MOVING AND HANDLING POLICY - Sfh-tr.nhs.uk
MOVING AND HANDLING POLICYPOLICYReferenceH&S/MHP-03Approving BodyDate ApprovedIssue DateVersionSummary of Changes fromPrevious VersionHealth and Safety Committee13th February 2020February 202010Revised to new format, newer versions of associatedpolicy documents added. New role of Deputy ssor removed9SupersedesDocument CategoryConsultation UndertakenDate of Completion of EqualityImpact AssessmentDate of Environmental ImpactAssessment (if applicable)Legal and/or AccreditationImplicationsTarget AudienceReview DateSponsor (Position)Health and gy Laboratory Manager, FM Performanceand Quality Manager, Deputy Director of Training,Education and Development, Falls Lead NurseResuscitation Team, Divisional Matrons and the ChiefNurse7th February 2020N/A Health and Safety at Work Act 1974 (HASAWA1974) HSE (2004) Manual Handling OperationsRegulations 1992 (as amended) Guidance onRegulations, L23. The Stationery Office Backcare (2011) “The Guide to Handling ofPeople” a systems approach (6th Edition) Management of Health and Safety at WorkRegulations, 1999 (MHSAW 1999) HSE, Provision and Use of Work EquipmentRegulations, 1998 (PUWER 1998) HSE, Lifting Operations and Lifting EquipmentRegulations, 1998 (LOLER 1998) NHSLA (2018) Risk Management StandardsAll Trust employees including those managed by athird party organisation on behalf of the TrustFebruary 2022Chief Nurse
Author (Position & Name)Moving and Handling Co-ordinatorLead Division/ DirectorateCorporateLead Specialty/ Service/Training Education and DevelopmentDepartmentPosition of Person able to provideMoving and Handling Co-ordinatorFurther Guidance/InformationAssociated Documents/ InformationDateAssociatedDocuments/Informationwas reviewedThe following documents are available to order for use in practice from the 7th FebruaryTrusts forms management system:2020 Moving and Handling Risk Assessment Moving and Handling Care PlanThe following document is available for use on the Moving and HandlingIntranet Pages Documentation and Care Plan for Safe Moving and Handling of theBariatric PatientTitle: Moving and Handling PolicyVersion: 10, Issued: 02/2020Page 2 of 27
CONTENTSItemTitlePage1.0INTRODUCTION52.0POLICY STATEMENT53.0DEFINITIONS/ ABBREVIATIONS74.0ROLES AND RESPONSIBILITIES85.0APPROVAL126.0DOCUMENT REQUIREMENTS127.0MONITORING COMPLIANCE AND EFFECTIVENESS178.0TRAINING AND IMPLEMENTATION229.0IMPACT ASSESSMENTS2310.0EVIDENCE BASE (Relevant Legislation/ National Guidance) 23and RELATED SFHFT DOCUMENTSAPPENDICES2511.0APPENDICIESAppendix 1Patient Moving and Handling Risk Assessment07/02/2020Appendix 2Patient Handling Plan07/02/2020Appendix 3Handling checklist object07/02/2020Appendix 4Handling checklist object07/02/2020Appendix 5contamination form MEMD – this has been amended July 201707/02/2020Appendix 6Self-assessment competency Form for Moving and HandlingEquipment07/02/2020Appendix 7Referral forms from Occupational health07/02/2020Appendix 8Manual handling risk assessment proforma07/02/2020Title: Moving and Handling PolicyVersion: 10, Issued: 02/2020Page 3 of 27
Appendix 9Appendix10Appendix11Appendix12Appendix13Bariatric patient admission flowchart, KMH, MCH and Newark 07/02/2020– click on “bariatric care” tabDocumentation and care plan for the safe moving and handling 07/02/2020of the bariatric patient - click on “bariatric care” tabFlowchart for the transfer of Deceased Patients – click on 07/02/2020"bariatric care” tabEquality Impact Assessment07/02/2020Training registerTitle: Moving and Handling PolicyVersion: 10, Issued: 02/202007/02/2020Page 4 of 27
1.0 INTRODUCTION1.1 This policy is issued and maintained by The Chief Nurse on behalf of the Trust, at theissue defined on the front sheet, which supersedes and replaces all previous versions.This policy refers to moving and handling within Sherwood Forest Hospitals NHSFoundation Trust. (SFHFT)2.0 POLICY STATEMENT2.1 The purpose of the policy is to ensure all staff are aware of and comply with therelevant legislation, the associated guidance and professional standards concernedwith moving and handling.2.2 This policy applies across all SFHFT clinical and non-clinical areas; at all sites(King’s Mill Hospital, Newark Hospital, Mansfield Community Hospital) and to allSFHFT employees, contractors, agency staff, students, voluntary workers andpeople on work experience.2.3 Where contractors, agency staff, student or voluntary workers are involved inmanual Handling on Trust premises, the Ward and Department Leader/Person incharge shall ascertain the employee’s level of skill and knowledge. No person shallbe required to carry out any moving and handling tasks beyond the scope of theirskill and training.2.4 Contractors acting on behalf of the Trust are expected to liaise with the Trust’sMoving and Handling Co-ordinator on all matters relating to moving and handlingtraining to ensure that overall the Trust’s training strategy is robust and notcompromised by different work groups applying different principles to moving andhandling.2.5 The Trust is committed to complying with accident prevention legislation (i.e. Health andSafety at Work Act (HASAWA) 1974 and Management of Health and Safety at WorkRegulations (MHSAWR) 1999, the Manual-Handling Operations Regulations (MHOR)1992, the associated guidance and professional standards, together with a robust riskmanagement process.2.6 The Trust aims wherever practicable, to reduce the need for manual-handling either byeliminating such risks or by reducing the risk of moving and handling injuries byproviding information, appropriate training, assessment and instruction on how toensure the safe lifting, transportation of loads or patients in the work place.2.7 The Trust’s commitment is supported through the implementation of a ‘minimal lifting’policy that is promoted by the provision of information, equipment, training to all itsemployees by the moving and handling co-ordinator, deputy moving and handlingcoordinator and the link champions. This applies to both object and patient handlers.Title: Moving and Handling PolicyVersion: 10, Issued: 02/2020Page 5 of 27
2.8 Object handlingManual handling of inert loads/objects will be avoided or eliminated as far as isreasonably practicable by the use of mechanical aids, or controlled as far as practicableby organisational means such as instruction, training and supervision.A safer handling approach incorporating the principles of safe handling (POSH) will beapplied to all load/object handling situations based on a risk assessment, which takesinto account factors such as size, shape, weight and design of the load/object.Available equipment should be used whenever possible in effort to reduce risk for thehandler.Whenever possible the risk of injury from load/object handling problems should bereduced by Risk elimination and risk reduction strategies will follow the ergonomicapproach using T.I.L.E. process (Task, Individual Capability, Load andEnvironment) as a basis for risk assessment.2.9 Patient handlingEach in-patient will have an individual risk assessment taking into account their individualneeds, capabilities and circumstances. The assessment will be completed as part of thein-patient assessment process, after transfer to a new area, or as the patient’s conditionchanges. Appendix 1The risk assessment will follow a balanced decision making approach which considers: The persons human rights, assessed needs and wishes as well as the need toprotect staff from injury The person and, when appropriate those working on their behalf, will beactively involved in the moving and handling assessment and decision makingprocess. Where the person lacks mental capacity decisions will be madewhich reflects their rights under the SFH Mental Capacity Act (MCA) policy V52019 The persons privacy and dignity will be respected when being moved A problem solving approach will be adopted which considers the use of avariety of handling methods and equipment to reduce the risk of injury. Theindependence of the person will be encouraged at all times. Following assessment, a written individual handling plan will be producedwhich will be reviewed when circumstances change if the patient is transferredto another ward or after a period of 7 days if no changes occur. Appendix 2 The moving and handling risk assessment and the handling plan should beavailable to staff to access within the in patients nursing documentation Manual lifting of people, which involves taking the full body weight, will beavoided wherever possible by encouraging independence and the appropriateuse of hoists, sliding aids and other specialised equipment. There will be situations where handling equipment will not be required andTitle: Moving and Handling PolicyVersion: 10, Issued: 02/2020Page 6 of 27
manual handling techniques may be used based onan individual risk assessment provided they follow the principles of safehandling High risk handling techniques e.g. manual handling of the full body weight maybe required in a small number of cases particularly in exceptionalcircumstances or emergencies where a patient is at very high risk of harm. Patients must be risk assessed for their handling needs during the admissionprocess, or reviewed as their condition changes or after being transferred to adifferent ward/clinical area. Patients will be encouraged to be as independent as possible during their stay.If this is not achievable then staff must use equipment that is appropriate toreduce the risk of falls or musculoskeletal injury for both patients and staffalike.3.0 DEFINITIONS/ ABBREVIATIONS‘The Trust’:‘Staff’:Manual handlingLoadMinimal LiftingChampionMHC(D)MHCOLMESRTitle: Moving and Handling PolicyVersion: 10, Issued: 02/2020Means the Sherwood Forest Hospitals NHS FoundationTrust.(SFHFT)Means all employees of the Trust including those managed by athird party organisation on behalf of the Trust.The Manual Handling Operations Regulations (MHOR) 1992refer to manual handling operations as “a means of transportingor supporting of a load (including the lifting, putting down,pushing, pulling, carrying or moving thereof “ by hand or bodilyforce)Anything which is moveable, e.g. inanimate object, person oranimalBy introducing a ‘Minimal Lift’ policy the Trust recognises thatthere will always be an element of our work that requires someform of manual handling. This form manual handling should bebased on an appropriate handling risk assessment.Members of staff that are employed by Sherwood ForestHospitals NHS Foundation Trust and are indirectly part of theMoving and Handling Coordinators team. They will haveattended the relevant patient handler or load handler courseorganised and delivered by the Moving and HandlingCoordinator (MHC) or the Deputy Moving and Handling Coordinator. The champion is then required to attend an annualreview relevant to their practice organised by the MHCIt is the champions responsibility to work with the MHC and the(D)MHC to provide cascade training to their work colleagueswithin their area of work and to return any completed registersor self-evaluation competency forms to the MHC or the (D)MHCMoving and Handling Coordinator(Deputy) Moving and Handling CoordinatorOracle Learning Management SystemElectronic staff recordsPage 7 of 27
4.0 ROLES AND RESPONSIBILITIES4.1 Service Line Managers, Heads of Nursing and Midwifery, Matrons and Allied LineManagers are responsible for:a)Ensuring that the staff are informed of their responsibility to ensure that theappropriate moving and handling training is undertaken. Managers will ensurethat sufficient time is made available for staff to undertake the required training.b)Implementation of the Moving and Handling Policy and ensure that all staffcomply with the Moving and Handling Policy.c)Staff accessing the appropriate training and seeking advice of further training inthe event of being involved in an incident.d)Any department based training is recorded and reported to the Information andQuality Teame)Responding to requests for remedial action to minimise risks identified by riskassessments, audit or inspection. This may be achieved by allocating funds forthe procurement of equipment or by making changes to working practices toreduce the risk of injury or ill healthf)Ensuring that business plans and action plans capture any resource implication,related to moving and handling, identified by audit, risk assessment or incidentinvestigation.g)Provide support to all Ward and Department leads (Clinical and Allied) tofacilitate the implementation of their responsibilities within the moving andhandling policy.4.2 All Ward and Department leaders (Clinical and Allied) are responsible for:a)Ensuring all staff within their area are aware of and complies with the moving andhandling policy.b)Ensuring that Champions are supported to complete an annual auditof the standards set out in the Moving and Handling Policy.c)Reporting any incident resulting in injury or near miss involving moving or liftingoperations through the Datix incident reporting system.d)Ensuring that all non-routine and difficult moving and handling tasks are riskassessed in partnership with the Moving and Handling Co-ordinator or theChampions and any control measures are communicated to all staff involved.e)Assessing and identifying any shortages in the provision of moving and handlingTitle: Moving and Handling PolicyVersion: 10, Issued: 02/2020Page 8 of 27
equipment. The Ward and Department leader will consult and seek the advicefrom the Moving and Handling Co-ordinator before purchasing equipment,changing practice, procedure or changing the layout of areas that will impact onmoving and handling activities.f)Ensuring that all moving and handling equipment is used, cleaned andmaintained according to the Lifting Operations & Lifting Equipment Regulations(1998), the Provision & Use of Work Equipment Regulations (1998) and themanufacturer’s instructions.g)Ensuring all staff as indicated in the mandatory training policy receives a movingand handling update annually. Ensuring all new starters have had theirknowledge and skills assessed before carrying out any moving and handlingtasks and regular DSE users complete a VDU self-assessment.h)Ensuring that their area has at least one moving and handling Champion toprovide practical training and support to all staff.i)Providing support and opportunity for Champions to attend an annual update toenable them to provide moving and handling equipment training, support andadvice to colleagues in their areas.j)Ensuring that all staff as indicated in the mandatory training policy havecompleted a moving and handling update on an annual basis through theappraisal system.k)Working in partnership with the Moving and Handling Co-ordinator, DeputyMoving and Handling Co-ordinator to investigate any incident resulting in injury ornear miss involving moving or lifting operations.l)Ensuring that there is adequate provision of manual-handling equipment wheneverthis is reasonably practicable4.3 Championsa)No person will undertake the Champion role unless they have their Ward orDepartment leader’s support to undertake the role and have completed either thetwo-day patient handling champion course or the one-day load handlingchampion courseb)The Champion will maintain their own competence, knowledge and skills inmoving and handling by attending annual review training.c)The Champion will, with the support of the Ward or Department Leadercarry out the annual moving and handling audit. Cascade anyidentified control measures to all staff. Assist the Ward or Department leader inthe assessment of non-routine or difficult moving and handling tasks.Title: Moving and Handling PolicyVersion: 10, Issued: 02/2020Page 9 of 27
d)Liaise with the Moving and Handling Co-ordinator and the Ward or DepartmentLeader concerning identified moving and handling issues within their area ofwork. Provide a point of contact between the Ward or Department Leader andstaff for moving and handling issues. Cascade information to all staff, includingthe Ward or Department Leader.e)Demonstrate and reinforce safe and best practice at all times, using approvedprocedures and equipment in training and in practice.f)Provide local moving and handling equipment training, supplying the Moving andHandling Co-ordinator with accurate training records of each member of staffwho attends training, using the appropriate register and self-assessmentcompetency documents. Copies of which should be sent to the Moving andHandling Co-ordinator.This will then be inputted onto the Oracle LearningManagement (OLM) system by the Information and Quality Team. The originalcompetency documents and/or handling checklist should be retained by the staffmember as evidence for appraisal. Appendix 3 Appendix 4 and Appendix 134.4 Employees Duties:All Employees:a)Must not expose himself, herself or any other person to any risk or injury whilstcarrying out any moving and handling tasks. All employees should ensure theyhave received the relevant training in either patient or object handling. Patienthandlers can use their knowledge to undertake object handling but objecthandlers will require additional training for the moving and handling of patients.b)Must adhere to the principles of safe handling (POSH), maintain an offset base,keep the load close to the body, keep a mobile base, avoid top heavy postures,avoid twisting, avoid sustaining holds, avoid fixed holds, lead with the head,maintain the S-Curve of the spine and apply the TILE risk assessment process(Task, Individual Capabilities, Load and Environment) to all moving and handlingactivities.c)Report any moving and handling incident to their Ward or Department Leaderand complete an incident form using the Datix systemd)Report any defective moving and handling equipment or any deficit in movingand handling equipment to their Ward or Department leader as soon as isreasonably practicable. Defective equipment should be removed from use,cleaned; a contamination form should be completed and attached to theequipment ready to be repaired. The equipment details should be reported to SFS(Skanska Facilities Service) via the help desk quoting the unique identificationnumber (silver label) attached to all moving and handling equipment Appendix 5Any scales weighing issues need to be reported to MEMD, giving the MEMDnumber and attaching a contamination form on the equipment.Title: Moving and Handling PolicyVersion: 10, Issued: 02/2020Page 10 of 27
If required a replacement should be requested as necessary via the MHCor the Equipment Library.e)Inform their Ward or Department Leader and the Moving and Handling CoOrdinator of any concerns, difficulties or changes of circumstances,environmental or procedural, regarding the carrying out of any moving andhandling tasks in their area.f)Any member of staff who has an injury or health condition that may affect theirability to carry out moving and handling tasks safely should inform their Ward orDepartment leader/person in charge as soon as possible. Referral may be madeto Occupational Health by the Ward or Department Leader.g)Pregnant staff need to inform their Ward or Department Leader of their condition,as soon as possible. This is to ensure that the appropriate individualised riskassessment can be completed, to reduce any risk before they continue toundertake moving and handling tasks.h)Always follow protocols and the handling plan developed through the completionof the risk assessment and use the moving and handling equipment provided.i)Must ensure that they have accessed the relevant equipment training andcompleted the relevant competency document before using any moving andhandling equipment. Appendix 6j)Attend an annual Mandatory Update as per the Trust Mandatory Training policy4.5The Moving and Handling Coordinator and (D
form of manual handling. This form manual handling should be based on an appropriate handling risk assessment. Champion Members of staff that are employed by Sherwood Forest Hospitals NHS Foundation Trust and are indirectly part of the Moving and Handling Coordinators team. They will have attended the relevant patient handler or load handler course
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