ORR health programme 2010 to 2014 · 2014-02-17 · ORR HEALTH PROGRAMME 2010 TO 2014 To promote and deliver our vision of an industry that consistently achieves best practice in

ORR HEALTH PROGRAMME 2010 TO 2014�To promote and deliver our vision of an industry that consistently achieves best practice in occupational health

Director of Rail Safety

purpose

ORR Health Programme | Moving the Health Agenda Forward

We aim to improve how health is led and managed by organisations

stimulatinginvestmentinhealthassistanceformanagers;

seekingcompliancewithlegaldutiesonpreventingwork-relatedillhealth;

encouragingthegatheringanduseofgoodhealthdataandeffective

encouragingorganisationstoachievebestpracticeonhealthbyactively

• deliverwhatthesafetyregulatoralonecanprovideonhealth,particularly

sothattherailindustryconsistentlyachievesbestpracticeinoccupationalhealth.

• providelinkstosourcesofinformationandadvice,particularlyanylegalduties

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in the rail industry

For organisations in the rail industry, the programme will:

• encourageindustryleadershiponhealth;

• promoteawarenessofhealth;

• encourageacultureofexcellenceinthemanagementofhealth,by:

> underpinningcompetenceinhealth;

>

>

>monitoringofhealth;

>sharinginformation;

enforcement;

We aim to improve how health is regulated by ORR

Within ORR the programme will:

• provideleadershiponhealthregulation;

• deliveractivitiestoencourageindustryplayerstowardsourvision;

andhoworganisationsshouldcomplywiththem;

• reviewtheresources(people,timeandmoney)wedevotetohealth;

PuRPOsE By implementing this programme, we will promote and deliver our vision of a rail industry that consistently achieves best practice in occupational health

cOnTEnTs ORR Health Programme: Moving the Agenda Forward

Purpose: Improving how health is led and managed 3 Improving health regulation by ORR 3 What we mean by health 4 What aspect of health is most important 4

Encouraging industry leadership 5

Health awareness:

Health management:

Building awareness of the importance of health 7

A culture of excellence: Introduction 10 Underpinning competence in health 12 Stimulating investment 14 Seeking compliance with legal duties 15 Data and monitoring 17 Achieving best practice through sharing 20

Safety regulator delivers: What the safety regulator alone can do 22

Improving health regulation: Introduction 24 Leadership 24 Planning 25 Sources of information and advice 26 Reviewing our resources 27 Encouraging a proactive health culture 27

Tables: Table 1A Main occupational health risks 28 Table 1B Health issues related to general well being 30

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3

health management


• leadershipbytheindustryfortheindustry,andleadershiponhealththat

ownershipofhealthbythepeopleandbusinessesmostaffectedand

initiativesonhealthcreatedanddeliveredbytheindustryplayersthemselves.

• worktosecurecommitmentofseniorpeopletoleadandchampionhealth bothwithintheirowncompaniesandacrosstheindustry,includinganindustry

• worktopersuadetheexistinghealthandsafetyleadershipforumorganised byRSSBtofirmlyincludehealthinitsremit,onlysettingupaseparatehealth

• creatingopportunitiestohelpcross-industryleaderstoemergethrough

• usingmeetingsoftheNetworkRailBoardwiththeORRBoardtochampionhealth

• canvassingforseniorpeopleintheindustrywhohaveapersonalcommitment tohealthandtheorganisationalauthoritytoleadothers,andareabletojoinin

• supportinganyleaderswhoagreetoundertaketheroleacrosstheindustrywith administrativeandmanagerialhelp;suchasfundsformeetings,websitecontent,

ORR Health Programme | 2010-14 4

purpose

Encourage industry leadership on health

Our aim is:

integrateswithleadershiponsafety.Thiswillresultin:

>

>

The programme includes:

leadershipforum;

leadershipforumifnecessary;

(forexample)usingexistingindustryforums,suchasRIAC;

leadership;

• usingotherhigh-levelmeetingstochampionhealthleadership.

How we will achieve our aim:

leadershipacrosstheindustry;

conferencesetc;

• defineanddeliverourcompetenceneedsforhealth;

• encourageaculturethatproactivelyrespondstohealthissues;

sothatwecansecurecompliancebytherailindustrywithitsregulatoryobligations andhelpitachievebestpracticeinoccupationalhealth.

• theeffectofworkonhealth

• fitnessforwork

• generalwell-beingincludinghealthandlife-style,sicknessabsencemanagement

What we mean by “health”

“Health” refers to three areas:

andrehabilitation.

Theeffectofworkonhealthincludes(forexample)theadverseeffectsofexposure todust,asbestos,noise,vibrationorthecausesofmusculoskeletaldisordersor work-relatedstress.

Fitnessforworkincludespeople’sfitnessforsafetycriticaltasksandcovers (forexample)drugsandalcoholmanagement,andperiodichealthassessments.

General well-being and sickness absence management includes:

• actiontoadjusttheworkingenvironmenttosupportpeoplewithcertain conditionstoworkeffectively;

• rehabilitationofpeoplewhohavesufferedhealthdisorders.

What aspect of health is most important?

Webelievethatorganisationsintherailindustryshouldgivemostattentiontothe preventionofillhealthcausedbyworkactivities.Thelawsetsminimumstandards inthisarea.Anexcellentorganisationdeliverscompliancewiththeselawsefficiently, andseekstogobeyondthelawbyinvestinginrehabilitationandwell-being,amongst otherthings.

ORRwillencourageexcellence,butnotenforcebeyondthestandardsetdowninlaw.

AcTiviTiEs in THE PROGRAMME AiMEd AT cHAnGinG HOw HEALTH is LEd And MAnAGEd by ORGAnisATiOns in THE RAiL indusTRy

5

health awareness


Our aim is to build awareness of health as important to businesses

• incentivesthatencouragebusinessesandtheirpeopletoadoptgoodhealth

• informationtopersuadebusinessesoftheeconomicbenefitsfromadoptinggood

• generalwell-beingincludinghealthandlife-style,sicknessabsencemanagement

• byproducingcasestudiestoshowtheeconomiccaseforgoodpracticeinhealth. Thetargetaudiencewillbechiefexecutiveofficers,managingdirectorsand

ORRsponsorshipofanindustryawardforgoodpracticeinhealth;

ORRpraisingpubliclyanysuitableexamplesofgoodpracticeinhealth;

activelypublicisinganysuitableenforcementweundertakeinrelation tohealth,goingbeyondjustplacingenforcementnoticesonourwebsite;


health management

and their people.


practice;

healthpractice;

• activitybyustobuildawarenessintheindustryabouthealth.

We will focus on:

• theeffectofworkonhealthand

andrehabilitation.


financedirectorswhoareresponsibleforcommittingfunds;

• incentivestoenhanceacompany’sreputation:

>

• LinkonORRwebsitetoanyleadershipforumthatmaybesetup.

>

• incentivestoavoiddamagetoreputation:

>

• usingtheagendaofexistinghighlevelmeetingswithrailwayundertakingssothat healthisregularlyraised.

Web-links

• Linktowebsiteoftheorganisationfromwhichtheleaderscome.

Timing

• Setupleadershipbytheindustryonhealthin2010,andthenworktosupport thoseleadersintheiractivitiesineachsubsequentyear.

Resources

• ORRseniorteam.

• RSDDirector.

• OperationalSupportteamwillarrangeforthedirectorandseniorteamtoreceive assistancetofulfiltheirroleatappropriatetimes.

PROMOTE AwAREnEss Of HEALTH

7

health awareness


CasestudiesonHSE’swebsiteshowingwhatorganisationsoutsidetherail industryhavedeliveredandhowmuchithascost.Seehttp://www.hse.gov. uk/sh2/index.htmandhttp://www.hse.gov.uk/sh2/casestudies.htm

Linktoawardsponsorshipwebsite(forapplications,nominations,etc)

Openwelcometorequestsforpresentationsonhealthfromanyorganisation linkedtotherailindustry,anda“requestform”,andasamplepresentation.

Draftingandmaintainingastandardarticleonhealththatisfreetodownload

• in2011/2012,considerseekingsuitablesponsorshipofanindustryawardand thensustainthatsponsorshipeachyearthereafterifappropriate;

• in2010,worktogathercasestudyinformationfor“sellingpacks”thatwillbe usedtopersuadeseniorstakeholders,focusingonstatutoryandeconomic benefits,withaviewtobuildingupaportfolioofstudieseachyearto2014;

• in2010,drawtogetherinformationpacks(“sellingpacks”)andseekoutsuitable opportunitiestopresentonhealthatconferences,lecturesandcontactswith stakeholderorganisations.TargettheHRcommunity.Sustainthisactivityineach

• in2010,establishthehealthperformancemeasureforNetworkRail’sannual

• in2010,publicisinganysuitableenforcementactivitythatisundertakenin accordancewithourenforcementpolicystatement,andtakesimilaropportunities

• RSDOperationalsupportteam,inliaisonwithstaffinExternalAffairs,and appropriatesectionsofRMEandRPP(particularlyfortheeconomicaspects


health awareness

>

>

>

>forthetradepress.

> LinkstoHSEwebsite

Timing:

yearthereafter;

return;

inlateryears.

Resources:

ofcasestudies).

• incentivesarisingfromourroleineconomicregulation:

> agreeingahealthperformancemeasure,orseriesofmeasures,forNetwork Rail’sannualreturn.

• developingandusingcasestudiesoflowcosthealthimprovementmeasures toshowhowefficientandeffectivetheycanbe;

informationfromHSE’swebsitesforORRacleandtheORRwebsiteandadjusting itasnecessarytoberelevanttotherailwayindustry;

• worktobuildawarenessofhealththroughvariousmediacommunicationroutes:

• bringingtogetherpacksofinformationsuitableforvariousmedia,taking

> ourownwebsite,whichshouldhaveaprominentstatementonhealthand detailsofcasestudiesandlinkstoHSEmaterial;

> railindustryconferencesandevents;

> theprofessionalinstitutionlecturecircuit,targetingthoselinkedtoHuman Resourcesprofessionalsandoperationalmanagers(suchasIRO,IRSE, IMechE)

> articlesintherailtradepress;

• worktobuildawarenessofhealththroughcontactswithstakeholder organisationsabletoinfluencetheirmembersabouthealth(tradeassociations likeATOC,RailFreight(RFOG)andHeritageRailways(HRA),CIRASand suppliersofplant).UsingtheSocietyofOccupationalHealthNursing,Societyof OccupationalMedicine;ARIOPs,BUPA,andtheinsurancetradeorganisationsto indirectlyinfluencerailwaystakeholders.

• contactwithTradeUnionstocoordinateouractivities.

Weblinks:

• ORRwebsite

> Statementonhealth

> Detailsofcasestudies,examplesofbestpracticetoshowwhatcanbe achieved

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a culture of excellence


• proactiveinspection,usingtechniquesfortheevaluationofmanagementsystems (TEMS),focusedonthemanagementofparticularhealthrisks;

• judgmentsonthecapabilityofcompaniestomanagehealthbyusingORR’s managementmaturitymodeltoanalysetheresultsofinspections;

• discussionoftheresultswithcompaniesasawayofencouragingimprovement.

• wewilldecidewhichcompaniestotargetforinspection.Thepurposeofthe

evaluatemanagementcapabilitytocontrolhealthrisksagainstthebenchmark inHS(G)65,ourTechniquesfortheEvaluationofManagementSystems

evaluatecompliancewiththelawapplicabletotheparticularhealthriskand takeenforcementactioninlinewithourenforcementpolicystatementto

• wemayfocusoninfrastructuremanagersandothermajorclientstoinspecthow

• Proactiveinspectionofasampleofduty-holders,includingthosethatmanage contractors,tobeginin2010andbesustainedeachyearto2014.

• ORRacleandHSE’swebsiteforlegislationandguidanceonthemainhealthrisks



The programme therefore includes:


inspectionswillbeto:

>

(TEMS)guidanceandourmanagementmaturitymodel;

>

secureanynecessaryimprovements;

theycontroltheircontractors’managementofhealthrisks.

Timing

Web links

• ORRguidanceonTEMSandthemanagementmaturitymodel

prevalentintheindustry.

• HSEguidanceonmanagingcontractors.

Managinghealthisacommontaskforallrailwayduty-holders,althoughthehealthrisksthat needtobemanagedmaybeparticulartoeachorganisation.

Ouraimisthatduty-holdershaveexcellentmanagementofhealthandoftheparticularhealth riskspresentintheirbusiness.Often,theseareissueswhereworkaffectshealth,suchas

Ourintelligenceshowsthattherearecertainoccupationalhealthrisksprevalentintherailway

sharing information.

noise,vibration,asbestosormusculoskeletaldisorders.

industry.Table1givesalistofthesemainhealthissues.Someoftheserisksaremorelikely tobefoundinaninfrastructuremanagerthanatrainoperatingcompany;andsomemore prevalentintheheritagesectorthaninafreightoperatingcompany.Someofthehealth issuesonlyaffectaparticulartradeorprofessionwithinacompany.

Intelligencesuggeststhattheremaybedifferenthealthstandardsforworkersonsite dependingontheiremployer’sstatusasacontractororsub-contractorandthetendering processcontrolledbytheclient.

Weaimtoencourageexcellentmanagementofhealth.Wewilltargetanumberoftherisks eachyearsothat,overtime,wehavesystematicallyexaminedthemanagementofmostof theimportantoccupationalhealthrisksprevalentintheindustry.

Ourpurposewillbetoexaminehowthesetargetedhealthrisksaremanagedasan indicationofhowwellallhealthrisksaremanaged.

EncOuRAGE A cuLTuRE Of ExcELLEncE in THE MAnAGEMEnT Of HEALTH, by: • underpinning competence in health;

• stimulating investment in health assistance for managers;

• seeking compliance with legal duties on preventing work-related ill health;

• encouraging the gathering and use of good health data and effective monitoring of health;

• encouraging organisations to achieve best practice on health by actively

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developedandimplementedafullyoperationalnationaldatabasewithaccess toanonlineoccupationalhealthmanagementsystem,whichinterfaceswith

• ORRGuidanceoncompetencemanagement(“Developingandmaintainingstaff

• HSEwebsiteguidanceoncompetenceandanyspecificcompetenceforparticular

• Linkstowebsitesofprofessionalinstitutions,specificallythosethatprovide healthinformationtotheirmembers,andespeciallythoseintheHRprofession.

• LinktotheoccupationalhealthstandardsoftheFacultyofOccupational Medicine,andaccreditationschemeforoccupationalhealthproviders.

• Worktosetupourwebsiteandweb-linkstobeginin2010andcontinueas

• Listofprofessionalinstitutionsandananalysisoftheirmembershipreach undertakenin2010withaviewtoestablishingcontactswiththemostimportant

• In2010,listingrailindustrytrainingorganisationsandmakingadecisionon whichtoapproach.Contactsbegunin2010andsustainedeachyearto2014.

• In2010,contactfacilitatedbetweeninfrastructuremanagersandConstructing

• In2010,seekingapartnertodeviseasyllabusfortraininginmanagement

ORR Health Programme | 2010-14


>

aSmart-Card.

Web links:

competence”).

• GoSkillswebsitelink.

healthrisks(e.g.asbestos,noise).

• Linktowww.constructingbetterhealth.com.

Timing

necessaryeachyearthereafter;

inthatyearandthensustainingcontactthereafter;

BetterHealth.

ofhealth.NEBOSHmayhaveasuitablesyllabus.

Resources:

• Webteam.

• RSDOperationalsupportteam.

Encourage a culture of excellence in the management of health by: • underpinning competence in health

Ouraimistoencourageknowledgeofhealthbypeopleintherailindustryand topromotetraininginhealthriskmanagement.


• makingourwebsiteahubforaccurateinformationonhealth;

• partnershipworkingwithorganisationsthatprovideadviceandinformation topeopleintherailindustry;

• workwithtrainingorganisationsintheindustry.


• byusingourwebsitetoprovideaccessandsignpoststohealth-relatedinformation andlegalrequirements,particularlyfromHSE,DeptofHealth(encouraging“wellness”) athttp://www.dh.gov.uk/en/Publichealth/Healthimprovement/index.htm.; and“Workingforhealth”atwww.workingforhealth.gov.uk.

• byworkingincollaborationwithprofessionalinstitutionsthatmaybeexpected toactassourcesofadvicetotheirmembers,sothatthoseinstitutionshave accesstoappropriatehealthrelatedinformation.Weintendtofocuson institutionsthatsupportHRprofessionals,asmostemployersmanagehealth throughHRdepartments;

• proactivecontactwith,andsupportto,organisationsthatprovidetrainingtorail staffsothattheycantraineffectivelyonhealthissuesandmanagement.This wouldincludecontactwithNetworkRail’sapprenticeshipschemeandGoSkills (therailsectorSkillsCouncil)whichisresponsiblefordevelopingandmaintaining NationalOccupationalStandardsinpartnershipwithemployersandRSSB.

• devising,inpartnershipwithothers,orsourcingasyllabusforhealth managementtrainingformanagersintherailindustryandmakingitavailableon ourwebsite;

• recognisingthatinfrastructuremanagersareengagedinconstructionactivities, andencouragingtheseorganisationstoadopt“ConstructingBetterHealth”(CBH) asaroutetobestpracticeinmanaginghealthinconstruction.CBHhas:

> publishedindustrystandardsandguidanceforthemanagementof occupationalhealthinconstruction;


12 13



Encourage a culture of excellence in the management of health by: • seeking compliance with legal duties on preventing work-related

Weexpectthatorganisationsshouldmanagehealthtoatleasttheminimum standardsetbylaw.Anexcellentorganisationdeliverscompliancewiththese lawsefficiently,andseekstogobeyondthelawbyinvestinginrehabilitationand

Theprogrammethereforeincludesinterventionsbyuswithduty-holderstocheck thatlegalrequirementsarebeingmet,andtoenforcetheminlinewithour

• organisationswillhaveaccesstothelegalrequirementsandguidancethrough

• Inspectorswillhaveknowledgeofthelegalrequirements,andofourenforcement

• duringTEMSinspectionsofhealth-riskmanagementsystemsandduring investigationsofhealthincidents,compliancewithotherlegalaspectswillbe sampledanddecisionsmadeonenforcementinlinewithourpolicy.Wewillfocus

workactivitiesbeingproperlyriskassessedforhealthhazards;

decisionsonprecautionsbeingappropriatelybasedonthehierarchyofcontrol (thepossibilityofeliminationtobeconsideredfirst,thensubstitutionbya lesshazardousalternative,thencontrolofthehazardbyengineeringmeans

whetherappropriatecontrolmeasuresarebeingimplementedinlinewiththe

correctreportingundertheReportingofInjuries,DiseasesandDangerous

competenceofmanagers,particularlythosewhoareconstruction,design andmanagement(CDM)co-ordinatorsforconstructionworkorwhospecify standardsthatcouldaffectthehealthofthosewhoimplementthem.



ill health

well-being,amongstotherthings.

enforcementpolicy.

How we will achieve our aims:

ourwebsite;

policy;

on:

>

>

andpersonalprotectiveequipmentasalastresort);

>legislationandanyapprovedcodesofpractice;

>OccurrencesRegulations1995(RIDDOR);

>

Encourage a culture of excellence in the management of health by: • stimulating investment in competent health assistance for managers.

Our aims are to:

• encourageinvestmentinhealtharrangementsbyorganisationsintheindustry;

• encouragemorecompaniestoengagecompetentoccupationalhealthassistance underRegulation7oftheManagementofHealth&SafetyatWorkRegulations.

Itisdistinctfrompeopleemployedbyorganisationstodeliver(forexample)medical

“Competenthealthassistance”meanspeopleengagedbyanorganisationtohelp itsmanagerscomplywithlawsaimedatpreventingtheill-healthofemployees.

fitnessassessmentsortoprovidecounselling.

Peopleengagedtoprovidecompetenthealthassistancewouldsupportmanagers indealingwiththeeffectofworkonhealthandcouldbean“intelligentcustomer” forcontractedhealthservices,suchasmedicalfitness.

Theprogrammethereforeincludesinterventionsbyuswithduty-holderstocheck compliancewithRegulation7andthatcompetentoccupationalhealthassistance isavailableandeffective.

How we will achieve our aims.

• TEMSinspectionsofhealth-riskmanagementsystemswithafocusonwhether duty-holdershavecompetentoccupationalhealthassistance;

• investigationsofhealthincidents,withafocusoncompetentoccupationalhealth assistance.

• influencethewaytheindustrymanagescontractors,torequireexplicitprovision ofcompetenthealthassistance.

Web-links:

• Guidance(onHSEwebsite)ontheManagementRegulationsandRegulation7 dutyforcompetenthealthandsafetyassistance.

Timing:

• Proactiveinspectionofasampleofduty-holders,includingthosethatmanage contractors,tobeginin2010andbesustainedeachyearto2014.

Resources:

• OperationalteamsinRSD,NetworkRailDivision&TOC/FOCDivision.

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ORR Health Programme | 2010-14 16 17



Encourage a culture of excellence in the management of health by: • encouraging the gathering and use of good health data and effective

monitoring of health.

Ouraimisthattheindustryproactivelymonitorsoccupationalhealthsothattheycanuse thisinformationtopreventhealthproblemsoccurringtotheiremployeesinthefuture.

Byknowingwhatworkactivitiescauseparticularhealthproblems,companiescan eitherindividuallyorcollectivelydevelopsolutionstopreventtheserisksoccurring.

Thescaleofhealthproblemsacrosstheindustrywillonlybeknownifcompanies monitortheseissuesandappropriatelyreportthemtoORR.


• gatheringmoreinformationonwhatallrailwaycompaniesaredoingtocollect informationandhowtheyareusingit;

• worktobuildonexistinggoodpracticeonmonitoringinsomecompaniessothat itbecomesthenormacrosstheindustry;

• possiblecommissionedresearchtocollectdataonoccupationalhealthtoactas abaselineforthescaleofthehealthchallengeintheindustry.

How we will achieve our aim.

Gathering information:

• seekinginformationfromoccupationalhealthserviceproviders,particularly anonymiseddataonthenumbersofreferralsandtypesofhealthconditionsand thecostoftreatingspecifichealthconditions;

• encouragingATOCandRSSBtohelpestablishwhatcurrentlyhappensinthe industry.IninfluencingRSSB,wewoulduseourexistinglinkswiththemanduse:

> theORRreviewofhowRSSBfunctionsandisstructured,toensurehealthis championedandmonitoringandsharingofbestpracticeencouraged;

> ORR’sstatusasanobserveronRSSB’sBoardtoensureanycommitmentto healthissustained;

> RSSBmeetingsonresearchtoensuretheappropriateresearchisundertaken andthenusedtoaddresstheissuesthatcometolight;

> andRSSBmeetingsondatacollectionandanalysistoensuretheysupplyus withgoodqualitydataonoccupationalhealthincidents;

• Enforcementwillbeinlinewithourenforcementpolicystatement.Duringthe programme,theremaybemoreenforcementoflawrelatedtohealththanin previousyears,butanyincreasewillonlyresultfromustargetinghealthformore inspectionandinvestigationactivitythanpreviously.

Timing

• Proactiveinspectionofasampleofduty-holderstobeginin2010andbe sustainedeachyearto2014;

• Investigationofasampleofhealthincidentsbegunin2010andcontinuedeach yearthereafter.

Resources:

• OperationalteamsinRSD,NetworkRailDivision&TOC/FOCDivision.



• Commissionresearchtocollectdataonoccupationalhealthtoactasabaseline forthescaleofthehealthchallengeintheindustryifthepilotprojectwithTOCs

• ContactwithHSE’sEpidemiologyandstatisticsunittoconsiderindustryspecific dataonprevalenceandincidenceratesofoccupationalhealthissues,asa

• In2010,evaluatehealthmonitoringinformationandcommissionappropriate

• In2012produceagoodpracticeguideongatheringdataandmonitoring

• In2013/14,undertakeresearchintohowwelltheindustryisadoptingbest

• In2012reviewRIDDORasameansofobtainingoccupationalhealthdataby



Commissioned research

isnotsuccessful.

base-line.

Timing

researchtoobtainabaseline.

occupationalhealth.

practice.

theregulator.

Resources:


• evaluatingtheORRinitiativetoencouragebetterreportingofhealthissuesunder RIDDOR,includingthelinktotheindustry’sSMISdatabase(launchedinApril2010);

• evaluatingapilotprojectunderwayin2009/10togatherinformationfromTOCs onthehealthdatatheycollectandwhattheydocurrentlytomonitorandtackle healthproblems.Ifworthwhile,thiscanbeexpandedtocoverallRSDfrontline teamstogetanationwidepictureofthecurrentsituation;

• evaluatingin2014whetherdatacollectionandmonitoringhaveimprovedby

• Contactthosecompanieswhoalreadycollectdataforreactivepurposesto

eithercommissioningindependentresearchorusingthesamemethodasthe pilotproject.

Building on existing good practice

Ouraimistoencourageaproactiveapproachtohealthmonitoring.

persuadethemtochangetheirexistingapproachanduseitinsteadtopredict andanticipateissues,(forexample,recognitionthataparticulartaskleadstoa higherlikelihoodofcertaintypesofdisease).Themostlikelydriverstothisare:

> todemonstratefromtheirowndatathatthereareoccupationalhealthproblems thatarecostingthemsignificantamountsoftimeandmoney;and/or

> tohaveexamplesofhowcollectingdataandmonitoringthehealtheffectsis ofbenefitfinanciallyandoperationallytothecompany.

• Othercompaniesmayneedtobeencouragedtostartcollectingandanalysing datacentrally.ExistinggoodexamplesfromLondonUndergroundandSouthWest Trainscouldbeusedtoshowthebenefitsofdoingthisforgettingemployees backtowork.

• Seekingcasestudiesofgoodpracticeinproactivemonitoringwithintherail industry,particularlyinconstructionactivities,andpublicisingthoseonour website.

• Usingeconomiccasestudiestosecurecommitmentfromseniormanagerstothe benefitsofmonitoring.


18 19



• In2010establishcontactswithcompanyhealthandsafetycommittees,trade unions,railwayHRmanagers,ARIOPS,ATOCHRforumandRSSBandsustain



Timing

themthereafter.

Resources:


Encourage a culture of excellence in the management of health by: • encouraging organisations to achieve best practice on health

by actively sharing information.

Ouraimistoencouragetheindustrytoshareinformationtofacilitatean improvementinthemanagementofhealthrisks.


• incentivestoencouragerailorganisationstosharesolutionsinhealth managementpractice;

• ORRfocussingonspecifictargetgroupstoclarifyproblemareas,devisenew waysofworkingandshareinformationinbothformal(e.g.businessstandards) andinformalmedia;

• ORRtofacilitatemechanismsforactivelysharinginformation.


• activitiesassociatedwithsharinginformationemergingfromtheHealth LeadershipForum;

• writingtorailorganisationstoestablishwhathealthissuesarediscussedattheir Health&SafetyCommitteesandexploringthepotentialforanetworkingopportunity withothermanagers,supervisors,andemployeestoreviewhealthmanagement;

• workinginpartnershipwiththetradeunionsonspecifichealthtopicstosetout whatbestpracticelookslikeinhealthmanagement;

• engagingwithrailwayhumanresourcesmanagerstoestablishareasof informationneedandhowbesttopromotesharingofinformation;

• facilitatinganactivelearningsessionattheAssociationofRailwayIndustry OccupationalHealthPractitioners(ARIOPS)conferencetopermitsharingof experiences;

• settingupacommunityofmanagerswithaninterestinhealthandhosting periodicmeetingstoshareexperiences;

• seekingthesupportandinvolvementoftheAssociationofTrainOperating Companies(ATOC)HRforumforsharinginformationonbestpracticeinmanaging healthacrosstheTOCcommunity;

• liaisingwithRSSBtoencouragethedevelopmentofagoodpracticeguideonthe managementofhealthrisksorfurtherdevelopmentofhealthstandards.

21


• involvementinsettingstandardsformedicalfitness.TheFacultyofOccupational Medicinehavelaunchedavoluntaryaccreditationschemeforallprovidersin January2010.Itwilltakesometimeforproviderstobecomeaccredited,butORR needstoconsideritspolicyonwhethertorequireindustrytoonlyuseaccredited occupationalhealthserviceproviders.Inaroundtwoyearstime(iftheFaculty’s schemeisasuccess)theremaybeenoughcompetentprovidersforORRto

• emphasisininspectortrainingonusingourenforcementpolicystatementand enforcementmanagementmodelforhealthrisks,sothatwetakeconsistentand

• LiaisewithHSEandconsultwiththerailindustryonproposalsforchangestolaw onhealth,suchastheproposedMusculoskeletalDisorders/Regulations.

• ORRwebsiteforlicenceconditionsandNetworkRail’sannualreturn.

• PossiblelinktotheFacultyofOccupationalMedicine(FOM)websiteifandwhen

• OngoingreviewofthelegalframeworkonhealtheachyearunderORR’s

• In2011-12,workwiththeFacultyofOccupationalMedicineontheirvoluntary

• RSDOperationalsupportteam,inliaisonwithstaffinExternalAffairsand


safety regulator delivers

consideritspolicy;

proportionateenforcementdecisions;

Web links

theaccreditationschemeissuccessfullyoperating.

Timing

memorandumofunderstandingwithHSE.

accreditationscheme.

Resources:

appropriatesectionsofRMEandRPP.

ORRisthecombinedeconomicandsafetyregulatorandhasanumberofrolesthat onlyitcanfulfil.Amongstotherthings,onlyitcan:

• reviewandenforcelegislation;

• setandenforcelicenceconditions;

• promulgateindustryspecificregulatoryguidance.

Ouraimistomakesurethatthelegalandcomplianceframeworkwillsupportand sustainexcellenceinhealthmanagement.


• regularreviewofaspectsofthelegalframework,inconjunctionwithHSEwho havethegovernmentleadonoccupationalhealthlegislation;

• regularreviewofeconomicregulationaspectstokeepthemalignedwithour healthvision.

How we will achieve our aim.

• periodicreviewofevidencearisingfromproactiveinspectionsagainstthe legislativeprovisionsandguidance,anddiscussionswithHSEifchangesare neededtogenericlegislation;

• considerationofahealthperformancemeasure,orseriesofmeasures,for NetworkRail’sannualreturn;

• makinguseofourpositionasjointeconomicandsafetyregulatorbyespousing theeconomicargumentforreducingwork-relatedill-health,whichcanbe compellingintermsofbusinessefficiencyandperformance;

dELivER wHAT THE sAfETy REGuLATOR ALOnE cAn PROvidE On HEALTH, PARTicuLARLy EnfORcEMEnT

safety regulator delivers

22 23


Setupleadershipbytheindustryonhealthin2010,andthenworktosupport thoseleadersintheiractivitiesineachsubsequentyear.

in2011/2012,considerseekingsuitablesponsorshipofanindustryaward andthensustainthatsponsorshipeachyearthereafterifappropriate;

In2010,worktogathercasestudyinformationfor“sellingpacks”thatwillbe usedtopersuadeseniorstakeholders,focusingonstatutoryandeconomic benefits,withaviewtobuildingupaportfolioofstudieseachyearto2014;

In2010,drawtogetherinformationpacks(“sellingpacks”)andseekout suitableopportunitiestopresentonhealthatconferences,lecturesand contactswithstakeholderorganisations.TargettheHRcommunity.

in2010,establishthehealthperformancemeasureforNetworkRail’sannual

In2010,publicisinganysuitableenforcementactivitythatisundertaken inaccordancewithourenforcementpolicystatement,andtakesimilar

Proactiveinspectionofasampleofduty-holders,includingthosethatmanage contractors,tobeginin2010andbesustainedeachyearto2014;

Investigationofasampleofhealthincidentsbegunin2010andcontinued

Worktosetupourwebsiteandweb-linkstobeginin2010andcontinueas

Listofprofessionalinstitutionsandananalysisoftheirmembershipreach undertakenin2010withaviewtoestablishingcontactswiththemost importantinthatyearandthensustainingcontactthereafter;

In2010,listingrailindustrytrainingorganisationsandmakingadecisionon whichtoapproach.Contactsbegunin2010andsustainedeachyearto2014.


improving health regulation

Themainaspectsare:

• Leadershipintheindustry:

>

• Awarenessofhealth:

>

>

>

Sustainthisactivityineachyearthereafter;

>return;and

>

opportunitiesinlateryears.

• Encouragingacultureofexcellenceinthemanagementofhealth:

>

>eachyearthereafter;

>

sothatwecansecurecompliancebytheindustrywithitsregulatoryobligationsand

HEALTH is REGuLATEd by ORR

necessaryeachyearthereafter;

>Planning

>

Ouraimisthat,forORRstaff,theprogrammewill,overtime:

• provideleadershiponhealthfortheiractivities

• planactivitiesbyORRtoencourageindustryplayerstowardsourvision;

• linktosourcesofinformationandadvice,particularlyanylegaldutiesandhow organisationsshouldcomplywiththem;

• reviewourresources(people,timeandmoney)devotedtohealth;

• setanddeliverourcompetenceneedsforhealth;

• encouragethroughallthatwedoaculturethathealthmatters;

helpitachievebestpracticeinoccupationalhealth.

Leadership

ORRleadershipofthishealthprogrammewillbeprovidedbyaBoardandamanager.

TheBoardwillsetstrategicdirection.Themanagerwilldriveactivities.Together,they willsteertheprogrammeandadjustittocircumstances,whilstkeepingitsaimsto thefore.

Themanagerwillseekinternalcommunicationsopportunitiestokeephealthissues instaff’sconsciousness.

Theprogrammerunsfrom2010to2014.

Theaimsoftheprogrammewillbeachievedbysustainedactivityoneachkeyaspect oftheprogrammeeveryyearunderthedirectionoftheBoardandhealthmanager.

AcTiviTiEs in THE PROGRAMME AiMEd AT iMPROvinG HOw


24 25



Theguidancewillbecommunicatedtoappropriatestaff,normallythroughour

• guidancematerialontheissue,suchasguidancefromHSE,orinRailGuidance

WewillbrieftheCCTteaminORRwhodealwithgeneralinquiriessothattheyhave

Wewillproducealistof“mattersofevidenthealthconcern”,whichwouldguide inspectorsabouthealthissuesthattheyshouldnotignoreiftheyfindthemwhen

Review our resources and set and deliver our competence needs

Encourage a culture in ORR that proactively responds to health issues

Wewilldevelopabusinesscaseforspecialistoccupationalhealthresource.

Wewilldevelopabusinesscaseformedicalresourcetobeinvolvedinthemedical

WewillliaisewithHSEtodevelopcommoncompetencestandardsforhealthfor inspectors,RICOsandotherstaffandthendeliverthemthroughourcompetence

Wewillproactivelymanageoccupationalhealthissuesthataffectourownstaffusing



intranet,andinclude:

• specialistsupportavailableandhowtoaccessit;

Documents;and

• asynopsisoftherelevantregulatoryrequirements.

informationtorespondtorequestsforhealthinformation.

visitingforotherpurposes.

for health

aspectsoftraindriverlicensing.

managementsystem.

ourownmanagementsystems.

> In2010,contactfacilitatedbetweeninfrastructuremanagersand ConstructingBetterHealth.

> In2010,seekingapartnertodeviseasyllabusfortraininginmanagementof health.NEBOSHmayhaveasuitablesyllabus.

> In2010,evaluatehealthmonitoringinformationandcommissionappropriate

RIDDORasameansofobtainingoccupationalhealthdatabytheregulator.

researchtoobtainabaseline.In2012produceagoodpracticeguideon gatheringdataandmonitoringoccupationalhealth.In2013/14,undertake researchintohowwelltheindustryisadoptingbestpractice.In2012review

> In2010establishcontactswithcompanyhealthandsafetycommittees, tradeunions,railwayHRmanagers,ARIOPS,ATOCHRforumandRSSBand sustainthemthereafter.

• Deliverwhatthesafetyregulatoralonecanprovideonhealth

> OngoingreviewofthelegalframeworkonhealtheachyearunderORR’s memorandumofunderstandingwithHSE.

> In2011-12,workwiththeFacultyofOccupationalMedicineontheirvoluntary accreditationscheme.

AdetailedannualplanwillbeproducedunderORR’snormalplanningcycleforeach year.

TheplantoimplementORR’sactivitiesunderthisprogrammein2010–2011isat http://www.rail-reg.gov.uk/upload/pdf/business-plan-2010.pdf.

Sources of information and advice

Wewillproduceconsistentinternalguidanceforeachofthemainoccupational healthrisksprevalentintherailindustry(seetable1).

Theguidancewillbedesignedtoequipourstafftounderstand,pursue,influence positivelyand(ifnecessary)enforceontheserisks.Ourguidancewillbeconsistent withthatfromHSE.

27


occupational health risks

TAbLE 1: LisT Of THE MAin OccuPATiOnAL HEALTH Risks PREvALEnT�in THE RAiLwAy indusTRy�

Table 1A: Health issues related mainly to the effect of work on health

Health issue Law and guidance Notes

Musculoskeletal disorders

ManagementofHealthand SafetyatWorkRegulations 1999,plus

ManualHandling OperationsRegulations 1992

InfrastructureManagers(IMs): Trackwork

Signallers:leverpulls

TOCs/FOCmaintenancestaff: sizeofsandbagsforfilling sandinghoppers(usually 50kg)

Groundstaffandshunters: leverpullsongroundframes.

Stress ManagementofHealthand SafetyatWorkRegulations 1999,plusGuidancein managementstandards onHSEwebsite: http://www.hse.gov.uk/ stress/standards/index.htm

TOCs/FOCs:traumafrom suicides;workplaceviolence; verbal&physicalassaults (revenueprotection);shift work.

Handarm ManagementofHealthand IMsandconstruction vibration SafetyatWorkRegulations

1999,plus contractors

Wholebody Tampermachines. vibration ControlofVibrationatWork

Regulations2005

Noise ManagementofHealthand SafetyatWorkRegulations 1999,plus

ControlofNoiseatWork Regulations2005

IMs,TOCs,FOCsand constructioncontractors.

Cabnoiseonlocomotives.

Substances ManagementofHealthand Dieselengineexhaust hazardousto SafetyatWorkRegulations emissions,silicadust, health 1999,plus

ControlofSubstances HazardoustoHealth Regulations(COSHH)2002

isocyanates.

Lead ManagementofHealthand SafetyatWorkRegulations 1999,plus

ControlofLeadatWork Regulations2002

ParticularproblemforIMs re-paintingstructures.

Asbestos ManagementofHealthand SafetyatWorkRegulations 1999,plus

ControlofAsbestos Regulations2006

Issueforheritage maintenanceofoldrolling stock.Maybefoundin buildingsthatareownedby NetworkRailbutleasedtothe TOCs.Asbestosmaybefound linesideincabinetsaswellas buildings.

Microbialhazards ManagementofHealthand SafetyatWorkRegulations 1999,plus

COSHH

Legionella,leptospirosis, thoseassociatedwithneedle stickinjuriesandtrain cleaningwhereexposure tobodyfluidscaninclude blood-borneviruses.


28 ORR Health Programme | 2010-14 29


-ORR Health Programme Moving the Health Agenda Forward

Health issue Notes

Obesityand highbloodpressure

Fatigue, sleepdisorders,and possiblelinkstohigher ratesofheartdisease

Shiftworkissues.

Hypertension Encouraging‘wellness’throughbetterdietandexercise willhelptopreventcertaintypesofoccupationalhealth problemssuchasobesityandrelatedillnesses. TheDepartmentofHealthhasinformationinthisarea onthehealthimprovementpartofthewebsite: http://www.dh.gov.uk/en/Publichealth/ Healthimprovement/index.htm.

ThereisalsoawebsiteWorkingForHealth www.workingforhealth.gov.ukwhichDoH,HSE,NHS andScottishGovernmentandWelshAssemblyjointly runaspartofaninitiativestartedin2005toimprove workforcehealth.

Dutyholdersshouldbeencouragedtoincludereference tothisintheirhealthandsafetytrainingcoursesand theirHRDepartmentstoincludedetailsthroughtheir internalcommunicationchannels.Weareawarethat oneoftheTOCsbeenrunningahealthandwellbeing course.Itmightbeanexamplethatcouldbeshared withothercompanies.

Cardiovascular problems

Backpain

Table 1B: Health issues mainly related to general well-being including health and life-style, and sickness absence management

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For further information

Dr Claire Dickinson Occupational health programme manager Human factors SMS & operational support team manager Office of Rail Regulation Grove House Skerton Road Manchester M16 0RB

Tel: 020 7282 3742 Mobile: 07808 682 310 Email: [email protected]

30 ORR Health Programme | 2010-14

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Office of Rail Regulation

One Kemble Street London WC2B 4AN

Switchboard: 020 7282 2000

www.rail reg.gov.uk