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					Name of Policy:                   Moving and Handling Policy


Type of Policy:                   Health & Safety Policy


Reflects Specific Legislation     Manual Handling Operations Regulations
or NHS Guidance:                  1992


Staff group to whom it applies:   All employees of the Trust


Distribution:                     Trust wide


How to Access:                    Internet/Intranet, Facilities/H & S,


Issue Date:                       August 2010

Document Version:                 Version 2

Next Review:                      July 2012


Approved By:                      The Trust Board


Developed By:                     Moving and Handling Specialist Advisers


Director Leads:                   Director of Human Resources               and
                                  Workforce Development
                                  and Director of Clinical Risk

Contact for Advice:               Ann Drinkwater
                                  Moving & Handling Specialist Adviser
                                  01924 328617 (Wakefield & Dewsbury)

                                  Alison Roper
                                  Moving & Handling Adviser
                                  01484 343995 (Huddersfield & Halifax)




                                   Moving & Handling Policy – August 2010
CONTENTS

Introduction ................................................................................................................ 1

Purpose ...................................................................................................................... 1
   Principles of Moving and Handling ....................................................................... 1

Duties ......................................................................................................................... 2
   Chief Executive ..................................................................................................... 2
   Directors and Business Delivery Units .................................................................. 2
   Ward/Department Managers ................................................................................. 2
   Employees ............................................................................................................ 3
   Moving and Handling Specialist Adviser ............................................................... 3
   Occupational Health.............................................................................................. 4

Consultation and Communication with Stakeholders ................................................. 4

Approval of the Policy................................................................................................. 4

Definitions .................................................................................................................. 4
  Manual Handling Operations ................................................................................. 4
  Load ...................................................................................................................... 4
  Staff ....................................................................................................................... 5

Development of Procedural Document....................................................................... 5
  Prioritisation of Work ............................................................................................. 5
  Identification of Stakeholders ................................................................................ 5
  Responsibility for Document Development ............................................................ 6
  Equality Impact Assessment ................................................................................. 6

Scope of the Policy..................................................................................................... 7
  Training ................................................................................................................. 7

Moving and Handling Equipment ............................................................................... 8
  Selection and Purchase ........................................................................................ 8
  Selection, Purchase and Access to Specialist or Emergency Moving and Handling
  Equipment ............................................................................................................ 9
  Cleaning .............................................................................................................. 10
  Use ...................................................................................................................... 10
  Maintenance ........................................................................................................ 10
  Routine Maintenance .......................................................................................... 10
  Annual Service Checks ....................................................................................... 11
  Faulty Equipment ................................................................................................ 11
  Equipment Involved in an Incident/Accident ........................................................ 11

Risk Assessment ...................................................................................................... 12
   Load Handling Risk Assessments ....................................................................... 12
   People Handling Risk Assessments .................................................................... 13
   Moving and Handling Resources......................................................................... 13

Moving and Handling Incidents ................................................................................ 13

Review and Revision Arrangements including Archiving.......................................... 13

Dissemination and Implementation .......................................................................... 14
                                                                 Moving & Handling Policy – August 2010
Process for Monitoring Compliance and Effectiveness including Standards and Key
Performance Indicators ............................................................................................ 14

References ............................................................................................................... 15

Appendices ............................................................................................................. 15

Moving & Handling Risk Assessment – Load Handling ............................................ 16

Moving & Handling Risk Assessment – Load Handling Plan.................................... 17

Moving & Handling Risk Assessment – People Handling......................................... 18

People Moving & Handling Plan ............................................................................... 21

Moving & Handling Core Principles .......................................................................... 31

Moving & Handling Training Provision...................................................................... 32

Version Control Sheet .............................................................................................. 33




                                                               Moving & Handling Policy – August 2010
1.   INTRODUCTION

     South West Yorkshire Mental Health NHS Trust recognises its responsibilities
     under current legislation with regard to the moving and handling of clients and
     inanimate objects.

     The aim of this policy is to ensure the co-operation of management and staff in
     working together positively to achieve an environment which minimises risk and
     promotes the health and safety of all staff and clients.

     The Trust recognises the risks attached to diverse work activities that involve
     moving and handling and is committed to assessing those risks in a systematic
     way to enable safer systems of work to be designed.

     It is essential that this policy is read and followed in conjunction with the following
     Trust Policies, Guidelines and Regulations:

      Manual Handling Operations Regulations (1992)

      Provision and Use of Work Equipment Regulations (1998)

      Lifting Operations, Lifting Equipment Regulations (1998)

      Health and Safety Policy & Guidelines/Health and Safety at Work Act (1974)

      Medical Devices Management Policy

      Infection Prevention and Control Policy

      Regulatory Reform (Fire Safety) Order October 2006

      The Trust Fire Policy The Trust Fire Policy , HM Government guide, Fire
       Safety risk assessment, Healthcare Premises Fire Code, & Fire safety in the
       NHS


2.   PURPOSE

     Principles of Moving and Handling

     The Trust adopts the principles of the Manual Handling Operations Regulations
     (1992) which outline the following responsibilities:

      Avoid, wherever possible in the workplace, the necessity to carry out manual
       handling tasks that may involve a risk of injury.

      Ensure that a suitable and sufficient assessment of the risk is carried out for
       those tasks where manual handling is unavoidable.

      Having identified manual handling risks, take action to reduce those risks to
       the lowest level reasonably practicable.

      Undertake to review manual handling assessments as the situation changes.

1                                      Moving & Handling Policy – August 2010
This policy is intended to assist management and staff to maintain safe systems of work
whilst Moving and Handling loads and teaches the principles of Moving and Handling as
recommended in the Manual Handling Operations Regulations (1992 as amended) 198
pages 41, 42, 43. (see Appendix C – Moving & Handling Core Principles)

Compliance with this policy is mandatory and The Trust Board will ensure that Managers
regularly monitor their performance against this Policy.

3.    DUTIES

      Chief Executive

      The Chief Executive is responsible for ensuring that all Executive Directors,
      Business Delivery Units, managers and staff understand and accept their
      responsibilities with regard to this Policy.

      Directors and Business Delivery Units

      Will:

       Approve the Moving and Handling Policy and ensure that the Policy is
        implemented within their areas.

       Ensure that business plans capture any resource implications identified by risk
        assessment concerning moving and handling operations.

       Consult with the Moving & Handling                   Specialist        Adviser   prior   to
        design/refurbishment of any facilities.

       Monitor the success of this policy within their areas.

       Ensure that adequate facilities are made available to fulfil the needs of this
        policy including releasing staff for training.

      Ward/Department Managers

      Will:

       Ensure that staff are trained appropriately and monitor that staff attend the
        training sessions.

       Ensure appropriate risk assessments are carried out in accordance with this
        policy and adequate safety procedures developed.

       Ensure that staff are aware of moving and handling risks within their area and
        comply with associated safety procedures.

       Ensure that staff are aware of and comply with this policy.

       Ensure staff only undertake tasks for which they have been adequately
        trained.

2                                     Moving & Handling Policy – August 2010
     Investigate moving and handling incidents and plan appropriate subsequent
      action.

     Where staff report any injury/condition/health issue which may affect their
      ability to move and handle safely, advice is sought from the relevant person
      (e.g. Occupational Health, HR) and a risk assessment carried out.

     Seek advice from the Moving and Handling Specialist Adviser with regard to
      e.g. equipment purchase, reduction of risk, evacuation of service users to a
      place of safety in the event of fire or similar emergency, and any other moving
      and handling issues.
     Ensure staff are adequately trained in the use of moving and handling
      equipment and that that training is recorded and records kept.

    Employees

    Each employee is responsible for taking reasonable care of themselves, the client
    and any other people affected by their acts or omissions during moving and
    handling procedures, in accordance with the Health and Safety at Work Act 1974.

    All staff must:

     Co-operate with the Trust to ensure that their responsibilities are met in
      accordance with current legislation and moving and handling policies and
      guidelines.

     Report risks immediately to their line manager and report via the incident
      reporting procedure, any accident, incident or near miss.

     Raise concerns with their manager if they observe unsafe or risky practices.

     Carry out safe moving and handling techniques and follow safe systems of
      work.

     Contribute to the risk assessment process by completing the appropriate risk
      assessment and developing safe working practices.

     Ensure equipment is used safely and correctly, are trained in its use, is fit for
      the purpose for which it is intended and is maintained in accordance with this
      policy.

     Report any injury/condition/health issue, which may affect their ability to move
      and handle safely.

    Moving & Handling Specialist Adviser

    The above is responsible for ensuring there is:

     A specialist advisory function to service areas within the Trust in line with
      current Trust guidelines.

     Assessment and problem solving advice where specialist knowledge and skills

3                                   Moving & Handling Policy – August 2010
        are required.

      Planning, delivering and evaluating programmes of moving and handling
       training.

      Management information for Business delivery Units (e.g. training activity etc)
       and appropriate details of necessary requirements provided for the business
       planning process.

     Occupational Health

     The above will:

      Carry out pre-employment health screening.

      Provide advice and support to staff who have suffered musculo-skeletal injury
       (not just restricted to work-related injury).

      Provide advice to managers regarding an individual‟s fitness for work, liaising
       with the Moving & Handling Specialist Adviser as necessary.

      Liaise with the Trust‟s Moving & Handling Specialist Adviser to monitor the
       success of the Moving and Handling Policy in terms of the incidents of back
       pain and the prevention of musculo-skeletal injury.

     Consultation and Communication with Stakeholders

     The Organisation recognises that procedural documents need to be developed in
     consultation and communication with a range of stakeholders. The lead Director
     or delegated group will ensure as part of the development process that
     consultation occurs with relevant internal and external stakeholders. See section
     5.2

     Approval of the Policy

     Following initial draft production the document will be circulated to the Business
     Delivery Units, members of the Health and Safety Trust Action Group and
     Occupational Health Department for consultation and initial comments. The final
     draft will be sent to the External Management teams for approval.


4.   DEFINITIONS

     Manual Handling Operation
     The movement of a load by means of bodily force. This includes lifting, carrying,
     putting down, supporting, pushing or pulling (HSE, 1992).

     Load
     This refers to people as well as inanimate objects.

     Staff
     All employees of the Trust, including agency, temporary and locum staff.



4                                    Moving & Handling Policy – August 2010
5.   DEVELOPMENT OF PROCEDURAL DOCUMENT

     Prioritisation of work

     This document has been prioritised to ensure the Trust is compliant with Health
     and Safety regulations.

     Identification of Stakeholders


      Stakeholder                           Possible level of involvement

      Executive Management Team             Consultation, final approval


      Business Delivery Units               Consultation, dissemination,
                                            implementation

      Specialist Advisers                   Consultation, dissemination,
                                            implementation

      Moving & Handling Specialist          Development, consultation,
      Advisers                              dissemination, implementation,
                                            monitoring

      Occupational Health Department        Consultation, dissemination,
                                            implementation, monitoring

      Health & Safety Trustwide Action Consultation, dissemination,
      Group                            implementation, monitoring


     Responsibility for Document Development

     For this procedural document the Lead Director with Moving and Handling within
     their portfolio, was identified. The work was delegated to the Specialist Moving &
     Handling Adviser.




     Equality Impact Assessment
5                                     Moving & Handling Policy – August 2010
         Equality Impact Assessment Tool

         To be completed and attached to any procedural document when submitted to the
         appropriate committee for consideration and approval.

                                                             Yes/No                Comments
    1.   Does the policy/guidance affect one
         group less or more favourably than
         another on the basis of:
          Race                                                NO
          Ethnic origins (including gypsies and               NO
            travellers)
          Nationality                                         NO
          Gender                                              NO
          Culture                                             NO
          Religion or belief                                  NO
          Sexual orientation including lesbian,               NO
            gay and bisexual people
          Age                                                 NO
          Disability - learning disabilities,                 YES       The authors recognise that
            physical disability, sensory impairment                      some people with disabilities
            and mental health problems                                   may not be able to participate
                                                                         in scheduled training sessions
                                                                         due to the nature of their
                                                                         disability – to mitigate
    2.   Is there any evidence that some                       NO
         groups are affected differently?
    3.   If you have identified potential                      YES
         discrimination, are any exceptions
         valid, legal and/or justifiable?
    4.   Is the impact of the policy/guidance                  NO
         likely to be negative?
    5.   If so can the impact be avoided?                      N/A
    6.   What alternatives are there to                        YES       The Moving & Handling Team
         achieving the policy/guidance without                           will develop specific training
         the impact?                                                     programmes to meet their
                                                                         need
    7.   Can we reduce the impact by taking                    YES       If risk is identified in the
         different action?                                               person both accessing
                                                                         training and carrying out
                                                                         handling in the workplace this
                                                                         will be discussed with the line
                                                                         manager and Occupational
                                                                         Health




6                                                Moving & Handling Policy – August 2010
6.   SCOPE OF THE POLICY

     Training

     “There is no single correct way to lift and many different approaches are put
     forward” (Manual Handling Operations Regulations 1992 as amended) p.41
     Section 198.

     The Trust follows and teaches the principles of safer Moving and Handling as
     recommended by the Moving & Handling Operations Regulations 1992, The
     Guide to the Handling of People (HOP 5) – 5th Edition 2005 edited by Jacqui
     Smith, Back Care, Royal College of Nursing (RCN), National Back Exchange
     (NBE).

     “The content of training in good handling technique should be tailored to the
     particular handing operations likely to be undertaken”. (Manual Handling
     Operations Regulations 1992 as amended) p.41 Section 198.

     During both client and load handling training sessions, various approaches are
     considered in relation to staff need, risk assessment and the principles of moving
     and handling. The theoretical and practical techniques covered within each
     practical session are recorded on training records. The records are held with each
     attendee and the Moving and Handling Advisers.

     All staff must attend moving and handling training that is relevant to their job role.
     If it is identified that a staff member has a particular problem, is pregnant or has a
     disability which may prohibit them from attending a group training session, the
     Moving and Handling Advisers will assess the situation and adapt or defer a
     training to that particular staff member‟s need where possible. If the Advisers
     identify a concern or risk during assessment that may prohibit a staff member from
     carrying out Moving and Handling as part of their role the information will be
     forwarded to their Line Manager and Occupational Health dept.

     Letters will be sent to staff and budget holder managers when staff do not attend
     their allocated training session without prior notice.

     It is the responsibility of each line manager to ensure that:

      Employees new to their area receive appropriate information regarding moving
       and handling risks together with instruction on correct moving and handling
       procedures before they undertake such tasks (this includes agency, temporary
       and locum staff). Managers must ensure that staff new to the area, do not
       undertake tasks for which they are not trained to carry out.

      Staff new to the Trust will attend a 2 day Induction Programme as a result of
       which they will enrol on an appropriate (Moving & Handling - load or client
       handling) training session within 3 months of commencement of post. In the
       interim period prior to accessing mandatory training, staff can consult the
       appendices of the Moving & Handling Policy for initial information (separate
       powerpoint presentation available for download via the Intranet – „Moving &
       Handling            &           Basic          Back          Care           –
       http://nww.swyt.nhs.uk/Policies/Docstore/details.aspx?docid=841    regarding
       safe Moving & Handling. This is NOT a substitute for attendance on an
       appropriate mandatory training course.

7                                      Moving & Handling Policy – August 2010
      Relevant training is identified for staff through the appraisal/performance
       review process.

      Staff must attend training and subsequent refreshers as advised by the Moving
       and Handling Specialist Adviser, according to specific service training needs
       and risk identification/needs analysis. All staff must attend a relevant moving
       and handling training course appropriate to their role and as identified by their
       line manager at appraisal. Staff who are client handling must also participate in
       a practical training. It is currently recommended that staff receive some
       refresher training at least every 36 months. However, if a need is identified by
       the line manager, staff member, or Moving and Handling Adviser, training can
       be accessed earlier. For staff not handling clients, refresher training can also
       be accessed via the Trust e learning package.              The current training
       programmes can be accessed by the Learning and Development Prospectus
       and training flyers circulated by the Learning and Development Centre
       administration staff.

      Managers access staff member‟s personal training records via the OLM
       (Oracle Learning Management) system to ensure training has taken place.
       Moving and Handling Advisers have access to generic training figures via this
       system.

      Staff implement correct moving and handling procedures in accordance with
       training, Moving and Handling Policies and guidelines (see Appendix C).

     Staff are responsible for:

      Following the principles of safer moving and handling and any safety
       procedures relevant to their area of work (see Appendix C).
      Booking on and attending training, updating knowledge as identified through
       the appraisal system and putting this training into practice.

      Challenging others who do not demonstrate safe practice.


7.   MOVING AND HANDLING EQUIPMENT

     Selection and Purchase

      Medical Devices Guidance and Policy must be followed prior to purchase of
       equipment.

      Relevant advice and information on the availability, purchase, sources and
       suitability of moving and handling equipment should be obtained from the
       Moving & Handling Specialist Adviser following individual risk assessment.

      The Infection Prevention and Control Policy must also be consulted prior to the
       purchase of such equipment to ensure that equipment purchased can be
       cleaned and maintained easily.

      If equipment is to be purchased (i.e. hoist, office furniture, small handling
       equipment) then an Agresso requisition is to be raised, procurement can

8                                    Moving & Handling Policy – August 2010
        advise on this process. Facilities/Estates must be informed of serial numbers
        of the items on receipt of the equipment, for inclusion on the inventory for
        servicing and maintenance.


     Selection, Purchase and Access to Specialist or Emergency Moving and
     Handling Equipment

     Service users may access services and require highly specialist moving and
     handling equipment and it is recognised that, in some situations, resources
     may not meet their needs.

     Some of these situations may be as follows:

      Clients weighing over 18 stones/120 kgs. As some equipment e.g. beds,
       chairs, wheelchairs, hoists are not safe to be used above this weight, it would
       be appropriate, where possible, to obtain an accurate weight on admission.
       Please refer to the bariatric guidelines
       http://nww.swyt.nhs.uk/Policies/Docstore/details.aspx?docid=909

      Clients who access a service that does not have the required equipment or
       facilities to meet their needs.

     In any such situation, the Moving & Handling Specialist Adviser must be contacted
     for further advice.

     Outside of standard working times (e.g. weekends/after 5pm/bank holidays)
     please contact the following for hire of equipment and quote the RFQ number
     from Agresso. If access to Agresso is not available, a requisition must be raised
     within normal working hours and any problems can be raised with Procurement.

             NAME                              CONTACT DETAILS

    Huntleigh Healthcare       Nesbit Evans Product Division
                               310 – 312 Dallow Road
    Beds                       Luton
    Chairs                     Bedfordshire LU1 1TD
    Mattresses
    Bariatric Equipment        Tel: (01582) 413104        Fax: (02582) 459100
    Hoists (Mobile/Gantry)     Or
    Commodes/Shower            Tel: (01582) 745700 (sales)
    Chairs                     Fax: (01582) 745745
                               24hr Helpline – Lo-call – 08457 342000
                               Website: www.huntleigh-healthcare.com
                               E-mail: sales.admin@huntleigh-healthcare.com

    Nightingale                Nightingale Care Beds Ltd
                               Unit 20
    Beds                       Abenbury Way
    Chairs                     Wrexham Industrial Estate
    Hoists (Mobile/Gantry)     Wrexham LL13 9UZ
    Bariatric Equipment
    Commodes/Shower            Tel: (01978) 661699           Fax: (01978) 661705
    Equipment

9                                    Moving & Handling Policy – August 2010
                                 Website: www.nightingalebeds.co.uk
                                 E-mail: info@nightingalebeds.co.uk

     Westholme                   Westholme Ltd
                                 Newcombe Street
     Hoists                      Elland
     Slings                      West Yorkshire
     Commodes                    UK HX5 0EG
     Shower/Bathing
     Equipment                   Tel: (01422) 260011
                                 Fax: (01422) 371783

                                 Website: www.westholme.co.uk
                                 E-mail: info@westholme.co.uk

      Cleaning

      It is the responsibility of the person using (i.e. Operating) the equipment to ensure
      it is adequately cleaned. This also applies to hire equipment and such equipment
      must be cleaned prior to return to the leasing company.

       The Infection Prevention and Control Policy must be consulted to ensure
        correct cleaning procedures are followed for moving and handling equipment.
        Relevant advice on cleaning of equipment can be obtained from the Trust's
        Moving and Handling Specialist Adviser and Infection Prevention Practitioner.

      Refer to manufacturers‟ guidelines.

      Use

       Equipment must be labelled with the department‟s name (or the client‟s)name
        if equipment is for use by an individual client.

       Equipment must be used following the manufacturers‟ guidelines and relevant
        Trust policies.

       It is each individual employee‟s responsibility to ensure that they know and
        understand the correct use of moving and handling equipment prior to its use.
        See hoist guidelines
        http://nww.swyt.nhs.uk/Policies/Docstore/details.aspx?docid=911

       Records of instruction/training in the use of equipment must be kept for each
        member of staff by area/ward/department manager (in line with the Medical
        Devices Guidance and Policy).

      Maintenance

      Routine Maintenance

       Manufacturers‟ guidelines for the maintenance of each piece of moving and
        handling equipment must be available and followed.

       It is the responsibility of the employee to ensure that, to the best of their

10                                      Moving & Handling Policy – August 2010
        knowledge, equipment is in safe working order prior to and following its use. If
        it is not, the procedure outlined in 6.6 must be followed.

     Annual Service Checks

      Any newly obtained equipment (i.e. purchased or acquired from another
       service area) requiring service checks is logged with facilities and added to
       ward inventory

      Lifting equipment (i.e. hoists and ambulifts) must be serviced on an annual
       basis. This is organised by the Facilities Department/Estates.

      All staff using this equipment should check to ensure it is still within the annual
       service validity date – the details of which are attached to the equipment itself.

      Where available, serial numbers of equipment should be recorded and kept by
       the manager.

     Faulty Equipment

     If equipment is observed to be faulty:

      The equipment must be taken immediately out of use. It must be labelled “out
       of use” and signed and dated by the person observing the fault. The
       equipment must be retained for further inspection.

      The Facilities Department/Estates must be contacted for repair as soon as
       possible.

      Disposal of equipment: end of life – contact Facilities hotline for safe disposal.

      Equipment in good order but no longer needed - contact either Moving and
       Handling Adviser or Facilities for re location. Notify Facilities of where the
       equipment has gone to.

     Equipment Involved in an Incident/Accident

     In the event of moving and handling equipment being involved in an
     incident/accident:

      Equipment must be taken immediately out of use. It must be labelled “out of
       use” and signed and dated (as for faulty equipment).

      Make a document/record of the serial number on the equipment.

      Equipment must be retained for further inspection.

      A Trust Adverse Event Form must be completed in line with the guidance in
       the Risk Management Strategy. The person completing the form should grade
       the incident in accordance with the Trust‟s Risk Grading Matrix, with support
       from their line manager.

      The actions taken to minimise the risk of recurrence should be clearly

11                                     Moving & Handling Policy – August 2010
        identified and recorded on the form.

      The following must be made aware of the incident:

        -   Line Manager
        -   Moving & Handling Specialist Adviser (01924 328617)
        -   Health & Safety Manager (01924 327344), who will inform the relevant
            contract manager

        Further guidance will be provided with regard to the correct action to be taken.

      For advice on moving and handling issues in the event of equipment being
       taken out of use, the Moving and Handling Specialist Adviser should be
       consulted.


8.   RISK ASSESSMENT

     It is a legal requirement that moving and handling risk assessments must be
     carried out in line with the Manual Handling Operations Regulations (1992).

      Where there is a potential risk of injury to the handler or client (SU) then an
       appropriate risk assessment must be completed along with a suitable and
       timely action plan.

      Compliance with risk assessment must be monitored.

      The Moving & Handling Adviser will carry out random audits across the Trust
       on an annual basis, at a time mutually agreed with service managers. It is
       expected that at audit managers will be able to show evidence of how to they
       manage moving &handling risk.

     Load Handling Risk Assessments

     It is the responsibility of each area/department manager to:

      identify moving and handling tasks carried out in their service area and ensure
       that moving and handling risk assessments for these tasks are carried out.

      following assessment, take appropriate steps to reduce the risk of injury to the
       lowest level reasonably practicable, develop safety procedures and if
       necessary, to identify the procedure to be followed.

      ensure that staff involved in carrying out those tasks are aware of the risks and
       the safety procedures to be followed.

      review and update risk assessments as necessary, for example, if a task
       changes in some way, or new information becomes available. All load handling
       risk assessments must be reviewed on an annual basis.

     Information and guidance on completing load handling risk assessments/safety
     procedures can be obtained from the Moving & Handling Specialist Adviser for the
     service area.

12                                    Moving & Handling Policy – August 2010
     People Handling Risk Assessment

     It is the responsibility of the ward/department manager to:

      Ensure that people handling risk assessments and subsequent care plans are
       carried out upon admission using the documentation provided. If a staff
       member is alerted to a high risk from a moving and handling perspective then
       a moving & handling risk assessment should be completed within 24 hours of
       admission. These assessment forms can be completed on RIO or as a hard
       copy. In accordance with Trust policy, and when moving and handling needs
       change, these risk assessments must be updated

      Ensure that all staff are aware of the client‟s moving and handling risk
       assessment and care plan.

      Ensure that staff carry out the handling techniques specified for each client.

      Consider recommendations made by other specialists e.g. Physiotherapy,
       Occupational Therapy, Personal Safety Specialist Adviser, Infection
       Prevention Practitioner, where appropriate.



     Moving and Handling Resources

     If a client within a service requires specific moving and handling resources that
     cannot be met under current service provision the Moving & Handling Specialist
     Adviser must be consulted for further guidance and a risk assessment completed.
     (see also section 6.2) Where the Moving & Handling Specialist Adviser cannot be
     contacted then the on-call manager must be consulted.

     Executive Directors and Business Delivery Units are responsible for ensuring that
     business plans capture any moving and handling resource implications identified
     by risk assessment and/or guidelines, and seek advice from the Moving and
     Handling Specialist Adviser with regard to this.

     Moving and Handling Incidents

     It is the responsibility of ward/department/unit managers to investigate moving and
     handling incidents and plan and record appropriate subsequent action. Advice
     and guidance regarding this can be sought from the Moving and Handling
     Specialist Adviser.

     The Trust‟s Risk Incident Reporting Procedures must be followed and
     investigation/action accurately documented.


9.   REVIEW AND REVISION ARRANGEMENTS INCLUDING ARCHIVING

     The policy will be reviewed every 2 years and at any time deemed necessary by
     the Lead Director or the Moving & Handling Advisers.

     Previous/out of date policies will be held by the Moving & Handling Advisers and

13                                    Moving & Handling Policy – August 2010
      archived as per Policy for the development, approval and dissemination of policy
      and procedural documents.


10.   DISSEMINATION AND IMPLEMENTATION

      Once approved, the integrated governance manager will be responsible for
      ensuring the updated version is added to the document store on the intranet and
      is included in the staff brief.

      The Policy will be implemented as part of training as stated in the mandatory
      training policy and as part of audit by the Moving and Handling Advisers.
      Assistance with the implementation will be given via the Health and Safety TAG.

      The Business Delivery Units will be responsible for budgeting towards the
      purchase of appropriate moving and handling equipment, its service and repair.

      The policy will be reviewed every 2 years and at any time deemed necessary by
      the Moving and Handling Advisers. Copies of previous Policies will be held by The
      Moving and Handling Advisers will be available on a shared electronic file.


11.   PROCESS FOR MONITORING COMPLIANCE AND EFFECTIVENESS
      INCLUDING STANDARDS AND KEY PERFORMANCE INDICATORS

         Moving and Handling Advisers will follow up all requests for assistance or
          advice from all service areas. This will be via telephone advice or informal visit.
          A record of advice given/action taken is kept by the Moving and Handling
          Advisers.

         During training staff practice will be observed, assessed and corrected if
          necessary.

         All Moving and Handling incidents entered onto the Datix system will be noted
          by the Adviser. Any investigation and /or appropriate advice will be given
          where necessary.

         A regular report including incident statistics from the Datix system will be
          compiled by the Moving and Handling Advisers for the attention of the
          Business Delivery Units and Managers

         A minimum of 3 audits per year will be carried out in all appropriate service
          areas, (ref. Moving and Handling Audit tool). A copy of the Audit with
          recommendations will be supplied to each unit upon completion. A summary of
          all audit findings will be made by the Moving and Handling Advisers.

         The process for the Organisational Action Plan will be via response to changes
          in legislation and results from the Moving and Handling Audit. Regular reports
          are made by the Moving & Handling Specialist Advisers to the Business
          Delivery Units, which in turn forms part of their annual plan which is then
          signed off by the Trust Board. The Health and Safety Trust Action Group also
          reviews risks from Moving and Handling and includes this in their annual
          workstreams.


14                                       Moving & Handling Policy – August 2010
12.   REFERENCES

         Manual Handling Operations Regulations 1992. H.S.E. Books 3rd Edition 2004.
          The Stationary Office ISBN 071762823

         Health and Safety at Work Act Ch 37. The Stationary Office 1974 ISBN
          0105437743

         Management of Health and Safety at Work Regulations 1999. Approved Code
          of Practice and Guidance L21 2nd Edition HSE Books 2000 ISBN 0717624889

         Provision and Use of work equipment Regulations 1998 Approved Code of
          Practice and Guidance L22 2nd edition HSE Books 1998 ISBN 0717616266

         Lifting Operations and Lifting Equipment Regulations 1998 Approved Code of
          Practice and Guidance L113 HSE Books 1998 ISBN 0717616282

         Handling Home Care: Achieving safe, efficient and positive outcomes for Care
          Workers and Clients. HSG225 HSE Books 2002 ISBN 0717622282


13.   APPENDICES

      Appendix A   -      Load Handling Risk Assessment and Plan
      Appendix B   -      People Handling Risk Assessment and Plan
      Appendix C   -      Moving & Handling Core Principles
      Appendix D   -      Moving & Handling Training Provision
      Appendix E   -      Version Control Sheet




15                                    Moving & Handling Policy – August 2010
                                                                                      Appendix A
                          MOVING & HANDLING RISK ASSESSMENT
                                    LOAD HANDLING

Staff involved in the task should be involved in identifying the risks and developing the Moving and
Handling Plan. Advice & guidance on completing this assessment and plan can be obtained from
the Moving & Handling Specialist Advisers.

Date of Assessment                                       Location
                                                         of Task
Description of Task

Who Carries Out                                          How often
Task?                                                    is    this
                                                         done?

                   Load                                        Individual (handler)               

Is it:                                               Is the person(s) carrying out task:
- Heavy                                              - Unwell
- Unwieldy
- Difficult to grasp                                 - Pregnant
- Harmful contents
                                                     - Previously injured
- Large
                                                     - Not had M&H Training
- Bulky
                                                     - Other (describe):
- Unstable
- Unpredictable
- Unevenly loaded
- Sharp
- Other (describe):


                   Task                                            Environment                    

Does the task involve:                               Are there:
- Repetition                                         - Slippery surfaces/floors
- Stress                                             - Tripping hazards(trailing cables etc)
- Boring/monotonous activity                         - Obstacles
- Completion within a set time frame                 - Obstructions
- Twisting                                           - Constraints on space
- Bending                                            - Poor weather conditions
- Stretching                                         - Dark areas
- Stooping                                           - Cold areas
- Reaching                                           - Hot areas
- Static posture                                     - Other (describe):
- Handling whilst seated
- Other (describe):




     16                                      Moving & Handling Policy – August 2010
                      MOVING & HANDLING RISK ASSESSMENT
                             LOAD HANDLING PLAN


     Area/Dept:
     Name of Manager:
     Signature of Manager:
     Name of Assessor:
     Signature of Assessor:


         Task (describe fully)                              Action to Reduce Risk




          Equipment Needed                              Number of People Required




                                 Additional Information




17                                     Moving & Handling Policy – August 2010
                                                                                    Appendix B
                     MOVING AND HANDLING RISK ASSESSMENT
                                (People Handling)

General details
     Name:




     Number:


                                                   Review:
Weight       Date       Signature Record          Weight   Date               Signature Record




Height:…………………………………………………………………………………………….
History of falls: (Please refer to Falls
Policy)……………………………………………………………………
Mobility aids usually used:…………………..…...……………………………………...……….
How does the person communicate (are any specific aids to communication required):
………………………………………………………………………………………………………
……………………………………………………………………………………………….….….

WHEN ASSESSING THE PERSON, CONSIDER THE FOLLOWING (Please tick the
appropriate boxes):

RISK FACTORS

A. PERSON                                   Initial
                                            Assessment             Review              Review
                                            Date           ___________              ____________
                                           Signature      ___________               ____________
1. Physical (tick appropriate factors)
       Reduced upper limb ability:
       Reduced lower limb ability:
       Poor head control:
       Poor balance       a) sitting
                         b) standing
       Impaired sensation:

18                                         Moving & Handling Policy – August 2010
        Involuntary movements:
        Easily fatigued:
        Incontinence:
        Compromised tissue viability:
        Pain:


        Other: …………………………………….
        Other: …………………………………….


2. Cognitive (tick appropriate factors)
        Poor Motivation:
        Agitation:
        Poor Comprehension:
        Aggression:
        Fluctuating cognitive state:
        Any other (please state) ……………………………


B. TASK (tick appropriate factors)
     Is the person likely to require assistance with the following:
     (a) Sitting to standing (& vice versa)
     (b) Transfers
     (b) Movement in bed
     (c) Toileting & personal hygiene
     (d) Bathing (including transfer)
     (e) Walking
     (f) Hoisting
     (g) Other ………………………………..
     (h) Other ……………………………….


C. ENVIRONMENT (tick appropriate factors)

     (a) Restricted space with postural constraints
     (b) Poorly lit
     (c) Slippery/uneven surface
     (d) Low/double bed
     (e) Low chair


19                                            Moving & Handling Policy – August 2010
     (f) Attachment to patients
         (eg catheter, oxygen, IVI, splint etc)
     (g) Other …………………………………………….

D. INDIVIDUAL CAPABILITY

It is the responsibility of each Health Professional to assess every situation, including
their own capability at the time of handling.

If you are in any doubt, consult your Line Manager before handling.




20                                          Moving & Handling Policy – August 2010
                                             PEOPLE MOVING & HANDLING PLAN


   TO BE CARRIED OUT ON INITIAL ASSESSMENT AND REVIEWED AS CIRCUMSTANCES CHANGE


Area/Department:                                           Persons Name:              ID Number




                                                                Assessment Date:      Review Date:

                       Assessors Name & Signature

                       Extent of Persons help

Sitting to Standing/

Standing to Sitting    Method
                       (describe fully after risk
Comments:              assessment)




                       Number of carers required

                       Equipment
   21                                        Moving & Handling Policy – August 2010
Area/Department:                                        Persons Name:              ID Number



                                                             Assessment Date:      Review Date:

                       Assessors Name & Signature

                       Extent of Persons help

Transfers – chair to
chair/wheelchair
                       Method
Comments:




                       Number of carers required

                       Equipment
     22                                   Moving & Handling Policy – August 2010
Area/Department:                                       Persons Name:              ID Number



                                                            Assessment Date:      Review Date:

                      Assessors Name & Signature

                      Extent of Persons help

Movement in Bed
(Including sitting
forward                Method
moving up bed, turning
& rolling, assisting
legs)

Comments:




                      Number of carers required

                      Equipment
     23                                  Moving & Handling Policy – August 2010
Area/Department:                                        Persons Name:              ID Number



                                                             Assessment Date:      Review Date:

                       Assessors Name & Signature

                       Extent of Persons help

Transfers Into & Out
of Bed
                       Method
Comments:




                       Number of carers required

                       Equipment
     24                                   Moving & Handling Policy – August 2010
Area/Department:                                    Persons Name:              ID Number



                                                         Assessment Date:      Review Date:

                   Assessors Name & Signature

                   Extent of Persons help

Bathing

Comments:          Method




                   Number of carers required

                   Equipment
     25                               Moving & Handling Policy – August 2010
Area/Department:                                    Persons Name:              ID Number



                                                         Assessment Date:      Review Date:

                   Assessors Name & Signature

                   Extent of Persons help

Walking

                   Method
Comments:




                   Number of carers required

                   Equipment
     26                               Moving & Handling Policy – August 2010
Area/Department:                                    Persons Name:              ID Number



                                                         Assessment Date:      Review Date:

                   Assessors Name & Signature

                   Extent of Persons help

Using Toilet

                   Method

Comments:




                   Number of carers required

                   Equipment
     27                               Moving & Handling Policy – August 2010
Area/Department:                                    Persons Name:              ID Number



                                                         Assessment Date:      Review Date:

                   Assessors Name & Signature

                   Extent of Persons help
Other:



                   Method
Comments:




                   Number of carers required

                   Equipment
     28                               Moving & Handling Policy – August 2010
Area/Department:                                    Persons Name:              ID Number



                                                         Assessment Date:      Review Date:

                   Assessors Name & Signature

                   Extent of Persons help

Other:

                   Method

Comments:




                   Number of carers required


                   Equipment
     29                               Moving & Handling Policy – August 2010
Area/Department:                                        Clients Name:                      ID Number




                                                        Assessment Date:                   Review Date:

                         Assessors Name & Signature


     HOISTING                                  Transferring                    Toileting   Bathing        Other


Manufacturers Name and Type of Hoist

Type of Sling

Size of Sling

Method of Sling application


Sling leg pieces (if applicable)
(e.g. crossed between legs or under
both)

Sling loops used

Other useful notes


Number of staff required




     30                                   Moving & Handling Policy – August 2010
                                                                               Appendix C
Moving & Handling Core Principles

1.    Think before handling/lifting – Plan the handling activity. Consider where the
      load is to be placed, handling aids, what help is needed, obstructions etc.

2.    Keep the load close to the waist – Always keep the load close to the waist and
      keep the heavier side next the body. Consider sliding the load towards the body
      before attempting to lift.

3.    Adopt a stable position – Adopt a comfortable position with feet shoulder width
      apart. Be prepared to move the feet during the lifting manoeuvre.

4.    Adopt a power position – i.e. flexing at the hips and knees. Avoid stooping and
      lifting with straight legs.

5.    Ensure a good hold on the load – and divide the load into 2 smaller loads if
      necessary.

6.    Avoid twisting the back – Turn by moving the feet.

7.    Keep the head in line with the spine when lifting – Avoid looking down at the
      load.

8.    Don’t rush the lift – work smoothly and slowly.

9.    Put down the load - Carefully by bending the knees and hips.

10.   Co-ordinate the lift – When handling with another worker.

11.   Pushing and Pulling – When pushing and pulling a force is exerted to overcome
      inertia. A careful assessment should be carried out prior to manoeuvre.




31                                    Moving & Handling Policy – August 2010
                                                                                  Appendix D
Moving & Handling Training Provision



People Handling for Working Age Adults Service and
Forensics Service
A 4 hour course to include both theoretical and practical elements of people handling
aimed at staff in Working age adults and forensic service who give clients assistance to
carry out daily activities with minimal hands on support e.g. assisted walking, assisted
standing/sitting or assistance from the floor


People Handling for Older Peoples and Learning Disability
Services
A full day course to include both theoretical and practical elements
Of people handling aimed at staff in Older people services and Learning disabilities that
regularly support clients to carry out daily activities with hands on support e.g. walking,
bathing, transferring or recovery from the floor

This session does not include hoist training: please contact the specialist advisers for
hoist training advice



Basic Back Care for Support Services (Domestics, Porters,
Engineers, Gardeners, Electricians etc)
A half-day course to include both theoretical and practical elements of load handling
aimed at staff in support services who carry out load handling activities as pert of their
job role i.e.; distribution of goods or equipment, storage and domestic activities



Basic Back Care for Support Services (Administration and
Clerical)
A half-day course to include both theoretical and practical elements of working with
display screen equipment (DSE) e.g. computers –Laptops- workstations. This is aimed at
administrators and clerical services that work with DSE as part of their main Role




32                                       Moving & Handling Policy – August 2010
Appendix E
Version Control Sheet
This sheet should provide a history of previous versions of the policy and changes made
 Version      Date             Author               Status                Comment / changes
     1      2008       A Drinkwater           Approved
     2      2010       A Drinkwater                           Updated and formatting changes made
                                                              for greater clarity. Appendices added.




33                                            Moving & Handling Policy – August 2010

				
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