Provision of Occupational Health (OH) Services for OH Physician Resource, OH Services for the OH Service and Specialist Service Referrals

Lot 1 – Occupational Health Physicians, Occupational Health Services for the Occupational Health Service and Occupational Therapy Workplace Assessment & Neurodiversity Assessments.
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
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
HAVs Tier 5 assessment
Any other specialist service required.