Employability & Health (Awareness Session) Co-facilitated by: Maggie Vooght Anne McGuire

1. Employability & Health (Awareness Session) Co-facilitated by: Maggie VooghtAnne McGuire Working Health Services Employer & Partnership Manager NHS Ayrshire & Arran Department for Work & Pensions

2. Welcome Introduction ‘Housekeeping’ Ground Rules

3. Introductions Please briefly state: • Your name • Role • Experience of Employability/Work Issues • Reason for attending session

4. Aims • WHY – should anyone talk about work & health? • WHAT – information could be given? • WHO – should do it? • WHEN – is the ‘right’ time to talk about it? • HOW – is the best way to do it?

5. Outcomes • An awareness of the important links between work and health • Increased confidence and ability to discuss work/employability • Awareness of the potential barriers facing clients seeking employment/return to work and how they may be overcome • Access to information about appropriate support and services

6. WHY ?(should anyone talk about work & health) • BACKGROUND • DEFINITIONS • EVIDENCE / RESEARCH • EFFECTS OF WORK (OR LACK OF) ON HEALTH

7. “I'll count my health my greatest wealth, Sae lang as I'll enjoy it: I'll fear nae scant, I'll bode nae want, As lang's I get employment” Robert Burns “Here’s To Thy Health” 1780

8. What Is Work? • “Applying physical or mental effort using knowledge and skills with a purpose to accomplish or achieve something”. • Work Can Be: • Full-time • Part-time • Voluntary • Permitted Work • Temporary / Permanent

9. What is Employability? “Employability encompasses all the things that enable people to increase their chances of getting a job, staying in, and progressing further in work”. (Workforce Plus; Scottish Government Employability Framework 2006) Progressing Towards Employment: Training Education Work Placements Work Experience Voluntary Work

10. Evidence Base • Is work good for your health and well-being? Waddell & Burton 2006 • Health Works -The Scottish Govt. 2009 • Health At Work- an independent review of sickness absence - Frost & Black 2011 • The Scottish Govt. Response to the review 2012 • Fitness for Work: the UK Govt. response to the review 2013

11. Worklessness and Health Evidence shows that (long-term) unemployment is associated with: • poorer general health, somatic complaints, long-standing illness, limiting longstanding illness • poorer mental health; more psychological distress; minor psychological/psychiatric morbidity, suicide • higher medical consultation, medication consumption and hospital admission rate (Waddell G, Burton AK. Is work good for your health and well-being?, 2006)

12. Long-Term Unemployment Equals the health risk of smoking 10 Packs of cigarettes per DAY (Ross -1995) After 6 months on health benefit - 80% chance of being off work for 5 years (Waddell and Burton 2006) After 2 years on health benefit - more likely to retire or die. (The Scottish Government)

13. The Working Day

14. The Non-Working Day ? ?

15. WHAT ?(information could be given) • PATHWAYS • JIGSAW – SERVICES AVAILABLE

16. Categories • OUT OF WORK • EMPLOYED - BUT OFF SICK • EMPLOYED - AT WORK BUT STRUGGLING

17. Employability Pathway An employability pathway describes the process and services that might be required to get clients from initial engagement to sustainable employment.

18. Response Universal Credit The Work Programme Work Choice Work Capability Assessment WORK Access to Work Independent Review of Sickness Absence Fit Note Early Intervention Services (Pilot)

19. Access To Work • Additional support for those whose health or disability affects their job • Advice to individuals and employers • Contributes to additional costs employers would not normally be expected to meet, by up to 100% • Must be in work or about to start a job or work trial • Covers: • Special aids and equipment • Adaptations to premises and equipment • Support workers • Travel to work and within work • Communication support at interview

20. Fit Note

21. WHO ? ? WHOSE ROLE IS IT TO HAVE BRIEF CONVERSATIONS ABOUT WORK?

22. nursing assistant criminal justice officer volunteer school nurse dietician cashier young carers worker business development manager GP podiatrist pharmacist support worker consultant administration assistant ward manager administrator charge nurse income adviser project worker clinical lead health promotion staff information officer district nurse community food worker podiatrist social worker health visitor clerical officer receptionist physiotherapist mental health worker addictions team psychologist learning disability worker human resources team occupational therapist

23. WHEN ? (IS THE ‘RIGHT’ TIME TO TALK ABOUT WORK) • SELF ASSESSMENT EXERCISE • JUST THE JOB!

24. JUST THE JOB! www.JustTheJob.knowledge.scot.nhs.uk

25. HOW ?(is the best way to do it) THE SITUATION INFORMS THE CONVERSATION: • OUT OF WORK • EMPLOYED - OFF SICK • EMPLOYED - AT WORK, BUT STRUGGLING

26. HOW ?(to talk about work) • Just have a conversation!! • Know more about how to deal with someone’s answers • Gather information about appropriate referral/signpost options • Gain confidence (by being better informed about services & background)

27. Conclusions? • Work is vitally important to the health of individuals. • To realise an individual’s potential for work they may need the support of different services or organisations. • We have to accept that some individuals will never be able to work, but should be offered the opportunity and support to progress and improve their quality of life.

28. Employability & Health Contacts: Maggie Vooght maggie.vooght@aapct.scot.nhs.uk Anne McGuire – anne.mcguire1@dwp.gsi.gov.uk