The study showed similar, not identical, C&D performance for 2 cleaning products with potentially different consequences for respiratory health. Additional research is needed to develop robust recommendations for safe, effective C&D in home care.

Methods With proposed changes in the Irish Health Services and the development of commissioning services/service provision in the Community Healthcare Organisation/Hospital Group Model, the most effective model of care is a central governance unit i.e. WHWU with areas covered geographically by defined Area/collaborative service delivery units, this is referred to as a 'hub and spoke' model. The structure of each hub includes occupational health physician services, occupational health nursing services, employee assistance programmes, rehabilitation services, health promotion, health and safety, and the provision of governance and support.The targets for the area/collaborative service delivery units, 'hub and spoke' model will be exactly as described by the Healthy Staff, Better Care for Patients. www.dh.gov.uk 2011. Result This model of care will be implemented over Q.2 2017 to Q2 2018 In order to meet these service needs there must be integration with local health and Safety, stress management services, rehabilitation services, health and wellbeing and counselling services.