M anagement & H ealth A ction P lanning S ystems -Manual Handling-

1. Management & Health Action Planning Systems -Manual Handling-

2. ‘The purpose of health and safety legislation is to give structure, procedures, and routines, which can be included in the everyday life of the individual. The risk assessment should be part of the employee’s life and not a piece of paper locked away in a file.’ Hutter (2001)

3. Legislation • H&SAW 1974 • PUWER 1998 • LOLER 1998 • MHOR 1992 (2004) • Care Act 2014 • Standard 13.3 a,b,c • Care Certificate • Assessment framework

4. What is Working ? • Manual handling training is mandatory • Policies are in place • Assessments are in place • Documentation is audited • MOHR 1992 is applied • All is well?

5. What Still Happens? • deaths relating to MH • incidents reported involving SU • Staff regularly injured • Thousands of £’s lost in sickness/absence • Thousands of £’s lost in litigation • SU and staff exposed to risk everyday • Falls happen! • Poor communication of care plan

6. Health and Safety at Work Act, 1974 • The Act imposes general duties on employers to secure the health, safety and welfare of people at work, and protect others against risks arising from the work activity.

7. Health and Safety at Work Act, 1974 • Section 2(1) of the Act makes it the duty of every employer to ensure, as far as is reasonably practicable, the health, safety and welfare at work of all his employees. • This includes: • provision & maintenance of plant and systems of work that are safe and without risks • Provision of Information, instruction and training

8. Health and Safety at Work Act, 1974 • Section 3(1) of the Act makes it the duty of every employer to conduct their undertaking in such a way as to ensure, so far as is reasonably practicable, that persons not in his employment who may be affected thereby are not exposed to risks to their health or safety

9. Layers of protection

10. Layers of protection Legislation and regulation Policy and procedure Approved codes of Practice (ACOP) Risk assessments Patient centred care plans (PCCP) Dynamic risk assessments

11. DANGER Some 'holes' due to active failures Defences in depth Other 'holes' due to latent conditions

12. Multi-Causal Theory “Swiss Cheese” diagram (Reason, 1991)

13. Factors Contributing to Human Error • Environmental Factors • Light • Noise and Vibration- Alarms! • Temperature • Humidity • Restrictive/ protective clothing • Equipment layout and design • Physical environment

14. Factors Contributing to Human Error • Some examples of personal factors • Fatigue • Stress • Workload • Distraction • Drugs/ Alcohol • Hypoglycaemia • Hypovolaemia

15. Discussion • If people try hard enough they will not make any errors • If we punish people when they make errors, they will make fewer of them

16. Discussion • If people try hard enough they will not make any errors • If we punish people when they make errors, they will make fewer of them

17. To help you comply with LOLER and PUWER, MHAPS Ltd have designed this poster -displayed in the key areas. -reminds staff of their duties -demonstrates to all visitors that patient safety is taken seriously -helps express due diligence

19. Pictograms designed to be - easily understood - easily interpreted - cross language barriers • give clear instruction, at a glance -multiple scenarios covered

20. Development of PEEP information Patient requires evacuation by BED Patient requires evacuation By CHAIR (with or without assistance) See MHAPS Plan ! Patient Emergency Evacuation Plan Patient is MOBILE (with or without assistance) See MHAPS Plan

21. MHAPS poster - clearly visible - easily interpreted - cross language barriers • give clear instruction, at a glance • can be displayed in clients room • indisputeable instruction • training tool

22. Demonstration

23. Complete Assessment Mr Nipper Lombardy 4th April 2010 Rt Sided Stroke 25 High 15 st 7lb Paul Sylvester / Mo Johnson (OT) Handling Belt Develop Action Plan Oxford Midi QF deleux 2 hourly Large Slide sheet Assessment Review Date 01 10 10 T

24. PEEP ACTION Mr Nipper Lombardy 4th April 2010 Rt Sided Stroke 25 High 15 st 7lb Paul Sylvester / Mo Johnson (OT) Handling Belt Oxford Midi Staff Action Plan QF deleux 2 hourly Large Slide sheet 01 10 10 Management data T

25. Any Questions? For further information please contact Paul Semans 07590 055 515