The way i've been thinking about it is the GP signs the Med3 as unfit for all tasks based on employees report of his work tasks; the manager is only informing him of adjusted duties that can be offered when considering signing future Med 3s. The GP is ready to commit themselves largely based on the employee's self report alone about fitness for work. I'm have to say i don't fully agree with the suggestion that health situations will change that drastically and frequently - you could argue the same validity about OH reports then.

 

As far as i am aware the employer has a right to communicate with the provider of the Med3 about the contents of the Med 3.

 

Alan - maybe with your GP background you would be willing to comment?
 

On 18/03/2008, N. Rostami <[log in to unmask]> wrote:

The OH report that we write is for HR/manager purpose and doesnot go into medical details and medical rationales. I am not sure whether GP's will be willing to commit themselves based on these reports alone. Plus, it is possible that by the time they get to see the OH report , the circumstances and health issues for the client may have changed ,and if they don't get the consent from the client to write back to the client's manager then this can put the client in a sticky situation… I feel this needs to be thought through carefully before it is recommended as a common practice.

 

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From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Carr Barnes
Sent: 18 March 2008 11:09

To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Liaising with GPs

 

Hi again Noushin

 

In the scenario I presented there is no suggestion that the employer discusses confidential medical information with the GP or even seeks a medical report. The employer only sends a copy of the OH report (which contains no confidential medical information) to the GP and asks for concerns to be reflected on the Med3 -  i see it as a possible way to aid the GP fill out the Med3 on a "capability" basis as we all wish for.  It goes without saying that if a medical report was being sought it would come from OH.

 

Carr

 

On 18/03/2008, Gail Collins <[log in to unmask]> wrote:

Absolutely but that only works where there is an OH in place - there any many more businesses out there with NO OH input at all or very limited - companies have and still do communicate with GPs all the time.

Kind regards
Gail


Gail Collins
RGN DPP OccHealth
Occupational health
Tel. ext. 3202
Burtons Foods
LLANTARNAM
CWMBRAN
TORFAEN  NP44 3YL
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+44 (0)  1633  871539

"N. Rostami" <[log in to unmask]> Sent by: [log in to unmask] 18/03/2008 10:51 Please respond to Occupational Health mailing list

To:        [log in to unmask]         cc:                 Subject:        Re: [OCC-HEALTH] Liaising with GPs

I don't agree for companies to talk direct to their employee's GP as they tend to ask either irrelevant questions or even ask for more information than required. In fat , there is likely to be less appropriate feedback from the GP to a manager than to OH. Also, not sure if all clients will be happy for the HR/manager to talk to their GP direct, I thought this is what OH is all about -to facilitate all of this and preserve the confidentiality and privacy of clients' health issues.
 

 

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From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Carr Barnes
Sent: 18 March 2008 10:40
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Liaising with GPs
 
I agree Gail. As it is the company engaging with the GP and they are only providing information there Medical Reports Act doesn't apply.
On 18/03/2008, Gail Collins <[log in to unmask]> wrote:

Not sure why only FOM should be involved with ethics of practice of gaining consent.
Consent  is something that has been discussed/considered/debated/argued about for years and I would hope that all practitioners would consider as routine before sharing information - BUT if the info is shared from the manager to GP and not from OH at all why is consent from an OH perspective even considered?
Some companies have a one day a month contract with an OH practitioner  - therefore its the manager or HR that have to be in communication with the GP and not OH.
Kind regards
Gail

"N. Rostami" <[log in to unmask]> Sent by: [log in to unmask] 18/03/2008 09:59 Please respond to Occupational Health mailing list

To:        [log in to unmask]        cc:                Subject:        Re: [OCC-HEALTH] Liaising with GPs

I should think this needs to be debated ethically via FOM before implemented as you have to have appropriate Consent from the client. More comments and thoughts please.
 

 

---

From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Carr Barnes
Sent: 18 March 2008 09:56
To: [log in to unmask]
Subject: [OCC-HEALTH] Liaising with GPs
 
Hi All
 
On the same topic but from a different angle.... there are situations which make it difficult for the OH provider to engage so routinely with the GP e.g. commercial systems do not allow for it, working for a service provider etc) and I'm wondering if any body has implemented a system where the manager forwards a copy of the OH guided rehab plan to the GP asking the GP to get back to the employer if they have any concerns and if not to write the next Med3 as "fit for OH guided plan" or similar?
 
Carr
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