1. Health & Safety Allen Hey / Tracy Owen

2. Health & Safety at Work Act 1974 Employer’s Duties Section 2 - Employers must ensure for their employees:  Safe place of work  Safe plant / equipment  Safe systems of work  Articles / substances moved, stored and used safely  Information, Instruction, Training, Supervision  Consultation with employees  Health and Safety Policy Section 3 - Employers duty not to expose non–employees to risk

3. Health & Safety at Work Act 1974 Employees Duties  To take reasonable care of themselves and others  To co-operate with the employer  Not to interfere with safety arrangements  Report any work situations which might present a risk (Management of Health and Safety at Work Regulations, 1999)

4. Important H&S Regulations  The Management of Health and Safety at Work Regulations  The Manual Handling Operations Regulations  The Health and Safety (Display Screen Equipment) Regulations  The Workplace, (Health, Safety and Welfare) Regulations  The Provision and Use of Work Equipment Regulations  Lifting Equipment and Lifting Operations Regulations  Personal Protective Equipment at Work Regulations  The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations  The Control of Substances Hazardous to Health Regulations  Health and Safety (First Aid) Regulations  The Regulatory Reform (Fire Safety) Order  The Health & Safety (Safety Signs and Signals) Regulations

5. Risk Assessment  Hazard:something with the potential to cause harm, damage or loss.  Risk:the combination of likelihood and consequence of the hazard being realised

6. Risk Assessment - Process

7. Risk / Incident - Evaluation Consequence Likelihood Insignificant 1 Minor 2 Moderate 3 Major 4 Catastrophic 5 Rare 1 Very Low (1) Very Low (2) Very Low (3) Low (4) Low (5) Unlikely 2 Very Low (2) Low (4) Low (6) Moderate (8) Moderate (10) Possible 3 Very Low (3) Low 6) Moderate (9) Moderate (12) High (15) Likely 4 Low (4) Moderate (8) Moderate (12) High (16) High (20) Almost Certain 5 Low (5) Moderate (10) High (15) High (20) High (25)

8. Incident Reporting  Incident - An unexpected, unplanned event causing actual harm or injury, patient dissatisfaction, damage/loss of property.  Near miss - An incident, which does not cause actual harm or injury, patient dissatisfaction, damage/loss of property but has the potential to do so, i.e. the incident was prevented or ran to completion but did not result in an adverse outcome

9. Incident Types  Equipment - Defect, failure, misuse  Fire - Fire or alarm activation (record dates and times, if evacuation took place, if brigade attended)  Ill Health - Work or workplace linked ill health e.g. infection, headaches, dermatitis, allergies, etc.  Other - e.g. environmental, food hygiene  Patient Safety Incident - Directly related to patient treatment, which did, or could have had an adverse outcome  Personal Accident - Any workplace accident that could or may have hurt someone  Security Incident - Theft, loss or criminal damage to property, burglary etc.  Vehicle incident - Road traffic accident, driving offence  Violence, abuse or harassment - physical / non-physical assault (includes verbal, racial, sexual abuse, etc.)

10. Reporting Process Member(s) of staff involved in an incident should:  Make / help make situation safe  Report to local manager  Complete on line incident form  Participate in investigation & implement actions  Report externally where appropriate e.g. RIDDOR, SHA, MHRA

11. NHS Protect Protecting NHS Staff & Resources  Secretary of State Directions  Safe and secure environment for all  Responsibilities: Non-Executive Director Security Management Director Local Security Management Specialist

12. LSMS Responsibilities  Pro-security culture - raising awareness, training, alerts  Deterrence - publicising success (local / national media)  Prevention - physical security, risk assessments, surveys  Detection - incident reporting (Sentinel), SIRS  Investigation - professional investigation, Legal Protection Unit (LPU)  Sanctions - increased support for prosecution / sanctions against offenders  Redress - support for victims and witnesses, compensation

13. National Areas of Work  Tackling physical / non-physical assaults on staff: Physical Assault - ‘The intentional application of force against the person of another, without lawful justification, resulting in physical injury or personal discomfort’ Non Physical assault - ‘The use of inappropriate words or behaviour causing distress and/or constituting harassment’  Ensuring the security of: Property and assets Drugs, prescription forms and hazardous materials Maternity and paediatric units

14. Physical Assault Statistics 2004/052005/062006/072007/082008/092009/10 Acute and Foundation Trusts 10,75811,100  9,685  10,983  11,088  13,219  Ambulance Trusts 1,3331,104  1,006  1,465  1240  1,262  Mental Health and Learning Disabilities Trusts 43,09741,345  41,569  39,934  38,958  38,959  Primary Care Trusts 5,1925,145  3,445  3,607  3,472  3,278  Totals60,38558,695  55,709  55,993  54,758  56,718 

15. Contact Details Allen Hey Risk & Security Manager Allen.Hey@hacw.nhs.uk Tracy Owen Health & Safety Manager, Security Specialist Tracy.Owen@hacw.nhs.uk