PERSONAL HELP & ADVICE
The RCSI recognises that Surgeons & Emergency Medicine doctors may face stressfil situations on a daily basis. Coping with the demands of a busy profession, maintaining skills & knowledge & balancing family & personal commitments can be difficult.
Doctors like the rest of society, can struggle with depression, anxiety & poor mental health. The work environments Surgeons & Emergency Medicine doctors find themselves in may also contribute to high levels of stress due to administative processes, fear of litigation & inappropriate behaviour such as bullying, discrimination & sexual harassment.
Generally speaking, we find ways to bounce back with little to no assistance, however, if problems are persistent, we recommend that you take action to restore your wellbeing. Below is a list of resources that are available to you to help you deal with these situations as they arise.
FIND THE RIGHT GENERAL PRACTITIONER
Register with a GP who is neither friend nor family & who will ensure that professional boundaries are maintained in all decision making.
Though you will have your own thoughts on diagnosis & appropriate interventions, bring an open mind to the consultation & just 'be a patient'.
An Irish study on GP trainees found that 57% had informally consulted a colleague regarding their health needs & 35% had referred themselves directly to a consultant, bypassing their GP. Furthermore, 92% had self-prescrived on at least one occasion. this is ill-advised as it results in compromised level of care.
Most GPs are very comfortable with treating doctors as patients & are registered with the HIP Network www.icgp.ie. You may contact the network to find the name of such a GP in your area if you have not already registered.
EMPLOYEE ASSISTANCE PROGRAMME
- Stress at work
- Difficult relationships at work(including bullying)
- Traumatic events (e.g assault, suicide)
- Personal issues outside of work (e.g bereavement, relationships) which is provided on a confidential basis.
- Professional assessment
- Personal support
- Referral onwards to other professional resources where appropriate
- Trauma Support
Additionally, the service :
- Participate in the provision of lectures/training as required, in areas where the employee assistance professional has relevant expertise, e.g stress management, post-trauma support, team building & management training.
- Provides feedback to the organisation on broad issues which may enhance employee wellbeing & the orgaisation's effectiveness.
The service, which is free of charge to all HSE Employees, is provided by trained & experienced counsellors who are professionally qualified by the codes of conduct to the professional bodies to which they belong. There are three pathways by which an employee may access the employee assistance service:
- An employee may self-refer
- An employee may be referred by Occupational Health
- An employee may referred by line management
Matters raised in individual cases are confidential & are not discussed with managers. Your line manager will advise you of the contact details for your local service.
For further information please visit Employee Assistance & Councelling Service
All public hospital employees in Ireland now have access to occupational health services. These are based on site in the larger hospitals or accesible off-site in some areas. Each is clinically led by a specialise/consultant occupational physician who provides a service with a team of nurses & administrative staff. All work closely with physiotherapists who can 'fast-track' access to treatment for musculoskeletal disorders (MSDs) & also have access, directly or indirectly to counselling support services, which may or may not be on site.
Occupational health deals with the interface between health & work but encompassess a broader remit of work & work environment (including psychosocial environment), health & ill-health as well as life & lifestyle.
A very strict code of ethics underpins occupational health practice. Occupational health professionals are mindful of the importance of respecting confidentiality. They have a particular skill in communicating effectively with employers & managers on firness for work issues without disclosing confidential health details.
PERSONAL HELP & ADVICE PART 1
The Occupational Health Physician is a doctor who has a specialist qualification. Occupational Health Physicians use medical expertise to assess fitness for work, advise on workplace adjustments, prevent ill health & promote health & wellbeing. They play a key role in rehabilitation by advising on optional treatment strategies.
The Occupational Health Nurse is a nurse with additional qualifications who specialise in the provision of occupational health services in the workplace. they provide advice & support on the management of health & wellbeing in the workplace. They are specially skilled in the areas of health leadership & management, fitness for work, health risk management & employee wellbeing.
The full listing of occupational health services for each Community Health Organisation & Hospital Group is available by clicking on this LINK
If you have any queries in this regard, please e-mail firstname.lastname@example.org
There are two pathways to availing of the Occupational Health Service, you have the option to refer yourself directly to the local service or through management referral.
- To 'self refer', simpoly contact the clinic directly.
- For a management referral, CLICK HERE to download the standard management referral form.
New national standards for quality & safety in Occupational Health Services were launched in 2017 at the first annual conference of the Workplace Health & Wellbeing Unit.
HOSPITALS DIGNITY AT WORK POLICY
Absolutely, as a staff member you can contact the clinic directly to avail of this free service.
Your file has been referred to the OHS by your manager for the purpose of an independent review of your health in relation to your work.
Sometimes it is not necessary & OHS can make a decision on whether is necessary for you to attend or if a paper based decision can be made about your fitness for work.
You will attend an Occupational Health Practitioner either nurse or a doctor - whose area of interest an qualification is work, health, ability & disability & any circumstances where work & health interfere with each other.
Most people are happy to attend OHS, & find the consultation very helpful & supportive. If you decide not to attend, your manager will be informed of your decision. Your case will be further progressed by your manager without the benedit of medical advice.
It is likely the Ocuupational Health Practitioner has been sent a referral note by your manager asking him/her to address certain issues relating to your health & fitness for work. The Occupational Health Practitioner will start the assessment by discussing your role in work & your occupational history & will then proceed to assess the reason for your referral, the nature of your medical complaints & associated work absence. At the end of the history taking, if it's appropriate the Occupational Health Practitioner may do a physical examination.
Everything that goes on in the assessment is entirely confidential, between your and the Occupational Health Practitioner. You can tell the Occupational Health Practitioner anything your like during this assessment & you may be reassured that nothing will be disclosed to any other party without your consent. In the report to the manager the OHS will not disclose personal or confidential information. The OHS does however provide an opinion & relevant details including fitness for work & necessary restrictions & accommodation in the workplace.
Please bring with your the name of any medication your are taking, details of your GP & hospital Specialist, copies of any letters written to your GP by the Specialist, if you have them.
The Occupational Health Practitioner will write a report to your manager that will include, recommendations regarding your fitness for work & likely timescale of return to work & any adjustments/restrictions required. This will help your manager to know how to accommodate your needs in the workplace.
Yes, you may request a copy from your manager or your may request a copy of the report on applying to the Occupational Health Service in writing, citing the Data Protection Act.
Yes, you are welcome to take a friend or relative with you if you like.
HSE NATIONAL HR EMPLOYEE HELPDESK
The National HR Employee Helpdesk aims to provide individual employee support in partnership with local HR Offices & the Employee Relations Advisory Services (ERAS) & to serve as an additional conduit for keeping employees informed, involved & included. The Helpdesk is in the early stages of development. There are significant opportunities to grow the portfolio of services available to employees throughout the HSE & to tailor services so that they maximise potential benefits from using social & digital media to communicate with all staff. In developing a professional HR Service that is technically competent & responsive to the needs of the organisation, the Employee Helpdesks initial focus will be to service as a primary HR point of contact for any employee regarding benegits, terms & conditions of employment & grievance & disciplinary processes. The objectives of the Helpdesk are to:
- Respond to employee enquiries through e-mail or phone.
- Support employees to understand HR policies & processes & in doing so build positive relationships throughout the HSE.
- Record all enquiries & resolutions in a customer relationship management system.
- Analyse trends & report results to support decision making & develop business acumen.
- Share & improve processes within the HR Helpdesk to make the HR Help Desk experience truly beneficial for employees.
Contact the Helpdesk on 1850 444 925, Monday to Friday. 8am to 5pm or e-mail email@example.com. They are also on Facebook - search for HSE HR SAYS
WORKPLACE HEALTH & WELLBEING UNIT
The Workplace Health & Wellbeing Unit aims to improve the general health & Wellbeing of staff in the Health Services & support more people with health conditions to stay in work or enter employment. It works to create healthier workplaces, improve occupational health services & rehabilitation support, & increase employment opportunities for people who are not in work due to ill-health or disability. It aims to implement all elements of a positive workplace, including appropriate supports for both staff & management in relation to stressors in the workplace.
For further information please visit: Workplace Health & Wellbeing
DOCTORS HEALTH MATTERS
The Medical Council has established a Health Sub-Committee which monitors & advises Council about the health of indicidual doctors who have relevant medical disabilities.
The Committee was formed under Section 20(4) of the Medical Practitioners Act 2007 to support & monitor those medical practitioners
- with relevant medical disabilities, and
- who have given consents under section 67(1)(c) Section 2 of the Act defines 'Relevant Medical Disability' as: "a physical or mental disability of the practitioner (including addiction to alcohol or drugs) which may impair the practitioner's ability to practise medicine or a particular aspect there of".
The underlying principle behind the establishment of this Sub-Commitee is to support doctors in the maintenance of their registration during illness & recovery, where there is no patient risk that could be subject of a complaint.
As such the Sub-Committee also continues to offer its support & advice to medical practitioners referred through third parties or self referrals. Referrals are treated as confidential within the Sub-Committee, & may be useful as a support not only to the doctor with an illness, but also to their treating doctor.
There is good evidence that doctors with health related problems, especially substance misuse, have good outcomes with the correct interventions, balanced on occasion with the involvement of the relevant regualatory authority.
Fortunately, most doctors are in good health, but they are subject to the same illnesses as their patients. Doctors are not immune from an array of illnesses, for example, infectious disease, cardiovascular disease, neurological disease, mental illness, addictions such as alcohol & drug dependence, nor indeed ageing & cognitive decline.
Most doctors who suffer illness will recognise that they have an illness, will attend their General Practitioner, Consultant or Occupational Health physician & comply with the appropriate treatments & recommendations. This may include taking time off work or indeed changing the nature of their work, either temporarily or permanently.
The majority of doctors with health problems will therfore have no need to have any involvement with the Medical council or it's Health Sub-Committee. Unforunately, some with illness will not have such insights, may be in denial, or delay seeking treatment for some other reason. In such cases, their illness may impair their practice & indeed harm patients. It is this latter group of doctors who may be reported or referred to the Medical Council's Health Sub-Committee.
Are you concerned about your health or the health of another doctor?
If you have concerns about your health or the health of a doctor you know please consider the following options;
- Discuss with your family doctor or contact the ICGP's Health in Practice Programme
- Discuss with an Occupational Health Physician
- Make contact with the Practitioner Health Matters Programme
- Contact or refer to the Health Sub-Committee. Contact Medical Council:
Mr John Sidebottom
Senior Executive Officer
+353 1 4983115
REFERRAL TO THE HEALTH SUB-COMMITTEE
The Medical Practitioners Act 2007 (MPA) sets out in a very formal way, the regulatory pathways of referral to the Health Sub-Committee. The underlying principle behind the establishment of this Sub-Committee is to suppoty doctors in the maintenance of their registration during illness & recovery, where there is no patient risk that could ve subject of a complaint.
As such the Sub-Committee also continues to offer its support & advice to medical practitioners referred through third parties or self referrals. Referrals are treated are treated as confidential within the Sub-Committee, & may be useful as a support not only to the doctor with an illness, but also to their treating doctor.
The Sub-Committee has a wide range of expertise amongst its membership but especially in relation to mental health issues & addictions. There is also a range of external expertise available to the Sub-Committee for a variety of other illnesses, if required.
Due to the wording of the MPPA, any complaints regarding medical disability must currently be referred to a 'Fitness to Practise Committee hearing' by the Preliminary Proceedings Commiettee. In cases where a referral to a 'Fitness to Practise' results the doctor can apply for the hearing to be held in private.
A third party referral or self referral to the Health Sub-Committee is not subject to Fitness to Practise procedures, unless there are patient safety issues involved.
GUIDE TO THE HEALTH SUB-COMMITTEE
For a guide to the Health subcommittee click the following LINK
MEDICALLY INDUCED TRAUMA SUPPORT SERVICES
www.mitss.org is a non-profit organisation that supports clinicians & patients who have been involved in clinical errors or adverse medical events. They also have good support tools for organisations hoping to implement support services.
ONLINE WELLBEING TOOLS
Beaumont Hospital's Mindfulness & Relaxation Centre has good information & downloadable apps found HERE
This is an interesting training programme from the US for Anaesthesia trainees using Pearlin & Schooler's hierachy. Details can be found HERE
Psychologists at the Australian National University have developed MoodGym, an online resource that teaches cognitive behavioural techniques for the management of depression & anxeity. This is available free of charge to registered users. Details can be found HERE
Counselling or psychotherapy can help to improve coping abilities & reduce stress. Information on local services is available from your occupational health department.
MONEY ADVICE & BUDGETING SERVICE
The Money Advice & Budgeting Service (MABS) is the state's money advice service, guiding people through dealing with problem debt for more than twenty years.
They have a proven track record in helping people get back on their feet. All kinds of people, with all kinds of debt go to MABS. Their expertise is with personal & consumer debt; while they can give some limited help with debt arising from a sole trader or partnership business & also make referrals to CAVA, they cannot advise on company debts or on the accounts of a business.
You can use the many valuable tools & resources on their WEBSITE if you think that you would prefer to manage things yourself.
Their helpline is open Monday to Friday, 9am to 8pm (0761 07 2000) if you woul like to have a chat. Many of their cliesnts use a combination of web & Helpline to negotiate themselves with their creditors, whilst others use these as a first step to attending at one of their offices.
Their face-toface service is available in more than 65 locations nationwide. Due to heavy demand, from time to time, there may be a waiting list; in truth, no one in crisis ever has to wait.
When you call the Helpline, or call one of the offices, you will be asked for a little information about your situation. This is done to help them determine how best to help you, & how urgent your situation is, so you see, if you are in the middle of a crisis, you will not be left waiting.
SELF HELP GROUPS
- is a national organisation which, through various media, provides information, education & support to the community on depression.
- Alcoholics Anonymous
- is an international organisation dedicated to providing support to individuals & families affected by alcohol misuse.
- is the national support group for people affected by eating disorders.
- is a national suicide prevention & 'postvention' organisation which has developed its own education programme.
- Pieta House
- provides support to those who are contemplating suicide or engaged in self-harm
- The 3Ts
- works in suicide prevention & funds the 1Life suicide helpline.
- The Samaritans
- provide one to one telephone support to people who are emotionally distressed