Table of Content Introduction............................................................................................................................3 Task 1A: Implementation of health and safety legislations in health care workplace..............3 1.1 Reviewing systems, procedures and policies for ensuring effective communication of information on health as well as safety according to legislative requirements [P1.1, D1].......3 1.2Assessingresponsibilitiesforstakeholdersasspecificationgiveninlegislationsto promoteeffective practices in health care at workplace [P1.2]...............................................1 Task 1B: Implementation of health and safety legislations in health care workplace..............2 1.3 Discussing how safety legislations are being followed in the health care workplaces [P1.3, M1]...............................................................................................................................2 Task 2: Impact of health as well as safety requirements on customers as well practitioner's work in the healthcare workplace...........................................................................................3 2.1Analysisonhowriskassessmentinformationisabletoinformcareplanningfor organisational as well as individual decision-making [P2.1, M2].............................................3 2.2 Analysis of the impact of one aspect of healthcare policies [P2.2]....................................5 2.3 Discussion on how dilemma could be addressed by implementing policies of health as well as safety [P2.3]...............................................................................................................6 2.4 Analysis of effects as well as implications of non-compliance with legislations of health as well as safety in healthcare workplace [P2.4, M3]..............................................................6 Task 3: Monitoring and reviewing health as well as safety in healthcare workplace...............7 3.1 Explanation on monitoring and reviewing of health as well as safety practices and policies in workplace [P3.1]....................................................................................................7 3.2 Analysis of effectiveness of practices and policies on health as well as safety policies in healthcare workplace to promote positive health as well as safety culture [P3.2, D2]............8 3.3 Evaluation of contributions to place health as well as safety requirements in healthcare practices [P3.2, D2]................................................................................................................8 Conclusion.............................................................................................................................8 Reference list.......................................................................................................................10 2
Introduction Health and safety is an important aspect in healthcare organisations. Individuals seek their health as well as safety in the workplace. In this study, the researcher has tried to explain the implementation of health as well as safety legislations within the health as well as safety workplace. In order to do this, the researcher has provided a review of the policies, systems and procedures that would ensure effective communication of information related to health and safety within the workplace. Moreover, an assessment of the responsibilities of various stakeholdersofhealthcareorganisationshasalsobeendoneforpromotingeffective practices of healthcare organisations. An analysis on the priorities of health as well as safety appropriate for healthcare workplace has also done by the researcher. The impact of health as well as safety requirements on customers or practitioners within healthcare organisations has also been discussed in this study. At the end of this study, a monitoring, as well as review,hasalsobeendoneonthehealthaswellassafetywithinthehealthcare organisations.Inthisstudy,theresearcherhasconsideredMidStaffordshireNHS foundation trust as a healthcare home. Task 1A: Implementation of health and safety legislations in health care workplace 1.1Reviewingsystems,proceduresandpoliciesforensuring effective communication of information on health as well as safety according to legislative requirements [P1.1, D1] Health and safety at work act 1974: Thisparticularactcoversseveralissuesrelatedtohealth,welfareandsafetyatthe workplace of various sectors. Under this act, every employee is responsible for taking care of the health and safety of other employees working with him or her within the workplace (Aveyard, 2014, p.21). Health and safety at work regulations 1992: After refining the act 1974, this act has been implemented which states that the employers are responsible for carrying out an assessment on all possible risks that would occur in the workplace and record the findings. Under this act, the employers are obliged to implement measuresonhealthaswellassafety,toimplementemergencyproceduresforthe employees, provide them clear information about any type of risks as well as providing them training to work together by keeping the workplace safe to work in (Barnoux and Wood, 2013, p.241). 3
Health and safety regulations 1981: This act states that the employers are obliged to ensure first aid equipment is present along with trained first aiders at the workplace for providing first aid in case of emergency. Under this case, the employers should also provide appropriate information about the correct first aid arrangements to be provided in case of any type of emergency. Food safety act 1990, food safety regulations 1995 (General food hygiene) and food safety regulations 1995 Temperature control: This act covers services related to food, storage and preparation along with requirements for the registration of food business as either a profit or non-profit organisation. Clubs canteens, as well as care homes, could be included within the food business. According to this act, the localauthoritiesenforcethisactontheorganisationsthroughtradingstandardsand environmental health (Cameronet al.2014, p.226). In case the local authority has failed to fulfil the requirements, the local standard agency could take an intervention. With the help of these acts and legislations, health, as well as safety, could be implemented within the healthcare organisations. In the UK, the health department has been implementing several policies on health as well as safety within the healthcare organisations. The health department is obliged to develop and implement policies within the workplace to provide appropriate health care services to people in the UK. This department provides these policiestootherorganisationsandisobligedtomonitorservicesprovidedbyother organisations and ensure they have followed policies. The health department ensures health care services at the local level and local governments help them in this process. 4
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1 FACT SHEET HEALTH CARE LEGISLATIONS Health and safety at work act 1974: This particular act covers several issues related to health, welfare and safety at the workplace of various sectors. Under this act, every employee is responsible for taking care of the health and safety of other employees working with him or her within the workplace. Health and safety at work regulations 1992: After refining the act 1974, this act has been implemented which states that the employers are responsible for carrying out an assessment on all possible risks that would occur in the workplace and record the findings. Under this act, the employers are obliged to implement measures on health as well as safety, to implement emergency procedures for the employees, provide them clear information about any type of risks as well as providing them training to work together by keeping the workplace safe to work in. Health and safety regulations 1981: This act states that the employers are obliged to ensure first aid equipment is present along with trained first aiders at the workplace for providing first aid in case of emergency. Under this case, the employers should also provide appropriate information about the correct first aid arrangements to be provided in case of any type of emergency. Food safety act 1990, food safety regulations 1995 (General food hygiene) and food safety regulations 1995 Temperature control: This act covers services related to food, storage and preparation along with requirements for the registration of food business as either a profit or non-profit organisation. Clubs canteens, as well as care homes, could be included within the food business. According to this act, the local authoritiesenforcethisactontheorganisationsthroughtrading standards and environmental health. In case the local authority has failed to fulfil the requirements, the local standard agency could take an intervention.
1.2Assessingresponsibilitiesforstakeholdersasspecification given in legislations topromoteeffective practices in health care at workplace [P1.2] The governmental and non-governmental institutions in the UK have planned health, as well as safety within the healthcare organisations. There is a public health system as well as health care under the UK government. Responsibilities have been distributed between local authorities and health department within this system. This system has been considered as an integrated system where every organisational body possess responsibilities within the health as well as safety at health care workplace. Honestywithserviceusers:Themanagementofthehealthcareorganisationis responsible for ensuring that service users have informed appropriately problems related to treatment. The service providers are responsible for noticing of the medical report to the service users. Professional competence:The healthcare professionals should be committed to learning and providing proper and quality treatment to service users. The healthcare organisations, as well as the service users, are responsible for identifying competencies for managing treatment of service users (Cooket al.2015, p.25). Improved care quality:The healthcare organisations should be dedicated to improvement on a continuous basis in a quality of healthcare services. The organisation should take steps and measures for reducing medical errors, minimising the resource overuse, increase the safety of service users, etc. Maintainingtrust:Thehealthcareprofessionals,aswellasorganisations,could compromise duties as well as treatment, which would lead to a cause of hazard for the service users. They are responsible for disclosing and recognising possible steps and processes to the people.The healthcare organisations,as wellas service users, are responsible for avoiding conflict regarding their personal interests for maintaining trust (Drummondet al.2015, p.27). Professional responsibility:The healthcare organisation is responsible for respecting their duty, provide quality service to the service users, and participate in the self-regulation process. Maintain a code of ethics:The health care organisations should have their own code of ethics and try to maintain them. According to the study of WHO, it has been observed that most healthcare organisations do not follow the code of ethics within their organisation's practices (Emersom and Einfeld, 2011, p.29). 1
The management of the healthcare organisation should maintain the systematic use of the set techniques to identify as well as remove hazards within the healthcare workplace.They are also responsible for controlling possible risks while influencing behaviour as well as attitude during the use of these techniques. Task 1B:Implementation of health and safety legislations in health care workplace 1.3 Discussing how safety legislations are being followed in the health care workplaces [P1.3, M1] Larssonet al.(2014, p.235) opined that the service providers must take care of the service users in a better manner. Additionally, there are few safety priorities that can be used in the workplace, and this will enhance the security of the health care sectors and they are discussed in this paragraph. Additionally, there must be the use of the proper safety aids in the workplace. Being a healthcare professional it can be suggested that the service users who are admitted in hospitals and if they are unable to walk properly then wheelchairs have to be provided to them and if this is being given to them then they can easily move from one place to another. Additionally,Gohet al.(2015, p.43) opined that there must be the use of the proper door locks in the hospital. Moreover, these essential factors have to be considered by the workers. They have to lock the doors with the help of computerised locks in the authentic places. Proper care must be given to those rooms where data of service users and other important documents are being kept. In that places, there must be the use of cameras. If cameras are being placed in different corners of service care units then it will boost the security of the organisation (McCaugheyet al.2013, p.138). Additionally, there must be the installation of fire alarms and theft alarms in the workplace. Moreover, the fire alarm will make the workers aware from beforehand, they can save their life, and they can save others. Moreover, service providers have to observe that the hazardous materials must be kept away from service users. There are different chemicals and acids that are used by service providers and they must be kept in a secure place. The organisations have to follow RIDDOR act of 2013. Additionally, in this act, it has been stated that if employees are being injuredwhile working in the organisation then the organisation must give this information in this act. Moreover, if a death of employees occurs while working then also the management team have to inform under this act. Another act that has to be followed and they are the COSHH, this act has been designed in 2002, and this act opines that service care providers must properly check that there must not be any 2
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leakage and spillage of harmful gas and chemicals. If this incident occurs in service care then it can cause harm to their employees and the service users those who are admitted there. Other factors that needed to be considered and they are the rooms of hospitals must have proper ventilations. If the rooms are not ventilated air cannot regulate in the entire room. The emergency cabins must be properly air-conditioned. If they are not air conditioned then there are few types of equipment there are kept in emergency cabins they will not work properly. Last but not the least proper monitoring of the works must be done and if they are monitored effectively then more service users will be served. Task2:Impactofhealthaswellassafetyrequirementson customers as well practitioner's work in the healthcare workplace 2.1 Analysis on how risk assessment information is able to inform care planning for organisational as well as individual decision- making [P2.1, M2] Appropriate information on the healthcare organisations is considered as a vital part of taking, getting and providing services within the context of health as well as safety, which might be organisational decision-making or care planning of individual. This information could be gathered through the risk assessment information. According toGlasby (2017, p.36), assessment of risk means identifying hazards calculation of risk degree, the potential severity of the harm caused due to each hazard, controlling the risk, reappraising and monitoring risks. Receiving this information on risk assessment would be helpful for care planning of individual as well as organisational decision-making regarding the procedures and policies. The risk assessment involves: ●It could be identified as controlling risk ●Itcouldbeimplementedaccordingtotherisksthatwouldoccurwithvarious organisations ●Review should be done on the information ●It ensures controlling of all the hazards ●All residual risks could be mitigated Therefore, receiving information from the risk assessment could be helpful for care planning of individuals and organisational decision-making related to the procedures and policies. Some of the benefits are: Care planning of individual context: ●Knowing various types of health care services in healthcare organisations 3
●Appraising services of the healthcare organisations ●Knowing about good and efficient healthcare professionals ●Knowing better and efficient way to get maximum health care services at minimum cost ●Knowing about the right to receive appropriate healthcare services in healthcare organisations ●Every individual gets the opportunity to take decision regarding the health care services through the information gathered from the risk assessment Organisational decision-making context: ●Information on receiving risk assessment would help the organisation to know about the procedures and policies in relation to the health care services ●Organisations are able to know about the procedures and policies in relation to the healthcare organisations (Hewett, 2012, p.39) ●With the help of the information gathered from risk assessment, organisations are able to take decisions about the way in which services would be providedto the service users by the healthcare organisations ●The healthcare organisations could be conscious regarding the right of the service users, their rights and obligations Description of severity Very likelyLikelyUnlikelyVery unlikely Causing permanent disability 1122 Serious injury1234 Medical attention 2345 Requirement of first aid 3456 2.2 Analysis of the impact of one aspect of healthcare policies [P2.2] IntheUK,thereexistvariouspoliciesonhealthandsafetywithinthehealthcare organisations. Various aspects that are related to healthcare services are covered under these policies. Along with some positive impacts, these policies also have some limitations or negative impacts. These policies are: 4
Health and safety regulations 1981:As opined byLevitt (2013, p.14), under this act, the employees are responsible for ensuring presence of first aid equipment, trained first aiders within the healthcare organisations and ensure the employees are aware of the first aid arrangement. Food safety act 1990 and food safety regulations 1995:According toMillenaaret al. (2013,p.1267),eithertheseactsorregulationscoverservicesonfood,storageand preparation along with the requirement for registering the food business profit or non-profit organisations. Clubs, canteens as well as care homes could be included within the food business. These acts and regulations state that local authorities are liable to enforce through trading standards and environmental health. Cleanliness hygiene,layout, operationaltheatre architectures, handlingequipment, etc. could be considered as some aspects that could facilitate high-level security for service users and the service providers. One of the important aspect of the health, as well as safety policies, is ensuring cleanliness as well as hygiene environment within the organisation. Cleanliness or hygiene would be helpful for ensuring security as large scale. It could be acknowledged that in a case of improper cleanliness within the healthcare organisations, bacteria and virus would spread and cause harmful effect on the society. The service provider suggests that it has been observed that in the experiences, due to improper maintenance of cleanliness would create blunders or negative consequences to the health of service providers. Therefore, it should be taken into consideration under the organisational policies.Thehygieneandcleanlinesscouldbehelpfulrelatedtodisseminatehealthy environment. Hygiene should be ensured within the operation theatre, which is the place where infection threat is immense. While analysing risk, it has been observed that it would be very much harmful to both healthcare professionals as well as service users to avoid clean environment.Therefore, maintaining cleanliness as well as hygiene would be the most important priority for the healthcare professionals or service users within the health as well as safety policies. In the healthcare organisation, the service providers take care that operations are done in a very hygienic environment. This is the best process for preventing germs as well as viruses from being spread in the environment. Other than this aspect, dumping waste materials in proper place would also be taken into considerations as their priority within the organisational policies. 2.3Discussiononhowdilemmacouldbeaddressedby implementing policies of health as well as safety [P2.3] During the implementation of policies and systems for health, security and safety, healthcare organisations face several dilemmas and uncertainty. 5
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The risk of health as well as safety in the supply chain:Healthcare organisations have safety as well as system policies that would ensure safe workplace according to the national laws. However, other organisations related to the healthcare organisations might not have measures of health as well as safety, which would result in an unsafe workplace as well as a higher probability of accidents. High corruption level:Healthcare organisations provide good quality services to service users with the organisation, therefore, develop several policies and systems regarding this. However, due to high corruption among the government officials or workers, it makes it difficult for the organisation to implement the policies. Officials take bribes and allow the healthcare organisations to provide harmful as well as lower quality service to the service users. Public negligence:Sometimes, it becomes a dilemma for the health care organisations while the people should perform implementing the organisational practices and policies as some of these practices as well who are related to the healthcare organisation (Munn- Giddings and Winter, 2013, p.27). Therefore, negligence of people and service providers might cause hindrance to the implication of the policies with the healthcare organisations. Amajordilemmawouldbecommunicatingeverypoliciesandproceduretoevery hierarchical level within the organisation. However, most individuals would be familiar with the aspects, but still, there might be a requirement to follow these policies by some other individuals. Lack of training would be another dilemma faced by the organisation due to which the service providers are not able to provide better service to the service users. 2.4 Analysis of effects as well as implications of non-compliance with legislations of health as well as safety in healthcare workplace [P2.4, M3] Various factors are associated with non-compliance of the health as well safety legislations. Unclear legislations would cause several problems as well as issues within the organisation. The major effect of the non-compliance would be that the roles and responsibilities of the service workers could not be explained properly. Non-compliance would cause a delay in the completion of the given job. As stated byO'Connoret al.(2015, p.16), delay in decision- making on important topics would be another problem due to the non-compliance of the legislations.Integrationamongtheemployeeswithintheorganisationwoulddegrade resultinginconflictamongthem.Thiswouldalsohampertheteamworkamongthe employees within the organisation, which would affect the service quality provided to the service users. Therefore, peace, as well as harmony, would be reduced and grudges would be higheramong the employees.Non-complianceoftheselegislationswoulddevelop 6
irresponsible attitude among the employees. Due to non-compliance, personal injuries would also cause to service users. Task3:Monitoringandreviewinghealthaswellassafetyin healthcare workplace 3.1 Explanation on monitoring and reviewing of health as well as safety practices and policies in workplace [P3.1] Measuring performance of health as well as safety:Nothing that could not be measured could be managed as well. Therefore, it is very important for the organisation to first measure the health as well as safety measures for realising the threats as well as risks, which would provide an idea to develop ways to improve the area. Active measures:The active measures provide feedback regarding performance before experiencing the incidents. Active measures include: ●Achieving plans as well as objectives ●Operation of health as well safety system of management ●Compliance with procedures and standards ●Inspection of site condition ●Environmental monitoring ●Behavioural observation ●Health surveillance Reactivemeasures:Reactivemeasuresinvolves:injuries,propertydamage,hazard reports,illhealth,potentialincidentsthatwouldcauseharm,complaints(Riddelland Watson, 2014, p.29). This method is considered as more effective than the active measures. Inspections:This is the way of monitoring physical evidence if health, as well as safety, has been managed properly. The general inspection would include taking care of the condition of premises, passages, floors, first aid facilities etc. 3.2 Analysis of effectiveness of practices and policies on health as well as safety policies in healthcare workplace to promote positive health as well as safety culture [P3.2, D2] Organisationalresponsibilities:Inanorganisation,responsibilitiesofamanager, employees along with the practices done within the organisation have great effectiveness for promoting safety, positive as well as safe culture. In case, managers provide effective training to the employees, this would help in creating a positive, safe and healthy culture in the organisation. 7
Project construction and design:Successful designing and construction of the project wouldleadtheorganisationtowardshealthy,positiveas wellassafeculture.Proper performance of the service users regarding their responsibilities, risk control of health as well as safety along with the implementation of the practices would be helpful in this context (Salsgiver, 2015, p.14). Safety assessment of risk:Assessment of risk is an important aspect of the health as well as safety policies that possess large impact on the practices of a healthcare organisation. This assessment provides information regarding the future vulnerability of the organisational policies. 3.3 Evaluation of contributions to place health as well as safety requirements in healthcare practices [P3.2, D2] Personal and professional evaluations are the two type of evaluation process for evaluating the health and safety requirements. As own contribution within the health as well as safety, it is very important for ensuring own actions reduces risks towards health as well as safety. This includes identification of hazards, evaluation of risks, identifying the responsibilities, developingandapplyingpoliciesandreportingaswellasmonitoring.Fromtheown practices on health as well as safety within the healthcare organisations, it could be stated that implementation of the health and safety regulation 1981 is effective. Service users have been receiving first aid in an efficient manner and immediately. However, more interventions are required to remove various discrimination. Proper training should also be provided to service providers for increasing their effectiveness in providing service to the service users. Conclusion In this study, the researcher has explored the aspects of health as well as safety within healthcare organisations. It is very important for every organisation belonging to various sectors to maintain health as well as safety within the workplace. The researcher has provided an explanation in this context by describing health as well as safety legislations that are implemented within the healthcare organisations. The impact of the health as well as safety requirements on the customers and service providers has been described in this study. At the end of the study, the researcher has monitored and reviewed health as well as safety within the healthcare organisation. 8
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