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Implementing NICE public health guidance for the workplace: a national audit . NICE guidance for the workplace . Managing long-term sickness absence Promoting physical activity in the workplace Promoting mental wellbeing through productive and healthy working conditions

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implementing nice public health guidance for the workplace a national audit

Implementing NICE public health guidance for the workplace: a national audit

Dr Richard Preece

Project Lead

nice guidance for the workplace
NICE guidance for the workplace
  • Managing long-term sickness absence
  • Promoting physical activity in the workplace
  • Promoting mental wellbeing through productive and healthy working conditions
  • Workplace interventions to promote smoking cessation
  • Obesity: guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children
  • Promoting and creating built or natural environments that encourage and support physical activity
board engagement
Board engagement
  • 95% had a named board member with responsibility for staff health and wellbeing
  • 44% had an over-arching strategy for staff health and wellbeing
  • 66% had staff health and wellbeing as a regular board agenda item
  • >90% had staff sickness absence as a regular board agenda item
slide6

Board leadership

  • HR/Workforce director 173
  • Nursing director 15
  • Chief Executive 10
  • Operations director 9
  • Medical director 2
  • Finance director 1
  • Other exec board member 38
  • Non-exec board member 19
engagement
Engagement
  • Trusts more likely to have specific policies:
  • Where they have overarching strategy
  • Trusts more likely to take actions recommended:
  • Where health and wellbeing is regular board agenda item; and,
  • Where staff are involved in planning and designing approaches ; and,
  • Where they had done needs assessments
physical activity infrastructure
Physical activity infrastructure
  • secure cycle parking nearly all
  • all parts of site linked by walking three quarters and cycling routes, and new workplaces linked to existing walking and cycling networks
  • most staircases clearly signposted about half and attractive to use
absence data management
Absence data management
  • 95% trusts monitor trends in LTSA and most report this to trust board
occupational health referral pathway
Occupational Health referral pathway
  • Routine monitoring of length of time from:
    • start of absence to referral 25%
    • receipt of referral to OH appointment 65%
    • appointment to issuing report 52%
  • Only 19% monitor all stages of the OH pathway
slide22

2010 case note audit of 7636 NHS staff showing number of weeks absent from work at time of audited appointment

  • Median 8 weeks
  • 30% seen after 12 weeks absence
  • 5% seen after 6 months absence
case management
Case management
  • 64% have case managers who:
    • Co-ordinate any required assessments 98%
    • Timetable actions to eliminate delays 90%
    • Initiate formal interventions 97%
    • Prompt and track actions 95%
    • Provide periodic reports 89%
    • Monitor absence data in real time 80%
providing specific interventions
Providing specific interventions
  • 74% education/training on coping strategies and resilience
  • 76% physiotherapy for their staff
  • 89% psychological therapies for their staff
monitoring mental wellbeing
Monitoring mental wellbeing
  • 72% of trusts had systems for monitoring the mental wellbeing of employees
slide31

Siân Williams, Director, HWDU, Royal College of Physicians

  • Sarah Jones, Project Manager, HWDU, Royal College of Physicians
  • Angela Bartley, Public Health Lead, Royal Free NHS Trust
  • Karen Charman, Head of Employment Services, NHS Employers
  • Jane Huntley, Associate Director, NICE
  • Karen Jennings, Head of Health, UNISON
  • Janice Lowndes, Associate Director, Health Improvement, NHS Salford
  • ConorMcGarry, SpR in OM, Leeds Teaching Hospitals NHS Trust
  • Alex Nestor, Deputy Director, Org Dev, Bristol NHS Foundation Trust
  • Wendy Russell, Deputy Director, NHS Staff Health and Wellbeing, DH
  • Julia Smedley, Consultant in OM, Southampton Hospitals
  • Penny Peel, Manager, HWDU, Royal College of Physicians
  • Michael Roughton, Statistician, Royal College of Physicians
  • … and many others

Acknowledgements

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