IOSH Managing trauma at work and Employment Law Update 5th December 2014 Stephen Robinson Michelle Gray Partner Associate Partner 2 Managing trauma at work By Michelle Gray 3 What will the talk cover? 1) 2) 3) 4) 5) 6) Statistics Legal requirements Other requirements Practical response Secondary victims Benefits 4 Current Statistics •Estimated £14.2 billion - cost to the economy for work related injuries and ill-health •Estimated 28.2 million - working days lost •133 workers fatally injured in 2013/2014 •629,000 -injuries at work •Main industrial sectors that have the highest rates of fatal injuries o Construction – 1900 (major/specified injuries) o Agriculture – 292 (major/specified injuries) o Manufacturing 3159 (major specified injuries) o Recycling – 486 (major/specified injuries) -HSE Report 29 October 2014 5 6 A CASE EXAMPLE • Pyranha Mouldings Ltd in Runcorn • Alan Catterall, 54, from Runcorn, Cheshire, had gone into the oven to fix a fault when operator Mark Francis, not realising he was still working inside, switched the machine on and locked him in. • Liverpool Crown Court heard that because there was no alarm Mr Catterall tried to escape using a crowbar but because of the noisy working environment no one heard his cries for help. 7 What are my legal obligations as an employer? Management of Health and Safety at Work Regulations 1999 – SI 1999/3234, • Requirement to manage the health and safety aspects of their activities in a systematic and responsible way. • The Regulations include requirements for risk assessment, the availability of competent health and safety advice and emergency procedures. The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013, SI 2013/1471, • The primary purpose of RIDDOR 2013 is to impose a duty on employers to: o report to the Health and Safety Executive (HSE), and o to maintain records of certain occurrences 8 Are there any other steps to consider? Addressing medical requirements – for example emergency services Any remaining immediate threat – evacuation? Emergency response plan in place? Consideration of preserving the scene Authorities – who will have control of the site? Prohibition Notice? Press Employers own investigation 9 What is trauma? • Different to stress • ‘Deeply distressing or disturbing experience’ (dictionary definition) • Symptoms of flashbacks, persistent anxiety, sleep disturbance, distraction, nervousness, PTSD 10 More statistics - trauma • 1.5% of all workers suffering in any given year • 9 out of 10 will suffer a traumatic event in their lives • A third will develop trauma-related illnesses 11 I work in HR- how should I respond to an employee dealing with trauma? • • • • • • No “one size fits all” approach Don’t assume Communicate Seek professional advice Keep records Consider reasonable adjustments 12 Policy Considerations 13 • However, nothing can beat being prepared in the occasion of any traumatic event. • A specific policy can provide essential clarity and guidance for secondary victims and their managers and are significantly under utilised by employers across all sectors. 14 Policy considerations cont…… • • • • • • Risk assessment Trigger points Referral Monitoring Training Review 15 TraumaA focus on secondary victims 16 Legal-How do the courts define secondary victims? • A secondary victim is someone who, when witnessing an accident, suffers injury consequential upon the injury, or fear of injury, to a primary victim. • Taylor v A Novo 2013 • Prevented a daughter recovering damages for psychiatric injury following the death of her mother three weeks after an accident at work. • Daughter had witnessed her mothers death but not the accident itself. • Undisputed that if the daughter had been present at the time of her mothers accident at work, and suffered PTSD as a result, she would have been classed as a secondary victim and been entitled to recover damages for her injury. 17 18 THINK OUTSIDE THE BOX • It doesn‘t take just a physical event to produce secondary victims of trauma. • Think about how all your existing working practices could be traumatic to those with close encounters to them: •Redundancy •Disciplinary •Workplace bullying 19 Benefits of trauma management 20 What are the benefits of trauma management? In a study at the Royal Mail Group over a 2 year period, 815 RMG workers were identified as having been exposed to a traumatic incident and then tracked for a 13 month period. RMG were using a combination of: •Early crisis management on the day of the incident, •SPoT ‘support post-trauma’ meetings and •Further ongoing support from a medical professional. 21 RMG study continued… 37% of the respondents reported receiving some form of crisis management on the day of the incident and SPoT and those that did scored significantly higher on three important aspects of post trauma management: 1.Reassurance that symptoms were normal 2.Knowledge of where to go for further information about their reactions 3.Knowledge of who and where to go in the organisation for further support Absence was found to be significantly correlated with perceived organisational support, with those who felt supported immediately post trauma having lower absence 12 months later. - Early Intervention Following Trauma (2006) British Occupational Health Research Foundation 22 What are the other benefits to trauma management? • • • • • • • • Minimise exposure to legal implications Operational services will recover more quickly PR Reassure employees Minimise management time Reduce cost of recruiting temporary staff Reduce sickness absence Productivity 23 Employment Law Update (from a health and safety perspective) By Stephen Robinson 24 During National Health and Safety at Work Week at the beginning of November 2014, the 11th biennial TUC survey of union health and safety representatives was published. It looked at the top-five hazards. They were stress in first place, then bullying and harassment, overwork, back strains and slips, and trips and falls on a level. Over two-thirds of safety reps (67 per cent) taking part in the survey said that stress, and the effect it is having on their colleagues, is one of the main concerns they have to deal with at work. One in six of the workplace reps who completed the survey say their employers are failing to conduct risk assessments in breach of health and safety law. 25 Stress The latest YouGov polling for the TUC has found that: • Two thirds of employed people say the amount of work they are expected to do has grown over the past few years • More than a third are expected to do unpaid overtime • One in five say they have seen at least one person sacked or made redundant without good reason. • • • Stress accounts for 40% of all work related illness Total number of working days due to stress, depression or anxiety was 11.3 million in 2013/2014 OECD estimates the cost of mental ill health to UK employers at £26bn each year 26 Solutions to stress • Try to identify the cause if possible! • Provide guidance to line managers and managers to spot the symptoms and warning signs of stress amongst employees • The Stress Management Society suggest that for every £1 you invest in staff well-being, there’s a return of £3 in improved efficiency and productivity • Ensure employees have regular one to ones and/or appraisals • Remote working culture can be difficult to monitor – keep lines of communication open as always 27 Google is one employer who have introduced creative solutions to stress management from offering free food and massages while on site to nap pods for employees to take a break in… … BUT, some have commented that these unique solutions only serve to provide more stress on employees, making them feel that now there is no ‘excuse’ to leave the office at all and promoting the long hours culture. 28 A poll from One Poll surveyed more than 2,000 people and found that more than 50% of all workers believe being open about a common mental health problem would damage their career prospects. 29 ABSENCE MANAGEMENT CIPD Annual survey on absence management 2014: • • • • • • • • The number of days taken by employees as sick leave has fallen from an average of 7.6 days in 2013 to 6.6 days this year There has been a fluctuating downward trend in absence rates over the last five years in all business sectors other than production and manufacturing which have remained largely constant The median cost of absence is £609 per employee (which has changed little over the last few years) Minor illnesses such as colds, stomach upsets and migraines are the most common cause of short term absences Stress is a common cause of long term absence Two fifths of employers reported that stress absences had increased over the last year with workload being cited as the most common cause of stress The average absence rate in the private sector is 5.5 days per year Public sector organisations have the highest absence rates with the average number of sick days in these organisations falling from 8.7 days last year to 7.9 days this year 30 • When junior doctor Ed Holloway took time off sick, colleagues were happy to cover for him. • But after he returned to work with a suntan – even though the weather at home had been miserable – they became suspicious. • However, when one of them recognised his voice on the TV commentary for a showjumping event in the US that they realised they had fallen for an audacious con. • Far from being at home recovering from his illness, the urologist had been moonlighting by making TV appearances at top eventing competitions. • Mr Holloway was sacked and has now been struck off after a disciplinary panel ruled his repeated dishonesty was ‘fundamentally incompatible’ with working as a doctor. 31 United Biscuits Strike Absence levels are apparently at 3 times the industry average but the GMB Union has hit back and blamed poor management style for low morale and high levels of absence. A spokesman for the company has said that "No employee is in any way worse off in relation to the proposals being discussed. Casual absence at Aintree is running at 8%, the highest levels we've seen since 2006 and three to four times the national average. This means that at any given time one in 12 of the workforce at Aintree is off sick, costing the company 16,000 working days a year. This is unsustainable.” The firm wants to use a points system, known as the Bradford Factor, which gives a higher score for staff who take frequent short absences. The GMB fears the new system will result in more staff with high scores losing their jobs and being penalised for absence. 32 Dealing with absence management • Maintain a clear and concise policy and stick to it • Ensure all employees are aware of the policy and/or any plans to change it and why • Be consistent 33 Contagious diseases and Ebola • Sometimes absence can’t be helped or avoided • Nurovirus, flu and in extreme cases life threatening disease • Ebola is an extreme but topical example – how would your company fare if the infection reached UK shores? • There is still no known cure to Ebola • Just four NHS Hospitals are on standby to deal with cases 34 What to do? Few companies in the UK have taken specific advice or implemented a specific policy in relation to the outbreak and there is no definitive guide. Here’s our round-up of the best advice out there: • Monitor advice from agencies like the HSE and WHO. • Update contact details of employees and circulate the emergency contact details for key employees • Displaying signs of the symptoms and the steps employees should take if they suspect they may have come into contact with someone with Ebola • Ask employees to report to HR if they have been to a high risk destination or inn in contact with someone who has been to a high risk destination regardless of whether or not they are exhibiting symptoms. 35 • Conduct a risk assessment to identify areas of standard business practice which would make the workplace vulnerable in the event of either an isolated incidence of Ebola or a wider pandemic • Review health and safety policies and workplace hygiene practices. • Review contingency plans for staff absence arising from employees or dependents suffering from symptoms. • Consider how to deal with employees who refuse to attend work through fear of contracting the virus from colleagues or in the belief that they are unreasonably exposed as a result of their particular duties. • Review the effectiveness of IT and communication facilities to support homeworking. Systems should be adequately stress-tested to potentially hold up to significant numbers of employees working remotely where possible 36 • Review relevant HR policies. In particular, sickness absence and dependent leave policies should be revisited. Consider whether more flexibility will be required, and ensure that relevant policies and any changes made to them are clearly communicated to employees. • Be prepared to enforce absence and to ask employees to stay at home if necessary to avoid the spread of infection until they and/or colleagues have been medically cleared to return. • Those with organised workforces may need to consider whether to involve their respective employee forums or trade unions in planning and communicating advice effectively to employees. Some employers will already have plans in place but they should still be kept under review to ensure that the contents are appropriate in the current circumstances. 37 Caution on being too overzealous however… • A security guard has been told not to go to work over fears he may have ebola because he visited Africa. • Sam Ogunnoiki, 46, went to Nigeria – 2,000 miles away from the nearest country with the disease – but faces a three-week quarantine. • He was told by bosses at Stout Security Ltd that he needs to get the all-clear from a British doctor before he can go back to work. • The letter said: ‘Several members of staff have now voiced their concerns about the possibility of your carrying the Ebola’. • He is on a zero-hours contract so now worries about not being paid. 38 Any questions? Please feel free to approach us at the end or email us with any further queries Stephen.Robinson@laytons.com http://uk.linkedin.com/in/stephenrobinsonemploymentlaw @Srobinsonlaw Michelle.Gray@laytons.com https://uk.linkedin.com/in/michellegrayemploymentlawyer @MichelleGEmpLaw 39