAAAP8b1hAAAAD/AAAA/wAAAP8AAAD/HNYQAAAA/wAAAP8A
AAD/AAAA/x3WEAAAAP8AAAD/AAAA/wAAAP801gYAAQoDbABh9gMAAAYAABYk
AUlmAQAAAAAK7goAAF4LAABfCwAAgAsAAIELAACqCwAAqwsAAKwLAACtCwAA
7wsAAPALAADxCwAAAQwAAAIMAAD4AAAAAAAAAAAAAAAA9gAAAAAAAAAAAAAA
AOIAAAAAAAAAAAAAAADcAAAAAAAAAAAAAAAA3AAAAAAAAAAAAAAAANwAAAAA
AAAAAAAAAADcAAAAAAAAAAAAAAAA3AAAAAAAAAAAAAAAANwAAAAAAAAAAAAA
AADcAAAAAAAAAAAAAAAA3AAAAAAAAAAAAAAAANwAAAAAAAAAAAAAAADcAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAG
AAAWJAFJZgEAAAAUBQAFJAANxh8NAAAYAtACoAVwCEALEA7gELATgBYgHPAe
wCEBqAwAAAEAAAcEAA3GCAACaAHQAgAAAA0CDAAAAwwAAAQMAAAmDAAAJwwA
ACgMAABtDAAAbgwAAEQwAgAAAAAAAAAAAAA+AAAAAAAAAAAAAAAAPgAAAAAA
AAAAAAAAAD4AAAAAAAAAAAAAAAA+AAAAAAAAAAAAAAAAPgAAAAAAAAAAAAAA
AD4AAAAAAAAAAAAAAAAABgAAFiQBSWYBAAAAALoAABYkARckAUlmAQAAAAKW
bAAF1hgEAQAABAEAAAQBAAAEAQAABgEAAAYBAAAI1ogABpT/2An0C+gXBBqQ
JKwmAAZECgAAAAAAAAAAAAAAAAAAAAAABhwCAAAAAAAAAAAAAAAAAAAAAAAG
9AsAAAAAAAAAAAAAAAAAAAAAAAYcAgAAAAAAAAAAAAAAAAAAAAAABowKAAAA
AAAAAAAAAAAAAAAAAAAGHAIAAAAAAAAAAAAAAAAAAAAAE9YwAAAA/wQBAAAA
AAD/BAEAAAAAAP8EAQAAAAAA/wQBAAAAAAD/BgEAAAAAAP8GAQAAFPYDGCcX
9gMAABj2AwAAGtYYAAAA/wAAAP8AAAD/AAAA/wAAAP8AAAD/G9YYAAAA/wAA
AP8AAAD/AAAA/wAAAP8AAAD/HNYYAAAA/wAAAP8AAAD/AAAA/wAAAP8AAAD/
HdYYAAAA/wAAAP8AAAD/AAAA/wAAAP8AAAD/NNYGAAEKA2wAYfYDAAAAB24M
AABvDAAAcAwAAI0MAACODAAA+QAAAAAAAAAAAAAAAOQAAAAAAAAAAAAAAADk
AAAAAAAAAAAAAAAA+QAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAUBAANxhoMAAC4B3AIQAsQDuAQsBOAFlAZIBzwHsAhABYkAUlmAQAA
AAYAABYkAUlmAQAAAAAEjgwAAI8MAACQDAAAuwwAALwMAAC9DAAAFw0AAELQ
AgAAAAAAAAAAAAA8AAAAAAAAAAAAAAAAPAAAAAAAAAAAAAAAADwAAAAAAAAA
AAAAAAA8AAAAAAAAAAAAAAAAPAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
BgAAFiQBSWYBAAAAALwAABYkARckAUlmAQAAAAKWbAAF1hgEAQAABAEAAAQB
AAAEAQAABgEAAAYBAAAHlDQDCNaIAAaU/9gJ9AvoFwQakCSsJgAGRAoAAAAA
AAAAAAAAAAAAAAAAAAYcAgAAAAAAAAAAAAAAAAAAAAAABvQLAAAAAAAAAAAA
AAAAAAAAAAAGHAIAAAAAAAAAAAAAAAAAAAAAAAaMCgAAAAAAAAAAAAAAAAAA
AAAABhwCAAAAAAAAAAAAAAAAAAAAABPWMAAAAP8EAQAAAAAA/wQBAAAAAAD/
BAEAAAAAAP8EAQAAAAAA/wYBAAAAAAD/BgEAABT2AxgnF/YDAAAY9gMAABrW
GAAAAP8AAAD/AAAA/wAAAP8AAAD/AAAA/xvWGAAAAP8AAAD/AAAA/wAAAP8A
AAD/AAAA/xzWGAAAAP8AAAD/AAAA/wAAAP8AAAD/AAAA/x3WGAAAAP8AAAD/
AAAA/wAAAP8AAAD/AAAA/zTWBgABCgNsAGH2AwAAAAYXDQAAGA0AABkNAABB
DQAAQg0AAEMNAABEDQAA+QAAAAAAAAAAAAAAAPkAAAAAAAAAAAAAAAD5AAAA
AAAAAAAAAAAA+QAAAAAAAAAAAAAAADzsAQAAAAAAAAAAAAD5AAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAvAAAFiQBFyQBSWYBAAAAApZsAAXWGAQBAAAE
AQAABAEAAAQBAAAGAQAABgEAAAeUZwII1ogABpT/2An0C+gXBBqQJKwmAAZE
CgAAAAAAAAAAAAAAAAAAAAAABhwCAAAAAAAAAAAAAAAAAAAAAAAG9AsAAAAA
AAAAAAAAAAAAAAAAAAYcAgAAAAAAAAAAAAAAAAAAAAAABowKAAAAAAAAAAAA
AAAAAAAAAAAGHAIAAAAAAAAAAAAAAAAAAAAAE9YwAAAA/wQBAAAAAAD/BAEA
AAAAAP8EAQAAAAAA/wQBAAAAAAD/BgEAAAAAAP8GAQAAFPYDGCcX9gMAABj2
AwAAGtYYAAAA/wAAAP8AAAD/AAAA/wAAAP8AAAD/G9YYAAAA/wAAAP8AAAD/
AAAA/wAAAP8AAAD/HNYYAAAA/wAAAP8AAAD/AAAA/wAAAP8AAAD/HdYYAAAA
/wAAAP8AAAD/AAAA/wAAAP8AAAD/NNYGAAEKA2wAYfYDAAAGAAAWJAFJZgEA
AAAABkQNAABxDQAAcg0AAHMNAACgDQAAoQ0AAKINAAC8DQAAvQ0AAPkAAAAA
AAAAAAAAAAD5AAAAAAAAAAAAAAAA+QAAAAAAAAAAAAAAAPkAAAAAAAAAAAAA
AAD5AAAAAAAAAAAAAAAA+QAAAAAAAAAAAAAAAPkAAAAAAAAAAAAAAAD5AAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAYAABYkAUlmAQAAAAAIvQ0AAL4NAAC/DQAAGA4AABkOAAD3DgAA
RAAAAAAAAAAAAAAAAEIAAAAAAAAAAAAAAAAwAAAAAAAAAAAAAAAAQgAAAAAA
AAAAAAAAAEIAAAAAAAAAAAAAAAAAAAAAAAAAABEFAAUkAA3GGgwYAtACcAhA
CxAO4BCwE4AWUBkgHPAewCEAAAEAAAC6AAAWJAEXJAFJZgEAAAAClmwABdYY
BAEAAAQBAAAEAQAABAEAAAYBAAAGAQAACNaIAAaU/9gJ9AvoFwQakCSsJgAG
RAoAAAAAAAAAAAAAAAAAAAAAAAYcAgAAAAAAAAAAAAAAAAAAAAAABvQLAAAA
AAAAAAAAAAAAAAAAAAAGHAIAAAAAAAAAAAAAAAAAAAAAAAaMCgAAAAAAAAAA
AAAAAAAAAAAABhwCAAAAAAAAAAAAAAAAAAAAABPWMAAAAP8EAQAAAAAA/wQB
AAAAAAD/BAEAAAAAAP8EAQAAAAAA/wYBAAAAAAD/BgEAABT2AxgnF/YDAAAY
9gMAABrWGAAAAP8AAAD/AAAA/wAAAP8AAAD/AAAA/xvWGAAAAP8AAAD/AAAA
/wAAAP8AAAD/AAAA/xzWGAAAAP8AAAD/AAAA/wAAAP8AAAD/AAAA/x3WGAAA
AP8AAAD/AAAA/wAAAP8AAAD/AAAA/zTWBgABCgNsAGH2AwAAAAUkDgAAKA4A
APUOAAD3DgAA+A4AAEQPAABFDwAACBAAABcQAAAbEAAAhRAAAIcQAACVEAAA
lhAAAKIQAACjEAAA8+jj2dHKw9G70bHRwwDDAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAASNQiBQ0oSAEgqAU9K
AgBRSgIAAA81CIFDShAAT0oCAFFKAgAMQ0oSAE9KAgBRSgIAAAxDSggAT0oC
AFFKAgAADzUIgUNKEgBPSgIAUUoCABM1CIFDSggAT0oCAFFKAgBhShIACENK
EgBhShIAABRDShIAT0oCAFFKAgBeSgIAYUoSAAAXNQiBQ0oSAE9KAgBRSgIA
XkoCAGFKEgAAD/cOAAD4DgAARA8AAEUPAABzDwAAuQ8AAMgPAAAIEAAACRAA
AJYQAACXEAAAmBAAAJkQAACaEAAAmxAAAJwQAACdEAAAnhAAAJ8QAACgEAAA
oRAAAKIQAACjEAAA/QAAAAAAAAAAAAAAAP0AAAAAAAAAAAAAAAD9AAAAAAAA
AAAAAAAA8AAAAAAAAAAAAAAAAPAAAAAAAAAAAAAAAADbAAAAAAAAAAAAAAAA
8AAAAAAAAAAAAAAAAMsAAAAAAAAAAAAAAADLAAAAAAAAAAAAAAAA/QAAAAAA
AAAAAAAAAP0AAAAAAAAAAAAAAAD9AAAAAAAAAAAAAAAA/QAAAAAAAAAAAAAA
AP0AAAAAAAAAAAAAAAD9AAAAAAAAAAAAAAAA/QAAAAAAAAAAAAAAAP0AAAAA
AAAAAAAAAAD9AAAAAAAAAAAAAAAA/QAAAAAAAAAAAAAAAP0AAAAAAAAAAAAA
AAD9AAAAAAAAAAAAAAAAywAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAQAAADJAMNxhQABngP6BeIHSclxyqRMwAAAAAAAmEkAxUA
AA3GFAAGeA/oF4gdJyXHKpEzAAAAAAACD4RGDhGEuvFehEYOYIS68Q0AAA3G
FAAGeA/oF4gdJyXHKpEzAAAAAAACAAEAAAAWLAAxkGgBH7CCLiCwxkEhsDgE
IrCeAyOQAAAkkLQAJbAAABewxAIYsMQCDJDEAgAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAU
ABIACgABAGkADwADAAAAAAAAAAAANAAAQPH/AgA0AAwABgBOAG8AcgBtAGEA
bAAAAAIAAAAUAENKGABfSAEEbUgJCHNICQh0SAkEVgABAAEAAgBWAAwACQBI
AGUAYQBkAGkAbgBnACAAMQAAABkAAQADJAEGJAENxggAAgAAdCIAAkAmAGEk
AQAXADUIgUIqBkNKHABcCIFhShwAcGj/AAAAADoAAgABAAIAOgAMAAkASABl
AGEAZABpAG4AZwAgADIAAAAIAAIABiQBQCYBDgA1CIFtSAkIc0gJCHUIALYA
AwABAAIAtgAMAAkASABlAGEAZABpAG4AZwAgADMAAAB/AAMAAyQDBiQBDcYX
AAcAABgC0AKgBXAIQAsQDgAAAAAAAAAYhJYbGYTxABqEFA4bJqAkZAYBAQAl
ZAYBAQAmZAYBAQAnZAYBAQArRC6CQCYCTsYIAAAAAAYBAABPxggAAAAABgEA
AFDGCAAAAAAGAQAAUcYIAAAAAAYBAABhJAMAEgA1CIFDShwAT0oDAFFKAwBc
CIFmAARAAQACAGYADAAJAEgAZQBhAGQAaQBuAGcAIAA0AAAAMQAEAAYkAUAm
Aw3GJgAMAAC4B3AIQAsQDuAQsBOAFlAZIBzwHsAhAAAAAAAAAAAAAAAAAA8A
NQiBQ0oSAE9KAgBRSgIAAG4ABUABAAIAbgAMAAkASABlAGEAZABpAG4AZwAg
ADUAAAA6AAUABSQBBiQBQCYEDcYsAA4AABgC0AKgBXAIQAsQDuAQsBOAFlAZ
IBzwHsAhAAAAAAAAAAAAAAAAAAAPADUIgUNKFABPSgIAUUoCAAAAAAAAAAAA
ADwAQUDy/6EAPAAMARYARABlAGYAYQB1AGwAdAAgAFAAYQByAGEAZwByAGEA
cABoACAARgBvAG4AdAAAAAAAAAAAAAAAAAA+AD4AAQDyAD4ADAAFAFQAaQB0
AGwAZQAAAAgADwADJAFhJAEZADUIgUNKKABcCIFhSigAbUgJCHNICQh1CAAA
RABCAAEAAgFEAAwACQBCAG8AZAB5ACAAVABlAHgAdAAAAA0AEAANxggAAgAA
oAUAAAARADUIgVwIgW1ICQhzSAkIdQgAAGAAUAABABIBYAAMAAsAQgBvAGQA
eQAgAFQAZQB4AHQAIAAyAAAAKwARAA3GJgAMAAC4B3AIQAsQDuAQsBOAFlAZ
IBzwHsAhAAAAAAAAAAAAAAAAAAwAQ0oSAE9KAgBRSgIAAAAAAAEAAAACAAAA
AwAAAAQAAAAFAAAABgAAAAcAAAAIAAAACQAAAAoAAAALAAAAowwAAP////8A
AAAAAQD/////AAAAAAAAAAAKAAAABQAAAAEA/////wAAAAAAAAAAAQAAAAYA
AAABAP////8AAAAAAAAAAAIAAAAHAAAAAQD/////AAAAAAAAAAADAAAACAAA
AAEA/////wAAAAAAAAAABgAAAAoAAAABAP////8AAAAAAAAAAAQAAAAJAAAA
AQD/////AAAAAAAAAAAAAAAAAQAAAAEA/////wAAAAAAAAAABwAAAAIAAAAB
AP////8AAAAAAAAAAAgAAAADAAAAAQD/////AAAAAAAAAAAJAAAABAAAAAEA
/////wAAAAAAAAAABQAAAAsAAAAAAAAAAAAAAAAAAAAAAAAAAAABAAAAAgAA
AAMAAAAEAAAABQAAAAYAAAAHAAAACAAAAAkAAAAKAAAACwAAAA4AAAAAAAAA
AAgBAAAAAAgCAAAAAAgDAAAAAAgEAAAAAAgFAAAAAAgGAAAAAAgHAAAAAAgI
AAAAAAgJAAAAAAgKAAAAAAj//wAAAAAAAAAAowwAAAYAAEYAAAAA/////wAA
AAABAAAAMgAAAE0AAABqAAAAawAAANMAAAALAQAADAEAADUBAAA2AQAANwEA
AEIBAABDAQAAVgEAAFcBAABYAQAAYQEAAGIBAABjAQAAZAEAAGUBAABwAQAA
cQEAAHYBAAB3AQAAeAEAAH8BAACAAQAAgQEAAJcBAAC7AQAAvAEAAL0BAAC+
AQAALQIAAC4CAABkAgAAZQIAAJoCAACbAgAAnAIAAJ0CAACeAgAA9wIAADID
AAAzAwAANAMAADUDAACjAwAApAMAALoDAAC7AwAA5AMAAOUDAAAnBAAAKAQA
ACkEAAAqBAAAaAQAAGkEAABqBAAAoQQAAKIEAACjBAAApAQAAMEEAADCBAAA
wwQAANMEAADUBAAA1QQAANYEAADjBAAA5AQAAOUEAAAdBQAAHgUAAB8FAAAg
BQAANgUAADcFAACCBQAAgwUAAIQFAACmBQAApwUAAKgFAACpBQAA5wUAAOgF
AADpBQAA+gUAAPsFAAD8BQAA/QUAAFcGAABYBgAAWQYAAKQGAAClBgAApgYA
AKcGAADPBgAA0AYAANEGAADrBgAA7AYAAO0GAADuBgAAXgcAAF8HAACABwAA
gQcAAKoHAACrBwAArAcAAK0HAADvBwAA8AcAAPEHAAABCAAAAggAAAMIAAAE
CAAAJggAACcIAAAoCAAAbQgAAG4IAABvCAAAcAgAAI0IAACOCAAAjwgAAJAI
AAC7CAAAvAgAAL0IAAAXCQAAGAkAABkJAABBCQAAQgkAAEMJAABECQAAcQkA
AHIJAABzCQAAoAkAAKEJAACiCQAAvAkAAL0JAAC+CQAAvwkAABgKAAAZCgAA
9woAAPgKAABECwAARQsAAHMLAAC5CwAAyAsAAAgMAAAJDAAApAwAAJgAAAAA
MAAAAAAAAACAAAAAgJgAAAAAMAAAAAAAAACAAAAAgJgAAAAAMAAAAAAAAACA
AAAAgJgAAAAAMAAAAAAAAACAAAAAgJgAAAAAMAAAAAAAAACAAAAAgJgAAAAA
MAAAAAAAAACAAAAAgJgAAAAAMAAAAAAAAACAAAAAgJgAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgJkAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgJkAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgJkAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgJkAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgJkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgJkAAAAAMAAAAAAAAACA
AAAAgJgAAAAAMAAAAAAAAACAAAAAgJgAAAAAMAAAAAAAAACAAAAAgJgAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgJkAAAAA
MAAAAAAAAACAAAAAgJgAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAA
MAAAAAAAAACAAAAAgJkAAAAAMAAAAAAAAACAAAAAgJgAAAAAMAAAAAAAAACA
AAAAgDgAAAAEMAAAAAAAAACAAAAAgJgAAAAAMAAAAAAAAACAAAAAgEgAAAAF
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAEMAAAAAAAAACAAAAAgKkAAAAA
MAAAAAAAAACAAAAAgJtAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAE
MAAAAAAAAACAAAAAgKkAAAAEMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgJkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgJkAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgJkAAAAAMAAAAAAAAACA
AAAAgJgAAAAAMAAAAAAAAACAAAAAgEgAAAAFMAAAAAAAAACAAAAAgKkAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAA
MAAAAAAAAACAAAAAgJkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAE
MAAAAAAAAACAAAAAgKkAAAAEMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgJkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgJkAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgJkAAAAAMAAAAAAAAACA
AAAAgDgAAAAEMAAAAAAAAACAAAAAgDgAAAAEMAAAAAAAAACAAAAAgJgAAAAA
MAAAAAAAAACAAAAAgEgAAAAFMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgJkAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAE
MAAAAAAAAACAAAAAgKkAAAAEMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgJkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgJkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAA
MAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACAAAAAgKkAAAAAMAAAAAAAAACA
AAAAgJkAAAAAMAAAAAAAAACAAAAAgJgAAAAAMAAAAAAAAACAAAAAgEgAAAAF
MAAAAAAAAACAAAAAgJgAAAAAMAAAAAAAAACAAAAAgJgAAAAAMAAAAAAAAACA
AAAAgJgAAAAAMAAAAAAAAACAAAAAgJgAAAAAMAAAAAAAAACAAAAAgJgAAAAA
MAAAAAAAAACAAAAAgJgAAAAAMAAAAAAAAACAAAAAgJgAAAAAMAAAAAAAAACA
AAAAgJgAAAAAMAAAAAAAAACAAAAAgJgAAAAAMAAAAAAAAACAAAAAgJgAAAAA
MAAAAAAAAACAAAAAgJoAAAAAMAAAAAAAAACAAAAAgAAEAADOBgAAJA4AAKMQ
AAAJAAAAEgAAACEAAAAABAAAQgUAAGQFAAB3BQAAgAUAALwFAACbBgAAMgcA
AOUHAAChCAAA4wgAADcJAADoCQAApAoAAO4KAAACDAAAbgwAAI4MAAAXDQAA
RA0AAL0NAAD3DgAAoxAAAAoAAAAMAAAADQAAAA4AAAAPAAAAEAAAABEAAAAT
AAAAFAAAABUAAAAWAAAAFwAAABgAAAAZAAAAGgAAABsAAAAcAAAAHQAAAB4A
AAAfAAAAIAAAACIAAAAABAAAohAAAAsAAAAPAADwOAAAAAAABvAYAAAAAggA
AAIAAAAkAAAAAQAAAAEAAAAlAAAAQAAe8RAAAAD//wAAAAD/AICAgAD3AAAQ
AA8AAvCSAAAAEAAI8AgAAAABAAAAJAQAAA8AA/AwAAAADwAE8CgAAAABAAnw
EAAAAAAAAAAAAAAAAAAAAAAAAAACAArwCAAAAAAEAAAFAAAADwAE8EIAAAAS
AArwCAAAAAEEAAAADgAAUwAL8B4AAAC/AQAAEADLAQAAAAD/AQAACAAEAwkA
AAA/AwEAAQAAABHwBAAAAAEAAACjDAAAAAAAAAYGAAATBgAAxggAANMIAAAJ
DAAADwwAAJYMAAChDAAApAwAAAcAHAAHABwABwAEAAcABwAHAAAAAACYAQAA
mQEAACQKAAAvCgAAigoAAPUKAAAJDAAALQwAAJYMAAChDAAApAwAAAcAMwAH
ADMABwAzAAcABAAHAAcABwAAAAAAaQAAAGoAAAC9AQAAvgEAADQDAAA0AwAA
SQMAAEkDAACiAwAAowMAACgEAAAoBAAAKgQAAGcEAADlBAAAHAUAAB8FAAAf
BQAAVgUAAF8FAADHBQAA0QUAAPwFAAD9BQAAeAYAAIEGAAABBwAAAgcAAF0H
AABeBwAAkAgAALoIAAAXCgAAGAoAAPgKAAD4CgAAQwsAAEQLAAAHDAAACQwA
ACcMAAApDAAAlQwAAKQMAAADAAQAAwAEAAMABAADAAQAAwAEAAMABAADAAQA
AwAEAAMABAADAAcAAwAEAAMABAADAAcAAwAEAAMABAADAAQAAwAEAAMABAAD
AAQAAwAEAAMABAADAAcA//8UAAAABQBTAGEAbABsAHkAAAAFAFMAYQBsAGwA
eQAAAAUAUwBhAGwAbAB5AAAABQBTAGEAbABsAHkAAAAFAFMAYQBsAGwAeQAA
AAUAUwBhAGwAbAB5AAAABQBTAGEAbABsAHkAAAAHAEQASAAgAFUAcwBlAHIA
AAAFAFMAYQBsAGwAeQBpAEMAOgBcAEQAbwBjAHUAbQBlAG4AdABzACAAYQBu
AGQAIABTAGUAdAB0AGkAbgBnAHMAXABzAGEAbABsAHkALgBUAEgAQQBNAEUA
UwAuADAAMAAxAFwATABvAGMAYQBsACAAUwBlAHQAdABpAG4AZwBzAFwAVABl
AG0AcABvAHIAYQByAHkAIABJAG4AdABlAHIAbgBlAHQAIABGAGkAbABlAHMA
XABPAEwASwAyADgAXABCAG8AbwBrAGkAbgBnACAARgBvAHIAbQAuAGQAbwBj
ABAASABlAGEAdABoAGUAcgAgAEIAZQBhAHIAcABhAHIAawA+AEMAOgBcAEQA
bwBjAHUAbQBlAG4AdABzACAAYQBuAGQAIABTAGUAdAB0AGkAbgBnAHMAXABI
AEIAZQBhAHIAcABhAHIAawBcAEQAZQBzAGsAdABvAHAAXABhACAAQgBvAG8A
awBpAG4AZwAgAEYAbwByAG0ALgBkAG8AYwAAAAAACwEAAAwBAAA1AQAANgEA
ADcBAABCAQAAQwEAAFYBAABXAQAAWAEAAGEBAABkAQAAZQEAAHABAABxAQAA
dgEAAHcBAAB4AQAAfwEAAIABAACBAQAAuwEAALwBAAC9AQAALQIAAC4CAABk
AgAAZQIAAJoCAACbAgAAnAIAAJ0CAAAyAwAAMwMAADQDAACkAwAAugMAAOQD
AADlAwAAJwQAACgEAAApBAAAaAQAAGkEAAChBAAAogQAAKMEAADBBAAAwgQA
ANMEAADUBAAA1QQAAOMEAADkBAAAHQUAAB4FAAAfBQAANgUAAIIFAACDBQAA
pgUAAKcFAACoBQAA5wUAAOgFAAD6BQAA+wUAAPwFAABXBgAAWAYAAKQGAACl
BgAApgYAAM8GAADQBgAA6wYAAOwGAADtBgAAUQcAAF8HAACABwAAqwcAAKwH
AADvBwAA8AcAAAEIAAACCAAAAwgAACYIAAAnCAAAbggAAG8IAACNCAAAjggA
AI8IAAC7CAAAvAgAABcJAAAYCQAAQQkAAEIJAABDCQAAcQkAAHIJAACgCQAA
oQkAALwJAAC9CQAAvgkAAJUMAACkDAAAAAAAAAEAAAAIAAAAAgEAAAIBAACe
AQAEAgEAAAIBAAACAQAAAgEAAJ4BAAQCAQAAAgEAAJ4BAAQCAQAAAgEAAAIB
AAACAQAAngEABAIBAAACAQAAngEABAIBAAACAQAAlgEABAEAAAAIAAAAAgEA
AAIBAAACAQAAAgEAAJYBAAQIAAAAAgEAAAIBAACWAQAAAQAAAAgAAAACAQAA
AgEAAAIBAAACAQAAngEABAIBAAACAQAAAgEAAAIBAACeAQAEAgEAAAIBAAAC
AQAAAgEAAJ4BAAQCAQAAAgEAAAIBAAACAQAAlgEABAgAAAACAQAAAgEAAAIB
AAACAQAAngEABAIBAAACAQAAAgEAAAIBAACeAQAEAgEAAAIBAAACAQAAAgEA
AJ4BAAQCAQAAAgEAAAIBAAACAQAAlgEABAEAAAABAAAACAAAAAIBAAACAQAA
AgEAAAIBAAACAQAAAgEAAJ4BAAQCAQAAAgEAAAIBAAACAQAAAgEAAAIBAACe
AQAEAgEAAAIBAAACAQAAAgEAAAIBAAACAQAAngEABAIBAAACAQAAAgEAAAIB
AAACAQAAAgEAAJYBAAQBAAAA/0AAgAEAAAAAAAAAAABwv3QAAQAnAQAAAAAA
AAAAAAAAAAAAAAACEAAAAAAAAACjDAAAYAAACABAAAD//wEAAAAHAFUAbgBr
AG4AbwB3AG4A//8BAAgAAAAAAAAAAAAAAP//AQAAAAAA//8AAAIA//8AAAAA
//8AAAIA//8AAAAABAAAAEcWkAEAAAICBgMFBAUCAwSHegAgAAAAgAgAAAAA
AAAA/wEAAAAAAABUAGkAbQBlAHMAIABOAGUAdwAgAFIAbwBtAGEAbgAAADUW
kAECAAUFAQIBBwYCBQcAAAAAAAAAEAAAAAAAAAAAAAAAgAAAAABTAHkAbQBi
AG8AbAAAADMmkAEAAAILBgQCAgICAgSHegAgAAAAgAgAAAAAAAAA/wEAAAAA
AABBAHIAaQBhAGwAAABJRgAAAAADAQEBAQIBAQEBhwIAAAAAAAAAAAAAAAAA
AJ8AAAAAAAAATQBvAG4AbwB0AHkAcABlACAAQwBvAHIAcwBpAHYAYQAAACIA
BABxCIgYAPDQAgAAaAEAAAAAN3yMZjd8jGYIo4pmAgAAAAAA0QEAAGAKAAAB
AAUAAAAEAAMQFgAAAOIBAAC9CgAAAQAFAAAAFgAAAAAAAADRIgDwEAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA4BAAAtAC0
AIGBMjAAABAAGQBkAAAAGQAAAL0MAACfDAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAgAA
AAAAAAAAAAgzgxEA8BAA398AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
SAD//xIAAAAAAAAAEQBSAEUARwBJAFMAVABSAEEAVABJAE8ATgAgAEYATwBS
AE0AAAAAAAAADQBBAG4AbgBlACAAUABlAHIAcgB5AG0AYQBuABAASABlAGEA
dABoAGUAcgAgAEIAZQBhAHIAcABhAHIAawAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAA/v8AAAUAAgAAAAAAAAAAAAAAAAAAAAAAAQAA
AOCFn/L5T2gQq5EIACsns9kwAAAAnAEAABIAAAABAAAAmAAAAAIAAACgAAAA
AwAAALwAAAAEAAAAyAAAAAUAAADgAAAABgAAAOwAAAAHAAAA+AAAAAgAAAAI
AQAACQAAACQBAAASAAAAMAEAAAoAAABMAQAACwAAAFgBAAAMAAAAZAEAAA0A
AABwAQAADgAAAHwBAAAPAAAAhAEAABAAAACMAQAAEwAAAJQBAAACAAAA5AQA
AB4AAAASAAAAUkVHSVNUUkFUSU9OIEZPUk0AZAAeAAAAAQAAAABFR0keAAAA
DgAAAEFubmUgUGVycnltYW4AT1IeAAAAAQAAAABubmUeAAAAAQAAAABubmUe
AAAABwAAAE5vcm1hbAByHgAAABEAAABIZWF0aGVyIEJlYXJwYXJrAABkAB4A
AAACAAAAMgBhdB4AAAATAAAATWljcm9zb2Z0IFdvcmQgOS4wAABAAAAAAAAA
AAAAAABAAAAAANBJcZ22xAFAAAAAAEpX0MbixAFAAAAAAEpX0MbixAEDAAAA
AQAAAAMAAADRAQAAAwAAAGAKAAADAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAP7/AAAFAAIAAAAAAAAAAAAAAAAAAAAAAAEA
AAAC1c3VnC4bEJOXCAArLPmuMAAAABwBAAANAAAAAQAAAHAAAAAPAAAAeAAA
AAQAAACYAAAABQAAAKAAAAAGAAAAqAAAABEAAACwAAAAFwAAALgAAAALAAAA
wAAAABAAAADIAAAAEwAAANAAAAAWAAAA2AAAAA0AAADgAAAADAAAAP4AAAAC
AAAA5AQAAB4AAAAXAAAASGVyIE1hamVzdHkncyBUcmVhc3VyeQAAAwAAAACC
AAADAAAAFgAAAAMAAAAFAAAAAwAAAL0MAAADAAAA7Q4JAAsAAAAAAAAACwAA
AAAAAAALAAAAAAAAAAsAAAAAAAAAHhAAAAEAAAASAAAAUkVHSVNUUkFUSU9O
IEZPUk0ADBAAAAIAAAAeAAAABgAAAFRpdGxlAAMAAAABAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAABAAAAAgAAAAMAAAAEAAAABQAAAAYAAAAH
AAAACAAAAAkAAAAKAAAACwAAAAwAAAANAAAADgAAAA8AAAAQAAAAEQAAABIA
AAATAAAAFAAAABUAAAAWAAAAFwAAABgAAAAZAAAAGgAAABsAAAAcAAAAHQAA
AB4AAAAfAAAAIAAAACEAAAAiAAAAIwAAAP7///8lAAAAJgAAACcAAAAoAAAA
KQAAACoAAAArAAAALAAAAC0AAAAuAAAALwAAADAAAAAxAAAAMgAAADMAAAA0
AAAA/v///zYAAAA3AAAAOAAAADkAAAA6AAAAOwAAADwAAAD+////PgAAAD8A
AABAAAAAQQAAAEIAAABDAAAARAAAAP7////9////RwAAAP7////+/////v//
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
/////////////////////////////////////////////////1IAbwBvAHQA
IABFAG4AdAByAHkAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAWAAUB//////////8DAAAABgkCAAAAAADAAAAAAAAARgAA
AAAAAAAAAAAAAHDf3ODG4sQBSQAAAIAAAAAAAAAAMQBUAGEAYgBsAGUAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAA4AAgD///////////////8AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAkAAAAtCAAAAAAAABXAG8AcgBkAEQAbwBjAHUAbQBlAG4A
dAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAGgAC
AQUAAAD//////////wAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAuRgAAAAAAAAUAUwB1AG0AbQBhAHIAeQBJAG4AZgBvAHIAbQBh
AHQAaQBvAG4AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAoAAIBAgAAAAQA
AAD/////AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAANQAA
AAAQAAAAAAAABQBEAG8AYwB1AG0AZQBuAHQAUwB1AG0AbQBhAHIAeQBJAG4A
ZgBvAHIAbQBhAHQAaQBvAG4AAAAAAAAAAAAAADgAAgH///////////////8A
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA9AAAAABAAAAAA
AAABAEMAbwBtAHAATwBiAGoAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAEgACAQEAAAAGAAAA/////wAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAABqAAAAAAAAAE8AYgBq
AGUAYwB0AFAAbwBvAGwAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAWAAEA////////////////AAAAAAAAAAAAAAAAAAAA
AAAAAABw39zgxuLEAXDf3ODG4sQBAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAD///////////////8AAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAABAAAA/v//////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////
/////////////////////////////////////////////////////////wEA
/v8DCgAA/////wYJAgAAAAAAwAAAAAAAAEYYAAAATWljcm9zb2Z0IFdvcmQg
RG9jdW1lbnQACgAAAE1TV29yZERvYwAQAAAAV29yZC5Eb2N1bWVudC44APQ5
snEAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAA


------=_NextPart_000_322b_2d6a_8fd
Content-Type: application/msword; name="a Conference Intro.doc"
Content-Transfer-Encoding: base64
Content-Disposition: attachment; filename="a Conference Intro.doc"
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------=_NextPart_000_322b_2d6a_8fd--
=========================================================================
Date:         Wed, 15 Dec 2004 17:49:27 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Chloe Coleridge <[log in to unmask]>
Subject:      FW: Fitness test for breathing apparatus users
In-Reply-To:  <[log in to unmask]>
Mime-version: 1.0
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

Hello list
Query:
What fitness test regime ( e.g. Harvard step test) do any of you guys use to
determine fitness for employees using breathing apparatus, both high and low
aerobic users?

 The employer is an utilities company (water) and the BA users are sewage
operatives.

If you use the Harvard test, what is your step height ( recommendations vary
between 45cm and 60cm) and do you lower it for people of small stature?


Many thanks

Chloe

 (On 14/12/04 4:42 PM, "Deville, Stephanie" <[log in to unmask]> wrote:

> Hi Tracie,
>
> Hope these are of some use.
>
> Travax is a Scottish based organization, they also give on line up to
> date info on vaccination etc requirements, risk assessment forms etc
> highly recommended, I think you may need to pay a small charge for this
> service.
>
>
> best wishes
>
> Stephanie Deville
>
> Occupational Health Advisor
> Glasgow Caledonian University
> Tel: 3835
>
> -----Original Message-----
> From: Tracie McKelvie [mailto:[log in to unmask]]
> Sent: 14 December 2004 11:49
> To: [log in to unmask]
> Subject: HI all
>
> HI all
>
> I wondered if anyone had a check list for iver seas travel when it
> comes to health assessments prior to travel??? inc. DVT, LONG HAUL
> LFIGHT ETC ETC.
>
> Look forward to your replies!!!
>
> Tracie Mckelvie
> Occupational Health Nurse / Adviser
> Pembrokeshire College
> Merlins Bridge
> Haverfordwest
> Pembs.
> SA61 1SZ
>
> TEL: 01437 765247 Ext 393
> FAX: 01437 767279
> E-mail: [log in to unmask]
>
>
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>

------ End of Forwarded Message

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 15 Dec 2004 13:55:30 EST
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lynn Sheridan <[log in to unmask]>
Subject:      Post Grad Specialist Practitioner courses
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1103136930"

-------------------------------1103136930
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Hello all,

Can anyone tell me of any Universities that run a Post Grad Occupational
Health Specialist Practitioner programme? Also, if any run the course as
distance learning?

I have tried to start the course twice at Lancaster in Sept and again for
this Jan, only to be informed I am the only one on the list, hence it wont be
going ahead.

Your advice is appreciated,

Lynn Sheridan

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1103136930
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY:=20=
Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3DArial color=3D#000000 size=3D2>
<DIV>Hello all,</DIV>
<DIV>&nbsp;</DIV>
<DIV>Can anyone tell me of any Universities that run a Post Grad Occupationa=
l=20
Health Specialist Practitioner programme? Also, if any run the course as=20
distance learning?</DIV>
<DIV>&nbsp;</DIV>
<DIV>I have tried to start the course twice at Lancaster in Sept and again f=
or=20
this Jan, only to be informed I am the only one on the list, hence it wont b=
e=20
going ahead.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Your advice is appreciated,</DIV>
<DIV>&nbsp;</DIV>
<DIV>Lynn Sheridan</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1103136930--
=========================================================================
Date:         Wed, 15 Dec 2004 19:03:24 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lynn Sheridan <[log in to unmask]>
Subject:      Post Grad Specialist Practitioner Courses

Hello all,

Can anyone tell me of any Universities that run a Post Grad Occupational
Health Specialist Practitioner programme? Also, if any run the course as
distance learning?

I have tried to start the course twice at Lancaster in Sept and again for
this Jan, only to be informed I am the only one on the list, hence it wont
be going ahead.

Your advice is appreciated,

Lynn Sheridan

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 15 Dec 2004 19:30:38 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Anne Harriss <[log in to unmask]>
Subject:      Re: Post Grad Specialist Practitioner Courses
In-Reply-To:  <[log in to unmask]>
Mime-version: 1.0
Content-type: text/plain; charset="US-ASCII"
Content-transfer-encoding: 7bit

on 15/12/04 7:03 pm, Lynn Sheridan at [log in to unmask] wrote:

> Hello all,
>
> Can anyone tell me of any Universities that run a Post Grad Occupational
> Health Specialist Practitioner programme? Also, if any run the course as
> distance learning?
>
> I have tried to start the course twice at Lancaster in Sept and again for
> this Jan, only to be informed I am the only one on the list, hence it wont
> be going ahead.
>
> Your advice is appreciated,
>
> Lynn Sheridan
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
University of Surrey run a PG Dip/MSc course but it is run as one week
blocks. London South Bank University plan to have a PG/Dip course starting
in the 2006 academic year. It is not likely to be available by distance
earning.

Hope this is helpful

Anne

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 15 Dec 2004 15:23:22 EST
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jean Piernicki <[log in to unmask]>
Subject:      Southampton OH Group Meeting
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1103142202"

-------------------------------1103142202
Content-Type: text/plain; charset="UTF-8"
Content-Transfer-Encoding: quoted-printable
Content-Language: en

Dear All
Just to let you know of the next RCN Southampton OH Meeting. This is a free=20=
=20
of charge open meeting. Do come and join us and hear this very relevant  tal=
k.


Date of Next  Meeting=20

Monday January 24th  2005=20
Speaker -Steven Beards, Hampshire  Police=20
Topic  =E2=80=93 =E2=80=9CMaking a business Case for Occupational Health=E2=
=80=9D
=20
If  anyone would like more details please contact me off the list.( I am the=
=20
group  secretary)
Regards
Jean

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1103142202
Content-Type: text/html; charset="UTF-8"
Content-Transfer-Encoding: quoted-printable
Content-Language: en

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns:o =3D "urn:schemas-microsoft-com:office:office"><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUTF-8">
<META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY:=20=
Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3DArial color=3D#000000 size=3D2>
<DIV>Dear All</DIV>
<DIV>Just to let you know of the next RCN Southampton OH Meeting. This is a=20=
free=20
of charge open meeting. Do come and join us and hear this very relevant=20
talk.</DIV>
<P class=3DMsoHeader=20
style=3D"MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: center; tab-stops: 36.0pt"=20
align=3Dcenter><B><U><FONT size=3D3>&nbsp;<o:p></o:p></FONT></U></B></P>
<P class=3DMsoHeader=20
style=3D"MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: center; tab-stops: 36.0pt"=20
align=3Dcenter><B><U><FONT size=3D3>Date of Next=20
Meeting<o:p></o:p></FONT></U></B></P>
<P class=3DMsoHeader=20
style=3D"MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: center; tab-stops: 36.0pt"=20
align=3Dcenter><B><U><FONT size=3D3>&nbsp;<o:p></o:p></FONT></U></B></P>
<P class=3DMsoHeader=20
style=3D"MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: center; tab-stops: 36.0pt"=20
align=3Dcenter><B><FONT size=3D3>Monday January 24<SUP>th</SUP>=20
2005<o:p></o:p></FONT></B></P>
<P class=3DMsoHeader=20
style=3D"MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: center; tab-stops: 36.0pt"=20
align=3Dcenter><B><FONT size=3D3>Speaker -Steven Beards, Hampshire=20
Police<o:p></o:p></FONT></B></P>
<DIV><B><SPAN=20
style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Arial; mso-fareast-font-family: 'Time=
s New Roman'; mso-ansi-language: EN-GB; mso-fareast-language: EN-US; mso-bid=
i-language: AR-SA">Topic=20
=E2=80=93 =E2=80=9CMaking a business Case for Occupational Health=E2=80=9D</=
SPAN></B></DIV>
<DIV><B><SPAN=20
style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Arial; mso-fareast-font-family: 'Time=
s New Roman'; mso-ansi-language: EN-GB; mso-fareast-language: EN-US; mso-bid=
i-language: AR-SA"></SPAN></B>&nbsp;</DIV>
<DIV><B><SPAN=20
style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Arial; mso-fareast-font-family: 'Time=
s New Roman'; mso-ansi-language: EN-GB; mso-fareast-language: EN-US; mso-bid=
i-language: AR-SA">If=20
anyone would like more details please contact me off the list.( I am the gro=
up=20
secretary)</SPAN></B></DIV>
<DIV><B><SPAN=20
style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Arial; mso-fareast-font-family: 'Time=
s New Roman'; mso-ansi-language: EN-GB; mso-fareast-language: EN-US; mso-bid=
i-language: AR-SA">Regards</SPAN></B></DIV>
<DIV><B><SPAN=20
style=3D"FONT-SIZE: 12pt; FONT-FAMILY: Arial; mso-fareast-font-family: 'Time=
s New Roman'; mso-ansi-language: EN-GB; mso-fareast-language: EN-US; mso-bid=
i-language: AR-SA">Jean</SPAN></B></DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1103142202--
=========================================================================
Date:         Thu, 16 Dec 2004 09:26:24 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Maguire, Kevin" <[log in to unmask]>
Subject:      Re: Post Grad Specialist Practitioner courses
Content-Transfer-Encoding: 7bit
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4E351.4FE99BE4"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4E351.4FE99BE4
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

Does not Bashyr's offer a PG Route through OH at Wolverhamption?
=20
Kevin
=20
 -----Original Message-----
From: Lynn Sheridan [mailto:[log in to unmask]]=20
Sent: 15 December 2004 18:56
To: [log in to unmask]
Subject: Post Grad Specialist Practitioner courses



=09
        Hello all,
        =20
        Can anyone tell me of any Universities that run a Post Grad
Occupational Health Specialist Practitioner programme? Also, if any run
the course as distance learning?
        =20
        I have tried to start the course twice at Lancaster in Sept and
again for this Jan, only to be informed I am the only one on the list,
hence it wont be going ahead.
        =20
        Your advice is appreciated,
        =20
        Lynn Sheridan
        ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

        For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

        For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20



DISCLAIMER:
This email is intended solely for the addressee.  It may contain private =
and confidential information.  If you are not the intended addressee, =
please take no action based on it nor show a copy to anyone.  In this =
case, please reply to this email to highlight the error.  Opinions and =
information in this email that do not relate to the official business of =
Nottingham Trent University shall be understood as neither given nor =
endorsed by the University.
Nottingham Trent University has taken steps to ensure that this email =
and any attachments are virus-free, but we do advise that the recipient =
should check that the email and its attachments are actually virus free. =
 This is in keeping with good computing practice.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4E351.4FE99BE4
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD><TITLE>Message</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dus-ascii">
<META content=3D"MSHTML 6.00.2800.1476" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; =
FONT-FAMILY: Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7>
<DIV><FONT face=3DVerdana color=3D#0000ff><SPAN =
class=3D019234908-16122004>Does not=20
Bashyr's offer a PG Route through OH at =
Wolverhamption?</SPAN></FONT></DIV>
<DIV><FONT face=3DVerdana color=3D#0000ff><SPAN=20
class=3D019234908-16122004></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT face=3DVerdana color=3D#0000ff><SPAN=20
class=3D019234908-16122004>Kevin</SPAN></FONT></DIV>
<DIV><FONT><SPAN class=3D019234908-16122004></SPAN></FONT><FONT =
face=3DTahoma><SPAN=20
class=3D019234908-16122004><FONT face=3DVerdana=20
color=3D#0000ff>&nbsp;</FONT></SPAN></FONT></DIV>
<DIV><FONT face=3DTahoma><SPAN =
class=3D019234908-16122004>&nbsp;</SPAN>-----Original=20
Message-----<BR><B>From:</B> Lynn Sheridan =
[mailto:[log in to unmask]]=20
<BR><B>Sent:</B> 15 December 2004 18:56<BR><B>To:</B>=20
[log in to unmask]<BR><B>Subject:</B> Post Grad Specialist =
Practitioner=20
courses<BR><BR></DIV></FONT>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px"><FONT =
id=3Drole_document=20
  face=3DArial color=3D#000000>
  <DIV>Hello all,</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Can anyone tell me of any Universities that run a Post Grad =
Occupational=20
  Health Specialist Practitioner programme? Also, if any run the course =
as=20
  distance learning?</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>I have tried to start the course twice at Lancaster in Sept and =
again for=20
  this Jan, only to be informed I am the only one on the list, hence it =
wont be=20
  going ahead.</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Your advice is appreciated,</DIV>
  <DIV>&nbsp;</DIV>
  <DIV>Lynn Sheridan</DIV></FONT>~~~~~~~~~~~~~~~ Please remove this =
footer=20
  before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE><p></p><p><span =
style=3Dfont-size:8.0pt;font-family:Verdana>DISCLAIMER:<br> This email =
is intended solely for the addressee.  It may contain private and =
confidential information.  If you are not the intended addressee, please =
take no action based on it nor show a copy to anyone.  In this case, =
please reply to this email to highlight the error.  Opinions and =
information in this email that do not relate to the official business of =
Nottingham Trent University shall be understood as neither given nor =
endorsed by the University.</P><P>Nottingham Trent University has taken =
steps to ensure that this email and any attachments are virus-free, but =
we do advise that the recipient should check that the email and its =
attachments are actually virus free.  This is in keeping with good =
computing practice.</P></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4E351.4FE99BE4--
=========================================================================
Date:         Thu, 16 Dec 2004 10:21:30 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Baldwin Chris (RFF) Occupational Health Nurse Advisor"
              <[log in to unmask]>
Subject:      Occ health promotion day
MIME-Version: 1.0
Content-Type: text/plain;charset="iso-8859-1"

Our department is hosting an Occupational Health  promotion day next month
within our trust and I am searching for any promotional material, posters,
software, booklets ( freebies!) etc that we could integrate into the
exhibition.

I would very much appreciate any networking or contacts that the Occ health
list may have to make this visually appealing with a very small budget.

Chris Baldwin
This e-mail is confidential and privileged.  If you are not the intended recipient please accept our apologies; please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful.  Please inform us that this message has gone astray before deleting it.  Thank you for your co-operation.



Unless expressly stated otherwise, the contents of this e-mail represent only the views of the sender as expressed only to the intended recipient, do not commit Barnsley District General Hospital NHS Trust to any course of action and, in particular, are not intended to impose any legal obligation upon the Trust.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 10:31:57 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Darcy <[log in to unmask]>
Subject:      Re: Occ health promotion day
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Dear Chris,

I really recommend you to contact your local PCT health promotion unit.
 They may well have a workplace health promotion specialist who can
provide these resources, display boards and possible even bodies on the
ground.  The service should be free to NHS trusts.  Even if they do not
have a workplace specialist, they should have relevant posters, videos,
leaflets etc

I've had several events with tremendous support from my local unit.

Good luck





Paul D'Arcy,
Occupational Health Manager (Acting)

Occupational Health
Hammersmith Hospital

Developing And Supporting People To Make Healthcare Better

Direct Line  020 8383 1024
Internal Ext 31024


>>> [log in to unmask] 16/12/2004 >>>
Our department is hosting an Occupational Health  promotion day next
month
within our trust and I am searching for any promotional material,
posters,
software, booklets ( freebies!) etc that we could integrate into the
exhibition.

I would very much appreciate any networking or contacts that the Occ
health
list may have to make this visually appealing with a very small
budget.

Chris Baldwin
This e-mail is confidential and privileged.  If you are not the
intended recipient please accept our apologies; please do not disclose,
copy or distribute information in this e-mail or take any action in
reliance on its contents: to do so is strictly prohibited and may be
unlawful.  Please inform us that this message has gone astray before
deleting it.  Thank you for your co-operation.



Unless expressly stated otherwise, the contents of this e-mail
represent only the views of the sender as expressed only to the intended
recipient, do not commit Barnsley District General Hospital NHS Trust to
any course of action and, in particular, are not intended to impose any
legal obligation upon the Trust.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Hammersmith Hospitals NHS Trust on 020 8846 1234 and ask for the person who sent you the email. Please also delete the message from your computer.

**
*

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 11:04:33 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Josie Mills <[log in to unmask]>
Subject:      Re: Occ health promotion day
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Chris, have you approached the RCN for OH material?

Josie Mills
Occupational Health Consultant
BSc(Hons); RGN; RMN; OHND; MIOSH

Tel: 01733 575581
Mobile: 07833 593236
Email: [log in to unmask]
Website:  http://www.jmoccupationalhealth.co.uk/default.asp

NB:  The nature of my business is peripatetic, and as such I do not have set
office hours.  Please allow 24hrs response times to emails and messages.

This email and any files transmitted with it are confidential and intended
solely for the use of the person to whom it has been addressed.  If you are
not the intended recipient, be advised that you have received this mail in
error and that any use, dissemination, forwarding, printing or copying of
this email is strictly prohibited. If you have received this email in error
please return the message to the sender by replying to it and then delete
the message from your computer.

This footnote also confirms that this email message has been checked by
anti-virus software for the presence of computer viruses. However, Josie
Mills accepts no responsibility for any virus or defect that might arise
from opening this email or attachments




-----Original Message-----
From: Baldwin Chris (RFF) Occupational Health Nurse Advisor
[mailto:[log in to unmask]]
Sent: 16 December 2004 10:22
To: [log in to unmask]
Subject: Occ health promotion day


Our department is hosting an Occupational Health  promotion day next month
within our trust and I am searching for any promotional material, posters,
software, booklets ( freebies!) etc that we could integrate into the
exhibition.

I would very much appreciate any networking or contacts that the Occ health
list may have to make this visually appealing with a very small budget.

Chris Baldwin
This e-mail is confidential and privileged.  If you are not the intended
recipient please accept our apologies; please do not disclose, copy or
distribute information in this e-mail or take any action in reliance on its
contents: to do so is strictly prohibited and may be unlawful.  Please
inform us that this message has gone astray before deleting it.  Thank you
for your co-operation.




For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 11:18:22 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Stackhouse, Amy ." <[log in to unmask]>
Subject:      Re: Post Grad Specialist Practitioner courses
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4E361.697D8745"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4E361.697D8745
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Yes Wolverhampton offer an PG Specialist Practitioner course now known =
as the Primary Care Course with OH. I don't think they offer a distance =
learning option. Bashyr is the man to contact. Hope this helps.
=20
Amy Stackhouse
Trainee Occupational Health Nurse Adviser

________________________________

From: Maguire, Kevin [mailto:[log in to unmask]]
Sent: Thu 16/12/2004 09:26
To: [log in to unmask]
Subject: Re: Post Grad Specialist Practitioner courses


Does not Bashyr's offer a PG Route through OH at Wolverhamption?
=20
Kevin
=20
 -----Original Message-----
From: Lynn Sheridan [mailto:[log in to unmask]]=20
Sent: 15 December 2004 18:56
To: [log in to unmask]
Subject: Post Grad Specialist Practitioner courses



=09
        Hello all,
        =20
        Can anyone tell me of any Universities that run a Post Grad =
Occupational Health Specialist Practitioner programme? Also, if any run =
the course as distance learning?
        =20
        I have tried to start the course twice at Lancaster in Sept and again =
for this Jan, only to be informed I am the only one on the list, hence =
it wont be going ahead.
        =20
        Your advice is appreciated,
        =20
        Lynn Sheridan
        ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

        For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

        For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

DISCLAIMER:
This email is intended solely for the addressee. It may contain private =
and confidential information. If you are not the intended addressee, =
please take no action based on it nor show a copy to anyone. In this =
case, please reply to this email to highlight the error. Opinions and =
information in this email that do not relate to the official business of =
Nottingham Trent University shall be understood as neither given nor =
endorsed by the University.

Nottingham Trent University has taken steps to ensure that this email =
and any attachments are virus-free, but we do advise that the recipient =
should check that the email and its attachments are actually virus free. =
This is in keeping with good computing practice.

~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4E361.697D8745
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">=0A=
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">=0A=
<HTML><HEAD><TITLE>Message</TITLE>=0A=
=0A=
<META content=3D"MSHTML 6.00.2800.1476" name=3DGENERATOR></HEAD>=0A=
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; =
FONT-FAMILY: Arial" =0A=
               leftMargin=3D7 topMargin=3D7              >=0A=
<DIV id=3DidOWAReplyText92723 dir=3Dltr>=0A=
<DIV dir=3Dltr><FONT face=3DArial color=3D#000000 size=3D2>Yes =
Wolverhampton offer an PG =0A=
Specialist Practitioner course now known as the Primary Care Course with =
OH. I =0A=
don't think they offer a distance learning option. Bashyr is the man to =
contact. =0A=
Hope this helps.</FONT></DIV>=0A=
<DIV dir=3Dltr><FONT face=3DArial color=3D#000000 =
size=3D2></FONT>&nbsp;</DIV></DIV>=0A=
<DIV id=3DidSignature66157 dir=3Dltr>=0A=
<DIV><FONT face=3DArial color=3D#000000 size=3D2>Amy =
Stackhouse</FONT></DIV>=0A=
<DIV><FONT face=3DArial size=3D2>Trainee Occupational Health Nurse =0A=
Adviser</FONT></DIV></DIV>=0A=
<DIV dir=3Dltr><BR>=0A=
<HR tabIndex=3D-1>=0A=
<FONT face=3DTahoma size=3D2><B>From:</B> Maguire, Kevin =0A=
[mailto:[log in to unmask]]<BR><B>Sent:</B> Thu 16/12/2004 =0A=
09:26<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
Post Grad =0A=
Specialist Practitioner courses<BR></FONT><BR></DIV>=0A=
<DIV>=0A=
<DIV><FONT face=3DVerdana color=3D#0000ff><SPAN =
class=3D019234908-16122004>Does not =0A=
Bashyr's offer a PG Route through OH at =
Wolverhamption?</SPAN></FONT></DIV>=0A=
<DIV><FONT face=3DVerdana color=3D#0000ff><SPAN =0A=
class=3D019234908-16122004></SPAN></FONT>&nbsp;</DIV>=0A=
<DIV><FONT face=3DVerdana color=3D#0000ff><SPAN =0A=
class=3D019234908-16122004>Kevin</SPAN></FONT></DIV>=0A=
<DIV><FONT size=3D+0><SPAN =
class=3D019234908-16122004></SPAN></FONT><FONT =0A=
face=3DTahoma><SPAN class=3D019234908-16122004><FONT face=3DVerdana =0A=
color=3D#0000ff></FONT></SPAN></FONT>&nbsp;</DIV>=0A=
<DIV><FONT face=3DTahoma><SPAN =
class=3D019234908-16122004>&nbsp;</SPAN>-----Original =0A=
Message-----<BR><B>From:</B> Lynn Sheridan =
[mailto:[log in to unmask]] =0A=
<BR><B>Sent:</B> 15 December 2004 18:56<BR><B>To:</B> =0A=
[log in to unmask]<BR><B>Subject:</B> Post Grad Specialist =
Practitioner =0A=
courses<BR><BR></DIV></FONT>=0A=
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px"><FONT =
id=3Drole_document =0A=
  face=3DArial color=3D#000000>=0A=
  <DIV>Hello all,</DIV>=0A=
  <DIV>&nbsp;</DIV>=0A=
  <DIV>Can anyone tell me of any Universities that run a Post Grad =
Occupational =0A=
  Health Specialist Practitioner programme? Also, if any run the course =
as =0A=
  distance learning?</DIV>=0A=
  <DIV>&nbsp;</DIV>=0A=
  <DIV>I have tried to start the course twice at Lancaster in Sept and =
again for =0A=
  this Jan, only to be informed I am the only one on the list, hence it =
wont be =0A=
  going ahead.</DIV>=0A=
  <DIV>&nbsp;</DIV>=0A=
  <DIV>Your advice is appreciated,</DIV>=0A=
  <DIV>&nbsp;</DIV>=0A=
  <DIV>Lynn Sheridan</DIV></FONT>~~~~~~~~~~~~~~~ Please remove this =
footer =0A=
  before replying. =0A=
  <P>For list archives and documents, go to =0A=
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives =0A=
  <P>For jobs in Occupational Health, go to =0A=
  http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE>=0A=
<P></P>=0A=
<P><SPAN style=3D"FONT-SIZE: 8pt; FONT-FAMILY: =
Verdana">DISCLAIMER:<BR>This email =0A=
is intended solely for the addressee. It may contain private and =
confidential =0A=
information. If you are not the intended addressee, please take no =
action based =0A=
on it nor show a copy to anyone. In this case, please reply to this =
email to =0A=
highlight the error. Opinions and information in this email that do not =
relate =0A=
to the official business of Nottingham Trent University shall be =
understood as =0A=
neither given nor endorsed by the University.</P>=0A=
<P>Nottingham Trent University has taken steps to ensure that this email =
and any =0A=
attachments are virus-free, but we do advise that the recipient should =
check =0A=
that the email and its attachments are actually virus free. This is in =
keeping =0A=
with good computing practice.</P></SPAN></DIV></BODY></HTML>=0A=
~~~~~~~~~~~~~~~=0A=
Please remove this footer before replying.=0A=
<p>=0A=
For list archives and documents, go to=0A=
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=0A=
<p>=0A=
For jobs in Occupational Health, go to=0A=
http://uk.groups.yahoo.com/group/OHJobs/=0A=
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4E361.697D8745--
=========================================================================
Date:         Thu, 16 Dec 2004 11:27:11 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jackie May-Francis <[log in to unmask]>
Subject:      Re: Occ health promotion day
In-Reply-To:  <[log in to unmask]>
Mime-Version: 1.0
Content-Type: text/html; format=flowed

<html><div style='background-color:'><P>Hi Chris</P>
<P>That is just what I was going to suggest. But you can also get stuff from i.e British Heart Foundation, Men's Health Form, malehealth.co.uk, diabetes UK, The Stroke Association, all the cancer charities, talcuk.org provide teaching aids at low cost etc etc.&nbsp;Do you have any reps call in - see if they will do something for you and help you with financial support. If you go on any website you can think of in association with health - you should be able to get something. Hope this helps.<BR><BR><FONT face="Lucida Handwriting, Cursive">Jackie May-Francis</FONT></P>
<P>&nbsp;</P>
<P>&gt;From: Paul Darcy &lt;[log in to unmask]&gt; &gt;Reply-To: Occupational Health mailing list &lt;[log in to unmask]&gt; &gt;To: [log in to unmask] &gt;Subject: Re: Occ health promotion day &gt;Date: Thu, 16 Dec 2004 10:31:57 +0000 &gt; &gt;Dear Chris, &gt; &gt;I really recommend you to contact your local PCT health promotion unit. &gt; They may well have a workplace health promotion specialist who can &gt;provide these resources, display boards and possible even bodies on the &gt;ground. The service should be free to NHS trusts. Even if they do not &gt;have a workplace specialist, they should have relevant posters, videos, &gt;leaflets etc &gt; &gt;I've had several events with tremendous support from my local unit. &gt; &gt;Good luck &gt; &gt; &gt; &gt; &gt; &gt;Paul D'Arcy, &gt;Occupational Health Manager (Acting) &gt; &gt;Occupational Health &gt;Hammersmith Hospital
&gt; &gt;Developing And Supporting People To Make Healthcare Better &gt; &gt;Direct Line 020 8383 1024 &gt;Internal Ext 31024 &gt; &gt; &gt; &gt;&gt;&gt; [log in to unmask] 16/12/2004 &gt;&gt;&gt; &gt;Our department is hosting an Occupational Health promotion day next &gt;month &gt;within our trust and I am searching for any promotional material, &gt;posters, &gt;software, booklets ( freebies!) etc that we could integrate into the &gt;exhibition. &gt; &gt;I would very much appreciate any networking or contacts that the Occ &gt;health &gt;list may have to make this visually appealing with a very small &gt;budget. &gt; &gt;Chris Baldwin &gt;This e-mail is confidential and privileged. If you are not the &gt;intended recipient please accept our apologies; please do not disclose, &gt;copy or distribute information in this e-mail or take any action in &gt;reliance on its
contents: to do so is strictly prohibited and may be &gt;unlawful. Please inform us that this message has gone astray before &gt;deleting it. Thank you for your co-operation. &gt; &gt; &gt; &gt;Unless expressly stated otherwise, the contents of this e-mail &gt;represent only the views of the sender as expressed only to the intended &gt;recipient, do not commit Barnsley District General Hospital NHS Trust to &gt;any course of action and, in particular, are not intended to impose any &gt;legal obligation upon the Trust. &gt; &gt;~~~~~~~~~~~~~~~ &gt;Please remove this footer before replying. &gt; &gt;For list archives and documents, go to &gt;http://www.jiscmail.ac.uk/lists/occ-health.html for list archives &gt; &gt;For jobs in Occupational Health, go to &gt;http://uk.groups.yahoo.com/group/OHJobs/ &gt; &gt; &gt;* &gt;** &gt; &gt;Confidentiality Notice &gt; &gt;The contents of this e-mail
are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Hammersmith Hospitals NHS Trust on 020 8846 1234 and ask for the person who sent you the email. Please also delete the message from your computer. &gt; &gt;** &gt;* &gt; &gt;~~~~~~~~~~~~~~~ &gt;Please remove this footer before replying. &gt; &gt;For list archives and documents, go to &gt;http://www.jiscmail.ac.uk/lists/occ-health.html for list archives &gt; &gt;For jobs in Occupational Health, go to &gt;http://uk.groups.yahoo.com/group/OHJobs/ </P></div></html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 12:13:04 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Godfrey Farerell (RGC) OHNA" <[log in to unmask]>
Subject:      Re: Post Grad Specialist Practitioner Courses
MIME-Version: 1.0
Content-Type: text/plain

Hi Ann,
Middlesex University.  They run both PG and distance learning.

-----Original Message-----
From: Anne Harriss [mailto:[log in to unmask]]
Sent: 15 December 2004 19:31
To: [log in to unmask]
Subject: Re: Post Grad Specialist Practitioner Courses


on 15/12/04 7:03 pm, Lynn Sheridan at [log in to unmask] wrote:

> Hello all,
>
> Can anyone tell me of any Universities that run a Post Grad Occupational
> Health Specialist Practitioner programme? Also, if any run the course as
> distance learning?
>
> I have tried to start the course twice at Lancaster in Sept and again for
> this Jan, only to be informed I am the only one on the list, hence it wont
> be going ahead.
>
> Your advice is appreciated,
>
> Lynn Sheridan
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
University of Surrey run a PG Dip/MSc course but it is run as one week
blocks. London South Bank University plan to have a PG/Dip course starting
in the 2006 academic year. It is not likely to be available by distance
earning.

Hope this is helpful

Anne

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 12:56:53 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Barnes Anne A <[log in to unmask]>
Subject:      FW: infestation
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

>  -----Original Message-----
> From:         Barnes Anne A
> Sent: 16 December 2004 12:43
> To:   [log in to unmask]
> Subject:      infestation
>
> Here is a different one just before xmas. We have a large office infested
> with something. People are getting bites on there legs but sometimes on
> there hands. We have sprayed the carpet in case of fleas, but bites are
> still occurring. It might be paper mites. Has anyone any ideas on how to
> tackle this.
> thank you
>  Anne Barnes

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 13:08:43 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Kinselley, Gillian E" <[log in to unmask]>
Subject:      Re: infestation
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

We have found that his happens where individuals store items under the
desk...boxes of paper - large amounts of waste paper - storage boxes - bags
of shopping  - crisps packets etc.

I would suggest a major tidy - housekeeping  - indepth cleaning  - storage
of shopping in desk draw.

Gill
-----Original Message-----
From: Barnes Anne A [mailto:[log in to unmask]]
Sent: 16 December 2004 12:57
To: [log in to unmask]
Subject: FW: infestation


>  -----Original Message-----
> From:         Barnes Anne A
> Sent: 16 December 2004 12:43
> To:   [log in to unmask]
> Subject:      infestation
>
> Here is a different one just before xmas. We have a large office infested
> with something. People are getting bites on there legs but sometimes on
> there hands. We have sprayed the carpet in case of fleas, but bites are
> still occurring. It might be paper mites. Has anyone any ideas on how to
> tackle this.
> thank you
>  Anne Barnes

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


Emails aren't always secure, and they may be intercepted or changed after they've been sent. Abbey doesn't accept liability if this happens. If you think someone may have interfered with this email, please get in touch with the sender another way.

This message doesn't create or change any contract. Abbey doesn't accept responsibility for damage caused by any viruses contained in this email or its attachments. Emails may be monitored.

If you've received this email by mistake, please let the sender know at once that it's gone to the wrong person and then destroy it without copying, using, or telling anyone about its contents.

Abbey National plc Reg. No 2294747, and Inscape Investments Limited Reg. No. 3839455 are registered in England and have their Registered Offices at Abbey National House, 2 Triton Square, Regent's Place, London, NW1 3AN.

Abbey National plc and Inscape Investments Limited are authorised and regulated by the Financial Services Authority. Abbey National plc only advises on its own life assurance, pension and collective investment scheme products. Inscape Investments Limited is a member of the Abbey Marketing Group and provides OEICS, PEPS and ISAs. Abbey and Inscape are registered trademarks of Abbey National plc.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 13:15:50 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Clayton.Mary" <[log in to unmask]>
Subject:      Re: infestation
MIME-Version: 1.0
Content-Type: text/plain

Carol,

Are they really bites i.e. with an obvious puncture( under the magnifying
glass), or is it just reddening.? Has there been any actual insect evidence?
Are women more affected than men? Does your office carpet have high
synthetic fibre content, with a lot of extension cables and persons rolling
their chairs around rather than walking?

I ask because similar symptoms to those you describe occurred at a place I
worked at & didn't respond to insecticides etc. I then heard of reports
reddening on legs etc resembling insect bites but actually caused by static,
(affectionately called "Cable Bug"). Use of antistatic products (on desks as
well as carpets and advising ladies to wear cotton slips/socks for a while
seemed to solve the problem.

Mary



-----Original Message-----
From: Barnes Anne A [mailto:[log in to unmask]]
Sent: 16 December 2004 12:57
To: [log in to unmask]
Subject: FW: infestation

>  -----Original Message-----
> From:         Barnes Anne A
> Sent: 16 December 2004 12:43
> To:   [log in to unmask]
> Subject:      infestation
>
> Here is a different one just before xmas. We have a large office infested
> with something. People are getting bites on there legs but sometimes on
> there hands. We have sprayed the carpet in case of fleas, but bites are
> still occurring. It might be paper mites. Has anyone any ideas on how to
> tackle this.
> thank you
>  Anne Barnes

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 13:23:15 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Elliot, Rebecca" <[log in to unmask]>
Subject:      Re: Post Grad Specialist Practitioner Courses
MIME-Version: 1.0
Content-Type: text/plain

To view the terms under which this email is distributed, please go to http://disclaimer.leedsmet.ac.uk/email.htm



Hi Lynn

Leeds Metropolitan University are running PG Dip specialist practitioner
unfortunately not distance learning but excellent commuting access

Becky Elliott

-----Original Message-----
From: Anne Harriss [mailto:[log in to unmask]]
Sent: 15 December 2004 19:31
To: [log in to unmask]
Subject: Re: Post Grad Specialist Practitioner Courses


on 15/12/04 7:03 pm, Lynn Sheridan at [log in to unmask] wrote:

> Hello all,
>
> Can anyone tell me of any Universities that run a Post Grad
> Occupational Health Specialist Practitioner programme? Also, if any
> run the course as distance learning?
>
> I have tried to start the course twice at Lancaster in Sept and again
> for this Jan, only to be informed I am the only one on the list, hence
> it wont be going ahead.
>
> Your advice is appreciated,
>
> Lynn Sheridan
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
University of Surrey run a PG Dip/MSc course but it is run as one week
blocks. London South Bank University plan to have a PG/Dip course starting
in the 2006 academic year. It is not likely to be available by distance
earning.

Hope this is helpful

Anne

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 13:30:18 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         JOSEPH BUGGY <[log in to unmask]>
Subject:      Re: FW: infestation
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: quoted-printable
Content-Disposition: inline

Try

http://www.the-piedpiper.co.uk/th5i.htm

http://www.kendall-bioresearch.co.uk/mite.htm

http://www.guardian.co.uk/online/science/story/0,12450,848777,00.html=20

http://www.nics.gov.uk/sickabsence/pdfs/InfoSheet03.pdf

>>> [log in to unmask] 12/16/04 12:56pm >>>
>  -----Original Message-----
> From:         Barnes Anne A
> Sent: 16 December 2004 12:43
> To:   [log in to unmask]
> Subject:      infestation
>
> Here is a different one just before xmas. We have a large office infested
> with something. People are getting bites on there legs but sometimes on
> there hands. We have sprayed the carpet in case of fleas, but bites are
> still occurring. It might be paper mites. Has anyone any ideas on how to
> tackle this.
> thank you
>  Anne Barnes

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



**********************************************************************
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.
Any views or opinions presented are solely those of the author and do=20
not necessarily represent those of East Kent Hospitals NHS Trust.  If
you are not the intended recipient, be advised that you have received
this email in error and that any use, dissemination, forwarding, printing
or copying of this email is strictly prohibited.

If you have received this email in error please notify the system
manager at the following email address: [log in to unmask]

www.kentandmedway.nhs.uk

This footnote also confirms that although this email message has been
swept by MIMEsweeper for the presence of computer viruses, it is strongly r=
ecommended that you carry out your own virus scan of this
message and any attachments.

www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 13:37:56 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Hi All
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Hi All

I am now going off duty for the Christmas break!!!!

Have a great Christmas - don't over indulge too much, thanks for all of
your invaluable support over the last few months.

Speak in the New Year.

Tracie xx

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 13:45:17 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         JOSEPH BUGGY <[log in to unmask]>
Subject:      Re: Hi All
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: quoted-printable
Content-Disposition: inline

Christmas already Tracie!!!???

>>> [log in to unmask] 12/16/04 01:37pm >>>
Hi All

I am now going off duty for the Christmas break!!!!

Have a great Christmas - don't over indulge too much, thanks for all of
your invaluable support over the last few months.

Speak in the New Year.

Tracie xx

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



**********************************************************************
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.
Any views or opinions presented are solely those of the author and do=20
not necessarily represent those of East Kent Hospitals NHS Trust.  If
you are not the intended recipient, be advised that you have received
this email in error and that any use, dissemination, forwarding, printing
or copying of this email is strictly prohibited.

If you have received this email in error please notify the system
manager at the following email address: [log in to unmask]

www.kentandmedway.nhs.uk

This footnote also confirms that although this email message has been
swept by MIMEsweeper for the presence of computer viruses, it is strongly r=
ecommended that you carry out your own virus scan of this
message and any attachments.

www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 13:46:12 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Re: Hi All
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

alright for some huh!!!

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]


>>> [log in to unmask] 12/16/04 01:45pm >>>
Christmas already Tracie!!!???

>>> [log in to unmask] 12/16/04 01:37pm >>>
Hi All

I am now going off duty for the Christmas break!!!!

Have a great Christmas - don't over indulge too much, thanks for all
of
your invaluable support over the last few months.

Speak in the New Year.

Tracie xx

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



**********************************************************************
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.
Any views or opinions presented are solely those of the author and do
not necessarily represent those of East Kent Hospitals NHS Trust.  If
you are not the intended recipient, be advised that you have received
this email in error and that any use, dissemination, forwarding,
printing
or copying of this email is strictly prohibited.

If you have received this email in error please notify the system
manager at the following email address: [log in to unmask]

www.kentandmedway.nhs.uk

This footnote also confirms that although this email message has been
swept by MIMEsweeper for the presence of computer viruses, it is
strongly recommended that you carry out your own virus scan of this
message and any attachments.

www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 13:49:56 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Barnes Anne A <[log in to unmask]>
Subject:      Re: FW: infestation
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

thanks joseph very enlightening, but the pictures have made me start to
itch.
anne

-----Original Message-----
From: JOSEPH BUGGY [mailto:[log in to unmask]]
Sent: 16 December 2004 13:30
To: [log in to unmask]
Subject: Re: FW: infestation


Try

http://www.the-piedpiper.co.uk/th5i.htm

http://www.kendall-bioresearch.co.uk/mite.htm

http://www.guardian.co.uk/online/science/story/0,12450,848777,00.html

http://www.nics.gov.uk/sickabsence/pdfs/InfoSheet03.pdf

>>> [log in to unmask] 12/16/04 12:56pm >>>
>  -----Original Message-----
> From:         Barnes Anne A
> Sent: 16 December 2004 12:43
> To:   [log in to unmask]
> Subject:      infestation
>
> Here is a different one just before xmas. We have a large office infested
> with something. People are getting bites on there legs but sometimes on
> there hands. We have sprayed the carpet in case of fleas, but bites are
> still occurring. It might be paper mites. Has anyone any ideas on how to
> tackle this.
> thank you
>  Anne Barnes

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



**********************************************************************
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.
Any views or opinions presented are solely those of the author and do
not necessarily represent those of East Kent Hospitals NHS Trust.  If
you are not the intended recipient, be advised that you have received
this email in error and that any use, dissemination, forwarding, printing
or copying of this email is strictly prohibited.

If you have received this email in error please notify the system
manager at the following email address: [log in to unmask]

www.kentandmedway.nhs.uk

This footnote also confirms that although this email message has been
swept by MIMEsweeper for the presence of computer viruses, it is strongly
recommended that you carry out your own virus scan of this
message and any attachments.

www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 13:56:27 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         JOSEPH BUGGY <[log in to unmask]>
Subject:      Re: FW: infestation
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: quoted-printable
Content-Disposition: inline

try some Eurax Anne!

>>> [log in to unmask] 12/16/04 01:49pm >>>
thanks joseph very enlightening, but the pictures have made me start to
itch.
anne

-----Original Message-----
From: JOSEPH BUGGY [mailto:[log in to unmask]]=20
Sent: 16 December 2004 13:30
To: [log in to unmask]
Subject: Re: FW: infestation


Try

http://www.the-piedpiper.co.uk/th5i.htm=20

http://www.kendall-bioresearch.co.uk/mite.htm=20

http://www.guardian.co.uk/online/science/story/0,12450,848777,00.html=20

http://www.nics.gov.uk/sickabsence/pdfs/InfoSheet03.pdf=20

>>> [log in to unmask] 12/16/04 12:56pm >>>
>  -----Original Message-----
> From:         Barnes Anne A
> Sent: 16 December 2004 12:43
> To:   [log in to unmask]
> Subject:      infestation
>
> Here is a different one just before xmas. We have a large office infested
> with something. People are getting bites on there legs but sometimes on
> there hands. We have sprayed the carpet in case of fleas, but bites are
> still occurring. It might be paper mites. Has anyone any ideas on how to
> tackle this.
> thank you
>  Anne Barnes

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20



**********************************************************************
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.
Any views or opinions presented are solely those of the author and do
not necessarily represent those of East Kent Hospitals NHS Trust.  If
you are not the intended recipient, be advised that you have received
this email in error and that any use, dissemination, forwarding, printing
or copying of this email is strictly prohibited.

If you have received this email in error please notify the system
manager at the following email address: [log in to unmask]

www.kentandmedway.nhs.uk=20

This footnote also confirms that although this email message has been
swept by MIMEsweeper for the presence of computer viruses, it is strongly
recommended that you carry out your own virus scan of this
message and any attachments.

www.mimesweeper.com=20
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 08:57:35 EST
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         [log in to unmask]
Subject:      Merry Xmas
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1103205455"

-------------------------------1103205455
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit





Dear All

May I take this opportunity to wish you all a Very Merry Christmas  (or
Seasons Greetings if this is not appropriate - I recall the heated  debate last
year!!!) and of course, health & happiness for  the coming year.

Maxine Oliver
X



~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1103205455
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD><TITLE>AOL Email</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<META content=3Dhttp://cdn-cf.aol.com/se/stationery/occs/winter-st/wpwinter.=
htm=20
name=3DStationery></HEAD>
<BODY style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: Arial" bottomMa=
rgin=3D0=20
leftMargin=3D0 topMargin=3D0 rightMargin=3D0>
<DIV id=3Drole_document>
<TABLE id=3Drole_layout height=3D"100%" cellSpacing=3D0 cellPadding=3D7 widt=
h=3D"100%"=20
align=3Dcenter=20
background=3Dhttp://cdn-cf.aol.com/se/stationery/occs/winter-st/winter/wpwin=
ter=20
border=3D0>
  <TBODY>
  <TR height=3D"100%">
    <TD width=3D"100%">
      <DIV id=3Drole_body=20
      style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: Arial; HEIGHT:=20=
100%">
      <DIV>&nbsp;</DIV>
      <DIV>&nbsp;</DIV>
      <DIV>Dear All</DIV>
      <DIV>&nbsp;</DIV>
      <DIV>May I take this opportunity to wish you all a Very Merry Christma=
s=20
      (or Seasons Greetings if this is not appropriate - I recall the heated=
=20
      debate last year!!!)&nbsp;and&nbsp;of course, health &amp; happiness f=
or=20
      the coming year.</DIV>
      <DIV>&nbsp;</DIV>
      <DIV>Maxine Oliver</DIV>
      <DIV>X&nbsp;</DIV></DIV></TD></TR></TBODY></TABLE></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1103205455--
=========================================================================
Date:         Thu, 16 Dec 2004 14:06:24 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         heather bearpark <[log in to unmask]>
Subject:      Re: infestation
In-Reply-To:  <[log in to unmask]>
Mime-Version: 1.0
Content-Type: text/html; format=flowed

<html><div style='background-color:'><P>Suggest you get an environmental company in to see if they can trap any "bugs" &amp; decide best way to treat them.&nbsp; </P>
<P>In an organisation where I used to work there was often nothing found but static build up especially in offices where computers &amp; modern carpets etc often results in rashes similar to those described.&nbsp;This can be sorted out by facilities management companies.<BR><BR></P>
<DIV>
<DIV>Regards </DIV>Heather Bearpark </DIV></div></html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 14:16:35 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Tracie McKelvie <[log in to unmask]>
Subject:      Just one more thing before I go. We are trying a new system in
              our receptoin area which means that t
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Just one more thing before I go. We are trying a new system in our
receptoin area which means that the staff are going to be weraing
headphones  /ear pieces for the switchboard.

Does anyone know of any guidelines on the use of such things and any
info on health implications would be appreciated!!

Regards

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 14:19:38 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Regan, Frances" <[log in to unmask]>
Subject:      Re: infestation
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

*** Before reading or acting on this e-mail, or opening any attachment, please read Derby City Council's disclaimer and confidentiality statement at the end of this e-mail ***

Have you considered cable bug bite? This is a genuine condition which is
actually a build up of static in offices caused by the increase in use of
electrical appliances especially computers. It is often mistaken for fleas
etc but no bugs are involved! I believe there are tests for it and will hunt
out more information if you want but what I can send electronically is
limited. A web search should help.

Let me know if you want to know more.

Regards
Frances Regan
Communicable Disease Control Officer
Health and Safety Team
Environmental Health and Trading Standards
Derby City Council
Celtic House
Heritage Gate
Friary Street
Derby DE1 1QX

Tel: 01332 715218
Fax: 01332 716330


-----Original Message-----
From: Barnes Anne A [mailto:[log in to unmask]]
Sent: 16 December 2004 12:57
To: [log in to unmask]
Subject: FW: infestation


>  -----Original Message-----
> From:         Barnes Anne A
> Sent: 16 December 2004 12:43
> To:   [log in to unmask]
> Subject:      infestation
>
> Here is a different one just before xmas. We have a large office infested
> with something. People are getting bites on there legs but sometimes on
> there hands. We have sprayed the carpet in case of fleas, but bites are
> still occurring. It might be paper mites. Has anyone any ideas on how to
> tackle this.
> thank you
>  Anne Barnes

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


**********************************************************************
The views expressed in this email are personal and may not
necessarily reflect those of Derby City Council, unless explicitly
stated otherwise

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 me immediately.

If you are not the intended recipient of this email, you should not
copy it for any purpose, or disclose its contents to any other
person.

Senders and recipients of e-mail should be aware that under the Data Protection Act 1998 and Freedom of Information Act 2000, the contents may have to be disclosed.

This footnote also confirms that this email message has been
swept by MIMEsweeper for the presence of computer viruses.
However, we cannot accept liability for viruses that may be in
this e-mail. We recommend that you check all e-mails with an
appropriate virus scanner.

www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 14:55:26 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Dawson Marjorie (RLN) City Hospitals Sunderland - Occ Health
              Manager" <[log in to unmask]>
Subject:      Pre-employment health questionnaires
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Dear Colleagues

We are about to update our pre-employment health questionnaire
(again!!).Would be very grateful if anyone is willing to share yours with
me. To contact me off list is probably better than bombarding everyone with
questionnaires they don't want.

Thanks for your anticipated help.

Marj Dawson

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 16:11:21 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Darcy <[log in to unmask]>
Subject:      Re: Pre-employment health questionnaires
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

Dear all,

I think it would be useful to share some of these.  My NHS Trust still
uses a rather medicalised questionnaire which does not tell us very much
about functional ability.

Regards



Paul D'Arcy,
Occupational Health Manager (Acting)

Occupational Health
Hammersmith Hospital

Developing And Supporting People To Make Healthcare Better

Direct Line  020 8383 1024
Internal Ext 31024


>>> [log in to unmask] 16/12/2004 >>>
Dear Colleagues

We are about to update our pre-employment health questionnaire
(again!!).Would be very grateful if anyone is willing to share yours
with
me. To contact me off list is probably better than bombarding everyone
with
questionnaires they don't want.

Thanks for your anticipated help.

Marj Dawson

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


*
**

Confidentiality Notice

The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Hammersmith Hospitals NHS Trust on 020 8846 1234 and ask for the person who sent you the email. Please also delete the message from your computer.

**
*

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 16:47:25 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Swann, Alan B" <[log in to unmask]>
Subject:      Re: Pre-employment health questionnaires
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

You can access a copy of the questionnaire we use on our web pages =
(address below)
Look under Pre-Employment Health Screening on the Advice/ guidance tabs.
It was devised to meet both the needs of the College and local NHS =
Trusts, as many of the staff in our medical school work in the hospitals =
as well.


Dr. Alan Swann, BM, AFOM
Director of Occupational Health
Occupational Health Service
Imperial College London
Southside building
South Kensington Campus
London
SW7 2AZ
Tel: =A0=A0=A0=A0=A0 +44 (20) 7594 9385
Fax: =A0=A0=A0=A0 +44 (20) 7594 9407
 https://www.imperial.ac.uk/spectrum/occhealth=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 16:51:23 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Lynn Sheridan <[log in to unmask]>
Subject:      Re: Post Grad Specialist Practitioner courses

To all,

Thank you to the list for your valuable advice. It has been difficult to
find a post grad course in Occupational Health so I will continue
searching. I live in the Manchester area so a North West course would be
ideal or a distance learning course would be suitable.
Lancaster have postponed their course for now due to the fact that I am
the only one waiting to go on the course! Apparently Bolton Institute are
hoping to validate the course in September 2005. Its just not an easy
course to find but I appreciate all of your comments.

Lynn

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 18:03:50 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Alison Chaundy <[log in to unmask]>
Subject:      Re: Just one more thing before I go. We are trying a new system
              in our reception area which means that t
MIME-Version: 1.0
Content-Type: TEXT/PLAIN; CHARSET=US-ASCII

Tracy, you may wish to get safety data from the manufacturer to ensure
these headsets are protected against high pitch screech, which can cause
TTS. I know when our staff started using them our H&S advisor looked very
closely at the type that were to be purchased and only allowed a certain
model of headset to be purchased.
Regards
Ali

Alison J. Chaundy
RGN. DipOHN. MIOSH. RSP.
Departmental Manager
Department of Occupational Health
Unilever (ICF)
Gloucester

+44 (0)1452 392232
[log in to unmask]


-----Original Message-----
From: Tracie McKelvie [mailto:[log in to unmask]]
Sent: 16 December 2004 14:17
To: [log in to unmask]
Subject: Just one more thing before I go. We are trying a new system in
our receptoin area which means that t


Just one more thing before I go. We are trying a new system in our
receptoin area which means that the staff are going to be weraing
headphones  /ear pieces for the switchboard.

Does anyone know of any guidelines on the use of such things and any
info on health implications would be appreciated!!

Regards

Tracie Mckelvie
Occupational Health Nurse / Adviser
Pembrokeshire College
Merlins Bridge
Haverfordwest
Pembs.
SA61 1SZ

TEL: 01437 765247 Ext 393
FAX: 01437 767279
E-mail: [log in to unmask]

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 18:16:00 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Neil Loach <[log in to unmask]>
Subject:      Re: FW: infestation
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

http://www.chester.gov.uk/main.asp?page=889

Hope this helps with the cable bug

Neil

PS Merry Christmas to you all


----- Original Message -----
From: "JOSEPH BUGGY" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, December 16, 2004 1:30 PM
Subject: Re: FW: infestation


Try

http://www.the-piedpiper.co.uk/th5i.htm

http://www.kendall-bioresearch.co.uk/mite.htm

http://www.guardian.co.uk/online/science/story/0,12450,848777,00.html

http://www.nics.gov.uk/sickabsence/pdfs/InfoSheet03.pdf

>>> [log in to unmask] 12/16/04 12:56pm >>>
>  -----Original Message-----
> From:         Barnes Anne A
> Sent: 16 December 2004 12:43
> To:   [log in to unmask]
> Subject:      infestation
>
> Here is a different one just before xmas. We have a large office infested
> with something. People are getting bites on there legs but sometimes on
> there hands. We have sprayed the carpet in case of fleas, but bites are
> still occurring. It might be paper mites. Has anyone any ideas on how to
> tackle this.
> thank you
>  Anne Barnes

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/



**********************************************************************
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.
Any views or opinions presented are solely those of the author and do
not necessarily represent those of East Kent Hospitals NHS Trust.  If
you are not the intended recipient, be advised that you have received
this email in error and that any use, dissemination, forwarding, printing
or copying of this email is strictly prohibited.

If you have received this email in error please notify the system
manager at the following email address: [log in to unmask]

www.kentandmedway.nhs.uk

This footnote also confirms that although this email message has been
swept by MIMEsweeper for the presence of computer viruses, it is strongly
recommended that you carry out your own virus scan of this
message and any attachments.

www.mimesweeper.com
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 16 Dec 2004 19:20:42 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Nancy Ellacott <[log in to unmask]>
Subject:      Re: Post Grad Specialist Practitioner courses
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_008C_01C4E3A4.55F94E00"

This is a multi-part message in MIME format.

------=_NextPart_000_008C_01C4E3A4.55F94E00
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

MessageThe distance learning OH Degree course(non SP) at Portsmouth has =
now been withdrawn. I am advising any applicants to approach Robert =
Gordons (RGU)at Aberdeen, as they are the only one now to offer distance =
learning OH SP programmes.  Whether Post Grad programmes are also =
available, I don't know.

nancy
  ----- Original Message -----=20
  From: Stackhouse, Amy .=20
  To: [log in to unmask]
  Sent: Thursday, December 16, 2004 11:18 AM
  Subject: Re: Post Grad Specialist Practitioner courses


  Yes Wolverhampton offer an PG Specialist Practitioner course now known =
as the Primary Care Course with OH. I don't think they offer a distance =
learning option. Bashyr is the man to contact. Hope this helps.

  Amy Stackhouse
  Trainee Occupational Health Nurse Adviser


-------------------------------------------------------------------------=
-----
  From: Maguire, Kevin [mailto:[log in to unmask]]
  Sent: Thu 16/12/2004 09:26
  To: [log in to unmask]
  Subject: Re: Post Grad Specialist Practitioner courses


  Does not Bashyr's offer a PG Route through OH at Wolverhamption?

  Kevin

   -----Original Message-----
  From: Lynn Sheridan [mailto:[log in to unmask]]=20
  Sent: 15 December 2004 18:56
  To: [log in to unmask]
  Subject: Post Grad Specialist Practitioner courses


    Hello all,

    Can anyone tell me of any Universities that run a Post Grad =
Occupational Health Specialist Practitioner programme? Also, if any run =
the course as distance learning?

    I have tried to start the course twice at Lancaster in Sept and =
again for this Jan, only to be informed I am the only one on the list, =
hence it wont be going ahead.

    Your advice is appreciated,

    Lynn Sheridan
    ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
    For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

    For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20


  DISCLAIMER:
  This email is intended solely for the addressee. It may contain =
private and confidential information. If you are not the intended =
addressee, please take no action based on it nor show a copy to anyone. =
In this case, please reply to this email to highlight the error. =
Opinions and information in this email that do not relate to the =
official business of Nottingham Trent University shall be understood as =
neither given nor endorsed by the University.

  Nottingham Trent University has taken steps to ensure that this email =
and any attachments are virus-free, but we do advise that the recipient =
should check that the email and its attachments are actually virus free. =
This is in keeping with good computing practice.

  ~~~~~~~~~~~~~~~ Please remove this footer before replying.=20
  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/ ~~~~~~~~~~~~~~~ Please remove =
this footer before replying.=20

  For list archives and documents, go to =
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20

  For jobs in Occupational Health, go to =
http://uk.groups.yahoo.com/group/OHJobs/=20

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_008C_01C4E3A4.55F94E00
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><TITLE>Message</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2800.1276" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; =
FONT-FAMILY: Arial"=20
bgColor=3D#ffffff leftMargin=3D7 topMargin=3D7>
<DIV>The distance learning OH Degree course(non SP)&nbsp;at Portsmouth =
has now=20
been withdrawn. I am advising any applicants to approach Robert Gordons =
(RGU)at=20
Aberdeen, as they are the only one now to offer distance learning OH SP=20
programmes.&nbsp; Whether Post Grad programmes are also available, I =
don't=20
know.</DIV>
<DIV>&nbsp;</DIV>
<DIV>nancy</DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A [log in to unmask]
  href=3D"mailto:[log in to unmask]">Stackhouse, Amy .</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
[log in to unmask]
  =
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Thursday, December 16, =
2004 11:18=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Post Grad =
Specialist=20
  Practitioner courses</DIV>
  <DIV><BR></DIV>
  <DIV id=3DidOWAReplyText92723 dir=3Dltr>
  <DIV dir=3Dltr><FONT face=3DArial color=3D#000000 size=3D2>Yes =
Wolverhampton offer an=20
  PG Specialist Practitioner course now known as the Primary Care Course =
with=20
  OH. I don't think they offer a distance learning option. Bashyr is the =
man to=20
  contact. Hope this helps.</FONT></DIV>
  <DIV dir=3Dltr><FONT face=3DArial color=3D#000000 =
size=3D2></FONT>&nbsp;</DIV></DIV>
  <DIV id=3DidSignature66157 dir=3Dltr>
  <DIV><FONT face=3DArial color=3D#000000 size=3D2>Amy =
Stackhouse</FONT></DIV>
  <DIV><FONT face=3DArial size=3D2>Trainee Occupational Health Nurse=20
  Adviser</FONT></DIV></DIV>
  <DIV dir=3Dltr><BR>
  <HR tabIndex=3D-1>
  <FONT face=3DTahoma size=3D2><B>From:</B> Maguire, Kevin=20
  [mailto:[log in to unmask]]<BR><B>Sent:</B> Thu 16/12/2004=20
  09:26<BR><B>To:</B> [log in to unmask]<BR><B>Subject:</B> Re: =
Post Grad=20
  Specialist Practitioner courses<BR></FONT><BR></DIV>
  <DIV>
  <DIV><FONT face=3DVerdana color=3D#0000ff><SPAN =
class=3D019234908-16122004>Does not=20
  Bashyr's offer a PG Route through OH at =
Wolverhamption?</SPAN></FONT></DIV>
  <DIV><FONT face=3DVerdana color=3D#0000ff><SPAN=20
  class=3D019234908-16122004></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DVerdana color=3D#0000ff><SPAN=20
  class=3D019234908-16122004>Kevin</SPAN></FONT></DIV>
  <DIV><FONT size=3D+0><SPAN =
class=3D019234908-16122004></SPAN></FONT><FONT=20
  face=3DTahoma><SPAN class=3D019234908-16122004><FONT face=3DVerdana=20
  color=3D#0000ff></FONT></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DTahoma><SPAN=20
  class=3D019234908-16122004>&nbsp;</SPAN>-----Original=20
  Message-----<BR><B>From:</B> Lynn Sheridan =
[mailto:[log in to unmask]]=20
  <BR><B>Sent:</B> 15 December 2004 18:56<BR><B>To:</B>=20
  [log in to unmask]<BR><B>Subject:</B> Post Grad Specialist =
Practitioner=20
  courses<BR><BR></DIV></FONT>
  <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px"><FONT =
id=3Drole_document=20
    face=3DArial color=3D#000000>
    <DIV>Hello all,</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>Can anyone tell me of any Universities that run a Post Grad=20
    Occupational Health Specialist Practitioner programme? Also, if any =
run the=20
    course as distance learning?</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>I have tried to start the course twice at Lancaster in Sept and =
again=20
    for this Jan, only to be informed I am the only one on the list, =
hence it=20
    wont be going ahead.</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>Your advice is appreciated,</DIV>
    <DIV>&nbsp;</DIV>
    <DIV>Lynn Sheridan</DIV></FONT>~~~~~~~~~~~~~~~ Please remove this =
footer=20
    before replying.=20
    <P>For list archives and documents, go to=20
    http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
    <P>For jobs in Occupational Health, go to=20
    http://uk.groups.yahoo.com/group/OHJobs/ </P></BLOCKQUOTE>
  <P></P>
  <P><SPAN style=3D"FONT-SIZE: 8pt; FONT-FAMILY: =
Verdana">DISCLAIMER:<BR>This=20
  email is intended solely for the addressee. It may contain private and =

  confidential information. If you are not the intended addressee, =
please take=20
  no action based on it nor show a copy to anyone. In this case, please =
reply to=20
  this email to highlight the error. Opinions and information in this =
email that=20
  do not relate to the official business of Nottingham Trent University =
shall be=20
  understood as neither given nor endorsed by the University.</P>
  <P>Nottingham Trent University has taken steps to ensure that this =
email and=20
  any attachments are virus-free, but we do advise that the recipient =
should=20
  check that the email and its attachments are actually virus free. This =
is in=20
  keeping with good computing practice.</P></SPAN></DIV>~~~~~~~~~~~~~~~ =
Please=20
  remove this footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ ~~~~~~~~~~~~~~~ Please remove =
this=20
  footer before replying.=20
  <P>For list archives and documents, go to=20
  http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20
  <P>For jobs in Occupational Health, go to=20
  http://uk.groups.yahoo.com/group/OHJobs/ =
</P></BLOCKQUOTE></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_008C_01C4E3A4.55F94E00--
=========================================================================
Date:         Fri, 17 Dec 2004 08:57:54 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Nigel Thornton <[log in to unmask]>
Subject:      Re: Fitness test for breathing apparatus users
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

You could contact Transco (now National Grid Transco) as they used the Ches=
ter step test to assess fitness for BA, from my own experience step height =
choice should be more to do with the individuals CV fitness than their heig=
ht, as the lower step may not provide enough of a challenge to an individua=
l who undertakes regular CV exercise.

Nigel

-----Original Message-----
From: Chloe Coleridge [mailto:[log in to unmask]]
Sent: 14 December 2004 17:30
To: [log in to unmask]
Subject: Fitness test for breathing apparatus users


Hello list
Query:
What fitness test regime ( e.g. Harvard step test) do any of you guys use to
determine fitness for employees using breathing apparatus, both high and low
aerobic users?

 The employer is an utilities company (water) and the BA users are sewage
operatives.

If you use the Harvard test, what is your step height ( recommendations vary
between 45cm and 60cm) and do you lower it for people of small stature?


Many thanks

Chloe




**********************************************************************
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 Hanson Building Products Computer Dept.=20
This footnote also confirms that this email message has been checked for th=
e presence of computer viruses.
**********************************************************************

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 17 Dec 2004 09:12:43 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Mann, Jane" <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

Dear Josie=20
Thanks for posting this,I have been meaning to look up these
recommendations for some time now. I was delighted to see your name as
had lost your contact details. I do hope that things are going well - I
have included my work e mail and numbers in case you would like to get
in touch off line.=20
Best wishes
Jane
[log in to unmask]

Jane Mann
RGN; BSc OH Nursing
Occupational Health Advisor
EDF Energy
Bury St Edmunds
01284 726653
Mob. 07879 808127
=20

-----Original Message-----
From: Josie Mills [mailto:[log in to unmask]]=20
Sent: 09 December 2004 18:05
To: [log in to unmask]
Subject:=20

With compliments

Josie Mills
Occupational Health Consultant
BSc(Hons); RGN; RMN; OHND; MIOSH

Tel: 01733 575581
Mobile: 07833 593236
Email: [log in to unmask]
Website:  http://www.jmoccupationalhealth.co.uk/default.asp

NB:  The nature of my business is peripatetic, and as such I do not have
set
office hours.  Please allow 24hrs response times to emails and messages.

This email and any files transmitted with it are confidential and
intended
solely for the use of the person to whom it has been addressed.  If you
are
not the intended recipient, be advised that you have received this mail
in
error and that any use, dissemination, forwarding, printing or copying
of
this email is strictly prohibited. If you have received this email in
error
please return the message to the sender by replying to it and then
delete
the message from your computer.

This footnote also confirms that this email message has been checked by
anti-virus software for the presence of computer viruses. However, Josie
Mills accepts no responsibility for any virus or defect that might arise
from opening this email or attachments




-----Original Message-----
From: Jacqueline Ward [mailto:[log in to unmask]]
Sent: 08 December 2004 13:31
To: [log in to unmask]
Subject:


Dear All,

I have two queries.

1.  Can anyone tell me where it is documented the ratio prediction for
Occupational Health Nurses per Employees?
I had thought ANHOPS had something documented like 1 OHN per 2000
employees.
However am aware that the type of service delivery can be so varied that
it
is difficult to be prescriptive.

2. I will be looking for an Occupational Health Physician to work 1 day
per
week for Cancer Research UK, based in Holborn, Central London from April
2005. Other than going through an agency I would prefer to deal directly
with the OHP.  Can anyone offer advice on how to do so or know of anyone
who
might be interested.

Many thanks

Jacqueline Ward
Occupational Health Manager
Cancer Research-UK

0207 061 8245 Direct line
0207 061 8246 Reception
0207 061 8218 Fax


HR Message of the Month December: EAP
*       Did you know that all employees and their immediate family have
free
access to specialist information consultants and counsellors who can
offer
assistance 24 hours a day?
*       This service is available via telephone advice or face to face
counselling
throughout the UK. Advice is available on a wide range of issues such as
financial, legal, family care, work or personal. Professional qualified
counsellors are available to offer short term, solution focused advice.
*       The 24 hour personal support number 0800 072 7 072 is available
365
day a
year.
        Disclaimer: The information contained in this message is
confidential and
may also be privileged. The disclosure, copying or alteration of this
message is strictly prohibited. This message is intended for the
addressee
named above. If you are not the addressee (or responsible for the
delivery
of the message to the addressee) please notify the originator
immediately by
return message and destroy the original message. The originator does not
guarantee the security of this message and will not be responsible for
any
damages arising from any alteration of this message by a third party.

        Registered Charity Number. 1089464

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


***************************************************************************=
********
EDF Energy plc internet e-mail disclaimer
This e-mail and any files transmitted with it are confidential and may be p=
rotected by legal privilege.
If you are not the intended recipient, please notify the sender and delete =
the e-mail from your system.
This e-mail has been scanned for malicious content but the internet is inhe=
rently insecure and EDF
Energy plc cannot accept any liability for the integrity of this message or=
 its attachments. No employee
or agent of EDF Energy plc or any related company is authorised to conclude=
 any binding agreement on
behalf of EDF Energy plc or any related company by e-mail. All e-mails sent=
 and received by EDF Energy
plc are monitored to ensure compliance with the company's information secur=
ity policy.
***************************************************************************=
********

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 17 Dec 2004 15:18:22 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Janet Mackinnon <[log in to unmask]>
Subject:      Anaphylactic protocol
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"; format=flowed

I have been asked to provide training/advice to staff who may have to deal
with a student who studies in a number of buildings and also is a hall
resident. I have not met her yet but she apparently has  a class 1
hypersensitivity to a substance [s] unknown, apparently she has needed to
use an epi-pen but there have been occasions when she has been unable to
administer it. Anyone got a protocol/policy/advice to offer about this
potential emergency, yours in hope ,Janet





Mrs Janet Mackinnon,
Occupational Health Adviser,
Environmental, Health and Safety Services,
University of St Andrews
65 North Street
St Andrews
KY16 9 A J

telephone 01334 462752
fax 01334 462747
e-mail  [log in to unmask]

========================================================
This message is sent in confidence for the addressee only. It may contain
legally privileged information. The contents are not to be disclosed to
anyone other than the addressee. Unauthorised recipients must preserve this
confidentiality and should please advise the sender immediately of the
error in transmission.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 17 Dec 2004 15:27:22 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Anaphylactic protocol
MIME-Version: 1.0
Content-Type: text/plain; format=flowed; charset="iso-8859-1";
              reply-type=response
Content-Transfer-Encoding: 7bit

Try www.anaphylaxis.org.uk who have lots of useful info for healthcare
professionals as well as patients/clients.

Greta


----- Original Message -----
From: "Janet Mackinnon" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, December 17, 2004 3:18 PM
Subject: Anaphylactic protocol


>I have been asked to provide training/advice to staff who may have to deal
> with a student who studies in a number of buildings and also is a hall
> resident. I have not met her yet but she apparently has  a class 1
> hypersensitivity to a substance [s] unknown, apparently she has needed to
> use an epi-pen but there have been occasions when she has been unable to
> administer it. Anyone got a protocol/policy/advice to offer about this
> potential emergency, yours in hope ,Janet
>
>
>
>
>
> Mrs Janet Mackinnon,
> Occupational Health Adviser,
> Environmental, Health and Safety Services,
> University of St Andrews
> 65 North Street
> St Andrews
> KY16 9 A J
>
> telephone 01334 462752
> fax 01334 462747
> e-mail  [log in to unmask]
>
> ========================================================
> This message is sent in confidence for the addressee only. It may contain
> legally privileged information. The contents are not to be disclosed to
> anyone other than the addressee. Unauthorised recipients must preserve
> this
> confidentiality and should please advise the sender immediately of the
> error in transmission.
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/


---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.809 / Virus Database: 551 - Release Date: 09/12/2004

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 17 Dec 2004 15:36:47 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Janet Mackinnon <[log in to unmask]>
Subject:      Re: Anaphylactic protocol
In-Reply-To:  <002801c4e44c$e785f5a0$41362bd9@gh0953f0versng>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"; format=flowed

Thanks Greta, Janet

At 15:27 17/12/2004, you wrote:
>Try www.anaphylaxis.org.uk who have lots of useful info for healthcare
>professionals as well as patients/clients.
>
>Greta
>
>
>----- Original Message -----
>From: "Janet Mackinnon" <[log in to unmask]>
>To: <[log in to unmask]>
>Sent: Friday, December 17, 2004 3:18 PM
>Subject: Anaphylactic protocol
>
>
>>I have been asked to provide training/advice to staff who may have to deal
>>with a student who studies in a number of buildings and also is a hall
>>resident. I have not met her yet but she apparently has  a class 1
>>hypersensitivity to a substance [s] unknown, apparently she has needed to
>>use an epi-pen but there have been occasions when she has been unable to
>>administer it. Anyone got a protocol/policy/advice to offer about this
>>potential emergency, yours in hope ,Janet
>>
>>
>>
>>
>>
>>Mrs Janet Mackinnon,
>>Occupational Health Adviser,
>>Environmental, Health and Safety Services,
>>University of St Andrews
>>65 North Street
>>St Andrews
>>KY16 9 A J
>>
>>telephone 01334 462752
>>fax 01334 462747
>>e-mail  [log in to unmask]
>>
>>========================================================
>>This message is sent in confidence for the addressee only. It may contain
>>legally privileged information. The contents are not to be disclosed to
>>anyone other than the addressee. Unauthorised recipients must preserve
>>this
>>confidentiality and should please advise the sender immediately of the
>>error in transmission.
>>
>>~~~~~~~~~~~~~~~
>>Please remove this footer before replying.
>>
>>For list archives and documents, go to
>>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>>
>>For jobs in Occupational Health, go to
>>http://uk.groups.yahoo.com/group/OHJobs/
>
>
>---
>Outgoing mail is certified Virus Free.
>Checked by AVG anti-virus system (http://www.grisoft.com).
>Version: 6.0.809 / Virus Database: 551 - Release Date: 09/12/2004
>
>~~~~~~~~~~~~~~~
>Please remove this footer before replying.
>
>For list archives and documents, go to
>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
>For jobs in Occupational Health, go to
>http://uk.groups.yahoo.com/group/OHJobs/




Mrs Janet Mackinnon,
Occupational Health Adviser,
Environmental, Health and Safety Services,
University of St Andrews
65 North Street
St Andrews
KY16 9 A J

telephone 01334 462752
fax 01334 462747
e-mail  [log in to unmask]

========================================================
This message is sent in confidence for the addressee only. It may contain
legally privileged information. The contents are not to be disclosed to
anyone other than the addressee. Unauthorised recipients must preserve this
confidentiality and should please advise the sender immediately of the
error in transmission.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 17 Dec 2004 17:04:29 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Deville, Stephanie" <[log in to unmask]>
Subject:      Re: Anaphylactic protocol
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

Dear Janet,

We have recently run a course via St Andrews Ambulance here in Glasgow
for our First Aiders which includes CPR refresher and training on
anaphylaxis and administration of epi pen, they are then given a
certificate of competence.

best wishes and a happy Christmas
=20
Stephanie Deville
=20
Occupational Health Advisor
Tel: 3835
=20
Missed appointments mean a longer wait for everyone
Please help reduce waiting times
Keep it, Cancel it but don't forget it

-----Original Message-----
From: Janet Mackinnon [mailto:[log in to unmask]]=20
Sent: 17 December 2004 15:37
To: [log in to unmask]
Subject: Re: Anaphylactic protocol

Thanks Greta, Janet

At 15:27 17/12/2004, you wrote:
>Try www.anaphylaxis.org.uk who have lots of useful info for healthcare
>professionals as well as patients/clients.
>
>Greta
>
>
>----- Original Message -----
>From: "Janet Mackinnon" <[log in to unmask]>
>To: <[log in to unmask]>
>Sent: Friday, December 17, 2004 3:18 PM
>Subject: Anaphylactic protocol
>
>
>>I have been asked to provide training/advice to staff who may have to
deal
>>with a student who studies in a number of buildings and also is a hall
>>resident. I have not met her yet but she apparently has  a class 1
>>hypersensitivity to a substance [s] unknown, apparently she has needed
to
>>use an epi-pen but there have been occasions when she has been unable
to
>>administer it. Anyone got a protocol/policy/advice to offer about this
>>potential emergency, yours in hope ,Janet
>>
>>
>>
>>
>>
>>Mrs Janet Mackinnon,
>>Occupational Health Adviser,
>>Environmental, Health and Safety Services,
>>University of St Andrews
>>65 North Street
>>St Andrews
>>KY16 9 A J
>>
>>telephone 01334 462752
>>fax 01334 462747
>>e-mail  [log in to unmask]
>>
>>=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D
>>This message is sent in confidence for the addressee only. It may
contain
>>legally privileged information. The contents are not to be disclosed
to
>>anyone other than the addressee. Unauthorised recipients must preserve
>>this
>>confidentiality and should please advise the sender immediately of the
>>error in transmission.
>>
>>~~~~~~~~~~~~~~~
>>Please remove this footer before replying.
>>
>>For list archives and documents, go to
>>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>>
>>For jobs in Occupational Health, go to
>>http://uk.groups.yahoo.com/group/OHJobs/
>
>
>---
>Outgoing mail is certified Virus Free.
>Checked by AVG anti-virus system (http://www.grisoft.com).
>Version: 6.0.809 / Virus Database: 551 - Release Date: 09/12/2004
>
>~~~~~~~~~~~~~~~
>Please remove this footer before replying.
>
>For list archives and documents, go to
>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
>For jobs in Occupational Health, go to
>http://uk.groups.yahoo.com/group/OHJobs/




Mrs Janet Mackinnon,
Occupational Health Adviser,
Environmental, Health and Safety Services,
University of St Andrews
65 North Street
St Andrews
KY16 9 A J

telephone 01334 462752
fax 01334 462747
e-mail  [log in to unmask]

=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D
This message is sent in confidence for the addressee only. It may
contain
legally privileged information. The contents are not to be disclosed to
anyone other than the addressee. Unauthorised recipients must preserve
this
confidentiality and should please advise the sender immediately of the
error in transmission.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 17 Dec 2004 17:06:03 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         MARILYN MUMFORD <[log in to unmask]>
Subject:      Re: Anaphylactic protocol
Mime-Version: 1.0
Content-Type: text/plain; charset=US-ASCII
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

I shall be away until the 13th Jan 2005. Please either leave me a
message or contact me on my return

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 17 Dec 2004 17:25:37 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         heather bearpark <[log in to unmask]>
Subject:      Re: Anaphylactic protocol
In-Reply-To:  <002801c4e44c$e785f5a0$41362bd9@gh0953f0versng>
Mime-Version: 1.0
Content-Type: text/html; format=flowed

<html><div style='background-color:'><P>Suggest your have a look at BRS website <A href="http://www.resus.org.uk/pages/reaction.htm">http://www.resus.org.uk/pages/reaction.htm</A>&nbsp;&amp; specific guidelines on community setting anaphylaxis algorithm</P>
<P><A href="http://www.resus.org.uk/pages/anafig3.pdf">www.resus.org.uk/pages/anafig3.pdf</A><BR><BR></P>
<DIV>
<DIV>Regards </DIV>Heather Bearpark </DIV></div></html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 17 Dec 2004 22:17:58 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jo Jenkins <[log in to unmask]>
Subject:      Jo Jenkins/UK/CAMPSOUP/CSC is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

I will be out of the office starting  17/12/2004 and will not return until
29/12/2004.

Please forward your message to Siobhan Lawson who may be able to help you.



**********************************************************************
This e-mail and any files transmitted with it may contain
confidential information and is intended solely for use by
the individual to whom it is addressed.  If you received
this e-mail in error, please notify the sender, do not
disclose its contents to others and delete it from your
system.

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

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sat, 18 Dec 2004 04:39:48 EST
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Carole Anness <[log in to unmask]>
Subject:      Re: JOB!
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="-----------------------------1103362788"

-------------------------------1103362788
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Les

Am currently off the CCE system so can't access - however if you contact OH
recruitment they can help you out.

rgds

carole

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1103362788
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR></HEAD>
<BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY:=20=
Arial"=20
bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT id=3Drol=
e_document=20
face=3DArial color=3D#000000 size=3D2>
<DIV>Les</DIV>
<DIV>&nbsp;</DIV>
<DIV>Am currently off the CCE system so can't access - however if you contac=
t OH=20
recruitment they can help you out.</DIV>
<DIV>&nbsp;</DIV>
<DIV>rgds</DIV>
<DIV>&nbsp;</DIV>
<DIV>carole</DIV></FONT></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

-------------------------------1103362788--
=========================================================================
Date:         Sat, 18 Dec 2004 15:56:13 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Romano-Woodward <[log in to unmask]>
Subject:      finger/skin protection tape
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

hello all
Can anyone tell me a source of cohesive tape that wraps around fingertips to
prevent friction and paper cuts etc?
I have searched the net and come across vise skin protectiion tape for
bowlers, but I am sure that I have seen  some in a First Aid /industrial
supplies catalogue..

Best iwshes  to you all
Diane

_________________________________________________________________
It's fast, it's easy and it's free. Get MSN Messenger today!
http://www.msn.co.uk/messenger

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Sun, 19 Dec 2004 08:51:41 +0100
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Helen Hannar <[log in to unmask]>
Subject:      Re: finger/skin protection tape
Mime-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_Part_11836_2416622.1103442701427"

------=_Part_11836_2416622.1103442701427
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 7bit

Hi Dianne,
I have used a blue non adhesive tape from SAFA that wraps around fingers etc to protect from cuts. I dont have the catalogue to hand re order details etc, but it sound similar to what you are looking for. Quite inexpensive as well. They are based at 59, Hill Street, Liverpool  and have a web site at www.safa.co.uk  I think!!
Merry Christmas to you all,
Helen





> Message date : Dec 18 2004, 03:57 PM
> From : "Diane Romano-Woodward"
> To : [log in to unmask]
> Copy to :
> Subject : finger/skin protection tape
> hello all
> Can anyone tell me a source of cohesive tape that wraps around fingertips to
> prevent friction and paper cuts etc?
> I have searched the net and come across vise skin protectiion tape for
> bowlers, but I am sure that I have seen some in a First Aid /industrial
> supplies catalogue..
>
> Best iwshes to you all
> Diane
>
> _________________________________________________________________
> It's fast, it's easy and it's free. Get MSN Messenger today!
> http://www.msn.co.uk/messenger
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>



Helen Hannar
OH Advisor

OHServices (NE).
Tel:- 01388 777962
Mob:- 07950 154541
Fax:- 01388 777962

--

Whatever you Wanadoo:
http://www.wanadoo.co.uk/time/

This email has been checked for most known viruses - find out more at: http://www.wanadoo.co.uk/help/id/7098.htm

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_11836_2416622.1103442701427
Content-Type: text/html
Content-Transfer-Encoding: quoted-printable

<P>Hi Dianne,</P>
<P>I have used a blue non adhesive tape from SAFA that wraps around fingers=
 etc to protect from cuts. I dont have the catalogue to hand re order detai=
ls etc, but it sound similar to what you are looking for. Quite inexpensive=
 as well. They are based at 59, Hill Street, Liverpool&nbsp; and have a web=
 site at <A href=3D"http://www.safa.co.uk">www.safa.co.uk</A>&nbsp; I think=
!!</P>
<P>Merry Christmas to you all,</P>
<P>Helen<BR><BR><BR><BR><BR></P>
<BLOCKQUOTE style=3D"PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #ff0=
000 2px solid">&gt; Message date : Dec 18 2004, 03:57 PM<BR>&gt; From : "Di=
ane Romano-Woodward" <[log in to unmask]><BR>&gt; To : OCC-HEALTH@JISCMAI=
L.AC.UK<BR>&gt; Copy to : <BR>&gt; Subject : finger/skin protection tape<BR=
>&gt; hello all<BR>&gt; Can anyone tell me a source of cohesive tape that w=
raps around fingertips to<BR>&gt; prevent friction and paper cuts etc?<BR>&=
gt; I have searched the net and come across vise skin protectiion tape for<=
BR>&gt; bowlers, but I am sure that I have seen some in a First Aid /indust=
rial<BR>&gt; supplies catalogue..<BR>&gt; <BR>&gt; Best iwshes to you all<B=
R>&gt; Diane<BR>&gt; <BR>&gt; _____________________________________________=
____________________<BR>&gt; It's fast, it's easy and it's free. Get MSN Me=
ssenger today!<BR>&gt; http://www.msn.co.uk/messenger<BR>&gt; <BR>&gt; ~~~~=
~~~~~~~~~~~<BR>&gt; Please remove this footer before replying.<BR>&gt; <BR>=
&gt; For list archives and documents, go to<BR>&gt; http://www.jiscmail.ac.=
uk/lists/occ-health.html for list archives<BR>&gt; <BR>&gt; For jobs in Occ=
upational Health, go to<BR>&gt; http://uk.groups.yahoo.com/group/OHJobs/<BR=
>&gt; </BLOCKQUOTE>
<P><BR><BR></P>
<P><STRONG>Helen Hannar <BR>OH Advisor <BR><BR>OHServices (NE). <BR>Tel:- 0=
1388 777962 <BR>Mob:- 07950 154541 <BR>Fax:- 01388 777962</STRONG></P><BR><=
BR><hr size=3D"1">Whatever you <a href=3D"http://www.wanadoo.co.uk/time/" t=
arget=3D"_blank">Wanadoo</a><br><br>This email has been checked for most kn=
own viruses - find out more <a href=3D"http://www.wanadoo.co.uk/help/id/709=
8.htm" target=3D"_blank">here</a>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_Part_11836_2416622.1103442701427--
=========================================================================
Date:         Sun, 19 Dec 2004 21:30:14 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Brian Webster <[log in to unmask]>
Subject:      Information Commission News Release.
MIME-Version: 1.0
Content-Type: multipart/mixed;
              boundary="----=_NextPart_000_0006_01C4E611.EDA284A0"

This is a multi-part message in MIME format.

------=_NextPart_000_0006_01C4E611.EDA284A0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

 Hi All, are members aware of this document?
Regards.
Brian Webster.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------=_NextPart_000_0006_01C4E611.EDA284A0
Content-Type: application/pdf;
        name="Part%204%20Employment%20Code%20Final.pdf"
Content-Transfer-Encoding: base64
Content-Disposition: attachment;
        filename="Part%204%20Employment%20Code%20Final.pdf"
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------=_NextPart_000_0006_01C4E611.EDA284A0--
=========================================================================
Date:         Sun, 19 Dec 2004 23:22:00 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Greta Thornbory <[log in to unmask]>
Subject:      Re: Information Commission News Release.
MIME-Version: 1.0
Content-Type: text/plain; format=flowed; charset="iso-8859-1";
              reply-type=original
Content-Transfer-Encoding: 7bit

If not there is a bit about it in December issue of OH journal on page 20
and then again in the January issue.

Greta

----- Original Message -----
From: "Brian Webster" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, December 19, 2004 9:30 PM
Subject: Information Commission News Release.


> Hi All, are members aware of this document?
> Regards.
> Brian Webster.
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 20 Dec 2004 12:24:29 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sara Werry <[log in to unmask]>
Subject:      Release of Personnel  referral paperwork  from OH file
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_001F_01C4E68E.EC67B2E0"

This is a multi-part message in MIME format.

------=_NextPart_000_001F_01C4E68E.EC67B2E0
Content-Type: text/plain;
        charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Dear All

I would be grateful for any comments or words of wisdom you may have on
the following query.

If a Personnel department is unable to find some OH referral paperwork
on their files that a previous Personnel colleague made, in terms of
confidentiality/data protection could they rightfully expect OH to
release a copy of the referral from the OH notes without consents
etc????

Many thanks and Happy Christmas

Sara

Sara Werry
Occupational Health Adviser
Occupational Health Service
University of East Anglia
Norwich, NR4 7TJ
Tel: (01603) 592174
Fax: (01603) 506579


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001F_01C4E68E.EC67B2E0
Content-Type: text/html;
        charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">
<TITLE>Message</TITLE>

<META content=3D"MSHTML 5.50.4134.600" name=3DGENERATOR></HEAD>
<BODY>
<DIV><SPAN class=3D861391412-20122004><FONT face=3DGaramond>Dear=20
All</FONT></SPAN></DIV>
<DIV><SPAN class=3D861391412-20122004><FONT=20
face=3DGaramond></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D861391412-20122004><FONT face=3DGaramond>I would be =
grateful for=20
any comments&nbsp;or words of wisdom you may have on the following=20
query.</FONT></SPAN></DIV>
<DIV><SPAN class=3D861391412-20122004><FONT=20
face=3DGaramond></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D861391412-20122004><FONT face=3DGaramond>If a =
Personnel=20
department&nbsp;is unable to find some OH referral paperwork on their =
files that=20
a previous Personnel&nbsp;colleague made, in terms of =
confidentiality/data=20
protection could they rightfully expect OH to release&nbsp;a copy of the =

referral from the OH notes without consents etc????</FONT></SPAN></DIV>
<DIV><SPAN class=3D861391412-20122004><FONT=20
face=3DGaramond></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D861391412-20122004><FONT face=3DGaramond>Many thanks =
and Happy=20
Christmas</FONT></SPAN></DIV>
<DIV><SPAN class=3D861391412-20122004><FONT=20
face=3DGaramond></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D861391412-20122004><FONT =
face=3DGaramond>Sara</FONT></SPAN><SPAN=20
class=3D861391412-20122004><FONT =
face=3DGaramond>&nbsp;</FONT></SPAN></DIV>
<DIV>&nbsp;</DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Sara Werry</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Adviser</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Occupational Health =
Service</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>University of East =
Anglia</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Norwich, NR4 7TJ</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Tel: (01603) 592174</FONT></DIV>
<DIV align=3Dleft><FONT face=3DGaramond>Fax: (01603) 506579</FONT></DIV>
<DIV>&nbsp;</DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_001F_01C4E68E.EC67B2E0--
=========================================================================
Date:         Mon, 20 Dec 2004 13:44:29 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Diane Mcclurg <[log in to unmask]>
Subject:      Re: Audiometry Policy
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

I would also appreciate this information
Many thanks and merry xmas
----- Original Message -----
From: "Conway, Jackie" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, December 15, 2004 4:01 PM
Subject: Audiometry Policy


> Can anybody share with me their policy on audiometry testing etc. I would
be
> grateful. Many thanks.
> Jackie Conway
> OH Advisor
> Boston Scientific Ireland Ltd
> [log in to unmask]
> Tel 00353 91 517366
> Fax 00353 91 701359
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 20 Dec 2004 14:34:59 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Swann, Alan B" <[log in to unmask]>
Subject:      Re: Release of Personnel  referral paperwork  from OH file
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4E6A1.1548DA1A"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4E6A1.1548DA1A
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

Dear Sara,

=20

As you are only releasing information that Personnel gave to OccHealth,
I cannot see that it would involve a breach of confidentiality (unless,
like me, you've made a few jottings on the referral form/ letter in the
course of seeing the person referred)

& in the interest of maintaining good relations with HR colleagues-
something that should be worth maintaining- it would seem churlish to
refuse.

=20

My only caveat would be if Personnel's enquiry is a fishing expedition
to find out whether or not the person has actually been referred in the
past. If records are in such poor state that they don't know, valid to
suggest that they re-refer with questions relevant to the current
situation.

=20

=20

=20

Dr. Alan Swann, BM, AFOM
Director of Occupational Health
Occupational Health Service
Imperial College London
Southside building
South Kensington Campus
London
SW7 2AZ

Tel:       +44 (20) 7594 9385
Fax:      +44 (20) 7594 9407
 https://www.imperial.ac.uk/spectrum/occhealth=20

=20

-----Original Message-----
From: Sara Werry [mailto:[log in to unmask]]=20
Sent: 20 December 2004 12:24
To: [log in to unmask]
Subject: Release of Personnel referral paperwork from OH file

=20

Dear All

=20

I would be grateful for any comments or words of wisdom you may have on
the following query.

=20

If a Personnel department is unable to find some OH referral paperwork
on their files that a previous Personnel colleague made, in terms of
confidentiality/data protection could they rightfully expect OH to
release a copy of the referral from the OH notes without consents
etc????

=20

Many thanks and Happy Christmas

=20

Sara=20

=20

Sara Werry

Occupational Health Adviser

Occupational Health Service

University of East Anglia

Norwich, NR4 7TJ

Tel: (01603) 592174

Fax: (01603) 506579

=20

~~~~~~~~~~~~~~~ Please remove this footer before replying.=20

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives=20


For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4E6A1.1548DA1A
Content-Type: text/html;
        charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<html>

<head>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Dus-ascii">


<meta name=3DGenerator content=3D"Microsoft Word 10 (filtered)">
<title>Message</title>

<style>
<!--
 /* Font Definitions */
 @font-face
        {font-family:"Arial Narrow";
        panose-1:2 11 5 6 2 2 2 3 2 4;}
@font-face
        {font-family:Tahoma;
        panose-1:2 11 6 4 3 5 4 4 2 4;}
@font-face
        {font-family:Garamond;
        panose-1:2 2 4 4 3 3 1 1 8 3;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {margin:0cm;
        margin-bottom:.0001pt;
        font-size:12.0pt;
        font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;}
span.EmailStyle17
        {font-family:Arial;
        color:navy;}
@page Section1
        {size:595.3pt 841.9pt;
        margin:72.0pt 90.0pt 72.0pt 90.0pt;}
div.Section1
        {page:Section1;}
-->
</style>

</head>

<body lang=3DEN-GB link=3Dblue vlink=3Dpurple>

<div class=3DSection1>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>Dear Sara,</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>&nbsp;</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>As you are only releasing =
information that
Personnel gave to OccHealth, I cannot see that it would involve a breach =
of
confidentiality (unless, like me, you&#8217;ve made a few jottings on =
the referral
form/ letter in the course of seeing the person =
referred)</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>&amp; in the interest of =
maintaining good
relations with HR colleagues- something that should be worth =
maintaining- it
would seem churlish to refuse.</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>&nbsp;</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>My only caveat would be if =
Personnel&#8217;s
enquiry is a fishing expedition to find out whether or not the person =
has actually
been referred in the past. If records are in such poor state that they =
don&#8217;t
know, valid to suggest that they re-refer with questions relevant to the
current situation.</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>&nbsp;</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>&nbsp;</span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>&nbsp;</span></font></p>

<div>

<p class=3DMsoNormal style=3D'text-autospace:none'><font size=3D2 =
color=3Dnavy
face=3D"Arial Narrow"><span style=3D'font-size:10.0pt;font-family:"Arial =
Narrow";
color:navy'>Dr. Alan Swann, BM, AFOM<br>
<b><span style=3D'font-weight:bold'>Director of Occupational Health<br>
</span></b></span></font><font size=3D2 color=3Dnavy face=3D"Arial =
Narrow"><span
 style=3D'font-size:10.0pt;font-family:"Arial =
Narrow";color:navy'>Occupational
 Health Service</span></font><font size=3D2 color=3Dnavy face=3D"Arial =
Narrow"><span
style=3D'font-size:10.0pt;font-family:"Arial Narrow";color:navy'><br>
Imperial College London<br>
Southside building<br>
South Kensington Campus<br>
London<br>
SW7 2AZ</span></font></p>

<p class=3DMsoNormal style=3D'text-autospace:none'><font size=3D2 =
color=3Dnavy
face=3D"Arial Narrow"><span style=3D'font-size:10.0pt;font-family:"Arial =
Narrow";
color:navy'>Tel: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; +44 (20) 7594 9385<br>
Fax: &nbsp;&nbsp;&nbsp;&nbsp; +44 (20) 7594 9407<br>
&nbsp;https://www.imperial.ac.uk/spectrum/occhealth </span></font></p>

</div>

<p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
style=3D'font-size:
10.0pt;font-family:Arial;color:navy'>&nbsp;</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
face=3DTahoma><span
lang=3DEN-US style=3D'font-size:10.0pt;font-family:Tahoma'>-----Original
Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Sara Werry
[mailto:[log in to unmask]] <br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> 20 December 2004 =
12:24<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
[log in to unmask]<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Release of =
Personnel
referral paperwork from OH file</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Dear =
All</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>I would be grateful for =
any
comments&nbsp;or words of wisdom you may have on the following =
query.</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>If a Personnel =
department&nbsp;is
unable to find some OH referral paperwork on their files that a previous
Personnel&nbsp;colleague made, in terms of confidentiality/data =
protection
could they rightfully expect OH to release&nbsp;a copy of the referral =
from the
OH notes without consents etc????</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Many thanks and Happy =
Christmas</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Sara&nbsp;</span></font><=
/p>

</div>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Sara =
Werry</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Occupational Health =
Adviser</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Occupational Health =
Service</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>University of East =
Anglia</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Norwich, NR4 =
7TJ</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Tel: (01603) =
592174</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
face=3DGaramond><span
style=3D'font-size:12.0pt;font-family:Garamond'>Fax: (01603) =
506579</span></font></p>

<div>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>&nbsp;</span></font></p>

</div>

</div>

</body>

</html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4E6A1.1548DA1A--
=========================================================================
Date:         Mon, 20 Dec 2004 15:20:17 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Robert Dunn
              <[log in to unmask]>
Organization: University of Oxford
Subject:      One in return for those you've sent us.....
Comments: To: "Jeremy. [log in to unmask] Gov. Uk" <[log in to unmask]>
Comments: cc: Karen Ralph
          <[log in to unmask]>
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----=_NextPart_000_00F6_01C4E6A7.693DEF10"

This is a multi-part message in MIME format.

------=_NextPart_000_00F6_01C4E6A7.693DEF10
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Try this one....it's tricky!!

http://www.learn4good.com/games/action/sling_shot_santa.htm

A Merry Christmas and a Happy 2005 to all.......

Best wishes, Bob


Robert Dunn TD
MSc SRN OHNC
Senior OH Adviser / Operations Manager
University of Oxford Occupational Health Service
10 Parks Road, Oxford, OX1 3PD
Tel: 01865 282676
=20
Confidentiality.=20
=20
This electronic transmission is strictly confidential to the University =
of Oxford Occupational Health Service and intended solely for the =
addressee.  It may contain information covered by legal, professional or =
other privilege.  If you are not the intended addressee, or someone =
authorised to receive transmissions on their behalf, you must not =
retain, disclose in any form, copy or take any action in reliance on =
this transmission. If you have received this transmission in error, =
please notify the sender as soon as possible and destroy this message.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_00F6_01C4E6A7.693DEF10
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 http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 6.00.2900.2523" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>Try this one....it's =
tricky!!</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2><A=20
href=3D"http://www.learn4good.com/games/action/sling_shot_santa.htm">http=
://www.learn4good.com/games/action/sling_shot_santa.htm</A></FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>A Merry Christmas and a Happy 2005 to=20
all.......</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Best wishes, Bob</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Robert Dunn TD<BR>MSc SRN =
OHNC<BR>Senior OH Adviser=20
/ Operations Manager<BR>University of Oxford Occupational Health =
Service<BR>10=20
Parks Road, Oxford, OX1 3PD<BR>Tel: 01865 =
282676<BR>&nbsp;<BR>Confidentiality.=20
<BR>&nbsp;<BR>This electronic transmission is strictly confidential to =
the=20
University of Oxford Occupational Health Service and intended solely for =
the=20
addressee.&nbsp; It may contain information covered by legal, =
professional or=20
other privilege.&nbsp; If you are not the intended addressee, or someone =

authorised to receive transmissions on their behalf, you must not =
retain,=20
disclose in any form, copy or take any action in reliance on this =
transmission.=20
If you have received this transmission in error, please notify the =
sender as=20
soon as possible and destroy this =
message.<BR></FONT></DIV></BODY></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------=_NextPart_000_00F6_01C4E6A7.693DEF10--
=========================================================================
Date:         Mon, 20 Dec 2004 17:00:46 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Rosie Busfield <[log in to unmask]>
Subject:      Re: Anaphylactic protocol
In-Reply-To:  <[log in to unmask]>
Mime-Version: 1.0
Content-Type: text/html; format=flowed
Content-Transfer-Encoding: quoted-printable

<html><div style=3D'background-color:'><DIV class=3DRTE>
<P>Janet</P>
<P>I have an employee who is severly allergic to nuts and carries an epip=
en.&nbsp; I obtained a dummy epipen from a company named by the Anaphylax=
is Campaign.&nbsp; It only cost about =A36.</P>
<P>I have trained up 2 first aiders to give the epipen in the event of th=
e employee becoming unable to give it himself.&nbsp; I learnt a lot about=
 it when school nursing as we had to train teachers to give the epipen.&n=
bsp; I wrote a training package which I presented to them and then we pra=
cticed using the dummy epipen.&nbsp; The employee himself was present for=
 all of this and found it useful as he had never had any training himself=
 how to use it.&nbsp; He showed us where he kept&nbsp;his epipen&nbsp;- i=
n which bag etc.&nbsp; We also discussed problems with the provision of f=
ood in the restaurant and arranged for him to speak to the Manager etc.</=
P>
<P>I have recently given a refresher and intend to do this on a 6 monthly=
 basis.</P>
<P>Hope this helps</P>
<P>Regards</P>
<P>Rosie Busfield</P></DIV>
<DIV></DIV>&gt;From: Janet Mackinnon &lt;[log in to unmask]&gt;
<DIV></DIV>&gt;Reply-To: Occupational Health mailing list &lt;OCC-HEALTH@=
JISCMAIL.AC.UK&gt;
<DIV></DIV>&gt;To: [log in to unmask]
<DIV></DIV>&gt;Subject: Anaphylactic protocol
<DIV></DIV>&gt;Date: Fri, 17 Dec 2004 15:18:22 +0000
<DIV></DIV>&gt;
<DIV></DIV>&gt;I have been asked to provide training/advice to staff who =
may have
<DIV></DIV>&gt;to deal
<DIV></DIV>&gt;with a student who studies in a number of buildings and al=
so is a
<DIV></DIV>&gt;hall
<DIV></DIV>&gt;resident. I have not met her yet but she apparently has&nb=
sp;&nbsp;a class 1
<DIV></DIV>&gt;hypersensitivity to a substance [s] unknown, apparently sh=
e has
<DIV></DIV>&gt;needed to
<DIV></DIV>&gt;use an epi-pen but there have been occasions when she has =
been
<DIV></DIV>&gt;unable to
<DIV></DIV>&gt;administer it. Anyone got a protocol/policy/advice to offe=
r about
<DIV></DIV>&gt;this
<DIV></DIV>&gt;potential emergency, yours in hope ,Janet
<DIV></DIV>&gt;
<DIV></DIV>&gt;
<DIV></DIV>&gt;
<DIV></DIV>&gt;
<DIV></DIV>&gt;
<DIV></DIV>&gt;Mrs Janet Mackinnon,
<DIV></DIV>&gt;Occupational Health Adviser,
<DIV></DIV>&gt;Environmental, Health and Safety Services,
<DIV></DIV>&gt;University of St Andrews
<DIV></DIV>&gt;65 North Street
<DIV></DIV>&gt;St Andrews
<DIV></DIV>&gt;KY16 9 A J
<DIV></DIV>&gt;
<DIV></DIV>&gt;telephone 01334 462752
<DIV></DIV>&gt;fax 01334 462747
<DIV></DIV>&gt;e-mail&nbsp;&nbsp;[log in to unmask]
<DIV></DIV>&gt;
<DIV></DIV>&gt;=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D
<DIV></DIV>&gt;This message is sent in confidence for the addressee only.=
 It may
<DIV></DIV>&gt;contain
<DIV></DIV>&gt;legally privileged information. The contents are not to be=
 disclosed
<DIV></DIV>&gt;to
<DIV></DIV>&gt;anyone other than the addressee. Unauthorised recipients m=
ust
<DIV></DIV>&gt;preserve this
<DIV></DIV>&gt;confidentiality and should please advise the sender immedi=
ately of
<DIV></DIV>&gt;the
<DIV></DIV>&gt;error in transmission.
<DIV></DIV>&gt;
<DIV></DIV>&gt;~~~~~~~~~~~~~~~
<DIV></DIV>&gt;Please remove this footer before replying.
<DIV></DIV>&gt;
<DIV></DIV>&gt;For list archives and documents, go to
<DIV></DIV>&gt;http://www.jiscmail.ac.uk/lists/occ-health.html for list a=
rchives
<DIV></DIV>&gt;
<DIV></DIV>&gt;For jobs in Occupational Health, go to
<DIV></DIV>&gt;http://uk.groups.yahoo.com/group/OHJobs/
<DIV></DIV></div></html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 21 Dec 2004 07:38:10 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Josie Mills <[log in to unmask]>
In-Reply-To:  <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit

Jane, how lovely to hear from you.  I will get in touch after the festive
season and we can catch up on all the news.  Have a lovely christmas and
peaceful New Year.

JosieJosie Mills
Occupational Health Consultant
BSc(Hons); RGN; RMN; OHND; MIOSH

Tel: 01733 575581
Mobile: 07833 593236
Email: [log in to unmask]
Website:  http://www.jmoccupationalhealth.co.uk/default.asp

NB:  The nature of my business is peripatetic, and as such I do not have set
office hours.  Please allow 24hrs response times to emails and messages.

This email and any files transmitted with it are confidential and intended
solely for the use of the person to whom it has been addressed.  If you are
not the intended recipient, be advised that you have received this mail in
error and that any use, dissemination, forwarding, printing or copying of
this email is strictly prohibited. If you have received this email in error
please return the message to the sender by replying to it and then delete
the message from your computer.

This footnote also confirms that this email message has been checked by
anti-virus software for the presence of computer viruses. However, Josie
Mills accepts no responsibility for any virus or defect that might arise
from opening this email or attachments




-----Original Message-----
From: Mann, Jane [mailto:[log in to unmask]]
Sent: 17 December 2004 09:13
To: [log in to unmask]
Subject:


Dear Josie
Thanks for posting this,I have been meaning to look up these
recommendations for some time now. I was delighted to see your name as
had lost your contact details. I do hope that things are going well - I
have included my work e mail and numbers in case you would like to get
in touch off line.
Best wishes
Jane
[log in to unmask]

Jane Mann
RGN; BSc OH Nursing
Occupational Health Advisor
EDF Energy
Bury St Edmunds
01284 726653
Mob. 07879 808127


-----Original Message-----
From: Josie Mills [mailto:[log in to unmask]]
Sent: 09 December 2004 18:05
To: [log in to unmask]
Subject:

With compliments

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 21 Dec 2004 07:54:57 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jay Chapman <[log in to unmask]>
Subject:      Re: Audiometry Policy
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

A copy in this direction would also be appreciated.

Jay
----- Original Message -----
From: "Diane Mcclurg" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, December 20, 2004 1:44 PM
Subject: Re: Audiometry Policy


> I would also appreciate this information
> Many thanks and merry xmas
> ----- Original Message -----
> From: "Conway, Jackie" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Wednesday, December 15, 2004 4:01 PM
> Subject: Audiometry Policy
>
>
> > Can anybody share with me their policy on audiometry testing etc. I
would
> be
> > grateful. Many thanks.
> > Jackie Conway
> > OH Advisor
> > Boston Scientific Ireland Ltd
> > [log in to unmask]
> > Tel 00353 91 517366
> > Fax 00353 91 701359
> >
> > ~~~~~~~~~~~~~~~
> > Please remove this footer before replying.
> >
> > For list archives and documents, go to
> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> > For jobs in Occupational Health, go to
> > http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 21 Dec 2004 08:39:35 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Janet Mackinnon <[log in to unmask]>
Subject:      Re: Anaphylactic protocol
In-Reply-To:  <[log in to unmask]>
Mime-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"; format=flowed
Content-Transfer-Encoding: quoted-printable
Content-Transfer-Encoding: quoted-printable

  rosie, thanks very much for this , merry Christmas, Janet

At 17:00 20/12/2004, you wrote:

>Janet
>
>I have an employee who is severly allergic to nuts and carries an=20
>epipen.  I obtained a dummy epipen from a company named by the Anaphylaxis=
=20
>Campaign.  It only cost about =A36.
>
>I have trained up 2 first aiders to give the epipen in the event of the=20
>employee becoming unable to give it himself.  I learnt a lot about it when=
=20
>school nursing as we had to train teachers to give the epipen.  I wrote a=
=20
>training package which I presented to them and then we practiced using the=
=20
>dummy epipen.  The employee himself was present for all of this and found=
=20
>it useful as he had never had any training himself how to use it.  He=20
>showed us where he kept his epipen - in which bag etc.  We also discussed=
=20
>problems with the provision of food in the restaurant and arranged for him=
=20
>to speak to the Manager etc.
>
>I have recently given a refresher and intend to do this on a 6 monthly=
 basis.
>
>Hope this helps
>
>Regards
>
>Rosie Busfield
> >From: Janet Mackinnon <[log in to unmask]>
> >Reply-To: Occupational Health mailing list <[log in to unmask]>
> >To: [log in to unmask]
> >Subject: Anaphylactic protocol
> >Date: Fri, 17 Dec 2004 15:18:22 +0000
> >
> >I have been asked to provide training/advice to staff who may have
> >to deal
> >with a student who studies in a number of buildings and also is a
> >hall
> >resident. I have not met her yet but she apparently has  a class 1
> >hypersensitivity to a substance [s] unknown, apparently she has
> >needed to
> >use an epi-pen but there have been occasions when she has been
> >unable to
> >administer it. Anyone got a protocol/policy/advice to offer about
> >this
> >potential emergency, yours in hope ,Janet
> >
> >
> >
> >
> >
> >Mrs Janet Mackinnon,
> >Occupational Health Adviser,
> >Environmental, Health and Safety Services,
> >University of St Andrews
> >65 North Street
> >St Andrews
> >KY16 9 A J
> >
> >telephone 01334 462752
> >fax 01334 462747
> >e-mail  [log in to unmask]
> >
> >=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D
> >This message is sent in confidence for the addressee only. It may
> >contain
> >legally privileged information. The contents are not to be disclosed
> >to
> >anyone other than the addressee. Unauthorised recipients must
> >preserve this
> >confidentiality and should please advise the sender immediately of
> >the
> >error in transmission.
> >
> >~~~~~~~~~~~~~~~
> >Please remove this footer before replying.
> >
> >For list archives and documents, go to
> >http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> >For jobs in Occupational Health, go to
> >http://uk.groups.yahoo.com/group/OHJobs/
>~~~~~~~~~~~~~~~ Please remove this footer before replying.
>
>For list archives and documents, go to=20
>http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
>For jobs in Occupational Health, go to=20
>http://uk.groups.yahoo.com/group/OHJobs/




Mrs Janet Mackinnon,
Occupational Health Adviser,
Environmental, Health and Safety Services,
University of St Andrews
65 North Street
St Andrews
KY16 9 A J

telephone 01334 462752
fax 01334 462747
e-mail  [log in to unmask]

=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D
This message is sent in confidence for the addressee only. It may contain
legally privileged information. The contents are not to be disclosed to
anyone other than the addressee. Unauthorised recipients must preserve this
confidentiality and should please advise the sender immediately of the
error in transmission.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 21 Dec 2004 09:03:21 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Elaine Lewis <[log in to unmask]>
Subject:      Pre employment policies
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4E73B.7AC5273E"

This message is in MIME format. Since your mail reader does not understand
this format, some or all of this message may not be legible.

------_=_NextPart_001_01C4E73B.7AC5273E
Content-Type: text/plain;
        charset="iso-8859-1"

Dear All
I work for a large NHS Trust and I am looking to write several policies.
The first one being a pre employment policy which will hopefully      also
cover young workers/work experience etc.  Would anyone be willing to share
their existing policy before I embark on the process?

Many thanks
Elaine Lewis


Mae'r e-bost hwn (ac unrhyw atodiadau) yn gyfrinachol a gall gynnwys barn bersonol nad yw'n farn Ymddiriedolaeth GIG Gofal Iechyd Gwent oni bai fod hynny wedi ei ddatgan yn benodol Os ydych chi wedi ei dderbyn trwy gamgymeriad, dilewch o'ch system, peidiwch a defnyddio, copio na datgelu'r wybodaeth mewn unrhyw fodd.  Hysbyswch y sawl a'i anfonodd am y camgymeriad hwn ar unwaith os gwelwch yn dda.

This e-mail (and any attachments) is confidential and may contain personal views which are not the views of Gwent HealthCare NHS Trust unless specifically stated.  If you have received it in error, delete it from your system, do not use, copy or disclose the information in any way.  Please notify the sender immediately of this error.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4E73B.7AC5273E
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; charset=3Diso-885=
9-1">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version 5.5.2658.2=
">
<TITLE>Pre employment policies</TITLE>
</HEAD>
<BODY>

<P><FONT SIZE=3D2 FACE=3D"Arial">Dear All</FONT>
<BR><FONT SIZE=3D2 FACE=3D"Arial">I work for a large NHS Trust and I am l=
ooking to write several policies.&nbsp; The first one being a pre employm=
ent policy which will hopefully&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; also cover =
young workers/work experience etc.&nbsp; Would anyone be willing to share=
 their existing policy before I embark on the process?</FONT></P>

<P><FONT SIZE=3D2 FACE=3D"Arial">Many thanks</FONT>
<BR><FONT SIZE=3D2 FACE=3D"Arial">Elaine Lewis</FONT>
</P>
<BR>

Mae'r e-bost hwn (ac unrhyw atodiadau) yn gyfrinachol a gall gynnwys barn=
 bersonol nad yw'n farn Ymddiriedolaeth GIG Gofal Iechyd Gwent oni bai fo=
d hynny wedi ei ddatgan yn benodol Os ydych chi wedi ei dderbyn trwy gamg=
ymeriad, dilewch o'ch system, peidiwch a defnyddio, copio na datgelu'r wy=
bodaeth mewn unrhyw fodd. Hysbyswch y sawl a'i anfonodd am y camgymeriad =
hwn ar unwaith os gwelwch yn dda.<br><br>This e-mail (and any attachments=
) is confidential and may contain personal views which are not the views =
of Gwent HealthCare NHS Trust unless specifically stated. If you have rec=
eived it in error, delete it from your system, do not use, copy or disclo=
se the information in any way. Please notify the sender immediately of th=
is error.</BODY>
</HTML>=
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4E73B.7AC5273E--
=========================================================================
Date:         Tue, 21 Dec 2004 09:26:44 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Clare McArdell <[log in to unmask]>
Subject:      Re: Audiometry Policy
In-Reply-To:  <003601c4e732$8549bdc0$a099e4d4@jay>
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Having recently set up my own OH Service I would appreciate any OH policies
that people would be willing to share, I have some policies but they need
drastic updating, as Guernsey hasn't really been fully compliant with H&S
legislation (None in force over here), so I am having to update to 'Best
practice'.

I can be contacted off list at [log in to unmask]

Many thanks
Clare McArdell.


-----Original Message-----
From: Jay Chapman [mailto:[log in to unmask]]
Sent: 21 December 2004 07:55
To: [log in to unmask]
Subject: Re: Audiometry Policy

A copy in this direction would also be appreciated.

Jay
----- Original Message -----
From: "Diane Mcclurg" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, December 20, 2004 1:44 PM
Subject: Re: Audiometry Policy


> I would also appreciate this information
> Many thanks and merry xmas
> ----- Original Message -----
> From: "Conway, Jackie" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Wednesday, December 15, 2004 4:01 PM
> Subject: Audiometry Policy
>
>
> > Can anybody share with me their policy on audiometry testing etc. I
would
> be
> > grateful. Many thanks.
> > Jackie Conway
> > OH Advisor
> > Boston Scientific Ireland Ltd
> > [log in to unmask]
> > Tel 00353 91 517366
> > Fax 00353 91 701359
> >
> > ~~~~~~~~~~~~~~~
> > Please remove this footer before replying.
> >
> > For list archives and documents, go to
> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
> >
> > For jobs in Occupational Health, go to
> > http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 21 Dec 2004 09:55:09 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Rebecca Wishart <[log in to unmask]>
Subject:      Anaphylaxis training
MIME-Version: 1.0
Content-type: text/plain; charset="us-ascii"

Morning All,

Please can anyone advise me of a local venue for anaphylaxis training or
offer up contact details.
I am based in Manchester but am able to travel in and around the NorthWest.

Thanks in advance

Rebecca Wishart



**********************************************************************
This message, including any attachments, is confidential, privileged and for the sole benefit of the person(s) to whom it was intended to be addressed.  If you receive it in error, please delete it from your system, make no copies of it, do not disclose it's content to any third party or use it for your own or any other person's benefit.

Please advise the Kerry IT Help Desk of its receipt as soon as possible.

Kerry Foods Ltd
I.T. - Helpdesk
Telephone UK :- +44 (0)1784 223213
                  IRE:- +353 (0) 63 35452 / 1800 924 452
            NI:- 00800 1357 2468

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

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Tue, 21 Dec 2004 10:00:48 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Hawkes, Lynda" <[log in to unmask]>
Subject:      Re: Anaphylaxis training
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"

Try your local Ambulance Training Centre.  I did my training at East
Midlands Ambulance Training Centre so I guess others do it too.
Lynda

-----Original Message-----
From: Rebecca Wishart [mailto:[log in to unmask]]
Sent: Tuesday, December 21, 2004 9:55 AM
To: [log in to unmask]
Subject: Anaphylaxis training


Morning All,

Please can anyone advise me of a local venue for anaphylaxis training or
offer up contact details.
I am based in Manchester but am able to travel in and around the NorthWest.

Thanks in advance

Rebecca Wishart



**********************************************************************
This message, including any attachments, is confidential, privileged and for
the sole benefit of the person(s) to whom it was intended to be addressed.
If you receive it in error, please delete it from your system, make no
copies of it, do not disclose it's content to any third party or use it for
your own or any other person's benefit.

Please advise the Kerry IT Help Desk of its receipt as soon as possible.

Kerry Foods Ltd
I.T. - Helpdesk
Telephone UK :- +44 (0)1784 223213
                  IRE:- +353 (0) 63 35452 / 1800 924 452
            NI:- 00800 1357 2468

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

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Mon, 20 Dec 2004 16:06:03 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Aziz, Bashyr" <[log in to unmask]>
Subject:      Season's Greetings
Comments: To: [log in to unmask]
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4E6AD.CE66E303"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4E6AD.CE66E303
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Christmas Quiz

This year there are 10 cryptic clues, most of them anagrams.  All of the =
solutions are something or somebody to do with occupational health.  =
Answers to <[log in to unmask]> by 2359 hrs GMT on 31 December 2004 =
please. =20

1.      Seven take lab at Oxford (4,8)
2.      Antisocial behaviour orders around confused set create a respiratory =
hazard (8)
3.      Arm Aziz in change for founding father (9)
4.      Former farm vehicle enthusiast clears the air (9,3)
5.      Give pole to royal bird at Imperial College (5)
6.      Clyde's partner with Ginger is a leading American nurse (6,6)
7.      Yes, a cat is on mixed chemicals in paints (13)
8.      Princess on eleven inside discharge at Seveso (6)
9.      Let brains on car be developed for adviser at the RCN (5,9)
10.     Rule cream's not so whipped for preventative strategies (7,8)

Many thanks for all your contributions during 2004, and Happy Holidays =
to all subscribers.

Bashyr Aziz                Telephone: 01902 518632
Senior Lecturer=20
School of Health - MH113=20
University of Wolverhampton
Molineux Street
Wolverhampton=20
WV1 1SB


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4E6AD.CE66E303
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version =
6.5.7226.0">
<TITLE>Season's Greetings</TITLE>
</HEAD>
<BODY>
<!-- Converted from text/rtf format -->

<P><FONT COLOR=3D"#0000FF" FACE=3D"Arial">Christmas Quiz</FONT>
</P>

<P><FONT COLOR=3D"#0000FF" FACE=3D"Arial">This year there are 10 cryptic =
clues, most of them anagrams.&nbsp; All of the solutions are something =
or somebody to do with occupational health.&nbsp; Answers to =
&lt;[log in to unmask]&gt; by 2359 hrs GMT on 31 December 2004 =
please.&nbsp; </FONT></P>

<P><FONT COLOR=3D"#0000FF" FACE=3D"Arial">1. &nbsp;&nbsp;&nbsp;&nbsp; =
Seven take lab at Oxford (4,8)</FONT>

<BR><FONT COLOR=3D"#0000FF" =
FACE=3D"Arial">2.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Antisocial behaviour =
orders around confused set create a respiratory hazard (8)</FONT>

<BR><FONT COLOR=3D"#0000FF" =
FACE=3D"Arial">3.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Arm Aziz in change for =
founding father (9)</FONT>

<BR><FONT COLOR=3D"#0000FF" =
FACE=3D"Arial">4.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Former farm vehicle =
enthusiast clears the air (9,3)</FONT>

<BR><FONT COLOR=3D"#0000FF" =
FACE=3D"Arial">5.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Give pole to royal bird =
at Imperial College (5)</FONT>

<BR><FONT COLOR=3D"#0000FF" =
FACE=3D"Arial">6.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Clyde's partner with =
Ginger is a leading American nurse (6,6)</FONT>

<BR><FONT COLOR=3D"#0000FF" =
FACE=3D"Arial">7.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Yes, a cat is on mixed =
chemicals in paints (13)</FONT>

<BR><FONT COLOR=3D"#0000FF" FACE=3D"Arial">8. &nbsp;&nbsp;&nbsp;&nbsp; =
Princess on eleven inside discharge at Seveso (6)</FONT>

<BR><FONT COLOR=3D"#0000FF" =
FACE=3D"Arial">9.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Let brains on car be =
developed for adviser at the RCN (5,9)</FONT>

<BR><FONT COLOR=3D"#0000FF" FACE=3D"Arial">10. &nbsp;&nbsp;&nbsp; Rule =
cream's not so whipped for preventative strategies (7,8)</FONT>
</P>

<P><FONT COLOR=3D"#0000FF" FACE=3D"Arial">Many thanks for all your =
contributions during 2004, and Happy Holidays to all subscribers.</FONT>
</P>

<P><B><FONT COLOR=3D"#0000FF" FACE=3D"Arial">Bashyr =
Aziz&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;</FONT></B> <FONT COLOR=3D"#0000FF" =
FACE=3D"Arial">Telephone: 01902 518632</FONT><B></B>

<BR><B><FONT COLOR=3D"#0000FF" FACE=3D"Arial">Senior =
Lecturer</FONT></B><FONT COLOR=3D"#0000FF" FACE=3D"Arial"> </FONT>

<BR><FONT COLOR=3D"#0000FF" FACE=3D"Arial">School of Health - MH113 =
</FONT>

<BR><FONT COLOR=3D"#0000FF" FACE=3D"Arial">University of =
Wolverhampton</FONT>

<BR><FONT COLOR=3D"#0000FF" FACE=3D"Arial">Molineux Street</FONT>

<BR><FONT COLOR=3D"#0000FF" FACE=3D"Arial">Wolverhampton </FONT>

<BR><FONT COLOR=3D"#0000FF" FACE=3D"Arial">WV1 1SB</FONT>
</P>

</BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4E6AD.CE66E303--
=========================================================================
Date:         Wed, 22 Dec 2004 07:54:37 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Aziz, Bashyr" <[log in to unmask]>
Subject:      Quiz
Comments: To: [log in to unmask]
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="----_=_NextPart_001_01C4E7FB.7BDFF818"

This is a multi-part message in MIME format.

------_=_NextPart_001_01C4E7FB.7BDFF818
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Many thanks to those who pointed out my mistake in the following quiz:  =
The solution to number 7 has 11, not 13, letters.  Here are the =
corrected questions:

Christmas Quiz

This year there are 10 cryptic clues, most of them anagrams.  All of the =
solutions are something or somebody to do with occupational health.  =
Answers to <[log in to unmask]> by 2359 hrs GMT on 31 December 2004 =
please. =20

1.      Seven take lab at Oxford (4,8)
2.      Antisocial behaviour orders around confused set create a respiratory =
hazard (8)
3.      Arm Aziz in change for founding father (9)
4.      Former farm vehicle enthusiast clears the air (9,3)
5.      Give pole to royal bird at Imperial College (5)
6.      Clyde's partner with Ginger is a leading American nurse (6,6)
7.      Yes, a cat is on mixed chemicals in paints (11)
8.      Princess on eleven inside discharge at Seveso (6)
9.      Let brains on car be developed for adviser at the RCN (5,9)
10.     Rule cream's not so whipped for preventative strategies (7,8)

=20
Bashyr =20


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

------_=_NextPart_001_01C4E7FB.7BDFF818
Content-Type: text/html;
        charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; =
charset=3Diso-8859-1">
<META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version =
6.5.7226.0">
<TITLE>Quiz</TITLE>
</HEAD>
<BODY>
<!-- Converted from text/rtf format -->

<P><FONT COLOR=3D"#0000FF" FACE=3D"Arial">Many thanks to those who =
pointed out my mistake in the following quiz:&nbsp; The solution to =
number 7 has 11, not 13, letters.&nbsp; Here are the corrected =
questions:</FONT></P>

<P><FONT COLOR=3D"#0000FF" FACE=3D"Arial">Christmas Quiz</FONT>
</P>

<P><FONT COLOR=3D"#0000FF" FACE=3D"Arial">This year there are 10 cryptic =
clues, most of them anagrams.&nbsp; All of the solutions are something =
or somebody to do with occupational health.&nbsp; Answers to =
&lt;[log in to unmask]&gt; by 2359 hrs GMT on 31 December 2004 =
please.&nbsp; </FONT></P>

<P><FONT COLOR=3D"#0000FF" FACE=3D"Arial">1. &nbsp;&nbsp;&nbsp;&nbsp; =
Seven take lab at Oxford (4,8)</FONT>

<BR><FONT COLOR=3D"#0000FF" =
FACE=3D"Arial">2.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Antisocial behaviour =
orders around confused set create a respiratory hazard (8)</FONT>

<BR><FONT COLOR=3D"#0000FF" =
FACE=3D"Arial">3.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Arm Aziz in change for =
founding father (9)</FONT>

<BR><FONT COLOR=3D"#0000FF" =
FACE=3D"Arial">4.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Former farm vehicle =
enthusiast clears the air (9,3)</FONT>

<BR><FONT COLOR=3D"#0000FF" =
FACE=3D"Arial">5.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Give pole to royal bird =
at Imperial College (5)</FONT>

<BR><FONT COLOR=3D"#0000FF" =
FACE=3D"Arial">6.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Clyde's partner with =
Ginger is a leading American nurse (6,6)</FONT>

<BR><FONT COLOR=3D"#0000FF" =
FACE=3D"Arial">7.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Yes, a cat is on mixed =
chemicals in paints (11)</FONT>

<BR><FONT COLOR=3D"#0000FF" FACE=3D"Arial">8. &nbsp;&nbsp;&nbsp;&nbsp; =
Princess on eleven inside discharge at Seveso (6)</FONT>

<BR><FONT COLOR=3D"#0000FF" =
FACE=3D"Arial">9.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Let brains on car be =
developed for adviser at the RCN (5,9)</FONT>

<BR><FONT COLOR=3D"#0000FF" FACE=3D"Arial">10. &nbsp;&nbsp;&nbsp; Rule =
cream's not so whipped for preventative strategies (7,8)</FONT>
</P>

<P><FONT COLOR=3D"#0000FF" FACE=3D"Arial">&nbsp;</FONT>

<BR><B><FONT COLOR=3D"#0000FF" FACE=3D"Arial">Bashyr&nbsp;</FONT></B>=20
</P>

</BODY>
</HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
------_=_NextPart_001_01C4E7FB.7BDFF818--
=========================================================================
Date:         Wed, 22 Dec 2004 09:13:11 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         "Baldwin Chris (RFF) Occupational Health Nurse Advisor"
              <[log in to unmask]>
Subject:      policy search
MIME-Version: 1.0
Content-Type: text/plain;charset="iso-8859-1"

Dear All

Does any one have any examples of PPE  and Hearing conservation policies?

I would be grateful for any other Trusts copies of the above.

Thank you
This e-mail is confidential and privileged.  If you are not the intended recipient please accept our apologies; please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful.  Please inform us that this message has gone astray before deleting it.  Thank you for your co-operation.



Unless expressly stated otherwise, the contents of this e-mail represent only the views of the sender as expressed only to the intended recipient, do not commit Barnsley District General Hospital NHS Trust to any course of action and, in particular, are not intended to impose any legal obligation upon the Trust.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 23 Dec 2004 01:04:49 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Leanne MORRISON <[log in to unmask]>
Subject:      Leanne MORRISON/ABZ/UK/EP/Corp is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII

I will be out of the office starting  22/12/2004 and will not return until 29/12/2004.

I will respond to your message when I return.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 23 Dec 2004 18:03:01 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Jane Fairburn <[log in to unmask]>
Mime-Version: 1.0
Content-Type: text/html; format=flowed

<html><div style='background-color:'><DIV class=RTE>
<DIV><FONT face=Arial size=2><FONT face="Courier New">People Asset Management are looking to recruit&nbsp;screening nurses for various contracts in the North West, Yorkshire, Midlands and the South East. There are particular requirements in Wakefield and Rochdale areas at present. Full training will be provided and also an opportunity to be sponsored for the OH qualification if desired.<BR><BR>The Company are looking to expand existing contracts into these <BR>locations and have a family friendly approach considering job share <BR>and part time working as well as sessional work as required. <BR><BR>Satisfying organisational culture,mileage allowances&nbsp;and company bonus scheme in operation.<BR><BR>For more details contact Jane Fairburn, OH Account Director&nbsp;at<BR><BR><A href="mailto:[log in to unmask]">[log in to unmask]</A> or for an informal chat on 07770 638 268.</FONT></FONT></DIV>
<DIV><FONT face=Arial size=2><FONT face="Courier New"></FONT>&nbsp;</DIV>
<DIV><BR></DIV></FONT></DIV></div></html>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 23 Dec 2004 18:04:47 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Paul Darcy <[log in to unmask]>
Subject:      Re: (Away)
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit
Content-Disposition: inline

I will be away from my office on 24 December 2004.

If you have an urgent query, please telephone the Occupational Health
reception on ext 33063 or 020 8383 3063 if calling externally.
Please note we are closed 27/28 December

Best wishes

Paul









>>> OCC-HEALTH 12/23/04 18:03 >>>

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 24 Dec 2004 01:00:45 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Ann Wilson <[log in to unmask]>
Subject:      Ann Wilson/National Britannia is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=iso-8859-1
Content-transfer-encoding: quoted-printable

I will be out of the office starting  22/12/2004 and will not return un=
til
04/01/2005.

if you require assistance before 4/1/05 please call 02920852852


This transmission has been issued for the information of the addressee =
only
and contains information which is  confidential.=A0 Accordingly, it sho=
uld
not be altered in any way or copied  or otherwise reproduced in any for=
m,
nor should its existence or contents be  disclosed to any other person.=
=A0 If
you are not the  intended recipient of this transmission or any attachm=
ent,
please reply  immediately.
=

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Fri, 24 Dec 2004 02:53:46 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Donna Dixon <[log in to unmask]>
Subject:      Donna Dixon/National Britannia is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=iso-8859-1
Content-transfer-encoding: quoted-printable

I will be out of the office starting  24/12/2004 and will not return un=
til
10/01/2005.

Thank you for your email.  I am now on leave until Monday 10th January =
 If
you require assistance, please contact client support on 02920 852852 o=
r
leave me a message on 07718 661614 and I will get back to you on the 10=
th
Jan.  Thank you


This transmission has been issued for the information of the addressee =
only
and contains information which is  confidential.=A0 Accordingly, it sho=
uld
not be altered in any way or copied  or otherwise reproduced in any for=
m,
nor should its existence or contents be  disclosed to any other person.=
=A0 If
you are not the  intended recipient of this transmission or any attachm=
ent,
please reply  immediately.
=

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Wed, 29 Dec 2004 07:33:06 EST
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         [log in to unmask]
Subject:      disc
MIME-Version: 1.0
Content-Type: multipart/alternative;
              boundary="part1_d7.1cd2d025.2f03fe02_boundary"

--part1_d7.1cd2d025.2f03fe02_boundary
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Help!!!...it is my understanding that the artificial disc has been used in
England for 16 to 18 years...if this is correct could anyone give me an idea
what kinds of outcomes there have been with the procedure...with group
health/occ. injuries...it has very recently been approved here...and I must say with a
great deal of "NO...I am not going to do that procedure"...however the research
was very positive concerning the outcomes in group health, not so with occ.
injuries...
Thanks!
Nancy L. Snyder, MEd, BSN, RN, COHN-S, CCM


~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--part1_d7.1cd2d025.2f03fe02_boundary
Content-Type: text/html; charset="US-ASCII"
Content-Transfer-Encoding: quoted-printable

<HTML><FONT FACE=3Darial,helvetica><FONT  SIZE=3D2 PTSIZE=3D10>Help!!!...it=20=
is my understanding that the artificial disc has been used in England for 16=
 to 18 years...if this is correct could anyone give me an idea what kinds of=
 outcomes there have been with the procedure...with group health/occ. injuri=
es...it has very recently been approved here...and I must say with a great d=
eal of "NO...I am not going to do that procedure"...however the research was=
 very positive concerning the outcomes in group health, not so with occ. inj=
uries...=20
<BR>Thanks!
<BR>Nancy L. Snyder, MEd, BSN, RN, COHN-S, CCM
<BR></FONT></HTML>
~~~~~~~~~~~~~~~
Please remove this footer before replying.
<p>
For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
<p>
For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/

--part1_d7.1cd2d025.2f03fe02_boundary--
=========================================================================
Date:         Wed, 29 Dec 2004 22:05:21 -0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Sandra Babbings <[log in to unmask]>
Subject:      Re: Audiometry Policy
MIME-Version: 1.0
Content-Type: text/plain; format=flowed; charset="iso-8859-1";
              reply-type=original
Content-Transfer-Encoding: 7bit

just received you mail, did you get any replies, will send ours if not
----- Original Message -----
From: "Clare McArdell" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, December 21, 2004 9:26 AM
Subject: Re: Audiometry Policy


> Having recently set up my own OH Service I would appreciate any OH
> policies
> that people would be willing to share, I have some policies but they need
> drastic updating, as Guernsey hasn't really been fully compliant with H&S
> legislation (None in force over here), so I am having to update to 'Best
> practice'.
>
> I can be contacted off list at [log in to unmask]
>
> Many thanks
> Clare McArdell.
>
>
> -----Original Message-----
> From: Jay Chapman [mailto:[log in to unmask]]
> Sent: 21 December 2004 07:55
> To: [log in to unmask]
> Subject: Re: Audiometry Policy
>
> A copy in this direction would also be appreciated.
>
> Jay
> ----- Original Message -----
> From: "Diane Mcclurg" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Monday, December 20, 2004 1:44 PM
> Subject: Re: Audiometry Policy
>
>
>> I would also appreciate this information
>> Many thanks and merry xmas
>> ----- Original Message -----
>> From: "Conway, Jackie" <[log in to unmask]>
>> To: <[log in to unmask]>
>> Sent: Wednesday, December 15, 2004 4:01 PM
>> Subject: Audiometry Policy
>>
>>
>> > Can anybody share with me their policy on audiometry testing etc. I
> would
>> be
>> > grateful. Many thanks.
>> > Jackie Conway
>> > OH Advisor
>> > Boston Scientific Ireland Ltd
>> > [log in to unmask]
>> > Tel 00353 91 517366
>> > Fax 00353 91 701359
>> >
>> > ~~~~~~~~~~~~~~~
>> > Please remove this footer before replying.
>> >
>> > For list archives and documents, go to
>> > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>> >
>> > For jobs in Occupational Health, go to
>> > http://uk.groups.yahoo.com/group/OHJobs/
>>
>> ~~~~~~~~~~~~~~~
>> Please remove this footer before replying.
>>
>> For list archives and documents, go to
>> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>>
>> For jobs in Occupational Health, go to
>> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/
>
> ~~~~~~~~~~~~~~~
> Please remove this footer before replying.
>
> For list archives and documents, go to
> http://www.jiscmail.ac.uk/lists/occ-health.html for list archives
>
> For jobs in Occupational Health, go to
> http://uk.groups.yahoo.com/group/OHJobs/

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/
=========================================================================
Date:         Thu, 30 Dec 2004 01:04:32 +0000
Reply-To:     Occupational Health mailing list <[log in to unmask]>
From:         Leanne MORRISON <[log in to unmask]>
Subject:      Leanne MORRISON/ABZ/UK/EP/Corp is out of the office.
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII

I will be out of the office starting  29/12/2004 and will not return until 05/01/2005.

I will respond to your message when I return.

~~~~~~~~~~~~~~~
Please remove this footer before replying.

For list archives and documents, go to
http://www.jiscmail.ac.uk/lists/occ-health.html for list archives

For jobs in Occupational Health, go to
http://uk.groups.yahoo.com/group/OHJobs/