Manual Handling Policy

Transcription

1 Manual Handling Policy Reference No: Version: 4.2 Ratified by: P_HS_04 LCHS Trust Board Date ratified: 12 th April 2016 Name of originator/author: Name of approving committee/responsible individual: Date Approved: 2 nd July 2015 Jacqui Thorogood LCHS Senior Back Care Advisor Health and Safety Committee Date issued: December 2017 Review date: April 2018 Target audience: Distributed via: All Staff Intranet

2 Lincolnshire Community Health Services Manual Handling Policy Version Control Sheet Version Section/Para/ Appendix Version/Description of Amendments Date Author/Amended by 1 Sections 6, 9, 10 and 11 1 Inter-agency Fallen Person Protocol (Appendix C) 1 Inter-agency Bariatric Notification Procedure (Appendix D) General update to meet NHSLA requirements Additional information on methods of assisting an un-injured fallen person from the floor. Flow Chart added to protocol Changes to how patient related information is collected and stored. Approval obtained from Information Governance Dept July 2010 Sept 2010 Sept 2010 Malcolm King Keith Rossington Risk Manager Malcolm King Malcolm King 2 All Updated changes in Trust names Amendments to owner of policy, header, footer, job titles etc to reflect trust status and organisational structures. 2 Inter-agency Bariatric Notification Procedure (Appendix D) Amendment to which organisations the information is shared with to include Lincolnshire Fire and Rescue January 2012 January 2012 Malcolm King Malcolm King 2 Moving & Handling Training Matrix (Appendix A) 2 Policy Monitoring, Audit and Feedback Summary. Sec Amended to include Module 5 Fire Evacuation Training, Community Hospitals Module 4 extended to two days Amended to include arrangements for ensuring that action is taken as a result of risk assessments. January 2012 January 2012 Malcolm King Malcolm King Page 2 of 22

3 Appendices C and E -Section 7 -References -Patient handling assessment forms (Paper versions) All Removed. July 2014 Malcolm King 3 All remaining sections. Amended and updated to reflect changes in organisation structures July 2014 Malcolm King 3 Section added to specify professional guidance on which the Trust s approach to patient handling is based. 3 Training Matrix Changes made to training requirements for some staff groups July 2014 July 2014 Malcolm King Malcolm King 3 Monitoring Template Appendix B Areas to be monitored reduced to four key areas. July 2014 Malcolm King 4 Significant Revisions throughout May 2015 Jacqui Thorogood Senior Back Care Advisor 4.1 Appendix A Updated Matrix added April 2016 Jacqui Thorogood Senior Back Care Advisor 4.2 Extension Agreed Dec 17 Corporate Assurance Team Copyright 2017 Lincolnshire Community Health Services NHS Trust, All Rights Reserved. Not to be reproduced in whole or in part without the permission of the copyright owner. Lincolnshire Community Health Services Manual Handling Policy Policy Statement Page 3 of 22

4 Background The purpose of this Policy is to provide a framework for staff to ensure as far as is practicable the safe manual handling and movement practices can be sustained and promoted for both staff and patients. A significant proportion of sickness and absence within the NHS is as a result of Musculoskeletal disorders (MSDs). The Manual Handling Operations Regulations 1992 (MHOR, as amended 2002) sets out to identify the responsibilities of both the Trust and staff. It states that hazardous moving and handling should be avoided if possible, and to assess tasks which cannot be avoided to reduce risk of injury. Statement This Policy has been produced taking into account nationally accepted standards, guidelines and Codes of Practice and in line with Manual Handling Operations Regulations 1992 (as amended, 2002). To provide the Trust with a basis to implement all reasonably practicable measures to reduce risks associated with manual handling. Responsibilities Training The Trust Board has overall responsibility for Health and Safety including the Manual Handling Policy. A staff training programme is already in place for new and existing staff. All staff must complete manual handling update training once every two years which is delivered through a combination of Face to Face Training or e-learning. Dissemination The Trust will ensure that this Policy is embedded throughout the organisation, by publishing on the intranet, by regular Manual Handling updates and links with Team Briefs. Resource implication Recurrent funding for staff training and specialist advice and support from the Trust s Back Care Team. Recurrent funding of equipment maintenance. Investment in new equipment and environmental changes as identified through risk assessments. Lincolnshire Community Health Services Manual Handling Policy Contents Section Subject Page Page 4 of 22

5 1 Introduction 6 2 Scope 6 3 Definitions 6 4 Policy Statement 7 5 Roles and Responsibilities 7 6 Risk Assessment 8 7 Training 9 8 Equipment 10 9 Review Date Equality and Diversity Monitoring 11 Appendix A Moving and Handling Training Matrix 12 Appendix B Risk Assessment and Matrix 15 Appendix C Table of Related Protocols 19 Lincolnshire Community Health Services Manual Handling Policy 1. Introduction Page 5 of 22

6 This policy has been developed to ensure that Lincolnshire Community Health Services Trust (LCHS) reflects the requirements of - The Health and Safety at Work Act 1974 (HSAWA) The Manual Handling Operations Regulations 1992 (MHOR, as amended 2002) Lifting Operations and Lifting Equipment Regulations 1998 (LOLER, as amended 2002) Provision and Use of Equipment Regulations 1998 (PUWER) NHS and Community Care Act 1990 Mental Capacity Act 2005 (MCA, 2005) Human Rights Act 1998 (HRA) 2. Scope The Trust recognises its duty to ensure as far as is reasonably practicable; risks are reduced to a minimum when staff undertake manual handling activities. In order to minimise risk of injury to themselves or others who may be affected by their actions. Working together with staff, the Trust aims to implement and adopt a proactive approach to risk management. An ergonomic approach will help to facilitate this and encompasses considering the following factors - the Task, the Individual capabilities, the type of Load, the Environment and any Other factors (TILEO). 3. Definitions Manual Handling is used broadly to cover other terms such as moving and handling, transporting or support of a load, including lifting, lowering, pushing, pulling, carrying or moving by hand or bodily force. (MHOR, as amended 2002) The Load is defined as something (equipment or plant) or somebody (person), which needs to be moved. (Health & Safety Exec., 2004) Competent Person is someone with sufficient training; experience and knowledge to undertake a particular task e.g. risk assessments. Ergonomic Approach is about fitting handling tasks to people to make them safer easier and more pleasant to perform. Back Care is wider than manual handling. It includes use of ergonomics, health promotion, occupational health and safety, injury support and rehabilitation and lifestyle (National Back Exchange, 2004) Hazard is something with the potential to cause harm and can include methods of work and working environment. Risk is the likelihood of potential harm from that hazard occurring. Risk Assessment is the identification of hazards present and evaluating the extent of risks involved. Page 6 of 22

7 4. Policy Statement It is recognised that musculoskeletal disorders (MSDs) are not only caused by manual handling e.g. lifting a load. They can also arise from periods of being in a static position e.g. being seated at a desk for long periods; repetitive stooping or bending and they are often the result of a cumulative effect rather than being attributable to a specific incident. The Policy covers all manual handling activities undertaken by staff during the course of their work. All contracted full and part time staff are covered by the policy including bank staff. It also applies to agency staff, volunteers, contractors, visitors and the person being moved. Manual handling is an integral part of daily and working life, the Trust will provide adequate training, education and supervision in order to support staff with their role. 5. Roles and Responsibilities The Chief Executive and Board of Directors retain the overall responsibility for the implementation, monitoring and review of the policy. This includes provision of resources to apply the requirements of this policy for it to be effectively implemented in all areas within the Trust through - training for all staff, the availability of specialist advisors i.e. Back Care Team, provision of a safe working environment and safe systems of work. Service Managers, Team Leaders/Line managers have the responsibility for ensuring that arrangements made under the policy are implemented properly within their own area. This includes ensuring that there is adequate information, instruction, training and supervision. That all moving and handling equipment are recorded on the LCHS Facilities Inventory Database, (Excluding equipment provided by ICES (Integrated Community Equipment Store)). Risk assessments and incident reports are completed in a timely manner and in accordance with Trust policy. All Staff have a duty to comply with Manual Handling Policy and Procedures. To take reasonable care of their own health and safety and that of others who may be affected by their actions. Staff must therefore work within their own limitations and training, this includes NOT using equipment that they have not been trained to use. Carry out a pre-use safety check (visual inspection) before using moving and handling equipment. This includes checking to see that the item has been serviced. Ensure risk assessments are carried out prior to using any equipment or undertaking any moving and handling task. Report any hazards or concerns they have about unsafe practice/equipment to their Line Manager and follow moving and handling plans in place. Staff must complete moving & handling training on induction and updates relevant to their area of work once every 2 years. It is also the responsibility of all staff to - Page 7 of 22

8 Report pregnancy or any medical conditions, which may affect their ability to perform moving and handling to their manager Wear suitable work clothing and footwear for moving and handling and comply with LCHS Uniform and Dress Code Policy for their area of work Complete necessary documentation Risk Assessments, Moving and Handling Plan, Incident Report Form Page 8 of 22 The Back Care Team or other appropriately qualified manual handling practitioner will provide advice and guidance to managers/employees to support them to undertake their duties outlined in this Policy. Further guidance relating to Manual Handling Policy, can be found in the Back Care Team section on the intranet. Head of Estates and Facilities to ensure there is an accurate and up-to-date asset register, in order to complete or arrange the maintenance, inspection and repair of all lifting equipment owned by LCHS in accordance with LOLER (1998, as amended 2002) and PUWER (1998). To review and determine the refurbishment and adaptation of LCHS owned estate to result in safe environments which ensure LCHS achieves legal and statutory compliance. Health and Safety Committee (HSC) will be responsible for providing an assurance forum for Business Unit representatives to report upon the implementation and effectiveness of this policy within their respective areas of responsibility. To monitor and review the implementation of this Policy. 6. Risk Assessments Local Managers will perform generic manual handling risk assessments for their area of responsibility. These will be broad based ergonomic assessments to identify manual handling hazards in relation to moving objects or people. In order to highlight the control measures needed to reduce the risks to the lowest level reasonably practicable. See Appendix B. A clear written/electronic record of the risk assessment (people and loads) to be held locally and finding to be communicated to all staff involved. (Appropriate to local area of work). Details of any significant problems or deficiencies arising from risk assessments which cannot be resolved at a local level must be forwarded by the relevant Senior Manager to the relevant Clinical Governance Manager and recorded on Incident Report Form and Risk Register. The risk assessment when completed in written form must be kept up-to-date and relevant by appropriate team. In order to manage this, they should be regularly reviewed and updated if any changes arise to the activity, a person s needs, the environment or equipment, following the TILEO approach. (Appendix B) For any routine handling situation where high risk techniques are being employed a detailed risk assessment and written justification for the use of these techniques must be produced. Risk assessments can be carried out by those with appropriate competencies. In complex cases specialist advice and assessment can be requested from the Back Care Team.

9 Details of any outstanding manual handling risks within the Business units will be reviewed by the relevant Clinical Governance Manager and details of these risks will be reported to the Health and Safety Committee which will be responsible for developing, implementing and reviewing an appropriate organisational action plan to address the risks which have been highlighted. Where there are serious risks that cannot be addressed by the Health and Safety Committee or the Business Units the Lead Director for Health and Safety will ensure that details of such situations are placed on the Corporate Risk Register. 7. Training Page 9 of 22 Manual Handling training is mandatory for all staff and must be updated once every 2 years. In order to meet statutory responsibilities the Trust will provide sufficient and appropriate training for all of the staff groups as outlined in the Moving and Handling Training Matrix. This included practical moving and handling training for people handling according to the level of risk in the clinical areas. All new staff must attend Moving and Handling Training as part of the Induction process. The training is modular in design (1-5) and level of attendance varies depending on job role. A breakdown of training needed for individual staff groups is shown in the Moving and Handling Training Matrix. (Appendix A) All LCHS staff must receive their Moving and Handling Training within the Induction programme before commencing duties in the workplace. Information, instruction and training in the use of equipment will be necessary for staff members before it is used by them. Inexperienced and newly trained staff must be appropriately supervised. Attendance records are maintained for each formal learning activity and attendance will be logged on their Electronic Staff Record (ESR). The Workforce Service Centre will have responsibility for producing reports of training attendance for the LCHS Business Units. The Back Care Team to develop a network of Moving and Handling Link Practitioners to cover the LCHS Community Hospitals and Community Teams. In order to promote, support and encourage back care and good practice in manual handling within their locality. The content of training programmes will be reviewed and monitored regularly by the Back Care Team and the Head of Education and Workforce Development to ensure it meets Organisational needs. Load Handling techniques taught for the movement of loads including equipment where necessary will be based on those specified in the HSE publication Getting to grips with manual handling: (A short guide HSE). Patient Handling techniques used for moving and handling people including where necessary the use of equipment will be based on current best practice as defined in the Guide to the Handling of People 6 th Edition (RCN 2011).

10 Managers must ensure that the staff they are responsible for has attended relevant and essential training programmes and/or inductions. Mandatory training will be centrally recorded and all other training must be recorded locally with managers ensuring that records are kept and maintained. Managers of non-attendees will receive a notification letter informing them to book staff member on the next available course. In the case of persistent non-attendance/noncompliance, General Managers/Heads of Service will be informed by the Learning and Development Team in order to take this through local management performance routes. Occupational groups will include managers, health practitioners such as nursing staff, care assistants and those providing therapeutic or advisory services. Administrative workers, Estates personnel will also be part of this number. This Policy applies to all employees, including bank and agency staff working on Trust premises or on shared sites or within the community. The Trust recognises that training alone will not be a substitute for every situation such as job design, environmental considerations and actions influenced by risk assessments. Further to these controls, employees who experience back pain or other MSD or injury will be offered support from a range of Trust resources. This will include Occupational Health, individualised assessments and access to advice from the Back Care Team and other appropriate health practitioners and advisors. 8. Equipment All items of moving and handling equipment belonging to LCHS must be registered on the Facilities Asset register so that the appropriate servicing and maintenance can be organised centrally by the Facilities Department (excluding equipment held by ICES). Moving and handling equipment will be inspected/serviced in accordance with the requirements of LOLER (1998, as amended 2002) and PUWER (1998). The Partnership Management Board for Lincolnshire Community Equipment Service (ICES) is responsible for ensuring that all moving and handling equipment provided for use in the community is maintained and in safe condition in compliance with the requirements of LOLER (1998, as amended 2002) and PUWER (1998). Staff must carry out a pre-use safety check (visual inspection) to include checking to see that the equipment had not exceeded its service interval, before it is used. The Facilities Department must be notified immediately if any equipment becomes faulty or unsafe to use so that the appropriate repairs can be organised without delay. It is the responsibility of local managers to notify the Facilities Department of changes to the stock of equipment belonging to LCHS including new or replacement items and equipment which has been disposed of. Where community moving and handling equipment is being prescribed by Nursing, Occupational Therapy or Physiotherapy staff, it is the responsibility of the prescribing Page 10 of 22

11 practitioner to ensure that a moving and handling assessment has been completed and that appropriate review arrangements are in place. 9. Review Date 2 Years July Equality and Diversity All health and safety related policies undergo a detailed equality analysis screening process which includes validation by the Trust s equality and diversity lead to assure compliance with the nine protected characteristics of the Equality Act (2010). 11. Monitoring. LCHS will monitor the policy to ensure its successful adoption and implementation. Specific areas of the policy will be monitored on a regular basis against the criteria. It will be the responsibility of the LCHS Health and Safety Committee in conjunction with the Business Units to monitor the overall effectiveness of the Manual Handling Policy. To inform this process a comprehensive annual report on manual handling will be produced by the Back Care Team in conjunction with Workforce and Transformation Directorate and Clinical Governance Managers. The report will include information gathered from the various audits and reporting systems specified and it will highlight serious problems and deficiencies should these exist. Page 11 of 22

12 LCHS MOVING AND HANDLING TRAINING MATRIX Moving & Handling Matrix - Induction & Updates (Once every 2 years) Level Staff Group Learning Outcomes Method & Time Appendix A Update Period Level 1 Induction Theory of Moving & Handling All staff on Induction Divided into clinical and non-clinical Recognise the importance of good back care and be able to identify risk factors that may cause injury. Understand Employer and Employee responsibilities in order to promote best practice in Manual Handling. Face to Face 1 hour 2 yearly Know how to complete a Risk Assessment and identify measures to reduce risks. Understand local and national policies/ guidelines/ legislation and know where to access additional resources. To have DSE section included Level 2 Induction Medium Risk Practical training of clinical staff working in Community hospital; Urgent Care; Clinics Bands 2-7 High Risk Practical training for integrated Community teams, nursing, therapist, support workers band 2-7 In addition to the above Objectives Level 2. Explain safer handling principles. Know how to provide best quality care for patients by identifying safe and dignified moving and handling strategies. Identify possible hazards that relate to moving and handling patients. Identify strategies that will reduce risk factors when moving and handling patients. Identify hazards associated with use of moving and handling equipment. Understanding of LOLER and PUWER. Face to Face 1 day 2 yearly in updates Know where to access additional resources e.g. Bariatric notification. Page 12 of 22

13 Demonstrate competency in transfer techniques; management of falling/fallen person; fire evacuation PEEPS use of ski pad. Level 1 Updates Low risk non clinical Recognise the importance of good back care and be able to identify risk factors that may cause injury. Understand Employer and Employee responsibilities in order to promote best practice in Manual Handling. Know how to complete a Risk Assessment and identify measures to reduce risks. Understand local and national policies/ guidelines/ legislation and know where to access additional resources. Mandatory Training 2 yearly Level 2 Updates Medium Risk Community Hospital staff, Urgent Care, NHSPS Porters (based on wards), Clinic based staff including support workers Matrons Bands 2-7 In addition to Level 1 practical session includes Fire EVAC Demonstrate safer handling principles and knowledge of an ergonomic approach to moving and handling of people. Identify potential hazards that relate to moving and handling of patients and use of equipment. 1 day Face to Face 2 yearly Explain the Risk Assessment process for patient handling including identifying measures that will reduce possible risks. Demonstrate competency in management of the Fallen Person/competency in the use of emergency evacuation equipment ski pad/transfer techniques. Knowledge of local and national policies & procedures, and guidance relating to moving & handling, and MSK e.g. DSE. Understand how communication and risk assessment contribute to best practice and quality care for patients. Page 13 of 22

14 Level 2 Updates High Risk Integrated Community Teams, all clinical staff Band 2 7 Support workers, Nurses, Therapist and Matrons. In addition to Level 1 practical session. Demonstrate safer handling principles and knowledge of an ergonomic approach to moving and handling of people. Identify potential hazards that relate to moving and handling of patients and use of equipment. 1 day Face to Face 2 yearly Explain the Risk Assessment process for patient handling including identifying measures that will reduce possible risks. Demonstrate competency in management of the Fallen Person/transfer techniques sit to stand, bed mobility to include use of slide sheets. Knowledge of local and national policies & procedures, and guidance relating to moving & handling, and MSK e.g. DSE; strategies to manage low level working leg ulcers. Understand how communication and risk assessment contribute to best practice and quality care for patients. Page 14 of 22

15 Appendix B GENERAL RISK ASSESSMENT GUIDELINES In order to identify the measures necessary to comply with health and safety law a Risk Assessment should identity how the risks arise and how they impact on those affected. This information then can be used to make decisions on how to manage the risks and take the necessary proportionate action. If the level of detail in the risk assessment is proportionate to the risk, it aims to be a suitable and sufficient risk assessment. Risks that arise from routine activities associated with life in general can usually be ignored unless the work activity compounds or significantly alters those risks. No complicated process or skills will be required where the hazards and risks are obvious. This can be addressed directly. Employers would not be expected to anticipate risks there were not foreseeable. Specialist advice, knowledge and skills might be required for more sophisticated risk assessments. Figure 1 Use Figure 1 to make a quick and easy assessment. Each box contains a guideline weight for lifting and lowering in that zone. (As you can see, the guideline weights are reduced if handling is done with arms extended, or at high or low levels, as that is where injuries are most likely to occur). The Hierarchy of Measures to be followed in all instances to remove or reduce the risks from manual handling. These are as follows: AVOID hazardous manual handling operations as far as is reasonably practicable ASSESS any hazardous manual handling operations that cannot be avoided REDUCE the risk of injury so far as is reasonably practicable REVIEW Adopting an ergonomic approach (TILEO) to risk assessment and management by considering the following factors: The TASK, the INDIVIDUAL capabilities, the type of LOAD, the ENVIRONMENT and any OTHER factors. Outlined in the following table. Chair: Elaine Baylis QPM Page 15 of 22

16 MANUAL HANDLING RISK ASSESSMENT Appendix B Assessors Name: Job Title: Location: Brief Description of Task: Overall Rating: Insignificant Medium Low High Reason for Assessment: Initial Assessment Change in Procedure Review Other (Please Specify) Specify: More Detailed Assessment of task The tasks do they involve: holding loads away from the trunk? twisting stooping reaching upwards? large vertical movement? long carrying distances? strenuous pushing or pulling? unpredictable movement of loads? repetitive handling? insufficient rest or recovery? a work rate imposed by a process? The loads are they: heavy? bulky/unwieldy? Yes If Yes, Tick level of risk L M H Possible remedial action: Chair: Elaine Baylis QPM Page 16 of 22

17 More Detailed Assessment of task difficult to grasp? unstable/unpredictable? intrinsically harmful (e.g. sharp/hot)? The working environment are there: constraints on posture? poor floors? variations in levels? hot/cold/humid conditions? strong air movement? poor lighting conditions? Individual capability does the job: require unusual capability? hazard those with a health problem? hazard those who are pregnant? call for special information/training? Other factors: Yes If Yes, Tick level of risk L M H Possible remedial action: Is movement or posture hindered by clothing or personal protective equipment? No Remedial Action required: Date to be actioned Signature of Assessor: Date of next review Chair: Elaine Baylis QPM Page 17 of 22

18 Appendix B Example of Risk Matrix from Datix (IR1 form) to help grade the consequence and likelihood of harm: Consequence Likelihood Negligible Minor Moderate Major Catastrophic Will undoubtedly recur, possibly frequently Will probably recur, but is not a persistent issue May recur occasionally Do not expect it to happen again but it is possible Cannot believe that this will ever happen again Grade: High CONSEQUENCES - Please grade the actual impact 1 - Negligible: Accidents which result in no injury or very minor injury eg. minor cuts & bruises. Offensive remarks or innuendos. Minor work related ill health requiring no medical attention. Minor clinical errors which do not lead to any ill effects. False fire alarms. Personal loss or costs to the Trust, service users, staff or members of the public. Minor road traffic accidents. 2 - Minor: Minor burns and scalding or accidental injuries that result in up to 7 day absence from work. Pushing/shoving or persistent offensive remarks or innuendos. Minor ill health requiring medical attention. Clinical incidents which lead to non permanent harm. Minor fires where there is non permanent harm. Breaches of building security procedures. Personal loss or costs to the Trust, service users, staff or members of the public. Road traffic accident that results in injuries requiring up to 7 days absence from work. 3 - Moderate: Serious burns or scalding and/or other injuries requiring medical attention that result in more than 7 days absence from work. RIDDOR reportable. Clinical incidents resulting in semi-permanent harm. Pushing/shoving/pinching/slapping which results in physical harm and more than 7 days absence from work. (RIDDOR reportable). Ill health resulting in more than 7 days absence from work. (RIDDOR reportable) Fire incidents that cause semi permanent disability/harm. Unauthorised entry to Trust premises. Personal loss or costs to the Trust, service user, staff or members of the public. Road traffic accidents occurring whilst on duty that result in requiring medical attention and more than 7 days absence from work. 4 - Major: Potentially life threatening accidents or injuries that require reporting to RIDDOR. Attacks with serious or potentially serious injuries: possession of offensive weapons. Hostage taking. Clinical incidents which lead to permanent disability or serious harm. Fire incidents that cause serious injury and/or damage. Road traffic accidents occurring whilst on duty that result in permanent disability. 5 - Catastrophic: Accidents that result in death or multiple permanent injuries. Homicide. Rape/serious sexual assault. Clinical incidents which lead to death or multiple permanent injuries. Fire incidents that result in death. Death as a result of a road traffic accident. Chair: Elaine Baylis QPM Page 18 of 22

19 Appendix C Table of Related Documents Document can be found Moving & Handling Assessment SystmOne clinical tree Paper copy can be found on LCHS intranet in the Back Care Team section Fallen Person Protocol Bariatric Protocol Falling Person Protocol LCHS Intranet Back Care Team section LCHS Intranet Back Care Team section LCHS Intranet Back Care Team section Bedrails risk assessment LCHS Intranet Link from Back Care Team section. Also in Policies and Procedures in the Clinical Services section. Chair: Elaine Baylis QPM Page 19 of 22

20 Monitoring Template Minimum requirement to be monitored Process for monitoring e.g. audit Responsible individuals/ group/ committee Frequency of monitoring/audit Responsible individuals/ group/ committee (multidisciplinary) for review of results Responsible individuals/ group/ committee for development of action plan Responsible individuals/ group/ committee monitoring action plan for of Training Staff training audit Workforce Dept. BCT audit Annual Workforce Dept BCT Lead Health & Safety Committee Health Safety Committee BCT Lead & Health Safety Committee BCT Lead & Review of Datix reports Audit trends Health & Safety Committee BCT Lead Quarterly Review of Policy Policy to Committee Health & Safety Committee BCT Lead 2 years Chair: Elaine Baylis QPM Page 20 of 22

21 Equality Analysis Name of Policy Manual Handling Equality Analysis Carried out by: Jacqui Thorogood, LCHS Senior Back Care Advisor Date: April 2016 Equality & Human rights Lead: Rachel Higgins Director\General Manager: Sue Bradley *In this template the term policy\service is used as shorthand for what needs to be analysed. Policy\Service needs to be understood broadly to embrace the full range of policies, practices, activities and decisions: essentially everything we do, whether it is formally written down or whether it is informal custom and practice. This includes existing policies and any new policies under development. Chair: Elaine Baylis QPM Page 21 of 22

22 Section 1 to be completed for all policies A. B. C. D. Briefly give an outline of the key objectives of the policy; what it s intended outcome is and who the intended beneficiaries are expected to be Does the policy have an impact on patients, carers or staff, or the wider community that we have links with? Please give details Is there is any evidence that the policy\service relates to an area with known inequalities? Please give details Will/Does the implementation of the policy\service result in different impacts for protected characteristics? The key objectives of the policy are: To ensure that patients are moved in a safe and comfortable manner whilst maintaining their privacy and dignity and to maintain an optimum level of independence; To reduce the risks to staff and patients associated with manual handling; To support the provision of seamless care and to prevent delays in the transfer of care; To ensure staff know how to access specialist advice and equipment when needed This Policy will have an impact on all Trust staff, agency workers, temporary, bank and members of the public including patients and care providers Disability No Disability Sexual Orientation Sex Gender Reassignment Race Marriage/Civil Partnership Maternity/Pregnancy Age Religion or Belief Carers Yes No x x x x x x x x x x If you have answered Yes to any of the questions then you are required to carry out a full Equality Analysis which should be approved by the Equality and Human Rights Lead please go to section 2 The above named policy has been considered and does not require a full equality analysis Equality Analysis Carried out by: Jacqui Thorogood, LCHS Senior Back Care Advisor Date: April 2016 Chair: Elaine Baylis QPM Page 22 of 22