Healthcare Screening Ireland

FS621948 HEALTH SCREENINGFOR COMPANIES, ORGANISATIONS & SPORTS CLUBS

Investing in Health Screening for youremployees shows your company’scommitment to them and concern for theirhealth and well being

HEALTHCARE SCREENING Our Health Screening services aim to bring cost effective and flexible health screening services to your organisations. How important to you is the health of your company? At Healthcare Screening Ireland we offer companies and Sports Clubs a wide range of Health Screening Services throughout all of Ireland. Healthcare Screening Ireland is a division of Cruinn Diagnostics Ltd. who have been providing diagnostic solutions to the Irish healthcare market since 1998. All personnel carrying out Health Screening are registered nurses, with screening results being reviewed by our Health Screening Doctor and where Cardiac screening is requested our Consultant Cardiologist will review the results. We offer a wide range of Health Screening Tests some of which include: • FULL CHOLESTEROL • OSTEOPOROSIS PROFILE SCREENING • DIABETES • CARDIAC SCREENING • LUNG FUNCTION • VISION TESTS • BLOOD PRESSURE • COELIAC TESTING 1

HEALTHCARE SCREENING e benefits of Health Screening can be felt mutually by employers and employees alike through identifying potential health issues which results in reduced absenteeism and increased productivity. The Benefits of Health Screening for your Company EMPLOYER BENEFITS EMPLOYEE BENEFITS • By identifying potential health • Detecting illness and under lying issues with employees, health issues before they become absenteeism through sickness serious. can be reduced. • Health screening can identify • Health screenings can be carried lifestyle changes that can improve out on premises, eliminating the and maintain good health into the need for employees to take time off. future. • Health screenings are a low-cost, • A confidential health report is high-profile way to help employees provided to the employee on the to improve their health. day of the screening. • A general aggregate report of employees health screen is provided; this will give you a general overview of your employee’s health. • Health screening is tax deductible and exempt from VAT. 2

e following Health Screening programmes are examples of the type of Health Screens we carry out. ese are standardised programmes and do not represent the full range of tests we can offer.HEALTHCARE SCREENING Choose your Health Screening Programme A consultation with one of our registered nurses where family history, previous conditions and current state of health will be assessed. PROGRAMME 1: HEALTH SCREEN 7 Lifestyle, Activity & Alcohol Audit 8 Smoking Audit Reviewed and signed off by our GP 9 10 Year Cardiovascular Risk 1 Full Cholesterol Profile (Total Assessment Cholesterol, HDL & LDL “Good and 10 Comprehensive Health Report with Bad fats”, Triglycerides) Change Management Advice 2 HbA1C Diabetes Test (Tracks Glucose levels in the body over a 90 PROGRAMME 3: HEALTH SCREEN day period, NO fasting required) Reviewed and signed off by our GP and 3 Body Mass Index & Waist Consultant Cardiologist Circumference 1 12 Lead Resting ECG Heart Tracing 4 Blood Pressure Measurement & 2 Full Cholesterol Profile (Total Resting Heart Rate Cholesterol, HDL & LDL “Good and 5 Lung Function Test & Carbon Bad fats”, Triglycerides) Monoxide Measurement for 3 HbA1C Diabetes Test (Tracks Smokers Glucose levels in the body over a 90 day period, NO fasting required) 6 Lifestyle, Activity & Alcohol Audit 4 Full Blood Count (measure Tissue 7 Smoking Audit and Cell performance and Iron 8 10 Year Cardiovascular Risk levels) 5 Full Biochemistry Profile (Measures Assessment Liver Function and Kidney Function 9 Comprehensive Health Report with 6 Urinalysis (further measures Kidney Performance) Change Management Advice 7 Body Mass Index & Waist Circumference PROGRAMME 2: HEALTH SCREEN 8 Blood Pressure Measurement & Resting Heart Rate Reviewed and signed off by our GP and 9 Lung Function Test & Carbon Consultant Cardiologist Monoxide Measurement for Smokers 1 12 Lead Resting ECG Heart Tracing 10 Lifestyle, Activity & Alcohol Audit 2 Full Cholesterol Profile (Total 11 Smoking Audit 12 10 Year Cardiovascular Risk Cholesterol, HDL & LDL “Good and Assessment Bad fats”, Triglycerides) 13 Comprehensive Health Report with 3 HbA1C Diabetes Test (Tracks Change Management Advice Glucose levels in the body over a 90 day period, NO fasting required) 4 Body Mass Index & Waist Circumference 5 Blood Pressure Measurement & Resting Heart Rate 6 Lung Function Test & Carbon Monoxide Measurement for Smokers 3

HEALTHCARE SCREENING “e higher your blood cholesterol level the greater the risk for developing heart disease or having a heart attack”. Full Cholesterol (Lipid) Profile WHY MEASURING CHOLESTEROL IS IMPORTANT? Cholesterol is vital for normal body function but high cholesterol levels increase the risk of coronary heart disease and disease of the arteries. • Heart disease is the number one killer of women and men in Ireland with 22% of premature deaths (under age 65) caused by cardiovascular disease. • The higher your blood cholesterol level, the greater your risks for developing heart disease or having a heart attack. To help gauge your cardiovascular health you need to establish your cholesterol levels as this can be a good indicator, this cannot be taken in isolation as other factors need to be taken into account. 4

HEALTHCARE SCREENING CHOLESTEROLQuality control procedures are in placeto ensure that your results are accurateat the time of testing.WHAT DOES THE TEST INVOLVE?The process involves either a painless finger prick or a sample being taken fromyour vein. The sample is then processed by our state of the art Biochemistryanalyser which produces a full cholesterol profile.Depending on your results the screening nurse will provide either lifestyle adviceon how to reduce your cholesterol level or a referral to your GP may berecommended for further investigation. Normal cross Cholesterol Plaque forms Artery becomes Narrowed arterysection of artery Particles in the artery narrowed becomes blocked by a blood clot 5

HEALTHCARE SCREENING In Ireland there are over 30,000 people living with undetected Diabetes. Diabetes Tests WHAT IS DIABETES? Diabetes is a condition caused by a lack of, or insufficiency of insulin. Insulin is a hormone, a substance of importance that is made by the pancreas. Diabetes is a serious condition and within Ireland there are an estimated 30,000 people living with undetected Diabetes. There are two main types of Diabetes; • Type 1 Diabetes normally occurs in childhood or early adult life, and requires treatment with insulin injections. It is caused by the body’s own immune system destroying the insulin-making cells (beta-cells) of the pancreas. • Type 2 Diabetes usually develops slowly in adulthood. It is progressive and can sometimes be treated with diet and exercise, but more often Type 2 diabetes may require anti-diabetic medicine and/or insulin injections. 6

HEALTHCARE SCREENINGDepending on your results our nurse willprovide either lifestyle advice or a referral to DIABETESyour GP if required.SYMPTOMS OF DIABETESThe main symptoms of diabetes include;• Significantly increased thirst,• Needing to urinate more often than usual• Increased hunger• Constant tirednessWHAT DOES THE TEST INVOLVE?The test for diabetes involves a small painless finger prick or a sample being takenfrom your vein; the sample is then processed by our state of the art Biochemistryanalyser which will measure your glucose level, we will also analyse your sample onour HbA1c analyser which will give you the average level of glucose in your red bloodcells over a 120 day period. 7

HEALTHCARE SCREENING “Respiratory Disease is the most common reason to visit the G.P. Over a fih of people will visit their G.P at least once a year because of a respiratory condition”. Lung Function (Spirometry) test Lung problems can arise from a number of areas such as; • Cigarette smoking • Working environment • Genetic disorders • Exposure to certain chemicals. WHAT DOES THE TEST INVOLVE? To perform Spirometry test a person provides an exhalation into a filtered mouthpiece which is then measured by a Spirometer giving an indication of lung health. The Spirometry test enables the nurse to detect symptoms of Respiratory Disease before they become apparent. The results of the tests are given in certain values, which the nurse will explain. 8

“In the 18 – 44 age bracket more than 67,000 adults inIreland have been diagnosed with High blood pressure,this number increases to 950,000 amongst adults overthe age of 45 with 600,000 remaining undiagnosed”.Blood PressureHEALTHCARE SCREENING LUNG FUNCTION / BLOOD PRESSUREWHAT IS BLOOD PRESSURE?Blood Pressure relates to blood moving around the body and as itmoves it pushes against the sides of the blood vessels. Thestrength of this pushing is your blood pressure.WHY IS YOUR BLOOD PRESSURE IMPORTANT?High Blood Pressure, or hypertension, is the single most common contributor tocardiovascular death, stroke, heart attacks, heart failure and end stage kidney disease.Low Blood Pressure or hypotension is when blood pressure drops too low, it canrestrict the amount of blood flowing to your brain and other vital organs, which cancause fainting or dizziness and light headedness. This table below shows theclassification of blood pressure for adults who are 18 years and older.Blood Pressure Category Systolic, mmHg Diastolic, mmHgHypotension < 90 < 60Desired 90–119 60–79Prehypertension 120–139 80–89Stage 1 Hypertension 140–159 90–99Stage 2 Hypertension 160–179 100–109Hypertensive Crisis ≥ 180 ≥ 110WHAT DOES THE TEST INVOLVE?Having your blood pressure tested is quick and easy. The screening nurse will use acuff that fits around your upper arm and is inflated so that it becomes tight. 9

HEALTHCARE SCREENING Any cardiac tests carried out within our health screening programmes will be subject to review by our Consultant Cardiologist. Cardiac Screening WHAT IS CARDIAC SCREENING? ECG Heart Screening measures the electrical activity within the heart that causes your heart to beat. During the test, a number of electrodes are connected to your arms, legs and chest and these pick up the electrical activity within the heart. An ECG can show a number of Heart Conditions including: • A previous Myocardial Infarction (Heart Attack) • An Enlarged Heart that is working under strain • Fast, slow or irregular heartbeats (Arrhythmias) WHO SHOULD BE SCREENED? As the instance of Sudden Adult Death Syndrome (SADS) has become more common among males and females from 15 years of age upwards, especially individuals who engage in sporting activities should have a cardiac screen. It is also important as approaching and during middle age that individuals undertake a comprehensive health screen which would include cardiac tests to screen for Coronary Heart Disease (CHD). Screening may include but is not limited to an Electrocardiogram (ECG), Blood Pressure Measurement, Body Mass Index (BMI), Lung Function (Spirometry) and relevant Blood Tests such as Blood Cholesterol. WHAT DOES THE TEST INVOLVE? Electrodes will be attached to your chest, arms and legs. These are then connected to the ECG instrument. After tests have been carried out, your results will be reviewed and reported on by our Consultant Cardiologist. 10

HEALTHCARE SCREENING“Over 100 people die yearly from SuddenAdult Death Syndrome (SADS). Cardiac CARDIAC SCREENINGScreening can highlight Heart Abnormalitiesthat may increase a person’s risk of SADS”.Sports CardiacScreeningHealthcare Screening Ireland can provide a comprehensive range of onsite CardiacScreening services to a wide variety of sporting organisations throughout all of Ireland.The European Society of Cardiology (ESC 2005) and the International OlympicCommittee (IOC) recommend Cardiac Screening for any person taking part incompetitive sport.Over 100 people die yearly from Sudden Adult Death Syndrome (SADS). CardiacScreening can highlight Heart Abnormalities that may increase a person’s risk of SADS.Screening services are flexible and can be carried out in the evenings or at weekends.The Cardiac Screening process involves:• Health Questionnaire to assess family history and current state of health.• Resting ECG (Electrocardiogram)• 12 Lead ECG on inspiration• Blood Pressure Measurement• Lung Function Test (Spirometry Test)• BMI (Body Mass Index)In the event of any abnormal Cardiac result you may be referred to the local Accidentand Emergency department for further investigation. 11

HEALTHCARE SCREENING “Every employee who habitually uses a VDU and or a laptop as a significant part of their normal work has a right to opt for an appropriate eye test which must be made available and paid for by the employer”. Vision Tests Occupational Eye Tests EMPLOYER RESPONSIBILITIES In accordance with the Health and Safety Authority (HSA) Guide to the Safety, Health and Welfare at Work Regulations 2007 employers must adhere to the guidelines in relation to Display Screen Equipment (DSE); • Before commencing any VDU work • At regular intervals thereafter • If an employee experiences visual difficulties which may be due to any VDU work Our Occupational Vision tests are designed for; • VDU users • Vehicle (forklift/earth moving) operators • Electricians • Close machinery work 12

HEALTHCARE SCREENINGGood Health is good Business and creating a safe workenvironment is critical to the success of your business, as OCCUPATIONALwell as being one of the best ways to retain staff and HEALTHmaximise productivity.HEALTHSURVEILLANCE(Mandatory Health ChecksAssociated with Occupational Risk)What is Health Surveillance?Health Surveillance is the Mandatory Physical examination of specific health risksidentified within a particular occupation which must be carried out by the employer,under the Safety, Health and Welfare at Work Act 2005, Section 8 and Section 22.What types of examinations are required?• Audiometry (hearing tests) for workers exposed to greater than 80dBA• Lung function testing for those exposed to known respiratory sensitising substances• Vision screening for those using VDU for greater than 1hour per day as part of their occupation.• Biological Monitoring Programs, these can include tests such as lead levels, skin surveillance etc.PRE-EMPLOYMENT SCREENING (QUESTIONNAIRE & MEDICAL SCREENING)What is Pre-Employment Screening?This evaluates an applicant’s health and fitness for an occupation regarding therequirements of that job matched against the physical and mental health of theapplicant in order to ensure good person-job match.How is Pre-Employment Screening carried out?Option 1: Pre Employment QuestionnaireOption 2: Pre Employment MedicalPre-employment medicals can be done where the occupation carries a moresignificant element of risk to health, for example employees who work withhazardous substances, construction employees’ etc 13

HEALTHCARE SCREENING Occupational Health obligations apply to all organisations. We help you meet your obligations through assessing, planning and delivering your occupational health requirements HEALTH SURVEILLANCE ERGONOMICS Under the Safety, Health and Welfare at Work Act 2005 section 12, General Application of the Regulations 2007 and EC Council Directive 90/2270/EEC, employers have a statutory obligation to “evaluate health and safety at workstations with particular reference to eye sight, physical difficulties and mental stress”. FLU VACCINATIONS Influenza (Flu) is one of the leading causes of absence in organisations. We can help your organisation stay protected & protect your employees. To help your organisation prevent influenza we offer Influenza (Flu) vaccination for your employees at your own premises, (to avoid business disruptions). Our Doctor will be on site for all vaccinations. One of the main ways to stop this disease from spreading around your organisation is to vaccinate as many people as possible thus interrupting its transmission. HEALTH PROMOTION The workplace has been identified as a key setting in which to promote health and employers can make a major contribution to influencing the health of its workers and prevent illness and injury that will impact on the employee’s job and the overall productivity of the organisation. If you have any questions about our health promotion programmes please get in touch with us today and see how we can empower your employees to take charge of their own health and the quality of their lives. 14

HEALTHCARE SCREENING Musculo Skeletal disorders are disruptive and can be painful and costly. ey don’t have to be, with good ERGONOMIC SERVICESworkplace ergonomics they can be prevented Ergonomic Services WHAT IS ERGONOMICS Ergonomics is about ensuring a good fit between people and the equipment they interact with. This could include the objects they use and the environment around them. Healthcare Screening Ireland will come on site and carry out individual assessments (and the accompanying eye test where indicated) and provide a full report and recommendations. We will also make any corrections we can to the work station on the day. We look at the individual when they are seated at the work station and therefore it is essential that the employees are there on the day. Our assessment covers the statutory elements under the 2007 Regulations including assessment of the: • Desk • Chair • Monitor, keyboard, mouse and other peripherals such as phone, document holders etc • IT software, temperature, lighting, heating and ventilation where indicated. Where the employee identifies that there may be a potential musculo-skeletal issue which we think may present in the future our Occupational Health Nurse will carry out a Musculo Skeletal Questionnaire. Following review of this we can then further advise the employer. We can offer advice to employers regarding: • Recommendations for job modification • Treatment advice and management • Referral to specialist treatment services where required • Advice on safe rehabilitation to full duties We will offer further occupational health review of repetitive strain and other musculo- skeletal work related cases to ensure that the employee’s condition is not exacerbated by their work. This will be included in the above fees. 15

HEALTHCARE SCREENING All screening tests will be reviewed and authorised for release either by our Company Doctor and or Consultant Cardiologist Comprehensive Health Report CONFIDENTIAL EMPLOYEE REPORT At the end of the Health Screening process individuals will be provided with a comprehensive personal health report which will include results from your health screen and an overview of your general health. Fact sheets on various tests and lifestyle advice will form part of the health report. EMPLOYER OVERVIEW REPORT Employers will be provided with anonymous aggregate reports will be provided to give an overview of employees health at the end of the screening programme. This report may identify any impending health issues which can then be addressed to minimise disruption in the workplace. 16

HEALTHCARE SCREENING Healthcare Screening programmes have the potential to save lives and lead to improving your companies health Testimonials MARK BEDDIS At Deloitte we value the health and SUPERINTENDENT wellbeing of our employees. We have PHARMACIST, worked with Employee Health for the last 5 years and have continued to “As part of Tesco Ireland’s on-going work with them following their commitment to health and well- merger with Healthcare Screening being, several of our colleagues were Ireland in 2015. They provide health given a full health screen by the screening services to our staff. The nurses of Healthcare Screening team at Healthcare Screening Ireland. The tests were carried out in Ireland deliver a very high level of privacy and took approximately 30 service and working with them has minutes which ensured that the been seamless. We would be service did not impact on the delighted to recommend their working day. We will be offering service and look forward to a further screening sessions to more continued relationship with them in of our colleagues in the near future the future. and are happy to use the services of Healthcare Screening Ireland who we wholeheartedly recommend.” Allianz have been providing Health & the services they deliver and all of Wellness Programs to their their company personnel are easy to employees for many years and have deal with and demonstrate utmost worked with Employee Health since professionalism. The team has been 2007. Since Employee Health’s incredible to work with and has merger with Healthcare Screening helped us to design and implement a Ireland we can now provide an programme which was very expanded range of services. Anne successful. Their support was Marie and her team of Doctors, invaluable in terms of guidance and Nurses and Wellbeing Consultants delivery and I would highly have assisted us to develop and recommend Healthcare Screening implement our health strategy, Ireland. I wish them continued successfully engaging our staff in success and look forward to a Health Screening, Weight Loss continued working relationship with Programs and other Health and them. Wellbeing initiatives. Healthcare Screening Ireland also provides our annual flu vaccinations. They provide a consistent high level of quality in all

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