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Health Monitoring to Reduce Absenteeism
Dr Rick Adderley
www.a-esolutions.com
What is Stress?
UK HSE: “… the process that arises where work demands of various types and combinations exceed the person’s capacity and capability to cope”
Colligan and Higgins (2005): “… the change in one’s physical or mental state in response to workplaces that pose an appraised challenge or threat to that employee”
What is Stress?
The HSE state: All employers have legal responsibility under the Health and Safety at Work Act 1974 and Management of Health and Safety at Work Regulations 1999 to ensure the health safety and welfare at work of their employees. This includes minimising the risk of stress-related illness or injury to employees.
HSE Working Days Lost to Stress 2010/2011
Age group & gender Estimated days
lost
(thousands)Average
Males 4866
16 - 34 986
35 - 44 1312
45 - 54 1778
55+ 790
Females 5922
16 - 34 1482
35 - 44 1312
45 - 54 1974
55+ 1154
All Persons 10788
16 - 34 2468
35 - 44 2624
45 - 54 3753
55+ 1943
Organisation Size
Days Lost per Person
Large 0.57
Medium 0.54
Small 0.3
“The average days lost per case for stress, depression or anxiety 27 days… “
Where Is The Work Place ?
The Work Place
Control Room
Classroom
Office
Driving
Small Force Cost of StressAnnual Working Days 223Number of Staff 1900Total Number of Sickness Days 12000 Sickness Days per Staff Member 6.32Percentage to Stress 0.45Days Lost to Stress 5400 Stress Sickness Days per Staff Member 2.84
Salary £30,000.00Daily Rate £134.53
Cost of Sickness £1,614,349.78 Cost of Sickness Days per Staff Member £849.66
Cost of Stress Absence £726,457.40
Cost of Stress Absence Days per Staff Member £382.35
Organisation Size
Days Lost per Person
Small 0.3
Force Department Cost of StressAnnual Working Days 223Number of Staff 1060Total Number of Sickness Days 12000 Sickness Days per Staff Member 11.32Percentage to Stress 0.3Days Lost to Stress 3600 Stress Sickness Days per Staff Member 3.40
Salary £34,228.00Daily Rate £153.49
Cost of Sickness £1,841,865.47 Cost of Sickness Days per Staff Member £1,737.61
Cost of Stress Absence £552,559.64
Cost of Stress Absence Days per Staff Member £521.28
Organisation Size
Days Lost per Person
Large 0.57
– Whilst absent work is not done
– Overtime needed to cover absence
– Other staff working harder to cover absence• More stress induced by covering absence
• Likely to lead to stress related sickness
– Rotten Apple Syndrome• Person A goes sick – others follow
• Person B stressed and “grumpy” – affects team performance
– Possible Employment Tribunal
Force Cost of Stress Absence £726,457.40 Cost of Stress Absence Days per Staff Member £382.35Departmental Cost of Stress Absence £552,559.64 Cost of Stress Absence Days per Staff Member £521.28
Non Visible Costs
Stress Related Employment Tribunals
• Walker v Northumberland County Council, (1995)
• Hatton v Sutherland (2002)
• Barber v Somerset County Council (HOL 2004)
• Hiles v South Gloucestershire NHS Primary Care Trust (2007)
• Daw v Intel
• Corporation UK Ltd (Court of Appeal 2007) 2 AER 126
• Dickens v O2 [Court of Appeal 2008]
Tribunal Awards
“… bosses struggling to cope with soaring compensation bills.Firms paid out £321million for stress, ill health and injury last year. The number of cases claiming stress rocketed twelvefold to more than 6,000.”
“According to TUC figures, last year 51,204 members of staff won an average of £6,269 each. Claims which specifically cited stress totalled 6,428 - a twelvefold increase on the 2000 tally of 516.”
Daily Mail 6th September 2013 : http://www.dailymail.co.uk/news/article-98737/Judges-clamp-big-stress-payouts.html
Benefits
• What you do not measure you do not control
• What you do not control you do not improve
• Create of “Norms” to benchmark against
– Force, Areas, Departments, Factories / Sites
• Alleviate Tribunal Claims
• Clearly demonstrate Duty of Care
Identification of Stressful Activities
Role 1
Role 2
Role n
.
.
.
.
SDCS1
SDCS2
SDCSn
Stress DriverCause/Symptom
Implicate Activity/CauseActivity
Person (Type)
Identification
Process Improvement
Reduction in
Absence
How is this Accomplished
MethodologyGender fitting guide
Can be worn under work clothing
Activity List
Each person completes a
timed activity list for each day
Personal Information:IDAgeGenderResting Heart Rate
HeightWeight
VocabularyRefs Meal break and comfort break Refreshments Refs
OfficeAdmin / Reading briefings / Forcenet / Emails / Paperwork / Filing / Sorting and searching for FP forms / Postroom
DocketsAllocating dockets / Updating dockets on TRAK-X / Booking in dockets / Dealing with allocated dockets / Searching for missing dockets
Fingerprint Comparisons / Identification / Searching / EvidenceSuspect Suspect comparison / Suspect checkQueries Speak with OIC/Officer regarding a suspect / Queries with/from OfficersIntel System Updating intel system / Intel system enquiry / Force intel systemIntelligence Intelligence research / Intelligence checkingIdentifications Scanning idents / checking identifications / Writing up identifications
Ident1Editing marks on Ident1 / P-MIs on Ident1 / Ident1 Mark comparisons / Ident1 Ten print comparisons / Ident1 M-Ps
PM Check Checking P-M / P>M Check Custody Custody check / Remote access to livescan (custody)DrivingMeeting
PrintsElim print check / Elim print comparison / Looking at marks for colleagues / Experimenting with old marks
MP M>P SearchingCleaningPDR Complete PDRChecking 2nd/3rd checking
File Annotation
• For Each File
– Extract
– Clean
– Annotate using the Activity List that now has a standard vocabulary
– Store for analysis
Monitoring & Analysis Tools
Monitoring & Analysis Tools
The App
Authority Miner Analysis
Session Programme
• Deliver, train personnel, complete admin
• Personnel wear the device
• Collect the devices and activity lists at the end of the agreed time, collate lists, sanitise belts
• Extract, clean and annotate files
• Create vocabulary
• Create / refine analytics
• Analyse data and prepare the Report
Results - Stress in the Work PlaceUK Police Motorcyclists
Officer No. Activity Mins in Training Zone Time of Day
5 General Patrol 23 0333 hours to 0356 hours
5 Incident 11 0400 hours to 0411 hours
5 General Patrol 96 0413 hours to 0549 hours
9 Office Duties 30 0719 hours to 0749 hours
1 Office Duties 43 1158 hours to 1241 hours
1 General Patrol 18 1249 hours to 1307 hours
Stress in the Work PlaceOfficer Number 9
Office Work Office Work Office Work
Making Coffee Formal Rest Break
Stress While TrainingPolice Team Training
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Activity1 Activity2 Activity3 Activity4 Activity5 Activity6 Activity7 Activity8 Activity9
Possible Implementation
Force
Staffing Pool
Dept /Area 1
Returning to work
Feeling unwell
MonitorPhysiology
Compare with Group Norms
Dept /Area 2
Dept /Area 3
Possible Implementation
Application of Business Improvement Programme
Interim MeasurementTo Demonstrate Progress
Current working Practices
Measure Current
Stress Levels
Prior to Instigating Change
Current working Practices
Measure Current
Stress Levels
Post Change Analysis
Measuring Continuous Improvement
Northamptonshire Police Scientific Support
"…Now, for the first time, with the assistance of A-E Solutions, we have been able to quantify this stress and to
identify accurately situations that cause our staff to become stressed and the extent to which this is occurring.
…we have been able to measure stress levels in our Fingerprint Experts and this information is extremely
valuable in assessing the situations that not only cause them stress but also that might affect their ability to
correctly identify finger marks …".
Dr John Bond
Additional Services
Stress Questionnaire
