Manual Handling Policy

Transcription

1 Manual Handling Policy

2 Policy Title: Executive Summary: Manual handling policy The purpose of the policy is to describe the necessary arrangements required for the trust to comply with current legislation and promote best practice relating to manual handling activities. This guidance when followed will assist the Trust in meeting its responsibilities with regards to the National Health Service Litigation Authority s Risk Management Standard Assessment. Supersedes: Manual Handling policy version 4 Description of Review and use of new template Amendment(s): This policy will impact on: Financial Implications: Policy Area: Version Number: Issued By: Author: APPROVAL RECORD Corporate Document ECT Nursing Reference: Version 5 Effective Date: March 2018 Manual Handling Manager Manual Handling Manager Review Date: March 2021 Impact Assessment Date: Committees / Group Date Consultation: Workforce & OD Strategy Board April 2018 Matrons March 2018 Approved by Director: Director of Nursing, Performance May 2018 and quality Ratified by: Workforce & OD Strategy Board April 2018 Received for information: Workforce & OD Strategy Board Matrons April 2018 Manual Handling Manager Jan 2018 Page 2

3 Table of Contents 1. Introduction 3 2. Purpose 3 3. Responsibilities 3 4. Processes and Procedures Monitoring Compliance with the Document References Communication Page 11 Page 12 Manual Handling Manager Jan 2018 Page 3

4 1. Introduction East Cheshire NHS trust, referred to hereafter as the trust, provides a range of services that are guided by statutory duty and legislative requirements. These services are delivered within a framework of policy to ensure compliance with these requirements. The trust acknowledges its duty to make suitable provisions to control manual handling activities, and to reduce the risks from such activities to the lowest level, in so far as reasonably practicable. An employee also owes a duty to the employer to obey reasonable and lawful instructions and to act with reasonable care and skill, failure to act as trained or instructed could leave the employee liable to disciplinary proceedings and ultimately dismissal. 2. Purpose The purpose of this policy is to describe the arrangements of the trust to safeguard the wellbeing of staff and patients by compliance with current legislation and the promotion of best practice with manual handling tasks. The policy will outline the measures that must be taken by managers and staff to reduce the risk of injuries by setting guidance for manual handling of patients and loads. The aim is to eliminate hazardous manual handling in all but emergency or life threatening situations. This policy has been developed in accordance with relevant legislation, in particular:- Health and Safety at Work Act (1974) Management of Health and Safety at Work (amendment) Regulations (1999) The Manual Handling Operations 1992 (amendment)regulations (2002) Lifting Operations and Lifting Equipment Regulations (1998) This policy applies to all staff employed by the trust, all contractors, volunteers, patients, visitors, students and others who are expected to cooperate with the requirements of this policy. 3.0 Responsibilities Chief Executive: The chief executive is ultimately accountable and responsible for the implementation of all policies within East Cheshire NHS trust and to make sure an appropriate system is in place for the management and review of all policies in a given time frame, Delegated responsibility has been given to the Director of Nursing, Performance and Quality for ratification of this policy. Director of Nursing, Performance and Quality: The Director of Nursing, Performance and Quality has delegated accountability for the final ratification prior to the policy actually being implemented. The ratification will take place following a consultation and approval process. Manual Handling Manager Jan 2018 Page 4

5 Deputy Director of Nursing and Quality: The Deputy Director of Nursing and Quality is responsible for the monitoring and communication of this policy, ensuring the policy is reviewed on an annual basis and audit takes place with findings being acted upon. Heads of Directorates are responsible for: Heads of directorates will be responsible for ensuring policies/procedures are developed in accordance with trusts health standards. Ensuring any commissioned services/contractors from outside agencies follow manual handling practices when on site. Ensuring adequate resources are made available for the implementation of this policy Ensuring that where equipment is identified as required via the risk assessment process, the equipment is provided Ensuring all untoward or adverse incidents reported are reviewed and any trends identified therein are controlled by minimizing any risks as far as reasonably practicable. Directorate Manager/Service Manager/Matrons are responsible for: Ensuring that the manual handling policy is implemented within their areas of responsibility, to ensure any identified risks relating to manual handling are adequately controlled. Directorate groups responsibility to ensure that any R/A has a risk management action plan which is actioned, monitored and reviewed on a regular basis and to ensure that this is included on the risk register. Ensuring all incident reports are reviewed within individual areas of responsibility. Identifying incident trends via the Datix incident system and implementing controls to minimise handling risks Ensuring departmental managers fulfil their responsibilities under this policy. Alerting relevant managers when a significant incident may need further investigation Implementing audit recommendations within their areas of responsibility. In the absence of the manual handling team, the duty manager will be responsible for sanctioning any appropriate requests for specialist manual handling equipment not available on site. Will follow up reports generated from Learning and Development and take appropriate action in line with education and training policy Ensure contingency plans are in place in the event of equipment break down Manual Handling Manager Jan 2018 Page 5

6 Ward and Department Managers are responsible for: Overseeing the application of this policy within their area of responsibility and ensuring that employees are fully aware of the moving and handling policy. Ensuring moving and handling risk assessments are in place and updated within patient s notes. Ensuring that an assessment of manual handling risks is undertaken for their department, and reviewed as appropriate. (Appendix 8 Manual handling supporting guidance document ) Maintaining a safe environment, for staff, patients and others. Nominate and support suitable members of staff to become link workers in manual handling to provide local support in the practice area. Ensure link staff have sufficient time to carry out their duties. Ensuring there are suitable and sufficient manual handling aids and that equipment is used where a risk assessment identifies the need. Keep an inventory of manual handling aids, take action to either replace missing equipment or highlight the lack of equipment on the department risk register Liaising with the medical devices committee and Moving and Handling Advisor prior to the purchase of suitable and sufficient equipment to reduce handling risks. Reporting to the Estates department when new equipment is purchased or when equipment requires maintenance. Ensuring all moving and handling equipment is maintained in line with the Provision and use of Work Equipment Regulations (1998) and, where appropriate, serviced in accordance with the Lifting Operations and Lifting Equipment Regulations (1998). Monitoring their employees attendance at moving and handling training to ensure it is current and effective according to the Trust s Core and Statutory Training Policy. Support and develop safe systems of working and ensure compliance with those safe systems through information. Instruction, supervision and training. Facilitate implementation of manual handling procedure, encourage and motivate best practice in manual handling and ensure that no unsafe handling practices are knowingly carried out in their area of responsibility. Ensuring there are safe systems in place to identify the risk of manual handling to health within the work place, taking into account the findings of an ergonomic risk assessment. Manual Handling Manager Jan 2018 Page 6

7 Ensure that all employees receive appropriate health screening, information, instruction and supervision and training on manual handling and back care issues to perform their duties safely. Seeking advice from the Trust s Occupational Health Service, on the suitability of any applicant, for a post in which moving and handling plays an intrinsic part of their role. Ensuring that all moving and handling incidents and accidents are reported, in accordance with the Trust Incident Reporting Policy and the Incident Reporting & Management Policy. Ensure that appropriate risk assessments (department, object, patient) are carried out before any hazardous manual handling tasks are performed. Ensure that assessments are documented and accessible to staff, updated and reviewed as necessary, communicate any findings from any assessments to staff and others who may be affected, Ensure that staff undertake tasks, for which they have been adequately trained including the use of equipment. Report and investigate accidents and incidents relating to manual handling or musculoskeletal injury as appropriate. Escalate as necessary to senior management. Ensure any locally developed manual handling assessment forms meet legal requirements as well as the needs of the service. Ensure that adequate staffing levels are maintained to meet the requirements of manual handling operations. Managers must realise the importance of monitoring practices within the workplace and of correcting any unsafe techniques. Managers are responsible for investigating incidents and implementing safety measures. Learning and Development are responsible for:- Ensuring Moving and Handling awareness is delivered to all staff attending corporate induction. Administer and keep records of staff that have attended statutory and mandatory training and practical training sessions. Reporting on staff attendance or completion of statutory Moving and Handling training and practical training sessions. To ensure that manual handling training dates are distributed trust-wide in a timely manner. Manual Handling Manager Jan 2018 Page 7

8 The Occupational Health Team are responsible for: Providing advice to managers regarding an individual s fitness to work. When necessary, conducting work health assessments to advise on functional capability of new or existing staff in relation to their future or current roles. Providing advice regarding functional capability of staff within their normal role, or during temporary or permanent illness or injury. Working with managers, health and safety team and the Trust moving and handling advisor to carry out non-routine workplace assessments to evaluate and advise on any complex manual handling risks. Providing Occupational Health advice to employees and managers, on all aspects of work related health issues. Providing staff with workstation assessment and risk assessment advice. The Risk Management Sub Committee / Medical Device Group are responsible for: Review records of incidents and accidents involving manual handling tasks. Ensure there is effective communication of the lessons learned and key findings following a manual handling incident. To maintain a robust database of moving and handling incidents and risk assessments To assist in providing the Trust with building assurances relating to manual handling risks.. The Trust Manual Handling service is responsible for: Overseeing the application of this policy. Providing a source of expert moving and handling advice appropriate to the needs of all employee groups. Ensuring own training needs are met. Ensuring that appropriate and sufficient training is developed, delivered and evaluated to all employee groups as identified in the Trust s core and statutory training policy. Developing, delivering and evaluating specialist training to moving and handling link staff. Liaising with Learning and Development, to provide accurate training figures. To provide an annual report to the Workforce & OD Strategy Board Manual Handling Manager Jan 2018 Page 8

9 Providing advice on the purchase of new and replacement equipment to reduce handling risks. Providing expert ergonomic advice with the aim of reducing risk and preventing musculo-skeletal injuries. Assisting with return to work assessments for staff off work with manual handlingrelated injury, in conjunction with occupational health team. Acting as Trust leads for the NHSLA risk management standard Moving and Handling, which includes: Auditing the effectiveness of the policy, to include risk assessments and numbers of incidents and injuries, Producing an annual report and action plan to the Health and Safety Committee. Local Moving and Handling link staff are responsible for: Ensuring their own training needs are met by initially attending a Moving and Handling link training course and then subsequently attending a manual handling link staff update session at a minimum of every one year. Providing support and advice to employees regarding moving and handling and promoting safer handling to reduce musculo-skeletal injuries. Promote and reinforce safer handling practices through example, disseminate information, demonstrate and observe safe practices. Reporting any manual handling issues which they are unable to resolve to manager and/or Moving and Handling Advisor as appropriate. Ensuring local training records will be maintained and registers are forwarded to the Learning and Development department for recording purposes and a copy to the manual handling service. All Employees are responsible for: Taking reasonable care of their own and others safety, whilst undertaking any manual handling operations, and to cooperate with management in meeting its health and safety responsibilities. Complying with the manual handling policy. Making full and proper use of equipment and any safe systems of work in accordance with training and instructions received. Manual Handling Manager Jan 2018 Page 9

10 Attending mandatory training as specified by the core and statutory training policy and ensuring they keep abreast of developments in professional knowledge and practice. Adopting the principles of safer handling, and undertaking an appropriate ergonomic risk assessment when undertaking any manual handling activities. Reporting manual handling incidents, either near miss or actual, on the Datix Incident Reporting System. Reporting any handling difficulties, hazards and defective equipment, to their line manager or specialist advisors as necessary. Reporting any changes in health or medical conditions, which affect their ability to handle loads safely. Informing their manager of any shortfalls in their training. This may include the use of equipment or the practical application of handling techniques. Bring to their manager s attention the need for any resources that may be deemed necessary to reduce the risk of injury in manual handling activities, or any problems relating to that activity. Ensure they meet their manual handling competencies to maintain best practice Moving and Handling training - see appendix 6 of the manual handling supporting guidance document. Training is essential and integral to the adoption and maintenance of an ergonomic strategy and safe systems of work, but training on its own will not achieve safer handling. Manual handling training is mandatory and all employees must attend as identified in the core and statutory training policy. There must be management commitment and support for the training strategy and moving and handling service delivery. Managers are to ensure that employees are released to attend training and that provision is made in respect of allocation of resources and time. Employees must ensure they wear appropriate clothing for training that does not restrict movement, footwear should fit securely to the foot and the heel and toes should be enclosed, heel height should be no more than 2 inches. In keeping with manual handling training guidelines, training will be recorded, including names of delegates, signatures, date, training venue and duration of training, techniques and equipment used. Manual Handling Manager Jan 2018 Page 10

11 The minimum number of employees on each session will be 4 the maximum will be 8 in the manual handling training room, The maximum number may be reduced if space is limited or the training is specialised. Managers are responsible for reinforcing safe practices in the workplace after formal training has been undertaken. Agency, Contractor, Service Level Agreement Providers and Others are responsible for:- Complying with this policy and the requirements therein 4.0 Processes and Procedures Please see the manual handling supporting guidance document 5.0 Monitoring Compliance with the Document Monitoring of this policy will be on a continuous basis through programmes of audit, monitoring of incident forms, referral and requests for advice 6.0 References The Health and Safety at Work etc. Act Equality Act Management of Health and Safety at Work Regulations Approved Codes of Practice and Guidance L21 HSE Books 2000 ISBN Workplace (Health, Safety and Welfare) Regulations Approved Codes of Practice and Guidance L24 HSE Books 2000 ISBN Manual Handling Operations Regulations 1992 (as amended) Approved Codes of Practice and Guidance L23 HSE Books 2004 ISBN X. Control of Substances Hazardous to Health Regulations 2002 (as amended). Approved Codes of Practice and Guidance (Fifth Edition) L5 HSE Books 2005 ISBN Health and Safety (Display Screen Equipment) Regulations 1992 as amended by the Health and Safety (Miscellaneous Amendments) Regulations Approved Codes Manual Handling Manager Jan 2018 Page 11

12 of Practice and Guidance (Second Edition) L26 HSE Books 2003 ISBN Provision and Use of Work Equipment Regulations Approved Codes of Practice and Guidance (Third Edition) L22 HSE Books 2008 ISBN Lifting Operations and Lifting Equipment Regulations Approved Codes of Practice and Guidance L113 HSE Books 1998 ISBN Personal Protective Equipment at Work Regulations Approved Codes of Practice and Guidance L25 HSE Books 1992 ISBN Reporting of Injuries, Diseases and Dangerous Occurrences Regulations Approved Codes of Practice and Guidance (Third Edition) L73 HSE Books 2008 ISBN Royal College of Nursing Guidance Documents (2003) Manual Handling Assessments in Hospitals and the Community Publication Code , Safer Patient Handling Policies Publication Code and Safer Staff, Better Care: Manual Handling Training, Guidance and Competencies Publication Code HSE Guidance Document IND G 143 Manual Handling in the Health Services HSE Books 1998 ISBN HSE Research Document RR573 Risk Assessments and Process Planning for Bariatric Patient Handling. The Guide to the Handling of People 6 th Edition 2005 ISBN The Equalities Act Disability Discrimination, making reasonable adjustments Guidance for safer handling during resuscitation in healthcare settings (2009) Resuscitation council (UK) Manual Handling Manager Jan 2018 Page 12

13 Part A: To be completed by Policy Lead Workforce Policy Review Checklist Title of Policy.Manual Handling policy.. Sign-Off Committee. Name of Policy Lead Manual Handling manager Committee Date of sign-off Requirement Comment Format (section 3.2 of the Policy on Procedural Documents) Arial 11 Title of the policy on the front page - Arial 26 Correct Trust logo Watermarked as DRAFT until ratified Contents page included and all pages numbered (except front page) Sequential numbering throughout to identify the section and subsection of text. All paragraphs numbered. The following subsections as a minimum (extra subsections can be added as required); Introduction Purpose Roles and Responsibilities Processes and Procedures Monitoring Compliance with the Policy References Appendices Each page will include a footer detailing in Arial Size 8 Font the name of the author (by designation (job title), version number (this will differ between draft and ratified/published policy) and date of publication Front Sheets Committee front sheet Policy control sheet completed (this should be the second page of the policy after the front title page) Manual Handling Manager Jan 2018 Page 13

14 Equality Impact Assessment in place and signed off by Workforce Lead for Inclusion Engagement Identify key stakeholders and describe assurance of their verbal approval KPI and Audit Requirements Measurable KPI s Clear description of audit arrangements including frequency and correct assurance committee Communications Where would you like this Policy to be communicated? Standard Trust Policy Governance Team HR Direct Trust Infonet Directorates via WF team Other (please specify) Workforce Communications Template (Policy on a page) Send to Workforce Compliance and Governance Manager with copy of Draft Policy Part B: To be completed by Workforce Compliance and Governance Manager Receipt Date.. Action Taken and deadline provided Manual Handling Manager Jan 2018 Page 14

15 .. Part C: Policy Lead Comments with 2 nd submission Manual Handling Manager Jan 2018 Page 15

16 Annex 3 Manual handling policy WHAT IS THE POLICYABOUT? The purpose of this policy is to describe the arrangements of the trust to safeguard the wellbeing of staff and patients by compliance with current legislation and the promotion of best practice with manual handling tasks. This policy will outline the measures that must be taken by managers and staff to reduce the risk of injuries by setting guidance for manual handling of patients and loads. This policy applies to all staff employed by the Trust, all contractors, volunteers, patients, visitors, students who are expected to cooperate with the requirements off this policy. WHAT IS THERE? For further advice contact the manual handling service on WHAT HAS CHANGED? The key features of the recent review are as follows; Updated and re-formatted to Trust standard. Replace reference to service lines with directorates Patient handling staff to attend refresher training every 2 years WHAT DO I NEED TO DO? Ensure your manual handling training is up to date. Please be aware there is also information in The manual handling supporting guidance and manual handling guidance for the plus size patient. There are various pieces of equipment available throughout the trust to assist in the moving and handling of loads. Prior to the use of any manual handling equipment staff must be trained in the use of that equipment, staff must also check that the equipment is in good working order and serviced, Any equipment used for patients must be thoroughly examined at regular intervals in order to ensure that they are safe to use, this is a legal requirement where equipment such as hoists and slings are used, remember patient hoisting equipment statutory examinations will occur at 6 monthly intervals in accordance with Lifting Operations and Lifting Equipment Regulations These inspections are organised by estates. Manual Handling Manager Jan 2018 Page 16

17 WORKFORCE AUDIT REPORT Manual handling policy Jan Background What is the background to this audit? What is the purpose of the policy being audited? Monitoring of this policy will be on a continuous basis through programmes of audit, monitoring of incident forms, referral and requests for advice What does the audit aim to demonstrate? 2. Audit Methodology Who performed the audit? How? Was it a random sample or a full audit? What is the time period covered? What elements were audited? 3. Audit Findings Describe findings factually. Tabular, with use of RAGs to indicate compliance and percentages where possible What does the trust policy state? How does this match up with the findings? Are there any considerations to be made? Is the data flawed? How easy or difficult was it to access the info you needed? Comparing to previous audit, has compliance improved or worsened? 4. Conclusions Any general observations about the policy? Have you identified any risks and if so, what are they? 5. Recommendations List recommendations with lead responsibilities and timescales. Table is preferable. What will happen next? Who is responsible for ensuring this happens? This paper will be presented to the WODSB in April 2018 for information, discussion and approval. Manual Handling Manager Jan 2018 Page 1