School of Health Sciences and Social Work

Additional Health Information

Occupational Health & Exposure Prone Procedure [EPP] Guidance

All applicants who undertake clinical placements will be assessed in accordance with the DOH guidance (2007) Health Clearance for tuberculosis, hepatitis B, hepatitis C and HIV: New healthcare workers.

Standard Health Clearance

Applicants must have had appropriate screening and received advice relating to protection against potential work related infections as below:


  • Mantoux screening and subsequent administration of BCG vaccination, OR
  • Documentary evidence of BCG scar check by OH Professional, OR
  • Documentary evidence of immunity can be provided against Tuberculosis, OR
  • If new entrant to UK from high risk countries ,or individuals who have travelled for periods in high risk areas or have been in contact with high risk patients will require IGRA (Quantiferon or T spot) and subsequent action in line with the NICE guidance 117 (March 2011).


  • History of disease (if not originating from a Tropical country), OR
  • A blood test can be taken to identify levels of immunity, OR
  • For those who have no immunity 2 doses of vaccination

Measles, Mumps, Rubella

  • 2 doses of vaccination unless documentary evidence of immunity can be provided against Rubella and Measles 

Hepatitis B

  • 3 dose primary course
  • Post-immunisation blood test for seroconversion
  • Boosters for low level responders and appropriate recall
  • Documentary evidence of immunity can be provided against Hepatitis B 
  • Non responders to Hepatitis B vaccines will receive counselling in relation to reporting sharps and contaminated incidents.

Paramedic Science and Operating Department Practice applicants will need ‘additional health clearance’ to the standard required for performance of Exposure Prone Procedures because these form part of their everyday work. All students who are required to perform these procedures will either be required to provide Identified Validated Sample (IVS) results or be tested in accordance with Department of Health Guidelines:

  • Hepatitis B surface antigen
  • Hepatitis B surface antibody
  • Hepatitis C antibody
  • HIV 1 & 2 antigen/antibody

Please note all testing for BBV involves the individuals’ informed consent.

Travel to placement and placement requirements for attendance

Clinical placements are normally located within Hampshire and the Isle of Wight, but can also extend beyond these boundaries in some programmes. Ability to travel to and from placements needs to be considered across the 24/7 spectrum of patient care. Unsocial hours and shift patterns are an expectation of all healthcare programmes in order to meet professional outcomes and prepare you for future career roles. Healthcare is increasingly looking at a service which covers a 7 day week and all acute healthcare is a 24/7 provision of care.

Health conditions and being a Paramedic

If you are considering applying for the Paramedic programme at the University of Portsmouth there are some health conditions, such as diabetes and epilepsy, which may limit your future options. Some conditions would not preclude you from applying for, and if successful, being accepted on the programme, but they may provide impediments to your pursuing a successful career as a paramedic once you have graduated.

This is particularly so if you choose to apply to work for an organisation, such as an NHS Ambulance Trust, which might expect you to undertake a role where emergency driving, or driving a vehicle over 3.5 tonnes, forms part of your employment. All current advice available to us at this time indicates that conditions such as diabetes and epilepsy may prevent you from fulfilling these requirements and you should seek further advice.

You should also consider that upon successful completion of the programme you will be eligible to apply for registration with the Health and Care Professions Council (HCPC) who will have their own requirements for registration.

Further information can be found here:

Advice from the College of Paramedics

Health and Care Professions Council