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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 Stress
Annual Working Days 223
Number of Staff 1900
Total Number of Sickness
Days 12000 Sickness Days per Staff Member 6.32
Percentage to Stress 0.45
Days Lost to Stress 5400 Stress Sickness Days per Staff Member 2.84
Salary £30,000.00
Daily 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 Stress
Annual Working Days 223
Number of Staff 1060
Total Number of Sickness
Days 12000 Sickness Days per Staff Member 11.32
Percentage to Stress 0.3
Days Lost to Stress 3600 Stress Sickness Days per Staff Member 3.40
Salary £34,228.00
Daily 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 £382.35
Departmental 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 Driver
Cause/Symptom
Implicate Activity/Cause
Activity
Person
(Type)
Identification
Process
Improvement
Reduction
in
Absence
How is this Accomplished
Methodology
Gender fitting guide
Can be worn under work clothing
Activity List
Each person
completes a
timed activity
list for each day
Personal Information:
ID
Age
Gender
Resting Heart Rate
Height
Weight
Vocabulary
Refs Meal break and comfort break Refreshments Refs
Office
Admin / Reading briefings / Forcenet / Emails / Paperwork / Filing / Sorting and searching for
FP forms / Postroom
Dockets
Allocating dockets / Updating dockets on TRAK-X / Booking in dockets / Dealing with
allocated dockets / Searching for missing dockets
Fingerprint Comparisons / Identification / Searching / Evidence
Suspect Suspect comparison / Suspect check
Queries Speak with OIC/Officer regarding a suspect / Queries with/from Officers
Intel System Updating intel system / Intel system enquiry / Force intel system
Intelligence Intelligence research / Intelligence checking
Identifications Scanning idents / checking identifications / Writing up identifications
Ident1
Editing 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)
Driving
Meeting
Prints
Elim print check / Elim print comparison / Looking at marks for colleagues / Experimenting
with old marks
MP M>P Searching
Cleaning
PDR Complete PDR
Checking 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 Place
UK 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 Place
Officer Number 9
Office Work Office Work Office Work
Making Coffee Formal Rest Break
Stress While Training
Police Team Training
0
50
100
150
200
250
SEM1
SEM2
SEM3
SEM4
SEM6
SEM1
SEM2
SEM3
SEM4
SEM6
SEM1
SEM2
SEM3
SEM4
SEM6
SEM6
SEM1
SEM2
SEM3
SEM4
SEM6
SEM1
SEM2
SEM3
SEM4
SEM6
SEM3
SEM6
SEM1
SEM2
SEM3
SEM4
SEM6
SEM1
SEM2
SEM3
SEM4
SEM6
Activity1 Activity2 Activity3 Activity4 Activity5 Activity6 Activity7 Activity8 Activity9
Possible Implementation
Force
Staffing Pool
Dept /
Area 1
Returning to work
Feeling unwell
Monitor
Physiology
Compare with Group Norms
Dept /
Area 2
Dept /
Area 3
Possible Implementation
Application of Business Improvement Programme
Interim Measurement
To 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
Questions
Dr Rick Adderley
Email: rickadderley@a-esolutions.com
Web: www.a-esolutions.com

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Health Monitoring to Reduce Absenteeism

  • 1. Health Monitoring to Reduce Absenteeism Dr Rick Adderley www.a-esolutions.com
  • 2. 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”
  • 3. 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.
  • 4. 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… “
  • 5. Where Is The Work Place ?
  • 6. The Work Place Control Room Classroom Office Driving
  • 7. Small Force Cost of Stress Annual Working Days 223 Number of Staff 1900 Total Number of Sickness Days 12000 Sickness Days per Staff Member 6.32 Percentage to Stress 0.45 Days Lost to Stress 5400 Stress Sickness Days per Staff Member 2.84 Salary £30,000.00 Daily 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
  • 8. Force Department Cost of Stress Annual Working Days 223 Number of Staff 1060 Total Number of Sickness Days 12000 Sickness Days per Staff Member 11.32 Percentage to Stress 0.3 Days Lost to Stress 3600 Stress Sickness Days per Staff Member 3.40 Salary £34,228.00 Daily 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
  • 9. – 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 £382.35 Departmental Cost of Stress Absence £552,559.64 Cost of Stress Absence Days per Staff Member £521.28 Non Visible Costs
  • 10. 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]
  • 11. 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
  • 12. 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
  • 13. Identification of Stressful Activities Role 1 Role 2 Role n . . . . SDCS1 SDCS2 SDCSn Stress Driver Cause/Symptom Implicate Activity/Cause Activity Person (Type) Identification Process Improvement Reduction in Absence
  • 14. How is this Accomplished
  • 15. Methodology Gender fitting guide Can be worn under work clothing
  • 16. Activity List Each person completes a timed activity list for each day Personal Information: ID Age Gender Resting Heart Rate Height Weight
  • 17. Vocabulary Refs Meal break and comfort break Refreshments Refs Office Admin / Reading briefings / Forcenet / Emails / Paperwork / Filing / Sorting and searching for FP forms / Postroom Dockets Allocating dockets / Updating dockets on TRAK-X / Booking in dockets / Dealing with allocated dockets / Searching for missing dockets Fingerprint Comparisons / Identification / Searching / Evidence Suspect Suspect comparison / Suspect check Queries Speak with OIC/Officer regarding a suspect / Queries with/from Officers Intel System Updating intel system / Intel system enquiry / Force intel system Intelligence Intelligence research / Intelligence checking Identifications Scanning idents / checking identifications / Writing up identifications Ident1 Editing 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) Driving Meeting Prints Elim print check / Elim print comparison / Looking at marks for colleagues / Experimenting with old marks MP M>P Searching Cleaning PDR Complete PDR Checking 2nd/3rd checking
  • 18. File Annotation • For Each File – Extract – Clean – Annotate using the Activity List that now has a standard vocabulary – Store for analysis
  • 20. Monitoring & Analysis Tools The App
  • 22. 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
  • 23. Results - Stress in the Work Place UK 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
  • 24. Stress in the Work Place Officer Number 9 Office Work Office Work Office Work Making Coffee Formal Rest Break
  • 25. Stress While Training Police Team Training 0 50 100 150 200 250 SEM1 SEM2 SEM3 SEM4 SEM6 SEM1 SEM2 SEM3 SEM4 SEM6 SEM1 SEM2 SEM3 SEM4 SEM6 SEM6 SEM1 SEM2 SEM3 SEM4 SEM6 SEM1 SEM2 SEM3 SEM4 SEM6 SEM3 SEM6 SEM1 SEM2 SEM3 SEM4 SEM6 SEM1 SEM2 SEM3 SEM4 SEM6 Activity1 Activity2 Activity3 Activity4 Activity5 Activity6 Activity7 Activity8 Activity9
  • 26. Possible Implementation Force Staffing Pool Dept / Area 1 Returning to work Feeling unwell Monitor Physiology Compare with Group Norms Dept / Area 2 Dept / Area 3
  • 27. Possible Implementation Application of Business Improvement Programme Interim Measurement To 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
  • 28. 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
  • 31. Questions Dr Rick Adderley Email: rickadderley@a-esolutions.com Web: www.a-esolutions.com