Our services

Our services include

  • New starter health assessments
  • In work health assessments (sickness absence management)
  • ‘In work’ health assessments for exposure to specific hazards at work (health surveillance)
  • Work with Ionising Radiation
  • Work with lead
  • Work with asbestos
  • Work with chemicals and dust including isocyanates
  • Noise at work
  • Hand /Arm vibration at work
  • Work at Sea
  • Safety critical work
  • Office workers
  • Night workers
  • Workplace transport drivers
  • Work in healthcare settings
  • Protecting your employees from seasonal flu


Employee support services include

  • Counselling
  • Health and well-being


New starter health assessments

We can offer you guidance and advice following a confidential health assessment to enable you to consider putting in place workplace modifications and reasonable adjustments in accordance with the Equality Act 2010 for your new employee. The confidential health assessment is undertaken by one of our occupational health nurses either via an online or paper based health questionnaire. In circumstances where the employee’s health needs are more complex, then we can either arrange a face-to-face or a telephone consultation. Our occupational health nurses are supported by our on-site occupational health physicians to ensure that you receive clear guidance and advice.

In work health assessments (sickness absence management)

We can offer guidance and advice to employers regarding an employee’s sickness absence and performance issues. Our specialist occupational health team will work with you and your organisation to provide impartial and professional advice to support your employee’s to return to work as quickly as possible, and to maintain their attendance at work.

We have a comprehensive referral documentation, including detailed guidance notes to help you through the referral process. We assess each referral to ensure that your employee is assessed and seen by the most appropriate health professional within the team.

We prefer that all our ‘in work’health assessments take place face-to-face in one of our occupational health locations in Nottingham, either at the Queen’s Medical Centre or at the City Hospital Campus. These face-to-face appointments generally last 45 minutes, but can be longer, depending on the complexity of the referral.

During the consultation we focus on early intervention strategies that you as an employer can take to help maintain your employee’s attendance at work. If your employee is off work due to sickness, then our aim is to offer practical advice that will assist your employee to return to work and to limit the possibility of any absence becoming a long-term issue.

We aim to work in partnership with both employers and employees. Our processes are transparent in accordance with both medical ethics and data protection regulations. This means that our report to you will be given with your employee’s informed and explicit consent. We recommend that the leaflet below is shared with your employee prior to a referral so that they have a full understanding of the referral.

If your organisation needs a little help in developing a sickness absence policy, then we can help you do this. We can also provide bespoke training for the managers in your organisation, which includes best practice in managing an employee’s sickness absence and how occupational health can support you to do this.

‘In work’ health assessments for exposure to specific hazards at work (health surveillance)

We refer to these types of health assessments as’ health surveillance’ as these are often an ongoing requirement under health and safety legislation, such as:

  • ionising radiation
  • lead
  • asbestos
  • chemicals
  • isocyanates
  • dusts
  • noise
  • vibration
  • biological agents

Health surveillance is never an alternative to the proper control of exposure. It is not the same as health screening or health promotion.

Health surveillance will alert you and your employees to early signs of potential health problems caused by the work they are doing. Your workplace risk assessment should be used to identify whether health surveillance is required for your employees. Health surveillance is also necessary to enable detection of illness and to identify the need for any corrective measures, for example personal protective equipment or a change in working practices.

You have a legal duty to ensure your employees are under medical surveillance by a doctor appointed by the Health and Safety Executive (HSE), if they work with specific hazards and undertake certain work activities, covered by the relevant regulations listed below:

Our Occupational Health Consultants are appointed Doctors by the HSE and are qualified to carry out statutory medical examinations not only for ionising radiation, but also for asbestos, lead  and for ‘off shore’ workers under the Oil & Gas UK (OGUK).

Currently we are not able to provide medical surveillance for work in compressed air.

The purpose of statutory medical surveillance is for the appointed doctor to monitor your employees for early signs of potential health problems caused by the work they are doing and provide them with advice on whether further exposure to the particular hazard is appropriate.

Our appointed doctor will also make you aware of any emerging health issues so you can review your risk assessment and ensure risks to your employees’ health are properly controlled.

Work with Ionising Radiation

It is known that ionising radiation is potentially harmful but like all hazardous agents, having adequate control measures in place can guard against development of unwanted health effects. The Ionising Radiation Regulations require that all workers exposed to work related to ionising radiation designated as classified workers and undergo health surveillance. This must be done each year and under the authority of an appointed doctor.

Our Occupational Health Consultants are appointed doctors by the HSE who are qualified to carry out statutory medical examinations not only for ionising radiation.

For further information on ionising radiation please visit the hse website.

Work with lead

Working with lead can put an employee’s health at risk, causing diseases including headaches, stomach pains and anaemia. Other serious symptoms include kidney damage, nerve and brain damage. Health surveillance for exposure to lead is a statutory medical surveillance and is undertaken by an appointed doctor. The medical surveillance includes blood tests for lead levels. These can be carried out at your place of work if you have a number of employees who require medical surveillance.

Our Occupational Health Consultants are appointed doctors by the HSE who are qualified to carry out statutory medical examinations for lead.

For further information on lead in the workplace please visit the hse website.

Work with asbestos

Under the Control of Asbestos Regulations 2012, workers doing licensed work must have medical examinations by an appointed doctor. Since April 2015 all workers/self-employed doing notifiable non licensed work with asbestos must also be under health surveillance by a Doctor.

Our Occupational Health Consultants are appointed doctors by the HSE who are qualified to carry out statutory medical examinations for asbestos.

For more information on asbestos please visit the hse website.

Work with chemicals and dust including isocyanates

Health surveillance is a legal requirement  identified in the Control of Substances Hazardous to Health regulations 2002 (COSHH) if your employee’s exposure is above a specific level.

Some work involves exposure to a substance that can cause occupational asthma. Typical substances are isocyanates (e.g. two-pack spray paints), flour dust, grain dust, wood dust, rosin cored solder fume, glues and resins. Occupations such as bakeries, food processors, beauty services, healthcare services, painters, preparers, welders and woodworkers, are all associated with occupational asthma.

Health surveillance helps prevent occupational asthma developing by detecting the early signs. We can advise on an appropriate health surveillance programme for your organisation. This is likely to include regular testing involving health questionnaires and lung function tests.

For more advice on COSHH visit the hse website.

For specific advice on isocyantes visit the hse website.

Noise at work

Exposure to high levels of noise at work or through hobbies and leisure will cause irreparable damage to hearing over time. Therefore, high noise exposures are likely to cause deafness at an earlier age than would be expected naturally. We will advise you on the appropriate audiometry programme appropriate for your place of work. An ongoing hearing test (audiometry) programme will assess any hearing defects which may have been caused by exposure to noise at work.

For more information on noise in the workplace please visit the hse website.

Hand/Arm vibration at work

Hand-held tools and machines producing  very high levels of vibration can result in permanent numbness of fingers, muscle weakness, and in some cases bouts of white finger. A health surveillance programme will identify anyone exposed or about to be exposed, to hand arm vibration who may be at particular risk, and to identify any vibration related disease at an early stage. It will also help you prevent the disease progressing and eventual disability. Health surveillance will also enable you to check the effectiveness of your vibration control measures in the workplace.

There are different levels of health surveillance (called Tiers). You can carry out the basic level of health surveillance, Tier 1 yourself. The remaining levels of health surveillance (Tiers 1-4) must be carried out by occupational health provider.

We can advise you on a suitable health surveillance programme for your employees and  set up the programme for you. We can also provide your staff with the necessary training and supervision, if you are going to carry out basic level of health surveillance yourself. We can of course provide qualified and  experienced staff to carry out the high level of health surveillance.

For further information on hand arm vibration at work visit the hse website.