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Network Name Risk Management Patient and Staff Safety Security Sarah Beattie Security Management Specialist V7 August 2011
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Risk Management
Patient and
Staff Safety
Security
Sarah Beattie Security Management Specialist
V7 August 2011
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Background
• Counter Fraud and Security Management
Service launched 1st April 2003. The SMS remit
is defined in law – Statutory Instrument 2002 No.
3039 – “the CFSMS shall have policy and
operational responsibility…for the management
of security within the NHS”. Now called NHS
Protect
• Question asked following National Audit Office
Report – “A Safer Place to Work”
• Secretary of State Directions issued on 20th
November 2003
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SoS Directions 2003
• Health Bodies to have a nominated Executive Director with voting rights and Non-Executive Director
• Accredited Local Security Management Specialist
• National Incident Reporting System
• Legal Protection Unit
• National Syllabus of Conflict Resolution Training
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Generic Areas
Pro-security culture
Deterrence
Prevention
Detection
Investigation
Sanctions
Redress
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What is a Security Incident ?
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Definition
Physical assault - ‘the intentional application of
force to the person of another, without lawful
justification resulting in physical injury or personal
discomfort.’
Non-physical assault - ‘the use of inappropriate
words or behaviour causing distress and/or
constituting harassment.’
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LCFT Security Priorities
• Staff awareness
• Violence and aggression
• Lone working
• Tailgating
• ID badges
• Keys management
• Property / assets
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Risk Management
Patient and
Staff Safety
Risk Management
Paul Egerton Health & Safety Manager
Risk Management Advisor for Secure Services & North Lancs.
Paul Morris
Risk Management Advisor for Central & East Lancs.
V7 August 2011
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Introduction
1. Why do we need to manage risk at all?
2. Risk identification and examples
3. Providing a safe working environment
4. Summary
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Risk
“Anything that could cause harm to
stakeholders to whom the Trust owes a
duty of care, or, which threatens the
achievements of the Trust’s strategic
objectives*”
*HSE/DOH Definition
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Contractors
Patients and Clinical Staff
Trust Board/Management Admin Staff
Who is affected?
Carers /General Public
Everyone who comes into, or works in or uses our services!
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Why manage risk?
Legal ~ to avoid prosecution
Humanitarian & Moral reasons
NHS Standards
Costs ~ financial loss
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Humanitarian & Moral
17% lower than the 5 year average
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Patient safety
Patient safety is a paramount priority
All patient safety incidents are reported to the
National Patient Safety Agency ~ NPSA
NPSA issue safety alerts
The Trust produces “Blue” & “Green” Light safety
alerts
Vital to report all incidents to “share the learning”
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Legal
The Health and Safety at Work etc. Act 1974
Section 2, Duty of care to people in our employ
Section 3, Duty of care to people not in our employ
Section 7, Duty of care of employees
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NHS Standards
There are various standards specific to the NHS
incorporating legal, financial, and moral obligations
National Patient Safety Agency (NPSA)
Care Quality Commission (CQC)
Mental Health Act Commission
NHS Litigation Authority Standards (NHSLA)
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Cost
2010/11: the NHSLA paid out a total of £911M, in
claims
Average claim takes 1.46 years reach settlement
34 million working days lost each year ( UK PLC)
North West Hospital Fined £5k in connection with
window restrictors
( Nov 07, 4th in one year)
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Why report incidents
All staff MUST report incidents
Learn from experience
Consider:
What went wrong?
Why did it happen?
What can be done to prevent the incident
re-occurring?
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Why report incidents
To err is human
To cover up is unforgivable
To fail to learn is inexcusable Sir Liam Donaldson
(Former Chief Medical Officer’s Quote in 2004)
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Categories of incidents
Patient Safety
Fire
Ill health ~ Work related (staff)
Personal accident ~ staff
Security
Vehicle
Violence
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Mechanical: Machine breakdown, lack of
maintenance, in built fault
Human Error: Distraction, knows better, fooling
about, complacency
Inexplicable: Just don’t know
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Causes of Accidents
Human Error: Distraction, knows better, fooling
about, complacency 88%
Mechanical: Machine breakdown, lack of
maintenance, in built fault 10%
Inexplicable: Just don’t know 2%
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Hazard: anything with the potential to cause harm
• Physical: electricity, noise, heat
• Chemical: acid, water, alkali
• Biological: legionella, HIV virus
• Human: me, you, patients, visitors
Risk: is the likelihood that a hazard will cause harm
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The Hazard
High Risk
Medium
Low Risk
No Risk
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Caused by:
Floor surfaces ~ badly maintained,
obstructions, trailing cables etc
Footwear ~ incorrect type for job, condition etc
Spillages ~ water, oils, waste etc
Slips & Trips
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1. Auxiliary nurse slipped over on a wet floor,
off work for 6 weeks
2. Six months later complications set in, followed by
surgery
3. After 5 years of legal proceeding she was awarded
£650,000 in compensation
Slips & Trips
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Slips & Trips
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What can be done?
No matter how trivial it looks:
Clean it up
Tidy it up
Ask for help
Don’t walk by
Report it
Slips & Trips
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Equipment
DO NOT use equipment unless you are
fully trained, competent and confident to do so.
Defective/faulty equipment must NOT be used
under any circumstances
Items that are designated as single
use are just that ~ SINGLE use only. 2
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Display Screen Equipment
Complete a
DSE self-
assessment
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Workstations
A
B
C
D
E
F
G
H
A
B
C
D
E
F
G
H
350-600mm (700 max)
Eyes cast down at angle of 15° to 20° Approx.
Fully adjustable seating
Stable base
Wrist supports
Approximately 90°
Thigh clearance
Footrest if required
I
I Document holder
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Workplace Stress
• Do not suffer in silence, discuss with
you line manager / colleagues
• Take advice and support
• Pressure is good, stress is not!
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Remember
Ensure you adhere to all training given
Act responsibly
Report all incidents, accidents and near misses
Inform your manager of any concerns or unsafe practices
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Thank you for your time & attention.
Any Questions?
Patient Safety Lead Kath Parker 01772 773 583 Health & Safety Manager. Paul Egerton 0750 783 8973 Risk Management Advisor for Secure Services & North Lancs. Risk Management Advisor for Paul Morris 0750 785 3562 Central & East Lancs. Security Management Specialist Sarah Beattie 01772 773 584 Datix Administrator Janet Makinson 01772 773 588
