Primary care first contact practitioner’s (FCP) challenges and learning and development needs in providing fitness for work and sickness absence certification: consensus development

Black, Cameron; Shanmugam, Sivaramkumar; Gray, Heather

doi:10.1016/j.physio.2022.02.001

Cited by 4 publications

(1 citation statement)

References 21 publications

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“…After a return-to-work assessment, the fit-for-work designation was altered from “no management” to temporarily or permanently “fit,” “unfit,” “fit with restrictions,” and “fit with limitations” along with recommending appropriate action to protect the workers and of determining the worker’s suitability for the job and needs for reassignment with the fit-for-work opinion, including fit for duty, unfit, and fit subject to accommodation [ 5 , 6 , 10 , 34 , 39 ]. The fit note should be a recommendation of the fitness for work advice, work modifications, work solutions, working hours and duties adjustment, and equipment, as in previous studies [ 40 , 41 , 42 ]. The return-to-work location was relocated from a hospital to an enterprise with access to occupational health services.…”

Section: Resultsmentioning

confidence: 99%

Enterprise-Based Participatory Action Research in the Development of a Basic Occupational Health Service Model in Thailand

Passaranon

Chaiear

Duangjumphol

et al. 2023

IJERPH

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Various basic occupational health services (BOHS) are provided, particularly in-plant BOHS; however, it might be necessary to start expanding BOHS. The current study focuses on BOHS model development using participatory action research (PAR) at a large-sized enterprise in northeastern Thailand. The PAR began with a situation analysis using ILO Convention C161, problem and cause analysis, the development of an action plan, observation and action, evaluation, and replanning. The research tools included interviews, focus group discussions (FGDs), and participant observations. The participants included managers, human resource staff, safety officers, and workers. Both inductive and deductive thematic analyses were undertaken. The results showed that (1) education and learning experience led to the workers detecting work-related diseases early by themselves and the implementation of medical surveillance programs; (2) the workers’ occupational health needs led to return-to-work assessments and first aid room system development; (3) the employer’s experience led to appropriate fit-for-work examinations and emergency preparedness; and (4) the feedback from BOHS providers led to a hospital-to-in-plant return-to-work conversion. The study concluded that the enterprise could develop fit-for-work and return-to-work assessments as per the ILO Convention C161 under the policy; however, medical surveillance and the first aid room system need to be developed through counseling at the hospital’s occupational medicine clinic.

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Section: Resultsmentioning

confidence: 99%

Enterprise-Based Participatory Action Research in the Development of a Basic Occupational Health Service Model in Thailand

Passaranon

Chaiear

Duangjumphol

et al. 2023

IJERPH

View full text Add to dashboard Cite

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Consensus on occupational health competencies for UK first contact physiotherapists

2023

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Challenges for first contact physiotherapists' managing sickness absence: Consensus development using the nominal group technique

Black,

Shanmugam,

Gray

2024

Clin Rehabil

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Objective To identify the challenges and key learning and development needs of First Contact Physiotherapists (FCPs) providing fitness for work and sickness absence certification from Occupational Health physiotherpists' viewpoints. Design An online modified version of the Nominal Group Technique. Participants A convenience sample of 21 expert occupational health physiotherapists as participants whose substantive job role was within a public or private UK based occupational health provider. Main Measure Consensus on each competency was defined a priori as an agreement of more than 60%. Results Nine items ultimately reached the required 60% threshold consensus level from the Occupational Health expert group for Question 1 on the challenges involved in providing fitness for work and sickness absence certification. Of these items, five reached full consensus; two of which (‘Time’ and ‘Lack of knowledge’) were deemed the most important items. For Question 2 on the learning and development needs, six items reached full consensus from the group (100% of participants that ranked an item) and two of these items (‘Work conversations’ and ‘Training in Occupational Health topics’) both reached full consensus from the group and were deemed the most important items. Conclusion Most employees in the UK do not have access to Occupational Health services. Fit Notes can be an important vehicle to provide work-related, fitness for work and sickness absence advice to help prevent long-term sickness absence. This study provides insights into some barriers and educational development needs of FCPs in primary care, as judged by an expert Occupational Health physiotherapy group.

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Primary care first contact practitioner’s (FCP) challenges and learning and development needs in providing fitness for work and sickness absence certification: consensus development

Cited by 4 publications

References 21 publications

Enterprise-Based Participatory Action Research in the Development of a Basic Occupational Health Service Model in Thailand

Enterprise-Based Participatory Action Research in the Development of a Basic Occupational Health Service Model in Thailand

Consensus on occupational health competencies for UK first contact physiotherapists

Challenges for first contact physiotherapists' managing sickness absence: Consensus development using the nominal group technique

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