About this event

  • Date and time Thu 28 Nov 2019 from 8:45am to 5:00pm
  • Location Royal Society of Medicine
  • Organised by Occupational Medicine, Faculty of Occupational Medicine

This meeting, jointly organised with the Faculty of Occupational Medicine, will explore health and safety themes common to all three transport sectors; air, rail and road.

We bring together occupational health practitioners from each of these industries to share their advice and professional experiences, as we consider how lessons may be applied across all disciplines for occupational physicians assessing fitness to work. 

Fitness to work and occupational health in the transport sector has long been a topic of government and public concern. This is mainly due to the risk of harm to the public, or fellow workers, should an incident occur. Because of the unique risks of safety-critical work, stringent frameworks for statutory regulations and industry-specific health guidelines and regulations have been developed.

The meeting will be beneficial to all occupational practitioners and other clinicians working in the transport sector and in related specialties. 

We will split the day into two themes. In the morning, we will be exploring mental health and substance misuse. In the afternoon, we will be covering medical case risk management. There will be plenty of opportunities for panel and audience discussions and debate.

This meeting will cover:

  • Aviation mental health - appreciating the Psychiatrists view; carrying out mental health assessments in safety-critical workers
  • Post-Traumatic Stress Disorder and managing work-related exposures to traumatic events in a session led by Professor Neil Greenberg
  • Drug and alcohol misuse - an update on testing in the workplace and practical considerations
  • Cases from a practitioners viewpoint - how to provide a balanced and justifiable assessment for fitness to work
  • Regulatory risk assessment for aviation, rail and road – considerations in decision-making, standards and case-based flexibility
  • An overview of the Transport Health and Work Programme at the Health and Safety Executive (HSE)

Key speakers

Professor Neil Greenberg

Consultant Occupational & Forensic Psychiatrist, Professor of Defence Mental Health, Kings College London

Speaker's biography

Professor Neil Greenberg is a consultant occupational and forensic psychiatrist. Neil served in the United Kingdom Armed Forces for more than 23 years and has deployed, as a psychiatrist and researcher, to a number of hostile environments including Afghanistan and Iraq. Neil is an advisor to the Academic Department of Military Mental Health and also runs psychological health consultancy, March on Stress.

Dr Stuart Mitchell

Consultant Aviation & Occupational Physician, Head of Aeromedical Safety Systems and Emerging Technologies, Civil Aviation Authority


View the programme

Registration, tea and coffee
Welcome and introduction

Dr Lisa Curran, President, Royal Society of Medicine Occupational Medicine Section and Dr Anne de Bono, President-elect of the Faculty of Occupational Medicine

Session one

Mental health and substance misuse

Dr Lisa Curran, President, Royal Society of Medicine Occupational Medicine Section

Substance abuse - drug and alcohol misuse and testing update

Dr Rikard Moen, Chief Medical Officer, Optima Health




Traumatic stress and post-traumatic stress disorder in transport workers

Professor Neil Greenberg, Professor of Defence Mental Health, King’s College London

Tea and coffee break
Aviation mental health – mental health in safety-critical workers

Dr Andreas Schenk, Consultant Psychiatrist in Aviation Psychiatry, Consultant Adviser in Psychiatry, National Air Traffic Agency, Civil Aviation Authority

Train drivers – Mental health fitness for work case

Dr Mark Hall, Chief Medical Officer, Medigold

Panel discussion

Session two

Medical conditions and risk assessment

Dr Rae Chang, Chief Medical Officer, National Air Traffic Services, Member Faculty of Occupational Medicine

Risk assessment in aviation

Dr Stuart Mitchell, Consultant Aviation and Occupational Physician, Head of Aeromedical Safety Systems and Emerging Technologies Safety and Airspace Regulation Group, UK Civil Aviation Authority

Fitness to drive

Dr Nick Jenkins, Senior Driver and Vehicle Licensing Agency Doctor, Driver and Vehicle Licensing Agency, Swansea

Tea and coffee break
The health and safety executive – Regulation in the transport sector and health and safety case studies

Dr Alan Craddock, Head of Operations, Health and Safety Executive

Obstructive Sleep Apnoea – A case study

Dr Nomy Ahmed, Specialist in Aviation and Occupational Medicine, FlyingMedicine Ltd

Panel discussion and question and answer session
Concluding remarks

Dr Lisa Curran and Dr Anne de Bono

Close of meeting
Drinks reception


Royal Society of Medicine, 1 Wimpole St, Marylebone, London, W1G 0AE, United Kingdom

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