POLICY FOR SAFER MANUAL HANDLING OPERATIONS

POLICY FOR SAFER MANUAL HANDLING OPERATIONS DOCUMENT CONTROL: Version: 6 Ratified by: Risk Management Sub Group Date ratified: 19 December 2012 Name of originator/author: Back Care Advisor Name of responsible Risk Management Sub Group committee/individual: Date issued: 15 January 2013 Review date: December 2015 Target Audience All Staff

CONTENTS SECTION PAGE review 1. INTRODUCTION 4 2. PURPOSE 4 3. SCOPE 5 4. RESPONSIBILITIES, ACCOUNTABILITIES AND DUTIES 5 4.1 The Trust 5 4.2 Chief Executive 5 4.3 The Managers 5 4.4 Health and Safety Lead 7 4.5 Risk Management Sub Group 7 4.6 Health, Safety and Security Forum 7 4.7 Back Care Advisor 8 4.8 Manual Handling Key Trainers 9 4.9 All Staff 9 5. PROCEDURE/IMPLEMENTATION 10 5.1 Arrangements for access to appropriate specialist advice - Trust Back Care Advisory Team 5.2 Techniques to be used in the moving and handling of patients and objects, including the use of appropriate equipment 10 11 5.2.1 Object handling 11 5.2.2 Load handling 11 5.2.3 Patient Handling 11 5.2.4 Manual Handling Within the Patient s Own Home 12 5.2.5 Rehabilitation Handling of Patients 13 5.2.6 Work Place/Environment Design 13 5.2.7 Provision and Use of Equipment 13 5.3 How the Trust risk assesses the moving and handling of patients and objects 14 5.3.1 Manual Handling Risk Assessment 14 5.4 How action plans are developed as a result of risk assessments 14 5.5 How action plans are followed up 15 6 TRAINING IMPLICATIONS 15 7 MONITORING ARRANGEMENTS 16 Page 2 of 24

8 EQUALITY IMPACT ASSESSMENT SCREENING 17 8.1 8.2 Privacy, Dignity and Respect Mental Capacity Act 17 17 9 LINKS TO ANY ASSOCIATED DOCUMENTS 18 10. REFERENCES 18 11. APPENDICES 18 Appendix 1 Manual Handling Risk Assessment Form 19 Appendix 2 Patient Moving and Handling Assessment Form 21 Appendix 3 Personal Handling Profile 23 Page 3 of 24

1. INTRODUCTION 1.1 In accordance with health and safety legislation employers are required to take reasonable steps to safeguard the health and safety of all employees. This should include increasing awareness of hazards in relation to moving and handling to minimise risk. Recent figures show that Musculoskeletal Disorders (MSD) cost society 5.7 billion and in healthcare services manual handling injuries account for 40% of absence from work through sickness. There are over 5000 manual handling injuries reported each year which occur in healthcare services. The costs to both the individuals and organisations involved are significant. Damage to an employee's back may render them incapable of work and if procedures are carried out incorrectly may also put patients at risk of significant harm. It is therefore essential that all staff receive appropriate moving and handling training to enable them to carry out their duties safely and effectively. HSE Moving and handling in health and social care. 1.2 Rotherham Doncaster and South Humber NHS Foundation Trust has a legal responsibility with regard to the health and safety of staff at work. This includes the prevention of accidents and work related ill health such as musculoskeletal disorders, back pain and upper limb disorders. Also, the reduction of risk of injury to both staff and patients which may occur as a result of manual handling activity, which includes any transporting or supporting of a load (including the lifting, putting down, pushing, pulling, carrying or moving thereof) by hand or bodily force. 1.3 Manual Handling Operations Regulations 1992 (amended 2002) made under the Health and Safety at Work Act came into force on 1 st January 1993 (European Directive 90/269/EEC). Under the regulations, employers are required to adopt an ergonomic approach to removing or reducing the risk of manual handling injuries through safe systems of work and a safe working environment. 1.4 The ergonomic approach looks at manual handling as a whole, taking into account a wide range of relevant factors including the nature of the task, the load, the working environment and individual capability. 2. PURPOSE 2.1 The purpose of this policy is to set out the arrangements for: a. managing the risks associated with manual handling b. ensuring delivery of effective manual handling training to all staff As a key component of the Trust Risk Management Strategy, this Policy for Safer Manual Handling Operations aims to provide a safe system of working including; risk assessment and management; training; supervision; and, the use of mechanical equipment and staff welfare. 2.2 To provide guidance to employees in changing their working practices and to realize the benefits of protecting themselves at work. To minimize the adverse consequences associated with manual handling processes undertaken by staff. Page 4 of 24

2.3 To promote balanced decision-making between patients needs and comfort and staff safety needs and competence. Recognising that safe methods of manual handling have considerable benefits for patients, including increased independence and personal safety. 3. SCOPE 3.1 This policy applies to all staff employed by the Trust and volunteers who carry out manual handling activities, regardless of whether they are on Trust owned property or not. In certain circumstances the policy will apply to agency staff where equipment is either specific to the patient or the Trust. 3.2 This policy covers the manual handling and lifting of patients as well as the routine handling of everyday objects, for example by portering, stores and facilities staff. 4. RESPONSIBILITIES, ACCOUNTABILITIES AND DUTIES 4.1 The Trust - The Board of Directors is responsible for ensuring that the Trust consistently follows the principles of good governance applicable to NHS organisations. This includes the development of systems and processes for risk management to ensure that actual and potential risks within the organisation are identified and actions are taken to eliminate or reduce the potential impact on users, staff and the Trust (Rotherham Doncaster and South Humber NHS Foundation Trust Risk Management Strategy. - Make available adequate resources to meet the needs outlined within this Policy. - Employ a competent person to act as a Back Care Advisor. 4.2 Chief Executive 4.3 Managers - The Chief Executive as Accountable Officer of the Trust has overall accountability and responsibility for ensuring the Trust meets statutory requirements. The responsibility for the implementation of this policy lies with the Chief Executive who through the directors and managers will communicate and implement its contents and standards to all employees. All managers will: Be responsible for ensuring this policy is publicised and implemented. Seek advice from the Back Care Advisor where new services or service models are developed, or where new systems and tasks are introduced, in order that workplace planning and design with regard to the elimination of manual handling hazards can be considered at an early stage. Page 5 of 24

In line with the Medical Devices Management Policy, maintain an up to date Medical Devices Inventory, listing relevant moving and handling equipment, accessories and other aids, servicing requirements and training needs, and for making available up to date maintenance records. Implement a plan for all manual handling equipment and accessories to be thoroughly examined, serviced and maintained in accordance with The Lifting Operations and Lifting Equipment Regulations (LOLER), 1998 and The Provision and Use of Work Equipment Regulations (PUWER), 1998. Any equipment identified as unsafe or beyond its service date should be taken out of use and clearly labelled as such. All new starters will attend moving and handling training relevant to their role, as part of the Trust Corporate Induction programme. All staff will complete relevant training and updating in safer manual handling operations at the required frequency as per Training Needs Analysis policy. This should be included in their Performance and Development Review (PDR). Managers are responsible for following up those who fail to attend relevant manual handling training and for the rebooking of staff. Identify staff to act as Manual Handling Key Trainers within their area of work. In consultation with the Manual Handling Key Trainer for their areas, ensure that hazardous handling tasks are identified and risk assessed to enable the most appropriate risk reduction measures to be developed and used. Undertake a risk assessment of any hazardous manual handling operations that cannot be avoided in order to reduce the risk of injury. (See Section 5.7) Maintain records of risk assessments for dissemination to relevant staff. Make a written record of the risk assessment and communicate its findings to all staff involved. Introduce appropriate risk reduction measures to avoid or reduce risk. This may include the use of mechanical aids or a redesign of the manual handling task. Make available suitable and sufficient mechanical aids that are easily accessible for staff use. Plan for adequate staffing where a risk assessment indicates that additional staffing is required. Avoid the need for employees to undertake any manual handling operations which involve a risk of injury, so far as is reasonably practicable. Page 6 of 24

Monitor and review manual handling risk assessments when there is a reason to suppose that they are no longer valid due to change in working conditions, personnel involved or a significant change in the manual handling operations affecting the nature of the task or the load. Clearly identify manual handling requirements of posts when recruiting staff so that appropriate Occupational Health assessment can be undertaken as part of pre-employment health screening. Make allowance for any known health problems, which might have a bearing on an existing employee s ability to carry out manual handling operations in safety. Refer to Occupational Health if there is reason to suspect that an individual s health might increase the risk of injury from manual handling operations. Maintain records of incidents and ill-health issues related to manual handling operations and investigate the circumstances surrounding the incident. Refer to the Back Care Advisor all manual handling incidents which result in the submission of an F2508 RIDDOR notification to the Health and Safety Executive. Refer to the fast track physiotherapy service as appropriate to maximise staff recovery. 4.4 Health and Safety Lead The Health and Safety Lead will: Monitor the incidence and severity of all manual handling incidents throughout the Trust and report on these quarterly to the Health and Safety Forum. Be involved with the Back Care Advisor in the investigation of manual handling incidents, analysis of causation and development of remedial action. 4.5 Risk Management Sub Group The Risk Management Sub Group is responsible for approving certain polices and to provide assurances to policy and planning group level around its key responsibilities. It delegates responsibility to the Health, Safety and Security Forum for the implementation of its work streams and action plans, which include this policy. 4.6 Health, Safety and Security Forum The purpose of the Health, Safety and Security Forum is to monitor and promote Page 7 of 24

effective health and safety measures at work (HASAWA, 1974, s 2 (7), through communication and collaboration between the Trust as employer and its employees on health and safety matters. The Back Care Advisor is a member of the Health, Safety and Security Forum. Reports from the Health, Safety and Security Forum are provided to the Risk Management Sub Group through a standing agenda item. 4.7 Back Care Advisor The Back Care Advisor will: Develop, implement and monitor a safe system of work for the Trust. Develop a Trust wide action plan based on risk assessments and review this on an annual basis. Provide manual handling training for new starters as part of the Trust Corporate Induction. Train the Manual Handling Key Trainers in both object and patient handling as appropriate and update them on an annual basis. Provide ongoing support and supervision to the Manual Handling Key Trainers. Be available as source of expert, specialist advice to managers, staff and Manual Handling Key Trainers in the workplace. Approve and monitor the implementation of the Manual Handling Key Trainers training plans. Maintain an up to date list of Manual Handling Key Trainers and accurate training records for monitoring/inspection purposes. Assist managers to undertake manual handling risk assessments and training needs analysis where new services or service models are developed, or where new systems and tasks are introduced. Monitor and advise on the sufficiency of the model of manual handling training. Following referral by a Manager, conduct an assessment and provide advice in relation to manual handling in the workplace in order to assist a staff members return to work. Investigate manual handling incidents as requested by Managers. Be involved in the assessment, trial and training associated with the implementation of new equipment to reduce manual handling risks. Page 8 of 24

Provide advice to Managers with regard to pregnancy risk assessments in line with Trust Policy. Maintain a network of links with specialist advisors such as tissue viability, infection control and Health and Safety lead. Maintain records of all assessments and advice given. 4.8 Manual Handling Key Trainers The Manual Handling Key Trainers will: Act as a champion for safer manual handling operations, promoting Trust policy and best practice. Work closely with the manager for their area to identify and risk assess manual handling tasks, to enable the most appropriate risk reduction measures to be developed and used. Submit their training plans to the Back Care Advisor for approval prior to commencing the training of staff and at any time the training plan is amended following initial approval. Train staff in up to date manual handling techniques, systems and legislation. Train in a ratio of 1: 6 staff to each trainer in each practical training session. Provide the Back Care Advisor with records of all training delivered. Attend an annual update provided by the Back Care Advisor. Liaise with the Back Care Advisory service on an ongoing basis with regards to manual handling issues in their teams/service areas. Participate in support/review meetings with the Back Care Advisor. Maintain risk assessments and personal handling profiles. 4.9 All Staff All staff should: Take reasonable care of their health and that of others whose safety may be affected by their activities when involved in manual handling operations. Co-operate with their manager in the making of risk assessments of hazardous manual handling tasks. Observe safe systems of work and use of safety equipment, promptly Page 9 of 24

reporting any defects in handling equipment to their manager. Any equipment identified as unsafe or beyond its service date should be taken out of use and clearly labelled as such. Participate in statutory manual handling training and update training, annually for clinical staff and three yearly for non-clinical staff. Report pregnancy or any medical conditions which may affect their ability to handle loads safely to their manager. Report any change in working conditions, personnel involved in manual handling risks or a significant change in the nature of the task or the load, which may necessitate a review of the risk assessment. Maintain records of risk assessments for dissemination to relevant staff. Wear suitable work clothing and footwear for manual handling. The following dress code is essential for staff who are involved in manual handling tasks: o Shoes should be leather/leather type with a rubber non-slip sole and low heel; give adequate support and be strong enough to prevent damage to toes should anything be dropped on the feet. Backless and/or open toe shoes or sandals and mules must not be worn as these constitute a hazard. o Clothing should be non-restrictive to allow ease of movement 5. PROCEDURE/IMPLEMENTATION The Trust is committed to the implementation of a safer manual handling policy based on the following components: 5.1 Arrangements for access to appropriate specialist advice Trust Back Care Advisory Team Specialist advice is provided by the Trust s Back Care Advisory Team, who can be accessed five days a week Monday to Friday and can be contacted by email or telephone. Outside of those hours, it is extremely unlikely that urgent advice would be required which can not wait until the next working day, but in the event, the Manual Handling Key Trainers are able to act as a resource. The Trust Back Care Advisory Team coordinates the Trust s Manual Handling Training programme. The Trust Back Care Advisory Team will organise the provision of additional external advice where required e.g. a piece of specialist equipment. Page 10 of 24

5.2 5.2.1 Techniques to be used in the moving and handling of patients and objects, including the use of appropriate equipment Object handling Object handling is taught according the Manual Handling Operations Regulations Approved Code of Practice. Guidance continues to be taught from the HSE and The National Back Exchange and the Doncaster Heath Care Community Manual Handling Passport. These promote conditioning exercises, off set base and low centre of gravity. Team work is practiced and advised during training. When new concerns come up there is a risk assessment carried out and a plan put into action. 5.2.2 Load Handling A minimal lifting, individualised approach needs to be applied to load handling situations based on a risk assessment, which takes account of factors such as size, shape, weight and design of the load. Mechanical aids should be utilized whenever possible. Whenever possible the risk of injury from load handling should be reduced by implementing measures at a strategic level. Good planning and design at the workplace will often eliminate hazards at an early stage. Safe systems of transportation will be readily available for the movement of goods, supplies and equipment throughout. 5.2.3 Patient Handling In general terms, the Trust recognises that there will always be the need to manually handle patients. However, in respect of handling that encompasses lifting, the Trust supports the use of hoists or similar equipment to lift whole body weight. To avoid hazardous handling any other consideration must take into account duty of care and balanced decision making If the patient is being hurt by this lifting e.g. shoulder problems, shearing, discomfort or pain then a balanced decision should be made, taking into account staff safety needs and patient comfort needs. Research shows that lifting techniques formerly developed and practiced can become detrimental and should not be utilised. The following represent such lifts, which should no longer be employed: 1. Drag Lift (banned since 1981) 2. Orthodox 3. Australian 4. Lifting with patients arms around neck 5. Lifting with patients from floor without mechanical aid 6. Lifting with patients from the base of the bath without an aid 7. Lifting with patients by the upper arm 8. Lifting with sheet parallel to the bed Staff who are unsure or concerned about any techniques currently being practiced Page 11 of 24

should seek advice from a Manual Handling Key Trainer or the Back Care Advisor. Each patient will be individually risk assessed taking into account their individual needs, capabilities and circumstances. The rehabilitation and developmental needs of patients will also be considered along with the importance of staff, carer and patient safety. These risk assessments and action plans are filed in the patient record, MARACIS or SystmOne or other electronic record keeping approved by the Trust. These risk assessments and action plans and /or patient handling plans are shared with the Multi disciplinary team. Patients and those acting on their behalf will be actively involved in the assessment and decision making process. A problem solving approach will be adopted which considers the use of a variety of handling methods and equipment to reduce the risk of injury. Patient independence will be encouraged at all times. Following risk assessment, a written individual manual handling plan will be produced which will be reviewed at appropriate intervals or when circumstances change. The aim of the policy is to avoid manual lifting of adult patients in all but exceptional or life threatening situations. Staff should not be expected to put their safety at risk by lifting manually. Hoists, sliding aids and other specialised equipment should be used Manual handling techniques may be used based on an individual risk assessment provided that they follow safer handling principles. Advice should be sought from a Manual Handling Key Trainer or the Back Care Advisor in complex cases, NB: For any patients with a weight above 30 stones, staff should refer to the Policy for the Care of the Bariatric Patient. 5.2.4 Manual handling within the Patient s Own Home Householders cannot be required by Health and Safety law to adapt their home or use equipment provided to reduce risks to visiting care staff. However, with their co-operation, much can be done to eliminate or reduce the risks from manual handling, particularly by modifying the home environment to improve working postures of staff and carers. When the patient is being discharged from hospital, forward planning is essential to ensure that arrangements have been made for environmental adaptations, equipment provision and staff training. Risk assessments should also be undertaken for the issue and delivery of equipment ensuring that safe systems of transportation are employed. While the patient or their carers have no duty under health and safety law to co-operate with the employer, organisations have a duty to staff when Page 12 of 24

working in patients homes. Before patients are discharged from hospital to their own home, it is important that the appropriate manual handling equipment is in place. A written risk assessment and individual movement plan must also be available for any community staff involved. Where a risk assessment has been completed by a partner organisation/other health or social care practitioner the content of the risk assessment and the recommendations will be recorded within the patients care record. 5.2.5 Rehabilitation Handling of Patients Care handling is where manual handling needs to be avoided and mechanical equipment, such as hoists, are to be used for patients who are non-weight bearing or unable to transfer safely. Rehabilitation handling is where handling is performed as an integral part of a planned therapeutic intervention and risk must be reduced in other ways. Specialist equipment, including the use of standing and transferring aids and additional staff may be required so that patients can achieve the optimum level of independence and mobility. Certain groups of staff (particularly Physiotherapists and Occupational Therapists) include physical handling as part of the therapeutic interventions they provide. The techniques should be based on safer handling principles and utilise equipment where relevant, as determined by the manual handling risk assessment and movement plan. Managers responsible for such staff should ensure that patient rehabilitation programmes minimise the risk to staff or carers. Adequate staffing levels and sufficient rehabilitation equipment should be provided, along with specific risk assessments and training. 5.2.6 Workplace/Environmental Design Consideration should be given to the suitability of the ergonomics for the task, such as the arrangement of doors and positioning of equipment. If necessary and possible, adjustments should be made to the environment to make the task safer. 5.2.7 Provision and Use of Equipment The risk assessment may identify the need for the provision of manual handling equipment as a risk reduction measure. The manager obtaining the equipment (an authorized requisitioner) will consult with staff and the Back Care Advisory team on the appropriateness of the intended equipment. This may identify the opportunity to have equipment demonstrated and trialled prior to purchase. Page 13 of 24

See 4.3. Manager s duties with regard to the Medical Devices Management Policy. 5.3 How the Trust risk assesses the moving and handling of patients and objects (see Appendices 1 and 2) 5.3.1 Manual Handling Risk Assessment There are two risk assessments, one for objects (Appendix 1) and one for patients (Appendix 2). Staff are trained in using these through the Moving and Handling Training programme. Where a referral is made to the Back Care Advisory service for advice, a risk assessment must be provided by the referrer. The Manual Handling Operations Regulations, 1992 (amended 2002) specify that Task, Individual capability, Environment, and Load (TILE) are all taken account of as part of a comprehensive risk assessment. The Manual Handling Risk Assessment forms shown in Appendices 1 and 2 for Load or Object Handling and Patient Handling facilitate this. Risk assessments should be either generic or specific to the situation. It is strongly recommended that more than one person completes the risk assessment so that a balanced decision can be reached. There is evidence to suggest that patient handling risk assessments completed jointly by a qualified and unqualified member of staff lead to higher compliance with patients care plans due to the nursing assistants involvement (Hignett et al, 2003). Manual handling risk assessments will be recorded on the Trusts approved risk assessment documentation, which is in Appendices 1 and 2 5.4 How action plans are developed as a result of risk assessments A Trust wide action plan based on risk assessments is developed and reviewed on an annual basis by the Back Care Advisor. This is also used to inform a review of manual handling training. For objects action plans are written on the back of the risk assessment forms. Patient moving and handling assessment form should be completed front and back. For complex patients a Personal Handling Profile is completed and added to the notes. These records are stored electronically on MARACIS or SystemOne - depending on the electronic system in use within a specific service - as well as paper health records for their area. Page 14 of 24

Some risk assessments will lead to equipment adaptations or adjustments to reduce manual handling risks to the carer and/or the patient. The proposed changes are likely to be more acceptable to the patient and their family if they have been fully involved in the assessment process and understand the purpose for which it has been carried out. However, even where there has been involvement in the assessment, a minority of people are reluctant to address the risks identified. This places the service provider in a difficult situation as they have a duty with regard to staff health and safety and also the quality of care to the patient In instances where there is disagreement it should be borne in mind that a balanced approach is needed to ensure that: o Staff are not required to perform tasks that put them and patients at risk unreasonably. o The patient s personal wishes on mobility assistance are respected wherever possible. However, it is not acceptable under health and safety legislation that unsafe work practices, which pose a risk of injury to staff, are allowed to continue unaddressed. Where there is a difference of opinion, therefore, an urgent meeting with the patient, their family and the relevant manager should be held to discuss the risk assessment and care plan in order to agree a way forward. 5.5 How action plans are followed up Action plans are followed up by a 30 day review by the Back Care Advisory Team. 6. TRAINING IMPLICATIONS The Training Needs Analysis (TNA) for this policy can be found in the Training Needs Analysis document which is part of the Trust s Mandatory Risk Management Training Policy located under the policy section of the Trust website. Page 15 of 24

7 MONITORING ARRANGEMENTS Area for How Who by Frequency Reported to monitoring Duties Report: Back Care Advisor / Back Care Advisory Team Annual Health, Safety and Security Forum. Techniques to be used in the moving and handling of patients and objects including the use of appropriate equipment Report: Key trainer and individual referral\ for cases to the Back Care Advisory Team and through incident reports Arrangements for access to appropriate specialist advice and claims. Report: Email and referral system. How the organisation risk assesses the moving and handling of patients and objects Training, and Manual handling key Trainer supervision How action plans are developed as a result of risk assessments Report: How action plans are followed up Report: Key trainer and individual referral\ for cases to the Back Care Advisory team and through incident reports and claims Back Care Advisor 30 day follow up Page 16 of 24

8. EQUALITY IMPACT ASSESSMENT SCREENING The completed Equality Impact Assessment for this Policy has been published on the Equality and Diversity webpage of the RDaSH website click here 8.1 Privacy, Dignity and Respect Privacy, Dignity and Respect The NHS Constitution states that all patients should feel that their privacy and dignity are respected while they are in hospital. High Quality Care for All (2008), Lord Darzi s review of the NHS, identifies the need to organise care around the individual, not just clinically but in terms of dignity and respect. Indicate how this will be met There are no additional requirements in relation to privacy, dignity and respect As a consequence the Trust is required to articulate its intent to deliver care with privacy and dignity that treats all service users with respect. Therefore, all procedural documents will be considered, if relevant, to reflect the requirement to treat everyone with privacy, dignity and respect, (when appropriate this should also include how same sex accommodation is provided). 8.2 Mental Capacity Act Mental Capacity Act Central to any aspect of care delivered to adults and young people aged 16 years or over will be the consideration of the individuals capacity to participate in the decision making process. Consequently, no intervention should be carried out without either the individuals informed consent, or the powers included in a legal framework, or by order of the Court Therefore, the Trust is required to make sure that all staff working with individuals who use our service are familiar with the provisions within the Mental Capacity Act. For this reason all procedural documents will be considered, if relevant to reflect the provisions of the Mental Capacity Act 2005 to ensure that the interests of an individual whose capacity is in question can continue to make as many decisions for themselves as possible. Indicate How This Will Be Achieved All individuals involved in the implementation of this policy should do so in accordance with the Guiding Principles of the Mental Capacity Act 2005. (Section 1) All assessments are carried out in collaboration with the patient. Should the patient not be able to express their views a Best Interest Meeting is convened to look at the individualised patient s manual handling needs. Page 17 of 24

9. LINKS TO ANY ASSOCIATED DOCUMENTS Risk Management Strategy Health and Safety Policy Statement Health and Safety Policies Falls Prevention & Bone Health Policy For Managing The Risks Associated With Slips, Trips And Falls (Including Falls From A Height) Involving Service Users, Staff And Others Mandatory Training Policy (Risk Management Training And Training Needs Analysis) General Policies Incident Reporting Policy Health and Safety Policies Medical Devices Management Policy - Clinical Policies Pregnant and Nursing Mother Policy and Procedure Health and Safety Policies Use of Hoists and Slings for the Lifting of Patients Health and Safety Policies Policy for the Care of the Bariatric Patient Clinical Policies 10. REFERENCES The Health and Safety Executive (HSE) website provides further information and resources for managing the risks associated with manual handling http://www.hse.gov.uk/healthservices/ Manual Handling Operation Regulations 1992, updated 2002 Management of Health and Safety at Work Regulations, 1992 The Human Rights Act 1998 Provision and Use of Work Equipment Regulations, 1998 (PUWER) Lifting Operations and Lifting Equipment Regulations, 1998 (LOLER) Back Care (2011) The Guide to handling people (6 th edition). Health and Safety at Work Act 1974 Hignett et al (2003) Evidence Based Patient Handling 11. APPENDICES Page 18 of 24

Page 19 of 24 Appendix 1 Manual Handling Risk Assessment Form

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Page 21 of 24 Appendix 2 Patient Moving and Handling Assessment Form

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Appendix 3 Personal Handling Profile Rotherham Doncaster and South Humber NHS Foundation Trust Back Care Advisory Service Confidential This form should be used in conjunction with the Patient Moving and Handling Assessment shown in Appendix 2 Name Assessor Signature Date Assessed Proposed Review Date (every 6 months unless condition alters) Summary of persons physical condition and handling constraints including any relevant medical diagnosis Approximate weight, height and build of person Any other considerations (e.g. personal/family preferences & opinions) Identify any problems with communication, comprehension or behaviour Sign and date the change alert column to indicate a change has occurred. Refer to update sheet. Tasks No. and description Details of method to be used including any equipment and techniques. Change Alert Is there any equipment required to safely perform any of the tasks? Give details Where will the equipment be obtained? Date requested and by whom Slide sheet provided. Already in situ. Please check that you have given details of action required if no equipment Page 23 of 24

available Is there any follow-up action required (e.g. staff training, OT referral)? Give details Please organise relevant follow up action now! Describe any remaining problems/risk factors using the TILE approach Task as above Individual capability pregnant staff, low risk duties Load- Environment Update Sheet Add any changes to previous methods Date Task Number Details of updated method to be used Signature Page 24 of 24