Top Medical Clinic

RAIL MEDICALS

Our clinic is Achilles RISQR (Railway Industry Supplier Qualification Scheme) Approved and provides a wide range of medical services to the Railway sector including:

• Medical Screenings
• Drug and Alcohol testing
• Occupational Health Services

All medicals and screenings are carried out by Accredited Occupational Health Practitioners and results and certificates are available very promptly.

DRUG & ALCOHOL SCREENING NAFTOWEJ I GAZOWEJ (OG UK – OIL & GAS) NA LĄDZIE I NA MORZU

Recent government statistics show that drugs and alcohol become more prevalent in the workplace. One in three men and one in five women drink over the recommended limit, while nearly one-third of workers under 30 have taken drugs in the past 12 months. The drug and alcohol abuse can pose a real risk to the health and safety of the abuser as well as fellow workers, it reduces productivity and destroys teamwork. That is why it is essential for the employer to introduce and maintain effective drug and alcohol test policies.
Our clinic offers a complete service for:

• Pre-employment workplace screening
• Periodic screening
• Random screening

All urine specimens and breath samples are taken by trained Collection Officers and the collection process follows a full chain of custody protocol.

OG UK (OIL & GAS) AND OFFSHORE MEDICALS

Our clinic provides the medical assessment that is required by the Oil & Gas industry to ensure that an individual is fit to work in the Oil & Gas sector. In addition to standard testing, our highly trained and experienced Doctor can carry out additional testing if required.
The OGUK Medical is valid for two years and consists of the following:

• Completion of Patient Questionnaire
• Urinalysis – routine urine test with immediate result
• BMI – measurement of height, weight and calculation of Body Mass Index
• Near, Distance and Colour Vision Test
• Pulse and Blood Pressure Measurement
• Lung Function Test (peak flow)
• Audiogram (hearing test)
• Consultation with an OGUK Doctor

Additional tests are available on request.

WORKING AT HEIGHT MEDICALS

People who work at heights or access/climb to heights such as Industrial Abseilers, Telecommunication Engineers and more, may be required to undergo the Working at Height Medical to check their fitness.
The Medical is carried out by a qualified Doctor and comprises of:

• Completion of Patient Questionnaire
• Urinalysis – routine urine test with immediate result
• BMI – measurement of height, weight and calculation of Body Mass Index
• Near, Distance, Peripheral and Colour Vision Test
• Pulse and Blood Pressure Measurement
• Lung Function Test (peak flow)
• Audiogram (hearing test)
• Waist and Shoulder Measurement
• Musculoskeletal Assessment (examines if an individual has good mobility, power and strength)
• Drug and Alcohol Test
• Chester Step Test or other equivalent test to assess aerobic capacity
• Cholesterol Test (for those over age 50)
• Consultation with an Occupational Health Professional

The test has to be repeated periodically at agreed time scales; currently these are as follows:
Age < 40 years - three yearly
Age 41- 50 years - two yearly

CONFINED SPACE MEDICALS

Confined space is one that is both enclosed or largely enclosed and which constitutes a foreseeable risk to workers of fire, explosion, loss of consciousness or drowning. While it is not a legal requirement to have a Confined Space Medical, it is a good practise to have one if you or your staff are likely to be working in this environment. The assessment will check if the person in question does not have any medical condition which could expose them to a higher degree of risk or result in injury to themselves or others while in confined spaces, for example, heart condition, epilepsy etc.
The Confined Space Medical we offer in our clinic comprises of:

• Completion of Patient Questionnaire including confined space related questions
• Urinalysis – routine urine test with immediate result
• BMI – measurement of height, weight and calculation of Body Mass Index
• Near and Distance Vision Test
• Pulse and Blood Pressure Measurement
• Lung Function Test (peak flow)
• Audiogram (hearing test)
• Musculoskeletal Assessment (examines if an individual has good mobility,
power and strength)
• Sniff/ Smell Test- to see if individual can distinguish different types of odours.

WELLBEING & LIFESTYLE

Wellness and lifestyle assessment is a confidential voluntary health screen conducted by our experienced Doctor. It will consist of a comprehensive medical assessment including advice on lifestyle and diet. The purpose of the screen is to reassure employees that they are in good health or that early action can solve their health problems and prevent them from being absent with long term sickness.
In our clinic we offer the following screens:

• Well Man Profile
• Well Woman Profile
• Senior Female Profile
• Senior Man Profile
• Customized Health Screen

DRIVERS MEDICALS

All HGV (heavy goods vehicle) and PCV (bus or coach) drivers are required to undergo medical assessments when:

1. They apply for provisional Category C1 (7.5t), C (rigid) or D1
(minibus), D (bus) licence
2. They turn 45 they need to do another medical followed by one every 5 years after that
3. They turn 65 they need to do a medical every year

The rules for taxi drivers are slightly different to those of bus and lorry drivers. The recommendation from government is that a taxi driver must meet the same standards as those of bus and lorry drivers. The local authority (council) will provide you with the medical form they wish to be completed and they will determine who can do it so please check with your local authority to make sure that any registered doctor can perform the medical and not just your GP. You may need to get your medical history from your GP and take that with you to your appointment with our Occupational Health Doctor.

Our Doctor will examine you in accordance with the requirements of the relevant D4 Medical Form and the examination will consist of:

• Pulse and Blood Pressure Measurement
• Vision Test - the first before and the second after you put on driving glasses
• Urinalysis – routine urine test with immediate result
• Completion of relevant parts of the D4 Form (the Doctor will list any medication you are currently taking and ask questions about you medical history)

Below is a list of items you will need to bring with you for your driver medical assessment:
A relevant D4 Medical Form
Driving licence
If you wear glasses or contact lenses please bring these with you along with your latest prescription (do not wear contact lenses as these will have to be removed for the eye test)
A small urine sample
Details of your current General Practitioner (GP), all medications you have been prescribed and any over the counter medications you may be taking. Any hospital letters or details of hospital consultants who are treating you.
The medical form requires medical information from you in detail so please bring as much information as possible if the form is to be completed.

OTHER OCCUPATIONAL HEALTH SERVICES PRACY

All employers have a responsibility to meet a wide range of health and safety standards, regulations and laws. Top Medical Clinic can help you implement an occupational health screening so that you meet all necessary obligations.

COUNSELLING
Workplace stress is a widespread problem. Employers have legal responsibility to ensure safety of their employees and this includes managing stress. Counselling can be an effective tool when dealing with many stress-related issues. Our experienced counselor offers one-to-one sessions and will help you to deal with:

• stress
• bullying and harassment
• depression
• alcohol abuse
• drug abuse

BLOOD TESTS
Top Medical Clinic offers a wide range of blood tests to suit your business needs.
HEALTH SURVEILANCE
Health surveillance is a system of ongoing health checks. These health checks may be required by law for employees who are exposed to noise or vibration, ionizing radiation, solvents, fumes, dusts, biological agents and other substances hazardous to health. In our clinic we offer a wide range of health assessments of one or more aspects of an employee's health, for example, lung function or skin condition. All tests, questionnaires and examinations are interpreted by our Occupational Physician.