BackgroundBackgroundIn 2003 / 2004, the Health and Safety Executive (HSE)

conducted a review of the Health and Safety (First-Aid) Regulations 1981.

This was aimed at evaluating whether the Regulations were still effective in meeting the needs of modern businesses.

To help inform the review, HSE commissioned research and consulted with stakeholders including employers, employees, first aiders and first aid at work (FAW) training providers.

First aid at work stakeholder meeting,2 May 2008

HSE

Associations

Qualifications and Curriculum Authority/ Office of the Qualifications and Examinations Regulator (QCA/ Ofqual) and SQA Scotland

EDI – Awarding body

Two HSE documentsA Guide for Training ProvidersFor Trainers Guidance now released on HSE

website.

Approved Code of Practice and GuidanceFor Employers – not available until October

Regulations and the ACOP unchanged

Risk Assessment guidelines (Risk Assessment guidelines (CurrentCurrent))Low RiskLow Risk

• Less than 50 staff = 1 x Appointed Person• 50 – 100 = 1 x First Aider (FAW)• More than 100 staff = Plus 1 x First Aider (FAW) per 100 staff

Medium RiskMedium Risk• Less than 20 staff = 1 x Appointed Person• 20 – 100 = 1 x First Aider (FAW) per 50 staff or Part • More than 100 staff = Plus 1 x First Aider (FAW) per 100 staff

High RiskHigh Risk• Less than 5 staff = 1 x Appointed Person• 5 – 50 = 1 x First Aider (FAW)• More than 50 staff = Plus 1 x First Aider (FAW) per 50 staff

Categories of Risk (Current)

Low Risk : Shops, Offices, Libraries etc.

Medium Risk: light engineering and assembly work, food processing, warehousing etc.

High Risk: most construction, slaughterhouses, chemical manufacture, extensive work with dangerous machinery or sharp instruments etc.

Risk Risk >>>>>> Hazard Hazard

Low Risk Low Risk == Low Hazard Low Hazard

Medium Risk Medium Risk mergedmerged with High Risk with High Risk >>>> Higher HazardHigher Hazard

Categories of Hazard (Proposed)

Categories of Risk (Proposed)

Low Hazard: Shops, Offices, Libraries etc.

EVERYTHING ELSEHIGHER HAZARD

Risk Assessment guidelines (Risk Assessment guidelines (ProposedProposed))Low HazardLow Hazard

Less than 50 staff = 1 Appointed Person• 50 – 100 staff = 1 x First Aider (EFAW)• More than 100 = 1 First Aider (FAW) per 100 staff or part

Higher hazardHigher hazard Less than 5 staff = 1 Appointed Person 5 – 100 = 1 First Aider (FAW or EFAW) per 50 staff or part More then 100 = 1 First Aider (FAW) per 50 staff or part

Risk Assessment guidelines (Risk Assessment guidelines (ProposedProposed))

However it is likely that the final number of staff levels will However it is likely that the final number of staff levels will change. change.

Let’s say for example it’s 25 staff. The proposed provision Let’s say for example it’s 25 staff. The proposed provision would look like this:would look like this:

Risk Assessment guidelines (Risk Assessment guidelines (ProposedProposed??????))Low HazardLow Hazard

Less than 25 staff = 1 Appointed Person• 25 – 50 staff = 1 x First Aider (EFAW)• More than 50 = 1 First Aider (FAW) + 1 per 100 staff or part

Higher hazardHigher hazard Less than 5 staff = 1 Appointed Person 5 – 50 = 1 First Aider (FAW or EFAW) More the 50 = 1 First Aider (FAW) per 50 staff or part

Risk Assessment guidelines (Risk Assessment guidelines (Proposed ???Proposed ???))What this means. Current v ProposedWhat this means. Current v Proposed

(Reverse Order)(Reverse Order)

Higher hazard Higher hazard (Was High Risk) (Was High Risk) Same Except:Same Except:Was 5 - 50 = 1 x FAWWas 5 - 50 = 1 x FAWNow 5 - 50 = 1 x FAW Now 5 - 50 = 1 x FAW or EFAWor EFAW

Decrease in FAW and increase EFAW

Risk Assessment guidelines (Risk Assessment guidelines (Proposed ???Proposed ???))What this means. Current v ProposedWhat this means. Current v Proposed

Higher hazard Higher hazard (Was Medium Risk) (Was Medium Risk) Was Less than 20 = AP Now Less then 5 = AP

Was 20 – 100 = 1 FAW per 50 staff of part Now 5 – 50 = 1 FAW or EFAW

BIG DEMAND for EFAW training REDUCTION in FAW

Was more then 100 = + 1 FAW per 100 staff (i.e 100 staff = 2 x FAW, 150 staff = 2xFAW)

Now more than 50 = 1 FAW per 50 staff or part (i.e 100 staff = 2 x FAW, 150 staff = 3 FAW)

Risk Assessment guidelines (Risk Assessment guidelines (Proposed ???Proposed ???))What this means. Current v ProposedWhat this means. Current v Proposed

Low HazardLow Hazard• Was: 50 – 100 staff = 1 x FAW• Now: 25 – 50 staff = 1 x EFAW

• Was : More than 100 = + 1 FAW per 100 staff • (i.e 200 staff = 2 FAW)

• Now : More than 50 = 1 FAW per 100 staff or part• (i.e 200 staff = 2 FAW)

• Slight increase in FAW and Large increase EFAW

Provision Of First Aid (October 2009)Provision Of First Aid (October 2009)Appointed PersonAppointed Person

• Do not need first-aid training – takes care of FA equipment, calls emergency services etc.

First AiderFirst Aider • Holds a current HSE approved Emergency First

Aid at Work certificate – HSE / Ofqual accredited approved course.

First AiderFirst Aider • Holds a current HSE approved First Aid at Work

certificate – HSE approved course.

Training Providers Approval (October 2009)Training Providers Approval (October 2009)First Aid at Work & First Aid at Work RequalificationFirst Aid at Work & First Aid at Work Requalification

• Your organisation should be approved by the HSE

Emergency First Aid at WorkEmergency First Aid at Work • HSE Approved

or• EFAW courses only, Ofqual / SQA recognised Awarding

Body eligible to award an accredited qualification in EFAW.

• Alternative – ‘Franchise’, Third Party Arrangement Alternative – ‘Franchise’, Third Party Arrangement • Using a existing HSE approved umbrella organisation – both

FAW and EFAW can be delivered.

First Aid Training (Current)First Aid Training (Current)First Aid AssessmentFirst Aid AssessmentFirst Aid AssessmentFirst Aid Assessment

First Aid at Work 24 Hours

Certificate valid 3 years

First Aid at Work 24 Hours

Certificate valid 3 years

Emergency Aid ForAppointed Person

6 Hours approxCertificate valid 3 years

Emergency Aid ForAppointed Person

6 Hours approxCertificate valid 3 years

Year Year

11

Year Year

11

Year Year

22

Year Year

22

Year Year

00

Year Year

00

Year Year

33

Year Year

33

First Aid at Work Requalification

12 HoursCertificate valid 3 years

First Aid at Work Requalification

12 HoursCertificate valid 3 years

Emergency Aid ForAppointed Person

6 Hours ApproxCertificate valid 3 years

Emergency Aid ForAppointed Person

6 Hours ApproxCertificate valid 3 years

First Aid Training (Proposed)First Aid Training (Proposed)First Aid Need AssessmentFirst Aid Need Assessment

First Aid at Work 18 Hours

Certificate valid 3 years

First Aid at Work 18 Hours

Certificate valid 3 years

Emergency First Aid at Work 6 Hours

Certificate valid 3 years

Emergency First Aid at Work 6 Hours

Certificate valid 3 years

Basic Skills UpdateAnnual Refresher

3 hours

Basic Skills UpdateAnnual Refresher

3 hours

Basic Skills UpdateAnnual Refresher

3 hours

Basic Skills UpdateAnnual Refresher

3 hours

First Aid at Work Requalification

12 HoursCertificate valid 3 years

First Aid at Work Requalification

12 HoursCertificate valid 3 years

Emergency First Aid at Work 6 Hours

Certificate valid 3 years

Emergency First Aid at Work 6 Hours

Certificate valid 3 years

Year

1

Year

1

Year

2

Year

2

Year

0

Year

0

Year

3

Year

3

First Aid AssessmentFirst Aid Assessment

Appointed Person Appointed Person

Emergency Aid For Appointed Person

(October 2009)No formal assessment for

candidates

Emergency Aid For Appointed Person

(October 2009)No formal assessment for

candidates

First Aid at Work First Aid at Work

First Aid at Work

Less than 12 candidates = 1 TrainerMore than 12 candidates = 2 Trainers

Formal assessment for candidatesFormal assessment for candidates

6 or less candidates = 1 AssessorsMore than 6 candidates = 2 Assessors

First Aid at Work

Less than 12 candidates = 1 TrainerMore than 12 candidates = 2 Trainers

Formal assessment for candidatesFormal assessment for candidates

6 or less candidates = 1 AssessorsMore than 6 candidates = 2 Assessors

FAW 4 days to 3 days – What goes?FAW 4 days to 3 days – What goes?To reduce the current 4 day course to 3 days

Remove:Casualty TransportationRecognise minor illnessesLegal Framework, employers duties.Other items:

Bandaging Physiology, Anatomy

What is the New FAW 3 day course?What is the New FAW 3 day course?

The FAW is:

EFAW + Additional Skills

Emergency First Aid at Work course – 6 hrsEmergency First Aid at Work course – 6 hrsrole of the first aider, equipment, recording

incidents and actionsimportance of basic hygieneact safely, promptly and effectively in an

emergencyunconscious and/or in seizure administer cardiopulmonary resuscitationwounded or bleeding and/or in shockchokingminor injuries

First Aid at Work course – 18 hrs (3 days)First Aid at Work course – 18 hrs (3 days)All skills from EFAWRecognising major illnessesinjuries to bones, muscles, joint, including

suspected spinal injuries; chest injuries; burns and scalds; eye injuries including how to irrigate an eye sudden poisoning and anaphylactic shock.

Yearly Refresher Course – 3 hrsYearly Refresher Course – 3 hrsNote: Same course for both FAW & EFAWassess the situation in an emergency. administer first aid to a casualty who is

unconscious and/or in seizure.administer cardiopulmonary resuscitation. administer first aid to a casualty who is wounded

or bleeding and/or in shock. Updates or changes to relevant first-aid

procedures.

Yearly Refresher Course – 3 hrsYearly Refresher Course – 3 hrs

Yearly Refresher Courses are not mandatory

But are

Strongly Recommended by the HSE

3 hr Refresher Course3 hr Refresher Courseassess the situation in an emergency.

administer first aid to a casualty who is unconscious and/or in seizure.

administer cardiopulmonary resuscitation;

administer first aid to a casualty who is wounded or bleeding and/or in shock.

HSE Approval and CostsHSE Approval and CostsInitial Cost: £1,512Submit DocumentationOriginal Approval Visit (Paperwork check)Assessment Visit (View Training)

Ongoing: Post Approval Monitoring Visit min 1 per five years*.

Cost: £567 per visit.

Cost Per Trainee Certificate - £0

Approval Validity: 5 years. Renew Fee £106

* Multi-Site training providers will have increases number of post monitoring visits.

EFAW course ONLYQualification is 6 hrs training + 4 hrs reading.

1 Credit under the Qualifications and Credit Framework.

Credits Build:Awards (1-12 credits)Certificates (12-36 credits)Diplomas (37 credits)

Ofqual Awarding Bodies - EFAWOfqual Awarding Bodies - EFAWEFAW course ONLY

First Aid Qualifications >> Future (Awards and Qualifications) Ltd.

Swimming Teachers' Association (STA)

ASET >> EDI

Ofqual Awarding Body ApprovalOfqual Awarding Body ApprovalEFAW course ONLY

Centre Approval – similar to HSE approval

Yearly monitoring visits

Charge per Certificate

CostsCostsEFAW course ONLY

Centre Approval - £350 - £500

Yearly monitoring visits – Free - £400

Charge per Certificate £15 - £16 + VAT

Which Route ?Which Route ?

Run FAW and EFAWHSE approval‘Franchise’ – Third Party

EFAW ONLYOfqual Awarding BodyCheck charges / ongoing costsRange of other qualifications offered.

Open Question TimeOpen Question Time