By David Snashall, Dipti Patel
This new version of Occupational and Environmental Medicine concentrates extra at the more recent forms of occupational sickness together with these (like “RSI” and pesticide poisoning) the place publicity and results are obscure. there's particular emphasis on paintings, healthiness, with hyperlinks to public future health, health and wellbeing promoting, the price of labor, disabled humans at paintings, the getting older team, vocational rehabilitation, facts dependent perform, and extra chapters at the wellbeing and fitness results of weather swap and of occupational health and wellbeing and protection relating to migration and terrorism
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G. working alone in a control room, wearing breathing apparatus, etc. Doctors may also create a legal liability for themselves in providing a speciﬁc opinion on ﬁtness when not aware of all relevant information and without sufﬁcient expertise. 6 Example 1 An employee is absent from work certiﬁed as having ‘back pain’ and medical advice is requested about the likelihood of a return to work. Letter from a doctor acting as medical adviser to a company to a manager, containing too much medical information and terms.
However, unlike other areas of healthcare, in the UK there is no speciﬁc regulation of OH services. In the UK, the Faculty of Occupational Medicine is responsible for professional standards in the specialty and has recently issued Safe and Effective Quality Occupational Health Services – a document outlining standards for accreditation of good practice. These standards cover six areas : business probity, information governance, people (OH stafﬁng), facilities and equipment, relationships with purchasers, relationships with workers.
Exactly the same principles apply in occupational health as in other branches of healthcare. The widespread use in ethical guidance of the term ‘patient’ for all people with whom a healthcare professional interacts may not be helpful because it implies a therapeutic relationship. Such relationships may occur in occupational health but, certainly in the United Kingdom, are not the norm and usually relate to speciﬁc tasks (such as vaccination) which generally constitute only a small part of an occupational health professional’s practice.
ABC of occupational and environmental medicine by David Snashall, Dipti Patel