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What you need to do - Moving and handling

If risks from moving and handling are to be managed successfully, there must be support from those at the top of the organisation, whatever its size. This can be expressed in a clear statement of policy – supported by organisational arrangements – to ensure that the statement is implemented. Key elements include:

Employers must reduce the risk of injury to staff and people using care services by:

Employees must:

Do I need a manual handling policy?

Health and social care providers carrying out a wide variety of moving and handling activities may need to develop a moving and handling policy.

Key elements should include:

Carrying out a risk assessment

Moving and handling risk assessments help identify where injuries could occur and what to do to prevent them. It should be possible to complete the majority of assessments in-house as no-one knows your business better. The person carrying out the assessments must be competent to identify and address the risks from the most complex handling activities you undertake.  This usually requires specific training.

Identifying the risk

Activities that may increase the risk include, for example:

Assessments, care needs, competence and equipment provision are some of the factors that need to be addressed but handling people is not the only risk. Ancillary staff, porters, maintenance and support staff may also be expected to undertake handling activities which put them at risk and their activities will also need assessment and controls to manage the risk.

Some staff may have to adopt and hold awkward postures as part of their work, for example, nursing staff, sonographers and theatre staff. Stresses and strains arising from adopting awkward or static postures when caring for and treating people need to be addressed.

Two types of risk assessment are usually needed:

  1. Generic assessments to consider the overall needs of the setting, looking at:
    • the type and frequency of moving and handling tasks
    • overall equipment needs
    • staffing
    • the environment
    • what moving and handling would be required in emergencies such as fire evacuations or residents’ falls
  2. 2.   Individual assessments which consider the specific moving and handling needs of care service users and form part of the care planning process.

Generic risk assessments

Care providers should balance the safety of employees with the needs, safety and rights of the people using care services. Manual handling policies and practice should not place unreasonable restrictions on residents’ rights to autonomy, privacy or dignity. 

Risk assessment should be part of a wider needs assessment process to achieve the best outcome. Health and safety issues will then be identified and built into the complete care package.

Individual risk assessments

The assessment should be person-centred and, where possible, involve the service user or their family in decisions about how their needs are met. This can reassure them about the safety and comfort of the equipment, and how it and the methods used will ensure their safety and the safety of staff.

Record the risk assessment and care plan. Include detail on the individual’s moving and handling needs, day and night, specifying:

The Guide to the handling of people contains detailed guidance on people handling assessments and may be helpful.

An example of a person-based manual handling risk assessment can be found in the All Wales NHS manual handling passport scheme and Scotland NHS manual handling passport scheme.

An individual’s needs and abilities can change over the course of a day. Staff should understand the impact this may have on moving and handling practices.

Individuals may become upset or agitated when being moved. Others, though willing to assist at the start of a manoeuvre, may find themselves unable to continue.

Training may prevent injury arising in such circumstances. A natural reaction, while helping with walking, for example, is to try to prevent a fall. Injuries have occurred to both staff and the service user in such circumstances. Properly positioned, the helper may prevent a fall or allow a controlled slide. Having made the individual comfortable, they can determine how to move them safely – often with a mechanical aid.

Specialist advice on how to help some users with specific moving and handling needs will also be useful. Sources of advice include:

It is a legal requirement to record the findings of your risk assessment if you have five or more staff.  However, it is good practice to keep a record of risk assessments to help you manage the risks. You must communicate the findings of your assessment to all relevant staff.

Monitoring and review

Risk assessments should be reviewed periodically and whenever circumstances change to ensure they remain current.

There should also be arrangements in place to ensure that moving and handling activities are monitored to ensure that correct procedures, techniques and equipment are being used.

Summary checklist: Carrying out a moving and handling risk assessment

  • Ensure that your assessor is suitably trained and competent
  • Carry out a moving and handling assessment:
    • to include consideration of the person’s needs and ability, task, load and environment
  • Identify what is needed to reduce the risk for all the tasks identified:
    • to include appropriate techniques and training, equipment and accessories required for each task, number of staff needed etc
  • Record the assessment and controls necessary in the person’s individual care plan:
    • to include details of the task, techniques to be used, equipment type and size, number of staff and any other relevant information
  • Review the handling assessment periodically, and when the person’s needs change
  • Ensure you have arrangements to monitor handling activities:
    • to help make sure correct safe techniques and equipment are used
  • Review your procedures to ensure that suitable arrangements are in place:
    • to include competence of staff, equipment provision and management arrangements
Updated 2014-02-18