Working for the Norfolk and Norwich University Hospital, we’ve developed a COVID-19 risk assessment tool to help potentially vulnerable front-line workers limit their exposure to undue levels of risk from the virus. The solution provides staff with digital, one-to-one automated reports, and in doing so has the potential to markedly improve occupational health teams’ ability to effectively manage their workforces.
Using the power of intelligent automation, the tool is capable of evaluating a range of complex and nuanced factors including age, health history, cultural/religious beliefs, disability and pregnancy – critically, it also takes into account the impact of COVID-19 on BAME groups. All NHS England trusts can get free access to this tool, until 24 July 2020.
The technology was designed in collaboration with Dr. Robert Hardman, a leading consultant in occupational medicine.
It has already been deployed by multiple NHS trusts, including Norwich and Norfolk University Hospitals Foundation Trust (NNUH) and Royal Papworth in Cambridge, and is applicable to all front-line workers, particularly those with risk factors that may make them more vulnerable.
The 24/7, web-based chat service consults with workers to determine individual risk, summarising its assessment in the form of a redacted report for line managers/HR, alongside a more detailed report for occupational health departments. This information is then used to determine whether workers should be shielded, referred for a health assessment or cleared to work in various settings, such as in clinical/non-clinical areas or from home.
The UK healthcare industry is experiencing increased demand for a service of this kind, with the Royal College of Physicians declaring risk assessments a priority for the safety of NHS staff and Public Health England calling for the development of “culturally competent” risk assessment tools, particularly for key workers.
Many occupational health teams must assess risk for thousands of hospital staff and make decisions about who can safely work in different areas. With no current national standard for occupational risk assessments in place, the solution provides documented clarity on where occupational health teams should focus their efforts and eliminates the high level of manual work involved in doing so.
James Duez, Chief Executive Officer of Rainbird, commented: “Our tool is also very quick and safe to update as more is learnt about COVID and the risk model changes – workers can, and should, come back and be re-assessed regularly as their circumstances evolve. Not only does it provide each organisation with a clear, bird’s-eye view of who is suited to work in which environment, it allows staff to benefit from a full consultation instantly, significantly reducing their individual risk.”
Duez added: “The tool takes into account multiple levels of highly personal and variable information, something as detailed as to the type of inhaler you use and when you last needed it. This allows for a specific, tailored assessment, something which would require huge resources to replicate, at a time when staff are at maximum capacity.”
Dr Robert Hardman, Consultant in Occupational Medicine at Workplace Health and Wellbeing (the Norfolk and Norwich University Hospital Trust’s Occupational Health Service) commented: “In supporting staff to return safely to the workplace employers face a number of challenges. Accessing evidence-based decision making tools to rapidly identity those who will benefit from an independent risk assessment will be critical.”
Hardman, who is also Director Of Quality Improvement in Audit and Accreditation at the Faculty of Occupational Medicine and former chair of SEQOHS, the accreditation scheme for quality occupational health providers, added: “Many staff will need signposting to the right advice but knowing who to refer to occupational health to get that further advice will be key to ensuring they have confidence in any return to work process. Using an accredited provider of occupational health services would be one such approach.”
Ed Prosser-Snelling, Chief Clinical Information Officer for NNUH, commented: “During the COVID pandemic the NNUH Digital Health team has delivered home working for hundreds of members of shielded staff, facilitated socially distanced and remote consultations for patients and supported the process of testing patients and staff. By entering into limited commercial relationships with third-party suppliers during the COVID-19 pandemic the NNUH has been able to tactically relieve the pressure placed on our incredible and hard-working NHS staff.”
This latest tool is the second built by Rainbird for the NHS, since the beginning of the COVID-19 outbreak, with the first being successfully deployed by NNUH to provide personalised, prescriptive self-isolation guidance to staff. This new solution uses the same technology to advise workers on their individual level of risk at work, as NHS services begin to return to pre-coronavirus levels.
All NHS England trusts can get free access to this tool, until 24 July 2020. It works alongside occupational health specialists, as an automated risk assessor capable of identifying potentially vulnerable workers at scale, in real-time. The fully auditable and highly configurable solution can be deployed in a matter of days by any organisation and will refer workers for a human consultation in complex cases.