Health & Safety Executive First Aid Changes

1. Health & Safety Executive First Aid Changes

2. Background • In 2003 / 2004, the Health and Safety Executive (HSE) conducted a review of the Health and Safety (First-Aid) Regulations 1981. • This was aimed at evaluating whether the Regulations were still effective in meeting the needs of modern businesses. • To help inform the review, HSE commissioned research and consulted with stakeholders including employers, employees, first aiders and first aid at work (FAW) training providers.

3. First aid at work stakeholder meeting,2 May 2008 • HSE • Associations • Qualifications and Curriculum Authority/ Office of the Qualifications and Examinations Regulator (QCA/ Ofqual) and SQA Scotland • EDI – Awarding body

4. Two HSE documents • A Guide for Training Providers • For Trainers Guidance now released on HSE website. • Approved Code of Practice and Guidance • For Employers – not available until October • Regulations and the ACOP unchanged

5. Risk Assessment guidelines (Current) • Low Risk • Less than 50 staff = 1 x Appointed Person • 50 – 100 = 1 x First Aider (FAW) • More than 100 staff = Plus 1 x First Aider (FAW) per 100 staff • Medium Risk • Less than 20 staff = 1 x Appointed Person • 20 – 100 = 1 x First Aider (FAW) per 50 staff or Part • More than 100 staff = Plus 1 x First Aider (FAW) per 100 staff • High Risk • Less than 5 staff = 1 x Appointed Person • 5 – 50 = 1 x First Aider (FAW) • More than 50 staff = Plus 1 x First Aider (FAW) per 50 staff

6. Categories of Risk (Current) • Low Risk : Shops, Offices, Libraries etc. • Medium Risk: light engineering and assembly work, food processing, warehousing etc. • High Risk: most construction, slaughterhouses, chemical manufacture, extensive work with dangerous machinery or sharp instruments etc.

7. Categories of Hazard (Proposed) • Risk >>> Hazard • Low Risk = Low Hazard • Medium Risk merged with High Risk >> Higher Hazard

8. Categories of Risk (Proposed) Low Hazard: Shops, Offices, Libraries etc. EVERYTHING ELSE HIGHER HAZARD

9. Risk Assessment guidelines (Proposed) • Low Hazard • Less than 50 staff = 1 Appointed Person • 50 – 100 staff = 1 x First Aider (EFAW) • More than 100 = 1 First Aider (FAW) per 100 staff or part • Higher hazard • Less than 5 staff = 1 Appointed Person • 5 – 100 = 1 First Aider (FAW or EFAW) per 50 staff or part • More then 100 = 1 First Aider (FAW) per 50 staff or part

10. Risk Assessment guidelines (Proposed) • However it is likely that the final number of staff levels will change. • Let’s say for example it’s 25 staff. The proposed provision would look like this:

11. Risk Assessment guidelines (Proposed???) • Low Hazard • Less than 25 staff = 1 Appointed Person • 25 – 50 staff = 1 x First Aider (EFAW) • More than 50 = 1 First Aider (FAW) + 1 per 100 staff or part • Higher hazard • Less than 5 staff = 1 Appointed Person • 5 – 50 = 1 First Aider (FAW or EFAW) • More the 50 = 1 First Aider (FAW) per 50 staff or part

12. Risk Assessment guidelines (Proposed ???)What this means. Current v Proposed (Reverse Order) • Higher hazard (Was High Risk) • Same Except: • Was 5 - 50 = 1 x FAW • Now 5 - 50 = 1 x FAW or EFAW Decrease in FAW and increase EFAW

13. Risk Assessment guidelines (Proposed ???)What this means. Current v Proposed • Higher hazard (Was Medium Risk) • Was Less than 20 = AP • Now Less then 5 = AP • Was 20 – 100 = 1 FAW per 50 staff of part • Now 5 – 50 = 1 FAW or EFAW • BIG DEMAND for EFAW training REDUCTION in FAW • Was more then 100 =+1 FAW per 100 staff • (i.e 100 staff = 2 x FAW, 150 staff = 2xFAW) • Now more than 50 = 1 FAW per 50 staff or part • (i.e 100 staff = 2 x FAW, 150 staff = 3 FAW)

14. Risk Assessment guidelines (Proposed ???)What this means. Current v Proposed • Low Hazard • Was: 50 – 100 staff = 1 x FAW • Now: 25 – 50 staff = 1 x EFAW • Was : More than 100 = + 1 FAW per 100 staff • (i.e 200 staff = 2 FAW) • Now : More than 50 = 1 FAW per 100 staff or part • (i.e 200 staff = 2 FAW) • Slight increase in FAW and Large increase EFAW

15. Provision Of First Aid (October 2009) • Appointed Person • Do not need first-aid training – takes care of FA equipment, calls emergency services etc. • First Aider • Holds a current HSE approved Emergency First Aid at Work certificate – HSE / Ofqual accredited approved course. • First Aider • Holds a current HSE approved First Aid at Work certificate – HSE approved course.

16. Training Providers Approval (October 2009) • First Aid at Work & First Aid at Work Requalification • Your organisation should be approved by the HSE • Emergency First Aid at Work • HSE Approved or • EFAW courses only, Ofqual / SQA recognised Awarding Body eligible to award an accredited qualification in EFAW. • Alternative – ‘Franchise’, Third Party Arrangement • Using a existing HSE approved umbrella organisation – both FAW and EFAW can be delivered.

17. First Aid Training (Current) First Aid Assessment Emergency Aid For Appointed Person 6 Hours approx Certificate valid 3 years First Aid at Work 24 Hours Certificate valid 3 years Year 0 Year 1 Year 2 First Aid at Work Requalification 12 Hours Certificate valid 3 years Emergency Aid For Appointed Person 6 Hours Approx Certificate valid 3 years Year 3

18. First Aid Training (Proposed) First Aid at Work 18 Hours Certificate valid 3 years Emergency First Aid at Work 6 Hours Certificate valid 3 years Year 0 First Aid Need Assessment Year 1 Basic Skills Update Annual Refresher 3 hours Basic Skills Update Annual Refresher 3 hours Year 2 First Aid at Work Requalification 12 Hours Certificate valid 3 years Emergency First Aid at Work 6 Hours Certificate valid 3 years Year 3

19. First Aid Assessment First Aid at Work Appointed Person First Aid at Work Less than 12 candidates = 1 Trainer More than 12 candidates = 2 Trainers Formal assessment for candidates 6 or less candidates = 1 Assessors More than 6 candidates = 2 Assessors Emergency Aid For Appointed Person (October 2009) No formal assessment for candidates

20. FAW 4 days to 3 days – What goes? To reduce the current 4 day course to 3 days Remove: • Casualty Transportation • Recognise minor illnesses • Legal Framework, employers duties. • Other items: • Bandaging • Physiology, Anatomy

21. What is the New FAW 3 day course? The FAW is: EFAW + Additional Skills

22. Emergency First Aid at Work course – 6 hrs • role of the first aider, equipment, recording incidents and actions • importance of basic hygiene • act safely, promptly and effectively in an emergency • unconscious and/or in seizure • administer cardiopulmonary resuscitation • wounded or bleeding and/or in shock • choking • minor injuries

23. First Aid at Work course – 18 hrs (3 days) • All skills from EFAW • Recognising major illnesses • injuries to bones, muscles, joint, including suspected spinal injuries; • chest injuries; • burns and scalds; • eye injuries including how to irrigate an eye • sudden poisoning and anaphylactic shock.

24. Yearly Refresher Course – 3 hrs • Note: Same course for both FAW & EFAW • assess the situation in an emergency. • administer first aid to a casualty who is unconscious and/or in seizure. • administer cardiopulmonary resuscitation. • administer first aid to a casualty who is wounded or bleeding and/or in shock. • Updates or changes to relevant first-aid procedures.

25. Yearly Refresher Course – 3 hrs Yearly Refresher Courses are not mandatory But areStrongly Recommended by the HSE

26. 3 hr Refresher Course • assess the situation in an emergency. • administer first aid to a casualty who is unconscious and/or in seizure. • administer cardiopulmonary resuscitation; • administer first aid to a casualty who is wounded or bleeding and/or in shock.

27. HSE Approval and Costs Initial Cost: £1,512 • Submit Documentation • Original Approval Visit (Paperwork check) • Assessment Visit (View Training) Ongoing: Post Approval Monitoring Visit min 1 per five years*. Cost: £567 per visit. Cost Per Trainee Certificate - £0 Approval Validity: 5 years. Renew Fee £106 * Multi-Site training providers will have increases number of post monitoring visits.

28. QCAOfqual / SQA Route. • EFAW course ONLY • Qualification is 6 hrs training + 4 hrs reading. • 1 Credit under the Qualifications and Credit Framework. • Credits Build: • Awards (1-12 credits) • Certificates (12-36 credits) • Diplomas (37 credits)

29. Ofqual Awarding Bodies - EFAW • EFAW course ONLY • First Aid Qualifications >> Future (Awards and Qualifications) Ltd. • Swimming Teachers' Association (STA) • ASET >> EDI

30. Ofqual Awarding Body Approval • EFAW course ONLY • Centre Approval – similar to HSE approval • Yearly monitoring visits • Charge per Certificate

31. Costs • EFAW course ONLY • Centre Approval - £350 - £500 • Yearly monitoring visits – Free - £400 • Charge per Certificate £15 - £16 + VAT

32. Which Route ? • Run FAW and EFAW • HSE approval • ‘Franchise’ – Third Party • EFAW ONLY • Ofqual Awarding Body • Check charges / ongoing costs • Range of other qualifications offered.

33. Open Question Time