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OFQUAL, HSE and First Aid
FATC Offline
#43 Posted : 13 July 2012 11:28:59(UTC)
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this just shows how screwed up the whole thing is!



we have Awarding bodies telling us to use them or we wont be able to train first aid

we have industry bodies teling us to use them

we have the hSE telling us nothing



everyone is jumping to conclusions



the end result will just be :



greater cost and confusion for employers

yet more price based cut throat competition for  what little business there is

employers taking the lowest price, shortest time required option



the only come back will be when HSE prosecute for failure to provide first aid!
admin Offline
#44 Posted : 17 July 2012 08:15:12(UTC)
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I know I have a vested interest in first aid going the Ofqual route. But I truly believe it will improve standards not just at the coalface but for the training industry at large.

Ofqual requirements look at the overall picture from customer service, course design, uniformity and continuous improvement. Systems are continuously monitored, reviewed and improved which can’t be a bad thing.

 

We have always complained that the HSE approval and monitoring system was ineffective, but now a comprehensive and robust monitoring system is available (with teeth) it seems that people don’t wish to embrace it. There is a lot of disinformation going around discrediting the Ofqual route, a lot of this is because they are not sufficiently knowledgeable on the subject. I’ve attended number of senior meetings where comments against Ofqual have been embarrassingly inaccurate, and these are from people who reportedly advise our industry!

 

A large number of training providers are already registered with Ofqual recognised Awarding Organisations for subjects outside of first aid, the vast majority of these are perfectively happy with this arrangement.

 

The problem is that the Lofstedt report seems to open the floodgates for everyone to train no matter what their experience or qualifications. I trust that the HSE will offer guidance in the new ACOP which will guide employers in selecting suitable training providers, after all, the duties for the employer still remains under the First Aid Regs and Tom, Dick and Harry might not fulfil this requirement.



Nobody likes change, it’s against human nature but Ofqual not only improves standards but also allows training providers a route to expand their business offside of just first aid. And with the number of new ‘training providers’ entering the market, it may be the only way to survive! 


JEFFK Offline
#45 Posted : 17 July 2012 11:52:28(UTC)
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I for one cant wait for a bit consistancy in both the delivery of courses and methods used in training, Im sure we have all had trainees who have shocked us about the things we have learnt on previous courses.

Totally agree with Admin I did Change Theory at uni its human nature to resist change and in the majority of cases once the change has been made everyone agrees its for the better, those that dont either dont understand the need for change or dont have all the facts
Gloria Offline
#46 Posted : 23 July 2012 19:41:04(UTC)
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Remember me....I had the Ford Capri.

I've been following this thread with interest and at last Admin appears to have a friend in the 'common sense camp'.  Well done JEFFK.



I think some of the more vocal in this thread have forgotten or failed to grasp that as an EMPLOYER, with statutory responsibilities FA wise it behoves me (great word, big glass of wine with dinner and thesaurus) to ensure that the training provided to my workplace first aider is of the correct standard - otherwise (God frobid) should something go worng the HSE are going to have my b***s on a plate - if only metephorically speaking since as a woman I don't actually have any.



So....as an EMPLOYER in tough times I face a stark choice as I have to have a first aider, it comes down to and arse covering exercise and a toss up between quality and money. 



So here it is;



1) pick someone out of the phone book who is either paddling his own canoe, quality assurance wise or is a member of some trade body and hope he knows one end of a triangular bandage from the other; but who cares - he's cheap!

or

2) pick St John's.  No brainer on the arse covering front but bloody expensive.

or

3) pick a trainer who's accredited via Ofqual.  Not quite as much of a no brainer from an arse covering front as St John but still credible in the eyes of the HSE and cheaper than our venerable friends.



So, in true Generation Game fashion (oops there goes my age again) I shall open door number 3, thank-you-very-much.
JEFFK Offline
#47 Posted : 23 July 2012 20:38:43(UTC)
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My awarding body sent me out there changes today and I can see where they are going quality wise, they have the Ofqual approval and are rolling it out to us

The main changes seem to be

Having the recognised educational qualification to teach not just first aid but recognise what’s going on in the learning process

Having Internal verifier to self check the standard of training your providing as well as external verification

Making someone responsible/accountable for the who business and its systems

And tightening up on a host of policies and standards

I’m sure this is all for the good and have been requested by Ofqual as part of a tightening up process

I wont say who my awarding body is as there was a confidentiality clause

but as i said before in an earlier text, bring it on



admin Offline
#48 Posted : 24 July 2012 16:18:54(UTC)
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Gloria

I do love your posts. You have a great way with words.

PS. I had a Ford Capri and I was Bodie!
PrivAmb Offline
#49 Posted : 24 July 2012 19:52:19(UTC)
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Ok. Simple questions to ask yourself

1) Is it a legal requirement to register and operate under an Awarding Body? No
2) What happens if I don't register with one and carry on as normal? Nothing
3) Was it ever a requirement to have C&G 730* quals and D3* quals to teach and assess? No
4) Did the HSE FAAMS ever respond to any complaints and shut anyone down? No
5) Are FAAMS to be shut down because they were acting out of remit? They already have been - they have no office or means of contact any longer
6) Are these quango awarding body nonsenses impartial - it would appear not - see http://www.fofato.co.uk/
7) Are they any good - well having done an SIA course under the HABC umbrella (umbrella awarding bodies just simply mean franchised allowing others to dip their nose into the trough), I would say most definately and categorically not. I am sure more of this will become evident when they are picking through the bones of the olympics and all those people who should never have gained a pass let alone SIA registration having completed a HABC course like the poor quality one I attended (and dobbed them in for offering first aid qualifications they should not have been offering as a "bolt on" - exactly how you can do that with no CPR manikins is anyone;s guess.
8) What will happen if I don't register? It means no bureaucracy, no idiots turning up on your doorstep demanding to see your equal opportunities policy, then "assessing the quality of your teaching" by their very own low standards gained after extensive experience of putting plasters on colleagues in the accounts payable office of a local cement delivery firm.

Some of you are planning to spend money with these people, others are "strongly suggesting" that you must, and that one is better than the other. If a purchaser wants to purchase a course with an OFQUAL logo on it, they are free to do so. Same as any person can insist that the private ambulance service they use is NAPAS or BAA registered. There are plenty of such services who are not CQC registered who are members of one or the other, and hundreds more that are members of none. The only question to ask as a purchser is "does my contracted in service need a CQC registration for the work I intend them to do"? A CQC one will be more expensive. And that is the crux of the matter. Cost, and Kudos, and lawful requirement. Cost, well a company that is paying a quango will pass those costs onto the customer. Therefore an OFQUAL or HABC "registered" company will charge more. Kudos? Would you want such a logo on your first aid certificates when they have hand in hand alongside the SIA, G4S and LOCOG made the olympics into a laughing stock? No I woyldn't either. Lawful requirement? None. And that is why I am not bothered about these people plugging pointless quangos which amount to nothing more than opportunists preying on the uninformed - a bit like rogue traders who prey on the elderly using persuasion and intimidation to extract money.

If you see an advert and it catches your eye "all trainers and examiners are currently serving or have served in the ambulance service, military medical units, nursing and RNLI and bring THEIR experience to YOUR students at competitive prices", then you see another "all trainers are backed up with piles and piles of pointless paperwork and most have never treated anything beyond a scald after a nasty gossiping accident at the company vending maching but we have this lovely, lovely important looking logo to put on the certificates", which might you go for. Until they make it law that I have to become a member of this pointless gravy train, I will not. End of!
admin Offline
#50 Posted : 24 July 2012 22:16:32(UTC)
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One may be the most experienced doctor in pre-hospital trauma care with a specialist subject of one handed CPR. But recollecting experience of landmine severed limbs and how you saved multiple lives with a manual defib at 100 mph in a back of an ambulance may impress an audience, but it’s not first aid. I was against the HSE allowing nurses and paramedics to train without an FAW qualification; I’m not doubting their medical ability. The line between first aid and non first aid is difficult to judge at least an FAW course gives you some idea of separation.


First aid is simple, over the years it has been dumbed down to something very simple. Not that the complex stuff is invalid, it was just that the trainee could not remember any of it, this caused lack of confidence in stepping forward even to handle the most simple but life threatening incident.


Good first aid training is all about training simple procedures in a simplistic but practical way.  Improving standards is not about increasing the number or complexity of topics covered it’s about uniformity and incremental improvements in training (Ofqual call it Standardisation)


I would much prefer to be trained by an excellent trainer lacking FA experience than a highly skilled medical person with a poor teaching ability. First aid is not brain surgery!


But as mentioned, it is the responsibility of the employer not only to choose a competent trainer but also to collect evidence that they meet a standard. – How many employers would be confidant in doing that?  Lofstedt or not, an employer is still required to meet the FA Regs selecting the wrong trainer will not discharge this duty. I would suggest that an extra £5 per trainee as a guarantee in meeting this is a very small fee indeed.  - I know centres that itemise their bill, having ‘Ofqual’ certificate as a separate fee.


PrivAmb – you certainly don’t have to be with an AO, but to be in business your customers may think different. I’m sure that training providers who are with an Ofqual recognised Awarding Organisation will be casting doubt in your customers eyes as to your ability in meeting their statutory duty. But if you think meeting no standards are better than a nationally recognised standard  then best of luck.


 (PrivAmb – just reread the last part, it sounds a bit petty, it was not meant to be and I welcome your comments on this highly important issue)


   


 


 

PrivAmb Offline
#51 Posted : 25 July 2012 02:06:14(UTC)
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Admin, didn't seem petty. Just shooting from the hip. Nothing at all wrong with that

There are some dire paramedics and nurses (there was a nurse here once who used to big herself up all the time) involved in training. Its usually because for whatever reason they can no longer do the job they were originally trained for and try their hand at being an expert.

We don't just teach first aid. We are clinical skills educators. Simple stuff taught well makes for good practice hence everything gets taught minus ego. When you have some idiot asking your students " how long would you leave someone in the recovery position before you turned them over onto the other side (and lost their airway after you put them onto their back which then proceeded to fill with vomit and blood)" and then setting out to fail a student who cannot answer because I have not taught that because this is Ilford, not Iraq and the ambulance will be here presently, then that is where the cookbook first aid trainers end up coming unstuck.

First aid trainers with no experience ask dumb questions. They teach dumb things, and its because of how they interpret, not what they have experienced. As far as they are concerned all Epileptics fit, all Anaphylaxis have big red swollen tongues, you can't give anything sugary to a diabetic in case they are hyper and the sugar might kill them. I have heard so much of this rubbish recently.

Looking at other "good" first aid diktats such as no tourniquation, removing dressings and replacing them because the wound so severe that direct pressure will not manage it so its like taking a slash into the sea, applying triangular bandages to people who refuse to let you touch them, and they will continue to do this sort of nonesence under the auspices of an AO. I do however ask which hat(s) you ask me, as you run a trade association, an insurance broker, a website with a forum, an AO, are mates with the uncontactable FAAMS and are a first aider/instructor.

Like you and your problem with nurses and paramedics being automatically granted position by FAAMS who are not up to the job, I also have issues with people granted instructor status by FAAMS and AO's (or at least not prevented from being so) who are equally not up to the job.

Show me a route, that is enacted in law, that guarantees to one and all that the instructor is competent and the students will benefit, I will sign up. Try and sell me your quango, I will not be interested.
Gloria Offline
#52 Posted : 25 July 2012 06:37:41(UTC)
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Originally Posted by: PrivAmb Go to Quoted Post
Show me a route, that is enacted in law, that guarantees to one and all that the instructor is competent and the students will benefit, I will sign up. Try and sell me your quango, I will not be interested.




Oh dear PrivAmb...I think you and I are not going to get on - for someone so erudite you keep missing the point.



Firstly: Ofqual - statutory enforcement powers with, as far as I understand, heady regulation, which covers your 'enacted in law' worry to a certain degree....



Secondly as I've said before as an EMPLOYER money is tight and time more so.  I don't have the time to carry out the necessary checks on a non-ofqual/non St John provider - nor do I have money to waste doing so.



St John - bullet proof in terms of a no-brainer arse covering wise (as I have said before)



Ofqual - the arse covering eqivilent of lead pants; may not be comfortable but I won't feel that tack which has been placed on my chair and....bonus....cheaper than St John.



No offence PrivAmb; you are obviously very passionate and know your onions but there is no way you'd get business from me without some sort of 'formal' backing and I am afraid simply going it alone or citing membership to either AoFA (sorry Admin) or Forfarter (or what ever it is they are called) won't do.



I just need to be able to waive a piece of paper at the HSE when they come knocking and an Ofqual stamp or a St John stamp (if I could afford them) is better than no stamp at all.



Must dash - cornflakes getting warmer by the second.
admin Offline
#53 Posted : 25 July 2012 08:38:09(UTC)
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Hi Gloria


One of the main reasons we (AoFA) decided to go the Ofqual route (about 2 years ago) is that although we tried, stumbled and stalled to ‘Approve’ members we kept going back to “who the hell gives the Association the right to regulate anyone!” after all who regulates the regulator.


Any Starsky and Hutch (keeping the theme) can generate a bit of paper to state they are “approved”. This may also fool the employer but in the end it will not fool the HSE, it will not fulfil Regulatory duties and will not fool your local trading standards.


The AoFA does have some big names endorsing us – Royal College of Surgeons, Stroke Association, HSE etc -  we are also ISO9001 approved and HSE approved. But that still does not give the right regulate.


Ofqual, (now) does govern us with a heavy hand and big teeth. Their system is designed to regulate us to ensure we regulate our centres comprehensively and robustly. Not only can they pull are approval but they have statutory rights to fine us if we fail. Ofqual approval system is very trainee/learned focused which is good because it is so easy to get tied up in training / training provider issues and forgetting what training is all about.


The AoFA will be revisiting the ‘Approved’ status of members, and are current thoughts are that we will approve only members who are Centres of an Ofqual recognised Awarding Organisation.


Not sure if you are aware of this but if an Awarding Organisation (AO) revokes a centre’s (training provider) licence due to malpractice, the AO must notify other AOs which could have the effect of blacklisting you -  how’s that for teeth!  

PrivAmb Offline
#54 Posted : 25 July 2012 09:49:29(UTC)
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Gloria. Two things. We don't need to get on as I have no need to butter you up. 1) You are looking for a quango badged training provider. Why you are here is another matter as it is largely for trainers and operators, but never so far, purchasers, but I will take you at face value. 2) You believe the OFQUAL NATIONAL ASSOCIATION OF QUASI NON-GOVERNMENTALORGANISATIONS are a statutory body. That is exactly what they want you to think. They are not. I have just got off the phone with a chap who has had EDEXCEL and Howson sniffing around trying to tell them to obey no other gods than them. Stuff the lot of them. In my wb toiorld, none of them mean anything. My world has never been rocked by people turning up and saying that they are important. If I teach ALS, then I answer to the resus council. If I teach ILS, then its not the resus council, its the individual hospital believe it or not. If its PHTLS, it gets very political. If its FAW, its like trying to please a bunch of drunk blokes in a pub at chucking out time. None will agree and you can guarantee they will fight about it. I'm sorry to say that OFQUAL regsitered bodies who regulate companies who employ first aid instructors who teach a particular syllabus will be able to tell you how to deal with a pi$$ed teenager in a nightclub toilet stall covered in SH 1.t, pi$s and shit£m maintain her airway and still not get covered in it. Those of us who have done so in the past will be teaching patient assessement, airway management and recovery position very differently to the OFQUAL from the book drones - which is why our clients love us.
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#56 Posted : 25 July 2012 11:55:46(UTC)
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Just a couple of things, this website is for first aiders, trainers and anyone interested in first aid.


I’m sure your training is as good as you say, but as you find out more and more about Ofqual I’m sure you will view it differently. There is a lot of disinformation circulating about Ofqual most of which is for commercial gain, colouring the view of others. I’m not saying that we will not be making money out of the situation, but I do try to state the facts and not the fictions.


Look from another viewpoint..


Ofqual looks at the whole picture (it even checks us on how quickly we answer the phone). This improves the whole organisation not just the trainer as without a quality framework to work within how do you know where and how to improve training.


A paramedic is only as good as the framework it works within. It’s no good having an eight minute response time if the A&E is shut or their triage takes an hour.   


Please, please, please no insults or name calling. Arguments and disagreements are won or lost on logic (except religion) so let’s keep it that way. And don’t forget you are not just replying to one person you are replying to a large audience, and likewise being judged by them.

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#57 Posted : 25 July 2012 13:03:44(UTC)
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Until we find out what the HSE intend to replace the monitoring system with and the alternatives available to providers we are simply speculating. AO's (all of them) have a vested interest in shepherding providers down the AO route, simple sound business sense and I don't criticise for that unless the lie to us. With that in mind we have to, fairly or not, take what they say with varying pinches of sodium chloride

As I've mentioned to Admin on here (and in person) my principle issue is one of cost, I've already stated that, had OFQUAL been my only route during the last financial year it would have costed us £27k in EFAW certification costs alone, and we ONLY deliver First Aid Training so this is a big deal for us, we are currently involved in a contract that could potentially see these costs rise to £60k a year. The UK is now in the longest double-dip recession since records began and I'm expected to pass those costs onto industry, that makes me significantly less competitive than companies like NUCO for instance who will certificate through their sister company 'First Aid Qualifications' who may pay themselves £5 per cert, effectively taking it out of the right pocket and putting it into the left. Not only that but they will insist you use manuals produced by Seb Sevett (money from rear left pocket to rear right), note the cash stays in the same pair of trousers; the same principle applies to AoFA/Highfields etc etc.

I have no problem with OA approval and regular monitoring visits on a regular basis per se but much prefer to pay a one off 'super-user' annual charge; however I cannot see myself turning over that proportion of my annual turnover for a couple of inspections a year and the printing of a certificate. At this point I, like PrivAmb and others am planning to stand on reputation - unless the HSE tell industry they can't in which case I'll probably retire to the golf course.

Paul
Gloria Offline
#55 Posted : 25 July 2012 18:15:24(UTC)
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Originally Posted by: PrivAmb Go to Quoted Post
our clients love us.





I'm glad they do becasue with an attitude like that you certainly won't be getting any new ones.
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#58 Posted : 25 July 2012 20:12:51(UTC)
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edited by admin. Flaming is not allowed!
Calvin Offline
#59 Posted : 25 July 2012 21:20:50(UTC)
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I'm with Paul on this one



there is a lot of mud slinging going on but as yet no one has told "us" what the future of first aid training will be - we and the AO & others are just guessing at the landscape



We too would have had many thousands to pass on to our clients this past year if we had AO costs

however like food safety- anyone can teach a course - but the client chooses whether to pay for AO certification or not- about 65% of our clients chose not pay for H&S and Food safety as they know we deliver good training, from experience that meets legal requirements



Lets see what the landscape looks like then draw the map!! at the moment we have blackaddder drawings of no mans land (see blackadder 4!!)
JonAcc Online
#60 Posted : 25 July 2012 22:42:10(UTC)
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Just to add a bit of fuel to the fire of debate ...

... our client that gives us most of our work (we only teach the key FA subjects) is the local authority, covering office staff, foresters, park rangers, social services, foster/adoption, childrens' centres, response drivers, plus almost 100 schools, a number of which insist that every single member of staff are trained EFAW as a minimum. A few years ago they held their own evaluation of training providers because they were so dissatisfied with the quality of HSE approvals in allowing certain organisations to teach when their content and quality was appalling. (We spent almost three years worth of courses upskilling everyone).



I don't think they will worry whether or not we have someone else's approval unless it becomes mandatory, especially if it means we have to raise the price by, say, £60 a course because we have to pay someone else for permission to issue a certificate
PrivAmb Offline
#61 Posted : 26 July 2012 06:29:24(UTC)
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You may wish to delete the privamb2 user as I think its a troll on a bicycle.
mediaid Offline
#62 Posted : 26 July 2012 17:40:56(UTC)
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I have had organisation (including NHS and Local Authority) asking for prices to be reduced etc so I don't think they will accept an increase just to go via Ofqual.



I am also surprised that AOFA is endorsed by HSE as well as HSE say they do not endorse any organisation.



As Calvin says many H&S and food courses we deliver are not via Ofqual.



Once people realise they can issue their own bit of paper for clients they have got perhaps the wont have a need for the likes of NUCO, HABC etc etc 
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