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This section is a summary of all action points showing the organisation responsible and action timescale, short term means within 12 months, medium term within 18 months and long term within 36 months.
The Management Executive:
1. must monitor the OHSS performance in the NHSiS. annually
2. must give a clear policy lead on the lines of responsibility within the
NHSiS and for the management of OHSS. short term
3. must review how OHSS costs can be met for general medical and dental practitioners and their staff. short term
4. must review and clarify current OHSS guidance on access. short term
5. must liaise with the Scottish Executive Education Department to ensure all students intending to take a health service associated course receive pre-entry occupational health assessment and advice. short term
6. should set up a working group to identify the minimum dataset including indicators of activity, finance and health outcomes to establish a dependable benchmarking system for OHSS in Scotland for integration into the current monitoring service. short term
7. should initiate pilots to accurately identify the incidence of staff health problems. long term
All Chief Executives and General Managers:
8. ensure they fully understand and meet their statutory health and safety obligations. immediate
All NHSiS Organisations:
9. must comply with Health and Safety Regulations and incur no HSE enforcement action. immediate
10. must ensure that services offered to non-NHS Organisations do not impact on the services provided to NHSiS employees. immediate
All NHSiS Organisations continued:
11. must establish during 2000/2001 the true base line for injuries, accidents and incidents and set an objective to reduce the number of injuries,accidents and incidents by at least 25% by 2006 through the adoption of best practice, training, increased awareness and improved audit processes. ongoing
12. should publish in their Annual Reports a minimum dataset on OHSS related issues. annually
13. should use the collated returns to monitor and to inform need for OHSS. annually
14. must ensure adequate resources are available for OHSS services within their organisation through the HIP and TIP process. annually
15. must publish the annual gross expenditure on OHSS for NHSiS staff. annually
6. must fully involve staff and their representatives in the process to develop and determine the standards and provision of OHSS, personal safety policies and health promotion within their organisation locally. short term
17. must adopt as a minimum the recommendations of the Cabinet Office Report on managing attendance in the Public Sector entitled 'Working Well Together'. short term
18. must ensure the purpose and role of the OHSS is known to all staff and is a clearly visible service within the NHSiS and to non NHSiS employers.
short term
19. must offer a comprehensive, competent and confidential OHSS to all staff as an integral part of their Human Resource Strategy. short term
20. must ensure easy access to OHSS by all grades of staff in hospital and community services. short term
21. must offer access to OHSS to primary care contractors and their staff and to independent contractors working within the NHSiS. short term
22. must implement policies based on risk assessment aimed at reducing violent incidents in the workplace. short term
All NHSiS Organisations continued
23. must encourage, facilitate and require staff to record all accidents and incidents which lead to injury with the aim of 100% recording of accidents and incidents to NHSiS staff, patients and visitors to NHSiS premises. short term
24. must develop comprehensive strategies on human resource management, including occupational health, which could result in substantial savings by NHSiS Organisations through reduction of sickness absence and injury benefits claims. short term
25. must set organisational targets for reduction of costs associated with OHSS issues, including sickness absence, injury benefits claims, early retirement costs due to illness, accidents and injury. short term
26. must implement policies to protect staff and patients against infection with blood-borne viruses. short term
27. must identify and meet their OHSS responsibilities to anyone working or training on NHSiS premises. short term
28. must undertake risk assessment of all tasks and activities. short term
29. must have integrated policies on staff health and related issues including for example OHSS, health and safety, staff security, accident prevention, counselling, staff health promotion and the working environment. short term
30. must have in place policies and procedures which integrate and promote good working practices which are complimentary to OHSS. short term
31. must develop family friendly policies and meet the requirements of the Two Ticks symbol. short term
32. must implement policies which reduce stress in the workplace. short term
33. must develop policies to give security of employment, where possible, including redeployment, as consequence of disability or ill health. short term
All NHSiS Organisations continued
34. must provide induction training and lifelong training and education to minimise and prevent risk to staff and patients. medium term
35. must provide managers with appropriate OHSS training. medium term
36. must have plans in place to achieve Scotlands' Health at Work award by April 2000, these to be fully integrated with OHSS policies to enable and encourage all staff to improve and manage their own personal health and safety. medium term
37. must develop education and training plans which clearly address issues for employees which could put their health at risk while working for the NHSiS. medium term
38. must play an exemplar role in the provision of OHSS. long term
39. should develop a research base in OHSS to establish evidence-based programmes to address the most common work related illness issues, such as musculo-skeletal disorders and stress. long term
40. must aim to achieve OHSS standards which go beyond basic statutory requirements. long term
Primary Care and Independent NHSiS Contractors:
41. must identify access to and contract for OHSS for all their staff which meet the same standards as for NHSiS staff. short term
Occupational Health and Safety Services:
42. should offer as a priority to provide OHSS to all parts of the NHSiS not receiving such services. ongoing
43. must encourage development of an evidence based pro-active and innovative OHSS. ongoing
44. must advise employers on employees' fitness for work and on reasonable and cost beneficial adjustments that can be made to fit the workplace to the individual. ongoing
45. must make their services available and known to all NHSiS staff, and to anyone working or training on NHSiS premises. short term Occupational Health and Safety Services continued:
46. must ensure with the Control Infection team an appropriate immunisation and surveillance programme for staff paying particular attention to blood-borne viruses. short term
47. must link closely with the existing counselling services to offer comprehensive counselling and advice services for all NHSiS staff. short term
48. must identify minimum occupational health, immunisation and health surveillance employment records for transfer between OHSS in Scotland. short term
49. must establish common minimum standards for pre-employment screening and occupational health surveillance programmes. short term
50. must develop clinical and audit networks to allow benchmarking and to ensure uniformly high standard OHSS throughout Scotland. medium term
51. must initiate a systematic audit of OHSS programmes. medium term
52. should establish networks in their local community and with Public Health Departments of Health Boards to encourage and promote OHSS with non-NHSiS employers. long term
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