Hi Matthew,
I am in contact with the GP, I think my concerns are around acts and omissions, if I don't at least flag this concern to all involved parties, health care and socially, is there a potential for negligence by omission?
Not that I think my contacting these agencies would work any kind of miracle in resolving these issues...but I know the GP cannot take any action regarding this side of the case
It comes back to is this a nice to do option or a necessary action?
Tracy
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Hawkins, Matthew X
Sent: 17 June 2014 15:58
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] occupational halth boundaries vs duty of care
Hi Tracy,
In my view, this is beyond your remit.
It is obviously very sad and having a detrimental impact upon the individual's ability to work, but the duty of care if health is suffering, sits with primary care.
Liaising with primary care would be something I would consider. They are in a more favourable position to be able to influence social services, etc.
Not sure about how this sits with our code (having just looked at it), but if you do have a duty, I would say you are fulfilling any obligation by liaising with primary care.
Regards,
Matt
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Tracy Huguenel
Sent: Tuesday, June 17, 2014 3:02 PM
To: [log in to unmask]
Subject: [OCC-HEALTH] occupational halth boundaries vs duty of care
Dear All,
I am dealing with a complex case, the clients social situation is having a detrimental impact on their existing health condition. Police & Local Council - are involved with this case - client informs me that actions taken are ineffective or too slow, and verbal abuse and damage to their property is on-going. I am considering writing to these external agencies to request their input/ review of the case. Before putting this into action I would appreciate your views on the following:
Duty of care - I am aware that the social situation seems to be escalating, and if I do not at least try to raise awareness, am I failing in my duty of care to my client?
As this is having an impact on functionality in work - client is not sleeping - in part due to fear of further attacks on property, impacting on concentration etc - and I am aware the resolution is outside my remit, is this outside of the boundaries of OH? - should I leave this with the client, who is already vulnerable, to follow up or - Is it appropriate to write and use a statement along the lines of "Whilst this is not within the remit of Occupational Health to action, I am duty bound to bring this to your attention in accordance with the Nursing and Midwifery Council Code of Conduct"
I should add that the client is happy to consent for external agencies to be contacted if deemed appropriate.
I look forward to your responses, and am happy to be contacted on or off list.
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