Health Surveillance

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Many companies are required to undertake health surveillance by law, but it is also considered best practice and can be of great benefit to your workforce.

Health surveillance is about systematically watching out for early signs of work-related ill health in employees exposed to certain health risks.

Rosebank Private Medical Services provide health surveillance in many fields of work, including the following:

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Asthma Health Surveillance

Occupational asthma is a major occupational health problem. If you detect an employee's symptons early enough and reduce their exposure you will reduce their risk of developing full-blown asthma.

Asthma health surveillance is required for any of your workers who:

  • are exposed to certain substances (lsocyanates, flour dust, grain dust, glutaraldehyde, wood dust, latex, rosin-cored solder fumes, laboratory animals or glues and resins).
  • substances and processes where occupational asthma is a known problem (Bakeries and food processes, beauty services, cleaning services, healthcare services, painters, repairers (including electronics), welders and woodworkers).
  • are working with products labelled R42 'May cause sensitisation by inhalation' (may lead to asthma), or R42/43 'May cause sensitisation by inhalation and skin contact'.
  • have a confirmed case of asthma and if your work involves a substance that can cause occupational asthma.

Recommended frequency for high risk asthma health surveillance is a baseline spirometry and annual spirometery thereafter.

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Health Surveillance for Noise Induced Hearing Loss

Hearing loss caused by work is a significant occupational disease. Factors contributing to damage include the intensity of noise and length of exposure.

Health surveillance for noise induced hearing loss is required for:

  • all workers regularly exposed above 85dB
  • for susceptible individuals if requested between 80 and 85dB
  • Recommended frequency of health surveillance for noise induced hearing loss
  • baseline audiometry
  • annual audiometry for two years
  • 3-yearly audiometry thereafter, unless cause for concern
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Hand-Arm Vibration at Work (HAV's)

Hand-arm vibration comes from the use of hand-held power tools and is the cause of significant ill health (painful and disabling disorders of the blood vessels, nerves and joints).

Health Surveillance for hand-arm vibration should be provided for employees which:

  • are likely to be exposed above the action value of 2.5 m/s2 A(8)
  • are likely to be exposed occasionally above the action value and where the risk assessment identifies that the frequency and severity of exposure may pose a risk to health
  • have a diagnosis of HAV's (even when exposed below the action value)
  • Recommended frequency for health surveillance for hand-arm vibration:
  • annual questionnaire to check employees that need to be referred for a HAV's Assessment
  • highlighted employee's sent for a HAV's assessment
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Electrocardiogram (ECG)

ECG (electrocardiogram) is a test that measures the electrical activity of the heart.

An ECG records any problems with the heart's rhythm and the conduction of the heart beat through the heart which may be affected by underlying heart disease.

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Blood Pressure Checks

Blood pressure depends on a combination of two factors:

  • How forcefully the heart pumps blood around the body
  • How narrowed or relaxed your arteries are.

Hypertension occurs when blood is forced through the arteries at an increased presure. Too much pressure puts a strain on the arteries and on the heart itself. This can cause an artery to rupture or the heart to fail under the strain.

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Drug and Alcohol Testing

Employers have a duty to protect the safety of their workplace under the Health and Safety at Work Act. That includes ensuring that employees are not working under the influence of drink of drugs.

10 Panel Instant Drug Testing plus alcohol test

Positive test results are followed up with a full chain of custody tests

Rosebank Health are happy to advise and help you set up and carry out the correct level of health surveillance for your workers.

Please call 01452 782272 or send an email to  for further information.

Rosebank Private Medical Services, C/O Kingsway Health Centre, Rudloe Drive, Kingsway, Gloucester, GL2 2FY