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Recognising Drug Use in the Workplace - Richard Evers
Implementing a D&A policy
for senior executives
The prevalence and consequences of
using drugs at work
Richard Evers
Toxicology Manager
Synergy Health Laboratory Services
Recognising Drug Use in the Workplace - Richard Evers
Synergy Health Laboratory Services
+ Fully Accredited analytical services to clients in all industry sectors
+ Private Pathology Services
+ Drug and Alcohol Testing
+ Policy Implementation
+ Drug awareness training
+ Nationwide 2 hour response collection services
Recognising Drug Use in the Workplace - Richard Evers
Me
Recognising Drug Use in the Workplace - Richard Evers
+ Why have a Drug & Alcohol Policy
+ Drug use among senior executives
+ Implementing a Policy
+ Problems & pitfalls
Agenda
Recognising Drug Use in the Workplace - Richard Evers
Why have a drug & alcohol policy?
• Misuse of drugs act
– Offence to use drugs
– Offence to allow drug use
• H&SAW act
• Managing health & safety
Recognising Drug Use in the Workplace - Richard Evers
Civil law
• Costs of a positive
• Damage to reputation
• Civil liability
Recognising Drug Use in the Workplace - Richard Evers
Drug Testing
• You can have a policy without testing
– How many have no policy?
• How can you monitor?
• How can you police?
– What happens when somebody comes in
from lunch drunk?
Recognising Drug Use in the Workplace - Richard Evers
When is testing justified
• Safety Critical
• Integrity critical
• The Law
– T&Works act
• Parent company
– Sub-contractors (do they have permission to
test?)
– US parent
Recognising Drug Use in the Workplace - Richard Evers
Other reasons
• Blanket coverage
• Union agreement
• Info commissioners brief
Recognising Drug Use in the Workplace - Richard Evers
Senior executives
• Often older
– GS is 38
• Often Well paid
• Little Supervision of work
Recognising Drug Use in the Workplace - Richard Evers
Medication
• Chronic pain more likely in older staff
– Addiction to painkillers
– Withdrawal
– Codeine and increasingly tramadol
• Stress more likely in older staff
– Use of sleeping tablets
– Chronic Alcohol use
– Cannabis use
Recognising Drug Use in the Workplace - Richard Evers
Recreational drugs
• Senior staff have greater incomes
– Cocaine use
– “occasional” heroin use
– Alcohol binge drinking
Recognising Drug Use in the Workplace - Richard Evers
Workplace Drug Use
• Lunchtime drinking
– Once common, now rare
– Affects older staff more
• Workplace social events
– Predominantly alcohol
• Corporate Hospitality -add in later
Recognising Drug Use in the Workplace - Richard Evers
Implementation of a policy
• Why?
– Why do you have a policy in the first place?
• Safety Critical
– Do senior executives ever enter safety critical areas?
Are they “banned” form these areas?
– Do they make safety critical decisions?
• Integrity driven
– More significant for senior staff
• Site-wide policies
– Cannot have exceptions to the rule
• Staff morale, fairness, employer relations
Recognising Drug Use in the Workplace - Richard Evers
Senior executives
• The same rules must apply to senior
execs that apply to all other staff. BUT
• Information commissioners report on D&A
testing
• Staff/Union buy-in if execs excluded
Recognising Drug Use in the Workplace - Richard Evers
Implementation
• Let senior execs know what is being
tested & why
• Involve occ health
• Declaration of meds
Recognising Drug Use in the Workplace - Richard Evers
Problems & Pitfalls
Recognising Drug Use in the Workplace - Richard Evers
FLT Driver
• Takes codeine for back pain
• Over-sedates or under medicates
• Causes serious accident
– Compensation to victim
– Loss of stock
– Time off work
– Damage to FLT
• Cost to employer? £5k insurance excess
Recognising Drug Use in the Workplace - Richard Evers
Director of Sales
• Takes codeine for back pain
• Over-sedates or under medicates
• Misses significant detail in tender/contract
– Loss of contract
– Loss of staff
• Cost to company?
– £500k+ depending on size of contract
– NOT covered by insurance
Recognising Drug Use in the Workplace - Richard Evers
Comparison
• The cost of a senior executive mistake can dwarf
the cost of a more junior employee
• Reason for loss of contract may not be attributed
to drugs
– Not raised on Quality System
– No effective Root Cause Analysis (Virgin-first tender)
– No preventive action
– Recurrence of issue
Recognising Drug Use in the Workplace - Richard Evers
Supervision
• No staff supervision
• Line managers/Foremen usually
responsible for For Cause call-outs
• Poor definition of “For Cause” for senior
staff
• Would you ask your manager to do a
drugs test?
Recognising Drug Use in the Workplace - Richard Evers
Random Testing
• Use of Random Testing sidesteps this
inhibition
• Only works if SHLS or Occ Health
responsible for randomisation and test
schedule
Recognising Drug Use in the Workplace - Richard Evers
Split Sites
• HO managerial only
– No Safety Critical
– No integrity critical
• Lunchtime drinking
• Company cars
• What happens when somebody turns up
drunk and you have no policy?
Recognising Drug Use in the Workplace - Richard Evers
Possible Solution
• Site specific Random testing
• Site specific Post Incident Testing
• Company wide reasonable suspicion
testing
Recognising Drug Use in the Workplace - Richard Evers
Guest at Corporate Hospitality
• Are you at work?
– Does the policy apply
– Can this jeopardise a business relationship?
• Do your social and moral attitudes match
your hosts?
– Level of drinking
– Other drug use
Recognising Drug Use in the Workplace - Richard Evers
Hosting Corporate Hospitality
• Where do you define the boundaries between
social drinking and excessive drinking?
– Number of drinks
– Level of intoxication (who decides, subjective)
– Time cutoff?
• What about your guests?
– Different morals
– Different social attitudes
– Do not believe they are “working”
Recognising Drug Use in the Workplace - Richard Evers
To suspend or not suspend, that is
the question
• Chief Exec on a site visit
• Coincides with a Random Test
• Non-Negative result on site
• 3 day turnaround for laboratory
confirmation
• Who enforces? What is the cost to the
business?
Recognising Drug Use in the Workplace - Richard Evers
All Random Tests return to lab
• No non-negative results, therefore no
suspension
• Only confirmed positive result
• MRO decision on fitness to practice
Recognising Drug Use in the Workplace - Richard Evers
Thank You for Listening
Any Questions?
richard.evers@synergyhealthplc.com

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Implementing a drug and alcohol policy for senior executives

  • 1. Recognising Drug Use in the Workplace - Richard Evers Implementing a D&A policy for senior executives The prevalence and consequences of using drugs at work Richard Evers Toxicology Manager Synergy Health Laboratory Services
  • 2. Recognising Drug Use in the Workplace - Richard Evers Synergy Health Laboratory Services + Fully Accredited analytical services to clients in all industry sectors + Private Pathology Services + Drug and Alcohol Testing + Policy Implementation + Drug awareness training + Nationwide 2 hour response collection services
  • 3. Recognising Drug Use in the Workplace - Richard Evers Me
  • 4. Recognising Drug Use in the Workplace - Richard Evers + Why have a Drug & Alcohol Policy + Drug use among senior executives + Implementing a Policy + Problems & pitfalls Agenda
  • 5. Recognising Drug Use in the Workplace - Richard Evers Why have a drug & alcohol policy? • Misuse of drugs act – Offence to use drugs – Offence to allow drug use • H&SAW act • Managing health & safety
  • 6. Recognising Drug Use in the Workplace - Richard Evers Civil law • Costs of a positive • Damage to reputation • Civil liability
  • 7. Recognising Drug Use in the Workplace - Richard Evers Drug Testing • You can have a policy without testing – How many have no policy? • How can you monitor? • How can you police? – What happens when somebody comes in from lunch drunk?
  • 8. Recognising Drug Use in the Workplace - Richard Evers When is testing justified • Safety Critical • Integrity critical • The Law – T&Works act • Parent company – Sub-contractors (do they have permission to test?) – US parent
  • 9. Recognising Drug Use in the Workplace - Richard Evers Other reasons • Blanket coverage • Union agreement • Info commissioners brief
  • 10. Recognising Drug Use in the Workplace - Richard Evers Senior executives • Often older – GS is 38 • Often Well paid • Little Supervision of work
  • 11. Recognising Drug Use in the Workplace - Richard Evers Medication • Chronic pain more likely in older staff – Addiction to painkillers – Withdrawal – Codeine and increasingly tramadol • Stress more likely in older staff – Use of sleeping tablets – Chronic Alcohol use – Cannabis use
  • 12. Recognising Drug Use in the Workplace - Richard Evers Recreational drugs • Senior staff have greater incomes – Cocaine use – “occasional” heroin use – Alcohol binge drinking
  • 13. Recognising Drug Use in the Workplace - Richard Evers Workplace Drug Use • Lunchtime drinking – Once common, now rare – Affects older staff more • Workplace social events – Predominantly alcohol • Corporate Hospitality -add in later
  • 14. Recognising Drug Use in the Workplace - Richard Evers Implementation of a policy • Why? – Why do you have a policy in the first place? • Safety Critical – Do senior executives ever enter safety critical areas? Are they “banned” form these areas? – Do they make safety critical decisions? • Integrity driven – More significant for senior staff • Site-wide policies – Cannot have exceptions to the rule • Staff morale, fairness, employer relations
  • 15. Recognising Drug Use in the Workplace - Richard Evers Senior executives • The same rules must apply to senior execs that apply to all other staff. BUT • Information commissioners report on D&A testing • Staff/Union buy-in if execs excluded
  • 16. Recognising Drug Use in the Workplace - Richard Evers Implementation • Let senior execs know what is being tested & why • Involve occ health • Declaration of meds
  • 17. Recognising Drug Use in the Workplace - Richard Evers Problems & Pitfalls
  • 18. Recognising Drug Use in the Workplace - Richard Evers FLT Driver • Takes codeine for back pain • Over-sedates or under medicates • Causes serious accident – Compensation to victim – Loss of stock – Time off work – Damage to FLT • Cost to employer? £5k insurance excess
  • 19. Recognising Drug Use in the Workplace - Richard Evers Director of Sales • Takes codeine for back pain • Over-sedates or under medicates • Misses significant detail in tender/contract – Loss of contract – Loss of staff • Cost to company? – £500k+ depending on size of contract – NOT covered by insurance
  • 20. Recognising Drug Use in the Workplace - Richard Evers Comparison • The cost of a senior executive mistake can dwarf the cost of a more junior employee • Reason for loss of contract may not be attributed to drugs – Not raised on Quality System – No effective Root Cause Analysis (Virgin-first tender) – No preventive action – Recurrence of issue
  • 21. Recognising Drug Use in the Workplace - Richard Evers Supervision • No staff supervision • Line managers/Foremen usually responsible for For Cause call-outs • Poor definition of “For Cause” for senior staff • Would you ask your manager to do a drugs test?
  • 22. Recognising Drug Use in the Workplace - Richard Evers Random Testing • Use of Random Testing sidesteps this inhibition • Only works if SHLS or Occ Health responsible for randomisation and test schedule
  • 23. Recognising Drug Use in the Workplace - Richard Evers Split Sites • HO managerial only – No Safety Critical – No integrity critical • Lunchtime drinking • Company cars • What happens when somebody turns up drunk and you have no policy?
  • 24. Recognising Drug Use in the Workplace - Richard Evers Possible Solution • Site specific Random testing • Site specific Post Incident Testing • Company wide reasonable suspicion testing
  • 25. Recognising Drug Use in the Workplace - Richard Evers Guest at Corporate Hospitality • Are you at work? – Does the policy apply – Can this jeopardise a business relationship? • Do your social and moral attitudes match your hosts? – Level of drinking – Other drug use
  • 26. Recognising Drug Use in the Workplace - Richard Evers Hosting Corporate Hospitality • Where do you define the boundaries between social drinking and excessive drinking? – Number of drinks – Level of intoxication (who decides, subjective) – Time cutoff? • What about your guests? – Different morals – Different social attitudes – Do not believe they are “working”
  • 27. Recognising Drug Use in the Workplace - Richard Evers To suspend or not suspend, that is the question • Chief Exec on a site visit • Coincides with a Random Test • Non-Negative result on site • 3 day turnaround for laboratory confirmation • Who enforces? What is the cost to the business?
  • 28. Recognising Drug Use in the Workplace - Richard Evers All Random Tests return to lab • No non-negative results, therefore no suspension • Only confirmed positive result • MRO decision on fitness to practice
  • 29. Recognising Drug Use in the Workplace - Richard Evers Thank You for Listening Any Questions? richard.evers@synergyhealthplc.com