British Chambers of Commerce
The Power of the
Chamber Global Network
Liverpool, 15 July 2014
Health at Work
Dame Carol Black
Expert Adviser on Health and Work
Department of Health and Public Health England
Principal, Newnham College Cambridge
The Workplace and Health
“ The potential to change positively the health of the
individual, the profitability of the employer, and the
productivity of the nation, in workplace settings, has
been greatly underestimated.”
Richard Heron, Editorial, Occ.Med 2013:63:314
The business case can be made. Tools on assessment etc :
• DWP spreadsheet www.dwp.gov.uk/health-work-and-well-being
• NICE business case
www.nice.org.uk/PH22
• NHS Employers, tool www.nhsemployers.org
Initiatives
Engage for Success
Toolkits to make
the business case
RCP/FOM
NICE Audit
Development
tools,
guidance,
audit
Public Health
Responsibility Deal
Workplace
Wellbeing Charter
DH High Impact
Factors
NHS Employers’ Road map to
Staff Health and Wellbeing
Employee Engagement
Concept of Employee Engagement :
a workplace approach, related to safety and well-being,
designed to ensure that employees are:
•
•
•
committed to their organisation’s goals and values
motivated to contribute to organisational success, and
also able to enhance their own sense of wellbeing.
David MacLeod and Nita Clarke
Now a movement encouraged by the Department of Business,
Innovation and Skills, delivered through a taskforce of willing
contributors from business, industry and the public sector
– becoming successful in the UK, with regional networks
and ambassadors
www.engageforsuccess.org
• evidence-based paper, video
Healthy Engaged Workforces
Mortality
4.0
Staff engagement
in NHS Trusts,
2009-13
Engagement
104
mean 100
102
100
3.5
98
Mortality
96
94
92
3.0
90
Low
•
Medium
High
Engagement
2009 10
11
12
13
Hospitals with high staff engagement scores have standardised
mortality rates lower (by 5%) than those with medium scores.
• Failure to unlock employees’ ‘discretionary effort’ costs businesses dearly,
cutting est. £6 billion – equivalent to 0.4% of GDP – from the UK economy in 2012.
“Our productivity gap is matched by an ‘engagement gap’ .. UK output per hour is
15% less than the G7 average. Britain ranks about ninth among the world’s
top economies for engagement.”
(Archie Norman, Daily Telegraph, 2013)
Public Health Responsibility Deal
Health at Work pledges
“ The Responsibility Deal is a Coalition response to challenges which we
know cannot be solved by regulation and legislation alone .. ..
. a partnership between Government, business and other
organisations that balances proportionate regulation with
corporate responsibility.”
Established 2010 , delivered through four Networks (food, alcohol,
physical activity and the ....
Health at Work Network, with nine collective pledges :
-
H1.
H2.
H3.
H4.
- H7. Mental Health in the workplace
Chronic conditions guide
- H8. Young persons’ health at work
Occupational health standards
Board Reporting, health & well-being
- H9. Domestic violence plus
Healthier staff restaurants
- H5. Smoking cessation/Respiratory health - H10. Specific to the construction
industry.
- H6. Staff Healthchecks
PHRD Pledge for Construction
and Civil Engineering Industries
A special pledge for construction within the Public Health Responsibility Deal
“As organisations working in the construction or civil engineering industries, we will
take action to manage the causes of occupational disease and to improve the
health and well-being of people working across offices and sites, large and small.
We recognise that prevention and early intervention are the keys to success, and will
take continuing action on the following:
(1) Annual reporting of the health and well-being of employees
(2) Provision of clinical Occupational Health Services (OHS) that work in
accordance with the relevant standards e.g. SEQOHS
(3) Arrangements to develop a programme to actively promote health and wellbeing and the effective management of health.
We also pledge to encourage our subcontractors and our supply chains to endorse
at least one of the actions above to implement good health and well-being activities.”
Public Sector : Health and Wellbeing
Improvement Framework (DH for NHS)
…. sets out five high-impact changes that NHS organisations can follow to
improve staff health and well being and reduce sickness absence:
Developing
local
evidencebased
improvement
plans
With
strong
visible
leadership
Supported by
improved
management
capability
Better, local
high-quality
accredited
Occupational
Health services
With all staff
encouraged
and enabled
to take more
personal
responsibility
• The Department of Health published a Health and Well-being
Improvement Framework which highlights the evidence and detail behind the
5 high impact change pathway: uptake is supported by NHS Employers.
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsP
olicyAndGuidance/DH_128691
HWIF 2 : Strong visible leadership
• Board level involvement will make the difference
• Where NHS Boards live the values they want to
achieve, staff will take those values seriously.
• A named board member responsible for H&WB and reviewing
progress every 6 months will drive this agenda forward.
Example: York Teaching Hospitals NHS FT
• Used board engagement to drive progress across the Trust
• Board visibly involved in events to promote better health and wellbeing, and communicated this to staff.
• Delivered sickness absence savings of £2.7m yearly, and 72%
reduction in long-term absence.
NHS Employers :
Roadmap to staff health and wellbeing
RCP Audit of NICE Guidance :
NHS Trusts in England : Summary
Board
engagement
Obesity
Physical activity
Smoking
cessation
Long-term
sickness absence
6 NICE Guidances
Improvement in most
areas in the 3 years
between Round 1 and
Round 2.
2010
2013
Promoting
mental wellbeing
Overall
Setting higher standards
Workplace Wellbeing Charter
National Standards and Awards
• Eight standards to promote good, safe and healthy work, evidence-based,
SME focussed, developed in Liverpool, now popular nationally.
• Standards set for Leadership, Attendance Management, Health and
Safety Requirements, Mental Health and Wellbeing, Smoking and Tobaccorelated ill-health, Physical Activity, Healthy Eating, Alcohol/Substance Misuse.
Awards given to organisations that achieve the Standards.
• Public Health England have supported refreshing
the Charter and Standards, on a national basis, and
providing toolkits, topic guides etc to enable businesses
to engage with the scheme, launched June 2014.
CBI : GETTING BETTER 2014
Workplace Health as a Business Issue
“ The working world is getting ever more
complex, with flexibility and globalisation
beginning to break down the barriers of
what we are used to.
In the UK, we need to compete on the
quality of what we do – and that makes
staff performance and productivity vital.
And workplace health is essential to both
of those key factors. ”
Sponsor: Medicash
Neil Carberry
CBI director of employment & skills