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How Do We Stop Missing Employees Who Are Due Their Annual Health Surveillance?

Health surveillance recall for occupational health runs on a spreadsheet per employer. We build recall lists from your records that book and chase for you.

Updated 3 min readBy SpiderHunts Technologies

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Quick answer — TL;DR

Surveillance recall slips because due dates for audiometry, spirometry, skin checks and HAVS questionnaires sit in separate spreadsheets per employer, updated by hand. We build a recall engine that works out who is due from your records and each employer's surveillance programme, offers appointments or clinic slots, chases non-responders and shows each employer what is outstanding.

Recall by spreadsheet

Each employer on your books has its own surveillance programme. The factory site needs annual audiometry for everyone in the noise zones and spirometry for the paint shop. The engineering firm needs HAVS questionnaires for the fitters. Somewhere there is a spreadsheet per client with names, last test dates and a column someone fills in with the next due date.

Every month someone filters those sheets, emails the site contact a list of names and asks them to release people for the next clinic day. Half the list has left. Some new starters are not on it at all. And the sheet for one client has not been touched since the person who kept it moved on.

Why recall depends on one person's diligence

  • Due dates are typed, not calculated, so a missed update means a missed recall.
  • Different tests have different intervals, sometimes varied by the clinician after a result.
  • The source of who is exposed to what is the employer, and their list changes weekly.
  • Results are recorded in the clinical system, but the recall sheet is separate.
  • There is no single view across all employers of what is due this month.

The root cause is that the recall list is a copy of information held elsewhere. Copies drift.

What missed recall costs

Employers buy surveillance to meet their own duties. When their auditor or an inspector asks for the records, gaps land on your service. Clinic days get arranged around whoever the site contact remembered to send, so they run half full or overrun. And the employees who most need follow-up, those with a changed result, are the ones most likely to fall through a manual process.

Surveillance typeWhat drives the next due date
AudiometryProgramme interval, adjusted after a changed result
SpirometryExposure group and any clinician recommendation
Skin surveillanceExposure and the employer's own programme
HAVS questionnaire and tiersTier reached and the programme's review interval
Night worker assessmentThe offer interval the employer has set

How we build recall that runs itself

  1. We load each employer's surveillance programme as rules: which roles or exposure groups need which tests, and at what interval.
  2. Test results and completion dates are read from your clinical system, so the next due date is calculated rather than typed.
  3. Where a clinician sets a shorter interval after a result, that override is stored on the employee and used for the next recall.
  4. Each month, or as often as you choose, the system produces a due list per employer and per site.
  5. Due lists are sent to site contacts for confirmation, with leavers marked and missing new starters flagged.
  6. Confirmed employees are offered slots on the next clinic day, or given a self-booking link where your service runs appointments.
  7. Non-attenders are chased, and repeat non-attenders are reported to the employer rather than silently rolled over.

Where an employer runs shifts, the due list can be grouped by shift pattern, so the site contact can release people for a clinic day without pulling half of one team off the line.

The rules come from your service and your clients' programmes. We turn them into something the system applies the same way every time.

After the spreadsheets

The clinician's view also improves. When an employee with a changed audiogram is recalled early, the recall shows why, so the next test is read against the right history rather than as a routine annual check.

Your team sees one list of who is due across every employer. Clinic days fill from that list. Site contacts get a clear request instead of a spreadsheet to decode, and employers can see overdue surveillance before their auditor does.

Does this sound like your recall process?

  • Each employer has its own recall spreadsheet.
  • Next due dates are typed in by hand after each clinic.
  • Clinic days run with empty slots or last-minute lists.
  • Leavers stay on recall lists and new starters are missing.
  • You could not quickly show an employer every overdue test across their sites.

FAQ

Frequently asked questions

The questions readers ask us after this guide.

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Do you set the surveillance intervals?

No. Intervals and exposure groups come from your service and each employer's programme. We make the system apply them.

Can it read results from our clinical system?

Usually, through an API or scheduled export. We check what your system offers before designing anything.

What about employees who have left?

Site contacts confirm the list before booking, and the system also reads the employer's starter and leaver updates where they provide them.

Can employers see their own recall status?

Yes, if you want them to. A portal or scheduled report can show what is due, booked and overdue for their sites only.

What affects the cost?

The number of employers and programmes, how your clinical system exposes results, and whether you want an employer portal.

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