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'' The UK’s Negligent Online Manual Handling Training Programmes Exposed ''
           Highfield E-Learning ... This should NOT be High on your List!

Written by Qualified Osteopath & Manual Handling Risk Management Expert Gareth Milner
15 minute Read
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Before we start, I have something to say. This Blog Post is NOT about bashing this competitor. It is NOT saying they have a rubbish Business or a Service. If you judge it like this, then you will be missing our CORE MESSAGEOnline Manual Handling Training Programmes with this (novice) content WILL cause disabling musculoskeletal disorders (MSDs).

Disability … its noun definition ... ‘a physical, mental, cognitive, or developmental condition that impairs, interferes with, or limits a person's ability to engage in certain tasks or actions or participate in typical daily activities and interactions.’

The CORE MESSAGE of this post. How can I make such a statement? I trained for 4 years at the European School of Osteopathy and learnt about every human joint. Its structure and function. I have read extensively in Human Biomechanics including Levangie & Norkin’s ‘setting World standards’ Joint Structure and Function.

If you want to hear my message, that’s great. You will learn a lot about our remarkable human body. You will upskill in your Health & Safety Profession, supporting your climb up the Corporate and Higher Income Ladder (see our Creative Director Emma Farrell's illustration from Sorry! We're Closed below left).

If you don’t want to hear my message, of course that’s your prerogative. But remember, there is nothing wrong, underhand or dishonest about contrarian stand points.

Here's a contrarian story from the early 1980s. Two medical Researchers from Perth, Australia, Barry Marshall and Robin Warren identified a tiny spiral shaped type of bacteria that was duly named H. pylori as the culprit of stomach ulcers. 

Their belief was contrarian to the popular and long held medical view that stress, spicy foods and lots of alcohol was the cause of stomach ulcers. They struggled to get the recognition that this bacteria was the cause. One of the Researchers who heard one of Marshall and Warren’s presentations commented that they ‘simply didn’t have the demeanor of Scientists.’

 

The scepticism from others included Marshall and Warren were not Doctors yet … that they were from Perth and not another more known worldwide location for Scientific discoveries. In fact, their contrarian view proved …. fact. In 1994, the National Institutes of Health finally endorsed the idea that antibiotics were the preferred treatment for gastric (stomach) ulcers.

In Marshall and Warren’s Bacteria case, and in millions of other cases to this day ‘Most people think X … but actually.’

And I am now going to give you the ‘actually’ using Highfield’s Online Manual Handling Programme as a reference.

On their website there is no information on who has written the content of their Programme. No Expert offered. On this page Highfield state …

‘And with the moving of objects there is often questionable advice from well-meaning friends and colleagues. Injuries as a result of manual handling equate to over one-third of all workplace injuries. This course provides the knowledge and skills to avoid you becoming a part of that statistic.’

‘This course offers a comprehensive guide to best practice when it comes to manual handling.’


Their Cost Per User is £15 and if you train over 100 employees the Cost Per User is £10.

Easy maths this one £10 x 100 employees = £1000. £10 per User represents a third of the IHASCO Programme. Looking at other Programmes from other Companies, the Highfield Programme is cheap for its product type.

Tip 24 - You Get What You Pay for

Here's a Tip 24 snippet from Gareth Milner's Sorry! We're Closed ...

'' Ok. So you have come across a Manual Handling Provider. You say to yourself (in a tone that exudes confirmation bias) .....

 

‘Their website seems ok'

 

'They answered the phone straight away.’

 

‘They are good at getting back to me by email in a reasonable time.’

 

'And they are cheap!''

 

Like throughout the Book, Gareth takes a fun, and serious approach to Manual Handling Risk Management supported by our Creative Director Emma Farrell's remarkable illustrations.

Tip 24 - You Get What You Pay for
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Before their Programme appraisal, I am an advocate for Digital forms of Manual Handling Training. There are Pros and Cons. The Pros are discussed in Tip 29 ‘Embrace the World of Digital’ and Tip 40 ‘Sign on the Dotted Line’ from my Book Sorry! We’re Closed. Of course, Programmes with decent, engaging graphics with content that is underpinned by Experts in Musculoskeletal Medicine. 

 

I am NOT an advocate of programmes with decent, engaging graphics with content underpinned by Novices in Musculoskeletal Medicine, like IHASCO’s. Even more so, I am NOT an advocate of programmes with old fashioned, cheap graphics with content again underpinned by Novices in Musculoskeletal Medicine, like Highfield’s.

With the screenshots of the Highfield Programme visible following (now in this post), early slides include the first in the gallery to the left. As you can see it is a common sense question as clearly they are all Manual Handling Tasks. Ask yourself honestly, if your employee was sitting at a computer with this in front of them, what would they learn? Is this going to help you towards Target-Zero MSDs and Manual Handling Lost Time Accident?

You will see it starts with the standard of these types of Training Programme on this subject, a definition of Manual Handling. Note the ‘pushing’ and ‘pulling’. We will return this note, later.

Earlier we stated the Cost per User is £10 for over 100 employees. You may be a Health & Safety or Learning & Development Professional with say 300 employees to train. That's £3000. Now I would like you to scroll through the slides to the right. First, I want you to maximise them on the screen and as I just said, literally scroll through ALL of them, and with this I want you to make a statement to yourself. Yes, you read me right. A statement to yourself. You will see my prediction of your statement further in this Blog Post.

Of course, a mini, individual Manual Handling Risk Assessment is essential pre lift, carry, push or pull.

As you will see in the left galleries, the slide states ‘One foot should be put slightly in front of the other to provide a stable base.’ Do you remember at the start of the post there is a phrase ‘Most people think X … but actually.’

In this subject across the UK (as this is the 2nd Programme in a row I have appraised that states this) the X is ‘Most people think that you should lift with one foot slightly in front of the other, shoulder width apart, and when lifting loads from the ground, fully flex your knees with one heal coming off the floor, and look forward in front of you’.

As this is the same practice as IHASCO state, and I have already from a Clinical stand point stated the lower extremity MSDs that this negligent lifting practice will cause … you haven’t read that post? … ok I will restate them. Knee ligament sprains and tendon strains; knee tendonitis; knee cartilage tears; knee osteoarthritis; bunions (first metatarsophalangeal joint deformity and osteoarthritis); achilles tendonitis; hip ligament sprains and tendon strains; hip tendonitis; hip cartilage tears; hip osteoarthritis. As you can see, not a nice prognosis. Let’s prevent this future need of orthopaedic surgery and daily reliance on narcotic pain killers (that don't work enough). Let us … Learn How to Lift Properly

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Tip 15 - Learn How to Lift Properly

Here's a Tip 15 snippet from Gareth Milner's Sorry! We're Closed ...

'' With Tip 15, I was trying to come up with sexier titles like ‘Become a World Strongman in Lifting’ ... ‘Smash the Paradigm’ ... ‘Develop Buns of Steel’ ... yeah, you don’t need to tell me, I know I was struggling.

 

Then I said to myself* ... ‘No, no, no Gareth! Keep it simple and just tell them ... as part of their journey towards being a Manual Handling Risk Management Expert they need to learn how to lift properly. ''

 

Like throughout the Book, Gareth takes a fun, and serious approach to Manual Handling Risk Management supported by our Creative Director Emma Farrell's remarkable illustrations.

Male reader*. I want you to imagine this. You love to play football with friends every so often, reliving your school and teenage kick abouts. You are a food factory employee who has a significant amount of lifting from pallets each day. Your Health & Safety Manager puts you through the Highfield Programme. During the practical Course run by the in-house Manual Handling Instructor you are taught the same lifting practices taught in the Highfield Programme. You are aged 45 and you are starting to get significant pain and swelling in the knee after playing football. 

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You consult your GP who refers you for an X-Ray. The scan reveals a progressive Osteoarthritis. The Physiotherapist you have been referred to asks you how you lift loads at work. You demonstrate the Highfield practice. The Physiotherapist informs you this would be one of the key reasons that your knee will require surgery in the coming year.

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Female reader*. You love, every week, going to Dance Class. Putting your heels on. Meeting friends … dancing the night away. You are also aged 45. When you were 35 you were shown the Highfield Programme. You had suffered from back pain for a few years, and their lifting practices looked good, what with the ‘lift with your legs’ adage. At home and at work, for a decade you practiced the technique of fully bending your knees with the right heal coming off the floor, loading the toe joints. Now you have daily pain in the first toe joint, diagnosed as a Bunion by your GP. You cannot go to dance class due to the severe pain during and after the class. You are placed on a 12 month waiting list for foot surgery.

You consult a Podiatrist to help you in the meantime and they give you a list of things to do and NOT to do. On the ‘NOT to’ list you see … avoid standing on tip toes. As you walk down the steps from leaving the Podiatrist, you plant your painful foot on the step below, toes first causing extreme pain in the now osteoarthritic toe. At home that evening you research private surgery, ringing the Private Hospital the very next day. Armed with knowledge that you can get surgery within 2 months privately, and its cost, you immediately action an Injury at Work Claim. Upon speaking to Addleshaw Goddard LLP, they action a Claim for £69,700** against your now former employer. The maximum amount that can be claimed for a Foot & Ankle musculoskeletal disorder. Your solicitor is very confident you will win with your supportive evidence of the Certificate from Highfield’s Programme. **This figure, taken from LegalExpert.co.uk, is stated on the final page of Sorry! We’re Closed.

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How could you have prevented these Debilitating Injuries?

Of course there is so much more that the Male Reader and Female Reader could have done, and NOT done to prevent their painful MSDs, other than NOT perform Highfield's practises. Concerning the 'have done' could be Stretching & Rehabilitation Exercises; consult an Osteopath; perform regular weekly physical exercise including Weight Training and Cardiovascular Exercise ('Cardio) helping to keep muscles strong, joints mobile and body weight in a safe zone; wearing supporting and shock absorbing shoes including trainers, maybe even Barefoot Technology wearing Vibrams; supplement with Fish Oil (Omega 3, 6 & 9) and Glucosamine/ Chondroitin; eat a balanced diet full of meats, fish, vegetables, grains, fruits, nuts and seeds etc.  Concerning the 'NOT done', not wearing high heels (maybe not relevant for the Male Reader?!); the Male Reader not sliding on the grass after scoring a goal, much what the over paid Premiership Footballers do every game, to the bane of their Managers and Physiotherapists; running for excessive periods; not over eating and being way over one's Body Mass Index etc. Before we look at what Best Practice Biomechanics of Lifting is, I will go back to the CORE MESSAGE of this Blog Post thatOnline Manual Handling Training Programmes with this (Highfield novice) content WILL cause disabling musculoskeletal disorders (MSDs).

 

The video clips below left and middle, taken from Osteopathic Solutions Manual Handling Training DVD*, detail Best Practice Lifting Technique. 

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The worrying thing is that Highfield are accredited with The CPD Certification Service. This is an Accreditation Company we had our Courses accredited with for 3 years, until they made their lack of Professionalism apparent. Be aware that ALL UK Accreditation Providers are not what they seem. The only Accreditation provider we have had our Courses accredited with that offered a reasonable research into everything we did was City & Guilds. The CPD Certification Service look at your Course Outlines and Learning Outcomes … and that is it! Hence why Highfield's Online Programme has their stamp on it. Any Company can get their Course accredited with providers like this. Our current Accreditation Provider, The CPD Group, what with their 'CPD TV' are offering a more up to date Accreditation Service.

Let’s look at more concrete information about this Highfield Programme that backs up my CORE MESSAGE. Ok, so take a look at the Programme screenshot (below left) of the 2 ways the man is lifting the (extremely lightweight) crate. What do you see? Now take a look at the infographic below, of the purple person lifting the box. What do you see?

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Is this what you saw? There are 2 lifting methods demonstrated by the man in the warehouse. The left method is a classic stoop lift. Feet very close together. Load relatively far from the body. Arms outside of knees. Semi-squat of lower extremities (involving hip, knee and ankle flexion). Significant forward bending (or stooping) of the spine, predominately from the lower back, the lumbar spine.

The right method, or Method B, is what they are stating as Best Practice lifting of an inanimate load from the ground. Feet barely hip width apart. Left foot firmly planted on ground. Right foot on tip toes. Left knee nearly fully flexed, cartilage nearly completely compressed. Right knee fully flexed, cartilage completely compressed. Lack of symmetry in arm position. Left arm straight between the knees. Right arm straight, outside of the right knee. C-shape forward bending curvature of spine. Neck slightly extended or backward bent, NOT in neutral neck curvature position, which is what is needed to reduce neck strain. I have gone into enough on the IHASCO post and this post what this negligent lifting practice causes. What did I just do there? Using the name of Tip 17 from my #HealthAndSafety #ProfessionalDevelopment Book Sorry! We’re Closed ... I opened my Eagle Eyes.

Tip 17 - Open Your Eagle Eyes

Here's a Tip 17 snippet from Sorry! We're Closed ...

'' Ok. So what did I just do there? I literally used my Eagle Eyes and described every single body position and use the Operative was performing. You have to be a Manual Handling Expert to be able to do that. With that said, one of the keys to becoming a Manual Handling Expert is to understand basic Human Biomechanics (remember Tip 11?). Did you see that word there? Yes, basic. Synonyms for basic are essential ... key ... main ... No need to have a Masters Degree in Biomechanics. Getting to grips with the basics of Biomechanics will help to make you a Master in Manual Handling. Perhaps even the Jedi ‘frigging’ Knight of Manual Handling! Opening your Eagle Eyes will allow you to pick out the minutiae of individuals’ posture, body position and its use. Top to toe. Or toe to top. You get me? ''

Click play below to listen.

Tip 17 - Open your Eagle Eyes
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Now the purple person infographic. The slide states ‘Finally, select the correct posture when picking up a box from floor level.’ The far left image (which is their expression of Best Practice out of the 3 purple people) doesn’t quite look ground level, that the box is sitting on, however they state from floor level. With this said, what do you notice about the position of the lower extremities, the legs? Yes, you are correct there. They are not fully flexed. Actually they are in the correct biomechanical position for lifting loads from the ground, with the hips slightly above the level of the knees. So now I pose the question, if you are a novice in Manual Handling, a factory floor Operative who has started working at 18 years old and has never had Manual Handling Training … the questions coming … What is the correct method for lifting from the ground? … That was the question. Let’s define the state of being confused … unable to think clearly; bewilderedlacking order and so difficult to understandperplexed by many conflicting situations or statements.

 

And that’s what this Programme by Highfield will do, like the IHASCO Programme, confuse your employees (to the max) as there are key conflicting statements about lifting loads. Novices (in Manual Handling) should not be taught by Novices (in Manual Handling). Novices in Manual Handling should not be taught by Experts in Manual Handling. If you were looking to go Sea Diving, would you ask to be taught by your mate who has recently started diving? If you have a flat car tyre and you have a long, important journey ahead of you, would you ask your neighbour who is struggling to change their own flat tyre, how to change your flat tyre? Do you think 2 analogies on this subject is enough? No, please give me one more. Say you have been watching Grand Designs and you are inspired to learn how to build a house; would you ask a person who has watched Grand Designs and has also been inspired to learn how to build a house. That’s it now. No more. You get me. Novices who want to be competent, maybe not Experts in a subject, SHOULD be taught by SUBJECT EXPERTS. Highfield has proved by this Programme they are SUBJECT NOVICES.

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Now, a mini Anatomy lesson on the human pelvis. On the left drawing the 2 bones with a light grey are called the Iliac bones. We have a left 'Ilium' and right 'Ilium', that make up the Iliac bones. The dark grey bone is called the Sacrum. You will see 2 lumbar vertebrae sitting on top of the sacrum. Connected to the left Ilium is the left hip joint (between the left femoral bone and the left Ilium). Connected to the right Ilium is the right hip joint (between the right femoral bone and the right Ilium).

Before we have a mini Biomechanics lesson on the human pelvis, take a look at the Highfield slides below on human Base of Support (BOS) for lifting loads.

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These are the same slides. On the left I answered the question '' Select the correct position your feet should be in, when picking up a box from floor level '' .... in Highfield's eyes ... correctly ... hence the Well done! On the right I answered the same question in Highfield's eyes ... incorrectly ... hence the That is incorrect.

Now, that mini Biomechanics lesson on the human pelvis. With thanks to Joint Structure & Function by Levangie & Norkin ... and my Osteopathy Degree ... for giving me this Expertise. More concreteness with this statement ...

 

If you have one foot in front of the other as your Base of Support you will cause an Iliac counter torsion and Sacral side bending and rotation, causing the opposite side bend and rotation in the 5th lumbar vertebrae, and resulting facet joint strain at the L5/S1 joints.

What does this mean? Well, the effects are early degeneration of the lumbar facet joints and discs. The results are Chronic Lower Back Pain.

Before we complete this mini Biomechanics lesson on the human pelvis, the positional results of having the left foot in front of the right foot when lifting (as shown above by Highfield as the 'correct position'), are shown in the right image of the pelvis. The left Ilium posteriorly (backwards) rotates and the right Ilium anteriorly (forwards) rotates. This pulls the Sacrum out of alignment and therefore the whole of the spine above. Ouch!

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Tip 11 - Train as a Bio-Mechanic

Here's a Tip 11 snippet from Sorry! We're Closed ...

'' This Tip is about understanding the movements we can do across our body. It will give you an understanding on how some of these movements can combine to lead to musculoskeletal disorders whilst manual handling inanimate loads. Let’s define Biomechanics ... The mechanics of biological and especially muscular activity as in locomotion or exercise. ''

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Let’s take a break from this Programme for a minute. When we buy cheap we generally get a low level of benefit. We will now look at 3 cars.

First up, the Daihatsu Sirion. This will set you back between £600 and £5,000 for a pre-loved Sirion on autotrader.co.uk. The benefit of this no-frills automobile is that it will get you from A to B. It won’t turn heads. It won’t give you a sense of achievement in life. It won’t get stolen. That’s another benefit, isn’t it?


Next up is the Ford Focus. This will cost you around £30,000 new. As a past owner of the Ford Focus, you will get a more reliable car (than the Sirion) that provides nice comfort. Parts are easily accessible and cheap. Ford dealerships with Ford Expert Mechanics are UK a plenty. You are paying at least 3 times what the Sirion cost, but with the Ford badge at the front of the car you are driving. Unlike the Sirion, which you may be sitting in on the motorway hard shoulder waiting for The AA.

And finally, in this Car 'You Get What you Pay For' comparison .... the Volvo S90. This will set you back up to £67,830. I first came across the quality of Volvo when my Mum Carol purchased her pride and joy Volvo 940 Estate back in 1994. I remember her picking me up from Chinthurst School, in Surrey, for the first time; recalling the shininess of the paintwork; the plush leather seats ... that were heated! I remember the feeling of being driven around in a luxury car. Even at 13 years old, I am not ashamed to say ... it felt good. To the right is the very elegant Volvo S90. It just screams Corporate CEO. It will be powerful. It will be smooth to drive. It will never break down. It will turn heads. It will bring the emotional state of pride in its achievement.

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Now with 'You Get What You Pay For' well and truly understood, here is Tip 24 from the Sorry! We're Closed AudioBook.

Tip 24 - You Get What You Pay for
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The Highfield Programme, at a very cheap £10 Per User, in comparison to (not much better) other Programmes at £30 Per User ... is the Daihatsu Sirion of the Online Manual Handling Programme World. So it is very cheap in itself, and low in quality as shown so far (and continuing below), but when you decide to buy this for 300 employees, now totaling £3000, just to tick a box not forgetting making your Manual Handling Risk Management well, more risky, spending 3 grand is not really cheap, is it? And remember how many of those 300 employees will leave the Company in the coming 2-3 years?

Let's return for the last time to the Programme's slides. Like with the IHASCO Programme, of course there must be some good slides in the Highfield Programme. But for me, good, is too good of a word to use. Maybe, satisfactory.

In the gallery to the left, a warehouse task is covered detailing the hazardous (for the musculoskeletal system) practice, and the safer practice, that if practised will reduce back strain and the risks of a Manual Handling Lost Time Accident. But, and it is a big
BUT ... out of the whole Programme this is the only display of technique and practice that is correct ... and not negligent. And let's be honest here, every Manual Handling Novice knows to avoid (spinal) twisting when handling.

Manual Handling involves pushing and pulling of loads as we all well know. One of the best ways to damage your neck, lower back, shoulder (s), hips, knees and ankles ... pretty much your whole musculoskeletal system ... is to pull extremely heavy loads, like palletised loads weighing 500kg+ with a manual pallet truck, with one arm using mainly bodyweight. Like is standard in these General Training Course Provider Companies, pushing and pulling is only touched upon. 

In the first slide to the right, you will see a Factory Operative about to pull a palletised load, getting it moving facing the load, which is best practice. However, body positioning is all wrong. Watch the Video below from our Distribution & Logistics Manual Handling Video, then LinkedIn connect with me, sending me your comments, and with this you go into our Quarterly Draw to win a FREE copy of our 'You will never need an Online Manual Handling Training Programme AGAIN' Manual Handling Training DVD (Industry USB Box Sets visible at the bottom of this Blog page). 

In the slide immediately to the right, you will see a lightweight trolley being pushed on a perfect factory floor surface. There is no teaching of complete best practice pushing technique, again at the very best, only touched upon. 

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At the start of their Programme, Highfield state ‘This course offers a comprehensive guide to best practice when it comes to manual handling.’ Sorry, not sorry, this is a blatant lie. Lying in Business for me is a complete 'No-no', especially when making out your Product or Service is way better than it really is.

Here is how to pull heavy palletised loads, using a pallet truck, with best possible application of human biomechanics. Here I demonstrate maximum power from my legs, reducing the physical strain to a minimum, with what are heavy loads. The left Video Clip is from our Distribution & Logistics Video and the right Video Clip is from our Manufacturing Industry Video.

Team Handling is covered in a few slides including the ones below. The bullet points on the left slide below, give some sound advice, however 'Ready, Steady, Go' (not the best Communication for Coordinating a Team Lift) is only stated for lifting tasks. Observe the rather random photo of 2 Operatives installing a window, what with the right Operative performing what is a hazardous spinal movement while manual handling.

When a commercial bin weighs 1000kg, what would we be inclined to do? ... ask for help. Team Handling involves team pushing, team pulling and team pushing/ pulling. None of this is covered in Highfield's £10 Per User Programme. Let's define the word Comprehensive* ... including or dealing with all or nearly all elements or aspects of something. This programme should be described as limited in range or scope.


*Remembering that Highfield used this word to describe their offering.

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Team Lifting is covered with a pallet. All I will say about this is look at their posture above at the initiation of the lift. This practice will help ALL Osteopaths across the UK ... pay their living costs. It's painful even looking at it.

The final part of this Programme's appraisal is on the Assessment. I will say when there has not been much to learn, and when much of the content is factually false ... is there much point to an Assessment? In the gallery to the right, you will see some of the Highfield Programme's Assessment questions. I will let you make your mind up on the quality of these questions, and whether they are a real test of knowledge or not.

And wrapping up this Blog Post with its Core messages:
 

- Online Programmes are expensive.
 

- Negligent Manual Handling Practices are plentiful, increasing risks of Manual Handling Lost Time Accidents and Injury at Work Claims.
 

- Beware Jack of All Trades Providers which rules out an Online Manual Handling Training Programme, as 99.9% of them are supplied by Jack of All Trades Training Companies.

Tip 10 - Recognise Experts from the Jack of All Trades
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I hope you found insight in this Blog post. I wish to say I do not have a problem with this Company Highfield. I don’t know its Owners. The only people who have a problem are the people who suffer daily with the Osteoarthritic effects of the negligent Manual Handling Practices they are selling on their Jack of All Trades Programme.

Lastly, their logo states ‘hot.’

With their Programme, the only thing that is hot is your employees’ arthritic knees and feet. The heat comes from their pain and swelling.

I will leave you with this proverb written by Amy Franceschini and Michael Swaine called ‘For Want of a Nail’.

For want of a nail the shoe was lost.
For want of a shoe the horse was lost.
For want of a horse the rider was lost.
For want of a rider the battle was lost.
For want of a battle the kingdom was lost.
And all for the want of a horseshoe nail.

‘For Want of a Nail’ reminds us that seemingly unimportant acts or omissions can have grave and unforeseen consequences.

Train your Employees with an Online Programme like Highfield’s or IHASCO’s … and that Court Case for £160,000 against the former Employee and their Legal Shark … may well be … lost.

I am currently reading Made to Stick: Why Some Ideas Survive and Others Die by brothers Chip and Dan Heath. With what I have presented to you, referencing my Human Biomechanics Expertise, I am hoping my stand point will become very ‘sticky’ amongst the UK’s Health & Safety Professional Community. You will also find more insight with my Blog Post '' Challenging HSE Guidance on Safer Lifting Practice ''. I think this contrarian Blog may ruffle some HSE feathers.

As a thank you for reading you can receive our TrainIn15 Manual Handling Training Video free of charge. LinkedIn connect and email me and I will send you a Dropbox link to download this video that details exactly how the human body should lift. Thanks for reading.

P.S. My prediction of your statement earlier is 'Gareth, I could do those slides myself in-house, using the HSE Manual Handling Checklists, for a fraction of the £10 Per User cost!' 

Osteopathic Solutions
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