SERVICE LEVEL AGREEMENT
Service Level Agreement for the Provision of
Occupational Health Services
to
--------------------------------------by
The Great Western Hospitals NHS Foundation
Trust
DATE PREPARED: --/--/--
PREPARED BY: Kate Kyne
POSITION: Head of Occupational Health & Wellbeing
ORGANISATION: The Great Western Hospitals NHS Foundation Trust
PREPARED FOR:
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1. Glossary Definitions
In these Conditions of Offer the following expressions shall have the following meanings:
a. "Organisation"
Shall mean The Great Western Hospitals NHS Foundation Trust and any Organisation in
partnership with The Great Western Hospitals NHS Foundation Trust.
b. “the Client ( Client Organisation )”
Shall be the Organisation to whom the services are being delivered to.
c. "the Contract Standard"
Shall mean such standard as complies in each and every respect with all relevant provisions
of the SLA.
d. "the SLA"
Shall mean this document in its entirety
e. "the Services"
Shall mean the Occupational Health Services provided by The Great Western Hospitals NHS
Foundation Trust.
f. “GWHOHS”
Shall refer to The Great Western Hospitals NHS Foundation Trust Occupational Health
Service.
g. “The Great Western Hospitals Occupational Health Service”
Refers to The Great Western Hospitals NHS Foundation Trust Occupational Health
Service.
h. “OHNA”
Means Occupational Health Nurse Advisor.
i. “GWHOHSN”
Means a trained and experienced Occupational Health Specialist Nurse registered on the 3 rd
part of the NMC register
j. “Dr”
Refers to the Occupational Health Consultant, Specialist Registrars or Clinical Assistants
k. “COP”
Refers to the Consultant Occupational Physician.
l. Contract period
Shall mean the period during which this contract remains in force
m. Frequency
Shall be construed as meaning the regularity of the supply of the various services
n. Month
Shall mean a calendar month
o. “The Services”
Shall mean the services as detailed as being supplied by The Great Western Hospitals NHS
Foundation Trust Occupational Health Service under this contract.
p. “Variations”
Shall mean a variation in the provisions of the contract
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q. “Partner Organisation Staff”
Shall mean any person who is employed by any Partner organisation of The Great Western
Hospitals NHS Foundation Trust Occupational Health Service, or who works in Partner
Organisation premises in a contracted capacity on behalf of any Partner organisation.
2. Confidentiality of Offer Information and Documents
2.1. All information supplied by the GWHOHS with or in connection with this invitation to Offer
shall be regarded as confidential.
2.2 This SLA and Appendices are and shall remain the property of The Great Western
Hospitals Occupational Health Service and must be returned upon demand. Return postage
will be refunded if requested.
3. Offers for Selected Services
3.1 This SLA is submitted for the provision of the services as detailed in the Specification
discussed with the Client Organisation
3.2 This SLA is for the supply of the whole of the Services upon the Terms and Conditions of
the Contract where agreed in any final contract
4. The Offer
4.1 The GWHOHS makes this SLA in accordance with the Service Level Agreement attached
to the letter from the Organisation. All elements held within this document have been
expanded into and can be read in the Appendices
5. Acceptance
5.1 The GWHOHS accepts that any acceptance of this SLA will be communicated in writing
prior to any further negotiation taking place.
5.2 The GWHOHS is not bound to accept any offer of acceptance of this SLA should the
political environment within The Client Organisation have changed making this SLA invalid.
6. Forms of Contract
6.1 Once signed this SLA will be subject to a formal agreement
6.2 Until the execution of any formal agreement, the successful Offer together with the
GWHOHS’ written acceptance will form a binding agreement between the GWHOHS and The
Client.
7. Services Offered
7.1 The services proposed shall be supplied solely in accordance with the conditions laid out
in Appendix 1. Any other contractual terms which in any way add to, vary or contradict this
SLA shall be excluded and shall not form part of the contract (whether or not such other
contractual terms post-date these conditions) unless the GWHOHS has specifically agreed in
writing to be bound by any of such other contractual terms.
7.2 No later version shall be binding unless it has been agreed in writing and signed by an
authorised representative of the GWHOHS.
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7.3 The GWHOHS shall carry out the services to the satisfaction of the Client, in accordance
with the service specification within this SLA.
8. Commencement of Contract
8.1 The GWHOHS will extend the existing SLA to run as a seamless continuance from 1 st
April DATE until formally reviewed after 31st March DATE. The contract covers a 52 week
service provision based upon the opening times of the service and excludes all bank holidays
when the service is not open.
8.2 The GWHOHS will endeavour to employ sufficient staff to ensure that the services are
provided at all times and in all respects in accordance with the service specification.
8.3 The GWHOHS will employ for the purposes of this contract only such persons as are
careful, skilled and experienced in the duties required of them and will ensure that every such
person is properly and sufficiently trained and instructed and carries out the services with
regard to:






the task that person has to perform
all relevant provisions of the contract
all relevant rules, policies, procedures and standards of the Organisation
fire risks and fire precautions
the need for those working in the National Health Service to observe the highest
standards of hygiene, courtesy and consideration
the requirements of the Health and Safety at Work Act 1974 and other relevant legislation
and codes of practice.
9. Termination of Contract
9.1 Except in the event of a breach of contract, this contract, In addition to its rights under any
other provision of the contract the Organisation may terminate the contract at any time by
giving the contractor Twelve Months’ written notice. Upon the expiration of the notice the
contract shall terminate without prejudice to the rights of the parties accrued to the date of
termination.
9.2 Without prejudice to any other right or remedy, if GWHOHS does not provide the services
in accordance with the specification or at the times specified in the contract Client may:





require the GWHOHS to remedy the default within such time as the Client may specify by
providing or providing again (as the case may be) without further charge to the Client
such part of the services to the service specification
without terminating the whole of the contract terminate the contract in respect of part of
the services only and thereafter provide or procure the provision of such part of the
services itself
itself provide or procure the provision of the services until it is satisfied that the GWHOHS
is able to carry out the services in accordance with these conditions
offer to undergo mediation with relevant independent parties to formulate a way forward
or where differences are not reconcilable terminate the contract with the appropriate
agreed notice period of twelve months.
breach of contract by either party can result in termination where the above fails, with the
appropriate twelve months notice to be given.
9.3 Subject to the continuing agreement of GWHOHS with Client this contract will be
renewed at the end of the contract period or, on an annual basis.
9.4 On termination of this SLA a charge of £10 each set of patient notes presented to the
Clients new supplier, plus carriage, or, if agreed with the Client an annual storage charge.
These charges to be invoiced separately.
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10. Additional Costs Outside of the Contract Remit
10.1 Where additional services are required or requested by either party separate agreement
needs to be made for authorisation to proceed and for payment of the costs incurred.
10.2 All additional costs where agreed will be paid by separate invoice to the monthly
contractual invoice. E.g. Physiotherapy/counselling costs have not been included within the
contract and authorisation is required from Client prior to any referral where cost is to be
incurred. This will be requested within the boundaries of confidentiality.
10.3 Initial invoices from other service providers will be paid by the GWHOHS and passed to
Client inclusive of any administrative charge that has been incurred in relation to time, typing,
photocopying etc.
10.4 Travel where incurred, will be charged at (currently) £0.59p per mile plus the current
hourly rate and will be included in any separate monthly invoice.
11. Finance (Detailed costs in Appendices)
11.1 The contract price for the services shall be payable, monthly in advance. An invoice will
be generated and sent directly to Client. Additional costs, where agreed will be invoiced
separately.
11.2 Invoices shall show the period and the amount of the services for which payment is
claimed together with the agreed charging rates and any other details the GWHOHS may
determine as being part of the service specification.
11.3 The Client shall pay the contract price to the GWHOHS, by BACS (Bank Account
Clearing System), within 30 days of the receipt of the services or a valid invoice, whichever is
later.
12. Indemnity
12.1 Neither Party shall be liable to the other Party for any loss or damage, costs or expenses
incurred or suffered by the other Party as a result of any breach of the terms of the Contract,
unless the same were in the reasonable contemplation of the Parties at the time when they
entered into the Contract
12.2 The Contract Price of the Services under the Contract will be negotiated and agreed on
the basis that the Parties may limit their liability to each other as set out in the Contract and
the Parties each confirm that they will themselves bear or insure against any loss for which
the other Party has limited its liability under the Contract.
13. Insurance
The Trust, The Great Western Hospitals NHS Foundation Trust,
warrants that it is a member of the NHS Litigation Authority’s indemnity insurance scheme for
Trusts (“NHSLA”) and that it will maintain its membership of the scheme throughout the
duration of this Agreement.
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14. Racial and Sexual Discrimination
The GWHOHS or any of its staff shall not unlawfully discriminate within the meaning of the
Sex Discrimination Act 1975 or the Race Relations Act 1976 or any enactment relating to
discrimination in employment and shall take all reasonable steps to secure the observance of
this condition by all its staff or agents employed in the performance of the contract.
15. Variation of Services
15.1 The Client may at any time vary or add to the service specification in accordance with
this condition and no such variation or addition, where agreed or not agreed shall affect the
continuation of the existing contract.
15.2 The Client shall give the GWHOHS three month’s written notice of any variation or
addition. The notice shall give details of the variation or addition and the date on which it is to
take effect.
16. Transfer of Duties or Subcontracting of Work
Neither party shall assign the whole or any part of the contract. The GWHOHS shall not sub
contract the supply of any services without the previous consent in writing of the Client, such
consent not to be unreasonably withheld, unless this appertains to the use of appropriately
qualified Agency or Bank staff to ensure continuity of service. The GWHOHS will keep Client
fully informed of such arrangements but does not require authorisation to action such staff.
17. Confidentiality
17.1 The GWHOHS and its staff will not disclose to any person (other than a person
authorised by the Client) any information acquired by them in connection with the contract.
There is an expectation that this level of confidentiality would be reciprocated by Client.
17.2 The GWHOHS and its staff will not disclose to any person (other than a person
authorised by the Client) any information acquired by them in connection with the provision of
the services which concerns:



the Client, its staff or its procedures
the identity of any patient at any of the Client’s premises or GWHOHS practices
the medical condition of or the treatment received by any patient.
17.3 At no time will the GWHOHS provide confidential information to any employee or other
persons, relating to employees of The Client without the express informed consent of the
individual concerned except where that person is considered to be a harm to themselves or
others. This decision lies with the GWHOHS and not with the Client.
17.4 The GWHOHS will protect personal data in accordance with the provisions and
principles of the Data Protection Act 1984 and the Data Protection Act 1998 and in particular
the GWHOHS will ensure compliance with the Client’s security arrangements and ensure the
reliability of its staff that have access to any personal data held by the Client. In addition, if
the contractor is required to access or process personal data held by the Client, the
GWHOHS will keep all such personal data secure at all times and shall only process such
data in accordance with instructions received from the Client.
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17.5 The GWHOHS as a part of The Great Western Hospitals NHS Foundation Trust shall
indemnify the Customer and the Secretary of State for Health against all claims and
proceedings and all liability, loss, costs and expenses incurred in connection therewith made
or brought by any person in respect of any loss, damage or distress caused to that person as
a result of the OHS’ unauthorised and/or unlawful processing or the contractor’s destruction
and/or damage to any personal data held by the contractor, its employees or agents.
18. Law
The parties shall accept the non-exclusive jurisdiction of the English courts and agree that the
contract is to be governed and construed according to English law.
19. Third party rights
Except as otherwise provided in this contract, this potential contract is intended and agreed to
be solely for the benefit of the GWHOHS and the Client and no third party shall acquire any
benefit, claim or rights of any kind whatsoever pursuant to, under, by or through this contract,
unless agreed.
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Appendix 1 – Service Specification
The service specification is as agreed by the Client.
1. Introduction
The Occupational Health Service will work in partnership with the Client in providing
accessible expertise to ensure a safe, healthy working environment that benefits staff. The
Client and the Occupational Health Service provider (GWHOHS) will aim to promote and
maintain the highest possible level of physical, mental and social well-being of all employees,
through the identification and management of risks to health and compliance to health &
safety legislation where it appertains to the remit of the GWHOHS.
2. Service availability
2.1 The service will be available Monday – Friday, 8.30am – 4.30pm
Excluding recognised public holidays (unless previously mutually agreed). Additionally, some
services may require to be available at times to suit Client’s hours of work subject to prior
consultation and agreement with GWHOHS.
2.2 GWHOHS will provide these services from any of its premises where the OH service has
a department. If carried out at the Client’s premises then travel costs will be incurred as
outlined in 1.10.4.
3. Employment Health Screening
3.1 GWHOHS must provide an employment health screening service to the Client for all
prospective employees.
3.2 GWHOHS will provide Client with an opinion on a person’s fitness to undertake the duties
of a post.
3.3 Employment screening will be carried out using:
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
The scrutiny of a Health Questionnaire and where appropriate
A health assessment by an Occupational Health Nurse and / or a medical assessment by
an Occupational Health Clinician.
3.3.1 Health Questionnaire
Applicants who are identified by the Health Questionnaire as having health problems or
disabilities must only be referred for medical assessment if such health problems or
disabilities will have a direct bearing on a job applied for or may result in the applicant being
exposed to risks.
3.3.2 Health Assessment
Employment health assessments may be required for persons falling into certain categories of
employment:
The health assessment will relate to the duties of the post as detailed in the employee
specifications and job description and including annual health assessment for “at risk groups”.
3.3.3 Medical Assessments
A medical assessment is required for applicants who are referred by an Occupational health
clinician after a health assessment has been conducted.
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3.3.4 Response Times
In respect of employment screening the following response times are required to provide an
opinion on a person’s fitness/health to undertake the duties of the post. The decision must be
provided to the Head of Department/Human Resources (as directed) within the specified
times and confirmed in writing as soon as practically possible, by whatever form is decided by
GWHOHS with the prior arrangement with Client’s Authorised Officer.
Scrutiny of Health Questionnaire
Two working days from date the adequately completed form is received in
Occupational Health.
Health Assessment
Six working days from date scrutinised In Occupational Health.
Medical Assessment
As soon as possible or at a maximum of six working days from date received in
Occupational Health.
If further information is required from GP’s or Consultants, notification of possible delay must
be given to the Client within the normal response time
4. Immunisation/Vaccinations
4.1 All new staff should have their immunisation history checked and recorded in the
GWHOHS database and be offered testing where appropriate. Vaccinations should then be
offered in accordance with National Guidelines.
4.2 Immunisation status of these prospective employees will then be provided to the line
manager with the employee’s consent. When additional vaccinations are required the
manager will be advised that a vaccination appointment is required as a part of the induction.
4.3 Staff group (including non-NHS staff) identified by Client as requiring specific vocational
immunisation will have this service provided on entry to the organisation.
4.4 In addition other staff may be identified who in the course of their duties will require
protection. These staff will also be offered the appropriate vaccinations following agreement
and variation in price.
4.5 Cost of the vaccines, blood tests and related costs will be additional to the contract price.
5. Referrals
5.1 Management Referrals
Staff can be referred to the Occupational Health Service to provide Client’s Management with
a specific opinion of the person’s fitness to undertake the duties of the post. The line Manager
will reserve the right to make the final decision on whether a person will undertake duties.
5.2 Self-Referrals
Staff may refer themselves where they are concerned that their work is affecting their health
or health affecting their ability to work. The Occupational Health Service will respond to these
requests.
5.3 Other Referrals
Staff may also be referred by staff organisations/Unions or by their own General Practitioner.
9
5.4 In cases where the perception of the employee and the Management are likely to differ,
consideration should be given to arranging a case conference. This could include the
Manager, Human Resources, Occupational Health Clinician, other staff support services, the
employee and staff representative as appropriate.
5.5 Response Times
Appointments should be made on receipt of request. The response time required is as for
medical assessments (see Para. 18).
5.6 Missed appointments
Appointments may be cancelled by giving 24 hours notice of inability to attend. In such cases,
an alternative date and time will be given. Any appointments not cancelled before the 24 hr
period of notice will be charged at the full rate to compensate for not being able to fill the time
slot.
5.7 Where an employee fails to keep an appointment without giving 24 hours notice, the
Department Manager will be notified in writing of the failure to attend. The Department
Manager will then advise GWHOHS as to whether a further appointment is required.
6. Consultancy and Advisory Service
6.1 GWHOHS will provide an advisory service to cover the full range of Occupational Health
issues as they affect an individual employee or groups of employees in their workplace
environment.
6.2 GWHOHS will provide advice in relation to the Minimum Data Set required by the NHS
Executive on:
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Sickness Absence
Early Ill Health Retirement
Occupational disease – RIDDOR
Health Surveillance
Needlestick and sharps injuries
7. Counselling/Physiotherapy Referral
7.1 GWHOHS can if required provide a confidential counselling service within the Contract to
Client’s staff, which may be by self-referral only as this ensures motivation and decision by
the client to seek support. Where they request it of their manager or ask for help in making a
self referral the manager will provide the necessary access information for the client to make
that first step themselves. The GWHOHS will undertake onward referral to alternate provider
care where necessary and will seek financial authorisation where needed.
7.2 Physiotherapy (where authorised)
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Physio Drop-in
Functional assessment
8. Attendance at Working Parties/Case Conferences/Committee or
Other Meetings
Attendance of an Occupational Health representative may be required to provide specialist
medical/clinical advice at various meetings as requested by Client.
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9. Records/Administration/Correspondence
GWHOHS must provide confidential storage and retrieval systems for medical/clinical records
pertaining to Client’s current and former employees. The regulations in Data Protection Act
(1998) must be complied with.
10. Workplace Assessment/Inspection/Visits
10.1 The requirement for assessments/workplace inspections is recognised as an essential
element and will be delivered in accordance with protocols agreed with The Client. There will
be an agreed programme of visits. Additionally, ad hoc visits may be requested. Each visit will
generate a report.
10.2 GWHOHS will collaborate with other Risk Management Services, as required by The
Client, in the provision of a comprehensive workplace inspection and reporting service.
11. Accident/Ill Health Inspection
It will be The Client’s responsibility to communicate workplace accident information to
GWHOHS. As a consequence of this (and Para 9) GWHOHS will also be asked to highlight
areas of health risk concern and to make recommendations, as required.
12. Health Surveillance
12.1 Control of Substances Hazardous to Health regulation (1994) Statutory Health
Surveillance – Regulation 11
GWHOHS will provide a health surveillance programme for employees exposed to such
substances as required under the regulations.
12.2 On-going Health Surveillance
GWHOHS will provide on-going health surveillance to comply with GWHOHS risk
Management Standards for all at risk group, to include drivers, maintenance staff, catering
staff, employees identified under the Disability Discrimination Act and employees at risk from
Latex allergy.
13. Display Screen Equipment Regulations (1992, revised 2002)
Vision Screening Test
GWHOHS is able to provide Keystone eye tests, however these “vision-screening tests” are
not designed to screen for eye defects, such as injury and disease and hence do not satisfy
the Health & Safety (Display Screen Equipment – DSE) Regulations (1992), as amended by
the Health & Safety (Miscellaneous Amendments Regulations 2002). Employers must
provide “an appropriate eye and eyesight test”, which means a “sight test” as defined in the
Opticians Act (1989) legislation and includes a test of vision and an examination of the eye.
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14. WELLBEING
GWHOHS will work with the Client in the development and Implementation of relevant health
promotion policies and programmes.
15. out of hours Advisory Service for Contamination of Blood or
Body Fluids, including Needlestick Injuries
GWHOHS will provide the relevant information for accessing support for sharps injuries when
the GWHOHS is not open. Access to Emergency Departments is the routine pathway for care
at these times. Follow up is necessary by the GWHOHS, This is to be done using the
“Sharps Hotline” Tel 01793 604472.
16. Purchaser
The Client will nominate an officer as representative to liaise with GWHOHS.
17. Monitoring and Review
17.1 The Client shall agree the detailed arrangements for monitoring with GWHOHS, the
main purpose of which will be to report on significant changes in activity levels and missed
appointments which may lead to a price variation.
17.2 In addition, the Contract will be monitored through meetings, organised jointly. This will
be at agreed intervals throughout the year.
17.3 The examination of the terms of the Contract could form part of the 3 monthly monitoring
process but should be reviewed annually, according to standards and outcomes determined
by the Client.
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18. Quality Framework
Services will be delivered in accordance with the NHS Occupational Health Standards as laid
down in The Effective Management of Occupational Health and Safety Standards in the NHS,
NHS Employers Guidance Document May 07. Note some timescales will be met wherever
possible, delays may; on occasion be inevitable due to unforeseen circumstances.
Service
Standard
Monitoring Requirements
Employment
Standard 1
Employment questionnaire to be dealt
with within 2 working days of receipt.
Date of receipt of questionnaire and
issue of fitness to work advice to be
logged and available on clinical
records
Employment
Standard 2
If required:
 Manager notification within 2 working
days of the need for potential new
employee to attend for health
assessment
 First appointment offered for health
assessment to be within 7 working
days.
Health questionnaire received is
logged as is date of notification to
manager, date of appointment and
confirmation that appointment was
attended.
In Service Referral
Standard 1
Following receipt of a referral form the
manager, or self referral, the first
appointment will be offered within 6
working days for an Occupational Health
Nurse or Occupational Health Physician
Date of referral and appointment or
contact to be recorded in staff OH
notes.
In-service referrals
Standard 2
Reports resulting from appointments with
Occupational Health professionals will be
sent to the managers within 2 working
days of the appointment.
Date of appointment and date letter
sent to be recorded in staff OH
notes
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Service
Standard
Monitoring Requirements
Ill-Health Retirement
The full protocol set out in Managing Ill
Health Retirement in the NHS will form
the basis for making the decision to
recommend ill health retirement. The
Client’s specific requirements will be
adhered to
All actions taken and discussions
held regarding the recommendation
can be verified by referral to
records.
Access to
Counselling
Services
Following referral by the client or their
manager, a triage appointment will be
offered within 48 hours. Immediate
access to support can be provided by
telephone.
Date of referral and appointment to
be recorded by the Counselling
Service and available, anonymised
for audit.
Immunisation
All staff will be offered immunisation as
appropriate for their occupation or work
activities.
There will be an agreed immunisation
policy setting out the requirements for
staff groups
Date of referral and appointment to
be recorded in staff clinical records.
Written immunisation policy
available for inspection.
There should be a minimum of one
recall after failure to attend for all
immunisations, which should be
auditable.
Health Surveillance
All employees who require health
surveillance to meet health and safety
legislation will receive surveillance
appropriate to their work or exposure.
Surveillance to be audited via
system showing the date completed,
results, previous test and follow up
and when information was passed
to manager.
Referrals to other
agencies
On the recommendation of the
Occupational Health Service staff may be
referred to other agencies. i.e. Medical
consultation in conjunction with the
client’s GP
Date of referral and appointment to
recorded in staff OH notes.
Referral to
Physiotherapy
Occupational Health Service staff may
refer clients for physiotherapy. Self
referral into Physio Drop-in will be
available. Thereafter appointments for
Physiotherapy will be offered within 10
working days
Date of referral and appointment to
be recorded in staff OH notes
Work based
assessments
Work-based assessments will be carried
out within 21 days of request from the
manager.
Records to be kept in the
Occupational Health Department
showing the date completed,
results, follow up and when
information was passed to line
manager.
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“Did Not Attend” (DNA) – All DNAs or cancellations, made with less than 24 hours
notice, will be charged at the full rate for the lost session.
The schedule outlined in the quality framework is a guideline and the specifics of The Client
needs will be discussed at commencement of contract and an addendum written where it is
felt changes need to be made to the framework to ensure it will function within the
organisation.
19 - Pricing
GWHOHS WILL UNDERTAKE ALL OF THE OH SERVICES OUTLINED IN APPENDIX 2,
WITH THE EXCEPTION OF COUNSELLING AND PHYSIOTHERAPY SERVICE, UNDER
AN INCLUSIVE CORE CHARGE (UNLESS OTHERWISE INDICATED). THIS CHARGE
WILL BE CALCULATED ON THE BASIS OF A COST PER EMPLOYEE. THIS ANNUAL
FUNDING CHARGE IS £56.05, PER EMPLOYEE, FOR THE YEAR 2010/11, BASED ON
THE TRUST HEADCOUNT AT THE END OF THE PREVIOUS FINANCIAL YEAR. THIS
CHARGE WILL BE RECALCULATED ANNUALLY AND ADJUSTED FOR CHANGES IN
HEADCOUNT AND NHS INFLATION.
15
APPENDIX 2 – Price List Menu for OH Service Provision April 1st 2010
– March 31st 2011
Episode
Nurse Advice Line
Physio Direct Advice Line
Counselling Direct Advice Line
Undertaken by
Price
OH Nurse
Inclusive
Specialist
Physiotherapist
Inclusive
Triage Counsellor
N/A
Pre employment assessments
Episode
Undertaken by
Price
Employment Health Assessment by Paper
Screening
OH Nurse
Inclusive
Employment Health Assessment by paper
screening and telephone conversation
OH Nurse
Employment Health Assessment face to
face
OH Nurse
Inclusive
Employment Health Assessment face to
face.
OH Physician
Inclusive
Night Worker Assessment paper only
OH Nurse
Inclusive
Pregnant Worker Assessment paper only
OH Nurse
Inclusive
Episode
Undertaken by
Price
Face to face assessment for Night
Worker/Pregnant Worker
OH Nurse
Inclusive
Face to face Assessment for Night
Worker/Pregnant Worker
OH Physician
Inclusive
Inclusive
16
In service sickness absence management
Episode
Undertaken by
Price
Management sickness absence referral
OH Specialist Nurse
£ Inclusive (inclusive of
report writing)External
reports invoiced direct to
Client
Management sickness absence referral
OH Physician
£ Inclusive (inclusive of
report writing)External
reports invoiced direct to
Client
Rehabilitation back to work assessment
OH Specialist Nurse
£ Inclusive (inclusive of
report writing)External
reports invoiced direct to
Client
OH Physician
£ Inclusive (inclusive of
report writing)External
reports invoiced direct to
Client
Specialist
Physiotherapist
Inclusive
Where work based assessment required
Rehabilitation back to work assessment
Where work based assessment required
Physiotherapy Referrals / Treatments and
Drop-in Advice
Counselling services
Episode
Undertaken by
Price
Face to face initial assessment/Triage
Qualified generalist
counsellor
N/A
Self referral to counsellor - limited to 6
sessions
Qualified generalist
counsellor
N/A
Training day for conflict resolution for up to
16 people
Qualified generalist
counsellor
N/A
Health surveillance
Episode
Specific to the industry involved.
Undertaken by
Price
Lung function assessment
As above
£ Inclusive
Audiometry assessment
As above
£ Inclusive
Skin assessment
As above
£ Inclusive
Blood tests
As above
£ Inclusive
17
Medical statutory assessments
OH Physician
£ Inclusive
Fitness to Drive
Food handlers
DSE Workers (VDU)
Manual Handling
OHN
£ Inclusive
Vaccination for Hepatitis B full course
OHN
£ Inclusive
Titre test post Hep B Vaccine and recall
system activation
OHN
£ Inclusive
Episode
Undertaken by
Price
Post Needlestick/Sharps incident
assessment and treatment (not peps)
OHN
£ Inclusive
Flu Vaccination
OHN
£ Inclusive
Drugs
N/A
Pathology
£ Charged separately
Bulk Vaccinations / Immunisations
OHN
Individually priced
Health Promotion
Activity
Four planned Health Promotion Campaigns
each year, to include:
 Planning
 Developing promotional material
 Making promotional material available
on GWHOHS website.
 One Train the Trainer event, including
relevant handouts and training
materials.
Excluding:
 Printing of promotional materials.
 Venue hire, lunch and refreshments for
training events.
Attendance at Health Promotion, Planning
and consultancy forums. E.g.:
 NHS Healthy Hospitals
 Health & Safety Planning
 Trust / GWHOHS operational planning
group.
 Regular performance review meetings.
Training courses/ audits
18
Undertaken by
OHNS / Business
Manager
Price
Episode
Undertaken by
Sickness Absence Management x 4 hrs
OHNS / Business
Manager
Manager management of absence x 4 hrs
OHNS / Business
Manager
Organisational Health Review
OHNS / Business
Manager
Price
Other courses required by an organisation
can be discussed and tailor made to suit
needs
Daily rates for on site service
Episode
Undertaken by
Price
1
£
£
2
£
£
3
£
£
4
£
£
5
£
£
19
APPENDIX 3 – SLA Signatures for the Provision of Occupational
Health Services (not to be signed until contract agreed)
To: The Client
From: The Great Western NHS Foundation Trust Occupational Health Service for the
provision of OH Services as defined in this contract.
1. Name:
Signature:
..................................................…………
Status:
2. Name:
Signature:
..................................................…………
Status:
(for and on behalf of [name of trust])
Date :
..................................................…………
Signature for an on behalf of Client
1. Name:
Signature:
..................................................…………
Status:
2. Name:
Signature:
..................................................…………
Status:
(for and on behalf Client)
Date:
20
……………...............................................