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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"? On the other hand "stress" does seem to get treated as an injury in Industrial Injury Disablement Benefit. Dr. David M.J. Mills * <****************************> [log in to unmask] 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. _____ 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 ~~~~~~~~~~~~~~~ Please remove this footer before replying. 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For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html for list archives For jobs in Occupational Health, go to http://uk.groups.yahoo.com/group/OHJobs/ ~~~~~~~~~~~~~~~ Please remove this footer before replying. For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html for list archives For jobs in Occupational Health, go to http://uk.groups.yahoo.com/group/OHJobs/