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I have been knocking around the OH field since 1979 with, until recently, fairly regular domiciliary visits. Touch wood, I have never had any problems once I arrived at the house but I have turned back twice when an "on the hoof" risk assessment determined that I was entering a particularly troublesome area/estate. One of those turn backs was particularly fortuitous as I would have intruded on the funeral of a close family member of the gentleman I was going to see! There was another occasion when the employee, off work with depression was listing his medications. It was quite clear that his condition was rather more severe than depression and I made a quick but courteous exit. Fortunately he was perfectly behaved throughout. Gill From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of [log in to unmask] Sent: 16 September 2011 00:32 To: [log in to unmask] Subject: Re: [OCC-HEALTH] Domiciliary vists I concur with that - I was once asked to undertake a domiciliary visit in order to assist a young lady who lived with her mother and sister and I was told had cancer, was terminally ill and was requesting to retire on the grounds of ill-health. My usual stance was that domiciliary visits are inappropriate in part as this is encroaching on an employees private space coupled with the time involved and the H&S issues. However, I was persuaded to do this one as I was told by her manager that she was too ill to attend the department. I gained the permission of the employee. When I did the visit I discovered that she was not terminally ill - the whole family were very strange and the employee had been recently discharged from a secure psychiatric unit. She too was schizophrenic. I kept myself between the employee and the door then got away as soon as I could. Anne On 15/09/2011 15:13, "Amanda Savage" <[log in to unmask]> wrote: I had a colleague in a previous job who was stabbed by a Director of Finance on a home visit, later he was diagnosed schizophrenic. You can never tell. Amanda Savage BSc (Hons) RGN, NEBOSH Occupational Health Adviser PTH Group [log in to unmask] 01527 577242 Amanda Savage PTH GROUP LIMITED Tel: 01527 577242 Fax: Email: [log in to unmask] Website: www.pthgroup.co.uk <http://www.pthgroup.co.uk/> P Please consider the environment before printing this e-mail CONFIDENTIALITY: This e-mail and any attachment is confidential and may be legally privileged. It is intended only for the person(s) or entity named. If you have received this email in error please notify the sender immediately by calling +44(0)1527-577242 and do not disclose to another person or use / copy / or forward / all or any of it in any form or take action in reliance on it. The views expressed in this e-mail may be personal and do not necessarily reflect those of PTH Group Limited. If an attachment is included PTH Group Limited cannot accept any liability for any loss or damage sustained as a result of software viruses. It is your responsibility to carry out such virus checking as is necessary before opening any such attachment. Registered office: PTH Group Limited, Banham Court, Hanbury Road, Stoke Prior, Bromsgrove, Worcs. B60 4JZ. Registered in England 4617238. VAT No 823 7833 16 From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Caspi, Deborah Sent: 15 September 2011 14:39 To: [log in to unmask] Subject: Re: [OCC-HEALTH] Domiciliary vists Hi Sara We refrain from doing these as they are not time-effective and require 2 people from a risk POV. As you correctly point out, a phone consult or specialist report are more effective means of getting the information required, and if an employee is not fit to travel to OH they are generally not fit to travel to work , nor to work from home in most cases. Hope that helps Deborah _____ From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of SARA ADDISON Sent: 15 September 2011 14:01 To: [log in to unmask] Subject: [OCC-HEALTH] Domiciliary vists Could I ask for your views on these, what benefit to the employee or employer do you feel these have or don't have. If an employee is medically incapable of attending an appointment at the OH department, surely the Specialists report confirming the diagnosis or a telephone assessment would suffice. Look forward to hearing opinions on this Sara Hext Occupational Health Support Manager ******************************** Please remove this footer before replying. 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