Thanks Carr

Historically OH at this site have done home visits, but being new in post I am challenging this. I told HR I would consult the “collective” to gauge current practice.

Many thanks to everyone who has responded.

 

From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Carr Barnes
Sent: 18 May 2012 15:08
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Home visists

 

I'm with Sharon on this even taking into consideration all the 'rationales' like journey distance, over protective spouses, parents etc.

IMHO OH is only a part of the absence management process and is not an underpinning foundation. The employer does their best to support employee utilising OH as part of that process if possible. If not possible then so be it.

I strongly feel we in OH can risk going into 'saviour' mode and the absence management process itself can become overly medicalised. It is up to employer to manage communication with the employee ....including identifying and managing any barriers to process. Only after that is managed can OH become involved with normal company processes. I would never agree to HR sitting in on a normal consult so why would a home visit make this more acceptable? And if they are outside in the car surely that kind of defeats the purpose? And if you don't discuss medical stuff cos they are in the room then what true OH value are you really adding?

I sympathise with both parties but essentially stay out of it in these situations.

Regards

Carr

On May 18, 2012 2:41 PM, "joyce sitali" <[log in to unmask]> wrote:

Hi

 

Any one with a revised policy and assessment for pre-employment they would like to share?

I would really appreciate this; as we are currently reviewing ours in view of new legislation.

 

Joyce.

 

From: Charlotte Cheetham <[log in to unmask]>
To: [log in to unmask]
Sent: Friday, 18 May 2012, 11:28
Subject: Re: [OCC-HEALTH] Home visists

 

Hi,

We have a 26 year old employee who is currently off sick with alleged anxiety and stress. He never speaks to the company but leaves his mother or father to speak on his behalf. It seems that his mother is being over protective and making excuses for him not to return to work. Without doing a home visit it is not possible to assess him as he is unable to attend work for an OH assessment. GP reports take anything from 3-6 months to obtain so am trying to be persuaded to carry out a home visit.

 

Charlotte

Date: Fri, 18 May 2012 06:43:00 +0100
From: [log in to unmask]
Subject: Re: [OCC-HEALTH] Home visists
To: [log in to unmask]

I did one, , last one ever hopefully about 2 years ago. Complex issue where the individual was suspended, had probably been treated not as well as they could have been by management and it was someone with whom I had many dealings in the past. During suspension she presented a sicknote from the GP citing mental health issues. Because of the complexity of the situation the investigating officer (who was getting a bit wobbly about the process) asked for my input (and not to declare her fit for attending meetings etc by the way), this was coupled with her desperate phone calls to me so I was persuaded. With hindsight I went not even sure what I was meant to do, this is a mistake I will not repeat
 
Upshot was my input wasnt really as an OH person, I ended up as some form of mediator between the investigating team, the individual and the unions as I am long in the tooth and well versed on how processes should work, actual clinical input was minimal as all that was needed was someone with the balls to tell people to get their act together and get on with it. Doubtless worked well for the individual ultimately, the investigation rightly concluded in her favour and she returned to work with support. However during my visit I was "ambushed" by her very angry and hostile family who saw me as a "management tool/agent" and let me have it both if not 3 or 4 barrels. I am a tough old bird who can stand my ground, but for many that experience could have been very distressing - I cant pretend that I did not feel very shakey afterwards. Previous to that was one of my favourite OH stories, funny now but not at the time - a home visit about 10 years ago with a lady who said "you`re a nurse arent you? can you have a look at my husband as I dont think he`s well...." and was faced with a stark naked hubby, requisite erection and covered in blood from where he had been doing gawd knows what. The ambulance guys that I called in panic smirked at me,   said they did it regularly to unsuspecting visitors, double glazing salesmaen, estate agents etc and carted naked-bloke off with a cynical air......The lady in question had requested a home visit and this was accomodated by her employer, she had actually been at work in the morning and had been given the afternoon off to see the OH lady, there was no justification for it apart from hubby wanting to expose himself I suppose.
 
 
OH - well its never boring is it?
 
 

Date: Thu, 17 May 2012 23:55:46 -0400
From: [log in to unmask]
Subject: Re: [OCC-HEALTH] Home visists
To: [log in to unmask]

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.
 
Look forward to your answers.
 
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