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#1 Posted : 04 May 2007 08:27:00(UTC)
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Posted By Carol Ambrose
Hi all, I wonder does anyone have any information or experience with dealing with the following: I am responsible for Doctors/nurses and other health professionals, visiting the homes of clients, as it is residential property then the no smoking ban cant be enforced, however I am looking for ways to protect my employees when they carry out home visits, we have asked our clients when making the appointment, that the client doesn't smoke for up to 2 hours before the Doctor etc visits, however this is a request and there is no way of enforcing this or even knowing if this has been the case, I really don't now what other procedures can be put into place and would really like some help on this
Thanks
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#2 Posted : 04 May 2007 09:57:00(UTC)
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Posted By J Knight
Carol, you can put the 'request' into contracts for service delivery where you have people getting regular visits. Still not enforceable in criminal law, but it can be used to support a decision to withhold service where people are exceptionally uncooperative; it also lets everybody know exactly where they stand,

John
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#3 Posted : 04 May 2007 10:09:00(UTC)
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Posted By TBC
Agree with J Knight - Here's a link to the info used in Scotland:

http://www.clearingtheai...ke%20Free%20Scotland.pdf

Section 3 k.

Hope it helps.
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#4 Posted : 04 May 2007 16:58:00(UTC)
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Posted By Chris Packham
From the document that arrived in my post the other day (Everything you need to prepare for the new smokefree law on 1 July 2007):

Private Dwellings
...
"Anyone who visits private dwellings as part of their work, for example delivering goods, or providing services such as plumbing, building or hairdressing, can download further guidance at smokefreeengland.co.uk/resources"

Chris
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#5 Posted : 04 May 2007 22:32:00(UTC)
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Posted By David Bramall
Carol
I think a previous response of asking the owner not to smoke for 2 hours is light - I would go for "a full day with a through draught present throughout the house" and if the visitor can sense any smell of smoke or other obnoxious substance to refuse to enter. However, if emergency situations are the norm, a different set of rules would need to apply. I will have a think about how we can deal with this andpost later.

DrB
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#6 Posted : 05 May 2007 12:02:00(UTC)
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Posted By Rob T
Carol,

You have of course now seen the absolute extreme end of the anti smoking lobby (A whole day?? without smoke in your own home??!). I suggest people with views like that know absolutely nothing about what the body can cope with and constitutes a hazard. Noted the Dr bit but obviously in general practice and doesn't understand H&S or risk assessment. If people want to post on here they should at least have a modicum of sense in their replies. Going into a house even if the person is smoking in your face will not harm you - or if it did then probably three quarters of the population would be immediately dying of cancer. Just because a dictatorial law has been brought in it doesn't suddenly mean that smoke is any more dangerous than it was before the act was signed!

Anyone who withholds support for those less fortunate than ourselves for spurious reasons should maybe choose a different occupation.
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#7 Posted : 05 May 2007 12:42:00(UTC)
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Posted By John Murgatroyd
"Going into a house even if the person is smoking in your face will not harm you - or if it did then probably three quarters of the population would be immediately dying of cancer"

Or maybe dying of an asthma attack, easily brought-on by being exposed to tobaco smoke. Or maybe just in discomfort from finding breathing hard. Or maybe they just don't like smelling like a smoker.
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#8 Posted : 06 May 2007 01:58:00(UTC)
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Posted By Rob T
Yes John and of course if this could save 1 person in a billion who could possibly be saved because the likelihood of his/her dying in these circumstances prevail, could be saved then of course. I'd love to see your RA's on actually entering the London underground. Funnily enough there has NEVER been an assessment that has ever shown that the asbestos levels have EVER reached an acceptable level but we still have more than a million people using it every day, Your RA's must be something to behold. Get real!! As I said in answer to the question (which you seem to have missed as usual) just because a peice of paper written by "concerned parties" with a political agenda, is issued doesn't mean that any threat is increased. It just means that they get more smug!
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#9 Posted : 06 May 2007 09:45:00(UTC)
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Posted By Ian P
We have had the smoking ban in Scotland for some time and some organisations have come up with trying to ban people from smoking for a certain period before a visit (even they have not gone nearly as far as a whole day though!). I don't know how they enforce it unless somebody sits in the house with BA for the hour before or whatever length it is. A lot of our workers do home visits and if we tried to tell our clients not to smoke in their own houses they would simply cancel. Our service is social work type stuff and its difficult enough some times getting people to co-operate. There are substance used which I worry a lot more about than tobacco. A what I hope is a common sense attitude we have adopted is to allow each worker to do their own risk assessment and they are entitled to refuse to work in a home if they feel at danger from tobacco smoke. Groups at higher risk such as asthma sufferers or expectant mothers are of course treated differently but we can at least use this as a justification rather than just a blanket ban.
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#10 Posted : 06 May 2007 10:05:00(UTC)
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Posted By John Murgatroyd
"Your RA's must be something to behold"

I don't "do" risk asses sunshine. In fact, if the truth was known (which it is) the V A S T majority of risk assessments are totally ignored by everyone. They are done because they "have" to be done, along with COSHH assessments. In the real world if you had to read through them every time you did a different job your eyes would be worn out at the end of the day. Putting-up with other peoples habits is something you learn to do....which is why I won't lose any sleep over the "smoking ban", this being England it will be largely ignored anyway. Working life is a fine balance between obeying regulations which matter, and not bothering about those meant to ensure a healthy supply of well-paid careers for those who don't want to work, at work. And since the "policing" of H&S is going down the pan FAST, who really cares ? (in truth, the policing has been near-to-zero for decades anyway....the gov has just woken-up to that fact, so the H&S inspector will be calling much less than before (joke))
Anyway, I've not been on the underground for 30 years. I cannot imagine it has changed. Full of filth, and that's just most of the people who use it. Mind you, they were clean before they entered it !
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#11 Posted : 08 May 2007 10:38:00(UTC)
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Posted By J Knight
rob,

while I have some sympathy with your sentiment, what you need to consider is that we have to manage this; we have had carers complaining about supporting smokers for years now, and now with the ban we can only expect complaints to increase. Its no good saying that there is no evidence that short exposure to second-hand smoke won't hurt you, they won't believe us (I've tried it) and in any event will then just start going on about the smell and so on. We could try compelling them to attend in smoky atmospheres, I understand that some local authorities are intending to do this, but we have taken the view that if we do too much of that people will vote with their feet, and recruitment into a low-paid low-status job like care is difficult enough without making it harder.

The social climate has changed, and the reasons that people don't want to work in a smoky atmosphere are more deeply rooted and complex than a fear of cancer,

John
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#12 Posted : 12 May 2007 20:22:00(UTC)
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Posted By David Bramall
Carol
I am only playing with words here but what does a "NON SMOKING BAN" really mean - it has just crossed my mind that a smoking ban would mean that smoking is prohibited, whereas a no smoking ban implies that smoking is, therefore compulsory.
Have a good weekend.
DrB
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#13 Posted : 13 May 2007 08:36:00(UTC)
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Posted By Tony Brunskill
John,

I find your response above quite interesting. Which laws do you think we should ignore? Can we all adopt a similar approach? If we do would anarchy prevail as each individual chooses which laws they will comply with? Can I use you opinion as a defense when I am nicked for speeding?

I find the question originally posted fascinating. Who will have their human rights abused? The smoker - banned from smoking in their own home or the "employee" denied the right to a smoke free environment?

Like most legislation this is set to make lawyers a lot of money.
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#14 Posted : 13 May 2007 09:13:00(UTC)
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Posted By Merv Newman
Good lord, there is an awful lot of nonsense here. Lets get controversial.

Banning smoking for 24 hours before a health visitor comes ? Have they ever tried to avoid drinking tea or coffee for 24 hours ?

Health visitors complaining about smells ? Have they never changed a nappy ? Or visited a "deprived" housing estate ?

I would just love to see a RA which includes a statistical analysis on passive smoking.

OK, asthma prones, pregnant women and maybe a few other groups require special attention. They are out of the statistical box.

But your average social visitor is not going to die from an hour or two of exposure to "passive smoke"

If you want to argue differently then YOU show ME the hard statistics.

I could go for asking clients to not smoke during the hour before the visit (if the social worker can be bothered to turn up on time) and why not open the windows. (sorry, keying error nearly made that widows)

And, if basic control/containment measures are not considered to be sufficient, do as the chemical industry does ; Personal Protective Equipment. Each health/social worker equipped with and trained to use a face mask. Simple activated-charcoal cartidges should do it.

Thinking about it, the sight of your health visitor coming in with a full-face mask and BA set just because you have been smoking might frighten a few of the old dears out of the habit.

Worth a try. Any volunteers ?

Merv

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#15 Posted : 13 May 2007 09:57:00(UTC)
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Posted By Chris Packham
OK I know its not Friday, but . . .

Has anyone done an estimate of the carbon footprint of all these people smoking?

Chris
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#16 Posted : 13 May 2007 12:15:00(UTC)
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Posted By Merv Newman
Chris,

Duh. Carbon footprint for a packet of 20 fags from virginia to watford ? Not a lot I think.

Carbon footprint for paying 80% of the cost to Gordon Brown ?

That hurts

Merv
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#17 Posted : 13 May 2007 12:19:00(UTC)
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Posted By Pugwash
Ah Merv
Takes me back - French widows in every room! Now that is service.

And of course, the bricklayers lament. Do the younger ones among us know this one? I think they should. A classic piece of accident reporting. It used to be possible to find the Oxford Union address on the web but I think the copyright owners have been asserting their rights and getting the files removed. I think it would be against the AUG's to even post a link.

P
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#18 Posted : 13 May 2007 12:27:00(UTC)
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Posted By Chris Packham
Bricklayers lament? I was listening to my tape of this - and the other items - only last week!

How did it go? I may be modest in bath, but I am superb in bed!

Chris
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#19 Posted : 13 May 2007 23:05:00(UTC)
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Posted By steve e ashton
and have you tried the famous echo in the reading room of the British Museum?

(For those of you who have no clue where this thread has gone - try getting hold of a copy 'Hoffnung at the Oxford Union'....

LOL

Steve
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