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PDF (A thesis submitted in partial fulfilment of the requirements for ...

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Medical Intervention<br />

GPs and Primary Care Trusts may operate as mechanisms provid<strong>in</strong>g health<br />

and safety advice (empower<strong>in</strong>g workers to change problematic situations,<br />

reduce hazards and report symptoms, (Jackson, 2004). Health and safety<br />

advice provided <strong>in</strong> <strong>the</strong> area <strong>of</strong> primary care may serve to <strong>in</strong>crease awareness<br />

among <strong>in</strong>dividual workers and lead to demands to change workplace<br />

attitudes (Jackson, 2004). This has been <strong>the</strong> experience <strong>of</strong> two occupational<br />

advisory services. Qualitative analysis <strong>in</strong>dicates that workers who received<br />

advice from health pr<strong>of</strong>essionals did request health and safety related<br />

changes <strong>in</strong> <strong>the</strong> workplace which were put <strong>in</strong>to place. However, a number <strong>of</strong><br />

employees failed to report health and safety concerns <strong>of</strong> discrim<strong>in</strong>ation<br />

aga<strong>in</strong>st <strong>the</strong>m or lack <strong>of</strong> an available appropriate member <strong>of</strong> staff. The<br />

establishment <strong>of</strong> occupation health schemes <strong>in</strong> GP surgeries may contribute <strong>in</strong><br />

rais<strong>in</strong>g awareness <strong>of</strong> work-related disease amongst cl<strong>in</strong>icians and patients.<br />

More importantly such schemes may help health and safety at work by<br />

provid<strong>in</strong>g constructive advice to patients on how to reduce risk. Although<br />

results are promis<strong>in</strong>g <strong>the</strong>re needs to be fur<strong>the</strong>r evaluation <strong>of</strong> similar schemes<br />

to confirm and generalise <strong>the</strong>ir effectiveness. One question that may need to<br />

be addressed is whe<strong>the</strong>r <strong>the</strong> short-lived nature <strong>of</strong> employment <strong>in</strong> SMEs<br />

would weaken <strong>the</strong> ability <strong>of</strong> such <strong>in</strong>terventions to br<strong>in</strong>g about last<strong>in</strong>g<br />

improvement <strong>in</strong> <strong>the</strong> workplace. The issue <strong>of</strong> fears over victimisation after<br />

compla<strong>in</strong>ts about health and safety standards also need to be addressed.<br />

Psychological factors that may be important <strong>in</strong> predict<strong>in</strong>g health and safety<br />

41

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