Department of Health. Management of HIV Infected Healthcare Workers. Consultation

Size: px
Start display at page:

Download "Department of Health. Management of HIV Infected Healthcare Workers. Consultation"

Transcription

1 Department of Health Management of HIV Infected Healthcare Workers Consultation March 2012

2 Introduction 1.1 Terrence Higgins Trust (THT) is the UK s leading HIV and sexual health charity, working with over 50,000 people in England, Scotland and Wales every year. We provide a variety of services across England ranging from support for people living with or affected by HIV: counselling, group work and social care, to prevention and health promotion initiatives including HIV and STI testing. 1.2 THT welcomes this consultation and supports the position of the tripartite working group on management of healthcare workers who are living with HIV. We agree that changes to the current policy are warranted based on the successful suppression of viral load that Combination Anti-Retroviral Therapy now achieves for individuals. We believe that the current policy of prohibiting healthcare workers living with HIV from performing EPP is overly restrictive and therefore runs the risk of being discriminative towards people living with HIV. It also means that highly trained professionals are being lost to the NHS unnecessarily. 1.3 We support the level of consultation that is being undertaken on this issue across the UK. However, we would urge cooperation between Governments to ensure a consistent approach to this issue across England, Wales, Scotland and Northern Ireland. Consultation Question 1. Do you agree with the tripartite working group s assessment of the risk of HIV transmission from an infected healthcare worker to a patient during exposure prone procedures? 2.1 The fact that there have never been any HIV transmissions from healthcare workers living with HIV recorded in the UK demonstrates that the risks involved are extremely low and that universal infection control procedures are strong in the NHS. We appreciate that modelling of risk in these circumstances is difficult. However, we believe that the Tripartite Working Group s work provides a fair assessment which includes very strong weighting towards patient safety. The actual risk of HIV infection from an infected healthcare worker is in reality likely to be far less than outlined by the triparite group s findings. Consultation Question 2. Do you have any comments on the assessment of overall risk of HIV transmission to a patient having an exposure prone procedure of the most invasive type from healthcare worker? Do you consider it more likely that healthcare workers who think that they are at risk of infection may come forward for HIV testing, if the tripartite working group s recommendations were implemented, and do you have any evidence of this? 3.1 There is considerable evidence which suggests that one of the most significant barriers to HIV testing is stigma, in particular the fear of negative social consequences from an HIV diagnosis 12. Whilst there is an absence of specific 1 ECDC TECHNICAL REPORT, HIV testing: Increasing uptake and effectiveness in the European Union, Evidence synthesis for Guidance on HIV testing, Dec 2010 (page 7) 2 Increasing the uptake of HIV testing to reduce undiagnosed infection and prevent transmission among black African communities living in England: Barriers to HIV testing, Fakoya, et al. 2

3 research in relation to healthcare workers at risk or living with HIV, it is entirely reasonable to assume that people working in the health sector who believe themselves to have been at risk of HIV could feel such stigma or fears more acutely, as the prospect of losing their job could add an additional dimension of anxiety. The financial and social consequences of losing your career and livelihood are likely to weigh heavily on the mind of any healthcare worker who considers themselves to have been at risk and is thinking about testing. 3.2 THT is aware of anecdotal evidence in the UK where professionals, such as dentists, living with HIV have refused to disclose their status as they feel that they are currently being treated very unfairly. The Welsh Assembly s Equality of Opportunity Committee heard evidence of self regulation from the British Dental Association during its Inquiry into Discrimination against People Living with HIV by Healthcare Professionals and Providers 3.3 We believe that altering the current policy would address such grievances and would promote a more supportive and open culture in which healthcare professionals living with or at risk of HIV could feel more relaxed and confident in accessing occupational support and testing. We believe that this would benefit healthcare workers and would also cut potential risks to patients by reducing the number of undiagnosed healthcare workers living with HIV and by mitigating against any individual attempts to self manage occupational issues without support. 3.4 The British Dental Association has publicly indicated that it would like to see changes to the regulations on dentists living with HIV. They have outlined their support for the Bejing declaration from the 2009 World Workshop on Oral Health& Disease in AIDS 3. Participants from over 30 countries at this meeting concluded that with proper safety procedures, there is no real risk of transmission and that people with HIV should be allowed to work as dentists provided their own health is supervised and that standard infection control is observed 4. Indeed, dentists with HIV can now practise in more than twenty countries including the USA, Israel and France. 3.5 Another potential benefit from this change in policy could be a reduction within the NHS of HIV related stigma. Many people living with HIV report receiving poor treatment within the NHS on account of their HIV status 5. Nearly 20% of people surveyed by Sigma in its national survey of people with diagnosed HIV ( ) reported having experienced discrimination in the last year from doctors or other health or care professionals Particular concerns have been expressed in relation to the treatment of people living with HIV by dentistry services. We are aware of numerous examples of individuals reporting being subjected to undue / excess precautions, such as double gloves and only being able to take the last appointment of the day in order that 3 Dentists with HIV face 'unfair' treatment : 4 6th World Workshop on Oral Health and Disease in AIDS, Beijing Declaration Elford J et al. HIV-related discrimination reported by people living with HIV in London, UK. AIDS and Behaviour (in press), What do you need? Findings from a national survey of people with diagnosed HIV Weatherburn et al. (pages 98-99) 3

4 dental instruments could be sterilised afterwards or outright refusal to provide a service. THT believes that it is not unreasonable to assume that the discriminatory and prohibitive approach to people living with HIV that it sometimes observed in dentistry services is to some degree informed by the fact that dentists have an exaggerated perception of risk based on the contention that they would no longer to be able to practice if they contracted the virus personally. Consultation Question 3: Are the tripartite working group s main recommendations supported by the available evidence about risk? 4.1 THT is confident that the tripartite working group has carried out a thorough investigation of the evidence. We believe that their recommendations are proportionate and warranted. We also consider that the group has prioritised patient safety and has based its recommendations on a weighted interpretation of the evidence around risk. Consultation Question 4: Does the suggested implementation framework strike an appropriate balance between protecting patient safety and acknowledging the rights and responsibilities of HIV infected healthcare workers, and is it feasible? 5.1 Given the relatively small numbers of healthcare workers living with HIV in the UK, we believe that the framework outlined is appropriate and entirely manageable. We would support adoption of the tripartite group s recommendations in this area. However, we would welcome further consideration and clarification of the following points: 5.2 The fourth paragraph on page 12 of the documents states that healthcare workers living with HIV would not be expected to disclose their status to patients. However, the paragraph also states in brackets that this would depend on the invasiveness of the procedure. We are unclear as to what this means and feel that if professionals are required to disclose their status to any patients (except in exposure cases) then this could entirely undermine the purpose of the policy. We would urge further consideration of this statement and would welcome more detail on what procedures, if any, would warrant sufficient risk to require advance disclosure to a patient. 5.3 We would welcome further detail on how a healthcare worker s confidentiality would be managed in the event of an exposure incident, risk assessment or patient notification exercise. For example, what would the procedure be for identifying another member of the clinical team to undertake a risk assessment and how would confidentiality be ensured in that event? Similarly, if a healthcare worker has fully cooperated with risk management processes, but a patient notification exercise is still required, what processes will be put in place to safeguard the confidentiality of that worker, particularly in light of potential press attention. We would suggest that legal intervention may be required in this instance. 4

5 5.4 Finally, we would welcome more detail on the suggestion of a national database. We do have a number of confidentiality concerns regarding such a database and how it could potentially be misused. The suggestion is also that this database sit with the HPA which is being disbanded. We require further detail before we can fully support this recommendation. Consultation Question 5. What adjustments will occupational health services need to make to support HIV infected healthcare workers affected by these recommendations? 6.1 Clear confidentiality and referral processes and policies will need to be drawn up to support implementation of the policy. These should outline responsibilities of all staff involved including the healthcare worker living with HIV and occupational health staff. They should also detail the procedures that need to be followed in the evident of an exposure incident, risk assessment or patient notification exercise. Thought should be given as to whether national guidance is needed or whether local polices will be sufficient. 6.2 We would also recommend that training on HIV awareness (including HIV related stigma and actual transmission risks) should be given to all occupational health and human resources staff working in the NHS. Consideration should be given as to whether there is benefit to expanding such training on a local basis. Consultation Question 6. Is referral of all cases of HIV infected healthcare workers infected with HIV who wish to perform exposure prone procedures whilst on combination antiretroviral drug therapy (cart) to UKAP necessary to ensure consistency in the application of the policy and to help promote best practice? If so, for how long should this continue? 7.1 The final paragraph of page 13 states that: Cases where an HIV infected healthcare worker s viral load rises above the recommended viral load threshold should be notified to UKAP, and their advice sought about the need to do a patient notification exercise. However, it goes on to state that it would remain a local decision as to whether a patient notification exercise would need to be carried out. We consider that this paragraph is unclear in its intention. For example, would UKAP need to be informed if the healthcare worker s viral load had increase above the threshold but they had not undertaken any recent EPP? 7.2 As we outlined in 6.1 we think that UKAP may have a role in developing implementation guidelines. Referral of cases may be useful initially for development and review of such guidelines and best practice. However, we are not convinced that it would be necessary to refer every case to a national body over the longer term. 5

6 Consultation Question 7. Do you agree that, if the tripartite working group s recommendations are implemented, patient notification exercises should only routinely take place in connection with untreated HIV infected healthcare workers, as advised in current national guidance, unless a healthcare worker on cart may have put patients at risk of infection e.g. because of an increase in viral load? 8.1 We agree for the most part with this suggestion. However, we would welcome clarification of the point we outline in 7.1. Also, we would suggest that patient notification should only take place if viral load has increased above the identified threshold. It would be entirely counter-productive for unnecessary patient notification exercises to take place if there has not been any real risk of infection. Consultation Question 8. Is national monitoring of policy implementation at the NHS frontline necessary? If so, how should it be done most effectively and proportionately, and what might be the cost implications? Is it appropriate or feasible for local occupational health services to submit local information about HIV infected healthcare workers to the Health Protection Agency to allow national surveillance of policy? 9.1 As previously stated we would welcome further clarification of the role that national monitoring would play. We are unsure as to the benefit of national monitoring and surveillance in the absence of national implementation guidance and the plans for the majority of decision making to take place at local level. 9.2 The HPA is also set to be disbanded, so we would welcome clarification of whether Public Health England would now take on this role. Consultation Question 9: Does the estimate of the number of healthcare workers who may be affected by the policy seem reasonable? Is there further information that consultees can provide and/or are there further sources of information that the Department should consult? 10.1 We agree that the estimate of healthcare workers who may be affected by the policy is reasonable. Consultation Question 10: Does the consultation impact assessment accurately reflect the possible costs and benefits of the policy, were it to be implemented? Is there further information that consultees can provide and/or are there further sources of information that the Department should consult? Consultation Question 11: Does the draft equality screening assessment adequately assess equality issues in this context? Is there further information that consultees can provide and/or are there further sources of information that the Department should consult which may be relevant? 11.1 We are satisfied with the Equality Impact Assessments as outlined. 6

Management of AIDS/HIV Infected Healthcare Workers Policy

Management of AIDS/HIV Infected Healthcare Workers Policy Management of AIDS/HIV Infected Healthcare Workers Policy DOCUMENT CONTROL: Version: 4 Ratified by: Corporate Policy Panel Date ratified: 20 July 2017 Name of originator/author: HR Manager Name of responsible

More information

POLICE INVESTIGATION OF HIV TRANSMISSION. A guide for people living with HIV in England, Wales and Northern Ireland

POLICE INVESTIGATION OF HIV TRANSMISSION. A guide for people living with HIV in England, Wales and Northern Ireland POLICE INVESTIGATION OF HIV TRANSMISSION A guide for people living with HIV in England, Wales and Northern Ireland Introduction People with HIV can be prosecuted in England, Wales and Northern Ireland

More information

4. Adults Lacking Capacity to Consent to Research

4. Adults Lacking Capacity to Consent to Research 4. Adults Lacking Capacity to Consent to Research Introduction There are different laws in each UK country for research that involves adults who lack the capacity to consent to research; the correct law

More information

abcdefghijklmnopqrstu

abcdefghijklmnopqrstu Health Workforce Directorate Employment and Retention Division Dear Colleague Best Practice Guidance Hepatitis B infected healthcare workers and antiviral therapy abcdefghijklmnopqrstu CEL 38 (2009) Date

More information

HIV in the UK: Changes and Challenges; Actions and Answers The People Living With HIV Stigma Survey UK 2015 Scotland STIGMA SURVEY UK 2015

HIV in the UK: Changes and Challenges; Actions and Answers The People Living With HIV Stigma Survey UK 2015 Scotland STIGMA SURVEY UK 2015 HIV in the UK: Changes and Challenges; Actions and Answers The People Living With HIV Stigma Survey UK 2015 Scotland STIGMA SURVEY UK 2015 SCOTLAND The landscape for people living with HIV in the United

More information

HIV in the UK: Changes and Challenges; Actions and Answers The People Living With HIV Stigma Survey UK 2015 London STIGMA SURVEY UK 2015

HIV in the UK: Changes and Challenges; Actions and Answers The People Living With HIV Stigma Survey UK 2015 London STIGMA SURVEY UK 2015 HIV in the UK: Changes and Challenges; Actions and Answers The People Living With HIV Stigma Survey UK 2015 London STIGMA SURVEY UK 2015 LONDON The landscape for people living with HIV in the United Kingdom

More information

MS Society Safeguarding Adults Policy and Procedure (Scotland)

MS Society Safeguarding Adults Policy and Procedure (Scotland) MS Society Safeguarding Adults Policy and Procedure (Scotland) Safeguarding Adults Policy The phrase adult support and protection is used instead of safeguarding in Scotland. However for consistency across

More information

Specialist Research Ethics Guidance Paper RESEARCH INVOLVING ADULT PARTICIPANTS WHO LACK THE CAPACITY TO CONSENT

Specialist Research Ethics Guidance Paper RESEARCH INVOLVING ADULT PARTICIPANTS WHO LACK THE CAPACITY TO CONSENT Specialist Research Ethics Guidance Paper RESEARCH INVOLVING ADULT PARTICIPANTS WHO LACK THE CAPACITY TO CONSENT This note covers all research undertaken at the University that involves the recruitment

More information

Consultation on revised threshold criteria. December 2016

Consultation on revised threshold criteria. December 2016 Consultation on revised threshold criteria December 2016 The text of this document (but not the logo and branding) may be reproduced free of charge in any format or medium, as long as it is reproduced

More information

NAT submission to inquiry into the use of Immigration Detention

NAT submission to inquiry into the use of Immigration Detention NAT submission to inquiry into the use of Immigration Detention 1. NAT (National AIDS Trust) welcomes the opportunity to submit evidence to this inquiry into the use of immigration detention. 2. NAT is

More information

Alcohol and Substance Policy

Alcohol and Substance Policy Alcohol and Substance Policy Lead Manager Responsible Director Approved by Kenneth Fleming, Head of Health & Safety Anne MacPherson, Director of Human Resource and Organisational Development Health & Safety

More information

POLICY AND GUIDANCE FOR MANAGERS ON STAFF SUBSTANCE MISUSE

POLICY AND GUIDANCE FOR MANAGERS ON STAFF SUBSTANCE MISUSE POLICY AND GUIDANCE FOR MANAGERS ON STAFF SUBSTANCE MISUSE HEALTH & SAFETY UNIT AUTUMN 2012 CONTENTS 1 INTRODUCTION... ERROR! BOOKMARK NOT DEFINED. 2 AIM... ERROR! BOOKMARK NOT DEFINED. 3 APPLICATION...

More information

Guidance on maintaining Sexual Boundaries

Guidance on maintaining Sexual Boundaries Guidance on maintaining Sexual Boundaries This guidance must be read in conjunction with The Code (2016) prepared by the General Chiropractic Council (GCC), which sets out standards for conduct, performance

More information

ICPD +10: Sexual and reproductive health and rights in the UK in 2004

ICPD +10: Sexual and reproductive health and rights in the UK in 2004 ICPD +10: Sexual and reproductive health and rights in the UK in 2004 At the 1994 International Conference on Population and Development (ICPD) in Cairo, the 179 countries represented adopted a 20-year

More information

H5VJ 04 (SFH AD1) Raise Awareness About Substances, Their Use and Effects

H5VJ 04 (SFH AD1) Raise Awareness About Substances, Their Use and Effects H5VJ 04 (SFH AD1) Raise Awareness About Substances, Their Use and Effects Overview For this standard you will need to raise awareness about substances (drugs and alcohol), the use of substances and the

More information

Chronic Hepatitis C The Patient s Perspective

Chronic Hepatitis C The Patient s Perspective Chronic Hepatitis C The Patient s Perspective Authors: Josie Smith, Marion Lyons Page 1 of 12 October 2006 Status: Final Contents: Page: Executive Summary 3 Introduction 4 Methodology 4 Findings 5 Appendix

More information

Code of Practice on HIV/AIDS and Other Life Threatening Illnesses for the Public Sector. Ministry of Labour

Code of Practice on HIV/AIDS and Other Life Threatening Illnesses for the Public Sector. Ministry of Labour Code of Practice on HIV/AIDS and Other Life Threatening Illnesses for the Public Sector Ministry of Labour Acknowledgement This Code of Practice on HIV/AIDS and Other Life Threatening Illnesses in the

More information

Information about cases being considered by the Case Examiners

Information about cases being considered by the Case Examiners Information about cases being considered by the Case Examiners 13 October 2016 1 Contents Purpose... 3 What should I do next?... 3 Background... 4 Criteria that Case Examiners will consider... 5 Closing

More information

SFHOH2 SQA Unit Code H4PV 04 Offer information and support to individuals about dental services and the protection of oral health

SFHOH2 SQA Unit Code H4PV 04 Offer information and support to individuals about dental services and the protection of oral health Offer information and support to individuals about dental services and Overview This standard is concerned with providing information on dental services and helping individuals to improve and maintain

More information

NHS Circular: HDL(2005)33 abcdefghijklm

NHS Circular: HDL(2005)33 abcdefghijklm NHS Circular: HDL(2005)33 abcdefghijklm = eé~äíü=aéé~êíãéåí= = mìääáå=eé~äíü=aáîáëáçå= Dear Colleague AIDS/HIV INFECTED HEALTHCARE WORKERS: GUIDANCE ON THE MANAGEMENT OF INFECTED HEALTHCARE WORKERS AND

More information

FDAP/ADFAM Drug & Alcohol Family Worker Professional Certification Workplace Assessment

FDAP/ADFAM Drug & Alcohol Family Worker Professional Certification Workplace Assessment SFHAD1: Raise awareness about substances, their use and effects For this standard you will need to raise awareness about substances (drugs and alcohol), the use of substances and the effects of substances.

More information

SFHAI1 Use recognised theoretical models to provide therapeutic support to individuals who misuse substances

SFHAI1 Use recognised theoretical models to provide therapeutic support to individuals who misuse substances Use recognised theoretical models to provide therapeutic support to individuals who misuse substances Overview For this standard you need to provide therapeutic support to individuals who misuse substances.

More information

WORLD MEDICAL ASSOCIATION DECLARATION OF HELSINKI. Ethical Principles for Biomedical Research Involving Human Beings

WORLD MEDICAL ASSOCIATION DECLARATION OF HELSINKI. Ethical Principles for Biomedical Research Involving Human Beings WORLD MEDICAL ASSOCIATION DECLARATION OF HELSINKI Ethical Principles for Biomedical Research Involving Human Beings WMA Review of the Declaration of Helsinki Consultation Response of the PHG Foundation

More information

HRS Group UK Drug and Alcohol Policy

HRS Group UK Drug and Alcohol Policy HRS Group UK Drug and Alcohol Policy 1.0 Introduction The HRS Group UK Policy on Alcohol and Drugs is a fundamental part of the Company s strategy to safeguard the health, safety and welfare of all its

More information

PROSECUTIONS FOR HIV & STI TRANSMISSION OR EXPOSURE A guide for people living with HIV in Scotland

PROSECUTIONS FOR HIV & STI TRANSMISSION OR EXPOSURE A guide for people living with HIV in Scotland PROSECUTIONS FOR HIV & STI TRANSMISSION OR EXPOSURE A guide for people living with HIV in Scotland You may have heard or read about prosecutions for HIV transmission in Scotland. There have been a small

More information

Consultation on the Draft National Strategies for Blood Borne Viruses and Sexually Transmissible Infections

Consultation on the Draft National Strategies for Blood Borne Viruses and Sexually Transmissible Infections Consultation on the Draft National Strategies for Blood Borne Viruses and Sexually Transmissible Infections AFAO comments on draft Third National Sexually Transmissible Infections Strategy 2014 2017 AFAO

More information

Do you find this clinical policy or service specification clear and comprehensive?

Do you find this clinical policy or service specification clear and comprehensive? Service specification for HIV: British HIV Association response Version 3 25012013 Do you find this clinical policy or service specification clear and comprehensive? No. There are a number of areas that

More information

Explanatory Memorandum to accompany the following subordinate legislation-

Explanatory Memorandum to accompany the following subordinate legislation- Explanatory Memorandum to accompany the following subordinate legislation- 1. Care Standards Act 2000 (Extension of the Application of Part 2 to Private Dental Practices) (Wales) Regulations 2017, 2. Private

More information

HEARING HEARD IN PUBLIC

HEARING HEARD IN PUBLIC HEARING HEARD IN PUBLIC JUDGE, James Gerrard Registration No: 52094 PROFESSIONAL CONDUCT COMMITTEE February 2017 Outcome: Erased with Immediate Suspension James Gerrard JUDGE, a dentist, BDS Glasg 1978,

More information

Safeguarding Children and Young People Policy

Safeguarding Children and Young People Policy Safeguarding Children and Young People Policy Policy Summary This policy outlines our commitment to keeping the children and young people who engage with the Red Cross safe. It outlines the expectations

More information

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE GUIDANCE EXECUTIVE (GE) Consideration of consultation responses on review proposal

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE GUIDANCE EXECUTIVE (GE) Consideration of consultation responses on review proposal NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE GUIDANCE EXECUTIVE (GE) Consideration of consultation responses on review proposal Review of TA96; Adefovir dipivoxil and peginterferon alfa-2a for

More information

Barnardo s Scotland. Strengthening for the Future. Consultation Response

Barnardo s Scotland. Strengthening for the Future. Consultation Response Barnardo s Scotland Strengthening for the Future Consultation Response General Comments Barnardo s Scotland agrees with the general thrust of the proposals to streamline the administrative arrangements

More information

Programme Specification

Programme Specification Programme Specification Awarding Body/Institution Teaching Institution Name of Final Award and Programme Title PG Diploma/Master of Science in Endodontic Practice Duration of Study / Period of Registration

More information

HIV / AIDS POLICY. Document Document Number

HIV / AIDS POLICY. Document Document Number Document Document Number HIV / AIDS POLICY Date Issued 21 June 2011 (2010) I04 Revision Number 03 Revision due date June 2013 Academic Board Approval Date 20 June 2011 AUTHOR Name Date Michele Wallis 01

More information

Our courses. About the learning centre. HIV Awareness Training (CPD certified) Women and HIV (Accredited by the Royal College of Midwives)

Our courses. About the learning centre. HIV Awareness Training (CPD certified) Women and HIV (Accredited by the Royal College of Midwives) About the learning centre Launched in 2016, Terrence Higgins Trust Learning Centre was created to provide high-quality, up-to-date training. Aimed at those who want to improve their awareness and understanding

More information

Department of Dental Hygiene Policy on Bloodborne Pathogens

Department of Dental Hygiene Policy on Bloodborne Pathogens Department of Dental Hygiene Policy on Bloodborne Pathogens The Bridgemont Department of Dental Hygiene Policy on Bloodborne Pathogens is modeled after the policy statement published by the American Dental

More information

DIRECT ACCESS - Guidance to BSDHT Members

DIRECT ACCESS - Guidance to BSDHT Members DIRECT CCESS - Guidance to BSDHT Members Direct ccess came into effect from 1 May 2013. But what does it mean for dental hygienists and dental therapists? The GDC have published guidance notes on the subject

More information

HIV /Aids and Chronic Life Threatening Disease Policy

HIV /Aids and Chronic Life Threatening Disease Policy HIV /Aids and Chronic Life Threatening Disease Policy for Eqstra Holdings Limited 1 of 12 1 Mission Statement Eqstra Holdings Limited will endeavour to limit the economic and social consequences to Eqstra

More information

Pharmacists Defence Association Response to the General Pharmaceutical Council s Consultation on Religion, Personal Values and Beliefs

Pharmacists Defence Association Response to the General Pharmaceutical Council s Consultation on Religion, Personal Values and Beliefs March 2017 Pharmacists Defence Association Response to the General Pharmaceutical Council s Consultation on Religion, Personal Values and Beliefs representing your interests 02 Contents About the Pharmacists

More information

MEMORANDUM OF UNDERSTANDING THE INDEPENDENT FUNDRAISING STANDARDS & ADJUDICATION PANEL FOR SCOTLAND AND THE FUNDRAISING REGULATOR

MEMORANDUM OF UNDERSTANDING THE INDEPENDENT FUNDRAISING STANDARDS & ADJUDICATION PANEL FOR SCOTLAND AND THE FUNDRAISING REGULATOR MEMORANDUM OF UNDERSTANDING THE INDEPENDENT FUNDRAISING STANDARDS & ADJUDICATION PANEL FOR SCOTLAND AND THE FUNDRAISING REGULATOR This Memorandum of Understanding is not legally binding on either party.

More information

Guidelines for the employment of Assistant Psychologists

Guidelines for the employment of Assistant Psychologists Guidelines for the employment of Assistant Psychologists 1. INTRODUCTION This document has been written for the benefit of assistant psychologists, their employers and managers, to provide guidance on

More information

THE MENTAL CAPACITY ACT FACT SHEET FOR SOCIAL SCIENTISTS

THE MENTAL CAPACITY ACT FACT SHEET FOR SOCIAL SCIENTISTS THE MENTAL CAPACITY ACT FACT SHEET FOR SOCIAL SCIENTISTS 1. What is the Mental Capacity Act? 1.1 The Mental Capacity Act 2005 (MCA) 1 provides a statutory framework for people who may not be able to make

More information

Working for Change 2018 Workplace experiences Survey results

Working for Change 2018 Workplace experiences Survey results Working for Change 2018 Workplace experiences Survey results Introduction Action on Hearing loss wanted to uncover the experiences of people with hearing loss in the workplace. This report outlines the

More information

GDC Disclosure and Publication Policy

GDC Disclosure and Publication Policy GDC Disclosure and Publication Policy 1 DISCLOSURE AND PUBLICATION POLICY TABLE OF CONTENTS PURPOSE... 4 THE LAW... 4 PUBLICATION OF FITNESS TO PRACTISE INFORMATION... 5 Publication of Conduct and Performance

More information

Directed Enhanced Service (DES) for H1N1 Vaccination Programme JCVI priority groups

Directed Enhanced Service (DES) for H1N1 Vaccination Programme JCVI priority groups Directed Enhanced Service (DES) for H1N1 Vaccination Programme JCVI priority groups October 2009 Introduction NHS Employers and the General Practitioners Committee (GPC) of the BMA have agreed arrangements

More information

Volunteers Code Of Conduct

Volunteers Code Of Conduct Central Bedfordshire Canine Trust Code Volunteers Code Of Conduct The Trustees of the Central Bedfordshire Canine Trust recognises the importance of volunteers in achieving its charitable objectives and

More information

COLLEGE'S RESPONSE TO AN INDIVIDUAL'S INABILITY TO WORK OR STUDY WITH A PERSON WITH A BLOOD-BORNE COMMUNICABLE DISEASE #2-01

COLLEGE'S RESPONSE TO AN INDIVIDUAL'S INABILITY TO WORK OR STUDY WITH A PERSON WITH A BLOOD-BORNE COMMUNICABLE DISEASE #2-01 Policy & Procedures Manual COLLEGE'S RESPONSE TO AN INDIVIDUAL'S INABILITY TO WORK OR STUDY WITH A PERSON WITH A BLOOD-BORNE COMMUNICABLE DISEASE #2-01 Approved: June 23, 1993 by: Board of Governors Effective:

More information

Psychotherapists and Counsellors Professional Liaison Group (PLG) 30 September 2010

Psychotherapists and Counsellors Professional Liaison Group (PLG) 30 September 2010 Psychotherapists and Counsellors Professional Liaison Group (PLG) 30 September 2010 Information for organisations invited to present to meetings of the Psychotherapists and Counsellors Professional Liaison

More information

INDEX Pages. 1. Conditions which are normally included in all determinations of conditional registration Alleged health issues...

INDEX Pages. 1. Conditions which are normally included in all determinations of conditional registration Alleged health issues... IO ONDITIONS BANK INDEX Pages 1. onditions which are normally included in all determinations of conditional registration 1 2. Alleged health issues... 2 3. Alleged personal alcohol and/or drug misuse problems...2

More information

Access to clinical trial information and the stockpiling of Tamiflu. Department of Health

Access to clinical trial information and the stockpiling of Tamiflu. Department of Health MEMORANDUM FOR THE COMMITTEE OF PUBLIC ACCOUNTS HC 125 SESSION 2013-14 21 MAY 2013 Department of Health Access to clinical trial information and the stockpiling of Tamiflu 4 Summary Access to clinical

More information

Day care and childminding: Guidance to the National Standards

Day care and childminding: Guidance to the National Standards raising standards improving lives Day care and childminding: Guidance to the National Standards Revisions to certain criteria October 2005 Reference no: 070116 Crown copyright 2005 Reference no: 070116

More information

Transforming Our Justice System: Panel Composition in Tribunals

Transforming Our Justice System: Panel Composition in Tribunals Context of submission Transforming Our Justice System: Panel Composition in Tribunals Rethink Mental Illness is a charity that believes a better life is possible for people affected by mental illness.

More information

Banks DIH Limited WORKPLACE POLICY ON HIV/AIDS

Banks DIH Limited WORKPLACE POLICY ON HIV/AIDS Banks DIH Limited WORKPLACE POLICY ON HIV/AIDS 1. GENERAL STATEMENT Banks DIH Limited recognizes the seriousness of the HIV/AIDS epidemic and its impact on the workplace. The Company supports national

More information

APPENDIX 2. Appendix 2 MoU

APPENDIX 2. Appendix 2 MoU APPENDIX 2 THIS APPENDIX CONTAINS BOTH THE TEXT OF THE CURRENT MEMORANDUM OF UNDERSTANDING BETWEEN JCSTD, THE GDC AND COPDEND ABOUT THEIR JOINT WORKING ARRANGEMENTS AND THE WORKING NOTES DRAFTED BY PROF

More information

Equality of Opportunity Committee

Equality of Opportunity Committee Equality of Opportunity Committee EOC(3)-12-09 (p8) Inquiry into Discrimination against People Living with HIV by Healthcare Professionals and Providers Written evidence from Abertawe Bro Morgannwg University

More information

LASS Guidelines and Protocols for Community Based Point of Care HIV Testing

LASS Guidelines and Protocols for Community Based Point of Care HIV Testing LASS Guidelines and Protocols for Community Based Point of Care HIV Testing SCOPE AND CONTEXT This document addresses Point of Care HIV Testing (POCT) using Rapid Test Devices (RTD) for people at (high)

More information

HIV in the United Kingdom: 2009 Report

HIV in the United Kingdom: 2009 Report HIV in the United Kingdom: 2009 Report Key findings The number of people living with HIV in the UK continues to rise, with an estimated 83,000 infected at the end of 2008, of whom over a quarter (27%)

More information

From the Chief Medical Officer Dr Michael McBride

From the Chief Medical Officer Dr Michael McBride From the Chief Medical Officer Dr Michael McBride HSS(MD)28/2017 Chief Executives HSC Trusts (for onward cascade to all relevant staff) Chief Executive PHA (for onward cascade to all relevant Public Health

More information

Health care workers with serious communicable diseases who is being protected?

Health care workers with serious communicable diseases who is being protected? Health care workers with serious communicable diseases who is being protected? Dr Alison Rimmer Consultant Occupational Physician and Clinical Director Sheffield Occupational Health Service Serious communicable

More information

!This booklet is for family and friends of anyone who.!these decisions may be related to treatment they re

!This booklet is for family and friends of anyone who.!these decisions may be related to treatment they re MENTAL CAPACITY ACT INFORMATION What is the Mental Capacity Act? The Mental Capacity Act 2005 (MCA) was implemented by parliament in 2007 and is a vitally important piece of legislation for England and

More information

HIV transmission in the UK within Black African communities: how common is it and how do we prevent it? Dr Valerie Delpech

HIV transmission in the UK within Black African communities: how common is it and how do we prevent it? Dr Valerie Delpech HIV transmission in the UK within Black African communities: how common is it and how do we prevent it? Dr Valerie Delpech We gratefully acknowledge persons living with HIV, clinicians, health advisors,

More information

Protocol for prevention and action in situations of mobbing and sexual harassment

Protocol for prevention and action in situations of mobbing and sexual harassment ESADE Mobbing and Sexual Harassment Protocol Protocol for prevention and action in situations of mobbing and sexual harassment This protocol is intended to inform all members of staff of the action to

More information

Development Manager (Audiology and Health) 13 February March March 2018

Development Manager (Audiology and Health) 13 February March March 2018 POSITION STATEMENT: CHARGING AND INSURANCE TO COVER THE COST OF REPLACING OR REPAIRING OF ALL HEARING AND LISTENING EQUIPMENT PROVIDED BY NHS AND LOCAL AUTHORITIES Owner/s: Director Policy and Campaigns

More information

Tower Hamlets Prostitution Partnership Operating Protocol

Tower Hamlets Prostitution Partnership Operating Protocol Tower Hamlets Prostitution Partnership Operating Protocol 1 Contents Introduction 3 Aims 3 Membership of the THPP 3 Members Responsibility 4 Attendance by other professionals 4 Attendance by those referred

More information

Alcohol and Drug Commissioning Framework for Northern Ireland Consultation Questionnaire.

Alcohol and Drug Commissioning Framework for Northern Ireland Consultation Questionnaire. Alcohol and Drug Commissioning Framework for Northern Ireland 2013-16 Consultation Questionnaire. This questionnaire has been designed to help stakeholders respond to the above framework. Written responses

More information

Ref : 06:01:PP:019: NIBT Issue Date: September 2006 Page: 1 of 8 NORTHERN IRELAND BLOOD TRANSFUSION SERVICE ALCOHOL & DRUGS POLICY AND PROCEDURE

Ref : 06:01:PP:019: NIBT Issue Date: September 2006 Page: 1 of 8 NORTHERN IRELAND BLOOD TRANSFUSION SERVICE ALCOHOL & DRUGS POLICY AND PROCEDURE Ref : 06:01:PP:019: NIBT Issue Date: September 2006 Page: 1 of 8 NORTHERN IRELAND BLOOD TRANSFUSION SERVICE ALCOHOL & DRUGS POLICY AND PROCEDURE 1 Introduction The Northern Ireland Blood Transfusion Service

More information

Invisible and in distress: prioritising the mental health of England's young carers

Invisible and in distress: prioritising the mental health of England's young carers Invisible and in distress: prioritising the mental health of England's young carers Foreword Becoming a carer can be daunting at any point in a person s life. Caring can take its toll on health and wellbeing.

More information

Consent to research. A draft for consultation

Consent to research. A draft for consultation Consent to research A draft for consultation 1 Consent to research About the guidance Our guidance Consent: patients and doctors making decisions together (2008) 1 sets out the principles of good practice

More information

Promoting Excellence: A framework for all health and social services staff working with people with Dementia, their families and carers

Promoting Excellence: A framework for all health and social services staff working with people with Dementia, their families and carers Promoting Excellence: A framework for all health and social services staff working with people with Dementia, their families and carers Mapped to the NHS Knowledge and Skills Framework () Background and

More information

13 Minutes of the Board Meeting held on 7th June, 2016 (HWB /2)

13 Minutes of the Board Meeting held on 7th June, 2016 (HWB /2) MEETING: Health and Wellbeing Board DATE: Tuesday, 9 August 2016 TIME: 4.00 pm VENUE: Reception Room, Barnsley Town Hall MINUTES Present Councillor Sir Steve Houghton CBE, Leader of the Council (Chair)

More information

APPENDIX C: HIV/AIDS TEXAS MEDICAID PROVIDER PROCEDURES MANUAL: VOL. 1

APPENDIX C: HIV/AIDS TEXAS MEDICAID PROVIDER PROCEDURES MANUAL: VOL. 1 APPENDIX C: HIV/AIDS TEXAS MEDICAID PROVIDER PROCEDURES MANUAL: VOL. 1 JANUARY 2018 TEXAS MEDICAID PROVIDER PROCEDURES MANUAL: VOL. 1 JANUARY 2018 APPENDIX C: HIV/AIDS Table of Contents C.1 CDC Revised

More information

HIV in the UK: Changes and Challenges; Actions and Answers The People Living With HIV Stigma Survey UK 2015 England STIGMA SURVEY UK 2015

HIV in the UK: Changes and Challenges; Actions and Answers The People Living With HIV Stigma Survey UK 2015 England STIGMA SURVEY UK 2015 HIV in the UK: Changes and Challenges; Actions and Answers The People Living With HIV Stigma Survey UK 2015 England STIGMA SURVEY UK 2015 ENGLAND The landscape for people living with HIV in the United

More information

Positive Women, Positive Midwifery

Positive Women, Positive Midwifery Positive Women, Positive Midwifery Caring for Women with HIV in Pregnancy: An Ethical Perspective Abena Addo MA(ethics) PDGE BSc RGN RM The School of Nursing and Midwifery UN Global targets(2011) 1. Halve

More information

[Submitted Electronically]

[Submitted Electronically] [Submitted Electronically] Dr. Matthew J. Kuehnert, Director Office of Blood, Organ, and Other Tissue Safety Division of Healthcare Quality Promotion National Center for Emerging and Zoonotic Infectious

More information

Royal College of Psychiatrists Consultation Response

Royal College of Psychiatrists Consultation Response Royal College of Psychiatrists Consultation Response DATE: 06.08.09 RESPONSE OF: THE ROYAL COLLEGE OF PSYCHIATRISTS RESPONSE TO: Draft guidance on provisions to deal with nuisance or disturbance behaviour

More information

World Medical Association Declaration of Helsinki Ethical Principles for Medical Research Involving Human Subjects

World Medical Association Declaration of Helsinki Ethical Principles for Medical Research Involving Human Subjects Ethical Principles for Medical Research Involving Human Subjects Adopted by the 18th WMA General Assembly, Helsinki, Finland, June 1964, and amended by the: 29th WMA General Assembly, Tokyo, Japan, October

More information

Translation and Interpretation Policy

Translation and Interpretation Policy Translation and Interpretation Policy Version 1 Ratified By NHS West Cheshire Clinical Commissioning Group Governing Body Date Ratified 16 th November 2017 Author(s) Jonathan Taylor Responsible Committee

More information

Management of Healthcare Workers Infected With A Blood-borne Virus (HIV, Hepatitis B, Hepatitis C)

Management of Healthcare Workers Infected With A Blood-borne Virus (HIV, Hepatitis B, Hepatitis C) Management of Healthcare Workers Infected With A Blood-borne Virus (HIV, Hepatitis B, Hepatitis C) Solent NHS Trust policies can only be considered to be valid and up-to-date if viewed on the intranet.

More information

As a result of this training, participants will be able to:

As a result of this training, participants will be able to: Addressing Prevention with HIV Positive Clients 1 Day Training This one-day training will prepare participants to help people living with HIV to avoid sexual and substance use behaviors that can result

More information

Mental disorders and genetics: the ethical context. Summary

Mental disorders and genetics: the ethical context. Summary Mental disorders and genetics: the ethical context Summary Introduction Mental disorders place a heavy burden on individual sufferers, on those who care for them and on society at large. Research into

More information

Nursing and Midwifery Council Fitness to Practise Committee. Substantive Order Review Meeting

Nursing and Midwifery Council Fitness to Practise Committee. Substantive Order Review Meeting Nursing and Midwifery Council Fitness to Practise Committee Substantive Order Review Meeting 18 March 2019 Nursing and Midwifery Council, 2 Stratford Place, Montfichet Road, London, E20 1EJ Name of registrant:

More information

Hydro One Networks Inc. 483 Bay Street, Toronto, Ontario M5G 2P5. July 7, Attention: Consultation Secretariat

Hydro One Networks Inc. 483 Bay Street, Toronto, Ontario M5G 2P5. July 7, Attention: Consultation Secretariat Hydro One Networks Inc. 483 Bay Street, Toronto, Ontario M5G 2P5 July 7, 2017 Attention: Consultation Secretariat Workplace Safety & Insurance Board Consultation Secretariat 200 Front Street West, 17 th

More information

The RPS is the professional body for pharmacists in Wales and across Great Britain. We are the only body that represents all sectors of pharmacy.

The RPS is the professional body for pharmacists in Wales and across Great Britain. We are the only body that represents all sectors of pharmacy. Royal Pharmaceutical Society 2 Ash Tree Court Woodsy Close Cardiff Gate Business Park Pontprennau Cardiff CF23 8RW Mr Mark Drakeford AM, Chair, Health and Social Care Committee National Assembly for Wales

More information

Providing Good Care to People Living with HIV

Providing Good Care to People Living with HIV National Ambulance LGBT Network Providing Good Care to People Living with HIV An Ambulance Service Resource Pack Supporting Lesbian, Gay, Bisexual, Trans staff, patients and communities A partnership of

More information

19/08/2014. What is Injection Safety?

19/08/2014. What is Injection Safety? Infection Prevention and Control A Foundation Course SAFE INJECTION PRACTICES AND SHARPS MANAGEMENT Fiona Barry IPCN Mercy University Hospital, Cork 2014 Links to CDC Materials http://www.youtube.com/watch%3fv%3d6d0stmoz80k

More information

The Hepatitis B-e antigen-positive

The Hepatitis B-e antigen-positive The Hepatitis B-e antigen-positive Dental Student Developing an Equitable Policy Hepatitis B Virus Serology 1 HBsAg A protein on the surface of HBV; it can be detected in high levels in serum during acute

More information

DRUGS EDUCATION. for THE THOMAS AVELING SCHOOL POLICY. No: 13

DRUGS EDUCATION. for THE THOMAS AVELING SCHOOL POLICY. No: 13 No: 13 THE THOMAS AVELING SCHOOL POLICY for DRUGS EDUCATION Revised September 2003 Ratified by FGB November 2003 Updated July 2004 Reviewed July 2006 Reviewed May 2007 Reviewed December 2011 Updated March

More information

GUIDANCE TO CLUBS NEW CLUB AFFILIATION FEES AND PROCEDURES

GUIDANCE TO CLUBS NEW CLUB AFFILIATION FEES AND PROCEDURES GUIDANCE TO CLUBS NEW CLUB AFFILIATION FEES AND PROCEDURES New affiliation fee from 1 April 2018 From 1 April 2018, all clubs will be charged the same annual affiliation fee, which the Board of Directors

More information

Induction appeals procedure

Induction appeals procedure Induction appeals procedure Updated March 2013 1 1. Introduction 3 2. Lodging an appeal 4 Notice of Appeal 4 Appropriate body s response 5 Extension of timescales 6 Arrangements for receiving additional

More information

National HIV Testing Policy 2006

National HIV Testing Policy 2006 National HIV Testing Policy 2006 2006 National HIV Testing Policy 1 2006 National HIV Testing Policy Table of Contents EXECUTIVE SUMMARY...3 INTRODUCTION...7 1) GUIDING PRINCIPLES FOR HIV TESTING IN AUSTRALIA...8

More information

Latex and Occupational Dermatitis Policy Incorporating Glove Selection

Latex and Occupational Dermatitis Policy Incorporating Glove Selection Latex and Occupational Dermatitis Policy Incorporating Glove Selection DOCUMENT CONTROL: Version: 3 Ratified by: Risk Management Sub Group Date ratified: 17 July 2013 Name of originator/author: Health

More information

THE RESPONSIBLE PHARMACIST REGULATIONS

THE RESPONSIBLE PHARMACIST REGULATIONS THE RESPONSIBLE PHARMACIST REGULATIONS A SUMMARY OF THE RESPONSES TO PUBLIC CONSULTATION ON PROPOSALS FOR THE CONTENT OF THE REGULATIONS DH INFORMATION READER BOX Policy HR / Workforce Management Planning

More information

Your guide to private dentistry. Questions to ask

Your guide to private dentistry. Questions to ask Your guide to private dentistry Questions to ask When you are choosing private treatment it pays to shop around and to ask the right questions. Unlike National Health Service (NHS) care, where there are

More information

Policy: S5 Smoke Free Policy

Policy: S5 Smoke Free Policy Policy: S5 Smoke Free Policy Version: S5/15 Ratified by: Trust Management Team Date ratified: 3 rd June 2015 Title of Author: Clinical Services Manager/Specialist & Forensic Title of responsible Executive

More information

1. INTRODUCTION 2. HOARDING PROCEDURE

1. INTRODUCTION 2. HOARDING PROCEDURE London Borough of Bromley Hoarding Panel Protocol Procedure No: 5 Summary: Guidance to LBB staff on the procedure for referrals for the multi-agency Hoarding Panel to manage complex risks to individuals

More information

Drug and Alcohol Policy

Drug and Alcohol Policy Drug and Alcohol Policy Purpose Skillset Pty Ltd ( Skillset ) is committed to providing a safe and healthy work environment, so far as is reasonably practicable in which all workers are treated fairly,

More information

British Dental Association Response to The Health Select Committee Inquiry into Public Health

British Dental Association Response to The Health Select Committee Inquiry into Public Health British Dental Association Response to The Health Select Committee Inquiry into Public Health Introduction 1. The British Dental Association (BDA) is the professional association and trade union for dentists

More information

Framework on the feedback of health-related findings in research March 2014

Framework on the feedback of health-related findings in research March 2014 Framework on the feedback of health-related findings in research March 2014 Summary Scope and background In the course of a study involving human participants, researchers may make a finding that has potential

More information

Domestic Abuse Matters: Police responders and Champions training

Domestic Abuse Matters: Police responders and Champions training Domestic Abuse Matters: Police responders and Champions training safelives.org.uk info@safelives.org.uk 0117 403 3220 1 77% 75% of First Responders felt training would help them respond to victims in a

More information

Response to the proposed advice for health and social care practitioners involved in looking after people in the last days of life

Response to the proposed advice for health and social care practitioners involved in looking after people in the last days of life Response to the proposed advice for health and social care practitioners involved in looking after people in the last days of life Introduction i. Few conditions are as devastating as motor neurone disease

More information