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

1. Implementing NICE public health guidance for the workplace: a national audit Dr Richard Preece Project Lead

2. 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

3. National participation

4. North West participation

5. 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

6. 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

7. 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

13. 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

18. Absence data management • 95% trusts monitor trends in LTSA and most report this to trust board

21. 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

22. 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

23. 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%

24. Providing specific interventions • 74% education/training on coping strategies and resilience • 76% physiotherapy for their staff • 89% psychological therapies for their staff

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

27. Manager training

28. Summary score

29. Inequality (national)

30. Key message: Engagement

31. 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