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Lofstedt Report - Removes HSE training provider approvals
yogi760 Offline
#62 Posted : 12 December 2011 17:28:34(UTC)
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I know someone who could facilitate that if she's not busy looking after her children.... re the tube.... don't blame it on the sunshine.... blame it on the bougie
FATC Offline
#63 Posted : 12 December 2011 17:31:57(UTC)
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It woudl appear that PrivAmb is in a league of all his

I suggest we don't get involved in heated discussions

after all this is a first aid forum

let privAmb teach his courses on how to save your mate with only a chainsaw and a toothpick whilst swimming with sharks whilst the rest of us carryon teaching mediocar first aid- we obviously not skilled enough to even be in the same room as him(?) never mind touch his coat

I just hope he sticks to what he knows so much about and doesnt foray into say Food safety or h&S unless he is qualified and extensively experienced in those too
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#65 Posted : 12 December 2011 17:40:43(UTC)
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I can safely say that I would never venture out into the side orders of Food Safety because I have no training and never so much as worked in a commercial kitchen. I do have NEBOSH, but it was pre-European six pack 92 so it would be a bit like an SEN telling an RGN what to do. Old knowledge. There was something I chose to keep current, and thank you for pointing out that by default, my students are not medicore and are in a league of their own. That is why they work where they do. We did not choose them. Their employers chose us to teach them. As for your quip about the chainsaw, some of our students do work with chainsaws and came to use because we can teach them what to do with regards to amputation at 20 feet in the air, and suspension trauma after waiting for those trained in rope rescue to bring them down. I am afraid that the most serious patients some people have treated are those they invented in scearios in the classroom.
yogi760 Offline
#64 Posted : 12 December 2011 17:46:08(UTC)
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Originally Posted by: FATC Go to Quoted Post
It woudl appear that PrivAmb is in a league of all his



I suggest we don't get involved in heated discussions



after all this is a first aid forum



let privAmb teach his courses on how to save your mate with only a chainsaw and a toothpick whilst swimming with sharks whilst the rest of us carryon teaching mediocar first aid- we obviously not skilled enough to even be in the same room as him(?) never mind touch his coat



I just hope he sticks to what he knows so much about and doesnt foray into say Food safety or h&S unless he is qualified and extensively experienced in those too





FATC I find your personal attack on PrivAmb offensive!



After some of the rubbish I have read by people blowing trumpets on here, it is refreshing to read something by someone who DOES KNOW what they are talking about.



I'm in the same room/camp as PrivAmb so feel free to have a pop at me too....
PrivAmb Offline
#66 Posted : 12 December 2011 18:50:22(UTC)
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Yogi, thanks for your comments both on thread and of board via the PM. However, I would much prefer it if the discussion could continue where the opposing opinions could be elaborated on as to why my way of doing things is not quite right and could be improved upon and vice versa. We are both of a similar originating background where discussion is allowed up to a certain point then its head down and crack on. In days gone past, there were a lot a decent threads on here moderated to insignificance or deleted because of it getting way too personal and its been good to see that since that time it hasn't been a feature. There is no way I would change what or the way I teach. Every one of my FAW students can bandage, do CPR and put someone in the recovery position and pass the exam on day 3. I make it my aim that they are more knowledgeable and capable than many others who pass the same exam when taught by other instructors. I don't think I am doing anything wrong in this but would like to keep the contructive debate going which I hope you will join in with!
FATC Offline
#67 Posted : 13 December 2011 08:57:43(UTC)
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Yogi- I am sorry that you mis-interpreted my comments as a personal attack on PrivAmb- please dont feel that! they were merely highlighting that his students are operating a different level to Mrs/Mr Average first aider



I quite agree with PrivAmb that we should only operate at our level of competence- and I guess people who need to know how to deal with amputation 20ft up in the air go to him because he knows what he is doing. But privAmb and Yogi- please don't dismiss Mr/s Average and those of us that teach them how to apply a plaster and call an ambulance - this is 99% of first aid training - I am delighted for you that you have identified a niche and gone with it- but do you see what would happen if all first aid was like yours? your niche would be gone!



We too teach beyond just how to do it, but you also need to keep it in line with the students ability and expectations! take my wife (not literally!) - she works in small office doing paperwork with 3 others. she is the first aider. In 18 years, the worst she has had to deal with is a cut hand and twisted ankle when her colleague fell over her own handbag (no laughs please)....... this is Mrs average who doesnt need extreme first aid



it is all about perception- first aid cafe - to one person that is a bandage over a cut and call an ambulance, to another, dealing with multiple amputations 1000 ft up a mountain!! - just because I drive a ford escort doesnt make it any less suitable to be on the road than your range rover!!



teach beyond your abilities- NO

attack other first aid trainers because they only deliver basic first aid- NO!
admin Offline
#68 Posted : 13 December 2011 10:27:33(UTC)
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We should not over-teach AEDs, don’t forget that most Resus changes simplify instruction and aid memory recall.

An AED is a lot less dangerous than a CRT TVs and yes, if used incorrectly they can kill. i.e. don’t use them in the bath!

People already have a fear of using AEDs because of films etc. If we teach people about ALL the possible dangerous then they will not attempt use them. All they will take away from a training program is “I’m not using that, it may kill me!” So unless they are highly likely to encounter a real and potential risk i.e. don’t use them whilst immersed in the swimming pool, then don’t teach it.

The ideal outcome of an AED training course should be that AEDs are safe to use, easy to use and makes the difference between life and death - and ‘Boss’ I think we should get one for work!



The capacitors in AEDs are safe. The amount of energy they hold is quite small and also they are charged from a source (electronics) that supplies even less power (that’s why it takes time to charge the AED). The most dangerous item in an AED is the battery as that holds a lot of energy that potentially could cause a fire. But that could be said of most electrical items. I’m not saying that capacitors don’t explode (I’ve seen a few connected the wrong way round!) but the amount of energy is low. They are also designed so the top flies off.



I am very surprised that stray shocks can occur as the voltage (current paths) are divided based on their resistance. Further if you are on a metal plate (and you are not touching the casualty) then there is no voltage difference and hence no shock. That’s why in most bathrooms, pipes are wired together, so that if an electrical fault occurs all appliances just jump up in voltage together and hence no voltage difference hence no shock (Equipotential bonding). Further AEDs are not ‘Earthed’ unlike the household mains so you can only get a shock through both AEDs leads and not by touching ‘earth’ + one lead. 

P.S. I used to be an electronics design engineer specialising in power supplies, mainly military missiles and the odd radar system.
patch Offline
#69 Posted : 14 December 2011 23:04:14(UTC)
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i've got priv ambs back on the lma/igel situation, ils is not bls peeps. I hit my tubes every time.....................lol this guy showed me how to do it, he plays darts down the pub...............



I realize i did the list of experiance thing, but repeating it is not cool, and ils/als is a bit differant in a dark bed sit with a heroin overdose, knelt in sick or lying behind a wall in helmand taking fire trying to hit a head of humerous IO, verses rather a well light room where the patiant can be put at a height thats great for you, when your warm and the only person you look at is incoming ambulance staff like thanks for bringing me more work.



afterall most first aid is pre-hospital.



question if your qualified to offer a level of protection to someones airway and you have the kit, why would not elect to spend the time to do so.....................? competance maybe I dont know?

Please dont insult me by saying "defib, compressions are more important"-opa's/lma/igels/et's can be done during a compression cycle/post shock or post rhythm check if required.



Afterall your only "bagging" 2 times every 30 compressions, unless an et is in place and then its asyncrinous (spelling off on that one) but then you have secured the airway.



digest............
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#70 Posted : 23 February 2012 12:00:27(UTC)
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HSE Meeting.

We had an Awarding Organisation (Ofqual) meeting with the HSE this week. - We have another meeting next week with my Association hat on.

 

I don’t think there is any doubt that we will be going the Lofsted route. Timescales, by the very nature of Legislation will be slow. (Will announce better times scales soon).



It looks as though the HSE will not be stating a set route to qualifying but just a recommendation. Because of this, the recommended route is Ofqual, simply because there are no other nationally recognised routes. There will be a caution to the employer that they need to be confident that training is carried out by a competent trainer / organisation. So as a ‘no-brainer’ the Ofqual route ticks all the boxes.

 

It is unlikely that the HSE will recognise an Association/tradebody as a mark of quality, simply because who regulates the regulator!

 

As for increasing costs, it may well reduce them, at least for the 3 day FAW course. The Ofqual route, will not demand the use of an Assessor, so that will save £100+ / course. You will need however, to pay for certificates, but at least this will offset some of the costs. Alternatively, you could also take the route of delivering totally non-regulated courses.



I guess, that if you look at say food hygiene which although is unregulated (??), employers still seek approved courses (Ofqual). This is likely to be the same for first aid.



I spoke to Professor Lofsted recently; his intention of deregulation does not mean reducing standards.

 

Keep in mind that everything above is far from fixed (although most is stating the bleeding obvious). The HSE will be going out for both informal and formal consultation on the Lofsted recommendations soon. As part of this, the HSE will be asking us to seek comments from members.

 

As a general comment, I note less resistance from training providers as to the Ofqual route. A significant number of FA trainers are already registered with awarding bodies for presenting other courses and do not have any major concerns.
Bingers Offline
#71 Posted : 23 February 2012 22:42:54(UTC)
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So bye, bye HSE involvement in first aid from 1st October 2013.



Hands up if you didn't see that coming...........  Really, its not like you hadn't been warned.
patch Offline
#72 Posted : 26 February 2012 22:01:32(UTC)
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so how much will the charges be for efaw and faaw under ofqual? and what about the about the 2 years remaining on my HSE approval.............refund??
mediaid Offline
#74 Posted : 27 February 2012 06:18:20(UTC)
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Hse will not refund fees (see the fees regulation).

Food Hygiene has Ofqual courses however we run many none Ofqual courses owing to cost. People don't see the point of having say a CIEH course paying extra in awarding bodies fees. Some Local Authority enforcement Offices have challenged this but we have provided the sylibus and they have accepted this and our qualification and confirmed that it does not need to be an Qfqual approved course etc. We also run Health & Safety related courses and many of these are not Qfqual approved and I feel that HSE will treat first aid not different to other courses. Son its not as simple as all that when the Governments aim is to reduce cost to industry etc.



The next few months will be very interesting for many training providers and trainers.



Richard
patch Offline
#75 Posted : 27 February 2012 10:17:51(UTC)
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Richard



I think you mean scary mate as the likes of the OFQUAL lot get you on board and then put up prices, or the cowboys down the road undercut your prices as there is no accredited value anymore??? the only people that will be getting anything from this is the awaring bodies and lets face it, we are supposed to have consultation through this system as a HSE provider. I have not been consulted at all.....



However as indicated meetings are already taking place with HSE and Awarding bodies.......................its a fix massive massive massive fix, and why do I find out on hear not from the HSE that my appraoval will be withdrawn on 1/10/13 even more of a fix...............
admin Offline
#76 Posted : 27 February 2012 16:22:52(UTC)
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We have another HSE meeting on Thursday. This time it’s the associations turn.

You will be consulted on the changes, however, I feel that the removal of HSE approval is set in stone as it’s the basis of the Lofsted report.

The HSE will be seeking your input but as mentioned, they are not interested in your business (that’s never been their remit) but they are interested in the effects the changes will have on the quality and take up of first aid.

As for the price of Ofqual certificates; there's a lot of competition in this area so prices are going to be low. We (AoFAQ) are looking at £5 for an EFAW and £10 for the FAW. But don’t forget, what we are offering is confidence to your clients. If we fail to do that then you might as well save your money and present unregulated/approved courses.

Over the next few months we will be increasing our marketing efforts considerably. This will not just be for the AoFA / AoFAQ but to aid our members in differentiating themselves from the rest of the FA competition.
patch Offline
#77 Posted : 27 February 2012 16:52:30(UTC)
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lol
Bingers Offline
#73 Posted : 28 February 2012 11:20:44(UTC)
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Originally Posted by: patch Go to Quoted Post
so how much will the charges be for efaw and faaw under ofqual?




There are 16 Awarding Organisations who offer First Aid qualifications.  They range from the really big boys who offer all sorts, to those who do just a few specialist qualifications and have branched out into first aid and to those who only do first aid.



Some will be sell 'em cheap, pile 'em high for the mass market.  Some will charge more but you'll get more from them.  Some will offer "less interference" while others will offer "more support".  You pays your money, you takes your choice.



Anybody looking at joining an Awarding Organisation needs to think about what they would want from one and go away to research it.  Jumping through the hoops to comply with their quality requirements (set nationally by Ofqual) won't necessarily happen overnight, particularly as the end date for HSE looms and more actually realise that the end is nigh.  Whatever you do, don't leave it until 30th September 2013 and wonder why your certificates aren't worth anything compared to your competitors.



Do be aware that those Awarding Organisations who are newer on the block might start off cheaper until they have to start implementing the regulation and quality systems that Ofqual insist on and enforce.  Then they might start finding that business does cost money to run and will be forced to raise prices accordingly.  Despite what it might seem, being an Awarding Organisation is not a licence to print money.
medrocktraining Offline
#78 Posted : 29 February 2012 08:55:35(UTC)
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I've just worked this is going to cost me annually about £20k as a company to buy certificates from one of these awarding bodies. Multiply that by say 100 providers like me and that's a nice little earner indeed. At that price the an awarding body could feasibly employ someone to monitor every course we deliver!



If the industry is opened up and OFQUAL is an option rather than mandatory I will probably go it alone and offer unregulated courses and arrange external peer audit on an annual basis by respected companies within the industry (The 2 Richards, I will be knocking on your door)



Interesting times
admin Offline
#79 Posted : 29 February 2012 09:07:48(UTC)
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Bingers

 

You make some valid points. Over the last year Ofqual have been changing their requirements on a seemingly daily basis. They have gone from a prescriptive approach to a risk based model. I was at a meeting with Ofqual just yesterday, where we were responding to a document that was released two days earlier.



The main problem is that we are all regulated by the same rules. For example the cock-up on GCEs. The associated bad publicity caused a series of new controls to be introduced.

 

However, because of Ofquals limited resources, they will be monitoring the more risky (read potential for bad publicity) awarding organisations more than others – hence risk based model.



The AoFAQ was the last/near last body to receive Awarding status since the start of the changes which is over a year ago. Ofqual have tightened up the entry requirements and are not so helpful in assisting new applicants. Hence it is unlikely to see many more entering the market.
JonAcc Offline
#80 Posted : 29 February 2012 17:45:28(UTC)
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Thanks for the vote of confidence, Paul! Perhaps I could start a new business doing that! I could probably fit it in between about 1.30am and 3am if that's any good?



Richard
medrocktraining Offline
#81 Posted : 01 March 2012 12:01:48(UTC)
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Shouldn't work too hard John, as a wise old boss of mine used to say 'the cemetery is full of indispensable people'. My HSE Approval expires in Sept of this year, I have decided to renew it, the cost of renewal being a fraction of annual certification costs via OFQUAL.



I struggle to see how deregulation (in this case) will help industry at all. It will add between £60 - £120 + VAT onto every course a provider delivers, this cost will inevitably have to be passed onto the client so industry and individual delegates will end up paying more for their training, this will put more financial strain on the small to medium provider who will have to make a decision whether to absorb these costs or add them onto the course price: there is only 1 winner, the relatively few OFQUAL registered centres who will take in 10's of thousands of pounds per year. I never thought I would say this but from a business perspective I prefer deregulation of the FA Industry.



Interesting times indeed
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