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

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]">[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]">[log in to unmask] [mailto:[log in to unmask]] On Behalf Of [log in to unmask]">[log in to unmask]
Sent: 19 June 2013 09:27
To: [log in to unmask]">[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]" <[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]">[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              
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Date: Thu, 13 Jun 2013 07:05:04 +0100
From: [log in to unmask]">[log in to unmask]
Subject: [OCC-HEALTH] Spirometry
To: [log in to unmask]">[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









     
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