CBH & Occupational Health

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1 CBH & Occupational Health ANSWERS MYTHS Gerard McLaughlin CBH Project Director

2 Health Putting it into figures Across All Industries Ill health accounts for over 80% of all work related deaths

3 Health Putting it into figures

4 Health Putting it into figures X 15 Deaths from Occupational Diseases X 9 Deaths from Occupational Cancer X 5 Deaths from COPD X 9 New cases from Stress and related conditions

5 Health Mental Health 1 in 4 people in the UK will experience a mental health problem each year. 9 out of 10 people with mental health problems experience stigma and discrimination. Work related stress is the biggest occupational health problem in the UK, after musculoskeletal disorders. Anxiety Depression Mixed Anxiety and Depressions Phobias OCD Panic disorders PTSD Eating disorders 4.7 in 100 people 2.6 in 100 people 9.7 in 100 people 2.6 in 100 people 1.3 in 100 people 1.2 in 100 people 3.0 in 100 people 1.6 in 100 people

6 Safety 133 workers fatalities in 2013/14, 42 in construction new ill cases in 2013/14. * = provisional

7 Health 1.2 million working in last year suffering from illness caused or made worse by their current or past work. Further 0.8 million former workers suffering in the same way 1.7 million days lost to work-related ill health

8 Health - Tip of the Iceberg? All Sectors estimate over 12,000 deaths each year caused by past exposure at work mainly chemical & dust exposure Common work related illness Vibration White Finger Carpal Tunnel Occupational Deafness Dermatitis (LFS)

9 Health - Cancer Construction industry has the largest burden of Occupational Cancer amongst all industry sectors. Over 405 of occupational deaths and cancer registrations were from construction Most caused by past exposure to asbestos and silica Additionally now we have solar radiation, coal tars and pitches were responsible for additional 1300 registrations Most common still is exposure to asbestos (69%) Silica (17%) Painting and diesel engine exhaust (6-7%)

10 What is Occupational Health? YOU WORK

11 Why have Occupational Health? To maintain a fit and healthy workforce Why?»Legislation umbrella and specific»duty of care»prevent Prosecution/Insurance Claims

12 Key Principles Health & Safety at Work etc Act 1974»Section 2 Employers Duty of Care Construction Design & Management Regs 2015»Client - Duty to manage Demonstrate PC has appropriate systems in place»contractors Provide evidence/demonstrate management systems Fitness for task Health Surveillance programme

13 Specific Regulation» The Control of Noise at Work Regulations 2005 Sec 5 - Assessment of the risk to health and safety created by exposure to noise at the workplace Sec 9 Health Surveillance» The Control of Vibration at Work Regulations 2005 Sec 5 - Assessment of the risk to health created by vibration at the workplace Sec 7 Health Surveillance» The Control of Substances Hazardous to Health Regulations 2002 Sec 6 - Assessment of the risk to health created by work involving substances hazardous to health Sec 11 Health Surveillance» Manual Handling Operations Regulations 1992 Sec 4 Duty of Employer Risk Assessment

14 What is health surveillance? Watching out for early signs of work-related ill health in employees exposed to certain health risks Health surveillance DOES NOT reduce the need to eliminate or manage health risks

15 Occupational Health Issues» Noise induced hearing loss» Respiratory Diseases Occupational Asthma Chronic Obstructive Pulmonary Disease Silicosis» Vibration white finger» Work related upper limb disorders (ULDs) lower limb disorders (LLDs)» Back Injuries» Stress

16 Benefits for a Company Protecting health of individuals» Reduced absenteeism due to sickness» Reduction in staff turnover Productive workforce & good morale Good CSR and a key selling point Reduced pay outs on insurance claims

17 Benefits for a Company Funded an industry scheme Constructing Better Health Provide support and advice particularly to SME s & Micros Set Industry Standards for fitness for work Developed online toolkits to support employers Linked industry database for clinical data On-line access to fitness for work outcomes at site level Accreditation of Occupational Health Services

18 Benefits for the individual Being able to support their family:»being productive and producing quality work»reduce downtime»management of symptoms, with advice from OH, and prevent conditions deteriorating and enjoying life to the full!!!!!!

19 Challenges With Managing OH Complexity of workforce/supply chain» Direct employed/agency/self employed/smes Transient workforce Lifestyle issues Culture No joined up thinking» HR/Safety/OH Providers Sometimes ends up in a black hole Problems with continuity» Within industry sectors» Within a company» Between OH Providers

20 Background The not for profit, construction industry scheme for raising the standards of workplace health management to improve the longterm health of our workforce Client Contractor/ Individual Occupational Health

21 How the Scheme Works Industry Standards Industry Knowledge Data Management Data Distribution

22 How the Scheme Works Basics Data Management (Responsibility & Visibility) CHAT2 Check a Card OH Database Information is entered by the employer (E/er) and only an employee s (E/Eee) full details are available to the E/er Key E/ee info is then seen by the company Approved OH Provider on the OH Database E/ee fitness outcome sent to CHAT2*/CAC from OH database. Depending on the relationship between the card checker and individual depends on what info is seen. * Employer uploads/register employee on CHAT2 Name Address Date of Birth NI Number Job Role Competence Card* Company Approves CBH Accredited Occupational Health Provider OH discuss consent with the individual and carry out medical. If consent is given the results of the medical is uploaded into OH Database Medically sensitive info stays on OH Database and is ONLY visible to OH Professionals In Check A Card (CAC) E/er E/ee relationship Health Surveillance Safety Critical Statutory Medicals Contractor Subcontractor relationship Safety Critical Statutory Medicals NO personal details or medically sensitive info seen in CAC

23 CHAT2 Site/ Operations Company Management System for OH»Compliance - Demonstrates management of OH at any level company and sub contractors»health Risk Management»Cost efficiency Efficient and cost effective monitoring of an individuals health Health & Safety CHAT2 HR»Centralised storage of data Compliance CBH/ Heath Risk CHAT2 Management Sustainable Workforce

24 Example Data Display for Principal Contractors (Site)

25 Can you offset OH costs against tax?

26 REMEMBER. Promoting occupational health is not a threat to people s livelihoods However DOING NOTHING is a threat to people s lives

27 CBH Partnership Key Messages Fit to walk straight into that new job with your CBH Card Spot health issues early and stay working longer Looking after your future. Guarding your data. Work longer. Live longer. Keep well, keep working, keep earning with CBH health checks. CBH Website;

28 Putting... HEALTH into Health & Safety

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