Post on 12-Mar-2020
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
-
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
-
3
health management
ORR Health Programme | Moving the Health Agenda Forward
• 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
ORR Health Programme | Moving the Health Agenda Forward
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;
ORR Health Programme | 2010-14 6
health management
and their people.
The programme includes:
practice;
healthpractice;
• activitybyustobuildawarenessintheindustryabouthealth.
We will focus on:
• theeffectofworkonhealthand
andrehabilitation.
How we will achieve our aim:
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
ORR Health Programme | Moving the Health Agenda Forward
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
ORR Health Programme | 2010-14 8
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
9
a culture of excellence
ORR Health Programme | Moving the Health Agenda Forward
• 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
ORR Health Programme | 2010-14 10
a culture of excellence
The programme therefore includes:
How we will achieve our aim:
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
11
ORR Health Programme | Moving the Health Agenda Forward
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
a culture of excellence
>
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.
The programme therefore includes:
• makingourwebsiteahubforaccurateinformationonhealth;
• partnershipworkingwithorganisationsthatprovideadviceandinformation topeopleintherailindustry;
• workwithtrainingorganisationsintheindustry.
How we will achieve our aim:
• 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;
a culture of excellence
12 13
a culture of excellence
ORR Health Programme | Moving the Health Agenda Forward
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.
ORR Health Programme | 2010-14 14
a culture of excellence
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.
15
a culture of excellence
ORR Health Programme | 2010-14 16 17
ORR Health Programme | Moving the Health Agenda Forward
a culture of excellence
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.
The programme includes:
• 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.
• RSDOperationalsupportteam.
ORR Health Programme | Moving the Health Agenda Forward
• Commissionresearchtocollectdataonoccupationalhealthtoactasabaseline forthescaleofthehealthchallengeintheindustryifthepilotprojectwithTOCs
• ContactwithHSE’sEpidemiologyandstatisticsunittoconsiderindustryspecific dataonprevalenceandincidenceratesofoccupationalhealthissues,asa
• In2010,evaluatehealthmonitoringinformationandcommissionappropriate
• In2012produceagoodpracticeguideongatheringdataandmonitoring
• In2013/14,undertakeresearchintohowwelltheindustryisadoptingbest
• In2012reviewRIDDORasameansofobtainingoccupationalhealthdataby
ORR Health Programme | 2010-14
a culture of excellence
Commissioned research
isnotsuccessful.
base-line.
Timing
researchtoobtainabaseline.
occupationalhealth.
practice.
theregulator.
Resources:
• RSDOperationalsupportteam.
• 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.
a culture of excellence
18 19
a culture of excellence
ORR Health Programme | Moving the Health Agenda Forward
• In2010establishcontactswithcompanyhealthandsafetycommittees,trade unions,railwayHRmanagers,ARIOPS,ATOCHRforumandRSSBandsustain
ORR Health Programme | 2010-14 20
a culture of excellence
Timing
themthereafter.
Resources:
• RSDOperationalsupportteam.
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.
The programme includes:
• incentivestoencouragerailorganisationstosharesolutionsinhealth managementpractice;
• ORRfocussingonspecifictargetgroupstoclarifyproblemareas,devisenew waysofworkingandshareinformationinbothformal(e.g.businessstandards) andinformalmedia;
• ORRtofacilitatemechanismsforactivelysharinginformation.
How we will achieve our aim:
• 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
ORR Health Programme | Moving the Health Agenda Forward
• 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
ORR Health Programme | 2010-14
safety regulator delivers
consideritspolicy;
proportionateenforcementdecisions;
Web links
theaccreditationschemeissuccessfullyoperating.
Timing
memorandumofunderstandingwithHSE.
accreditationscheme.
Resources:
appropriatesectionsofRMEandRPP.
ORRisthecombinedeconomicandsafetyregulatorandhasanumberofrolesthat onlyitcanfulfil.Amongstotherthings,onlyitcan:
• reviewandenforcelegislation;
• setandenforcelicenceconditions;
• promulgateindustryspecificregulatoryguidance.
Ouraimistomakesurethatthelegalandcomplianceframeworkwillsupportand sustainexcellenceinhealthmanagement.
The programme therefore includes:
• 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
ORR Health Programme | Moving the Health Agenda Forward
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.
ORR Health Programme | 2010-14
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
improving health regulation
24 25
improving health regulation
ORR Health Programme | Moving the Health Agenda Forward
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
ORR Health Programme | 2010-14 26
improving health regulation
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
ORR Health Programme | Moving the Health Agenda Forward
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.
occupational health risks
28 ORR Health Programme | 2010-14 29
occupational health risks
-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
designedbycausewaycommunications02072555243causewaycommunications.com
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: claire.dickinson@orr.gsi.gov.uk
30 ORR Health Programme | 2010-14
-
-
Office of Rail Regulation
One Kemble Street London WC2B 4AN
Switchboard: 020 7282 2000
www.rail reg.gov.uk