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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 />

Page 6 of 27


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 />

Page 7 of 27


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 />

Page 8 of 27


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 />

Page 10 of 27


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

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