Rank: Forum user
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Hi,
Despite a statutory duty to do so under Section 14 of the Management of Health and Safety Regulations 1999, many employees do not report safety concerns - or insist on safety shortcomings being remedied - out of fear of suffering recriminations from their employer (e.g. being immediately transferred to the Western Front!)
This practice denies senior management the information needed to effectively manage risk - and it obviously increases the risk of harm happening where it might otherwise have been prevented.
My question is:
"Would including information about the legal protection provided by Section 44 Employment Rights Act 1996 into the Health & Safety Information for Employees Poster (which, by law, must be displayed in a prominent position in each workplace) help to counter this unwillingness to report - and result in significantly improved safety standards in UK workplaces?"
Thanks in advance.
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Rank: Super forum user
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Not if it's presented in the deeply flawed way as in that current e-campaign previously mentioned (the previous thread on this was pulled by the Mods).
p.s. it's Regulation 14, not Section 14.
".....many employees do not report safety concerns - or insist on safety shortcomings being remedied...."
How do you know?
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Rank: Forum user
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Thanks for your input Ron.
I'm not sure what you mean by "deeply flawed way".
I would be grateful if you could elaborate (i.e. without contravening the Forum Rules!!)
You are right about it being Regulation 14 not Section 14. Thanks for clearing that up.
".....many employees do not report safety concerns - or insist on safety shortcomings being remedied...."
How do I know that?
Experience.
The undisputable proof lies in the fact that, although the law clearly gives employees the upper hand over employers in disputes about the adequacy of safety measures and leaves no excuse for tolerating unsafe working conditions, millions of people still go to work every day knowing that the safety arrangements at their workplace are inadequate.
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Rank: Super forum user
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It very much depends upon the safety/organisational culture. Organisations with positive/mature safety culture generally will have employees being pro-active and working in a spirit of co-operation as that is a win-win for both.
We have a system where any employee can ( and they really do!) report a "potential hazard" with a telephone call to our facilities management contractor who then has to follow it up and deal with it. This is in addition to our formal reporting system for potential hazards, near misses, incidents and accidents. We have specific definitions for them.
It is also important that the reporting system assures all that it will be a "just culture" (i.e not allocating individual blame unless there is misconduct)
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Rank: Forum user
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jay wrote:It very much depends upon the safety/organisational culture. Organisations with positive/mature safety culture generally will have employees being pro-active and working in a spirit of co-operation as that is a win-win for both.
We have a system where any employee can ( and they really do!) report a "potential hazard" with a telephone call to our facilities management contractor who then has to follow it up and deal with it. This is in addition to our formal reporting system for potential hazards, near misses, incidents and accidents. We have specific definitions for them.
It is also important that the reporting system assures all that it will be a "just culture" (i.e not allocating individual blame unless there is misconduct)
Im interested in your definitions in the formal reporting system! What are they? I generally work to HSG65 but have had aproblem in the past and still do where the event was in my opinion reported incorrectly and therefore the response was incorrect.
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Rank: Super forum user
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Originally Posted by: Toth'  "Would including information about the legal protection provided by Section 44 Employment Rights Act 1996 into the Health & Safety Information for Employees Poster (which, by law, must be displayed in a prominent position in each workplace) help to counter this unwillingness to report - and result in significantly improved safety standards in UK workplaces?"
No. onj two counts:
1st - becuase the last thing that is going to work is written instruction on health and safety law to employees - who reads the poster? Not me. Personally I think the poster is a waste of space. Employees don't bother with such things in my experience.
2nd - because you are assuming that both employees and employers have the H&S knowledge and the willingness for better standards for increased reporting to work.
Health and safety standards have little to do with employee under reporting IMO.
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Rank: Super forum user
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Toth,
Should we be asking employees to report to the HSE (overburden comes to mind!) or provide a vehicle and encourage employees to report internally first, or at least provide opportunities to do so instead of using the HSE as a first line of contact.
With all the budget constraints the HSE would be given an impossible task?
Unless they intend to up their charging system and god forbid allow the EHO system to charge as well.... a money earner for council coffers comes to mind!
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Rank: Forum user
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Hi Jay,
I am all for encouraging a pro-active reporting culture and you are entitled to be very proud of what you have achieved in this respect at your workplace.
The problem is that there are lots of organisations that do not encourage reporting and in fact actively discourage it - by 'shooting the messenger' and a reputation for doing this can seriously deter employees from reporting.
If everyone knew about the legal protection available to employees under S44 Employment Rights Act 1996, more people would feel encouraged not only to (in the public interest) report safety shortcomings, but also insist on the shortcomings being remedied.
I think the most effective way to inform everyone would be to incorporate the info into the Health & Safety Information for Employees Poster.
Can you think of a better way?
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Rank: Forum user
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Hi Clairel,
You make a couple of very good points, in particular that no one really pays much attention to the Poster.
However, if the info on S44 was to be incorporated in the Information for Employees Poster, it would then be likely to be included in Health & Safety Training for employees and be diseminated that way - until it becomes common knowledge.
I also agree with what you have said in your 'second' reason. But, when you tell people something that is in their individual and collective interests to know, it is more likely to be taken on board and remembered when situations arise.
P.S. I don't understand the bit about "Health and safety standards have little to do with employee under reporting IMO."
What is IMO?
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Rank: Super forum user
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IMO is IMO- In My Opinion IMO
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Rank: Forum user
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Hi MB1,
I pretty sure that employees can report safety concerns that are remaining unaddressed by their employer directly (and anonymously) to the HSE.
I accept what you say about the HSE being too underfunded to take enforcement action in every case.
However, if employee(s) report their safety concerns in the usual way and the employer does not remedy the shortcomings complained of within a reasonable time - resulting in the employee(s) withdrawing their labour (protected by S44) and the matter then subsequently comes before an Employment Tribunal, any inaction by the HSE would be highlighted - hopefully resulting in official recognition of a need to adquately fund the HSE.
Having to pay the employee(s) wages for the duration of the dispute would be a strong incentive for the employer organisation to remedy the shortcomings. Wouldn't it?
Many organisations these days have Whistle Blowing Policies in place which exist to provide employers with a 'last chance' to take positive action before complaints can go public. Situations where safety concerns are not being addressed would be no different.
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Rank: Super forum user
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Employees are not entitled to withdraw labour over "safety concerns", s.44 is specifically about "serious and immiment" danger. Neither is there any absolute gaurantee of protection of employment. Ultimately a Tribunal would decide based on the individual circumstances.
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Rank: Forum user
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Hi Ron,
Re: Your comment "Employees are not entitled to withdraw labour over "safety concerns."
Sorry but I have to disagree with you there.
It is a fundamental right as well as a duty (s7 HSWA) to refrain from doing work that is unsafe.
Re: Your comment "s.44 is specifically about "serious and imminent" danger."
In Harvest Press Ltd v McCaffrey (1999) The Employment Appeal Tribunal confirmed that the word `danger' is used in S.44(2)(d) without limitation and that Parliament had intended that word to cover any danger, no matter how it arose.
I accept that there is no absolute guarantee of protection of employment and that ultimately a Tribunal would decide based on the individual circumstances. However, Section 44. clarifies the circumstances in which an employee should take "appropriate action" to withdraw/remove themselves from danger (see 44.1(d) and Section 44.1(e) below) and Section 44.2 makes it clear that it's what the individual employee taking the action believes that counts (see below).
Employment Rights Act 1996
Section 44.1(d) in circumstances of danger which the employee reasonably believed to be serious and imminent and which he could not reasonably have been expected to avert, he left (or proposed to leave) or (while the danger persisted) refused to return to his place of work or any dangerous part of his place of work, or
Section 44.1(e): in circumstances of danger which the employee reasonably believed to be serious and imminent, he took (or proposed to take) appropriate steps to protect himself or other persons from the danger.
Section 44.2: For the purposes of subsection (1)(e) whether steps which an employee took (or proposed to take) were appropriate is to be judged by reference to all the circumstances including, in particular, his knowledge and the facilities and advice available to him at the time.
© Crown copyright 2002 - 2008
I hope the above helps.
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Rank: New forum user
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Hi,
If senior management feel they are denied the information to effectively manage risk, then they need to have an effective monitoring system and adequate training that ensures all levels of supervision are adopting the same 'positive safety culture' expected of the employees.
This would then help to ensure supervisors encourage proactivity in hazard reporting by employees.
Often it is the negative reaction from varying levels of supervision to employees raising safety concerns that limits hazard reporting, not the lack of awareness or understanding of the law by employees
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Rank: Super forum user
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The simplistic view is anything which will increase the reporting of unsafe acts and conditions should provide the catalyst for improvements. That said, I have a niggling doubt about some reporting measures which can be pretty ineffective. A decade or so ago the University of Strathclyde introduced a confidential reporting system in the railway industry. It showed much promise and was well advertised. Although now I'm out of the loop, I have still seen enough to know what in theory is a good idea often becomes a disappointment. Indeed, a recent report by the HSE on NWR showed that there was massive under reporting of accidents and incidents. Previously management were patting themselves on the back for the reduction of accidents and incidents - management induced myopia.
I have been a TU health and safety rep and I know how difficult it is to get management to listen to concerns, entrenched as it often is with the 'them and us' mentality. Now for my sins I am a h&s...whatever. Yet, I still face similar issues with both staff and management. As for the H&S law poster, I think the whole concept is outdated. There was a time before computers and when workers were not so well informed where it may have been justified. Now it is I'm afraid not much more than wallpaper in most organisations. Nevertheless I would be in favour of Toth's idea, although ironically about 36 years too late me thinks.
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Rank: Super forum user
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You would seem to be contradicting yourself , oh Teacher of Toth.
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Rank: Forum user
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Hi bdeed,
I could not agree more with your comment "Often it is the negative reaction from varying levels of supervision to employees raising safety concerns that limits hazard reporting."
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Rank: Forum user
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Hi RayRapp,
I appreciate your support for the proposal.
I know how difficult it can be to get senior management buy in to improvements in safety - but an incentive that would find hard to resist is having to pay wages to an employee (or workforce) that is off work.
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Rank: Forum user
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Hi Ron,
You say "You would seem to be contradicting yourself , oh Teacher of Toth."
In what way, wise one?
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Rank: Forum user
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Hi all,
I am not going to be able to view further comments until Wednesday. Sorry!
But, please do keep your comments coming - in particular whether you agree or disagree with the proposal - and I will catch up asap.
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Rank: Super forum user
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"danger" does not equate to "safety concern". The meaning you assign to s.7 of HASAWA is contextually incorrect.
Anyway, assuming there was a concensus for additional wording on the H&S Poster, how would you propose that this "great secret" be revealed?
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Hi again,
Ron - I'm not clear about the point of your comment "danger" does not equate to "safety concern", or what you are trying to convey when you say "The meaning you assign to s.7 of HASAWA is contextually incorrect." (In an earlier post I had said "It is a fundamental right as well as a duty (s7 HSWA) to refrain from doing work that is unsafe." If you would care to elaborate, I would be happy to discuss your views.
Meanwhile, I will address your final comment "Anyway, assuming there was a concensus for additional wording on the H&S Poster, how would you propose that this "great secret" be revealed?"
I recognise that the expense of altering the wording on the latest H&S Poster (last re-published April 2009) may well outweigh the usefulness of including additional information on the legal protection that S44 provides for employees - and also that (supporting Clairel's earlier posting) the main reason why the HSE poster changed was that an HSE review of the pre-1999 poster found that employees rarely read the poster and found it unappealing.
However, a reasonably practicable way forward would be for HSE to begin including information about the legal protection provided by S44 in the "Health & Safety Law - What you need to know" leaflet (ISBN 978071786352) instead of simply referring readers to go to www.direct.gov.uk to find out about Employment Rights.
I also recognise that to achieve what I see as the aim - i.e. that the legal protection against suffering "detriment" as a consequence of reporting a safety concern becomes common knowledge - the HSE are going to have to be convinced of the business case for achieving the aim (or alternatively, be compelled to publish the information in clear terms - as required by their statutory remit.)
Before that can happen, there would need to be 'buy in' to the cause from influential bodies - such as IOSH.
"With more than 39,000 members, IOSH is the world's biggest professional health and safety organisation, sets standards, is the voice of the profession and campaigns on issues that affect millions of working people."
If a clear concensus existed amongst IOSH members of the health and safety benefits of achieving 'the aim', that would hopefully prompt IOSH (as an organisation) to campaign for it to happen.
As a start, IOSH could begin to include the information in future training courses and materials. Once the ball starts rolling, HSE would surely have to come on board.
So, what do you say guys?
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Rank: Forum user
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Originally Posted by: Toth'  Thanks for your input Ron.
I'm not sure what you mean by "deeply flawed way".
I would be grateful if you could elaborate (i.e. without contravening the Forum Rules!!)
You are right about it being Regulation 14 not Section 14. Thanks for clearing that up.
".....many employees do not report safety concerns - or insist on safety shortcomings being remedied...."
How do I know that?
Experience.
The undisputable proof lies in the fact that, although the law clearly gives employees the upper hand over employers in disputes about the adequacy of safety measures and leaves no excuse for tolerating unsafe working conditions, millions of people still go to work every day knowing that the safety arrangements at their workplace are inadequate.
If they dont get you on the swings they will on the roundabouts
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Rank: Forum user
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Hi all,
The shocking results of the Care Quality Commission's report following unannounced visits at 100 hospitals exemplifies why the legal protection provided by S44 Employment Rights Act should be common knowledge.
http://www.bbc.co.uk/news/health-15279796
I can say confidently that the baseline reason why things have got so bad is staff are afraid to report their concerns - and the same is endemic across the NHS due to the manner in which the NHS has historically badly treated people working in the NHS who have reported unsafe/unacceptable circumstances. The Internet abounds with details. (Just Google: 'NHS Whistleblower")
I believe that a primary reason why the NHS has managed to 'frighten' Nurses into keeping quiet is because they don't know about the protection afforded by S44 of the Employment Rights Act 1996. This is in spite of the fact that S.8.2 of the NMC code of professional conduct, standards for conduct, performance and ethics states: "You should be aware of the terms of legislation that offer protection for people who raise concerns about health and safety issues."
The BBC news report states:
As one staff member said: "Sometimes I am the only [one] to feed on the ward. How can I feed all these people? Sometimes by the time I get to the last bay either the food is cold or it has been taken away."
The quote makes it clear that the same 'situation' had happened more than once - and was likely to happen again unless something was done to prevent it - yet the nurse clearly felt powerless to get it prevented (e.g. more staff).
Come on guys, how bad does it have to get before something is done?
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Rank: Guest
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If you are the Health and Safety person on the ground and have concerns about under reporting or any matter concerning your organisations safety arrangements then as far as I am concerned the answer is simple - YOU do something about it!
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Rank: Super forum user
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Toth's
Good luck on your crusade... although you may wish that an IOSH forum is the place to start it with close links to the NHS??
Fortunately my employer has an open mind with regards to integrity and have seen plenty of proof that the system we use works without any history of incrimination.
Not so in many other industries but in the modern world slave labour is few & far between and I understand that I have choices as we all have.
maybe you wish to communicate with members of the major trade unions in stamping out such practices? I very much doubt many of the NHS trusts will be hugely affected by naming & shaming as historically they become immune!
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Rank: Guest
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Originally Posted by: Toth'  Hi all,
The shocking results of the Care Quality Commission's report following unannounced visits at 100 hospitals exemplifies why the legal protection provided by S44 Employment Rights Act should be common knowledge.
http://www.bbc.co.uk/news/health-15279796
I can say confidently that the baseline reason why things have got so bad is staff are afraid to report their concerns - and the same is endemic across the NHS due to the manner in which the NHS has historically badly treated people working in the NHS who have reported unsafe/unacceptable circumstances. The Internet abounds with details. (Just Google: 'NHS Whistleblower")
I believe that a primary reason why the NHS has managed to 'frighten' Nurses into keeping quiet is because they don't know about the protection afforded by S44 of the Employment Rights Act 1996. This is in spite of the fact that S.8.2 of the NMC code of professional conduct, standards for conduct, performance and ethics states: "You should be aware of the terms of legislation that offer protection for people who raise concerns about health and safety issues."
The BBC news report states:
As one staff member said: "Sometimes I am the only [one] to feed on the ward. How can I feed all these people? Sometimes by the time I get to the last bay either the food is cold or it has been taken away."
The quote makes it clear that the same 'situation' had happened more than once - and was likely to happen again unless something was done to prevent it - yet the nurse clearly felt powerless to get it prevented (e.g. more staff).
Come on guys, how bad does it have to get before something is done?
This issue is about Patient Safety.
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Rank: Forum user
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Hi Irwin43241,
Re: your comment "This issue is about patient safety".
Sorry, have to disagree.
It's about staff safety too!
Imagine how stressful it must be for nursing staff to have to tolerate working conditions where they all know they are not delivering the standard of care that they should be - but feel powerless to do anything about it!
A statistic that comes to mind is that 28% of Nurses are expected to suffer from clinical levels of stress and depression related to their job - this compares to 18% in the general population.
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Rank: Super forum user
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If, as you say,s8.2 of the NMC code of professional conduct, standards for conduct, performance and ethics states: "You should be aware of the terms of legislation that offer protection for people who raise concerns about health and safety issues.";
there is then an equal argument for fault of the empoyee (in that profession) in not knowing what he/she was supposed to know, and a suggestion that the NMC have a duty to communicate this.
Sorry Toth'sT (or Jim O'Dwyer, or whoever), but I really do think your clutching at straws with some of your arguments here. This latest scenario, in an employer/employee context, is neither an 'unsafe condition' or something likely to give rise to serious or imminent danger.
I suggest you abandon this whole petition thing.
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Rank: Super forum user
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I wonder if Toth's T is a nurse?? (Bring back the SEN)!
There are also other routes if nurses are 'scared of whistleblowing' within their provisional nursing & midwifery council, union etc
Looking at balanced opinions regarding the latest CQC reports is a damming of not only the management, but also the people who are actually tasked to carry out the procedures... I may be a little byest but too many chiefs on a hospital ward makes terrible work for the lowly care assistants to carry them out whilst the degree related managers are glued to their nursing stations!
Rant over
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Hi Ron,
How can it not be a serious safety concern when:-
- One in 300 patients is dying as a result of medical error or medical negligence. (Medical accidents and errors contribute to the deaths of 72,000 people a year and they are directly blamed for 40,000.)
- One in ten patients are suffering a 'serious adverse incident' (i.e. physical or psychological harm that could have been prevented/avoided.)
- Prescribing errors are occuring at the rate of one per patient.
- One in ten doctors is phoning the BMA helpline for drug alcohol dependency and anecdotal evidence indicates that six out of ten doctors are either drug or alcohol dependent.
- 28% of nursing staff expected to suffer clinical levels of stress and depression.
In my opinion there can be little doubt that it is an unsafe condition presenting a serious and imminent risk of danger!
I agree with you that the NMC should be both informing nursing and midwifery staff members about S44. Maybe the NMC shares your reasons for being against telling them?
So that it is clear, my reasons for promoting awareness of s44. are not in any way to make any money out of it, only to off-load my personal 'duty of care' responsibility to share what I have found out.
I feel that I have done that now - and so I shall take your advice and stop 'flogging' an unwilling beast.
What you do with the information I have conveyed here is a matter for each individual who reads it.
I hope it will be to do the right thing.
Best wishes,
Jim
P.S. No, I am not a nurse or a doctor.
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Rank: Forum user
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Hello
The Stafford Hospital enquiry provides plenty of evidence that whistle-blowing causes a great deal of pain to the whistle-blowers, and that the 'protection' supposedly provided by the 1996 Act does not tend to be effective in practice.
As for the NHS, I have no idea why effective action is not taken against blatant breaches that happen time and time again - as summarised here.
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Rank: Super forum user
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Presumably the whistle-blower should seek new employment before whistle-blowing.
Not much good waiting for the knife in the back and then seeking new employment, after all....we all know that blacklisting databases are not legally allowed....and certainly not by some of the largest and most im...sorry...moral companies in the UK.
And still running in other industries...
Protected by law ?
Pardon my descent into hysterics....the law looks after those who look after themselves....and with legal assistance becoming harder to get by the minute without paying for it...
Sorry, my memories of "whistle-blowing" are of an anonymous complaint to HSE about a quite serious problem with "atmospheric hygiene", one that the company had been aware of from several people over a long period of time. Someone finally got fed-up with flogging a deceased cat and took it upon themselves to make a phone call....the inspector who visited (ah, the past..) agreed, and the company got ordered to perform tests and update their rpe...
A 3 hour board meeting was convened to try and find out who had "ratted" on them (that word was actually said to several employees).....
Whistle blowing.
Easy to say, but the results of doing so will place an indelible black mark against a person in most employers books.
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Rank: Forum user
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Sorry - could not resist a final rant!
Everyone knows that (at present) reporting a safety concern is something that can result in employees suffering recriminations from their employer, line manager/supervisor and this is a primary reason for not reporting.
However, if people knew aboout S44, reporting a (valid) safety concern would be a much more attractive proposition and could even be a career enhancing move - because any subsequent attempt to mistreat or bully, the 'whistleblower' could legally be interpreted as a 'detriment' - presenting the employee with a strong case for Constructive Dismissal and unlimited compensation at the discretion of the Employment Tribunal.
This is the power provided by S44 Employment Rights Act.
Think about this.....
In the event of a serious conflict between an employee and a supervisor/manager and particularly if an official grievance has been registered by the employee, it is not unusual for the employee to become so stressed that they go to their GP and get signed off work.
The employee then stays off work (sick). This inevitably protracts the resolution of the conflict/grievance because the employee is considered too unwell to be able to be interviewed etc.
GPs will usually keep renewing the Sick Certificate - no problem. They would not want to risk saying no.
The grievance process then grinds to a stop, often for months, involving the employee in increasing stress until eventually after they have been off work for six months their pay is reduced down to statutory sick pay only - causing them more stress and inviting them to quit!
If the matter ends in an Employment Tribunal (which can take months and involve a huge weight of paperwork for the stressed employee) and they then win their case of constructive dismissal, the employee cannot claim for the loss of their income resulting from their illness (i.e. the difference between their normal wages - and usual overtime payments - because they have been 'certificated sick'.
So, even if they win their case, it is only ever a pyrrhic victory - often followed by a separation.
However, if, the employee had been aware of the protection provided by Section 44 and had confidently asserted their right to remain away from the workplace - i.e. on the grounds that returning to normal working presented a 'serious and imminent danger' to themselves (e.g. of suffering dangerous levels of stress and anxiety - and this could be the prospect of a face to face conflict with the person they have raised a grievance against, as well as, any other danger presented by the risks they'd complained of) they would be legally protected against suffering any reduction in their income (i.e. down to statutory sick pay) - and any such reduction would be interpreted as 'detriment'.
In addition, the Tribunal could make an (unlimited) award of compensation to the employee for having done 'the right thing'.
Off work on full pay for as long as it takes the employer to remedy shortcomings?
Wow!
IMO the best way to improve safety standards would be to tell everyone about the power of S44.
The reason for the existence of S44 was ARTICLE 8 (3) of COUNCIL DIRECTIVE (89/391/EEC) dated 12 June 1989 on the introduction of measures to encourage improvements in the safety and health of workers at work.
http://eur-lex.europa.eu...CELEX:31989L0391:en:HTML
The purpose of Section 44 was to ensure that, in the public interest, employees speak up when safety shortcomings exist.
Why was it included in Employment Rights Law and not Health & Safety legislation when the effect of doing so was to enable the HSE to keep schtuum and say that Employment Rights are outside their remit?
IMO the answer is that it was done very deliberately, so as to be able to avoid having to tell employees that they - and not employers - have the upper hand in decisions about workplace safety standards.
I believe that the time has come to tell everyone (especially NHS staff).
Clearly, some people do not agree. Perhaps they would care to say why?
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Rank: Super forum user
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TT
I do believe you are directing the wrong forum for debating this as appears to be side more on employment law than H&S looking at the scales?
Alternatively it sounds that you may be in a better position within the NHS to communicate this more directly too?
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Rank: Forum user
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Hi TT,
Section 44 Employment Rights Act 1996 is titled "Health and Safety Cases" and is legislation that would only ever be invoked in Health and Safety cases.
Sadly, I am not in a position to directly influence the NHS.
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Rank: Super forum user
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Reports and articles regarding various major shortcomings and whistleblowers in the NHS regularly appear in "Private Eye" magazine. They are usually depressing to read because they seem to reflect a common culture within various parts of the NHS against whistleblowers. Irrespective of their status (including doctors, consultants and even a few senior managers), whistleblowers in the NHS reportedly have a hard time and are treated as pariahs, despite policies and laws intended to protect them. As a result, it seems that many people in the NHS simply won't report issues which endanger patients and/or staff for fear of being ostracised, disciplined or sacked. In some or perhaps many cases NHS whistleblowers are allegedly paid considerable sums of money (i.e. taxpayers' money) to gag them as part of formal agreements.
As I don't work in the NHS, the above summary is based largely on what I've read over the years in "Private Eye" as a subscriber for many years. I think the information seems reasonably accurate judging from its detail and also the absence of corrections or apologies about such information. Sometimes, there are glimmers of light regarding the NHS. For example though the magazine's 'NHS Whistleblowing Special' report (8th July edition) contained a litany of cases where whistleblowers had been persecuted, it did mention one PCT (Tower Hamlets) which worked with whistleblowers and patients between 2003 and 2010 to terminate the contracts of 23 GPs who were notably incompetent or worse.
Worryingly though, the report didn't mention what the GPs involved did after their contracts were terminated, so perhaps they were able to continue as GPs in other areas - just as Harold Shipman did after being convicted of forging drug prescriptions. Also, it is hard to believe that the Tower Hamlets area had an abnormally high number of 'dangerous' GPs. Therefore, it is probable that various other PCTs have their share of GPs who aren't fit to practice, but little is done about them.
Despite the recommendations of inquiries, such as the one after the prolonged paediatric heart surgery scandal at Bristol Royal Infirmary, it seems that there is still no effective system within the NHS by which harm and 'near misses', etc can be reported without fear. By contrast, doesn't the railway industry have a confidential system by which train drivers and others can report problems and 'near misses' such as "signals passed at danger" (SPADs)? As my knowledge of railways is limited, please can anyone expand on the railway reporting system and to what extent it is effective or not? If it is reasonably effective, what factors help to make it so?
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