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Dear List How interesting -I agree with Sharon. Really cannot see any situation when I would consider a home visit. We use telephone consultations which witht any additional consultants advice should clarify information for HR. If the individual is unable to attend OH then they are unable to attend work so it will be and management decision ultimately. Most of us have high workload and home visits are the role of the GP , district nurse or HR. Jean -----Original Message----- From: Hazel Archer <[log in to unmask]> To: OCC-HEALTH <[log in to unmask]> Sent: Thu, 17 May 2012 15:24 Subject: Re: [OCC-HEALTH] Home visists Hi Sharon Based on this I think it depends on the industry you work in. We have shops throughout the North and my geographical area is quite vast. So yes they may be able to get to see their GP but not travel 2-3 hours to see Occupational Health. They also probably know their Human Resources representative and if they have not previously met or talked to me, they are aware of my existence, who I am and what my role is. Whilst I'm not saying it is ideal and it does depend on their co-operation, Occupational Health Adviser's need to what is appropriate and best for the business. Cheers H Please consider the environment before printing this e-mail -----Original Message----- From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Naylor, Sharon [HMPS] Sent: 17 May 2012 15:15 To: [log in to unmask] Subject: Re: [OCC-HEALTH] Home visists An issue discussed at length in the past - I just don't do them. End of. I have my own reasons for this (nasty experience) but really cannot see that they are useful. My thoughts (not necessarily in order of importance) If they can get to the GP for a sick note why cant they get to OH? If they are so poorly that they are house bound and the GP is visiting personally I think an OH visit is an intrusion - better info may be sought and more sensitively by telecon/GP reports etc If I was "sick" there is no way that I would someone who is basically a stranger visiting my home I have images of poorly people struggling around with a Dyson in preparation for the visit............. If they are "stressed" or other mental health issue and cant face the workplace - well I still ask them to come in, its part of a graded exposure - the first time they cross the threshold should not be the day that they return to work. Dissipate some of the anxiety by getting them in early on If you visit someone at home you are in their home, a guest, its a different dynamic They can take ages.....your time may be more productively spent elsewhere Which individual would you take with you? I dare say that the absent person would have to agree and also the fact that medical issues may be discussed Some people meet individuals in a neutral location eg garden centre, however this is still fraught with difficulties, in a public place talking about medical issues, time spent getting there and back etc -----Original Message----- From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Stephanie Foster Sent: 17 May 2012 14:59 To: [log in to unmask] Subject: [OCC-HEALTH] Home visists Dear All Previuos OHA's in my role have attended home visits accompanied by personnel if an individual cannot attend site. I personaly have concerns about this due to confidentiality. Plus in some instances it rienforces the "sick role". Where possible I do telephone consultations but sometimes you need to see the white of there eyes if you know what I mean. What does everyone else think and what suggestions do yo have as alternatives. 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