HSE – Appointed Doctor for Ionising Radiation

The HSE has issued  guidance about review under the Ionising Radiations Regulations 2017  (please see below) on 18th June 2020.
If you require a review, please complete the questionnaire below, and email it to helen@brydenmedical.com  along with the dose record and sickness absence record. Thanks.

‘Health and medical surveillance and safety critical medicals 

Guidance for occupational health providers, appointed doctors and employers during the coronavirus outbreak

In the light of advice from Public Health England (PHE) on COVID-19, HSE issued guidance on 20 March 2020, setting out a proportionate and flexible approach to enable health and medical surveillance to continue. This advice updates that guidance. It continues to balance the need to protect the health, safety and welfare of workers and the current constraints presented by the coronavirus outbreak. HSE will continue to review this guidance as appropriate (last updated 18 June 2020).

This guidance outlines a framework for how you can conduct health/medical surveillance and safety critical medicals remotely. It does not prevent you from carrying out face to face medical assessments where you have carried out a suitable and sufficient risk assessment and put in place appropriate controls, taking into account PHE advice on coronavirus. 

Ionising Radiations Regulations 2017 (IRR)

For periodic medical surveillance of classified persons, the appointed doctor can conduct a paper review. For high risk radiation workers such as industrial radiographers, or those classified persons at the end of the 5-year cycle where a face to face review is planned, they can carry out a telephone consultation and review the dose records and sickness absence records.

If there are no problems, they can defer a face to face review for up to 6 months. If there are problems, they can decide if a face to face review is justified and whether conducting it by video consultation would be appropriate. If the appointed doctor decides they need to conduct a face to face examination, they should make a suitable and sufficient risk assessment and put in place appropriate controls, taking into account PHE advice regarding coronavirus.

For those workers who previously had no problems and, on that basis, had a full assessment deferred for 3 months in accordance with HSE guidance issued on 20 March 2020, the appointed doctor can further defer a face to face review for up to 3 months without reviewing the worker again.

For new workers who have not previously been classified persons, the appointed doctor can assess fitness on a case by case basis, taking account of the type of work to be undertaken and the work environment. They can consider whether enough information could be obtained using video consultation to enable them to adequately assess fitness.

If there are no problems, they can defer a full assessment for up to 6 months. If there are problems, they can decide if a face to face examination is justified. If it is, they should make a suitable and sufficient risk assessment and put in place appropriate controls, taking into account PHE advice regarding coronavirus.

For those who have worked previously as a classified person, are returning to work with ionising radiation and have had a face to face review within the last 4 years, the appointed doctor can review their medical records and conduct a telephone consultation. They can check they have not got any new health problems that would affect their fitness to work with ionising radiation. They should then follow a normal pattern of medicals going forward. If the individual has not had a face to face review in the last 4 years, the appointed doctor should follow the guidance for new workers.’

If you require a review, please complete this questionnaire and email it to helen@brydenmedical.com, along with the dose record, sickness absence record and Health Record. Thanks.

IONISING RADIATIONS: TELEPHONE HEALTH REVIEW QUESTIONNAIRE

Name:__________________________ Date of Birth:_____________

Address_________________________________________________

Phone ______________Email _________________

Job Title_________________________________________________

1.        Please state briefly what your job consists of:
For the questions below, please tick “Yes or No” column and give details overleaf, as applicable No Yes
2.      Do you consider that you are in good health?If not, please give details overleaf.
3.      Have you, since your last medical examination at Occupational Health, been treated by your family doctor or specialist?If so, please state reason(s) overleaf.
4.      Have you been absent from work through illness in the past 12 months?If so, please give details of number of days absent and state overleaf the reasons and the approximate dates you were away.
5.      In the last 12 months, have you experienced:
·         Chest or breathing problems
·         Rashes or other skin problems
·         Anxiety, depression or other nervous or psychological problems
·         Any other health problems which you consider may affect your fitness to work with radiation or respiratory protection if required
If yes, please specify overleaf and indicate if these problems are still present or not.
6.        Have you, in the recent past, taken medicines regularly, or are you still doing so?If yes, please specify overleaf.
7.      Have you had to use any “over the counter” medication (including creams) more than once in the last year?(Describe overleaf).
8.      Do you use respiratory protective equipment (apart from in emergencies)If yes, please give details overleaf, particularly type of RPE used.
9.      Have you been involved in any incident which you incurred a higher radiation dose than usual or were contaminated?If so, please describe briefly overleaf.
10.  Has the nature of your work with radiation or sources of radiations changed in the last 12 months?If so, please state briefly in what way overleaf.
11.  Have you ever been exposed to any other carcinogenic agents at work?If yes, please give details overleaf.
12.  Have you ever had any special x-rays, scans (not MRI or ultrasound) or radiotherapy?If yes, please give details overleaf.
13.  With regard to your present state of health, do you feel you need to have a medical examination or see the Appointed Doctor?

Any other comments that you would like to make about your health?

 

To the best of my knowledge the information which I have given is correct. I give my consent to this medical assessment. I understand that the purpose of this medical is to provide information regarding fitness for work under the Ionising Radiation Regulations 2019 and that any advice given will be expressed in terms of fitness for employment and / or fitness to carry out duties now and in the future. I authorize the release of medical information from this assessment to my G.P. if necessary. I understand that confidential information about health and medical history will be confidentially treated, processed and stored in a secure environment by Bryden Medical Limited and will only be accessed and processed by those staff that have explicit and reasonable need to do so, with due consideration for Data Protection (GDPR 2018).

Signed: _________________________________Print  Name: _____________________________ Date: ___________________________________          

Please email completed forms and any questions to Dr Helen Bryden at helen@brydenmedical.com         Thank you.