Trust Board Meeting: Wednesday 10 September 2014
TB2014.106
Title
2013/14 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
________________________________________________________________________
TB2014 106 Health and Safety Annual Report
Page 1 of 11
Oxford University Hospitals
TB2014.106
________________________________________________________________________
Executive Summary
The enclosed report gives details of the achievements in Health and Safety the Trust has
made in the period 1st April 2013 to March 31st 2014. 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 2013/14 inclusive of
71% (5016) 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 2013/14 was 0.00071 and 0.0069 respectively.
There 16 RIDDOR reportable incidents (13 Staff, 1 Contractor, 1 Patient, 1 Visitor)
compared with 27 the previous year.
Actions and key learning for 2014/15 & 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 2014/15.
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 2013/14.
________________________________________________________________________
TB2014 106 Health and Safety Annual Report
Page 2 of 11
Oxford University Hospitals
TB2014.106
________________________________________________________________________
Introduction
1. The purpose of this report is to provide factual information relating to health and
safety within the Trust for the year 2013/14. 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 1st April 2013 and
31st March 2014 are as follows. All incidents have been categorised by actual
impact (No Harm, Minor, Serious, Major).
151
1
4
No Harm
Minor injury/illness
1825
Moderate effect or serious
injury(but not long term)
Major injury leading to long-term
disability/incapacity
5016
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 2013/14 including near miss
incidents. Slips, trip and falls making up 39% of all the incidents. There was 1 Major
injury and 4 within the highest category.
5. No Harm incidents equated to 71% of all incidents within the Trust.
________________________________________________________________________
TB2014 106 Health and Safety Annual Report
Page 3 of 11
Oxford University Hospitals
TB2014.106
________________________________________________________________________
RIDDOR Reported Incidents
6. Overall the number of RIDDOR Reportable Incidents has decreased from 27 to 16.
A reduction of 41% 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
1 1
1
Contractor
Patient
Staff
Visitor
13
RIDDOR incidents by accident type
Another kind of accident
1
1
7
Exposure to harmful
substance
Fall from height
1
Lifting and handling injuries
6
Slip, Trip, Fall same level
RIDDOR Reported Incidents 3 year comparison
60
Reportable Disease
50
Over 7 Day
40
Over 3 Day
30
Major/Specified Injury
20
Fatality
10
0
Dangerous Occurance
2011/12
2012/13
2013/14
________________________________________________________________________
TB2014 106 Health and Safety Annual Report
Page 4 of 11
Oxford University Hospitals
TB2014.106
________________________________________________________________________
Actions and key learning for 2014/15 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 2014/15.
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 2013/14.
Mark Trumper
Director of Development and the Estate
Report prepared by:
Russell Adlam, H&S Co-Ordinator
August 2014
________________________________________________________________________
TB2014 106 Health and Safety Annual Report
Page 5 of 11
Appendix A
Datix incidents by Category, Actual Harm and Persons Affected
Actual Harm
Persons Affected
Category
No
Minor Moderate Major Severe Contractors Patient
Harm
Assault, Aggression & 396
155
13
0
0
8
149
Harassment
Burns & Exposure to
Hazardous Substance 35
47
3
0
0
1
30
or Environment
Equipment & Medical 748
124
15
1
0
1
613
Devices
Estates, Facilities & 365
52
11
0
0
23
134
Environmental Issues
Fire (actual)
7
0
0
0
0
0
1
Fire (false)
36
0
0
0
0
1
3
Management, Single
Sex Accommodation 636
54
5
0
0
5
310
& Staffing Issues
Manual
Handling 31
130
11
0
0
3
3
(Clinical
&
Non
Clinical)
Patient
Accidents 227
191
15
0
1
0
434
(Other than falls)
Security Incidents & 305
17
3
0
0
1
175
Missing Persons
Self-harm Incidents & 33
23
4
0
1
0
60
Events
Sharps
Needlestick 190
190
2
0
0
14
22
________________________________________________________________________
TB2014 106 Health and Safety Annual Report
Page 6 of 11
0
401
Visitors Total in
Category
7
565
0
53
1
85
148
127
0
889
123
144
4
428
5
20
1
12
0
0
7
36
17
362
2
696
0
163
3
172
0
0
0
434
61
83
5
325
0
0
1
61
0
338
8
382
Property Staff
Oxford University Hospitals
TB2014.106
________________________________________________________________________
and Splash Incidents
Slips Trips and Falls 1934 706
57
0
2
1
2563
Staff
and
Visitor 73
136
12
0
0
0
0
Accidents
0
0
102
188
30
33
2699
221
6997
Direct comparison with 12/13 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.
________________________________________________________________________
TB2014 106 Health and Safety Annual Report
Page 7 of 11
Appendix B
Glossary of Terms
Category
Inclusive Sub-Categories
Assault, Aggression
• Aggression to Staff
& Harassment
• 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
Burns & Exposure to
• Contact with Electricity
Hazardous
• Exposure to Asbestos
Substance
or
• Exposure to Fumes/ Dust/ Odours
Environment
• Exposure to Chemical/ Hazardous Substance
• Exposure to Latex
• Unknown Source of Contamination
• Exposure to Extreme Temperature (High or Low)
Estates, Facilities &
• Damage Due to Adverse Weather
Environmental Issues
• 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
________________________________________________________________________
TB2014 106 Health and Safety Annual Report
Page 8 of 11
Oxford University Hospitals
TB2014.106
________________________________________________________________________
• 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
• FA10 - Alarm Procedures Not Complied With - Testing, Hot
Works and Building Works
• FA9 - Fire Alarm System Fault or Inappropriate Design
• FA12 - Bomb Alerts or Incidents
• FA5 - Environmental Effect - Cooking Related Fumes and
Steam
• FA16 - Alarm Caused by Fire Drill/Exercise
• FA8 - Environmental Effect - Steam
• FA8 - Environmental Effect - Dust
• FA8 - Environmental Effect - Other
• FA15 - Unknown - Where Cause Cannot Be Identified
• FA17 - False Alarm - No Activation of Fire Alarm System
i.e. Smell of Burning
• FA7 - Environmental Effect - Insect Infestation of Detector
• FA1 - 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
• FA11 - Fire Safety Management Procedures Not Complied
With
• FA14 - Sprinkler Alarm (Other Cause)
• FA13 - 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
________________________________________________________________________
TB2014 106 Health and Safety Annual Report
Page 9 of 11
Oxford University Hospitals
TB2014.106
________________________________________________________________________
• 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
• Splash Exposure Containing Bodily Fluids
and Splash Incidents
• 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
________________________________________________________________________
TB2014 106 Health and Safety Annual Report
Page 10 of 11
Oxford University Hospitals
TB2014.106
________________________________________________________________________
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.
________________________________________________________________________
TB2014 106 Health and Safety Annual Report
Page 11 of 11