Provision of Occupational Health Services for OH Physician Resource, OH4OH Services and Specialist Service Referrals

Occupational Health Physicians: OHP Attendance Management referrals OHP Preplacement referrals OHP Escalations from safety critical medicals Hand Arm Vibration Syndrome (HAVS) Tier 4 OHP Health Surveillance escalations (for example silica, welding fumes, noise) Ill Health Retirement referrals (see section 4.1.1) Driver and Vehicle Licensing Agency (DVLA) Group 2 Train Driver Medicals Strategic project work - for example developing and improving medical standards (Excludes Clinical Governance responsibilities) Case Conferences Expert witness services Occupational Health Services for the Occupational Health Service: Pre-placement health assessment processed by the NR Shared Service team where fitness to work reports will be provided within 1 working day of assessment. For clinical staff there is an additional requirement to schedule a face-to-face vision test [colour and peripheral vision] as part of the pre-placement process. Performance and attendance management referrals - where attendance triggers have been met, there is a concern over the impact of a disability or where guidance in relation to the impact of health on performance is required. Ill Health Retirement referrals. Occupational Therapy Workplace Assessment & Neurodiversity Assessments: Provide occupational therapist resource either from an inhouse resource or a Supplier network. To assess the suitability of work duties and to gain a better understanding of the nature of the Network Rail employee's work, assessing the physical, psychosocial, cognitive and communication demands of the job.

Lot 2 - Specialist referrals The requirement of specialist consultations, scans, assessments &and x-ray services to determine fitness to work either as part of the competence specific medical. Chest X-ray programme for Respiratory Crystalline Silica Including x-ray, radiologist reporting & management information Not including employee selection and case management MRI Cardiology consultation (Initial appointment} Cardiology consultation (review appointment) Cardiologist echocardiogram Cardiologist Exercise stress test 24-hour ECG Holter monitoring ECG Interpretation (Train Driver medical only) Neurology consultancy Electroencephalogram Psychological Assessment Psychiatric Assessment Any other specialist service required.