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www.hertsdirect .org Health Inequalities and the Workplace Why should you care? Jim McManus, CPsychol, CSci, AFBPsS, FFPH, FRSPH, MCIPD Director of Public Health

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Health Inequalities and the Workplace Why should you care?. Jim McManus, CPsychol, CSci, AFBPsS, FFPH, FRSPH, MCIPD Director of Public Health. I will cover. Health inequalities Why you should care What can we do about it?. 1. Health Inequalities. And Hertfordshire shows the same pattern!. - PowerPoint PPT Presentation

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Page 2: Health Inequalities and the Workplace Why should you care?

www.hertsdirect.org

I will cover• Health inequalities• Why you should care• What can we do about it?

Page 3: Health Inequalities and the Workplace Why should you care?

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Page 4: Health Inequalities and the Workplace Why should you care?

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1. Health Inequalities

Page 5: Health Inequalities and the Workplace Why should you care?

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Page 6: Health Inequalities and the Workplace Why should you care?

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And Hertfordshire shows the same pattern!

Page 7: Health Inequalities and the Workplace Why should you care?

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The Problem• Increasing non-communicable disease

– Smoking, obesity• Increasing mental ill health• Increasing sickness absence• Increasing loss to business productivity and

performance from sick pay• Avoidable cost of managing and replacing sick

and absent staff

Page 8: Health Inequalities and the Workplace Why should you care?

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Hertfordshire • 2,200 early and avoidable deaths per annum• Most of them preventable• Problems start in working age life with sickness absence• Common causes: inactivity, MSK problems, diet,

alcohol, smoking• Significant avoidable stress and mental health costs• The human side of resource depreciation because it isn’t

looked after• WE REALLY MUST DO SOMETHING! BUT WHAT?

Page 9: Health Inequalities and the Workplace Why should you care?

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Premature death in Hertfordshire• The causes of premature mortality can be

grouped into four main conditions which account for around 80% of premature deaths. These are:

• cancer• heart disease and stroke• lung disease• liver disease

Page 10: Health Inequalities and the Workplace Why should you care?

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Adults smoking

10

12

14

16

18

20

22

24

26

28

3020

09-2

010

2010

-201

120

11-2

012

2009

-201

020

10-2

011

2011

-201

2

2009

-201

0

2010

-201

1

2011

-201

2

2009

-201

0

2010

-201

1

2011

-201

2

2009

-201

0

2010

-201

120

11-2

012

2009

-201

0

2010

-201

120

11-2

012

2009

-201

020

10-2

011

2011

-201

2

2009

-201

020

10-2

011

2011

-201

2

2009

-201

0

2010

-201

1

2011

-201

2

2009

-201

0

2010

-201

1

2011

-201

2

2009

-201

0

2010

-201

120

11-2

012

2009

-201

020

10-2

011

2011

-201

2

England Hertfordshire Stevenage Welw ynHatf ield

Three Rivers Broxbourne Hertsmere St Albans Dacorum NorthHertfordshire

Watford EastHertfordshire

Perc

enta

ge

Source: Off ice of National Statistics (ONS)

15717

18023

20957

15320

169381 1571720444 21262

16733 11687

1499

Page 11: Health Inequalities and the Workplace Why should you care?

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Increasing and higher risk drinking 2008/09

20.5

21.0

21.5

22.0

22.5

23.0

23.5

24.0

Perc

enta

ge

Source: General Lifestyle Survey (GLF)

2590426277

2343921648 26469

1481915506

1586216014

17399

Page 12: Health Inequalities and the Workplace Why should you care?

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Hospital Stays for Alcohol Related Harm

18432

197316842280

2246153722651339

189114361782

600

800

1000

1200

1400

1600

1800

2000

2007

-08

2008

-09

2009

-10

2010

-11

2007

-08

2008

-09

2009

-10

2010

-11

2007

-08

2008

-09

2009

-10

2010

-11

2007

-08

2008

-09

2009

-10

2010

-11

2007

-08

2008

-09

2009

-10

2010

-11

2007

-08

2008

-09

2009

-10

2010

-11

2007

-08

2008

-09

2009

-10

2010

-11

2007

-08

2008

-09

2009

-10

2010

-11

2007

-08

2008

-09

2009

-10

2010

-11

2007

-08

2008

-09

2009

-10

2010

-11

2007

-08

2008

-09

2009

-10

2010

-11

2007

-08

2008

-09

2009

-10

2010

-11

England Hertfordshire Broxbourne Watford Hertsmere Stevenage NorthHertfordshire

Three Rivers EastHertfordshire

Dacorum Welw ynHatfield

St Albans

Rate

per

100

,000

Source: Hospital Episode Statistics (HES) via Health and Social Care Information Centre (HSCIC)

Page 13: Health Inequalities and the Workplace Why should you care?

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Adults smoking

10

12

14

16

18

20

22

24

26

28

3020

09-2

010

2010

-201

120

11-2

012

2009

-201

020

10-2

011

2011

-201

2

2009

-201

0

2010

-201

1

2011

-201

2

2009

-201

0

2010

-201

1

2011

-201

2

2009

-201

0

2010

-201

120

11-2

012

2009

-201

0

2010

-201

120

11-2

012

2009

-201

020

10-2

011

2011

-201

2

2009

-201

020

10-2

011

2011

-201

2

2009

-201

0

2010

-201

1

2011

-201

2

2009

-201

0

2010

-201

1

2011

-201

2

2009

-201

0

2010

-201

120

11-2

012

2009

-201

020

10-2

011

2011

-201

2

England Hertfordshire Stevenage Welw ynHatf ield

Three Rivers Broxbourne Hertsmere St Albans Dacorum NorthHertfordshire

Watford EastHertfordshire

Perc

enta

ge

Source: Off ice of National Statistics (ONS)

15717

18023

20957

15320

169381 1571720444 21262

16733 11687

1499

Page 14: Health Inequalities and the Workplace Why should you care?

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Health eating adults

15

20

25

30

35

4020

03-0

5

2006

-08

2003

-05

2006

-08

2003

-05

2006

-08

2003

-05

2006

-08

2003

-05

2006

-08

2003

-05

2006

-08

2003

-05

2006

-08

2003

-05

2006

-08

2003

-05

2006

-08

2003

-05

2006

-08

2003

-05

2006

-08

2003

-05

2006

-08

England Hertfordshire Broxbourne Stevenage WelwynHatfield

Watford Dacorum Hertsmere NorthHertfordshire

Three Rivers EastHertfordshire

StAlbans

Perc

enta

ge

Source: The Health Survey for England (HSE) National Centre for Social Research (NatCen)

6700 5900

9465 723512365 8565 11100

7900 12500

9765

Page 15: Health Inequalities and the Workplace Why should you care?

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Percentage of physically active adults 2007 - 2011

0

2

4

6

8

10

12

14

16

2007

-09

2008

-10

2009

-11

2007

-09

2008

-10

2009

-11

2007

-09

2008

-10

2009

-11

2007

-09

2008

-10

2009

-11

2007

-09

2008

-10

2009

-11

2007

-09

2008

-10

2009

-11

2007

-09

2008

-10

2009

-11

2007

-09

2008

-10

2009

-11

2007

-09

2008

-10

2009

-11

2007

-09

2008

-10

2009

-11

2007

-09

2008

-10

2009

-11

2007

-09

2008

-10

2009

-11

England Hertfordshire Broxbourne Three Rivers Hertsmere Watford WelwynHatfield

St Albans Stevenage Dacorum NorthHertfordshire

EastHertfordshire

Perc

enta

ge

Source: Sport England's active People Survey (APS)

Page 16: Health Inequalities and the Workplace Why should you care?

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Obese adults

14

16

18

20

22

24

26

28

2003

/05

2006

/08

2003

/05

2006

/08

2003

/05

2006

/08

2003

/05

2006

/08

2003

/05

2006

/08

2003

/05

2006

/08

2003

/05

2006

/08

2003

/05

2006

/08

2003

/05

2006

/08

2003

/05

2006

/08

2003

/05

2006

/08

2003

/05

2006

/08

England Hertfordshire Broxbourne Stevenage Dacorum NorthHertfordshire

Hertsmere EastHertfordshire

WelwynHatfield

Three Rivers Watford St Albans

Perc

enta

ge

Source: The Health Survey for England (HSE) National Centre for Social Research (NatCen)

6500565

4185 7465 58007700

6065

4300

3900 6200

Page 17: Health Inequalities and the Workplace Why should you care?

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Mental Health• Biggest single cause of sickness absence• Mostly avoidable or remediable at early stages• Significant cause of ET claims and workplace

disputes• Area most employers feel least prepared for• 1 in 4 of population have in lifetime• 1 in 3 of workforce report sickness absence

around it

Page 18: Health Inequalities and the Workplace Why should you care?

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Hertfordshire percentage projected population change 2010 to 2035

Age Group Percentage Change All persons - 0-4 6.89 All persons - 5-9 21.27 21.27All persons - 10-14 24.04All persons - 15-19 18.36All persons - 20-24 13.32All persons - 25-29 13.56All persons - 30-34 11.68All persons - 35-39 8.35All persons - 40-44 9.49All persons - 45-49 11.91 All persons - 50-54 20.83All persons - 55-59 25.24All persons - 60-64 20.16All persons - 65-69 59.04 All persons - 70-74 69.54 All persons - 75-79 51.01All persons - 80-84 53.82All persons - 85-89 102.96All persons - 90+ 231.33

Page 19: Health Inequalities and the Workplace Why should you care?

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2. Why should you care?

Page 20: Health Inequalities and the Workplace Why should you care?

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Because it’s costing you• Sickness absence• Productivity

Established relationship between lifestyle related risk factors (smoking, inactivity, obesity) and productivity absenteeism and health claims.

• (Buron et al,2005, Wellsource, 2006 & University of Michigan, 2006)

Page 21: Health Inequalities and the Workplace Why should you care?

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Doing nothing is not an optionThe do-nothing strategy of waiting for sickness and then

paying for treatment isn’t cost neutral – it costs you• Lifestyle related risk factors and behaviours of

employees as well as unhealthy work environments and practices drive costs.

• High risk employees incur high costs whatever the outcome measure: pharmaceutical, absenteeism, compensation costs or productivity.

• Now I’m going to prove it….

Page 22: Health Inequalities and the Workplace Why should you care?

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What is the root issue?• There is a flow from low risk to high risk to

disease for the working age population• This leads to:• Diseases of lifestyle• More risk, more absence• Compound risk, compound absence• Low productivity

Page 23: Health Inequalities and the Workplace Why should you care?

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What does this mean for you as employers?• Chronic disease related deaths account for 56% of all deaths in the

working-age population in the world (World Health Organization).

• High prevalence of major modifiable health risks contributes to the epidemic of chronic disease.

– Elevated BMI (BMI ≥25kg/m2) Obesity (BMI ≥ 30 kg/m2)– Inactivity Smoking– Stress Elevated blood pressure

– Elevated cholesterol High blood sugar– Alcohol

• Places an increasing burden on employers: decreased productivity, increased absenteeism, increased health and workers’ compensation claims.

Page 24: Health Inequalities and the Workplace Why should you care?

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Productivity Decreases with Number of Health Risks

Excess

Productivity LossProductivity Loss (%)

Base Cost

Number of Health Risks

(Journal of Occupational and Environmental Medicine 2005;47:769-77 (n = 28,375))

Page 25: Health Inequalities and the Workplace Why should you care?

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Absenteeism Increases with Number of Health Risks

Number of Health Risks

(Journal of Occupational and Environmental Medicine 2005;47:769-77 (n = 28,375))

Base work loss days/yr

Excess Work Loss days/yr

work loss days/yr

Page 26: Health Inequalities and the Workplace Why should you care?

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Work done for Herts byeconomists at

Example: Smoking costs in Herts• total annual cost in Hertfordshire £45,972,899

– NHS Treatment and Care costs: £32,429,375

– Costs to businesses (productivity losses): £12,931,914

– Passive smoking costs: £598,947 (adults: £425,607; children: £173,340)

Page 27: Health Inequalities and the Workplace Why should you care?

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Root causesOne of the root causes of unsustainable

increases in costs is natural flow of individuals from

low risk → high risk →disease →higher employer costs

natural flow estimated at 2% - 4% per year. • (Edington et al, 2009).

Page 28: Health Inequalities and the Workplace Why should you care?

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3. What are we doing about it?

Helping you build workplace wellness through the workplace offer

Page 29: Health Inequalities and the Workplace Why should you care?

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What can be done• An effective Workplace Wellness strategy is to

stop migration of people to higher risk and keep low risk people at low risk.

• Employers costs go up as people age, regardless of their health risk status and as health risk status gets worse, costs go up regardless of age.

Page 30: Health Inequalities and the Workplace Why should you care?

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NICE Business Case 1: Gross Savings• Worked example - for a company with 300

employees earning average £8.20/hr

Average no. of days sickness

absence

Total no. of days sickness

absence Hours per day

Total annual cost

£

% reduction in sickness absence

Total annual savings

£

8.4 2520 7.5 154,980 20% -30,996

On average, sickness absence costs employers 8.4 working days per employee per year (Chartered Institute of Personal Development 2007a). Physical activity programmes at work have been found to reduce absenteeism by up to 20%; physically active workers take 27% fewer sick days (Health, Work and Wellbeing Programme 2008).

Page 31: Health Inequalities and the Workplace Why should you care?

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Nice Business Case 2: InterventionsExamples of Interventions

Cost per employee

£

% of employees taking part

Total Cost£

Health champion/coordinator NA 100% 3,000

Health check

35 100% 10,500

Pedometer challenge

20 50% 3,000

Lunchtime walks

10 50% 1,500

Workplace travel plans

10 100% 3,000

Activity classes

50 30% 4,500

Social events

100 30% 9,000

Discounted local gym membership

100 30% 9,000

Team days - estimated

20 100% 6,000

Signs and posters NA 100%

200

Booklets, leaflets and promotional material

2 100%

600

Total Cost£50,300

Page 33: Health Inequalities and the Workplace Why should you care?

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Interventions with Gold Standard Evidence (Systematic Reviews)• Musculoskeletal disorders

– education about stress management, principles of ergonomics, anatomy, musculoskeletal disorders, and the importance of physical activity.

– 'pause gymnastics', how to use a relaxed work posture, proper positioning, the importance of rest breaks, and strategies to improve relaxation.

– some studies also included how to modify work tasks, work load, working techniques, working positions, and working hours.

– adjustments and recommended alternatives to the existing furniture and equipment at the workplace.

Page 34: Health Inequalities and the Workplace Why should you care?

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Interventions with Gold Standard Evidence (Systematic Reviews)• Standing workers and vein problems• Flexible working interventions that increase worker

control and choice (such as self-scheduling or gradual/partial retirement) are likely to have a positive effect on health outcomes

• Smoking Cessation• Healthy weight management• Stopping movement from low – high risk - disease

Page 35: Health Inequalities and the Workplace Why should you care?

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Healthy Herts• County Council Programme• Reduced Sickness Absence• Increased Health Offer including smoking

cessation, gym, physical activity, emotional wellbeing, roll out of alternatives to Lifts

• Nominated for two awards• Will be rolled out further

Page 36: Health Inequalities and the Workplace Why should you care?

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Our workplace offer• Hertfordshire workplace health offer for

employers• Online tools for behaviour change and mental

wellbeing• First six Herts major commercial Employers

already engaged• Working closely with Business in the Community

as key partner

Page 38: Health Inequalities and the Workplace Why should you care?

Paul WinterChief Executive

www.ibs.co.uk @IpswichBuildSoc

Page 39: Health Inequalities and the Workplace Why should you care?

Business Action on Public HealthWhat we have been doing in the East of England

• Met with 200 employers across the region • Worked to engage the statutory and

voluntary sector• Spoken at regional platforms, presence at

ACAS and Public Health England events• BAOPH pages on BITC website consistently

most visited pages in the region, providing case studies, signposting and employee survey tools

Page 40: Health Inequalities and the Workplace Why should you care?

BAOPH: EngagementLeadership team a good reflection of employers in East of England

167 employees in the network have completed mental health first aid lite training (MHFA accredited), with 59 employees completing full two day training

Practitioner network events engage employers in wellbeing agenda – BITC has run 22 events with over 230 employees having attended

Page 41: Health Inequalities and the Workplace Why should you care?

Organisations with a high level of employee engagement outperform their peers on measures of operating income, net income growth and earnings per share

Physically active employees take 27% less time off than their colleagues

Wider public health impact

The bigger picture

Page 42: Health Inequalities and the Workplace Why should you care?

Obesity

Tackling Obesity in England

estimated 18 million sick days

were attributable to obesity-related illness in 1998, at a cost of £1.3

billion to Employers1

Health problems associated with

being overweight or obese cost the NHS more than £5 billion every

year2

A survey of patients

attending an NHS obesity clinic showed

50% had taken time off for

health problems that could be attributed to their weight3

1: National Audit Office (2001)2: Department of Health, Policy ‘Reducing Obesity and Improving Diet’3: Williams NR, Malik N (2005). “Obesity and work: perceptions of a sample of patients attending an NHS obesity clinic”

Page 43: Health Inequalities and the Workplace Why should you care?

Alcohol misuse

An increasing proportion of working people have been drinking above

recommended guidelines. This invariably has had harmful

implications on health and social behaviour of employees and employers in the workplace1

Up to 17 million working days are lost each year because of alcohol-

related sickness - cost to employers is estimated at £1.7bn2 with total

annual cost to the economy estimated at £7.3bn3

1: Institute of Alcohol Studies, IAS Factsheet, Alcohol in the Workplace (August 2013)2: John Woodhouse and Philip Ward (March 2013), 'A minimum price for alcohol?', House of Commons Library, p. 11, from Home Office (November 2012), 'Impact Assessment on a minimum unit price for alcohol', p. 53: National Institute for Health and Clinical Excellence (June 2010), 'Business case: Alcohol-use disorders: preventing harmful drinking', p. 13

Page 44: Health Inequalities and the Workplace Why should you care?

Tobacco related illnesses

NHS Cost of tobacco related illnesses: £1.7bn per annum1

More than 34 million working days (1% of total) are lost each year because of smoking-related sick leave2

Smokers are twice as likely to be absent from work due to ill health. Cost to employers is over £2bn per annum

1: Clive Bates, Action on Smoking and Health2: NHS Report ‘Stop Smoking Wales’

Page 45: Health Inequalities and the Workplace Why should you care?

Stress, anxiety & depression

Annually, 10.4 million working days were lost due to stress, anxiety or depression, and the average number of days lost during each absence was 24. 1

Cost to NHS of depression, stress, mental health is £4.5bn per annum for adults. Just £4m is spent on promoting good mental health

It is not just absence which hits business. The Centre for Mental Health says that most people suffering with stress continue to work, but may struggle with concentration and effective decision making. It’s estimated that this ‘presenteeism’ costs UK businesses £15.1bn per year in reduced productivity2

1.HSE Labour Force Survey 2012/132.Centre for Mental Health

Page 46: Health Inequalities and the Workplace Why should you care?

Issue for employersEmployers pay £9bn per year in sick pay and associated costs, plus the indirect costs of managing business whilst people are absent

A third of managers have no support in place to help deal with employees experiencing depression

A recent YouGov survey for the TUC found that one in three employees are not engaged in their work

Page 47: Health Inequalities and the Workplace Why should you care?

British Heart Foundation

• 20% of workers do not take a lunchbreak

• 49% feel stressed on a daily basis

• Over two thirds believe their employer should take general responsibility for their health at work

Page 48: Health Inequalities and the Workplace Why should you care?

Leadership team need to set the example

We can spend up to 60% of our day at work – much of this time spent physically inactive, stressed and reliant on caffeine and sugar

Our story

Page 49: Health Inequalities and the Workplace Why should you care?

Our approach

Staff investment• Health and wellbeing programme

including reward scheme• Volunteering• Work-Life balance• Flexible working patterns• Development and training

Resulting in high engagement, low sickness and turnover plus impact on the bottom line

Page 50: Health Inequalities and the Workplace Why should you care?

Paul WinterChief Executive

www.ibs.co.uk @IpswichBuildSoc

Page 54: Health Inequalities and the Workplace Why should you care?

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Agree%

98

4

2

95

Disagree%

Workplace health & well-being

Improving workplace health is seen as strong contributor to business success (2 in 5 strongly agree)

95% believe it is more important in tough economic climate

Page 55: Health Inequalities and the Workplace Why should you care?

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Employers’ reasons for focusing on workplace health are around staff engagement, motivation and absence...

Need to reduce ‘presenteeism’

Type of employees (e.g. gender, age, nationality)

Business leadership keen to improve health

Working style (e.g. shifts, sedentary office, manual labour)

Need to improve productivity

Part of broader employee engagement

Need to change approach to health among employees

Need to reduce absenteeism

Need to engage or motivate staff

37%

37%

48%

52%

62%

65%

75%

79%

85%

Page 56: Health Inequalities and the Workplace Why should you care?

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Type of employees (e.g. gender, age, nationality)

Need to reduce ‘presenteeism’

Business leadership keen to improve health

Working style (e.g. shifts, sedentary office, manual labour)

Need to improve productivity

Part of broader employee engagement

Need to change approach to health among employees

Need to reduce absenteeism

Need to engage or motivate staff

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Series2

Series1

However public health focus is on improving productivity & reducing presenteeism when employers are focusing more on

employee motivation and engagement (NB small base)

Businesses

Public health

Page 60: Health Inequalities and the Workplace Why should you care?

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Our Offer1. Workplace health champions (North Herts College)2. Mental Health First Aid (Bourne Leisure)3. Health Checks and Mini-MOTs (HCC)4. Physical Activity (ServiceLine)5. Weight Management6. Stop Smoking7. Alcohol and Drugs8. Active Travel

Page 61: Health Inequalities and the Workplace Why should you care?

61

RES

PRESENTER NAME –

BARRY THOMPSON – SENIOR GROUP HEALTH & SAFETY ADVISORBSc (Hons) OSHE, CMIOSH, MIIRSM

Hertfordshire Public Health and Business in the Community

Improving Employee Wellbeing at RES – 26/03/14

Page 62: Health Inequalities and the Workplace Why should you care?

62

Energy storage

Advisory Services

Transmission lines

Solar PV

Offshore WindOnshore Wind

RES are the largest Independent Renewable Energy System provider in the UK

Page 63: Health Inequalities and the Workplace Why should you care?

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Our Growth

1981-91 1992 2001 2003 2005 2006 2007 2008 2009 2010 2012 2013

Over 8,200MW of renewable energy capacity in its global portfolio. A further 1,700MW under construction and thousands of megawatts in development

1GW

5GW8.2GWOur projects are meeting the needs of the

industrial, public and commercial sectors

Page 64: Health Inequalities and the Workplace Why should you care?

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Working across the globe to develop, construct & operate a range of projects & services, contributing to the goal of creating a low carbon future

Renewable Energy in 5 Continents

14 UK offices

Sweden, Norway and Finland

North America & Canada

ChileAustralia

Japan

South Africa

France, Germany, Italy,Portugal

Turkey

Page 65: Health Inequalities and the Workplace Why should you care?

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Business: Positioning the company for continued growth combining long term thinking with exceptional short term performance

Social: Providing a safe and stimulating work environment and working with our stakeholders to provide mutual benefits

Environment: Managing our activities and impacts in order to maximise the environmental benefit we create through our projects

Reputation: Being a thought leader and trusted partner, leaving a lasting and positive legacy for our stakeholders

We are basing our Sustainability on four principles – Business, Social, Environment and Reputation. This means:

Applying Sustainability – 2013 onwards

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Why Wellbeing is important to RES

• We have recognised that our employees are our most valuable asset to sustaining the

company at the forefront of Renewable Energy

• We take health and safety seriously – supported from the Senior Management

• Health to us is a 24/7 consideration – Home and work

• We have been introducing employee health and wellbeing gradually as part of a long

term programme and have run quarterly health & safety campaigns from the end of 2012

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How we support Employee Wellbeing at RES• Dedicated pages on company intranet –

running, climbing, cycling, curry and book reading clubs. Even had a knitting club

• All employees undertake a health questionnaire when joining company. And for certain tasks have yearly medicals / ECG’s

• We have a dedicated Occupational Health Assistant – DSE, Provision of equipment – AED’s training

• We provide showers, lockers for kit, drying rooms – where possible

• We have an employee forum – WB raised as a subject. Also introducing a intranet forum page

• We support community projects – everyone can go on these events, paid

• Numerous sports events are planned – summer solstice ride, Frisbee throwing, inter-departmental football, cricket

• Annual Company / H&S questionnaire to employees – independent results – state of the business

• Charity events – dress down days, food days, office challenges – even had a flash dance (France) & Cross Ski challenge (Sweden). 2012 Cycle event from KL to Avignon office (5 days)

• Training on Safety leadership/behaviour/wellbeing

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Why RES got involved in the workplace pilot on Employee Wellbeing

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The demographics of our workforce indicate that we have a relatively young workforce. Around 50% of the employees are under the age of 35 and 78% are under 45 years old (KL).

We are constantly trying to get worker engagement into everything we do and we felt that we needed to do more on the wellbeing side. We hope to engender good health practices within the business, recognising the benefits it brings in all areas of a persons home and working life.

The offerings that BITC and HPH were offering fit within the wellbeing framework that we are planning over the next 2 years and what has been provided so far has generated employee awareness of their wellbeing and how it can be supported within RES.

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What RES have done in conjunction with BITC & HPH

• We have put 5 people through the Workplace Champions Offering

• We have provided 9 employees with Mental Health Lite Awareness training

• We have taken the opportunity of having mini MOT’s provided to staff – 25 employees

• We promoted the workplace challenge / portal within the business – over 40 registered and 46 employees did

the pedometer challenge - in total we had over 70 employees engaged in some form of physical activity – approximately 20 – 22% of office staff

• We have also signed on to the Governments, Health at Work element of the Public Health Responsibility Deal

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What are our Champions doing

Our Champions are made up from HR / H&S / Office Managers

• Meeting monthly• Planning – 2 year cycle, using occupational health and wellbeing

planner• Looking at workplace demographics in planning• Attending wellbeing events – i.e: Health & Wellbeing @ work –

NEC• Obtaining resources from organisations• Looking at what additional clubs can be promotedAlready in planning• Mental Health Awareness Campaign (End

of May) – 1 week of information on intranet, posters, notice boards and Friday forum

• Alcohol & Drugs Awareness Campaign (End of November) – same approach as above

• We are inviting members of the charity committee to work with us

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Mental Health

This is one of the biggest challenges in RES - Awareness

9 employees (line Managers / HSQE / HR) went through the Mental Health Lite offering – good to gauge their reaction to the information

• Firstly, this was a start – helped in providing feedback• Has helped provide information for campaign in May to whole

workforce• Enables us to look at the budget and training requirements for

the rest of the line managers for the next financial budget setting (30- 40 line managers + senior staff)

• It has shown to us the need for further training – misconception of what MH is and how to manage it (benefits, resilience etc)

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How do our staff respond?

All RES employees are constantly encouraged to provide feedback on their learning outcomes.

• Annual questionnaire – state of the business• Forum sessions – (new intranet forum pages

being developed)• Training feedback – all training• Providing recommendations for topics• Involvement in community campaigns• Taking up company offerings – cycle schemes,

etc• Talking about the issues openly within the

working environment• At management monthly / quarterly updates• Challenge any new ideas / introduced elements –

effectiveness / need

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The RES Wellbeing future

RES are putting wellbeing within its long term planning to make sure its supported by:• resources• finance• materials• communication

The process is to develop a 2 year rolling plan looking at:• learning from feedback• Items / issues raised by employees for

consideration• Lessons from the community / other

organisations best practices• Any legislation requirements• Expanding on BITC / HPH offerings• Changes to business / business needs

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Any Questions HSQE

SafetyHealth

Wellbeing

Environment

Page 75: Health Inequalities and the Workplace Why should you care?

Suzanna GieraGroup Occupational Health Assistant

Alan SonghurstGroup Health & Safety Advisor

Barry ThompsonSenior Group Health & Safety Advisor

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Julian Hubbard Group HSQE Manager

Page 76: Health Inequalities and the Workplace Why should you care?

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Page 78: Health Inequalities and the Workplace Why should you care?

Mental health first aid

Sue HazletonLuton Borough Council

Page 79: Health Inequalities and the Workplace Why should you care?

ilot

• Experience in the private, voluntary and public sectors

• Led on workplace health in Camden for Public Health – identified need for more support around mental health issues

• Trained as an MHFA trainer – part of a national accredited programme – evidence based

• Now working in Public Health in Luton and rolling out programme within Luton’s workplaces

Sue Hazleton – my background

Page 80: Health Inequalities and the Workplace Why should you care?

What is a mental health problem?

“It seemed to me the basic definition of mental illness, this persistent, painful inability to simply be with someone else. It might be lifelong, or it might descend like a sudden catastrophe, this blankness between ourselves and the rest of the world. The blankness might not even be obvious to others. But on our side of that severed connection, it was hell, a life lived behind glass. The only difference between mild depression and severe schizophrenia was the amount of sound and air that seeped in”. –Anon

“And of course you are mad, if by a madman we mean a mind that questions and rejects every civilized norm”. – Stephen Fry, Revenge

Page 81: Health Inequalities and the Workplace Why should you care?

Impact of mental health

Mental health problems cover a wide range of issues

They affect someone’s ability to get on with their daily life

1 in 4 British adults experience at least one diagnosable problem in any year*

Almost 9% of people in Britain meet the criteria for diagnosis of mixed anxiety and depression*

* The Office for National Statistics Psychiatric Morbidity report (2001)

Page 82: Health Inequalities and the Workplace Why should you care?

Mental health and work – is it an issue?

One in five workers report their job to be very or extremely stressful

One in six workers are likely to experience anxiety, depression or stress-related problems at any one time

Anxiety, stress and depression were responsible for the most UK sick days from 2001-2008

In 2007/08, an estimated 442,000 people in Britain believed they experienced work-related stress at a level that was making them ill

Self-reported work related stress, depression or anxiety accounted for an estimated 13.5m lost working days in Britain in 2007/08

Page 83: Health Inequalities and the Workplace Why should you care?

Mental health and work – the costs

The overall cost of mental health problems in England stands at £105.2 billion a year, (taking into account care costs, sickness absence and unemployment)*

Stress, anxiety and depression are responsible for 70 million days sick leave every year*

In 2003 research by the Sainsbury’s Centre for Mental Health showed that staff with mental illness not being supported cost UK businesses a total of £26bn per year – equivalent to £1,035 for every employee in the UK workforce

For 2009/10 updated figures estimate that the cost to UK businesses is now £30.3 billion a year – equivalent to £1206 peremployee

*The Centre for Mental Health (2010)

Page 84: Health Inequalities and the Workplace Why should you care?

What can you do to help?

Early intervention can help slow down or stop a mental health problem and lead to a faster recovery

However, most of us know very little about mental health

We often don’t spot the signs that someone else – or ourselves – maybe struggling until very late

Page 85: Health Inequalities and the Workplace Why should you care?

An MHFA course will teach you to:

Define mental health and some mental health problems

Reduce the stigma and discrimination of mental health problems

Spot the early signs of a mental health problem

Relate to other people’s experience

Guide someone towards the right support

Look after your own mental health and wellbeing

What will an MHFA course teach you?

Page 86: Health Inequalities and the Workplace Why should you care?

Quotes We receive compulsory resuscitation training annually, which I have never put into practice. This is the

first mental health training for the vast majority of our officers, and yet they are meeting people with

mental health difficulties almost daily

I believe that my awareness of mental health issues has been improved and I feel I will be able to use the knowledge

gained every day and in one-off situations

Helped  me pick up on the warning signs and refer people

at an early stage to occupational health for advice/support

Page 87: Health Inequalities and the Workplace Why should you care?

• Mental Health issues are one of the top two issues for the workplace

• Over 150 employees have attended the MHFA Lite training sessions • All 5 core employers took up the training on their own sites plus an

additional 4 ‘open sessions’ were run to support employer requests• “The course seemed to touch a nerve with all the leaders in the

room. There are not many opportunities to take 3 hours out to focus on yourself, to ask yourself how am I really doing? Am I looking after my mental health? And then question how well you really support and perceive your team if/when they have mental health concerns.” – see the Bourne Leisure case study in the workplace brochure

Feedback from the Herts Pilot

Page 88: Health Inequalities and the Workplace Why should you care?

• Perceived Benefits: – Opens the door very effectively to talk about these

issues and get mental wellbeing on the agenda – Seen as a fantastic offering for all line managers– RES say it is so successful they are now looking to

build it into management training and have not done anything like this on mental health before

Feedback from the Herts Pilot

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Change lives

“Mental Health is everyone’s responsibility, something MHFA England strongly believes in. They create positive change in people by focusing on individuals’ capacity, ability, skills, knowledge, passion, interest, connections and on their potential to do things and make a difference for themselves. I believe that organisations such as MHFA England are a vital community resource and are leading the way in community engagement and creating networks that enable individuals, families and neighbourhoods to all play a crucial role to change people's lives for the better.”

Lord Kamlesh Patel, March 2011, MHFA Patron.

Page 90: Health Inequalities and the Workplace Why should you care?

Next steps – attend an MHFA Lite course Mental Health First Aid Lite Training – 24th April 2014

FREE to Hertfordshire based workplaces, funded by Public Health Hertfordshire Target audienceAvailable to Hertfordshire workplaces, aimed at Line Managers, Health & Safety and HR professionalsCourse detailsVenue: Beales Hotel, HatfieldDate/Time: 24th April 2014 - 9.30am – 12.30pm

For more information or book your place please email: [email protected]

Page 91: Health Inequalities and the Workplace Why should you care?

www.hertsdirect.org

The way forward• We need your help in recruiting more

workplaces to join in with this• Will you pledge today to be a champion?

– Tell and recruit other workplaces for us?– Get this offer to other businesses, especially

commercial and independent sectors?– Phone one employer you think could

benefit and get this to them?

Page 92: Health Inequalities and the Workplace Why should you care?

www.hertsdirect.org

•Many thanks to our breakout presenters

•No such thing as a free lunch! Please complete evaluation forms and hand to a member of BITC staff who will then allow you to have your lunch!

•Thank you and enjoy your networking lunch...