Yes he does and has been most helpful on a couple of cases I have discussed
with him.
This is from their website; A separate occupational clinic also offers
medico legal reports for respiratory cases, and sees patients referred from
occupational health professionals.
Karen
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf
Of [log in to unmask]
Sent: 19 June 2013 10:04
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Spirometry ROYAL BROMPTON HOSPITAL
Thanks Karen.
Does David also accept referrals from OHNs by any chance? If so Sheffield
may be a more convenient location for OH services in the north.
I know that Paul and David have written joint academic publications and last
year David gave Paul's paper at the Birmingham conference as Paul had lost
his voice.
Anne
On 19/06/2013 09:37, "Karen Coomer" <[log in to unmask]> wrote:
Just to balance the geographical resources available for referrals regarding
respiratory occupational health disease, there is a centre north of the
country in Sheffield, Professor David Fishwick is based there. Link is
http://thoracic.group.shef.ac.uk/services/services-occupational.htm
Regards
Karen
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf
Of [log in to unmask]
Sent: 19 June 2013 09:27
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Spirometry ROYAL BROMPTON HOSPITAL
Dear list
I mentioned that Magda who co-ordinates the Brompton series of courses is a
JISC contributor and my respond re their courses. As you will see below
there is a practice element to one of the Brompton courses - the LFT
introductory course. I suspect that the course you taught on, Jane, was the
Occupational Asthma study day. Magda was unable to post a reply and so asked
me to add her response which is at the bottom of the email.
As an aside: Prof Paul Cullinan consultant at the Brompton with a
particular interest in occupational lung disorders and runs an OH clinic
once a week at the Brompton. List members may not be aware that should an
OHN suspect an occupational component underpinning a lung disorder he will
accept referrals direct from the OH Nurse, no need for a medical referral.
He will see the worker on the NHS so an added benefit is that there is no
cost to the organisation, no matter where they are based in the UK. You can
contact Paul through Magda who is his secretary (her details are below).
Dear List Members
Thank you for the correspondence and comments below.
We run a number of events, of which 'Lung Function Testing in the Workplace
- Introductory Level' and 'Occupational Asthma'* are two. We have a
practical element in the LFT Introductory Course; 45 minutes when most
recently held, likely to increase to an hour when we next run it. A company
we know brings in various spirometry machines which delegates can practice
on, in rotation. In previous events, we also sometimes had an optional
practical session later on during the day (in each case, we re-assess the
programme each time an event is held).
'Occupational Asthma' is a different type of workshop, for a different
audience; it doesn't have any practical elements to it - we don't see it as
being a 'practical course' in that sense. Also, it doesn't have any
spirometry aspects.
A few points to add:
- We might seek ARTP accreditation for LFT Introductory at some
future point, though this is just under internal discussion at the moment.
- We are currently re-evaluating 'Occupational Asthma', and might
replace it with a broader asthma/lung function/surveillance course, though
this is not confirmed yet.
Best wishes
Magda
----
Magda Wheatley
Departmental Administrator /
Secretary to Professor Paul Cullinan
National Heart & Lung Institute
Occupational & Environmental Medicine
1b Manresa Road
London SW3 6LR
UK
Tel: +44 (0)20 7351 8934
Fax: +44 (0)20 7351 8336
Dept website:
http://lungsatwork.org.uk/ <http://lungsatwork.org.uk/>
Courses and events:
Please see our departmental website: http://lungsatwork.org.uk/courses.php
<http://lungsatwork.org.uk/courses.php>
On 17/06/2013 22:17, "[log in to unmask]" <[log in to unmask]> wrote:
Hello Jane
I understand that the Brompton run a number of different courses and as far
as I am aware there is a practice element incorporated into the spirometry
course, but not the occupational asthma course perhaps that is the one you
taught on, Jane. I know Magda Wheatley who works for Prof Paul Cullinan is a
subscriber to the list - I am sure Magda will clarify.
Anne
Anne Harriss
Course Director
LONDON SOUTH BANK UNIVERSITY
On 14/06/2013 12:00, "JANE COOMBS" <[log in to unmask]> wrote:
Hi
Hilary and I worked together as SEQOHS assessors and this question was asked
before - in response I wrote to some learned people to ask advice but no
satisfactory reply received. I don't think there is a correct answer for
frequency of Spirometry training as there is no guidance that I am aware of
(happy to be corrected though). This is true of many procedures in OH -
such as hand arm vibration assessment, management referrals, even doing a
fork lift truck medical. I believe OH services should draft their own
guidance based on audit of practice, customer feedback, reviews, frequency
of use and severity of risk of harm to health (isocyanates and flour dust
are among the top five that cause occupational asthma).
I was given Spirometry training by Microlab and Vitalograph and both were
excellent but my real skills developed after by constant use and dealing
with issues arising. I have also had training from Paul Cullinan (sigh!)
and been invited to talk on the course at the Brompton when I was Group OH
Manager for Premier Foods (Hovis/flour dust). Whilst I agree that the
course was brilliant there was no practical element to the day and it was
all theory/discussion. So I think we have to be careful when we recommend a
course as there are so many to chose from and attendance at training does
not necessarily mean competency.
In my career I have observed and assessed OH practitioners who have attended
courses but they have never ever touched a spirometer or those who have the
certificate but have not linked the training they have had to actual
practice - sadly they think they are competent but make fundamental clinical
mistakes which would make the procedure invalid for legal purposes. And
racking my brains for other examples, I seem to remember that someone on the
list posted a comment about being on a HAVs course and not actually done any
clinical work? This is where issues arise and not just in spirometry. I
understand that you can train to be a nurse now via the Open University,
what's that about?
So I understand why the question is asked but really the question is how
does a practitioner know if they are competent in any particular OH skill? I
thought I was competent when I did my first Spirometry course and had the
certificate to prove it - dealing with patients and their techniques for
blowing into that blessed tube and subsequent readings added a whole new
dimension.
I believe we need to move away from prescriptive training regimes and base
OH practitioner competency on observed/monitored outcomes which is what
SEQOHS advocates. If we don't perform as expected then more frequent
training may be required. I believe that annual (monthly, 3 yearly etc)
training regimes are a safety blanket approach to clinical supervision and
the start of the journey to competency rather than the end.
Regards
Jane
Jane Coombs MSc RGN CMIOSH OHNC DMS
Director Working Well Solutions Ltd
Mobile: 07710 080947
Office: 02392 365909
email: [log in to unmask]
<mailto:[log in to unmask]>
Website: www.working-well-solutions.com
<http://www.working-well-solutions.com>
<http://www.working-well-solutions.com>
Follow us on Twitter <https://twitter.com/#%21/WWSOccHealth>
Occupational Health and SafetyAdvice in a Changing World
Company Registered in England and Wales no 7387475
_____
Date: Thu, 13 Jun 2013 07:05:04 +0100
From: [log in to unmask]
Subject: [OCC-HEALTH] Spirometry
To: [log in to unmask]
Thanks for that info, Hilary. I wonder if there is a time interval that is
expected by SEQOHS assessors between refreshers,, eg every 3 or 5 years. I
know that for Immunisation Updates the HPA recommends annual updates , but
this is because the drug/vaccination regimes change and updates are needed
for anaphylaxis and CPR......
Cheers
Diane Romano-Woodward
******************************** Please remove this footer before replying.
OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html
CONFERENCES AND STUDY DAYS:
http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH
******************************** Please remove this footer before replying.
OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html
CONFERENCES AND STUDY DAYS:
http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH
******************************** Please remove this footer before replying.
OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html
CONFERENCES AND STUDY DAYS:
http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH
******************************** Please remove this footer before replying.
OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html
CONFERENCES AND STUDY DAYS:
http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH
******************************** Please remove this footer before replying.
OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html
CONFERENCES AND STUDY DAYS:
http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH
******************************** Please remove this footer before replying.
OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html
CONFERENCES AND STUDY DAYS:
http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH
********************************
Please remove this footer before replying.
OCC-HEALTH ARCHIVES:
http://www.jiscmail.ac.uk/lists/occ-health.html
CONFERENCES AND STUDY DAYS:
http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH
