Moving and Handling Policy - 268KB [PDF] - Newcastle Hospitals
Moving and Handling Policy - 268KB [PDF] - Newcastle Hospitals
Moving and Handling Policy - 268KB [PDF] - Newcastle Hospitals
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The <strong>Newcastle</strong> upon Tyne <strong>Hospitals</strong> NHS Foundation Trust<br />
<strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling <strong>Policy</strong><br />
Version No.: 5.0<br />
Effective From: 24 April 2012<br />
Expiry Date: 24 April 2015<br />
Date Ratified: 22 November 2011<br />
Ratified By: Trust Health <strong>and</strong> Safety Committee<br />
1. Introduction<br />
1.1 As part of its responsibility towards the health <strong>and</strong> safety of employees, the<br />
Trust recognises that it must take reasonable steps to ensure that the risk of<br />
injury is minimised with regard to any moving <strong>and</strong> h<strong>and</strong>ling undertaken by<br />
staff.<br />
1.2 With the introduction of the Manual H<strong>and</strong>ling Operations Regulations in 1992<br />
(as amended 2002), the employer is required to adopt an ergonomic approach<br />
using a risk-based decision-making process to reduce the risk of injury to staff<br />
engaged in moving <strong>and</strong> h<strong>and</strong>ling tasks.<br />
2. <strong>Policy</strong> Scope<br />
2.1 The Trust will continue to work towards a “safer h<strong>and</strong>ling policy” <strong>and</strong> take all<br />
reasonable steps to ensure that:<br />
2.1.1 Its employees are properly informed <strong>and</strong> trained in relation to all types<br />
of moving <strong>and</strong> h<strong>and</strong>ling that may be carried out within the workplace.<br />
2.1.2 Practices used for the moving <strong>and</strong> h<strong>and</strong>ling of patients <strong>and</strong> objects <strong>and</strong><br />
any equipment used are safe with any potential risk minimised through<br />
a risk assessment process.<br />
3. Aim of <strong>Policy</strong><br />
The aim of this <strong>Policy</strong> is to safeguard staff safety whilst promoting the patient’s<br />
independence.<br />
4. Duties – Roles <strong>and</strong> Responsibilities<br />
4.1 Trust Board<br />
The Trust Board is responsible for the development, management <strong>and</strong><br />
authorisation of this policy.<br />
4.2 Chief Executive<br />
The Chief Executive supports the Trust-wide implementation of this policy.<br />
4.3 Clinical <strong>Policy</strong> Group (CPG)<br />
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The Clinical <strong>Policy</strong> Group is responsible for approving this policy <strong>and</strong><br />
approving all revisions made to this policy.<br />
4.4 Health <strong>and</strong> Safety Committee<br />
The Health <strong>and</strong> Safety Committee are responsible for agreeing this policy.<br />
4.5 <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Team<br />
The <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Team are responsible for the development,<br />
consultation, approval, ratification process, monitoring <strong>and</strong> review of this<br />
policy <strong>and</strong> the impact assessment.<br />
4.6 Director of Nursing<br />
The Director of Nursing is responsible for any clinical issues following the<br />
implementation of the policy.<br />
4.7 Managers<br />
4.7.1 The departmental manager is responsible for implementing the <strong>Moving</strong><br />
<strong>and</strong> H<strong>and</strong>ling <strong>Policy</strong> within their department but can nominate a moving<br />
<strong>and</strong> h<strong>and</strong>ling facilitator(s) to assist with responsibilities. The number of<br />
facilitators nominated should be assessed by the manager <strong>and</strong> be<br />
sufficient to maintain a proactive training <strong>and</strong> risk management<br />
process. The manager should ensure sufficient support is provided to<br />
the facilitator(s) in carrying out their role, including equipment purchase<br />
/ provision <strong>and</strong> allocation of time for training, risk assessment <strong>and</strong><br />
supervision.<br />
4.7.2 The Manager, together with the facilitator(s), must:<br />
4.7.2.1 Be aware of manual h<strong>and</strong>ling tasks carried out within their<br />
department <strong>and</strong> ensure that a departmental risk assessment is<br />
completed <strong>and</strong> reviewed on a yearly basis with the formulation<br />
of an action plan for the next year.<br />
4.7.2.2 Avoid any hazardous manual h<strong>and</strong>ling operations by staff, so<br />
far as is reasonably practicable.<br />
4.7.2.3 Make an assessment of any hazardous patient <strong>and</strong> object<br />
moving <strong>and</strong> h<strong>and</strong>ling tasks that cannot be avoided <strong>and</strong><br />
introduce appropriate measures to reduce the risk of injury, so<br />
far as is reasonably practicable, using the appropriate risk<br />
assessment documentation.<br />
4.7.2.4 Maintain a record of all risk assessments, <strong>and</strong> review<br />
assessments where there has been a change in working<br />
conditions or a change in the task itself.<br />
4.7.2.5 Provide information to all staff on identified risks <strong>and</strong> measures<br />
introduced, <strong>and</strong> provide training that is relevant <strong>and</strong> based on<br />
risk assessment principles.<br />
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4.7.2.6 Ensure that all new staff receive appropriate training within the<br />
department before they undertake any manual h<strong>and</strong>ling tasks.<br />
4.7.2.7 Provide adequate moving <strong>and</strong> h<strong>and</strong>ling equipment, identified<br />
by risk assessment, to reduce risks to staff. Equipment<br />
provided must be readily accessible <strong>and</strong> properly maintained,<br />
with any defects reported promptly.<br />
4.7.2.8 Maintain departmental moving <strong>and</strong> h<strong>and</strong>ling training records,<br />
ensuring that copies are sent to the Training Department.<br />
There is a system in place for following up on staff who fail to<br />
attend planned m<strong>and</strong>atory training as outlined in the M<strong>and</strong>atory<br />
Training <strong>Policy</strong> <strong>and</strong> the manager should take action on<br />
information received from the Training Department on nonattendance<br />
of planned training by their permanent staff.<br />
4.8 Employees<br />
4.7.2.9 Ensure that all moving <strong>and</strong> h<strong>and</strong>ling incidents within the<br />
department are documented <strong>and</strong> an investigation carried out.<br />
The manager should notify <strong>and</strong> involve relevant parties, such<br />
as the <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Team, Health <strong>and</strong> Safety, Risk<br />
Management <strong>and</strong> any others, to receive support in carrying out<br />
investigations.<br />
4.7.2.10Where incident investigation identifies a plan of action to avoid<br />
a further occurrence, the manager must bring in appropriate<br />
measures, ensuring that all staff are informed <strong>and</strong> given<br />
appropriate training.<br />
4.7.2.11Set up a proactive monitoring system on departmental moving<br />
<strong>and</strong> h<strong>and</strong>ling practices in order to maintain high st<strong>and</strong>ards <strong>and</strong><br />
promote staff safety. Where bad practice is identified, the<br />
manager must introduce appropriate measures. The <strong>Moving</strong><br />
<strong>and</strong> H<strong>and</strong>ling Team are available to provide support <strong>and</strong> advise<br />
managers.<br />
The employee must:<br />
4.8.1 Take reasonable care of their own health <strong>and</strong> safety <strong>and</strong> that of others<br />
who may be affected by their actions when undertaking moving <strong>and</strong><br />
h<strong>and</strong>ling tasks.<br />
4.8.2 Co-operate with the manager <strong>and</strong> facilitator(s) in the carrying out of risk<br />
assessments of moving <strong>and</strong> h<strong>and</strong>ling tasks within the department.<br />
4.8.3 Observe safe systems of work <strong>and</strong> use equipment provided, as well as<br />
ensuring the prompt reporting of any defects to equipment to the<br />
manager / facilitator(s).<br />
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4.8.4 Participate in moving <strong>and</strong> h<strong>and</strong>ling training within the department <strong>and</strong><br />
apply this to moving <strong>and</strong> h<strong>and</strong>ling tasks they undertake.<br />
4.9 The <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Team<br />
The <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Team comprises of moving <strong>and</strong> h<strong>and</strong>ling co-ordinators<br />
who are responsible for:<br />
4.9.1 Developing, implementing <strong>and</strong> monitoring the Trust <strong>Moving</strong> <strong>and</strong><br />
H<strong>and</strong>ling <strong>Policy</strong> by:<br />
- Developing the service to ensure that the Trust complies with<br />
present <strong>and</strong> future st<strong>and</strong>ards set by Government through<br />
legislation <strong>and</strong> other organisations, including the Health <strong>and</strong><br />
Safety Executive <strong>and</strong> the NHSLA<br />
- Presenting quarterly reports on departmental risk assessments<br />
undertaken to the Trust Health <strong>and</strong> Safety Committee which<br />
takes an organisational overview of the assessments for the<br />
moving <strong>and</strong> h<strong>and</strong>ling of patients <strong>and</strong> objects<br />
- Submitting an end-of year report to the Trust Health <strong>and</strong> Safety<br />
Committee on the performance of the <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling<br />
Service covering the previous year, to include training figures<br />
together with risk reduction measures <strong>and</strong> projects. A strategic<br />
plan will also be produced outlining the development of the<br />
service over the coming year<br />
- Attend site meetings of the Health <strong>and</strong> Safety Committee where<br />
current issues can be discussed <strong>and</strong> action plans formulated<br />
- Ongoing monitoring <strong>and</strong> maintenance of the <strong>Moving</strong> <strong>and</strong><br />
H<strong>and</strong>ling Intranet Site to include the following information for all<br />
staff:<br />
- Relevant training available.<br />
- Current practices, safe systems <strong>and</strong> processes for the<br />
moving <strong>and</strong> h<strong>and</strong>ling of patients <strong>and</strong> objects identified<br />
through a risk assessment process.<br />
- Maintain a list of the location of hoists <strong>and</strong> st<strong>and</strong>aids across the<br />
Trust.<br />
- Be available to give advice on the provision of sufficient h<strong>and</strong>ling<br />
equipment for both patient <strong>and</strong> object h<strong>and</strong>ling.<br />
- Support departments in carrying out training.<br />
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4.9.2 Through an evaluation process, devising, delivering <strong>and</strong> monitoring<br />
moving <strong>and</strong> h<strong>and</strong>ling training courses, with the objective being to<br />
ensure that content of training is relevant.<br />
4.9.3 Providing a support system to facilitators requesting help <strong>and</strong> advice in<br />
carrying out their responsibilities.<br />
4.9.4 Implementing a Trust moving <strong>and</strong> h<strong>and</strong>ling risk assessment<br />
programme with the provision of advice <strong>and</strong> support to managers <strong>and</strong><br />
facilitators, on request. Monitoring of departmental risk assessments,<br />
with advice <strong>and</strong> responses offered where the need is identified.<br />
Carrying out a programme of visits throughout the year to monitor<br />
progress made on action plan objectives by departments.<br />
4.9.5 Advising departments on complex h<strong>and</strong>ling situations, if required.<br />
4.9.6 Advising managers on resources, including equipment required.<br />
4.9.7 Maintaining a database of facilitators across the Trust with changes<br />
recorded to reflect staff movement.<br />
4.9.8 Liaise with the Training Department to ensure that all training records<br />
are forwarded for entry on to ESR.<br />
4.9.9 Available to provide advice <strong>and</strong> support to Managers carrying out<br />
accident investigations. The <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Team will liaise with<br />
the Risk Management Department <strong>and</strong> Health <strong>and</strong> Safety Advisers if<br />
requested in investigations.<br />
4.10 <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Facilitators<br />
<strong>Moving</strong> <strong>and</strong> h<strong>and</strong>ling facilitators will be responsible to their departmental<br />
manager for:<br />
4.10.1 On-going training <strong>and</strong> the update of staff within their department that is<br />
specific to training needs identified through risk assessment, as well as<br />
training in the operation of equipment used within the department.<br />
4.10.2 The maintenance of training records within the department plus the<br />
forwarding of copies of all training to the Training Department for<br />
databasing.<br />
4.10.3 The induction of new staff in their department, with the emphasis<br />
placed on the identification of specific moving <strong>and</strong> h<strong>and</strong>ling tasks <strong>and</strong><br />
associated risks involved. Training should also include the operation of<br />
any equipment used in the department.<br />
4.10.4 In co-operation with the manager, carrying out a Departmental Risk<br />
Assessment <strong>and</strong> other indicated risk assessments throughout the<br />
department <strong>and</strong> requesting support from the <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling<br />
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Team for complex assessments.<br />
4.10.5 Providing a resource within the department for advice <strong>and</strong> support on<br />
moving <strong>and</strong> h<strong>and</strong>ling issues.<br />
4.10.6 The facilitator will work with the manager to uphold best practice within<br />
the department <strong>and</strong> will seek advice from the <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling<br />
Team when problems are identified.<br />
4.10.7 Maintaining a moving <strong>and</strong> h<strong>and</strong>ling file which will remain the<br />
department’s property. The file should contain training records <strong>and</strong> risk<br />
assessments together with any other documentation related to the<br />
implementation of the <strong>Policy</strong> within the department.<br />
4.10.8 Monitoring incidents occurring within the department <strong>and</strong> ensuring that<br />
staff complete the appropriate documentation where moving <strong>and</strong><br />
h<strong>and</strong>ling incidents occur.<br />
4.10.9 Attending a Facilitators’ Update Course with the <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling<br />
Team. The frequency of training is detailed in the M<strong>and</strong>atory Training<br />
Matrix in the M<strong>and</strong>atory Training <strong>Policy</strong>.<br />
4.11 Health <strong>and</strong> Safety Advisers<br />
The Health <strong>and</strong> Safety Advisers will:<br />
4.11.1 Together with the <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Team monitor the<br />
implementation of the <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling <strong>Policy</strong> across the Trust<br />
through the Health <strong>and</strong> Safety Audit Tool.<br />
4.11.2 Liaise with the <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Team in providing departmental<br />
managers with advice <strong>and</strong> support related to the implementation of the<br />
<strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling <strong>Policy</strong>.<br />
4.11.3 Liaise with the <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Team in providing departments<br />
with advice, on request, concerning moving <strong>and</strong> h<strong>and</strong>ling problems with<br />
the aim of reducing the risk of injury to staff.<br />
4.11.4 Liaise with the <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Team <strong>and</strong> the Risk Management<br />
Department, when required, in the investigation of moving <strong>and</strong> h<strong>and</strong>ling<br />
incidents.<br />
4.12 Risk Management Department<br />
The Risk Management Department will<br />
4.12.1 Risk Management will be responsible for the databasing of all moving<br />
<strong>and</strong> h<strong>and</strong>ling incidents across the Trust.<br />
4.12.2 Risk Management is responsible for reporting all sickness absences<br />
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of three days or more resulting from moving <strong>and</strong> h<strong>and</strong>ling incidents in<br />
accordance with RIDDOR.<br />
4.13 Training Department<br />
The Training Department will:<br />
4.13.1 Be responsible for the provision of administration for the <strong>Moving</strong> <strong>and</strong><br />
H<strong>and</strong>ling Service.<br />
4.13.2 Maintain the M<strong>and</strong>atory Training <strong>Policy</strong> that includes the M<strong>and</strong>atory<br />
Training<br />
Matrix following a Trust-wide training needs analysis that includes<br />
moving <strong>and</strong> h<strong>and</strong>ling training.<br />
4.13.3 Enter all moving <strong>and</strong> h<strong>and</strong>ling training records onto ESR <strong>and</strong> provide<br />
monthly attendance reports to the directorates against the training<br />
needs analysis to monitor progress.<br />
4.13.4 Follow up DNAs for <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling courses <strong>and</strong> providing<br />
information to the directorates on a monthly basis.<br />
4.14 Occupational Health<br />
The Occupational Health Department will:<br />
4.14.1 Maintain medical files on staff who sustain musculoskeletal injuries.<br />
4.14.2 Monitor staff returning to duty following injury to ensure that they are fit<br />
for work.<br />
5. <strong>Policy</strong> Content<br />
5.1 Procedure for Implementation<br />
5.1.1 Within the Trust, there is a wide range of moving <strong>and</strong> h<strong>and</strong>ling<br />
procedures undertaken by all disciplines of staff. Departmental<br />
managers must be fully aware of the tasks undertaken <strong>and</strong> take<br />
appropriate action to comply with the <strong>Policy</strong>.<br />
5.1.2 The <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Team, together with the Health <strong>and</strong> Safety<br />
Advisers, have the responsibility for providing advice to departmental<br />
managers on all identified potential risks. They will support managers<br />
in ensuring that arrangements are put in place, resulting in safe working<br />
practices <strong>and</strong> minimum risk within all departments, <strong>and</strong> ensure<br />
adherence to the <strong>Policy</strong> through monitoring the completion of<br />
departmental risk assessments <strong>and</strong> action plans.<br />
5.2. Training <strong>and</strong> Education Of Staff<br />
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5.2.1 Training should not be used as a substitute for carrying out risk<br />
assessments – risk assessment should identify specific training<br />
requirements within departments. It is the responsibility of<br />
departmental managers to ensure that all staff receive appropriate<br />
training <strong>and</strong> produce a training needs analysis to enable all permanent<br />
staff to complete relevant moving <strong>and</strong> h<strong>and</strong>ling training.<br />
5.2.2 All new staff should attend induction training before undertaking moving<br />
<strong>and</strong> h<strong>and</strong>ling tasks. Where this is not reasonably practicable, interim<br />
training should be provided within the department by the moving <strong>and</strong><br />
h<strong>and</strong>ling facilitator(s).<br />
5.2.3 The required frequency of update training for each staff group is<br />
detailed in the M<strong>and</strong>atory Training Matrix in the M<strong>and</strong>atory Training<br />
<strong>Policy</strong>.<br />
5.2.4 The <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Team are responsible for co-ordinating the<br />
provision of a training programme for facilitator training, as well as a<br />
general training programme accessible to all staff. The <strong>Moving</strong> <strong>and</strong><br />
H<strong>and</strong>ling Team will provide support to managers in arranging relevant<br />
training for their staff. <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling have also produced E-<br />
learning packages available to relevant staff on the Learning Zone on<br />
the Trust Intranet.<br />
5.2.5 Types of training available within the Trust:<br />
5.2.5.1 Facilitator Training<br />
All newly appointed facilitators must undertake specific<br />
facilitator training, which will be provided by the <strong>Moving</strong> <strong>and</strong><br />
H<strong>and</strong>ling Team. The manager determines the number of<br />
facilitators required within a department.<br />
New facilitators will be trained on a Combined Facilitator<br />
Course, which provides a module system to ensure that both<br />
object <strong>and</strong> patient h<strong>and</strong>ling facilitators receive relevant training<br />
to equip them with the skills <strong>and</strong> knowledge necessary for<br />
carrying out their role. The frequency of update training for<br />
facilitators is detailed in the M<strong>and</strong>atory Training Matrix in the<br />
M<strong>and</strong>atory Training <strong>Policy</strong>.<br />
5.2.5.2 Local Training<br />
This training is organised <strong>and</strong> undertaken by departmental<br />
moving <strong>and</strong> h<strong>and</strong>ling facilitator(s). The <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling<br />
Team will be available to provide advice <strong>and</strong> support to the<br />
facilitator, if required.<br />
5.2.5.3 General Training<br />
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There is an on-going programme of training available which is<br />
accessible to all staff. Further information is available by<br />
contacting the <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Team or by accessing the<br />
<strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Trust Intranet Site.<br />
5.2.5.4 Trust Induction<br />
The Training Department is responsible for organising Trust<br />
Induction Courses, on which the <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Team<br />
provide training. In addition, all Departments must provide<br />
departmental induction for new staff to include the identification<br />
of specific tasks related to the moving <strong>and</strong> h<strong>and</strong>ling of objects<br />
<strong>and</strong> patients, together with training on safe systems <strong>and</strong> the<br />
operation of equipment. A Ward / Department Induction<br />
Record must be completed as evidence <strong>and</strong> forwarded to the<br />
Training Department.<br />
5.2.5.5 E-LEARNING<br />
Some staff groups will be able to complete their update training using<br />
E-learning packages available in the Learning Zone Section of the<br />
Trust Intranet. All completed training will be recorded on ESR.<br />
5.2.5.6 Update Training sessions will include:<br />
- Legislation related to moving <strong>and</strong> h<strong>and</strong>ling <strong>and</strong> relevant<br />
policies, including the Trust’s <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling <strong>Policy</strong>,<br />
<strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling of the Heavyweight Patient <strong>Policy</strong> <strong>and</strong><br />
the Display Screen Equipment <strong>Policy</strong>.<br />
- Anatomy <strong>and</strong> Functions of the Spine.<br />
- Spinal Awareness, including back care, posture <strong>and</strong> risks<br />
associated with developing back problems.<br />
- Risk Assessment, including the essential components of task,<br />
individual capability, load, <strong>and</strong> environment.<br />
- Principles of Safe H<strong>and</strong>ling related to objects <strong>and</strong> patients.<br />
- TAPE (Think, Assess, Plan, Execute) before h<strong>and</strong>ling,<br />
highlighting the importance of a problem-solving approach to<br />
manage identified risks.<br />
- Relevant techniques to be used in the moving <strong>and</strong> h<strong>and</strong>ling of<br />
patients <strong>and</strong> objects as well as the use of appropriate<br />
equipment. The <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Intranet site includes a<br />
record of approved techniques <strong>and</strong> the correct use of<br />
equipment.<br />
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5.2.5.7 The <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Intranet Site provides training<br />
resources for facilitators to ensure that the information given to<br />
learners during departmental update training on theory <strong>and</strong><br />
practical manoeuvres is consistent <strong>and</strong> accurate.<br />
5.2.5.8 Departmental training sessions should highlight specific tasks<br />
<strong>and</strong> include the management of identified risks to staff,<br />
incorporating safe systems <strong>and</strong> the operation of equipment,<br />
with emphasis on a problem-solving approach.<br />
5.2.6 Where local training is carried out by facilitators, records should be held<br />
within the department <strong>and</strong> be readily available for inspection. Written<br />
evidence that staff have received training, together with a record of<br />
training content, must be completed for all training sessions; the<br />
required documentation is available on the Trust Intranet Site. All<br />
training information is recorded on ESR; copies of training records must<br />
be forwarded to the Training Department for databasing.<br />
5.3 Medical Devices<br />
5.3.1 Reference should also be made to the Trust Medical Devices <strong>Policy</strong>.<br />
5.3.2 All staff who operate equipment identified as a medical device must be<br />
given relevant training <strong>and</strong> complete a self-assessment form on that<br />
device. The forms are available on the <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Intranet<br />
Site. All mobile <strong>and</strong> overhead patient hoists <strong>and</strong> st<strong>and</strong>ing <strong>and</strong> raising<br />
aids are included in this requirement as well as electric profiling beds<br />
<strong>and</strong> cots. Departmental managers are responsible for ensuring the<br />
relevant training is provided, either by the facilitator or the <strong>Moving</strong> <strong>and</strong><br />
H<strong>and</strong>ling Team, <strong>and</strong> documentation is completed <strong>and</strong> available for<br />
inspection within the department. The Departmental Risk Assessment<br />
provides information on a department’s action in complying with the<br />
completion of forms for moving <strong>and</strong> h<strong>and</strong>ling equipment.<br />
5.4 Risk Assessments<br />
5.4.1 All moving <strong>and</strong> h<strong>and</strong>ling tasks of patients <strong>and</strong> objects require a risk<br />
assessment, using the appropriate documentation. All tasks must be<br />
reviewed on a regular basis, at least yearly or more often when there is<br />
a change to the task or environment. It is the responsibility of the<br />
individual department to ensure that the appropriate documentation is<br />
completed <strong>and</strong> that an appropriate review system is in place.<br />
5.5 Types of Assessment Forms<br />
5.5.1 Departmental Risk Assessment (Appendix 1)<br />
This should be reviewed on a yearly basis, or when there is a change<br />
of location or task. The Departmental Manager, with support from the<br />
<strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Facilitator, will be responsible for completing the<br />
Page 11 of 27
assessment. Completed assessments should be kept in the<br />
department as an information source. A copy should be sent via Email<br />
to the <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Department for availability during<br />
inspections. The <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Team will be available to assist<br />
departments in the completion of this document. <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling<br />
will present a quarterly report to the Trust Health <strong>and</strong> Safety Committee<br />
with figures on how many assessments have been completed.<br />
Departmental Managers are responsible for acting on the measures<br />
highlighted in the action plans <strong>and</strong> if they are beyond their budget or<br />
responsibility then should be passed onto higher management within<br />
the directorate. <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling will carry out a programme of<br />
visits to departments throughout the year to monitor the progress made<br />
on achieving aims within action plans.<br />
5.5.2 Object H<strong>and</strong>ling Risk Assessment (Appendix 2)<br />
This assessment form should be completed on a specific object<br />
h<strong>and</strong>ling task within the department by a <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling<br />
Facilitator or by the <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Team. There should be<br />
reviews carried out, as noted on the assessment form, with the review<br />
period set according to the level of risk. Copies of all risk assessments<br />
should be forwarded to the <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Team, the site Health<br />
<strong>and</strong> Safety Adviser, the Trust Risk Manager <strong>and</strong> other relevant<br />
departments who should respond to the assessment.<br />
5.5.3 Patient H<strong>and</strong>ling <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Assessment Tool (Appendix 3)<br />
All adult patients admitted to the Trust who need assistance with<br />
moving <strong>and</strong> h<strong>and</strong>ling require a risk assessment. The assessment<br />
should be reviewed on a regular basis, when there is a change in<br />
condition, or when the patient is transferred to a new ward.<br />
5.5.4 Paediatric <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Assessment Tool (Appendix 4)<br />
All paediatric patients admitted to the Trust who need assistance with<br />
moving <strong>and</strong> h<strong>and</strong>ling require a risk assessment. The assessment<br />
should be reviewed on a regular basis, when there is a change in<br />
condition, or when the patient is transferred to a new ward.<br />
5.5.5 Out-Patients’/Day Case <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Assessment Tool<br />
(Appendix 5)<br />
All adult <strong>and</strong> paediatric patients attending Out-Patients’ <strong>and</strong> Day Case<br />
Departments in the Trust who need assistance with moving <strong>and</strong><br />
h<strong>and</strong>ling require a risk assessment. The assessment should be<br />
reviewed on each visit to the department.<br />
5.5.6 Community Routine <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Assessment Tool<br />
(Appendix 6)<br />
Page 12 of 27
All patients in the community who require assistance with moving <strong>and</strong><br />
h<strong>and</strong>ling from a single Trust staff require a Routine risk assessment.<br />
5.5.7 Community Complex <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Assessment Tool<br />
(Appendix 7)<br />
All patients in the community who require hoisting or two Trust staff to<br />
provide assistance require a complex risk assessment. Where there is<br />
a need to order moving <strong>and</strong> h<strong>and</strong>ling equipment in the community staff<br />
should refer to “Guidance regarding ordering equipment in the<br />
community” (Appendix 8).<br />
5.5.8 Display Screen Equipment Workplace Assessments are required on all<br />
computer workstations. Reference should be made to the Trust<br />
Display Screen <strong>Policy</strong> for guidance on this responsibility.<br />
6. Equality <strong>and</strong> Diversity<br />
The Trust is committed to ensuring that, as far as is reasonably practicable, the way<br />
we provide services to the public <strong>and</strong> the way we treat our staff reflects their<br />
individual needs <strong>and</strong> does not discriminate against individuals or groups on any<br />
grounds. This policy has been appropriately assessed.<br />
7. Monitoring<br />
St<strong>and</strong>ard/ Process/<br />
Issue<br />
Effectiveness of the<br />
policy<br />
Progress Updates<br />
Monitoring <strong>and</strong> Audit<br />
Method By Committee Frequency<br />
Review of departmental risk Lead <strong>Moving</strong> Health <strong>and</strong> Quarterly<br />
assessments, moving <strong>and</strong> <strong>and</strong> H<strong>and</strong>ling Safety<br />
h<strong>and</strong>ling update training Coordinator Committee<br />
<strong>and</strong> incident data<br />
Present Annual Report <strong>and</strong><br />
Strategic Plan based on<br />
previous year’s<br />
performance.<br />
Lead <strong>Moving</strong><br />
<strong>and</strong> H<strong>and</strong>ling<br />
Coordinator<br />
Health <strong>and</strong><br />
Safety<br />
Committee<br />
Annual<br />
8. Consultation <strong>and</strong> Review<br />
The processes in this policy have been reviewed <strong>and</strong> agreed by the Health <strong>and</strong><br />
Safety Committee.<br />
9. Implementation of <strong>Policy</strong><br />
The <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Team is responsible for the interpretation of the content of<br />
the <strong>Policy</strong>.<br />
<strong>Policy</strong> Author: Heath <strong>and</strong> Safety Committee<br />
Page 13 of 27
Appendix 1<br />
The <strong>Newcastle</strong> upon Tyne<br />
NHS Foundation Trust<br />
DEPARTMENTAL MOVING AND HANDLING RISK ASSESSMENT TOOL<br />
SEND COPIES OF COMPLETED ASSESSMENTS TO MOVING AND HANDLING – h<strong>and</strong>ling.moving@nuth.nhs.uk<br />
WARD / DEPARTMENT<br />
HOSPITAL RVI NGH FH DH WGH ICFL<br />
BRIEF DESCRIPTION OF WARD / DEPARTMENT<br />
Including type of department, size, h<strong>and</strong>ling requirements (eg patient / object / admin)<br />
Assessment carried out by PRINT NAME DESIGNATION<br />
.......................................................<br />
SIGNATURE<br />
DATE (DD MM YY)<br />
Review date<br />
Within one year or where there is a<br />
change of location or task<br />
DATE (DD MM YY)<br />
Manager responsible for<br />
actioning assessment<br />
PRINT NAME<br />
.......................................................<br />
SIGNATURE<br />
DESIGNATION<br />
DATE (DD MM YY)<br />
MOVING AND HANDLING FACILITATORS / DISPLAY SCREEN ASSESSORS (DSA)<br />
HAS ATTENDED AN UPDATE<br />
NAME<br />
DESIGNATION<br />
PTN OBJ DSA<br />
Patient<br />
In Past Year<br />
Object<br />
In Past 2 Years<br />
DSA<br />
In Past Three Years<br />
Yes No Bkd Yes No Bkd Yes No Bkd<br />
If any required updates are recorded as “NO” include in ACTION PLAN.<br />
Are there sufficient Facilitators / DSAs to meet departmental needs<br />
YES NO N / A<br />
If “NO” include in ACTION PLAN<br />
Page 14 of 27
RISK ASSESSMENT DOCUMENTATION<br />
An appropriate MOVING AND HANDLING ASSESSMENT TOOL<br />
(eg Adult, Paediatric, Out-Patients’) is completed on patients requiring<br />
assistance with moving <strong>and</strong> h<strong>and</strong>ling.<br />
A WORKPLACE ASSESSMENT CHECKLIST<br />
is completed on all staff identified within the Trust DSE <strong>Policy</strong> as DSE<br />
users.<br />
YES NO N / A<br />
If “NO” include in ACTION PLAN<br />
YES NO N / A<br />
If “NO” include in ACTION PLAN<br />
An OBJECT HANDLING RISK ASSESSMENT<br />
is completed on individual object h<strong>and</strong>ling tasks not covered by this<br />
Departmental Risk Assessment.<br />
YES<br />
NO<br />
If “NO” include in ACTION PLAN<br />
All patient h<strong>and</strong>ling assessments must be available in the patient’s notes.<br />
All other assessments must be held within the departmental moving <strong>and</strong> h<strong>and</strong>ling file.<br />
STAFF TRAINING<br />
All new staff receive training on specific risks in moving <strong>and</strong> h<strong>and</strong>ling<br />
tasks which is documented <strong>and</strong> held within the departmental moving<br />
<strong>and</strong> h<strong>and</strong>ling file.<br />
YES NO N / A<br />
If “NO” include in ACTION PLAN<br />
All staff groups require regular updates the frequency is set in the M<strong>and</strong>atory Training Matrix within the<br />
M<strong>and</strong>atory Training <strong>Policy</strong>.<br />
STAFF<br />
GROUP<br />
NUMBER<br />
OF<br />
STAFF<br />
FREQUENCY<br />
OF<br />
TRAINING<br />
Yearly<br />
Yearly<br />
Yearly<br />
Yearly<br />
Yearly<br />
Yearly<br />
Yearly<br />
Yearly<br />
Yearly<br />
Yearly<br />
Yearly<br />
Yearly<br />
Yearly<br />
In the past year, all staff requiring moving <strong>and</strong> h<strong>and</strong>ling training have been<br />
updated.<br />
YES<br />
NO<br />
If “NO” include in ACTION PLAN<br />
All staff have completed self assessment forms on hoists, st<strong>and</strong>aids, cots <strong>and</strong><br />
beds used in the department with records held for inspection by the<br />
department<br />
YES NO N/A<br />
If “NO” include in ACTION PLAN
MOVING AND HANDLING TASKS WITH RISK REDUCTION METHODS ACCORDING TO LOCATION<br />
If several rooms carry out the same tasks, such as patient h<strong>and</strong>ling areas, they can be included together under that task; example given below.<br />
LOCATION<br />
list room names / numbers<br />
Store Cupboard Rooms<br />
(Room Nos: 1111,1234)<br />
.<br />
TASK<br />
Storage of equipment <strong>and</strong><br />
stock.<br />
Accessing shelves from<br />
below knee to above<br />
shoulder height.<br />
RISK REDUCTION MEASURES<br />
eg equipment used, training carried out, safe systems<br />
Store heavy, regularly used items at waist height with<br />
lighter, less used items stored on lower <strong>and</strong> higher<br />
shelves.<br />
Floor area to be kept clear with items not overhanging<br />
shelves.<br />
Staff trained in h<strong>and</strong>ling objects on shelving.<br />
Trolley to be used for transporting stock.<br />
FURTHER ACTION REQUIRED<br />
Include in Action Plan<br />
Set of mobile steps with brake-on castors required for<br />
each store room.<br />
LOCATION<br />
list room names / numbers<br />
TASK<br />
RISK REDUCTION MEASURES<br />
eg equipment used, training carried out, safe systems<br />
FURTHER ACTION REQUIRED<br />
Include in Action Plan
ACTION PLAN<br />
The Departmental Manager is responsible for implementation; example given below.<br />
TASK / ISSUE<br />
Include location<br />
Room 1111,1234<br />
Storage of equipment <strong>and</strong> stock.<br />
Accessing shelves from below knee to above shoulder height.<br />
ACTION REQUIRED<br />
Set of mobile steps with brake-on castors required for each store<br />
room.<br />
DATE<br />
TO BE<br />
COMPLETED<br />
COMPLETION<br />
DATE<br />
August 2007 August 2007<br />
TASK / ISSUE<br />
Include location<br />
ACTION REQUIRED<br />
DATE<br />
TO BE<br />
COMPLETED<br />
COMPLETION<br />
DATE
Appendix 2<br />
OBJECT HANDLING RISK ASSESSMENT TOOL<br />
WARD / DEPARTMENT:<br />
HOSPITAL:<br />
TASK:<br />
DATE OF ASSESSMENT:<br />
ASSESSOR (PRINT NAME):<br />
TITLE:<br />
PRESENT SITUATION / INCLUDE PERSONS AT RISK<br />
Include any Statistics <strong>and</strong> Measurements. Attach any diagrams, stating “not to scale”.
RISKS<br />
RECORD THE LEVEL OF RISK BY TICKING A BOX<br />
LEAVE BLANK IF IT DOES NOT APPLY<br />
Low<br />
<br />
Medium<br />
<br />
High<br />
<br />
The tasks<br />
Do they involve:<br />
• holding loads away from trunk<br />
• twisting<br />
• stooping<br />
• reaching upwards<br />
• large vertical movement<br />
• long carrying distances<br />
• strenuous pushing or pulling<br />
• unpredictable movement of loads<br />
• repetitive h<strong>and</strong>ling<br />
• insufficient rest or recovery<br />
• a work rate imposed by a process<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
The loads<br />
Are they:<br />
• heavy<br />
• bulky / unwieldy<br />
• difficult to grasp<br />
• unstable / unpredictable<br />
• intrinsically harmful (eg sharp / hot)<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
The working environment<br />
Are there:<br />
• constraints on posture<br />
• poor floors<br />
• variations in levels<br />
• hot / cold / humid conditions<br />
• strong air movements<br />
• poor lighting conditions<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
Individual capability<br />
Does the job:<br />
• require unusual capability<br />
• pose a hazard to those with a health problem<br />
• pose a hazard to those who are pregnant<br />
• call for special information / training<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
Other factors<br />
Is movement or posture hindered by clothing or<br />
personal protective equipment<br />
YES<br />
<br />
NO
OTHER COMMENTS:<br />
Options:<br />
This is a list of all possible options for the Manager to action.<br />
It is useful to number them for easy reference by the Manager.<br />
REVIEW DATE:<br />
This is essential <strong>and</strong> is set after consideration on the<br />
level of risk posed by the task. All assessments must<br />
be reviewed at least once yearly.<br />
Always send copies to:<br />
<strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Team, Rehabilitation Department, RVI<br />
Paul Clancy/Ian Gaffney Health <strong>and</strong> Safety Adviser, FH/RVI<br />
Susan Clark, Clinical Governance <strong>and</strong> Risk Department, RVI<br />
Line Manager (Please state: Name / Title / Department / Site)<br />
Any other person who is involved in the Risk Assessment, eg Estates (please list below)
Appendix 3<br />
MOVING AND HANDLING ASSESSMENT TOOL<br />
WARD / DEPARTMENT ................................................................................................................................<br />
HOSPITAL RVI NGH FH WGH ICFL <br />
ON ADMISSION ADMISSION DATE DD MM YY<br />
HEIGHT WEIGHT INSERT ADDRESSOGRAPH<br />
Does the patient’s weight / frame exceed the Safe Working<br />
Load / Dimensions of the ward equipment (eg: bed, chair,<br />
commode, walking frame etc)<br />
YES NO <br />
If YES, refer to the Trust “<strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling of the<br />
Bariatric Patient <strong>Policy</strong>” to arrange for the hiring of the<br />
appropriate equipment.<br />
Does the patient require any assistance for moving <strong>and</strong> h<strong>and</strong>ling YES NO <br />
If NO, complete the Initial Assessment Box only.<br />
If YES, continue with the Assessment Form.<br />
Initial assessment carried out by<br />
....................................................... .......................................................<br />
PRINT NAME<br />
DESIGNATION<br />
....................................................... .......................................................<br />
SIGNATURE<br />
DATE (DD MM YY)<br />
If a patient’s condition changes <strong>and</strong> assistance is required with moving <strong>and</strong> h<strong>and</strong>ling, the assessment form must be completed.<br />
All patients should be reassessed when there is a change of condition (eg: post-operatively) or at least once per week.<br />
The patient’s condition has changed<br />
<strong>and</strong> moving <strong>and</strong> h<strong>and</strong>ling assistance<br />
is now required<br />
....................................................... ....................................................<br />
PRINT NAME<br />
DESIGNATION<br />
....................................................... ....................................................<br />
SIGNATURE<br />
DATE (DD MM YY)<br />
PART ONE – ASSESSMENT CHECKLIST<br />
Weightbearing ........................................................ YES <br />
NO <br />
History of Falls........................................................ YES <br />
NO <br />
Underst<strong>and</strong>s Own Limitations ................................. YES <br />
NO <br />
Blind / Partially Sighted ........................................... YES <br />
NO <br />
Deaf / Partial Hearing ............................................. YES <br />
NO <br />
Requires Analgesia ................................................ YES <br />
NO <br />
Co-operative ........................................................... YES NO ON OCCASIONS <br />
Anxious / Lack of Confidence ................................. YES NO ON OCCASIONS <br />
Confusion ............................................................... YES NO ON OCCASIONS <br />
COMMUNICATION<br />
No Problem ............................................ <br />
English Not First Language ..................... <br />
Slurred Articulation (eg: Parkinson’s) ....... <br />
Stammer ................................................ <br />
Difficulty Underst<strong>and</strong>ing What Is Said (eg: CVA) . <br />
Difficulty Expressing Needs (eg: CVA) ..... <br />
Alternative Communication (eg: Aid) ....... <br />
Other (please state)<br />
WHAT SUPPORT SURFACE IS BEING USED<br />
eg: special mattress<br />
_____________________________<br />
TYPE OF BED<br />
eg: electric or specialist<br />
PROBLEMS WITH SKIN CONDITION<br />
eg: oedema, wounds etc
PART TWO – THE TASKS (Please tick appropriate box)<br />
CONSIDER THE PRESENCE OF CATHETERS, IV LINES, DRAINS AND RISKS IDENTIFIED IN PART ONE<br />
MOBILITY<br />
DATE<br />
DD MM YY DD MM YY DD MM YY DD MM YY<br />
Independent .......................................................... <br />
Requires Supervision .......................................... <br />
Requires Assistance<br />
Record number of staff in review box ............................... .......... Staff .......... Staff .......... Staff .......... Staff<br />
Requires Stick / Crutches / Walking Frame ........ <br />
Can Weightbear But Not Walk ............................. <br />
Wheelchair / Bed-Bound ...................................... <br />
OTHER<br />
State method in review box<br />
COMMENTS<br />
Print Name<br />
Signature<br />
Designation<br />
TRANSFERS: BED / COMMODE / TOILET / CHAIR<br />
DATE<br />
Independent .......................................................... <br />
Requires Supervision .......................................... <br />
Manoeuvre (Without Equipment)<br />
Record number of staff in review box ............................... .......... Staff .......... Staff .......... Staff .......... Staff<br />
Manoeuvre (With Equipment) (eg H<strong>and</strong>ling Sling or Belt)<br />
Record number of staff <strong>and</strong> equipment used in review box .<br />
.......... Staff<br />
......................<br />
.......... Staff<br />
......................<br />
.......... Staff<br />
......................<br />
.......... Staff<br />
......................<br />
Hoist<br />
Complete section on sling assessment ............................. <br />
St<strong>and</strong> Aid<br />
Complete section on sling assessment ............................. <br />
RotaSt<strong>and</strong> / Rotunda ............................................ <br />
Slideboard ............................................................. <br />
OTHER<br />
State method in review box<br />
COMMENTS<br />
Print Name<br />
Signature<br />
Designation
PART TWO – THE TASKS (Continued)<br />
BED MANOEUVRES<br />
DATE<br />
Complete details on each manoeuvre that requires staff assistance<br />
Independent .......................................................... <br />
Requires Assistance Using Slidesheets Up And Down Bed<br />
Record number of staff in review box ............................... .......... Staff .......... Staff .......... Staff .......... Staff<br />
Sitting Forward With Assistance ......................... <br />
Sitting Forward Using Flexigrip .......................... <br />
Rolling Without Slide Sheet<br />
Record number of staff in review box ............................... .......... Staff .......... Staff .......... Staff .......... Staff<br />
Rolling With Slide Sheet<br />
Record number of staff in review box ............................... .......... Staff .......... Staff .......... Staff .......... Staff<br />
Hoist<br />
Complete section on sling assessment ............................. <br />
OTHER<br />
State method in review box<br />
COMMENTS<br />
Print Name<br />
Signature<br />
Designation<br />
BATHING<br />
DATE<br />
Independent .............................................................. <br />
Bed Bath .................................................................... <br />
Hoist<br />
Complete section on sling assessment ............................... <br />
Shower Chair............................................................. <br />
Print Name<br />
Signature<br />
Designation<br />
COMMENTS
PART THREE – HOISTING / STANDAID SLING ASSESSMENT<br />
This Section MUST BE COMPLETED ONLY if the patient requires hoisting<br />
BED MANOEUVRES /<br />
TRANSFERS<br />
Toiletting Slings<br />
must not be used<br />
for these manoeuvres<br />
T ASK<br />
Complete where applicable<br />
TOILETTING<br />
BATHING<br />
Patient-Specific Slings<br />
must not be used<br />
for these manoeuvres<br />
Model of Hoist/St<strong>and</strong>aid<br />
Sling Type<br />
eg: Patient-Specific, Patient’s<br />
Own, Universal, Toiletting<br />
Sling Size<br />
eg: Sml, Med, Lge, XLge<br />
Product Number<br />
Located on Label<br />
Assessed by<br />
............................................................ ............................................................<br />
PRINT NAME<br />
DESIGNATION<br />
............................................................ ............................................................<br />
SIGNATURE<br />
DATE (DD MM YY)<br />
PART FOUR – ADDITIONAL INFORMATION
Appendix 4<br />
PAEDIATRIC MOVING AND HANDLING ASSESSMENT TOOL<br />
WARD / DEPARTMENT ................................................................................................................................<br />
HOSPITAL RVI NGH FH <br />
ADMISSION DATE<br />
DD MM YY<br />
INSERT ADDRESSOGRAPH<br />
ON ADMISSION<br />
HEIGHT<br />
WEIGHT<br />
AGE<br />
THIS ASSESSMENT FORM IS ONLY TO BE USED FOR CHILDREN WHO REQUIRE ASSISTANCE WITH<br />
MOVING AND HANDLING.<br />
All children should be reassessed when there is a change of condition (eg post-operatively) or at least once per week.<br />
Initial assessment carried out by<br />
....................................................... .......................................................<br />
PRINT NAME<br />
DESIGNATION<br />
....................................................... .......................................................<br />
SIGNATURE<br />
DATE (DD MM YY)<br />
PART ONE – ASSESSMENT CHECKLIST<br />
Weightbearing ................................ YES NO Underst<strong>and</strong>s Instructions ........... YES NO <br />
Mobile .............................................. YES NO Blind / Partially Sighted .............. YES NO <br />
Physical Disability .......................... YES NO Deaf / Partial Hearing ................. YES NO <br />
Learning Disability ......................... YES NO Pain .............................................. YES NO <br />
Sitting Balance ............................... YES NO Anxious ...................................... YES NO <br />
Involuntary Muscle Spasms ........... YES NO <br />
Co-operative .................................. YES NO <br />
COMMUNICATION<br />
Age Appropriate .............................. <br />
English Not First Language .............. <br />
If Applicable :First Language<br />
…………………………………………….<br />
Difficulty Underst<strong>and</strong>ing What Is Said ..... <br />
Difficulty Expressing Needs ............. <br />
Alternative Communication (eg Aid) . <br />
Other (please state)<br />
WHO WILL BE STAYING WITH THE CHILD<br />
ARE THEY ASSISTING WITH HANDLING<br />
YES NO <br />
DOES THE CHILD USE SPECIAL EQUIPMENT<br />
eg: wheelchair, frame, sleep system<br />
OTHER PROBLEMS THAT WILL<br />
AFFECT HANDLING<br />
eg: skin, catheters, feeding tubes
PART TWO – THE TASKS (Please tick appropriate box)<br />
CONSIDER THE PRESENCE OF CATHETERS, IV LINES, DRAINS AND RISKS IDENTIFIED IN PART ONE<br />
MOBILITY<br />
DATE<br />
DD MM YY DD MM YY DD MM YY DD MM YY<br />
Independent ................................................................. <br />
Requires Supervision .................................................. <br />
Uses Walking Aid ........................................................ <br />
Can Weightbear But Not Walk .................................... <br />
Wheelchair / Bed-Bound ............................................. <br />
OTHER<br />
State method in review box<br />
COMMENTS (INCLUDE DATE)<br />
Print Name<br />
Signature<br />
Designation<br />
TRANSFERS: BED / COMMODE / TOILET / CHAIR<br />
DATE<br />
DD MM YY DD MM YY DD MM YY DD MM YY<br />
Independent ................................................................. <br />
Requires Supervision .................................................. <br />
Manoeuvre (Without Equipment)<br />
Record number of staff / carers in review box ....................... .......... Staff .......... Staff .......... Staff .......... Staff<br />
Manoeuvre (With Equipment, eg H<strong>and</strong>ling Sling Or Belt)<br />
Record number of staff <strong>and</strong> equipment used in review box ...<br />
.......... Staff<br />
......................<br />
.......... Staff<br />
......................<br />
.......... Staff<br />
......................<br />
.......... Staff<br />
......................<br />
Hoist<br />
Complete section on sling assessment .................................. <br />
St<strong>and</strong> Aid<br />
Complete section on sling assessment .................................. <br />
RotaSt<strong>and</strong> .................................................................... <br />
Slideboard .................................................................... <br />
OTHER<br />
State method in review box<br />
COMMENTS (INCLUDE DATE)<br />
Print Name<br />
Signature<br />
Designation
PART TWO – THE TASKS (Continued)<br />
BED MANOEUVRES<br />
Complete details on each manoeuvre that requires staff assistance DD MM YY DD MM YY DD MM YY DD MM YY<br />
Independent ................................................................. <br />
Requires Assistance Using Slide Sheets Up And Down Bed<br />
Record number of staff in review box .................................... .......... Staff .......... Staff .......... Staff .......... Staff<br />
Sitting Forward With Assistance ................................ <br />
Sitting Forward Using Flexigrip .................................. <br />
Rolling Without Slide Sheet<br />
Record number of staff in review box .................................... .......... Staff .......... Staff .......... Staff .......... Staff<br />
Rolling With Slide Sheet<br />
Record number of staff in review box .................................... .......... Staff .......... Staff .......... Staff .......... Staff<br />
Hoist<br />
Complete section on sling assessment .................................. <br />
OTHER<br />
State method in review box<br />
DATE<br />
COMMENTS (INCLUDE DATE)<br />
Print Name<br />
Signature<br />
Designation<br />
BATHING<br />
DATE<br />
DD MM YY DD MM YY DD MM YY DD MM YY<br />
Independent With Supervision ................................... <br />
Bed Bath ...................................................................... <br />
Hoist<br />
Complete section on sling assessment, if applicable ............. <br />
Shower Chair ............................................................... <br />
COMMENTS (INCLUDE DATE)<br />
Print Name<br />
Signature<br />
Designation
PART THREE – HOISTING / STANDAID SLING ASSESSMENT<br />
This Section MUST BE COMPLETED ONLY if the patient requires hoisting<br />
T ASK<br />
(Complete where applicable)<br />
BED MANOEUVRES /<br />
TRANSFERS<br />
TOILETTING<br />
BATHING<br />
Patient-Specific Slings<br />
must not be used<br />
for these manoeuvres<br />
Model of Hoist/St<strong>and</strong>aid<br />
Sling Type<br />
eg: Patient-Specific, Patient’s<br />
Own, Universal, Toiletting<br />
Sling Size<br />
eg: Paediatric Size,<br />
XS, Sml, Med, Lge<br />
Product Number<br />
Located on label<br />
Assessed by<br />
............................................................ ............................................................<br />
PRINT NAME<br />
DESIGNATION<br />
............................................................ ............................................................<br />
SIGNATURE<br />
DATE (DD MM YY)<br />
PART FOUR – ADDITIONAL INFORMATION
Appendix 5<br />
OUT-PATIENTS’/DAY CASE MOVING AND HANDLING ASSESSMENT TOOL<br />
THIS ASSESSMENT FORM IS TO BE USED IN OUT-PATIENTS’ AND DAY CASE DEPARTMENTS FOR PATIENTS WHO<br />
REQUIRE ASSISTANCE WITH MOVING AND HANDLING.<br />
INSERT ADDRESSOGRAPH<br />
WARD / DEPARTMENT<br />
……………………….………….<br />
DATE OF APPOINTMENT …………………………………..<br />
DD MM YY<br />
RVI NGH FH DH ICFL <br />
Assessment carried out by<br />
....................................................... .......................................................<br />
PRINT NAME<br />
DESIGNATION<br />
....................................................... .......................................................<br />
SIGNATURE<br />
DATE (DD MM YY)<br />
What factors need to be considered in the assessment (please tick)<br />
Ability to Weightbear ........................................... Communication .........................................................<br />
Mobility ............................................................... Skin Condition ..........................................................<br />
History of Falls .................................................... Weight ......................................................................<br />
Underst<strong>and</strong>s Own Limitations ............................. Pain ..........................................................................<br />
Sight ................................................................... Sitting Balance ..........................................................<br />
Hearing ............................................................... Involuntary Muscle Spasms ......................................<br />
Co-operation ....................................................... Confusion .................................................................<br />
Physical Disability ............................................... Anxiety / Lack of Confidence ....................................<br />
Learning Disability .............................................. <br />
COMMENTS<br />
TASK<br />
DESCRIPTION OF MANOEUVRE<br />
Including number of staff <strong>and</strong> any equipment required<br />
Print Name<br />
Designation<br />
Signature Date DD MM YY
TASK<br />
DESCRIPTION OF MANOEUVRE<br />
Including number of staff <strong>and</strong> any equipment required<br />
Print Name<br />
Designation<br />
Signature Date DD MM YY<br />
TASK<br />
DESCRIPTION OF MANOEUVRE<br />
Including number of staff <strong>and</strong> any equipment required<br />
Print Name<br />
Designation<br />
Signature Date DD MM YY<br />
HOISTING / SLING ASSESSMENT<br />
This section MUST BE COMPLETED ONLY if the patient requires hoisting<br />
HOIST<br />
SLING<br />
eg: Patient’s Own, Patient-Specific, Highback<br />
SIZE<br />
S, M, L, XL<br />
Print Name<br />
Designation<br />
Signature Date DD MM YY<br />
ADDITIONAL INFORMATION
Appendix 6<br />
Patient Name<br />
Community Routine - Personal H<strong>and</strong>ling Risk Assessment<br />
NHS No.<br />
Place of<br />
DOB<br />
assessment<br />
Weight kg st lbs Medical<br />
condition<br />
Date Weighed<br />
Medication (points<br />
to note e.g.<br />
Height m ft in reduced pain after<br />
medication):<br />
Assessor Name<br />
Date of<br />
assessment<br />
Job Title<br />
Signature<br />
Task/s to be<br />
assessed<br />
Is assistance required with moving <strong>and</strong> h<strong>and</strong>ling Yes No <br />
If yes, please tick one box (Yes or No) to each question<br />
The Person<br />
Yes No Please comment<br />
Do they have:<br />
Cognitive impairment<br />
Difficulty with communication<br />
(Use hearing aid or spectacles)<br />
Difficulty following instruction<br />
Difficulty with balance /<br />
movement<br />
Working Environment<br />
Is there:<br />
Inadequate space <strong>and</strong> lighting<br />
Slippery floor / loose carpets<br />
Yes<br />
No<br />
Non-adjusting equipment<br />
Other e.g. extreme temperature,<br />
smoking, pets<br />
Staff Capabilities<br />
Yes No Please comment<br />
Does the task require:<br />
Unusual height / strength<br />
Specific training other than annual<br />
moving <strong>and</strong> h<strong>and</strong>ling<br />
Pose a risk to staff who:<br />
- are pregnant<br />
- have musculoskeletal problems<br />
<strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Tasks Yes No Please comment<br />
Does the task require:<br />
Unsafe posture e.g. stooping,<br />
twisting, unable to get close<br />
Frequent repetition, high risk<br />
h<strong>and</strong>ling techniques<br />
Equipment Yes No Please comment<br />
Evidence of equipment check in<br />
last 6 months / annual service
Suitability for current purpose<br />
Name: DOB: NHS No:<br />
Level of risk identified (please tick)<br />
Please comment<br />
Low Medium High <br />
PROBLEMS IDENTIFIED ACTION PLAN Date Completed<br />
<strong>Moving</strong> up the bed<br />
Sitting up in bed<br />
Turning in bed<br />
Lying to sitting over<br />
edge of bed<br />
Bed to chair<br />
Chair to bed<br />
Chair to chair<br />
Positioning in chair<br />
Sit to st<strong>and</strong><br />
St<strong>and</strong>ing<br />
Walking<br />
Toileting<br />
Bathing/Showering<br />
Up/Downstairs<br />
Other<br />
No.<br />
staff<br />
H<strong>and</strong>ling Plan<br />
Equipment Technique<br />
Level of risk identified (please tick)<br />
Please comment<br />
following risk reduction measures & h<strong>and</strong>ling plan<br />
Low Medium High <br />
Have the physical, emotional, psychological <strong>and</strong> social needs of the client<br />
been considered <strong>and</strong> has the client / family been involved in the assessment<br />
<strong>and</strong> agreed to h<strong>and</strong>ling plan <strong>and</strong> risk reduction methods Yes No <br />
If no, please state why <strong>and</strong> action taken:<br />
1 st Review date<br />
due:
Name: DOB: NHS no:<br />
Review of personal h<strong>and</strong>ling assessment<br />
Date<br />
Changes/Comments<br />
(if any)<br />
Print Name Signature Next review<br />
date due:
Appendix 7<br />
Community Complex - Personal H<strong>and</strong>ling Risk Assessment<br />
Patient Name<br />
NHS No.<br />
Place of<br />
DOB<br />
assessment<br />
Weight<br />
Date Weighed<br />
Height<br />
kg<br />
m<br />
st<br />
ft<br />
lbs<br />
in<br />
Medication<br />
(points to note<br />
e.g. reduced<br />
pain after<br />
medication):<br />
Medical condition<br />
Assessor Name<br />
Signature<br />
Job Title<br />
Date of<br />
assessment<br />
Task/s to be<br />
assessed<br />
Is assistance required with moving <strong>and</strong> h<strong>and</strong>ling Yes No <br />
If yes, please tick one box (Yes or No) to each question<br />
The Person Yes No Please comment<br />
Cognitive impairment<br />
Difficulty with communication<br />
(Use hearing aid or spectacles)<br />
Difficulty following instruction<br />
Physical<br />
Move <strong>and</strong> support their own head<br />
Sit without support<br />
Good range of movement in joints<br />
Comment on any splints.<br />
Walk unaided<br />
(if uses aid, please comment)<br />
Able to st<strong>and</strong>/step around<br />
Wheelchair – assisted<br />
Wheelchair – independent<br />
History of falls<br />
Abnormal movement<br />
e.g. weakness, spasm<br />
Poor skin condition Sensory loss<br />
Problems with feet<br />
Incontinent<br />
In any pain
Name: DOB: NHS no:<br />
Working Environment Is there: Yes No Please comment<br />
Sufficient space to allow safe postures<br />
when h<strong>and</strong>ling<br />
Medical equipment e.g. syringe drivers /<br />
IV infusions / oxygen<br />
Adequate lighting<br />
Variations in floor levels<br />
e.g. thresholds / slippery<br />
Adjustable height equipment<br />
e.g. beds<br />
A comfortable working<br />
temperature/humidity<br />
Other, e.g. pets/smoking<br />
Staff Capabilities<br />
Does h<strong>and</strong>ling the person:<br />
Pose significant risk to staff with a<br />
musculoskeletal problem<br />
Pose a risk to staff who are pregnant<br />
Yes No Please comment<br />
Require staff with unusual strength /<br />
height<br />
Require specific training in addition to<br />
annual moving <strong>and</strong> h<strong>and</strong>ling training<br />
<strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling Tasks Yes No Please comment<br />
Do tasks promote unsafe postures e.g.<br />
stooping, twisting<br />
Are h<strong>and</strong>ling tasks repeated often<br />
Is sustained effort required<br />
Are you able to get close to the person<br />
Are any high risk h<strong>and</strong>ling techniques<br />
used e.g. drag lift<br />
Equipment Yes No Please comment<br />
Is current equipment appropriate for the<br />
tasks<br />
Is there a notice of equipment check<br />
within past 6 months / annual service<br />
Level of risk to staff/patient (please tick) Please comment<br />
Low Medium High <br />
PROBLEMS IDENTIFIED ACTION PLAN Date<br />
Completed
Name: DOB: NHS no:<br />
H<strong>and</strong>ling Plan<br />
No.<br />
staff<br />
Equipment Technique (from st<strong>and</strong>ard list - include any<br />
variations or describe technique fully)<br />
<strong>Moving</strong> up the bed<br />
Sitting up in bed<br />
Turning in bed<br />
Lying to sitting over<br />
edge of bed<br />
Bed to chair<br />
Chair to bed<br />
Chair to chair<br />
Sit to st<strong>and</strong><br />
Positioning in chair<br />
Walking<br />
Toileting<br />
Bathing/Showering<br />
Up/Downstairs<br />
Other:<br />
Hoist / St<strong>and</strong> Aid Details<br />
Make:<br />
Model:<br />
Sling Details<br />
Type: Universal Toileting Hammock<br />
Size: S M L XL<br />
Other:<br />
Level of risk to staff/patient (please tick)<br />
following risk reduction measures & h<strong>and</strong>ling plan<br />
oLow Medium High <br />
Please comment<br />
Have the physical, emotional, psychological <strong>and</strong><br />
social needs of the client been considered <strong>and</strong><br />
has the client / family been involved in the<br />
assessment <strong>and</strong> agreed to h<strong>and</strong>ling plan <strong>and</strong> risk<br />
reduction methods<br />
Yes No <br />
If no, please state why <strong>and</strong> action taken:
THERAPY VARIANCE<br />
TECHNIQUE RATIONALE DESCRIPTION
First review date due: ___________________<br />
Name DOB NHS no<br />
Review of personal h<strong>and</strong>ling assessment<br />
Date<br />
Changes/Comments<br />
(if any)<br />
Print Name Signature Next review<br />
date due:
Appendix 8<br />
GUIDANCE REGARDING RESPONSIBILITY OF STAFF<br />
ORDERING PATIENT HANDLING EQUIPMENT IN THE COMMUNITY<br />
The intention of these guidelines is to clarify the role of the member of staff ordering “moving <strong>and</strong> h<strong>and</strong>ling”<br />
equipment in the community which may be used by staff employed by different agencies e.g. Social Services<br />
Care at Home, Private Carer Agencies. <strong>Newcastle</strong> upon Tyne <strong>Hospitals</strong> NHS Foundation Trust (NUTH) staff<br />
undertake moving <strong>and</strong> h<strong>and</strong>ling assessments where Trust staff are involved in the h<strong>and</strong>ling in question <strong>and</strong> on<br />
behalf of relatives i.e. unpaid carers.<br />
• Community Nurses, Occupational Therapists <strong>and</strong> Physiotherapists, following a risk assessment, may order<br />
hoists <strong>and</strong> other moving <strong>and</strong> h<strong>and</strong>ling aids for use with specific named patients.<br />
• If staff other than those employed by NUTH will use this equipment the manager of the other agency /<br />
agencies should be informed of the order.<br />
• It is not the responsibility of NUTH staff to ensure that agency staff are trained in moving <strong>and</strong> h<strong>and</strong>ling<br />
techniques.<br />
• The member of staff ordering the equipment should demonstrate to “other agency” staff how it is to be used<br />
i.e. the purpose for which they ordered it. Where a large number of carers are involved it may be advisable<br />
that the person responsible for ordering the equipment demonstrates to the manager/senior worker of the<br />
agency, who then ensures his / her staff are properly trained. Care is obviously provided at varying times – a<br />
mutually convenient time should be agreed but in the event of evening or night care, the agency should be<br />
asked to arrange for staff requiring the demonstration to attend during the day.<br />
• If Trust staff are actively involved in the care of an individual, the staff member ordering the equipment should<br />
ensure that all staff are trained in the appropriate use of the equipment <strong>and</strong> details documented in the<br />
patients care plan.<br />
• Trust staff who observe poor / unsafe practice undertaken by other agency staff should inform the relevant<br />
manager e.g. Senior worker (Social Services), Independent provider. The Commission for Social Care<br />
Inspection may be contacted with regard to unresolved unsafe practice.<br />
• Where the equipment is to be used by relatives / informal carers, the staff member ordering the equipment<br />
should ensure that adequate instruction is given <strong>and</strong> that they observe them operating the equipment safely<br />
<strong>and</strong> ensure the appropriate documentation is in the patient’s care plan.<br />
• Therapists should ensure before discharge that relatives/informal carers know:<br />
1) Who to contact in the event of problems with the equipment <strong>and</strong><br />
2) How to re-refer to their services in the event that the equipment no longer meets the need.<br />
• Where there is ongoing relationship, regular review should be undertaken to ensure that risk reduction<br />
measures implemented remain valid i.e. when the patient’s condition changes, when NUTH staff change or at<br />
regular intervals. The interval will vary according to the patient but should not exceed 6 months. The NUTH<br />
is responsible for ensuring that risk assessment is undertaken where their staff are deployed <strong>and</strong> to ensure<br />
that any relevant information is relayed to their staff, patients, relatives <strong>and</strong> any other agency involved.<br />
• All staff using “moving & h<strong>and</strong>ling” equipment have a responsibility to protect their own health & safety,<br />
ensuring that they follow laid down procedure <strong>and</strong> that they achieve <strong>and</strong> maintain the competence to use the<br />
equipment.<br />
• Staff using equipment which has been provided by <strong>and</strong> belongs to the patient should ensure that it is safe to<br />
use <strong>and</strong> has been regularly maintained by the patient.
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST<br />
IMPACT ASSESSMENT – SCREENING FORM A<br />
This form must be completed <strong>and</strong> attached to any procedural document when submitted to the appropriate committee for consideration <strong>and</strong> approval.<br />
<strong>Policy</strong> Title: <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling <strong>Policy</strong> <strong>Policy</strong> Author: Gill Hughes, Lead <strong>Moving</strong> & H<strong>and</strong>ling Co-ordinator<br />
Yes/No You must provide evidence to support your response:<br />
1. Does the policy/guidance affect one group less or more favourably than another on<br />
The policy refers to “all staff” or “all patients who<br />
the basis of the following: (* denotes protected characteristics under the Equality<br />
require assistance with moving <strong>and</strong> h<strong>and</strong>ing” no<br />
Act 2010)<br />
specific group is singled out or excluded. This policy<br />
covers all staff working in the acute setting <strong>and</strong> the<br />
community. All patient assessments <strong>and</strong> staff<br />
training requirements are aimed at the individual.<br />
This policy is required under the <strong>Moving</strong> <strong>and</strong><br />
H<strong>and</strong>ling Operations Regulations 1992 (amended<br />
2002).<br />
• Race * No No specific mention in policy<br />
• Ethnic origins (including gypsies <strong>and</strong> travellers) No No specific mention in policy<br />
• Nationality<br />
For advice on answering the above questions please contact Frances Blackburn, Head of Nursing, Freeman/Walkergate, or, Christine Holl<strong>and</strong>, Senior HR Manager. On completion this form must be forwarded<br />
electronically to Steven Stoker, Clinical Effectiveness Manager, (Ext. 24963) steven.stoker@nuth.nhs.uk together with the procedural document. If you have identified a potential discriminatory impact of this<br />
procedural document, please ensure that you arrange for a full consultation, with relevant stakeholders, to complete a Full Impact Assessment (Form B) <strong>and</strong> to develop an Action Plan to avoid/reduce this<br />
impact; both Form B <strong>and</strong> the Action Plan should also be sent electronically to Steven Stoker within six weeks of the completion of this form.<br />
IMPACT ASSESSMENT FORM A October 2010<br />
No<br />
The communication section of the adult (Appendix 3)<br />
<strong>and</strong> paediatric (Appendix 4) moving <strong>and</strong> h<strong>and</strong>ling<br />
assessment tools includes the option to tick “English<br />
not first language”. This is to ensure that action<br />
can be taken if the patient has difficulty<br />
underst<strong>and</strong>ing explanations from staff assisting with<br />
moving <strong>and</strong> h<strong>and</strong>ling tasks. <strong>Moving</strong> <strong>and</strong> h<strong>and</strong>ling can<br />
depend upon co-operation from the patient to<br />
safeguard patient <strong>and</strong> staff health <strong>and</strong> safety.<br />
Raising awareness of communication problems will<br />
lower risk of injury<br />
• Gender * No No specific mention in policy<br />
• Culture No No specific mention in policy<br />
• Religion or belief * No No specific mention in policy<br />
• Sexual orientation including lesbian, gay <strong>and</strong> bisexual people * No No specific mention in policy<br />
• Age *<br />
• Disability – learning difficulties, physical disability, sensory impairment <strong>and</strong><br />
mental health problems *<br />
No<br />
No<br />
In the Paediatric Assessment Tool (Appendix 4) the<br />
age is recorded as this gives an important indication<br />
of a child’s level of underst<strong>and</strong>ing <strong>and</strong> in cooperating<br />
in regards to <strong>Moving</strong> <strong>and</strong> H<strong>and</strong>ling.<br />
The initial assessment on the adult (Appendix 3),<br />
paediatric (Appendix 4) <strong>and</strong> the Out patient / Daycase<br />
Assessment Tool includes identification of any<br />
learning or physical disabilities <strong>and</strong> hearing <strong>and</strong> sight<br />
problems so that appropriate action can be taken to
safeguard the safety of patients during moving <strong>and</strong><br />
h<strong>and</strong>ling tasks. There is also the need to record<br />
weight <strong>and</strong> height on both the adult <strong>and</strong> paediatric<br />
tools as body size <strong>and</strong> shape has significance in<br />
planning moving <strong>and</strong> h<strong>and</strong>ling for the individual<br />
patient.<br />
On the adult assessment tool there is a section to<br />
check whether the patient’s weight/frame exceed the<br />
safe working load/dimensions of the ward equipment.<br />
This ensures that patient is using equipment that is<br />
safe <strong>and</strong> maintains the patient’s dignity.<br />
• Gender reassignment * No No specific mention in policy<br />
• Marriage <strong>and</strong> civil partnership * No No specific mention in policy<br />
2. Is there any evidence that some groups are affected differently No<br />
3. If you have identified potential discrimination which can include associative<br />
discrimination i.e. direct discrimination against someone because they associate<br />
with another person who possesses a protected characteristic, are any exceptions<br />
N/A<br />
4(a).<br />
valid, legal <strong>and</strong>/or justifiable<br />
Is the impact of the policy/guidance likely to be negative<br />
(If “yes”, please answer sections 4(b) to 4(d)).<br />
4(b). If so can the impact be avoided N/A<br />
4(c). What alternatives are there to achieving the policy/guidance without the impact N/A<br />
4(d) Can we reduce the impact by taking different action N/A<br />
No<br />
The aim of the policy is to safe guard the Health <strong>and</strong><br />
Safety of all staff <strong>and</strong> patients<br />
Comments:<br />
Action Plan due (or Not Applicable): N/A<br />
Name <strong>and</strong> Designation of Person responsible for completion of this form: Gill Hughes, Lead <strong>Moving</strong> & H<strong>and</strong>ling Co-ordinator Date: 22/11/2011<br />
Names & Designations of those involved in the impact assessment screening process: Gill Hughes<br />
(If any reader of this procedural document identifies a potential discriminatory impact that has not been identified on this form, please refer to the <strong>Policy</strong> Author identified above, together<br />
with any suggestions for the actions required to avoid/reduce this impact.)<br />
For advice on answering the above questions please contact Frances Blackburn, Head of Nursing, Freeman/Walkergate, or, Christine Holl<strong>and</strong>, Senior HR Manager. On completion this form must be forwarded<br />
electronically to Steven Stoker, Clinical Effectiveness Manager, (Ext. 24963) steven.stoker@nuth.nhs.uk together with the procedural document. If you have identified a potential discriminatory impact of this<br />
procedural document, please ensure that you arrange for a full consultation, with relevant stakeholders, to complete a Full Impact Assessment (Form B) <strong>and</strong> to develop an Action Plan to avoid/reduce this<br />
impact; both Form B <strong>and</strong> the Action Plan should also be sent electronically to Steven Stoker within six weeks of the completion of this form.<br />
IMPACT ASSESSMENT FORM A October 2010