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Do employees have to inform employers of health conditions that can be made worse by work?
Rank: Forum user
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Hi All, I know the sensible answer is yes and I have written it in my diplona notes but I can't find it in any ACOPs, guidance etc
I'm doding a presentation to a group of new people's managers and I would like to inlcude this in my Occ Health session but only if I can find the basis for my notes!
Any help much appreciated
thanks
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Rank: Super forum user
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Methinks you have answered your own question! Yes - because it is sensible.
Whilst one cannot "forget" statutory reqirements think about the wider picture. Employee has condition, employer doesn't know about it - condition made worse by work. Employee then makes civil claim for compensation.
It will be no defence to this civil claim to say:
a) there was no statutory requirement to ask employee about medical history
b) didn't know about the condition thus not liable
Of course employer has to be careful. If candidate admits to history of asthma etc and decision taken not to employ them as paint sprayer in car body shop then they could argue discrimination!! But if they were employed there is greater duty of care to manage risk, ensure they are fully protected etc.
Hope this helps
Phil
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Rank: New forum user
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Try this from the Management regulations to see if that fits
Procedures for serious and imminent danger and for danger areas
8. (1) Every employer shall—
................
(2) Without prejudice to the generality of paragraph (1)(a), the procedures referred to in that sub-paragraph shall—
(a)so far as is practicable, require any persons at work who are exposed to serious and imminent danger to be informed of the nature of the hazard and of the steps taken or to be taken to protect them from it;
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Rank: New forum user
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And this from the same regs
Information for employees
10. (1) Every employer shall provide his employees with comprehensible and relevant information on—
(a)the risks to their health and safety identified by the assessment; .
(b)the preventive and protective measures; .
(c)the procedures referred to in regulation 8(1)(a) and the measures referred to in regulation 4(2)(a) of the Fire Precautions (Workplace) Regulations 1997; .
(d)the identity of those persons nominated by him in accordance with regulation 8(1)(b) and regulation 4(2)(b) of the Fire Precautions (Workplace) Regulations 1997; and .
(e)the risks notified to him in accordance with regulation 11(1)(c). .
(2) Every employer shall, before employing a child, provide a parent of the child with comprehensible and relevant information on—
(a)the risks to his health and safety identified by the assessment; .
(b)the preventive and protective measures; and .
(c)the risks notified to him in accordance with regulation 11(1)(c).
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Rank: New forum user
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Well the HR response is no based on the question. That is, the employee has no legal obligation to disclose any health issues at all (this includes pregnancy for instance) BUT clearly it is in their best interest to do so for their own wellbeing.
Also as Phil rightly states, if a claim were to follow a deterioration then it is likely that the employer could argue that the condition was not known and therefore reasonable adjustments etc could not be instigated to manage the affect of the role
Probably not the answer you hoped for but unfortunately it is the one to give!
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Rank: Forum user
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Thanks to all - very helpful. I think I will go with the slant that if they have a condition that could be made worse by the work enviroment, they should inform us so we can do a specific risk assessment to ensure their H&S
Nearly Friday! :-)
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Rank: Forum user
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At my last place of work I worked with HR to produce a questionnaire that new employees had to complete and sign with regard to medical conditions.
We had to be careful of the wording so as not to discriminate.
I can't remember the exact wording but it involved the risk assessment being made known to the preferred candidate and then a question on whether they had an existing medical condition which might be affected by the hazards/risks etc and that if so, we would put extra measures in place to eliminate/lower their risk. There was a statement saying that in some situations it may be that, after a medical, they may not be employed to do that job as the risk cannot be suitably controlled.
Another sentence said that if they developed a medical condition then they must inform their line manager in order for the risk assessment to be reviewed and/or an extra duty of care risk assessment to be carried out.
Sorry can't remember the exact wording.
It did satisfy the HR and the h&S requirements.
Lilian
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Rank: Super forum user
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Using a well known internet search engine will bring up any number of sample questionnaires...!!!
The article below outlines the impact of the Equality Act and sets out the conditions under which employers may legimately seek information about pre-existing conditions. Essentially where they plan/intend/need to alter/amend/modify the working environment to reduce risk. But not where they intend to decide whther to employ!!!
http://www.cipd.co.uk/pm...h-questions-2010-08.aspx
Phil
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Rank: New forum user
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EHS induction is covered on day one of an employees contract with the company, during the session Occupational health surveillance is discussed and the types of issues an employee might want to bring to the employers attention to allow us to suitably provide protection based on a risk assessment.
As we are a Pharmaceutical manufacturer it is easy to demonstrate that the therapeutic benefits of the products we make can have a significant negative impact on an employee if appropriate controls coupled with employee engagement are not followed.
Providing the Occupational health risks relating to pregnancy, personal health issues is a sensible strand of information to offer at the early stage to allow the employee to make an informed decision as to what they should feel comfortable to tell you to allow the employer to fulfill their legal obligation. Its also worthy of note that an employee has a duty to inform their employer of anything that is in the interest of their health and safety in the broadest terms, in the COSHH regs 11 (8) employees are required when instructed to attend health surveillance where their is a risk to health from the work activities. (Noted in Control of noise at work regs and MHSWR). Plenty of opportunity to evidence that employers can do what is reasonably practicable to inform employees.
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Rank: Super forum user
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As has already been said, it is of course generally in the employee’s best interests to keep their employer informed of any relevant medical conditions. An employers can’t make adjustments (not just those required under EA) if they don’t know about ‘something’ that they need to make an adjustment for. It strikes me that an employer can ask employees to keep them informed of their health/medical status if it is relevant to their job for example we require our drivers to tell us if they have a health condition that could affect their ability to drive; of course arguably they may already have to declare this to DVLA etc.
Prior to appointment employers can make a conditional job offer that is subject to the (prospective) recruit completing a health questionnaire and/or undergoing a medical check. Section 60 of the EA allows pre-employment health enquiries for certain specified reasons including where the questions are necessary to establish whether the applicant can carry out a function that is intrinsic to the work concerned. The Explanatory Notes to the Act give the example of an applicant who applies for a job in a warehouse, which requires heavy lifting. As heavy lifting is an intrinsic function of the job, the employer can ask questions about the applicant's health to establish whether or not they are able to do the job.
If it subsequently transpires before appointment that the individual has a health condition that is likely to have an impact on the individual's ability to do the job they should seek further advice from either the persons GP or their own Occupational Health advisors.
If the condition could amount to a disability under the Equality Act 2010 then employers will need to consider whether or not it can make reasonable adjustments to enable the individual to take up the post be withdrawing the offer.
If the employer fails to consider and/or make reasonable adjustments then it may be liable for a successful claim of disability discrimination.
Many employees fear telling their employers about health problems because they are concerned about whether this might affect their ability to continue working; and it might. The key to trying to remove this fear is to have a fair and consistent system for assessing health conditions and trying to make adjustments in the short or longer term to try and keep that person in employment. I spend quite a lot of my time trying to do that with a reasonable degree of success, although inevitably sometimes this isn’t possible and employers are entitled to dismiss n the grounds of medical incapability, including those who may be considered to have a disability as defined under EA, if the reasonable adjustment(s) cannot be made.
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Rank: Forum user
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Hi,
surely HASWA Sect 7(b) places a requirement on employees to co-operate in any means necessary to enable the employer to meet his obligations under Sect 2?
So, if you ask questions relative to the task, employee has to tell you?
Holmezy
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Rank: Super forum user
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Technically this may be true but the HSE is not going to prosecute an employee for not disclosing information to their employer.
The main driver in this should be the employees own self-interest. I think Canopener’s response #10 sums this up.
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Rank: Forum user
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I agree, the HSE aint gonna prosecute an employee for not telling, but conversely, he may be less reluctant to prosecute (or take any other action) against an employer if the employer can demonstrate that he took all reasonable steps, ie asked the employee?
I also agree that it should be the employees self interest, and I do understand that some employees are reluctant to divulge such info!
Trust is a wonderful thing?
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Rank: Forum user
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the original post asked if the employee should, the law says yes? That could be used as an "encourager" to the employee?
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Rank: Forum user
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I don't see that any of the law quoted above does require an employee to disclose a condition.
Any requirement to disclose would be a contractual and not a statutory one.
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Rank: Forum user
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The original question wasn't about "should" they (clearly they should out of self-interest) but about do they "have to". Not the same thing at all!
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Rank: Forum user
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Sect 7 requires co-operation from employee to enable the employer to keep said employee safe?
I agree there is no specific requirement (didn't intend my post #11 to sound so implicit!) to disclose a condition, but surely there's an implied one? The employer can't be held (fully) responsible if he has asked, and the employee has, for whatever reason, declined to disclose?
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Rank: Super forum user
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We are assuming the employee knows their condition will be affected by their work. Would you not ask directly about known conditions that relate to the particular role as you may not want to know about their ingrown toenail. Asking for medical info is a tricky one, my understanding is they have not duty to provide it.
You try getting it from Health service providers without employees express permission.
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Rank: Forum user
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we are also assuming that the employee knows that he has a condition?
I'd expect to be asking, or I'd expect Occy Health to be asking "role specific" questions?
Eg, for a new employee employed as a stonemason, questions re any pre existing lung or breathing problems, any numbness or tingling in fingers, any probs with hearing etc.
I still think there is an "implied" reqt for the employee to be honest and disclose any pre-conditions, however, I do accept that he may feel that its "not in his best interests" to do so, when in fact, it is definitely in his best interests to do so?
I am of course, assuming that the employer would use any disclosed info to protect, and not reject, the employee?
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Rank: Forum user
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all very interesting and tricky!
My original question was "do they have to" as in is it written down anywhere? I had written in my notes with such conviction that they had to that i had the feeling the trainer must have said it was written somewhere. But as it was a few years ago, memory failed me.
Agree that if they know they have a condition that can be made worse by the work activites they need to co-operate with employer to review the control measures in place. And yes, it can be worrying and go against them.
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Rank: Super forum user
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The easiest way is to get signed permission from your employees for OccH to have direct access to medical data from their health service provider. Or wait a year. By then everyone's health data, hospital, service providers and general practice, will have been stored on the health and social care information centres systems. The insurance companies will be able to buy their info
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Rank: Super forum user
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I am not sure if this is of any help, or definitive
http://www.nhs.uk/chq/Pa....aspx?CategoryID=68&
As a slight aside, if an employee was being 'performance managed' and there was a potential medical/disability 'element' to this, the employer might rightly seek to ask the employee questions about their health/disability. If the employee does not co-operate (by being forthcoming about any medical conditions or providing consent for an examination etc) then the employer is entitled to make a judgement on the basis of the information that they do have.
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Rank: Forum user
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HASWA 7(b)
It shall be the duty of every employee while at work—
(b)as regards any duty or requirement imposed on his employer or any other person by or under any of the relevant statutory provisions, to co-operate with him so far as is necessary to enable that duty or requirement to be performed or complied with.
Used in conjunction with HASWA 2 (1)
(1)It shall be the duty of every employer to ensure, so far as is reasonably practicable, the health, safety and welfare at work of all his employees.
Would be my take on the situation. You cannot do it until someone is an employee, and up to the point of employment the Equality act would trump HASWA. But once employed, the Equalities act has been followed by not prejudicing the decision to employ and HASWA comes into effect.
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Rank: Super forum user
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John (Murray)
I don't think I know enough about this NHS database but my understanding was that data would be made anonymous....
You stated that "The insurance companies will be able to buy their info" Well if they could purcashe data they might - but I'm not sure for what purpose. If the data can be linked to individuals then insurers might buy it for personal lines insurance i.e. life cover (although I doubt it). But I can't see an Employers' Liability insurer purchasing such information. What use would it be? Insurers do not know the names of employees.... and I doubt the EL Compulsory Insurance Act would allow claims to be turned down simply becasue an employee didn't inform their employer of a pre-existing condition that has been made worse by work.
Phil
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Rank: Super forum user
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JohnMurray wrote:The easiest way is to get signed permission from your employees for OccH to have direct access to medical data from their health service provider. Or wait a year. By then everyone's health data, hospital, service providers and general practice, will have been stored on the health and social care information centres systems. The insurance companies will be able to buy their info
No theyy will not be able to buy indvidual's data- anonymised data might be made availible to drug companaies for example for analytical purposes but there is no plan for indvidaul recirds to be sold to indvidulas businesses. it would be illegal to do so undr UK law and european law
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Rank: Super forum user
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The data is PSEUDonymised.
Included in the individual dataset is NHS number, postcode and birth date.
As has already happened with hospital data released "into the wild" various insurers referenced the data to data held by a credit reference agency and de-pseudonymised the data to obtain individual information. To date there have been no court appearances.
http://www.telegraph.co....ts-sold-to-insurers.html
Several people have already pointed out that a worse system could have been devised, but it would be hard work to do!
Your faith in the law is touching, coming from a h&s background you should be used to large amounts of organisations ignoring inconvenient legislation.
You should note wholesale exemptions from the DPA built into the HSCIC 'constitution'
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Do employees have to inform employers of health conditions that can be made worse by work?
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