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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 a national audit

  • 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


National participation
National participation a national audit


North west participation
North West participation a national audit


Board engagement
Board engagement a national audit

  • 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


Implementing nice public health guidance for the workplace a national audit

Board leadership a national audit

  • 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 a national audit

  • 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 a national audit

  • 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 a national audit

  • 95% trusts monitor trends in LTSA and most report this to trust board


Occupational health referral pathway
Occupational Health referral pathway a national audit

  • 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


Implementing nice public health guidance for the workplace a national audit

  • 2010 case note audit of 7636 NHS staff a national audit 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 a national audit

  • 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 a national audit

  • 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 a national audit

  • 72% of trusts had systems for monitoring the mental wellbeing of employees


Manager training
Manager training a national audit


Implementing nice public health guidance for the workplace a national audit

Summary score a national audit


Inequality national
Inequality (national) a national audit


Key message engagement
Key message: Engagement a national audit


Implementing nice public health guidance for the workplace a national audit

  • Siân a national audit 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