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Musculoskeletal disorders
tackling a familiar problem in new ways
Elizabeth Warren & Mike Paton
Outline
• MSD - a familiar health problem
• HSE’s strategy for tackling MSDs & what
we’re doing
• Insight - understanding attitudes and
behaviours
• Specific initiatives in health and social care
– Ambulance sector
– National NHS inspection programme
• How can you help?
Familiar health problem?
How we thing about health?
prevent
work-related
ill health
employer support
on health
promote general
worker health
HSE and LAs
Public health (DHSC, PHE, LAs)
DWP,
Scottish
Government,
Welsh
Government Extending
employment
health benefits to
those not
currently working
Model: prevent – support – promote
Familiar workplace health problem
• employs 13% of the UK workforce
• 195,000 cases of work-related ill health each
year - 30% (58,000) are due to musculoskeletal
disorders
• high MSD prevalence rate (1,460 cases per
100,000 workers)
• highest rates in nurses, care workers/home
carers, nursing auxillaries/assistants
• 71,000 non-fatal self-reported injuries (RIDDOR)
in last 3 years
• lifting or handling (24%) injuries 2nd most
common behind slips and trips (39%)
Health and social care sector ?
HSE’s strategy for tackling ill health
Identify
Avoid
Assess
Reduce (Control)
Manage/Support
Promoting risk management approach
Hazardous
MSD
activities
Approaches Purpose Activities
Communications • raise awareness & engagement to land
key messages
• amplify enforcement activities
• Go Home Healthy
• summits
• website refreshes
Initiatives/ campaigns • go to the right places
• target the right things
• change behaviours and actions
• design award
• training challenge
• transport/logistics – think differently
Inspections
• target priority areas
• reduce risks and protect people
• raise standards and check compliance
• enforcement - hold poor performers
accountable
• food & drink
• healthcare & residential care
• agriculture, waste & recycling
• construction
• logistics - distribution/warehousing
Tools/ guidance
• identify, avoid, assess, reduce, manage
• provide the basics for SMEs
• comply with law
• share good practice
• revised risk assessment (eg MAC) tool
• digital versions of MSD toolkit
• body mapping guidance
• signposting
Stakeholders
• ownership, leadership
• Insight, feedback, consultation
• what works - pragmatism
• manual handling task & finish group
• alliance with charities & research centres of
excellence
• trade organisations & TUC
Research/ insight • understand attitudes and behaviours
• knowledge gaps & evidence base
• emerging risks
• strategic research review
• insight research in construction, healthcare & logistics
• audience measures
Evaluation • part of ABCDE model
• impact/feedback
• resources
• programme evaluation in place
• panel survey
What else are we doing?
Manual handling training challenge
‘Risk reduction by design’ award
• Versal slide sheet example –Darlington NHS Foundation Trust
(https://www.youtube.com/watch?v=oMOvdv6o-AI)
• Harris trolley example – Lincolnshire Community Healthcare Trust
(https://www.youtube.com/watch?v=Jn2d7GqFQ1w)
12
Insight Research - Tri-sector exploration
http://www.hse.gov.uk/research/insight/msd-report.pdf
Health and Social Care Services Sector Initiatives
Ambulance sector • Board intervention • Task and Finish
Group
National NHS Inspections
• Targeted at violence and aggression and MSD
• Plan Do Check Act
Areas of weakness SMART objectives KPIs TU/worker involvement Insufficient time Equipment Training Monitoring
Costing MSDs
Monitoring using
leading indicators
Know where greatest risk
SMART objectives
Team work
KPI
elizabeth.warren@hse.gov.uk
How can you help?
• Looking for examples of design
solutions
• Examples of what good looks like or
innovative approaches that work
• Challenge poor practice
• Promoting Go Home Healthy in social
media and campaigns
• Make a commitment that will help
deliver HSE’s MSD health priority
Contact: elizabeth.warren@hse.gov.uk; and michael.paton@hse.gov.uk
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