Working Well Sometimes...

Jane Coombs

I am a strategic adviser on health, safety and wellbeing based in the UK, having over 25 years in many types of industry from manufacturing, local government, railway and construction where I have advised some of the biggest (and the smallest).Most recently I worked in the NHS as a Covid 19 adviser during the pandemic.I explain things simply - why use a long word when a short one will do? Join me as I explain about health, safety and wellbeing from a business perspective, show the reason and the way to do it, and muse on the meaning of life in between.

  1. 04/05/2021

    Four Chronological Steps of an OHS Clinical Audit (Free Checklist)

    NICE (National Institute of Health and Care Excellence) defines a clinical audit as follows: Audit in healthcare is a process used by health professionals to assess, evaluate and improve care of patients in a systematic way. Audit measures current practice against a defined (desired) standard. It forms part of clinical governance, which aims to safeguard a high quality of clinical care for patients Recently I’ve had several requests regarding how to audit occupational health practice. The first question to me was 'How on earth do you audit an occupational health service which has never had an audit before? Where do you start?' Here I take you through a simple and pragmatic way of auditing an occupational health service to improve consistency and quality over your whole organisation or maybe just one process which needs modifying. Audit is a daunting task if you’ve never done it before but if you use a stepped approach, it becomes simpler. The hardest part being the planning. If you’ve audited nothing before in your organisation, start with something simple and small. The fours steps are: 1. Planning the audit,  2. Doing the audit,  3. Checking against the standards and  4. Action, that is, correcting all the things you've discovered aren't compliant with what you wanted. To illustrate my four step approach, I will go through a clinical notes audit because every OH service keeps clinical notes and, being a paper exercise, will not interfere with day to day work. How to decide what needs auditingFind out what you need to do at each stage and why Issues to avoid and problems which can occurNo long words to confuse you Links to research and the checklist from my website blog which accompanies this podcast: Download the Free Notes Audit Checklist here Read the full article which accompanies this podcast with much more detail here. Further Reading/Resources to help with Audit: Faculty of Occupational Medicine advice on Data Protection in Occupational HealthSee also SEQOHS website for accrediting your OH services at www.seqohs.orgAudit and audit cycle for Medical Professionals on the Patient websiteBest Practice in Clinical Audit from Healthcare Quality Improvement PartnershipIntroduction to Clinical Audit in OH from my websiteA brief summary of Plan, Do, Check, Act from the HSE

    11 min
  2. 09/19/2020

    Doing a Simplified Ethnic Minority Risk Assessment for Covid19

    Early on in the pandemic, speculation about how badly Covid-19 affected those from ethnic minorities was rife but once identified, interest and how best to assess the risk and protect these workers started. There is a great system which many use and I share it here. Just to be clear I am not claiming any glory, this system is not mine to claim, but this article spreads the word (especially to my worldwide audience) and helps those from less informed backgrounds of where to start with these complex ethnic minority risk assessments. ALAMA Website Most clinicians use the ALAMA guidelines. First to assess risk (based on gender, body mass index, race, pregnancy, and underlying health conditions)Quantify individual risks into high, medium, low risk of having a serious effect on the worker (vulnerability).In each risk group there are simple control methods to adopt.To do the assessment, it helps if you have medical or nursing training because sometimes you have to make a clinical judgement based on conflicting factors. But if you have nothing else - follow the guidance. To read the associated blog: The Easy Way to Protect your Ethnic Minorities from Covid19 Or if you just want the links - look down Links to Resources ALAMA websiteDownloadable questionnaire on the ALAMA websiteNHS Infographic "impact of Covid19 on BAME staff in NHSCohorting patients in a clinical settingPregnancyAdvising of current guidelines to protect yourself and others, e.g. social distancing, hand-washing, self-isolatingPersonal protective equipment at work from the HSEGet a free NHS test to see if you have corona virusTest and trace procedures how it all worksAdvice for different workplaces about working safely from Gov UKBMI CalculatorNHS Risk Assessment GuidanceRead the article from the Civil Service: Please don't call me BAME or BME (Black, Asian, Minority Ethnic)

    12 min

About

I am a strategic adviser on health, safety and wellbeing based in the UK, having over 25 years in many types of industry from manufacturing, local government, railway and construction where I have advised some of the biggest (and the smallest).Most recently I worked in the NHS as a Covid 19 adviser during the pandemic.I explain things simply - why use a long word when a short one will do? Join me as I explain about health, safety and wellbeing from a business perspective, show the reason and the way to do it, and muse on the meaning of life in between.