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Occupational Health Services Provided

Fitness for Work Assessments / sickness absence / Case Management

Fitness for Work Assessments / sickness absence / Case Management

Fitness for Work Assessments / sickness absence / Case Management

Managing  attendance  and  performance, and supporting  employees  in  work   can  be  challenging for employers and employees,  particularly  when  employees  develop  chronic  health / medical  conditions or a Disability  and  may  require  reasonable adjustments to help them stay  in or return to work after sickness.  


A fitness for wor

Managing  attendance  and  performance, and supporting  employees  in  work   can  be  challenging for employers and employees,  particularly  when  employees  develop  chronic  health / medical  conditions or a Disability  and  may  require  reasonable adjustments to help them stay  in or return to work after sickness.  


A fitness for work  medical  assessment  can help employees to stay in work and will facilitate a speedy and effective return to work. All our fitness for work assessments are  undertaken  by  our  accredited  specialist  consultant in  Occupational  Medicine who is a Fellow of the Faculty of Occupational Medicine, London and Ireland.  


Following receipt of a detailed   management  referral form, cases  are  e-triaged by the accredited specialist within  1 - 2 working  days and you will then receive feedback on an appointment date and time. Some more complex cases may require additional time for an appointment over and above the routine 60 minutes.


Appointments are usually available within 10-15  working days of e-triage, by telephone / video consultation or by face  to  face  assessments  in  cases  who  require  a  physical  examination.  Appointment  duration    and  costs  will  be  determined  by the  case  complexity  of the case by  e-triage  of  referrals. Some complex referrals will require a double appointment. All  fitness  for  work  referrals  are  assessed  by  the  accredited  specialist  consultant  in  occupational  medicine and appointments are for a minimum of 60 minutes.


Assessment  includes  taking a medical  and  occupational  history,  reviewing any medical information provided, examining and undertaking an assessment  of  functional  capacity.  The outcome is a  fitness  for  work  report  back  to  the  referrer,  answering  any  specific  questions  in  the  referral  form.  The employee (patient) will also be given health advice, treatment recommendations, and may be referred back to their GP and/or other specialist if their treatment has not been optimised. This is known as a direct patient care aspect of our expert service.


Reports will be completed  either the same day or within 2 working days, and made available for the client to view prior to or at the same time as being  sent  to  management  (in  line  with  GMC  and ethical guidance).


The comprehensive occupational medicine fitness for work reports will then be e-mailed as password  protected PDF documents  to  the  referrer, to maintain confidentiality. In a self referral this will be sent to the individual, who then has the control as to who to share the report with. 


To  refer  your  employee  for  an  occupational  Health / Medicine  Assessment,  please  follow  the  tab  above to  'Management  referral',  complete  the  online  referral  form fully and then submit. It is important sufficient background information is provided to enable e-triage to be as effective as possible.


Rates  for  occupational medicine assessment  and  report  from  an  accredited  specialist  /  consultant  physician  in  occupational  medicine  are  in line  with  the  BMA  Hourly  rates  found  at:-


https://www.bma.org.uk/pay-and-contracts/pay/rate-cards/consultant-non-contractual-rate-card

Pre-employment (placement) Health Assessments

Fitness for Work Assessments / sickness absence / Case Management

Fitness for Work Assessments / sickness absence / Case Management

Our specialist occupational health nurse will support you in the recruitment of new employees, provide advice on their  fitness for their role, any adjustments which will facilitate them to undertake the role and will also undertake baseline health surveillance  as  required  by  the  occupational  health  needs  assessment and pre-placem

Our specialist occupational health nurse will support you in the recruitment of new employees, provide advice on their  fitness for their role, any adjustments which will facilitate them to undertake the role and will also undertake baseline health surveillance  as  required  by  the  occupational  health  needs  assessment and pre-placement risk assessment and  providing  a  fitness  for  work certificate  /  report within 1-2 working days.


The  pre-employment  health  assessment  occurs after the employer has provided a firm offer of employment and is tailored to the requirements of the post and any fitness standards to be applied. 


The process  includes  the individual completing  a  confidential medical  history  questionnaire,  an assessment  by  a  specialist OH  nurse  and  baseline  testing  to  your  requirements /  job  risk  assessment in line with your individual policies e.g.  safety critical medicals, drug  and alcohol testing,  lung  function  testing,  skin  assessment,  baseline hearing  tests,  or  other  assessment requirements  Identified by the risk assessment.


The specialist  OH  nurse will  examine  the  client,  including  an assessment of underlying health conditions and  providing  advice to the individual on  the management of any existing  health  conditions, their treatment and whether any signposting is required for additional investigations or treatment. The outcome will be a fitness for work report  providing  advice  on  any  adjustments  you  may need  to  consider  under  the  Disability Discrimination  Act 1995  (as  amended), or Equality Act.


A  fitness for  work report  will  be  provided  within  2  working  days  and  advice  will also be given  on  the  suggested  frequency  of  ongoing  medicals  /  health  surveillance  required  in  individual  cases, based on risk assessments..  


The pre-employment / pre-placement health assessment appointment provides new employees with specific health advice, can pick up previously undiagnosed health conditions and signpost for further assessment / treatment. It also provides an excellent opportunity to educate new employees on maintaining their health and wellbeing and provide specific advice on e.g. the use of PPE and how they can prevent occupational related ill health.

Health Surveillance and Ionising Radiation Medicals

Fitness for Work Assessments / sickness absence / Case Management

Health Surveillance and Ionising Radiation Medicals

Health  assessment  and  Health  Surveillance  will  be  undertaken  on  your  premises  by  a  specialist  OH  Nurse.


The  purpose  of  statutory health  surveillance  is  to  identify  the  early  signs  of  work  induced  health  conditions  to  enable  preventative  action  to  be  taken as soon as possible.


We will help you to  meet yo

Health  assessment  and  Health  Surveillance  will  be  undertaken  on  your  premises  by  a  specialist  OH  Nurse.


The  purpose  of  statutory health  surveillance  is  to  identify  the  early  signs  of  work  induced  health  conditions  to  enable  preventative  action  to  be  taken as soon as possible.


We will help you to  meet your Legislative requirement for Statutory  health surveillance under the relevant Regulations such as the  Control  Of  Substances  Hazardous  to  Health  (COSHH), Noise and Vibration  at  work  Regulations,  Ionising  Radiation  Regulations, Control of Asbestos Regulations.


Under  COSHH  -  exposure to various chemicals / substances can cause occupational asthma, or skin conditions. Health  surveillance  includes  administering  a  respiratory  questionnaire  and  undertaking  lung  function  testing  (spirometry)  and  undertaking a  skin  inspection  /  examination. Further investigation and assessment will be required when abnormal results are detected, including referral to the accredited specialist consultant in occupational medicine.


Under  the  Noise  at  Work  Regulations ,  a  hearing  questionnaire  and  hearing  test  (audiometry)  will be  undertaken  at  appropriate  intervals and the results will be assessed against the Health and Safety Executive guidance on the control of noise at work regulations. If noise induced hearing loss is detected, the individual will be advised, the case will be screened by the accredited specialist and advice given on an increased frequency of noise health surveillance in such cases.   


Under  the  Control of Vibration  at  Work  Regulations,  Hand  Arm  Vibration  (HAV)  Health  surveillance  by  questionnaire  and  examination  will  be  undertaken  by  a  HAVS qualified specialist  OH  Nurse.  Tier  4  diagnostic HAVS  assessments  are  undertaken  by  the  HAVS qualified accredited  specialist  consultant  in  occupational  medicine  in  the  OccMed Offices in Mid Ulster. 


Individual  reports  will be provided back to management, which include the results of health surveillance and also   a report of anonymised grouped  results  will be  provided  


This enables the employer to  hold  the  relevant  'health  record' for each employee  and  also to check  their  existing controls  as  recommended  in  the  Legislation.  


Health surveillance appointments with the specialist OH nurse also affords an opportunity to undertake health promotion and prevention, a general health assessment, identify any new health conditions and proactively signpost for further assessment / investigation / treatment. 

Occupational Medicine / CMO Advice

Fitness for Work Assessments / sickness absence / Case Management

Health Surveillance and Ionising Radiation Medicals

In delivering specialist occupational medicine advice, the accredited specialist consultant will provide chief medical officer level advice and  will work with you to plan and deliver a bespoke occupational health & Wellbeing service to your requirements. 


We will develop a Service Level Agreement (SLA) for this expert aspect of service de

In delivering specialist occupational medicine advice, the accredited specialist consultant will provide chief medical officer level advice and  will work with you to plan and deliver a bespoke occupational health & Wellbeing service to your requirements. 


We will develop a Service Level Agreement (SLA) for this expert aspect of service delivery, including agreeing KPIs and outcome measures. This will be based on an occupational health needs assessment developed with you by our accredited specialist.


We can provide expert medical and leadership advice at CMO level on all aspects of health and wellbeing, fitness for work,  health protection and prevention, the management of disabilities in work, policy development and ongoing specialist support and advice to management when any challenging, health related issues develop in their workforce. 


We will provide an overall cost, including consultancy costs and in smaller organisations a retainer scheme delivery model for any contact and advice required in between agreed delivery days. 


This is a highly recommended aspect of our offering to employees at a time when the numbers of accredited specialists in Northern Ireland has reduced significantly in the last few years. This provides you with access to specialist advice from an accredited specialist in Occupational Medicine 46 weeks per year. 


This enables organisations to develop a proactive occupational health and wellbeing strategy and deliver this in their organisations to ensure the health and wellbeing, performance, productivity and overall wellbeing of all employees. 


It is known that investment in this level of service can pay for itself up to 6 times over. 

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