How we help

What We Do

Routine health checks are important for detecting signs of ill health as early as possible, evaluating health risks in your business, and ensuring adequate workplace control measures.

Health surveillance is a legal requirement that should not be confused with other health monitoring activities (e.g. wellbeing checks or fitness-to-work medicals).

Employers should identify the need for health surveillance by carrying out a risk assessment.

H&G Healthcare helps businesses manage risk in their organisation by delivering a comprehensive health surveillance programme, in line with their risk assessments.

Lung Function testing

Lung Function (Spirometry)

H&G Healthcare can provide an on-site lung-function testing service with fully trained professionals using equipment and methods that comply with the latest standards and guidelines. Testing is convenient and simple to engage ensuring minimal disruption to your business. Each lung-function test takes approximately 10 minutes and our service includes:

  • A confidential questionnaire documenting substance exposure and health history
  • Advise and referrals for employees whose lung function is found to be affected

The Control of Substances Hazardous to Health (COSHH) Regulations 2002, require employers to control exposures to hazardous substances to protect employees’ health. Employers must assess the exposure (exposure means taking in chemicals by breathing in, by skin contact or by swallowing) and the risk that this exposure would cause undue health effects.

What Are Workplace Spirometry Tests?

Spirometry Tests (Lung Function Tests) aim to detect early damage to lung function from exposure to respiratory sensitizers and other substances that have the potential to cause serious ill health.

For example, silicosis may be caused by exposure to respirable crystalline silica in the stone cutting industry.

Substances that can cause Occupational Lung Disease

Substances that can cause Occupational Lung Disease, Chronic Obstructive Pulmonary Disease (COPD) or Occupational Asthma normally trigger a Health Surveillance requirement.

Common Activities That Cause Respiratory Problems
  • Vehicle spray painting, foam manufacturing
  • Handling grain at docks, milling, malting, baking
  • Soldering, electronic assembly
  • Laboratory animal work
  • Saw-milling, woodworking
  • Curing of Epoxy resins
How we help

Dermatitis Check

Skin problems are common in most industries though workers in some industries are far more likely to develop skin problems.

  • The staff on our mobile clinics will conduct a visual skin inspection and will ask about any history of skin problems, current, recent or past and any known causes occupational or from leisure activities.
  • Any Employee with a current or repeating skin problem, undiagnosed, will be directed to visit their GP in the first instance and the Employer will be notified on our Health Surveillance Summary.
  • All Employees will be instructed to report any skin problems, no matter how mild in appearance, to their Responsible Person, Manager or Supervisor, at any time in the future.
  • We will help you to identify any causes of skin problems in the workplace and can offer advice on how best to eliminate or reduce the risk.
  • We can offer advice, from our Occupational Nurse, on how to set up an effective Skin Conservation Programme for your Company.

The has an excellent section on skin problems and advice specific to the higher risk industries (search Skin at Work for industry specific advice or general advice and Guidance Notes).


Hearing Tests

To comply with companies’ legal obligations under the Controlling Noise at Work and Management of Health & Safety at Work regulations, any employee who works in a noisy environment should be provided with suitable hearing protection. They should also be provided with a hearing test to prove the effectiveness of the companies’ hearing policies and procedures. 

We can provide Onsite hearing tests in a purpose-built mobile clinic, which is convenient and cost effective for you, with employees away from their workstation for the shortest possible time while still complying with your legal obligations. 

At the beginning of the assessment, it is important to obtain the individual’s medical history and other exposures to noise.  During follow up examinations, questions should be asked about:

  • The use of hearing protection
  • Any changes in working patterns and noise exposure
  • Any complaints relating to the ears or hearing.

After performing the hearing test, any issues arising with an employee are brought to the attention of the company management and a referral service is offered.

A hearing assessment is performed to set a baseline for hearing, this is normally done the first year. Then a comparative test should be undertaken 12 months later. If these tests don’t flag any problems, your schedule of testing should then fall back to every two-three years dependent upon your requirements. All new starters should be seen immediately and then fall into the process as above.

Noise-induced hearing loss causes:

  • Tinnitus—a permanent ringing sound in one or more ears
  • An inability to hear clearly due to missing consonants, especially in background noise

Hand/Arm Vibration Syndrome

All employees who may be exposed to vibration from handheld tools or other sources above action levels must receive Hand Arm Vibration Syndrome HAVS health surveillance.

Hand-arm vibration syndrome refers to changes in sensory perception, permanent muscle weakness, numbness of fingers, or bouts of white finger blanching caused by working with vibrating tools. Carpal Tunnel Syndrome (CTS) is also a recognised symptom of vibration injury.

If detected early enough, changes to work practices may prevent mild symptoms from getting worse and eventually becoming a disability.

We can offer the following:

  • On-site HAVS Tier 2 assessments in a purpose-built mobile clinic.
  • Convenient and cost-effective way to comply with legal obligations.
  • Employees will be away from their workstation for the shortest possible time but will receive a full assessment, to the standard expected by the Health and Safety Executive.
  • Comprehensive questionnaire history of medical problems, previous vibration exposure in work, leisure etc.
  • Instruction to Employees on how to reduce the hazards associated with vibration injury and the signs and symptoms to look out for.
  • If any employee displays signs or reports symptoms which may be related to vibration injury their results will be reviewed, free of charge, by our Occupational Nurse. We can then advise the employer on the Employee’s fitness to work or where suitably qualified Occupational Nurses and Doctors may be found for further assessment.
  • Any health and safety implications identified by the tests will be discussed with the Employer on completion of the health surveillance.
  • Results discussed with the employee, advice given on hearing protection and full summary of results provided to the Employer in a form designed for easy analysis and presentation for audit or HSE inspection.
  • Personal Record Form for each Employee’s work records, updated on each Health Surveillance visit.
    More information regarding HAVS can be found on the HSE website  (search Hand-Arm Vibration at Work  for industry specific advice or general advice and Guidance Notes).
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