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#1 Posted : 20 March 2003 10:29:00(UTC)
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Posted By Jim Walker Whenever our First Aiders go for training, by a well known FA training organisation, the “de-brief" always incorporates trying to sell them personal indemnity insurance. They then return to work to question me. There was a similar thread to this one on the forum in November 2000. Most respondents appear to hold similar views to my own: so long as the First Aider sticks to what they have been trained, there is unlikely to be a claim against them. My problem is it is only my opinion against (as my First Aiders see it) the advice of a national body, expert in First Aid. Can anyone come up with something more tangible?
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#2 Posted : 20 March 2003 10:52:00(UTC)
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Posted By Zoe Barnett The only thing I find useful in this situation is to refer to the organisation's liability insurances. However in the past even this hasn't reassured nervous new first aiders who have asked to see the policy document to check that they are covered and that I'm not pulling the wool over their eyes just to keep the First Aider quotient up. I think this whole issue is indicative of a trend amongst "reputable" first aid training providers, who seem to be touting for trade first and providing rational training second. Regular readers may recall a post I made alerting colleagues to the fact that one provider was telling trainees that they needed to do a five day course in order to be "legal." Do colleagues find this as worrying as I do?
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#3 Posted : 20 March 2003 11:45:00(UTC)
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Posted By Robert M Edwards Back up your opinion with a letter from your insurance company detailing the insurance cover specifically for first aiders in the workforce. The FA training companies have a duty to explain to individuals the liability implications but not to sell them the cover! The best thing is for first aiders to receive details of the insurance cover from the workplace and also investigate their own liability off duty in their own time. They may well find their normal domestic insurance covers them and if not they can then make the decision to walk on by or help at risk. I would also consider talking to the training company involved and telling them of the problems they are raising and ask them to consider working with you to honestly address risk and stop their current tack.
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#4 Posted : 21 March 2003 09:34:00(UTC)
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Posted By Sean Fraser As someone who recently renewed his First Aid at Work training, I found this an interesting thread. The words "liability" did come up at one point but were gone so quickly it didn't really register - we certainly weren't encouraged to follow it up OR purchase personal indemnity cover. The most prevailing impression I got from my re-training was the message of simplicity - assess the situation, call for help, keep the casualty comfortable/alive until professional help arrives, in that order. It was impressed upon us that we did not need to know medical jargon, we weren't quasi-paramedics, we weren't more than ordinary employees who now had some additional knowledge that would help us to assist in an emergency situation. I liked that - it removed some of the pressure people must have previously felt when they did the training, although it is sometimes difficult to get this message across to fellow employees when they ask for minor medical advice! From the start of this thread I got the distinct impression that once again we have discovered a link between necessary health and safety requirements and commercial industry - it would not surprise me to find that this particular training organisation has some sort of commission-based arrangement with a particular insurance provider, and from one reply it may seem this may not be the only one. A similar thread was on recently where a commercial organisation was mis-using the good name of Essex Fire Brigade to get people to purchase a particular product and using threat of legal non-compliance as a means of scaring less-informed businesses into buying it, in effect, mis-selling. There is an insidious move towards such commerical link ups in general, which in this instance I believe probably comes under the FSA, especially on the part of the financial provider. Although I do not disagree with sponsorship, associations and cross-selling per se, I do believe that such arrangements need to be up front so that people are aware that this is advertising a product or service, and not using "legal" requirements as a tool to scare people into making quick decisions. There are ethical rules governing most industries in terms of Codes of Conduct and even regulatory bodies, but these are often self-enforcing and sometimes lack the bite they need to get the particular house in order. I endorse the previous response stating that you should contact your own insurance company first regarding the employers liability insurance, then contact the training organisation and ask them the basis of their advice that First Aiders seek additional personal indemnity insurance. I would expect you might find they are actually representing a particular provider but keep this link fairly well hidden, and this could be the basis of a complaint to both them and the HSE as a regulatory body regarding mis-reprepresentation. It is only by complaining that we are likely to nip these things in the bud and to ensure fair play in the future.
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#5 Posted : 21 March 2003 10:25:00(UTC)
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Posted By Chris Phillips I might be wrong, but shouldn't first aiders be covered under the employers liability insurance under vicarious liability. Provided they only administer first aid in the workplace. They are acting for and on behalf of their employers in terms of providing a service.
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#6 Posted : 21 March 2003 11:27:00(UTC)
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Posted By Robert K Lewis I think this may be occurring because the Trainers believe that once qualified a F/Aider may well have occassion to practice their skill outside of the work situation - hence no indemnity under the EL insurance. This does become a tricky area and it has been known that F/Aiders are sued for damage to clothing that has been cut off in order to gain "urgent" action!!! I can't see a way round this as we are fast approaching the US style litigation atmosphere. There was a thread some months ago with the American Awards for the most bizarre compensation awards. I am afraid that in common with much of life the need for personal liability insurance is becoming almost obligatory. Bob
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#7 Posted : 21 March 2003 11:36:00(UTC)
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Posted By Michelle Driscoll I may be wrong, but during my First Aid training nearly 3 years ago I am sure that the training award automatically entitled me to approx £400k PL insurance held by the training provider and that we could top it up if we wished via their insurance scheme. I am due to do my requalification in May so will double check this again.
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#8 Posted : 21 March 2003 13:19:00(UTC)
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Posted By Ashley Williams On a similar basis we have had people come back from our providers insisting that we need defribulator training and must have same sex first aiders per casualty? Ash
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#9 Posted : 21 March 2003 15:06:00(UTC)
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Posted By Sean Fraser In response to the post above - here is another example of people being given inappropriate information and training. According to the Regulations as noted in Allan St John Holt's "Principles of Health and Safety at Work" - "The Regulations meet their objectives by requiring that every employer must provide equipment and facilities which are adequate and appropriate in the circumstances for administering first aid to employees". It then goes on to stress that there are no maximum/minimums although there is guidance as to what would be considered adequate and appropriate, which is then expanded in the ACoP. There is no mention of defribulators or single-sex provision! I fall back on what I said previously - the emphasis was on simplicity. Keep the casualty comfortable / alive until professional help arrives, and that can be done successfully without much specialist knowledge of equipment. It was mentioned during my refresher that experience here in Grampian has found that provision of defribulators to local shopping malls did not actually save more people since their introduction than good old CPR did previously - at least from a statistically significant point of view, although I have yet to confirm that. The key principles are in the employer making a suitable and sufficient assessment of their first aid requirements dependant on circumstances - and then acting on it. Try the HSE website on First Aid for guidance: http://www.hse.gov.uk/firstaid/index.htm Hope this helps.
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#10 Posted : 21 March 2003 15:31:00(UTC)
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Posted By Geoff Burt Do you have the details of claims from accident victims against first aiders. I haven't heard this before. Geoff
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#11 Posted : 21 March 2003 17:19:00(UTC)
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Posted By Jay Joshi If first aiders are administering first aid to employees in their worklplace, Employers Liability Insurance should cover it, although it pays to reconfirm. Regarding defibrillators, refer to the HSE website topic page on First Aid at Work - Frequently Asked Questions. http://www.hse.gov.uk/firstaid/faqs.htm http://www.hse.gov.uk/firstaid/index.htm It states:- Defibrillators Should I provide a defibrillator for use in the workplace? As an employer, you will need to carry out an assessment of first aid needs appropriate to the circumstances of the workplace. There is no legal bar to employers making a defibrillator available in the workplace if the assessment of first aid needs indicates such equipment is required. You may also want to consider provision of first aid, possibly including a defibrillator, for the public, although this is not a legal requirement. The Health and Safety (First-Aid) Regulations 1981, do not prevent someone who is specially trained from taking action beyond the initial management of a casualty. It is important that the person who will be required to use a defibrillator, usually a first aider, is appropriately trained. Courses in the use of defibrillators are available. Training providers offering such courses do not need approval from HSE for this purpose.
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#12 Posted : 21 March 2003 21:09:00(UTC)
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Posted By Robert M Edwards There is as yet no legal precedent in the higher courts for actions against first aiders, just a handfull of civil ( unreported cases). However there are a few points arising out of the postings so far. Vicarious liability would only cover first aid in the workplace given to co- workers. What about the issue of the member of the public who requires first aid whilst on the employer's premises- these people are not catered for in HSE guidelines? Again a grey area and one worth checking with your insurers it does not fit in neatly with Public liability cover. Secondly the issue of first aid being provided to the public at large by those qualified also carries some risk. The courts are challenged by the present law but certainly providing first aid to anyone carries some risk of being sued. However there are a number of defence options open all of which are robust! For a lengthy explanation of the history of the various redresses in law, and defence options look at http://www.resus.org.uk/pages/legal.htm It provides a really cohesive explanation and covers all areas of potential claim.
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#13 Posted : 24 March 2003 20:25:00(UTC)
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Posted By Stuart Nagle Jim. As far as I can ascertain there is no legal requirement for first aiders to be insured on a personal basis. In law the employer must comply with the health and safety (first aid) regulations which requires that he make arrangements for first aid including the appointment of appointed persons and/or first aiders. In light of this, I would suggest that the employers liability insurance covers his employees who have been appointed to help him managage the legal duties duties imposed on the employer by the regulations. Whilst I would get a legal opinion (company solicitor perhaps), I think this would indeed cover the issue.
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#14 Posted : 24 March 2003 21:34:00(UTC)
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Posted By martin knox Stuart is absolutely correct, there is no legalrequirement for a first aider to be idemnified on a personal basis, as they are usually.......and I say usually covered under the employers (Compulsory Employee liability insurance and or the Employer Public Liability Insurance). You will need to tie in with your insurers to see what or who your first aiders are idemnifed to treat,while at work, However - out on the streets away from work, is completely different, give the wrong treatment in good faith or give negilgent treatmnet or encounter a where theres blame, there is a claim type person and you may well risk all of your worldly possessions, I recently dealt with the same type of query from our first aiders - I explained the legalaties to them and also obtained a copy of our idemnity schedule to show them - they are fully covered. From what you have said - the training provider is not explaining themselves or the position fully, check with the policy that your first aiders are covered to give first aid to, visitors, contractors and members of the public - while at work!!!!!! Martin
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#15 Posted : 25 March 2003 10:48:00(UTC)
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Posted By Ken Taylor The first-aiders being given this task to perform by their employer are doing this as part of work so any action commenced for negligence is likely to be taken against the employer for whom employers liability insurance should be in place. As to possible action taken by others against the individual or even by the employer against the individual, the situation would be the same for any other aspect of their work and not just first-aid provision. This would be an arguement for personal liability insurance for all acts and omissions of employees whilst at work and, perhaps, for all persons at all times! Just imagine what the premiums would be! Fortunately we haven't gone there yet and lawyers still see the value of proceeding against those with the ability to pay!
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#16 Posted : 25 March 2003 11:22:00(UTC)
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Posted By Robert M Edwards Whilst at work and under the employer's insurance there is not an issue. As the HSE do not require first aid to be given to members of the public who attend the premises, some insurance policies do restrict the cover to employees only. It is worth reviewing your cover (both public and employers) at this stage. However the issue of first aid to the public at large is a thorny problem. It is nowhere near as simple as suggesting a policy for everyone to cover all aspects of life! If, by giving first aid you are at risk of litigation then you need to consider the insurance aspect. There is no legal requirement to do so, it just makes sense. All assets are considered in litigation including the property you live in so risk depends on what is at stake.
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#17 Posted : 25 March 2003 11:33:00(UTC)
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Posted By Robert K Lewis Geoff That would stretch my memory too far as it happened when I was an active F/Aider in the Chem. Industry back in the 70's. It was firmly impressed on people even then that the risk of claim existed. As many have said - there is no problem at work but there is when the skills are practised outside the work environment. I know there are defences of due diligence but unless you have some insurance or other substantial backing funds how are you to fight a no win no fee claim against yourself? The St Johns et al. all insure their people when on volunteer duty and I do not now believe, unfortunately, that undertaking first aid outside of the work or organised voluntary sector is possible without personal insurance. It's ultimately a relatively simple Risk Assessment issue - not one of whether it is right or not for F/Aiders to be sued. Bob
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#18 Posted : 25 March 2003 11:45:00(UTC)
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Posted By Jane Blunt Just a word of caution. The Employers Liability Insurance covers the first aiders at work within their own workplace. However, if the workplace is shared between companies and there is an informal agreement between them over reciprocal provision, reciprocal insurance is not automatic. However, simply notifying the insurers that this is happening is usually sufficient to sort out the problem. What we haven't managed to sort out satisfactorily is the case of someone entering from the street requiring first aid. Jane
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#19 Posted : 27 March 2003 09:20:00(UTC)
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Posted By Robert K Lewis Jane: Further complication here as well if the employer pays for Indemnity insurance for first aiders to deal with this type of situation is that of Benefit in Kind which the Tax man loves to know about. It certainly overcomes many of these residual issues though. Bob
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#20 Posted : 01 April 2003 08:42:00(UTC)
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Posted By Ken Taylor Would it, perhaps, be reasonable to take the view that, whenever a person is acting as an appointed first-aider (whether in the course of their employment or as an appointed volunteer for an event or similar), liability insurance should either be in place as required by statute or as a wise precaution but that when a person, in possession of a first-aid qualification or ability, performs first-aid on am impromptu basis as an act of common humanity it would not be a reasonable assumption?
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#21 Posted : 01 April 2003 11:00:00(UTC)
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Posted By Robert K Lewis Ken In an ideal world this is precisely what should happen but unfortunately this is not the case. Bob
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