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.
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: Kinselley, Gillian E [mailto:[log in to unmask]]
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.
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.
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
I would question a GP and have done, who documented a work related
illness without the full facts and without full investigation.
Gill
-----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 naïve 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.
Mary
-----Original Message-----
From: Sara Werry [mailto:[log in to unmask]]
Sent: 01 November 2004 13:26
To: [log in to unmask]
Subject: Re: Stress & Riddor
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
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