Welcome to Notts County FC

Emma TrentNotts County FC in the

Community

to the East Midlands Platform meeting

Cllr David Parsons CBEPlatform Chair

Mandy Wardle Specialist in Public health Health, Work and Wellbeing Co-ordinator

Health Work and Wellbeing Defining the priorities and

engaging staff

Workplace Health Needs Assessment Tool

• Work and health-background

• Why ‘Health needs assessment’

• Overview of the tool- structure and content

• survey- rationale and examples of questions

• Analysis-illustrated with pilots' results

• Step by step guide

Some numbers..

• The cost of working days lost and worklessness is over 100 billion to the economy with 140 -150 million working days lost each year

• The CIPD survey reports that the average cost of absence is £ 692 per employee a year.

• 27.3 million people are in employment in the UK with 74% healthy, 26% with a health condition or disability and 650,00 off sick at any one time.

 Total cost of mental ill health at work to UK employers estimated at 26 billion per year (Centre for Mental Health) Prevention and early identification of mental health problems could  save employers 8 billion per year (NICE 2009)

Estimates suggest inactivity costs the NHS across the UK £1.06 billion

It is likely that by 2025 40% of adults will be obese and the number of people working with chronic conditions will rise steadily affecting morale, competitiveness and profitability

Work and health

Research shows that good work is good for health and that better employee health is

good for business.

“Our conclusion from the evidence available … is that the correlation between engagement, wellbeing and performance is repeated too often for it to be a coincidence” (Macleod & Clarke)[1].

[1] Engaging for Success: enhancing performance through employee engagement. A report to

Government by David Macleod and Nita Clarke

HNA audit process

• Identify problems/priority

• Engage stakeholders/team

• Identify effective action/intervention

• Implement action• Evaluate impact

outcomes inc economic

• Review and..

• Assess the need-S/A, health check, self reported

• engage stakeholders

• Identify priorities• implement evidence

based intervention• measure

impact/outcome • Repeat cycle

Turning that process into an accessible tool for employers

• Background why is health an issue for employers-Introductory summary

• Why are the topics included-rationale• What can employers do –evidence• What questions ..and why?• Carrying out the survey-checklist• Survey • How to analyse the data –what does it tell

you• Step by step process• Further help

• Only 6% of men and 4% of women meet the recommended levels of physical activity.

• We spend 60% of our waking hours in work• Physical activity in the workplace can reduce

sickness absence by up to20%• Public health Guidance13-business case• C4L

Why and What

Carrying out the survey

• Why the information is being collected?• What will be done with the information - how will it help to

develop/prioritise workplace health initiatives?• How will the results be publicised ?• What are the timescales for completion of the questionnaire and

when will the results and outcomes be circulated?• Assurance of confidentiality – no names or other identifying

information collected• Participation is voluntary – choosing not to complete a

questionnaire will not affect access to services/resources• Details of any incentive or reward for completed questionnaires.

• Instructions for completion • Details of how and to whom to return the questionnaire • Other questions- from the longer version on EMPHO’s website

Validated Questions on key areas

• Demographic info-who are you asking?

• General health and wellbeing including mental health

• Smoking

• Alcohol

• Healthy eating ,healthy weight

• Physical activity

• Workplace health

Questions

• Used in national surveys/research-so comparative and tested

• Matching reported behaviour to actual

• Good indicator for topic covered

Who are you asking?

• About you• What is your age? Under 25 35-44 55-64 25-34 45-54 65 and

• What is your sex? Male Female

• What is your occupational group? (in this section use the range of roles/groups which reflect your workforce spread)

Nursing/midwifery Admin/clerical Scientific/technical Medical Management

Ancillary/maintenance Therapeutic staff Ambulance Other

A portion of vegetables approximately equals one handful or 3 serving spoons of vegetables or salad vegetables. A portion of fruit equals approximately a tablespoon of dried fruit, 1 medium sized piece of fruit (e.g. apples), 2 small pieces of fruit (e.g. kiwi fruit, apricot) or a 125ml glass of pure fruit juice.

How many pieces of fruit, of any sort, do you eat on a typical day? _______

How many portions of vegetables, excluding potatoes, do you eat on a typical day?

_________

Healthy eating

Physical activity

In the past week, on how many days have you done a total of 30 minutes or more of moderate or intensive physical activity? This includes any activities done to the point where you were slightly sweaty, breathing faster than usual and your heart was beating faster than usual.

0 1 2 3 4 5 6 7

Analysing the results

• Question by question guide

• What the data tells you

• Illustrated from the pilot

Sex Pilot survey Workforcepercent

Number Percent

Male 34 21% 23%

Female 129 79% 77%

Total 163 100% 100%

Who are you asking

Fruit & veg consumption Pilot survey General population comparative data

Number Percent

5+ a day 78 41% 30%

<5 a day 114 59% 70%

Total 192 100% 100%

Healthy eating

Physical activity

No. days 30 mins or more moderate or intensive physical activity

Pilot survey

Number Percent

0 – 2 days 89 46%

3 – 5 days 81 42%

6 – 7 days 22 12%

Total 192 100%

Pilot-HNA

• 15% no moderate intensity P/a

• 19% 5 days

• 41% 5 a day

• 22% limited daily activity

• 20% reported that they had had sickness or injury caused or made worse by work compared to 2%

Using the results

• Implementing evidence based interventions on your priorities

• Evaluating their impact & measuring outcomes

Steps to a healthy workplace

• Identify priorities for health in the workplace

• Guidance, tools and services for action based on evidence of what works best

• Implementation

• Evaluation, impact and outcome

• Re-do survey,

• Review plans

Steps to creating a healthy workplace

Health Needs Assessment:> identify priorities> engage organization and workforce: health champion/top level support/staff involvement

1 SICKNESS ABSENCETools eg: www.businesslink.gov.uk/workingforhealth

2 HEALTH STATUS Self-assessed: ▪ Validated self-assessment questionnaire - DH/EMPHO HNA tool, focus groups

Assessed:▪ Health checks – individual health checks, eg: “How are you doing” NHS 40-70 yr olds ▪ NHS Choices – Health Check

▪ Sickness Absence policy/review ▪ Organisational development/leadership group

▪ Recruitment/ retention & rehab

▪ Occupational health services

▪ Keeping or getting

more active →

▪ Help to Stop

Smoking →

▪ Mental Health →

▪ Alcohol & substance use

→▪ Health & Safety →

▪ Food & Health →

STAGE 1 STAGE 2 STAGE 3

·Review action plan\strategy

↓·Reduced staff turnover ?·increase in productivity ?

↓·Changes in sickness absence levels/trends

↓· Staff surveys

↓·Evaluate the outcomes from all interventions eg increase in P/A reported, quitters, organisation change

↓·Regularly review progress & impact; continue to gather evidence to prove it works

↓·Cost/benefits analysis

↓·Re-run health assessments in Stage 1 to evaluate impact/success of actions

↓·Agree continuing activity/new activities/ sustain activity

Action on priority areas identified

Implementation/ review

Priority areas Guidance eg: Tools/Services eg: Evaluate impact & outcomes/ next steps

▪ Workplace Wellbeing Charter▪ NHS Health & Wellbeing Improvement Framework ▪ ACAS

www.seqohs.org

▪ NICE guidance PH 13

NICE guidance:▪ PH1, PH5

▪ PH22

▪ HSE Stress Management Standards

▪ HSE

▪ NICE CG43

www.wellbeingcharter.org.uk

▪ Fit for Work Services: www.leicesterfit4work.org.ukwww.nottsfitforwork.org.uk▪ Derby CAB/GP

▪ Occupational Health Adviceline: 0800 077 8844

▪ Think Fit: www.bhf.org.uk/HealthAtWork/getting-active-at-work.aspxwww.promotingactivity.com▪ Physical Activity Networks in all areas

▪ NHS/local smoking cessation services

▪ Mindful Employer

www.mindfulemployer.netwww.hse.gov.uk/alcoholdrugs

▪ Change 4 Life▪ Commissioning Healthy Catering guide: www.regional platform.org.uk

Define problems and identify priorities

Improving OH provision to employers: Standards and Accreditation

1. Enable services to identify the standards of practice to which they should aspire;

2. Credit good work being done by high quality occupational health services, providing independent validation that they satisfy standards of quality

3. Raise standards where they need to be raised4. Help purchasers differentiate occupational health services that

attain the desired standards from those that do not.

Standards were published in January 2010 and the accreditation scheme was launched in 2011.

www.seqohs.orgProduced by Faculty of Occupational Medicine

National charter standards

• England wide

• Consistent accreditation process

• Framework for health in the workplace

• Leadership, attendance matters, health and safety, physical activity, mental health, healthy eating, tobacco, alcohol and substance misuse

Leicester/Nottingham FFW

• Have exceeded case mgt target at month 8 -278/250

• Rise in GP referrals/SME programme• 98% of sickness absence target at month 8

• Return to work 58%• Stayed at work 19%• Still off sick 11%• Unemployed 7%• Disengage from return to work plan 5%

Occupational Health Advice Helpline 0800 077 8844

• Provides businesses and GPs with tailored occupational health advice, by advisers with special training in Mental Health.

• Employers calling the service are predominantly micro (0-9 employees) and small (10-49 employees) businesses – the target group

• Most callers are calling about an individual employee issue • So far, few GPs have used the line• 95% appreciate the contact and 92% would recommend to other

employers

42% calls about sickness absence24% calls are about the fit note20% calls are about mental health (anxiety, depression, stress, and other mental health conditions) 19% calls are about health surveillance

Guidance and tools-issue is selection not supply

• National Health work and wellbeing self assessment tool/Charter

• Health work and wellbeing website

• HNA tool

• Case studies

• NICE

• Responsibility deal

• Sickness absence review

Further help

• Guidelines, tools and services

• NICE Guidance

• Health ,work and wellbeing Coordinators

• List of useful contacts/websites

Next steps

• Nationally available used by as many different organisations as possible

• HWWC - Platform Website-EMPHO-Hub/DWP

• SME support project

• ………

Positive Workplaces

Key features common to those organisations which have achieved success in promoting physical and mental health and well-being:

• Senior visible leadership

• Accountable managers throughout the organisation

• Attention to both mental and physical health improvements

• Systems of monitoring and measurement to ensure continuous improvement

• Empowering employees to care for their own health

• Fairness

• Flexible work

Health and well-being need to be embedded in every aspect of an organisation’s structure and work

Soap Box

&

Quiz Legitimate Health Claim?

Legitimate health claim?1. water soluble tomato concentrate Y2. Catalgine N3. Chewing gum 100% xylitol Y4. Elancyl Global Silhoutte N5. Bimuno Probiotic N6. Ocean Spray N7. Sugar free chewing gum Y

8. Breakfast Oat beta-glucan Y9. Regular consumption water N10. Phosphorus Y11. Soy protein N12. Actimel N13. Kinder chocolate N14. Calcium containing fruit juice N

12.20 Round table discussions

12.55 Let’s Get Cooking – What’s on the menu for your lunch

1.pm Notts County FC in the Community- Pre lunch activity

1.15 Lunch & Networking