Trust Board Meeting: Wednesday 10 September 2014 TB

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1 Trust Board Meeting: Wednesday 0 September 204 Title 203/4 Annual Health and Safety Report Status For information Board Lead(s) Mr Mark Trumper - Director for Development and the Estate Key purpose Strategy Assurance Policy Performance TB Health and Safety Annual Report Page of

2 Executive Summary The enclosed report gives details of the achievements in Health and Safety the Trust has made in the period st April 203 to March 3 st 204. It gives details of statistics in relation to Datix reported and RIDDOR reportable incidents for the period. Statistical Summary There were 6997 Non-Clinical incidents reported on Datix for 203/4 inclusive of 7% (506) no harm incidents. Slips, trip and falls made up 39% (2699) of all the incidents reported. Probability of a major incident or greater occurring in the Trust compared to the HSE national average for 203/4 was and respectively. There 6 RIDDOR reportable incidents (3 Staff, Contractor, Patient, Visitor) compared with 27 the previous year. Actions and key learning for 204/5 & Non-Clinical Risk Work Plan Development and Implementation of unannounced H&S Audits for Clinical and Estates areas, in addition to the current responsive services and response to support requests from the divisions. Review the current monitoring regime for walkways, prioritising high traffic areas with the aim to reduce the number of slips, trip and falls and subsequent injury claims. Take on the responsibility of Non-Clinical incidents logged on Datix including training of Datix on line reporting system specific to user requirements to help improve ease of incident reporting. Proactively work with local managers to improve risk assessment and the control of hazards within the working environment. A particular focus will be placed on working at height to reflect the incident in 204/5. Review incident reporting training including the development of online channels to improve accessibility and engagement from local managers. Develop a health and safety intranet page to provide relevant and up-to-date information to staff and managers including RIDDOR reporting. Develop incident data templates that allow for effective trend analysis and reporting. Work with Occupational Health to improve reporting procedure for sharps incidents and ensure data continuity between staff requests and incident reporting. Recommendation The Board is asked to receive and note the Health and Safety Annual Report 203/4. TB Health and Safety Annual Report Page 2 of

3 Introduction. The purpose of this report is to provide factual information relating to health and safety within the Trust for the year 203/4. It details recent advances, current activities and continuing plans to take forward and improve the management of health and safety in the Trust. It also contains incident trends analysis and performance. This report does not include specific information relating to fire or health and safety training as both points are adequately covered within their respective individual annual reports. Datix Reported Incident Statistics 2. The reporting of incidents across the Trust is key to establishing trends and identifying specific areas where improvements are required. Incidents are logged and recorded via Datix and reviewed locally. Datix notifies relevant departments who are then able to assist with or complete their own investigations as required. 3. The number of Non-Clinical incidents reported during the period st April 203 and 3 st March 204 are as follows. All incidents have been categorised by actual impact (No Harm, Minor, Serious, Major). 5 4 No Harm Minor injury/illness Moderate effect or serious injury(but not long term) Major injury leading to long-term disability/incapacity Death; hospital closure; national adverse publicity Further information on Datix incident statistics are detailed in Appendix A inclusive of a glossary of terms in Appendix B. 4. There were 6997 Non-Clinical incidents reported for 203/4 including near miss incidents. Slips, trip and falls making up 39% of all the incidents. There was Major injury and 4 within the highest category. 5. No Harm incidents equated to 7% of all incidents within the Trust. TB Health and Safety Annual Report Page 3 of

4 RIDDOR Reported Incidents 6. Overall the number of RIDDOR Reportable Incidents has decreased from 27 to 6. A reduction of 4% on the previous year. Of the incidents reported below is a breakdown into Persons Affected, Accident Type and RIDDOR Category. RIDDOR incidents by persons affected Contractor Patient Staff 3 Visitor RIDDOR incidents by accident type 7 Another kind of accident Exposure to harmful substance Fall from height 6 Lifting and handling injuries Slip, Trip, Fall same level RIDDOR Reported Incidents 3 year comparison /2 202/3 203/4 Reportable Disease Over 7 Day Over 3 Day Major/Specified Injury Fatality Dangerous Occurance TB Health and Safety Annual Report Page 4 of

5 Actions and key learning for 204/5 Non-Clinical Risk Work Plan Development and implementation of unannounced H&S Audits for Clinical and Estates areas, in addition to the current responsive services and response to support requests from the divisions. Review the current monitoring regime for walkways, prioritising high traffic areas with the aim to reduce the number of slips, trip and falls and subsequent injury claims. Take on the responsibility of Non-Clinical incidents logged on Datix including training of Datix on line reporting system specific to user requirements to help improve ease of incident reporting. Proactively work with local managers to improve risk assessment and the control of hazards within the working environment. A particular focus will be placed on working at height to reflect the incident in 204/5. Review incident reporting training including the development of online channels to improve accessibility and engagement from local managers. Develop a health and safety intranet page to provide relevant and up-to-date information to staff and managers including RIDDOR reporting. Develop incident data templates that allow for effective trend analysis and reporting. Work with Occupational Health to improve reporting procedure for sharps incidents and ensure data continuity between staff requests and incident reporting. Recommendation The Board is asked to receive and note the Health and Safety Annual Report 203/4. Mark Trumper Director of Development and the Estate Report prepared by: Russell Adlam, H&S Co-Ordinator August 204 TB Health and Safety Annual Report Page 5 of

6 Appendix A Datix incidents by Category, Actual Harm and Persons Affected Actual Harm Persons Affected Category No Minor Moderate Major Severe Contractors Patient Property Staff Visitors Total in Harm Category Assault, Aggression & Harassment Burns & Exposure to Hazardous Substance or Environment Equipment & Medical Devices Estates, Facilities & Environmental Issues Fire (actual) Fire (false) Management, Single Sex Accommodation & Staffing Issues Manual Handling (Clinical & Non Clinical) Patient Accidents (Other than falls) Security Incidents & Missing Persons Self-harm Incidents & Events Sharps Needlestick TB Health and Safety Annual Report Page 6 of

7 and Splash Incidents Slips Trips and Falls Staff and Visitor Accidents 6997 Direct comparison with 2/3 data is not practically possible due to the changes made to improve data quality and future statistical analysis. There is a disparity between Actual Harm and Persons Affected against the same Category within Datix. A total variance of 3 incidents was noted. TB Health and Safety Annual Report Page 7 of

8 Appendix B Glossary of Terms Category Assault, Aggression & Harassment Burns & Exposure to Hazardous Substance or Environment Estates, Facilities & Environmental Issues Inclusive Sub-Categories Aggression to Staff Physical Assault on Staff (Related to Medical Condition) Physical Assault on Staff (Not Related to Medical Condition) Physical Assault by Staff or Third Party to Patient Physical Aggression (Patient to Patient) Other Forms of Patient Abuse or Suspected Abuse (financial, emotional etc) Verbal Aggression to Patient by Staff or Third Party Racial Abuse to Patient by Staff or Third Party Racial Abuse (Patient to Patient) Sexual Harassment to Patient by Staff or Third Party Sexual Harassment (Patient to Patient) Racial Abuse to Staff Sexual Harassment to Staff Verbal Aggression (Patient to Patient) Verbal Aggression to Staff (Related to Medical Condition) Verbal Aggression to Staff (Not Related to Medical Condition) Restraining a person Contact with Electricity Exposure to Asbestos Exposure to Fumes/ Dust/ Odours Exposure to Chemical/ Hazardous Substance Exposure to Latex Unknown Source of Contamination Exposure to Extreme Temperature (High or Low) Damage Due to Adverse Weather Delay in Collection or Delivery Flooding (Contaminated Water) Flooding (Clean Water) Inappropriate Disposal of General Waste Failure of Lifting Equipment Loss of Mains Water Supply Medical Gas Failure Exposure to Excessive Noise Insect/Pest Infestation Power Supply Failure IT/ Telecommunication System Failure Vehicle or Traffic Collision Ventilation Failure Inappropriate Disposal of Clinical Waste TB Health and Safety Annual Report Page 8 of

9 Wet, slippery damaged or uneven surface Fire (actual) Faulty Gas/Other Fuel Equipment Unsafe storage of materials Near Source of Ignition Arson or Deliberate Ignition Cooking Related (Initial item ignited is food) Electrical Equipment - Lighting Electrical Equipment - Fixed Circuits Electrical Equipment - Portable Appliances and Extension Leads Unknown Fire (false) FA4 - Activation of Fire Call Point, where there is no fire, by Person Other Than Staff FA0 - Alarm Procedures Not Complied With - Testing, Hot Works and Building Works FA9 - Fire Alarm System Fault or Inappropriate Design FA2 - Bomb Alerts or Incidents FA5 - Environmental Effect - Cooking Related Fumes and Steam FA6 - Alarm Caused by Fire Drill/Exercise FA8 - Environmental Effect - Steam FA8 - Environmental Effect - Dust FA8 - Environmental Effect - Other FA5 - Unknown - Where Cause Cannot Be Identified FA7 - False Alarm - No Activation of Fire Alarm System i.e. Smell of Burning FA7 - Environmental Effect - Insect Infestation of Detector FA - Malicious Activation of Fire Call Point or detector FA3 - Accidental Mechanical Damage to Fire Alarm System FA2 - Operation of Fire Alarm Call Point with Good Intent FA - Fire Safety Management Procedures Not Complied With FA4 - Sprinkler Alarm (Other Cause) FA3 - Sprinkler Alarm (Fluctuation of Water Pressure) Management and Absence/Sickness due to work-related stress single sex Car Parking Issue/Concern accommodation Catering Issues & Food Safety Cleaning Inadequate (G4S/Carillion) Linen & bedding issues (including hairs and tears) Maintenance Issue (including G4S/Carillion) Portering Issue (G4S) Single Sex Accommodation Breach Inadequate staff skill mix (Not short-staffed) Staffing level concern Manual Handling Faulty Patient Handling Equipment e.g. Slide Sheet Injured Whilst Moving/Handling a Person Injured Whilst Moving/Handling an Object Faulty Patient Lifting Equipment e.g. Hoists TB Health and Safety Annual Report Page 9 of

10 Repetitive Motion Patient Accidents Caught in or between equipment (Other than falls) Choking Collision/ contact with an object Found with injury (cause unknown) Inappropriate handling or positioning of patient Other/ non-specific patient accident Security Incidents & Unauthorised Use of Trust Equipment Missing Persons Drug Abuse in Hospital Infant Abduction/Discharge to Wrong Family Patient Missing/Absconded Damage/Loss of Patient Property Unauthorised Access to Restricted Area Smoking Related Theft Lost/Damaged/Missing Staff or Trust Property Restraining a person Self-harm Incidents & Self-Harm Events Unexplained death Sharps Needlestick and Splash Incidents Splash Exposure Containing Bodily Fluids Clean needle stick injury Contaminated Needle Stick Injury Contaminated Sharps/Instrument Injury Clean Sharps/Instrument Injury Broken Glass Sharps Injury Sharps/Needle Found (Inappropriate Sharps Disposal) Splash Exposure From a Substance Slips Trips and Falls Fall in bathroom/ shower Fall from Bed Fall from chair Fall from commode Fainted/ collapsed During transfer Fall From Heights (excluding beds, wheelchairs etc.) Whilst mobilising/ walking within hospital Whilst mobilising/ walking within dept./ ward Due to Obstacle Unable to Identify how the fall occurred (found on floor) Fall relating to failure of prosthetic limb Whilst mobilising/ walking as part of therapy/ exercise Whilst mobilising/ walking to bed Fall off toilet seat Whilst mobilising/ walking to toilet Fall from wheelchair Wet, slippery damaged or uneven surface Staff and Visitor Caught In or Between Equipment TB Health and Safety Annual Report Page 0 of

11 Accidents Collision/Contact with an Object Other/Nonspecific Injury The above Datix categories form the parameters used for the incident statistics contained in the report. TB Health and Safety Annual Report Page of

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