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IOSH Annual Conference, London,
June 2015
Professor Sayeed Khan
MBBS, BMedSci, DGM, CMIOSH, FRCGP, FFOM, FRCP, FRSA, DM
Chief Medical Adviser, EEF - the manufacturers' organisation
Chief Occupational Physician, EEF OHS
Member, Industrial Injuries Advisory Council
Clinical co-lead RCGP NEP in Health and Work
Site occupational physician for 2 factories
Honorary Professor in Occupational Health, Univ of Nottingham
tress and workplace performance
Stress and workplace performance
Thank you
Sharing some personal insights on Stress, from 25
years of OH:
Recognition
Management (rather than medical treatment)
Prevention
Individual (personal, employees) & organisations
Stress in the last 25 years…
yers chose top 3 causes of long-term sickness absence ]
Ranked commonest
causes of long-term
sickness absence
Ranked 1
Back problems & MSDs 38.0%
Surgery/medical
investigations/tests
24.1%
Stress/mental health
problems
23.3%
Heart problems 6.0%
Other 14.5%
Cancer 13.7%
Stress in the last 25 years…
EEF sickness absence survey 2015
Last week, Secretary of State for
Trade and Industry Patricia Hewitt
said too many UK managers are like
David Brent, from the TV series, The
Office. Do you think UK managers
really are as bad as David Brent?
Yes 66%
No 34%
Personnel Today Poll expired on 03 December 2002
Stress in the last 25 years…
Recognition – individual
Early markers…no significant problems…yet
•Come in early
•Work late
•Feel the need to work at weekends
•Take home paperwork, don’t get the chance
to do it, then feel guilty
•Don't take all your holiday entitlement
•No lunch break
•Saturday morning headaches
•Sunday night insomnia
Recognition - individual
 Unusual response to a situation (irritable, unduly quiet)
 Blaming others
 Taking it out on someone else
 Procrastination
 Over-reacting (“catastrophization”)
Later markers…problems developing…-ve behaviours
Recognition - individual
Last markers…significant problems
Recognition - individual
Managing stress - individual
– Rapid intervention
• Mediation
– Improve Rehabilitation.
• Avoid waiting for people to get better by
• staring at the wall (“treatment” by sick
note / fit note)
• Do get people to “come in for a cup of tea”
• Don’t just look at work-related issues
– Identify other areas
Prevention - individual
Prevention - individual
Recognition - organisational
Recognition - organisational
Managing stress - organisational
Managing stress - organisational
Managing stress - organisational
Managing stress - organisational
Stress: HSE tool
Preventing stress - organisational
Standard “Hierarchy of control” approach
• Eliminate
– Stress questionnaire
Preventing stress - organisational
• HSE management standards on stress
• Demands.
• Control.
• Support.
• Relationships.
• Role.
• Change.
Preventing stress - organisational
• EEF Work Organisation Assessment Questionnaire
• Relationship with management.
• Being Valued.
• Physical Environment.
• Workload Issues.
• Relationship with colleagues
Preventing stress - organisational
5th
5th
“Relationship with
colleagues”
1st
4th
“Workload Issues”
2nd
3rd
“Physical environment”
4th
2nd
“Being valued”.
3rd
1st
“Relationship with
management”.
Correlation with
personal health
Correlation with
job satisfaction
Category
Preventing stress - organisational
• Substitute
– The Manager as stressor – “soft” skills training
• Improve control measures
– Stress Awareness Workshops/training for managers and for
employees
– Wellbeing of employees
• PPE
– Coping strategies in specific situations (complaints handlers)
– has its place in select situations (CBT in rehabilitation)
Standard “Hierarchy of control” approach
• Eliminate
– Stress questionnaire
ST 100 Best Co
1. Leadership
2. My manager
3. Personal growth
4. Wellbeing
5. My team
6. Community giving
7. My company
8. Fair deal
Stress and workplace performance…
why bother?
Thank you for listening
• Have you picked up at least one useful tip?

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Managing Workplace Stress - Presented to IOSH National Conference, June 2015

  • 1. IOSH Annual Conference, London, June 2015 Professor Sayeed Khan MBBS, BMedSci, DGM, CMIOSH, FRCGP, FFOM, FRCP, FRSA, DM Chief Medical Adviser, EEF - the manufacturers' organisation Chief Occupational Physician, EEF OHS Member, Industrial Injuries Advisory Council Clinical co-lead RCGP NEP in Health and Work Site occupational physician for 2 factories Honorary Professor in Occupational Health, Univ of Nottingham tress and workplace performance
  • 2. Stress and workplace performance
  • 3. Thank you Sharing some personal insights on Stress, from 25 years of OH: Recognition Management (rather than medical treatment) Prevention Individual (personal, employees) & organisations
  • 4.
  • 5. Stress in the last 25 years… yers chose top 3 causes of long-term sickness absence ]
  • 6. Ranked commonest causes of long-term sickness absence Ranked 1 Back problems & MSDs 38.0% Surgery/medical investigations/tests 24.1% Stress/mental health problems 23.3% Heart problems 6.0% Other 14.5% Cancer 13.7% Stress in the last 25 years… EEF sickness absence survey 2015
  • 7. Last week, Secretary of State for Trade and Industry Patricia Hewitt said too many UK managers are like David Brent, from the TV series, The Office. Do you think UK managers really are as bad as David Brent? Yes 66% No 34% Personnel Today Poll expired on 03 December 2002 Stress in the last 25 years…
  • 8. Recognition – individual Early markers…no significant problems…yet •Come in early •Work late •Feel the need to work at weekends •Take home paperwork, don’t get the chance to do it, then feel guilty •Don't take all your holiday entitlement •No lunch break •Saturday morning headaches •Sunday night insomnia
  • 9. Recognition - individual  Unusual response to a situation (irritable, unduly quiet)  Blaming others  Taking it out on someone else  Procrastination  Over-reacting (“catastrophization”) Later markers…problems developing…-ve behaviours
  • 10. Recognition - individual Last markers…significant problems
  • 12. Managing stress - individual – Rapid intervention • Mediation – Improve Rehabilitation. • Avoid waiting for people to get better by • staring at the wall (“treatment” by sick note / fit note) • Do get people to “come in for a cup of tea” • Don’t just look at work-related issues – Identify other areas
  • 17. Managing stress - organisational
  • 18. Managing stress - organisational
  • 19. Managing stress - organisational
  • 20. Managing stress - organisational Stress: HSE tool
  • 21. Preventing stress - organisational Standard “Hierarchy of control” approach • Eliminate – Stress questionnaire
  • 22. Preventing stress - organisational • HSE management standards on stress • Demands. • Control. • Support. • Relationships. • Role. • Change.
  • 23. Preventing stress - organisational • EEF Work Organisation Assessment Questionnaire • Relationship with management. • Being Valued. • Physical Environment. • Workload Issues. • Relationship with colleagues
  • 24. Preventing stress - organisational 5th 5th “Relationship with colleagues” 1st 4th “Workload Issues” 2nd 3rd “Physical environment” 4th 2nd “Being valued”. 3rd 1st “Relationship with management”. Correlation with personal health Correlation with job satisfaction Category
  • 25. Preventing stress - organisational • Substitute – The Manager as stressor – “soft” skills training • Improve control measures – Stress Awareness Workshops/training for managers and for employees – Wellbeing of employees • PPE – Coping strategies in specific situations (complaints handlers) – has its place in select situations (CBT in rehabilitation) Standard “Hierarchy of control” approach • Eliminate – Stress questionnaire
  • 26. ST 100 Best Co 1. Leadership 2. My manager 3. Personal growth 4. Wellbeing 5. My team 6. Community giving 7. My company 8. Fair deal Stress and workplace performance… why bother?
  • 27. Thank you for listening • Have you picked up at least one useful tip?