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On 18 Nov 2011, at 17:13, Tracy Turner <[log in to unmask]> wrote:

> Hi Lesley
> 
> If I ask a doctor for advice the information comes back to me and i treat it as confidential between two medical professionals. I then see the employee and let them see the report cotents advising them of what I will pass on to HR. I then write my report, copy and paste parts of the doctors report into it and stating something like... I am now in reciept of the doctors report dated..... In it he stated ''............ I then put my opinion and plan.
> In this way I have all the information from the doctor in the employees notes and have agreed with the individual what is to be forwarded to HR. No breach of confidentiality.
> 
> Hope this helps
> 
> Tracy
> 
> 
> -----Original Message-----
> From: Trevor Maze <[log in to unmask]>
> To: OCC-HEALTH <[log in to unmask]>
> Sent: Fri, 18 Nov 2011 10:38
> Subject: Re: [OCC-HEALTH] OHP reports
> 
> 
> 
> Lesley,I just picked up this thread.
>  
> Youneed to make it very clear on your referral to the doctor whether you require:
>  
> 1.     Areport for management – If you specify this, you should get a simple reportthat that you can either forward directly to the manager to act upon.  At most,you might need to cut & paste the text onto your own letterhead, with orwithout a preface such as “The doctor to whom we referred your employee, gavethe following advice.”  Of course, many GPs and specialists don’t understandOH, or even the issues around giving medical information to non-medical peopleand they may give excessive detail.  It’s up to you to review the reports whenyou receive them and, if necessary, edit them for the recipient.
>  
> 2.     Amedical report – If you ask for this, the physician will assume that you arepreparing the report to management and provide the medical detail to permit youto do that.  Some doctors may go to the other extreme and send a basic (&basically useless) report to anyone who is not a doctor.  In this case, you mayneed to ask for a rewrite that provides the information you need.  You may alsoneed to emphasize that while you are looking for information from the doctor, YOUare the one who will give the advice to the employer, based on your specificknowledge of the workplace.
>  
> Ifyou repeatedly have the same problem with multiple doctors, there may be aproblem with the way you write your request letters.  Rewrite these so as toeliminate any misunderstanding by the recipient.
>  
>  Ihope this helps.
>  
> Trevor
>  
>  
> DrTrevor Maze 
> 22Orpinsmill Road, Ballyclare, Co. Antrim, Northern Ireland  BT39 0SX 
>  
> t:   028 9332 3341
> m: 0778 222 4890 
> f:   0870 134 0714
>  
>  
>  
> -----Original Message-----
> From: [log in to unmask] [mailto:[log in to unmask]] On Behalf OfLesley Bamford
> Sent: 03 November 2011 12:37
> To: [log in to unmask]
> Subject: [OCC-HEALTH] OHP reports
>  
> Hi List,
>  
> I was just wondering what your process for OHP reportsis? I often refer ad hoc to OHP's around the country who most often I have hadno prior dealings with. I write the referral letter including anyspecific/additional questions that the company wants answering and the reportgets sent back to me. Quite often there is no mention on the report of whetherthe individual is aware of the content and who it will be sent to. In mostcases the report contains brief medical info and recommendations and I am happyto share it with the company HR. However, sometimes the report is written asprivate and confidential to me and contains a lot of medical detail that Idon't think is necessary for HR to have. Employees are always informed that areport will be sent following the referral but I do not ask for written consentas I think that this is the responsibility of the OHP (I will end up asking forconsent to obtain consent next!). Do you police what information out of thereport goes to the company or do you trust that the OHP has followed the FOMGuidance on Ethics for OHP's and obtained consent? IMHO I do not think that Ishould have to make a descision on what part of the report goes to HR surely itis up to the OHP to justify the content of their own report if challenged. Ithink what I am getting at is, if because the report has come to me, addressedconfidentially to me, do I have any responsibility for sharing confidentialinformation? or should I be able to assume that the OHP knows that the companywill ask for a copy of the full report and just hand a copy over?
> Can you point me in the direction of any documents/policyto clarify this?
> Sitting reading this back I feel a bit like a neuroticworrier (I am definately not!) but I can't get this straight in my head.Sometimes it just doesn't feel right.
>  
> I look forward to your responses. This list is such avaluable resource for OHA's like me with no colleagues to discuss issues with.
>  
> Many thanks in advance
>  
> Lesley
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