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SPR  
#1 Posted : 27 February 2015 14:48:03(UTC)
Rank: Forum user
SPR

Works accident and apparently the IP has suffered 2 fractured ribs, but there has been no Xray to confirm this. Should the fractures be confirmed by Xray as this potentially could be a RIDDOR, without actual confirmation of an Xray how can this be reported as a RIDDOR? The IP has been visited and is not strapped up, and is coming back to work on desk duties, so this isnt even an over 7 day. Any views?
Lizjohnston  
#2 Posted : 27 February 2015 14:51:20(UTC)
Rank: Forum user
Lizjohnston

According to the HSE website: Bone fractures include a break, crack or chip. They are reportable when diagnosed or confirmed by a doctor, including when they are specified on a GP ‘fit note’. In some cases, there may be no definitive evidence of a fracture (eg if an X-ray is not taken), but the injury will still be reportable if a doctor considers it is likely that there is a fracture. Self-diagnosed ‘suspected fractures’ are not reportable.
jay  
#3 Posted : 27 February 2015 14:57:06(UTC)
Rank: Super forum user
jay

Refer to NHS Choices -"Rib injuries (fractured or bruised ribs)":- http://www.nhs.uk/condit.../pages/introduction.aspx Typically, for some rib fractures X-rays are not essential and neighther is a strapping.
jay  
#4 Posted : 27 February 2015 14:59:44(UTC)
Rank: Super forum user
jay

I presume that there is a "fit note" from the GP for undertaking desk duties, therefore a GP confirming that this is due to a rib fracture??
chris.packham  
#5 Posted : 27 February 2015 15:07:17(UTC)
Rank: Super forum user
chris.packham

This illustrates a problem that I frequently encounter. Diagnosis without the relevant diagnostic test having been carried out. For example, diagnosis of occupational allergic contact dermatitis to formaldehyde. Certainly the employee was allergic, but there was no exposure to formaldehyde. Real cause was formaldehyde as a result of diet! Diagnosis of occupational acne. Problem was acne fulminans, a severe form of acne, but constitutional. Worker had mentioned that dioxins and chlorine were present in the workplace (a waste incinerator) and these had been blamed for his 'occupational asthma'. Visit showed no possible exposure to chlorine as this only used in a completely sealed process. In theory exposure to dioxins would have been possible, had he climbed a 60 foot chimney and sat on top all day, and even then it would have been doubtful whether there could have been sufficient exposure to trigger any response. GP diagnosing eczema on my neighbour's arm which was not responding to prescribed treatment. Actual problem was psoriasis. Different treatment, problem now resolved. Just a very few examples. I could quote many more where diagnosis was of an occupational problem, the reality being somewhat different! Chris
jhannon  
#6 Posted : 27 February 2015 16:32:51(UTC)
Rank: Forum user
jhannon

If someone is put on desk duties, that tells me they are not carrying out their normal duties, therefore it is reportable. This stops companies from forcing people to work and sit in the canteen all day just so they don't have to report it.
johnmurray  
#7 Posted : 27 February 2015 18:34:25(UTC)
Rank: Super forum user
johnmurray

An xray is only given in the case of suspected [rib] fractures if complications are suspected.....also when considerable force has been applied...as in a fall from height or vehicle accident.
bob youel  
#8 Posted : 28 February 2015 08:44:31(UTC)
Rank: Super forum user
bob youel

Just a thought noting just how dangerous x-rays can be;- It is the accepted way that where a GP indicates an issue irrespective of what was done, how it was done etc. by the GP to achieve the GP's opinion then the GP's opinion is, certainly at an opening stage of a situation until a medical specialist is involved, the one we go with. However there is nothing wrong in challenging a GP but I advise U that should U try challenging a GP the challenge is done in a suitable way NB: I am not saying that GP's are always correct, especially noting some of the interfaces I have had with GP's [and they are only human after all] its just that they are club members & H&S people are not
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