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Tobin26388  
#1 Posted : 08 May 2012 16:44:53(UTC)
Rank: Forum user
Tobin26388

Hello I would appreciate views on the requirements for a particular class of car insurance for NHS healthcare staff working in the community. This is typically community nurses using their own car to visit patients at home (maybe 5-10 patients per day). The nurses may be carrying medical samples (blood, urine), medical waste (used dressings) and consumables. Anything that is a biohazard is stored in specialist containers and I am happy with how we manage that. But the insurance query keeps raising its head periodically. I have always been clear that car insurance for "social, domestic & pleasure" is insufficient and that staff need to have cover that includes "use in connection with the policyholder's work"; this is now typically called Class 1 cover. Am I right in your opinion? I wait in hope. Thanks.
User is suspended until 03/02/2041 16:40:57(UTC) Ian.Blenkharn  
#2 Posted : 08 May 2012 16:49:33(UTC)
Rank: Super forum user
Ian.Blenkharn

It matters not one jot what anyone here thinks, though there will probably be many and varied opinions from the barrack room. So, at the risk of severe haemorrhage while stating the obvious, ask the insurer!
Tobin26388  
#3 Posted : 08 May 2012 17:07:09(UTC)
Rank: Forum user
Tobin26388

There are 4000 staff, each with their own insurance policy from any of the numerous car insurers out there. So "ask the insurer" doesn't help- I need to be clear about what class of insurance we are telling staff they must have. I do think there will be people on this forum who have experienced this issue before and will be able to provide some insight on this issue. Thanks.
jfw  
#4 Posted : 08 May 2012 17:08:30(UTC)
Rank: Forum user
jfw

Below is the response my insurer gave me recently :- If the car is being used in connection with work, either to visit clients or more than one place of work, the client will need a level of business cover. Class 1 It is only the Regular Driver and Spouse who may have business use class 1. Business cover does NOT extend to cover any other named drivers on the policy, although the named drivers may still use the car for social, domestic and pleasure purposes. Class 2 Class 2 covers named drivers and the RD/Sp business use. The named drivers only have the business use cover when they are driving the car in connection with the business of the main driver, They do NOT have cover if they are driving for the business of a different employer. Class 3 Class 3 use provides business cover for the transportation of light goods, which have already been purchased, for example, pizzas or flowers. The driver who needs cover while selling services on a "door to door" basis will be covered by this option. Note: Irrespective of whether or not the client is getting paid for the work that they do, they may require business use if they are either carrying passengers in the car or using the car to travel between places of work during the day.
Brett Day SP  
#5 Posted : 08 May 2012 17:12:56(UTC)
Rank: Forum user
Brett Day SP

I'd second what Ian says as the definitave answer. From Personal experience I'd add that business cover (at the time I looked into it) had 3 classes 1, 2, and 3 dependant on risk, most companies used Class (or Cat) 1 as the highest risk usually carrying cash/cheques/forms of currency, medical suuplies / waste and visiting construction sites (which was where my knowledge of this came in) (it is amazing what insurers define as a construction site). However, some insurers use Cat 3 as the highest.... So best bet don't ask for any particular catagory as you could end up with either the best or the worst level of cover dependant on how the insurance co's definitions - state the use and let them guide you.
Brett Day SP  
#6 Posted : 08 May 2012 17:16:55(UTC)
Rank: Forum user
Brett Day SP

Having just seen you response re the number of cars, you haven't got an easy job due the potential differences in the insurers definitions. Could the organisation arrange a 'blanket' policy to cover the 'at work' part of the insurance with 4000 cars there should be hefty discounts available to be negotiated as a group policy?
User is suspended until 03/02/2041 16:40:57(UTC) Ian.Blenkharn  
#7 Posted : 08 May 2012 18:41:28(UTC)
Rank: Super forum user
Ian.Blenkharn

Tobin26388 wrote:
There are 4000 staff, each with their own insurance policy from any of the numerous car insurers out there. So "ask the insurer" doesn't help- I need to be clear about what class of insurance we are telling staff they must have. I do think there will be people on this forum who have experienced this issue before and will be able to provide some insight on this issue. Thanks.
If you think it doesn't help and instead take advice from someone here, do be prepared to open your purse when one, or all, of your 4000 users is cast adrift by their insurer. And please don't consider spending public money to pick up the pieces and dump the cost of that error on NHS funds to which we have contributed. It will be your error, and your responsibility. Not the users, not the insurance companies, and certainly not the tax payers either.
IanS  
#8 Posted : 08 May 2012 20:13:59(UTC)
Rank: Forum user
IanS

Like it or like it not Ian's reply is the best approach but just to tone it down a bit, I would suggest that you get each of the 4000 people to have their insurance company complete a pro forma stating that they are covered for the work role(s) intended. For the wording could I suggest you contact your CFR coordinator who probably do this for volunteers.
pete48  
#9 Posted : 08 May 2012 20:24:30(UTC)
Rank: Super forum user
pete48

Tobin, my advice would be to look at this from the other end. Would it be possible to require your empoyees to confirm with their individual insurers that they have the correct cover for the use of their private vehicles for the work that you require them to do. I am assuming that mgmt approval has to be given for the use of a private vehicle and it is normal for some form of declaration to be made by the individual employee about adeqaute insurance being in place and maintained. You could easily provide a summary of activity and types of work as part of your procedures. I would also hope that your company insurers would offer some technical advice on types and levels of available insurance even though they are obviously not providing same directly to the company. I am not sure what all the rhetoric is about concerning errors etc. I am sure you understand well enough the nature of this forum and any comments made, good luck p48
User is suspended until 03/02/2041 16:40:57(UTC) Ian.Blenkharn  
#10 Posted : 08 May 2012 20:49:53(UTC)
Rank: Super forum user
Ian.Blenkharn

It won't be much of a task. After all, the biggest NHS Trusts do not employ anything like 4,000 community nurses. In fact, I doubt that there are as many as 4,000 community nurses across the entire UK!
Tobin26388  
#11 Posted : 09 May 2012 01:00:10(UTC)
Rank: Forum user
Tobin26388

Ian , many NHS trusts employ well over 4000 people, some approaching 10,000 (although those will be a mix of community & hospital based staff); and there are 1.3 million NHS employees including many tens of thousands of community nurses. We require those using their own car for community visits to declare that they have appropriate cover but staff come back with queries because the policy documents are often not very clear. I have tried the ABI but not very helpful. As regards your musings about taxpayers etc & " if anything goes wrong it's my fault so I should cover it all myself" that's one piece of "advice" you can keep. Everything we do is about reducing risk to the NHS, patients, staff & taxpayers.
bob youel  
#12 Posted : 09 May 2012 07:19:16(UTC)
Rank: Super forum user
bob youel

This is really a HR/managing issue I tend to find that for 'basic'* work use insures do not levy an additional charge on their cover at this time on private car insurance so staff should not be worried from that side. That said it will not take long for insurers to catch on and charge for the 'work' element of their cover and thereafter the employer will have to pay Everybody who uses their car for work should have a simple half page guide issued to them which also covers the question; 'are you insured for work activities' and anybody not ticking the 'yes' box should be asked the question why by their immediate line manager - the line manager should be armed with the appropriate information to help staff and they should look at everybodies documents at least once a year to confirm compliance It sounds like a large task but in fact its proportunal as senior managers should be tasked with managing their own staff so they should action their lower managers to act and so on down *Carriage of various chemicals and waste is another matter for further discussion
barnaby  
#13 Posted : 09 May 2012 07:27:13(UTC)
Rank: Guest
Guest

Are there not insurance specialists in your Trust (or the NHS) who can provide definitive information? With so many drivers it seems strange there is not a clear policy.
Tomkins26432  
#14 Posted : 09 May 2012 08:07:29(UTC)
Rank: Forum user
Tomkins26432

Not sure if this helps much,but We require staff and volunteers to have the correct business class insurance and to confirm this on every mileage expenses claim they make. Not wanting to shirk responsibility I believe it is in fact the responsibility of the driver to ensure they have the correct insurance cover, while we insist they have business cover and insist they tell us they have, we allow them to meet their own legal requirement under the Road Traffic Act. You talk about your staff being covered while using their own cars, have you looked to see what your volunteer drivers do? That's if you have them and they are not part of another organisation?
Phil Grace  
#15 Posted : 09 May 2012 08:28:00(UTC)
Rank: Super forum user
Phil Grace

Tobin, Whether it's called class 1 is one thing but you are correct in that you are not protected if you have simple social, domestic and pleasure (SDP) cover. If anyone uses their private car in connection with their work - even for odd trips for which they receive a mileage allowance then they must have "Business use". Ian is correct - seeking clarification from the insurer is the foolproof approach. There will be an additional premium. Phil
up north  
#16 Posted : 09 May 2012 08:28:14(UTC)
Rank: Forum user
up north

When using your own vehicle for work purposes, insurance is the responsibility of the driver, the employer should make diligence checks that each private vehicle driver is suitably insured. I.e obtains copy certificates each year. The costs of this insurance is part and parcel of the HMRC mileage rates, 40p for first 10,000 etc which I am sure each driver is claiming for the business miles they complete. I would suggest the short answer is to obtain from your insurance company the correct definition for the level of cover they would expect to see for this work if you was providing company cars. This is then communicated to each driver who then provides the appropriate insurance cover certificate. hope this helps
User is suspended until 03/02/2041 16:40:57(UTC) Ian.Blenkharn  
#17 Posted : 09 May 2012 08:28:18(UTC)
Rank: Super forum user
Ian.Blenkharn

Tobin26388 wrote:
Ian , many NHS trusts employ well over 4000 people, some approaching 10,000 (although those will be a mix of community & hospital based staff); and there are 1.3 million NHS employees including many tens of thousands of community nurses. We require those using their own car for community visits to declare that they have appropriate cover but staff come back with queries because the policy documents are often not very clear. I have tried the ABI but not very helpful. As regards your musings about taxpayers etc & " if anything goes wrong it's my fault so I should cover it all myself" that's one piece of "advice" you can keep. Everything we do is about reducing risk to the NHS, patients, staff & taxpayers.
I understand the denominator, I've worked in and for the NHS for most of my working life. But if there are 4,000 community nurses in your Trust of around 4,000 employees, or even 10,000m who is it that does all of the other work? The nominator that you use is ridiculously inflated. By no means is this the impossible task that you bemoan; and as you have been advised it is not you who has to ask 4,000 different insurance companies - get the users to do it themselves.
Phil Grace  
#18 Posted : 09 May 2012 08:33:10(UTC)
Rank: Super forum user
Phil Grace

Tobin, Pressed "Send" too soon! I should have added that you do not neeed to contact the insurers - that is the car owners responsibility. Any additional premium is covered by the mileage allowance that they receive. As other people have suggested you could seek to extend your existing motor policy - for vehicles that you own - to cover employee's own cars. It is possible - it can be done. Phil
Zyggy  
#19 Posted : 09 May 2012 09:01:15(UTC)
Rank: Super forum user
Zyggy

Tobin, I have had experience of this, albeit in a non- NHS setting. My opinion is that the insurance cover must be for"use in connection with the policyholder's work". As for an increase in premiums, that's an interesting one. I was carrying out an annual driver document check on a new employee & noticed that she didn't have this cover. Along with a large percentage of people, she had stuck with her existing insurer for many years & had not bothered to look around for a better deal. The upshot was that when she now did, her premium was less, but the cover increased! If I was a betting man, I think that you might find something similar with a lot of your employees. Zyggy
johnmurray  
#20 Posted : 09 May 2012 09:33:04(UTC)
Rank: Super forum user
johnmurray

Standard policy. Social, Domestic and Pleasure. Which includes commuting to and from a single place of work. On a standard insurance no cover is provided for use FOR work OTHER than commuting TO and FROM it. I ASKED my insurer about that point when I needed to carry tools to/from work. the insurer was quite specific about what I needed minimum. I needed to add "carriage of own goods" to the policy and I #was not# insured if I did not.
Tobin26388  
#21 Posted : 09 May 2012 11:20:28(UTC)
Rank: Forum user
Tobin26388

Ian.Blenkharn wrote:
Tobin26388 wrote:
Ian , many NHS trusts employ well over 4000 people, some approaching 10,000 (although those will be a mix of community & hospital based staff); and there are 1.3 million NHS employees including many tens of thousands of community nurses. We require those using their own car for community visits to declare that they have appropriate cover but staff come back with queries because the policy documents are often not very clear. I have tried the ABI but not very helpful. As regards your musings about taxpayers etc & " if anything goes wrong it's my fault so I should cover it all myself" that's one piece of "advice" you can keep. Everything we do is about reducing risk to the NHS, patients, staff & taxpayers.
I understand the denominator, I've worked in and for the NHS for most of my working life. But if there are 4,000 community nurses in your Trust of around 4,000 employees, or even 10,000m who is it that does all of the other work? The nominator that you use is ridiculously inflated. By no means is this the impossible task that you bemoan; and as you have been advised it is not you who has to ask 4,000 different insurance companies - get the users to do it themselves.
Ian, read the post before you jump in with your criticism. There are approx. 4000 community staff, typically nurses, but also including physios., OTs, Speech & Language Therapists, Health Visitors, Podiatrists, in fact 81 clinical specialisms; but the majority are nurses- not that it matters for the insurance question- they are all NHS staff using their own car for community visits. There are approx 800 other staff in hospital / clinic- based roles and support roles such as HR, Finance etc, but even many of them need to travel around the Trust for work. So I just can't see where you get off with your 'ridicuous denominator' . We require each person to declare annually in writing that they have insurance that covers their use of their car in connection with work. The problem we get is that insurance policy documents are often unclear on this point- there does not appear to be any standard wording and so people inevitably come back to us with queries. The insurance industry does not seem to have a standard approach either and there are 2-3 classes of "business use" but even within those the insurers differ on the level of cover. I will review the other advice on here and develop our position. Considering your opinion that any advice on this forum would be worthless I suggest you needn't waste any more time offering yours. Cheers.
johnmurray  
#22 Posted : 09 May 2012 11:34:51(UTC)
Rank: Super forum user
johnmurray

User is suspended until 03/02/2041 16:40:57(UTC) Ian.Blenkharn  
#23 Posted : 09 May 2012 11:51:08(UTC)
Rank: Super forum user
Ian.Blenkharn

Do tell us, when the time comes, what the numerator actually was and how you resolved the 'problem'
CliveLowery  
#24 Posted : 09 May 2012 12:03:56(UTC)
Rank: Forum user
CliveLowery

Tobin, I think Bob's reply at Nr 12 is the way forward. Don't take it all on yourself. He also raises the issue of Waste, often overlooked - May I suggest you spak to the Environment Agency and confirm that the carriage of small amounts of Clinical Waste, albeit soiled dressing etc, is covered by your relevant licences. We had a recent incident where we had employees and Labour Only Sub Contractors using their vans etc to move small amounts of construction waste accross a housing estate to a central skip. By the letter of the law, the employees were covered by our licence but not LOSC or volunteers! They also went on to say that it would be extremely unlikely that we would ever be "Pulled" for this practice, but they also stated that there are some "Pedantic Consultants" out there that would pull us up for this. Made me chuckle! I got the information from them over the phone and found them to be extremely helpful and practical. Regards Clive
Tobin26388  
#25 Posted : 09 May 2012 12:17:14(UTC)
Rank: Forum user
Tobin26388

JohnMurray wrote:
http://www.rospa.com/roadsafety/info/ownvehicle.pdf
Thank you John.
Tobin26388  
#26 Posted : 09 May 2012 12:18:31(UTC)
Rank: Forum user
Tobin26388

clivelowery wrote:
Tobin, I think Bob's reply at Nr 12 is the way forward. Don't take it all on yourself. He also raises the issue of Waste, often overlooked - May I suggest you spak to the Environment Agency and confirm that the carriage of small amounts of Clinical Waste, albeit soiled dressing etc, is covered by your relevant licences. We had a recent incident where we had employees and Labour Only Sub Contractors using their vans etc to move small amounts of construction waste accross a housing estate to a central skip. By the letter of the law, the employees were covered by our licence but not LOSC or volunteers! They also went on to say that it would be extremely unlikely that we would ever be "Pulled" for this practice, but they also stated that there are some "Pedantic Consultants" out there that would pull us up for this. Made me chuckle! I got the information from them over the phone and found them to be extremely helpful and practical. Regards Clive
Thanks Clive and yes the waste is an issue but we are on top of that with adcie from the Environment Agency. Thanks.
Tobin26388  
#27 Posted : 09 May 2012 12:20:58(UTC)
Rank: Forum user
Tobin26388

clivelowery wrote:
Tobin, I think Bob's reply at Nr 12 is the way forward. Don't take it all on yourself. He also raises the issue of Waste, often overlooked - May I suggest you spak to the Environment Agency and confirm that the carriage of small amounts of Clinical Waste, albeit soiled dressing etc, is covered by your relevant licences. We had a recent incident where we had employees and Labour Only Sub Contractors using their vans etc to move small amounts of construction waste accross a housing estate to a central skip. By the letter of the law, the employees were covered by our licence but not LOSC or volunteers! They also went on to say that it would be extremely unlikely that we would ever be "Pulled" for this practice, but they also stated that there are some "Pedantic Consultants" out there that would pull us up for this. Made me chuckle! I got the information from them over the phone and found them to be extremely helpful and practical. Regards Clive
Ian if I had the foggiest idea what you meant by 'numerator', 'nominator' and 'denominator' in this context rather than in my maths homework I would get back to you; but I don't (do you?) and so I won't.
Tobin26388  
#28 Posted : 09 May 2012 12:23:52(UTC)
Rank: Forum user
Tobin26388

Ian.Blenkharn wrote:
Do tell us, when the time comes, what the numerator actually was and how you resolved the 'problem'
Ian if I had the foggiest idea what you meant by 'numerator', 'nominator' and 'denominator' in this context rather than in my maths homework I would get back to you; but I don't (do you?) and so I won't.
Tobin26388  
#29 Posted : 09 May 2012 12:25:46(UTC)
Rank: Forum user
Tobin26388

Tobin26388 wrote:
clivelowery wrote:
Tobin, I think Bob's reply at Nr 12 is the way forward. Don't take it all on yourself. He also raises the issue of Waste, often overlooked - May I suggest you spak to the Environment Agency and confirm that the carriage of small amounts of Clinical Waste, albeit soiled dressing etc, is covered by your relevant licences. We had a recent incident where we had employees and Labour Only Sub Contractors using their vans etc to move small amounts of construction waste accross a housing estate to a central skip. By the letter of the law, the employees were covered by our licence but not LOSC or volunteers! They also went on to say that it would be extremely unlikely that we would ever be "Pulled" for this practice, but they also stated that there are some "Pedantic Consultants" out there that would pull us up for this. Made me chuckle! I got the information from them over the phone and found them to be extremely helpful and practical. Regards Clive
Ian if I had the foggiest idea what you meant by 'numerator', 'nominator' and 'denominator' in this context rather than in my maths homework I would get back to you; but I don't (do you?) and so I won't.
Clive my apologies for posting that reply to Ian in the wrong place.
CliveLowery  
#30 Posted : 09 May 2012 12:37:03(UTC)
Rank: Forum user
CliveLowery

No Problem.
Ron Hunter  
#31 Posted : 09 May 2012 12:52:07(UTC)
Rank: Super forum user
Ron Hunter

Tobin, I believe Ian (at #2) was suggesting that your own business Insurers (i.e. those who insure your company vehicles and other business risks) may be in a good position to offer you expert advice? Or go speak to your Risk Management section? The value of "company" goods is highly unlikely to be covered by the individual's insurance, and consequent risk arising from loss or damage certainly won't be.
Canopener  
#32 Posted : 09 May 2012 20:21:16(UTC)
Rank: Super forum user
Canopener

Tobin, you ask a perfectly legitimate question and one can only speculate at the necessity of the tone used by Ian in #2, and whether we should heed the advice therein as regards to any comments that he himself posts? Of course there are countless examples where public money is used to ‘pick up the pieces’ of any number of errors over the years. While responsibility MIGHT be pinned on one individual or another it is highly unlikely (almost certainly not) that the financial responsibility to put an error ‘right’ would fall in the same place; for hopefully obvious reasons! I personally find the suggestion particularly unhelpful. In line with what others have said, I think it goes without saying that insurance for "social, domestic & pleasure" is not suitable/sufficient for the scenario you describe. Some kind of business use is required and I would suggest that class 1 is probably insufficient. In saying that, it does appear that the class of business cover does vary from one insurer to the next so it would appear that perhaps the best thing might be to provide guidance to your staff as to the general level of cover required so that they can then check this with their own insurer that they have the appropriate level for the work they are doing. If it helps, we are required to sign a declaration that we have the appropriate cover every time we make a travel claim and we also carry out annual licence, MOT and insurance checks. I hope the more positive and constructive answers help you to find a way forward.
Tobin26388  
#33 Posted : 10 May 2012 11:51:28(UTC)
Rank: Forum user
Tobin26388

canopener wrote:
Tobin, you ask a perfectly legitimate question and one can only speculate at the necessity of the tone used by Ian in #2, and whether we should heed the advice therein as regards to any comments that he himself posts? Of course there are countless examples where public money is used to ‘pick up the pieces’ of any number of errors over the years. While responsibility MIGHT be pinned on one individual or another it is highly unlikely (almost certainly not) that the financial responsibility to put an error ‘right’ would fall in the same place; for hopefully obvious reasons! I personally find the suggestion particularly unhelpful. In line with what others have said, I think it goes without saying that insurance for "social, domestic & pleasure" is not suitable/sufficient for the scenario you describe. Some kind of business use is required and I would suggest that class 1 is probably insufficient. In saying that, it does appear that the class of business cover does vary from one insurer to the next so it would appear that perhaps the best thing might be to provide guidance to your staff as to the general level of cover required so that they can then check this with their own insurer that they have the appropriate level for the work they are doing. If it helps, we are required to sign a declaration that we have the appropriate cover every time we make a travel claim and we also carry out annual licence, MOT and insurance checks. I hope the more positive and constructive answers help you to find a way forward.
Thank you canopener, and also to all others who have offered helpful advice.
Paul Duell  
#34 Posted : 10 May 2012 12:38:01(UTC)
Rank: Forum user
Paul Duell

If it helps, we have a statement on the expenses form (where drivers claim their mileage allowance) where in signing the claim, they confirm that they have checked their insurance cover is appropriate for business use. Last time I renewed my personal insurance, my insurers (Every Little Helps) gave me business use included in the price they'd quoted for SD&P, others may also do this. Unfortunately our driving policy means you can't use a vehicle for a journey which could reasonably be completed by public transport, so I haven't yet been able to take advantage!
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