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Hi , please find information re taxable benefit attached. Cheers. Brian Webster ----- Original Message ----- From: "Hawkes, Lynda" <[log in to unmask]> To: <[log in to unmask]> Sent: Tuesday, February 03, 2004 8:42 AM Subject: Re: TREATMENT SERVICE from Kaaren > At a recent, excellent Abbottburke Study Day in Bristol we learnt that a > treatment service is regarded by the Inland Revenue as a taxable benefit for > employees - what a minefield that will create!!!!!!!!!! Far better to > install a Paracetamol machine methinks! > > Lynda > > -----Original Message----- > From: Car Barnes [mailto:[log in to unmask]] > Sent: Friday, January 30, 2004 9:28 AM > To: [log in to unmask] > Subject: Re: TREATMENT SERVICE from Kaaren > > > I used to work in a large retail store where walk-in treatment was > paramount and I must admit it turned me off for life! One of my concerns > was being asked to back up first aiders in areas I had no experience (my > background was ITU/recovery) which often delayed the call for an > ambulance unnecessarily. Another problem was that Managers often came > close to crossing the line in "forcing" staff to stay in work by > insisting they came over to us to lie down before considering letting > them go home if unwell. I also found that explaining to 18 year olds > that the reason they felt dizzy at 10am on a Sat morning was likely to > be due to their hangover not hypotension a waste of my time. I'm > strictly of the opinion that I'm not, not do I ever want to be, a > practice nurse and if an employer wishes to run a treatment service - go > for it but not out of the OH department - keep the two separate as they > should be. > > Car > > -----Original Message----- > From: Christine Leek [mailto:[log in to unmask]] > Sent: 30 January 2004 08:19 > To: [log in to unmask] > Subject: Re: TREATMENT SERVICE from Kaaren > > I agree with everything you say, Ieven teach all my First Aiders my self > as > I have my own First Aid licence, we even to 6 monthly First Aid up date > sessions . The First Aiders agree this is good for them. Giving > medication > keeps the work force happy & at work . > > -----Original Message----- > From: Harrop, Chris [mailto:[log in to unmask]] > Sent: 29 January 2004 15:23 > To: [log in to unmask] > Subject: Re: TREATMENT SERVICE from Kaaren > > > Dear Elaine > > I must say, despite being a reasonably young nurse in Occ Health, but of > 8 > years experience and with prevention as a main aim, I agree with > Margaret in > that there is a definite benefit to a treatment service, providing it is > managed well. The guidelines as clearly stated in Securing Health > Together > (HSE 2000/1) and subsequently Taking a Public Health Approach (2003), we > must reduce sickness absence. In my experience Margaret is quite > correct > in saying employees who are used to having an hour lie down if genuinely > unwell and then going back to work once better (if they are fit to do > so) is > better than them going home. In these circumstances you are most > likely to > have the ones who get cross and just leave or the tuffies, who stay at > work > but become a safety risk as ill health may cause lack of attention. So > treatment in these cases are, in my mind, prevention. Prevention of a > worse scenario. > > I too agree with the empowerment of first aiders, but not to the extent > that > the nurse is unavailable should further medical attention be required as > this then may prevent unnecessary hospital referrals when the first > aider > would need back up. > > Furthermore providing it is coupled with good preventative health > screenings > and proactive health promotion I have, by listening to employees who > come > for paracetamol found in fact in many cases their trouble is not simply > the > headache. There is often another issue, such as work related stress, > working conditions, stress at home, sickness in the family, or in some > cases > severe illness that the GP ignored but we knew the employee better and > could > put a case forward for them as we new they were not usually the > malingering > type. By referral up to Occ Health Doctor they were referred back to > the > GP and successful diagnosis of a serious illness was made for which the > employee now receives treatment. So again in this case prevention of > death. > > On a final note although I can understand your desire to change the 'old > fashioned approach' I found it sad to hear your undertoned comments. > The > Company must have been happy with the nurse to have employed her/him for > so > long. Whilst I support underpinning practice with the best possible > research based evidence, I have no doubts in my mind that a good > Enrolled > Nurse with 20 years Occ Health experience (who may also have some > evidence > for what she does - we don't know) would be preferable, to a young > inexperienced, Degree Registered Nurse with no knowledge of the Company > in > which she works as there is evidence to suggest it is essential to 'know > your company'. Keeping on that note, it is said in a number of health > promotion books including one by Ewles and Simnett (1999) it is better > not > to try to change the internal politics in these situations but to learn > it > and work around it. > > So in summary, I agree a compromise would be sensible, with a good sound > knowledge of the company, to avoid conflict and anarchy in the ranks. > A > gentle shift towards prevention with introduction to how to help > yourself, > health promotion including work related things, but also when to ask OH > and > when to see the GP etc etc. and some health screenings etc and work > place > monitoring, but with the employees knowing they are still cared for, may > be > the way forwards. > > Regards > > Kaaren > > > > -----Original Message----- > From: Reddoch, Margaret [mailto:[log in to unmask]] > Sent: 29 January 2004 13:21 > To: [log in to unmask] > Subject: Re: TREATMENT SERVICE > > > Dear Elaine > > What about suggesting compromises? If the staff are used to this > 'nursing' > service, they are not only going to miss it if it is discontinued at a > stroke, but are likely to feel resentful which could be > counterproductive to > overall OccHealth service. What's wrong with having a rest room where > women > with dysmen. can lie down with or without a hot water bottle? the OH > nurse > doesn't necessarily have to minister to them, or even be around.Ditto > people > with migraine, post epileptic fit etc etc.most of these people will go > back > to work after half an hour or so whereas otherwise they would more than > likely have gone home. I've found giving people a chance to discuss > their > general health concerns reaps benefits both in their view of the overall > OH > service and in keeping them productive at work and it doesn't have to > take > up much time. A paracetamol machine will solve most peoples OTC > medication > needs. I agree about empowering first aiders > > Allthe best > Margaret > > > > From: Elaine Dobson [mailto:[log in to unmask]] > Sent: 29 January 2004 11:37 > To: [log in to unmask] > Subject: TREATMENT SERVICE > > > > Dear All > > > > I have prepared a presentation for a company who has asked for an > assessment > and recommendations for the future of their OH service. I am happy with > it > so far but would like some more "ammunition" as to why the present > treatment > service should be discontinued. > > > > Current service > > SEN who has been in post for 20 years and is retiring - wears uniform! > > Rest room with two hospital beds, she gives hot water bottles to women > with > dysmenorrhoea! > > Not surprisingly I was shown a cupboard full of OTC medicines! > > > > I was hoping to be able to quote some legislation as to why the OHN > should > not be administering OTC medication to back up my arguments. None of > this > medication is specifically related to hazards on site. It appears that > if > the Dr is willing to produce a standing order for this stuff then why > shouldn't the OHN continue to administer it. I can not find any > evidence to > back up my recommendation to remove this service. > > > > I have covered cost effectiveness in use Of OH time > > Safety issues keeping people at work who are ill and who work on > production > line > > Promoted pro active rather than reactive service > > Empowerment of First Aiders as she still sticks the plasters on > > > > This is a good time to reshape the service. Your comments would be > appreciated. > > > > Many thanks > > > > Elaine > > > > > > > > > > ~~~~~~~~~~~~~~~ Please remove this footer before replying. Visit > http://www.jiscmail.ac.uk/lists/occ-health.html for list archives > > > > "This transmission is strictly confidential and intended solely for the > addressee. It may contain information which is covered by legal, > professional or other privilege. 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