Health_ Safety and Emergency Resilience Report by chenmeixiu

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									Health, Safety
and Emergency
Resilience Report




 Certificate Number:
    OHS 507890
                       BARNSLEY
                       Metropolitan Borough Council



2009/2010
Contents

     List of Figures                                                                           3
1.   Introduction                                                                              6
2.   Health, safety and emergency resilience commentary
     2.1     Health, safety and emergency resilience management                                7
             2.1.1      Policy                                                                 9
             2.1.2      Planning                                                               9
             2.1.3      Implementing and operation                                            10
             2.1.4      Checking and corrective action                                        10
             2.1.5      Management review                                                     10
     2.2     Health, safety and emergency resilience advice                                   10
     2.3     Health, safety and emergency resilience targets 2009/2010                        13
     2.4     Consultation with employees with regard to health, safety and emergency          13
             resilience
     2.5     Health, safety and emergency resilience targets for 2010/2011                    14
3.   Health and safety performance
     3.1     Accidents and incidents                                                          15
             3.1.1      Accident analysis                                                     15
             3.1.2      Aggression and violence analysis                                      26
             3.1.3      Incident analysis                                                     28
             3.1.4      Safety observation analysis                                           29
             3.1.5      Major injury analysis                                                 29
     3.2     Work related ill health                                                          29
     3.3     Risk assessment                                                                  33
     3.4     Comparison of health, safety and emergency resilience targets with health and    36
             safety performance
     3.5     Enforcement action against the Council during 2009/2010                          37
     3.6     Cost of accidents to and ill health in employees                                 37
     3.7     Occupational road risk issues                                                    38
     3.8     Health and safety audits                                                         39
             3.8.1      Health and safety audits of Council services 2009 to 2010             39
             3.8.2      Health and safety audits of Assistant Directors 2009 to 2010          40
             3.8.3      Health and safety audits of secondary schools 2009 to 2010            40
             3.8.4      Health and safety audits of primary schools 2009 to 2010              41
     3.9     Awards presented to the Council during 2009/2010 in recognition of its health,   42
             safety and emergency resilience performance
4.   Overview of the undertakings of the Health, Safety and Emergency Resilience Unit,
     Health and Safety Section in 2009/2010
     4.1      Work programme and initiatives for 2009/2010                                    43
     4.2      Health and safety training                                                      43
     4.3      Health and safety services to external organisations under Service Level        46
              Agreements
     4.4      Work programme and initiatives for 2010/2011                                    46
5.   Overview of the undertakings of the Health, Safety and Emergency Resilience Unit,
     Emergency Resilience Section in 2007/2008
     5.1      Work programme and initiatives for 2009/2010                                    48
     5.2      Emergency resilience training                                                   49
     5.3      Work programme and initiatives for 2010/2011                                    50



                                                                                               1
6.    Overview of the undertakings of the Health, Safety and Emergency Resilience Unit,
      Occupational Health Section in 2009/2010
      6.1     Introduction                                                                51
      6.2     Work programme and initiatives for 2009/2010                                51
      6.3     Provision of occupational health services                                   51
      6.4     Origin of occupational health referrals                                     51
      6.5     Pre-employment assessments                                                  53
      6.6     Service elements                                                            53
      6.7     Counselling services                                                        54
      6.8     Other health issues                                                         56
      6.9     Occupational health services to external organisations                      57
      6.10    Work programme and initiatives for 2010/2011                                57
7.    Financial Resources support and performance with regard to health and safety in
      2009/2010
      7.1     Support for health and safety initiatives in 2009/2010                      58
      7.2     Employers’ liability claims 2009/2010                                       58
8.    Health, safety and emergency resilience legislation review 2009/2010                61
9.    Conclusion                                                                          62
10.   Executive summary of health and safety performance                                  63

Appendix 1     Summary of sickness absence 2009 to 2010
               1.   Sickness absence statistics                                           65
               2.   The cost of sickness absence                                          69
               3.   Initiatives implemented in 2009/2010 to support efforts to reduce     69
                    sickness absence
               4.   Initiatives proposed for 2010/2011 to support efforts to reduce       70
                    sickness absence

Appendices 2 and 3 will be included in the Report once the information in Appendix 2 has
been issued to Berneslai Homes Board and Senior Management Team

Appendix 2     Berneslai Homes health, safety and emergency resilience performance
               2009 to 2010
               1.     Accident analysis                                                   71
               2.     Aggression and violence analysis                                    74
               3.     Major injury analysis                                               75
               4.     Cost of accidents to employees                                      76
               5.     Health and safety audits                                            76
               6.     Health, safety and emergency resilience training                    76
               7.     Work related ill health                                             77
               8.     Occupational health                                                 80

Appendix 3     Summary of Barnsley Metropolitan Borough Council and Berneslai Homes
               ‘group’ health and safety performance 2009/2010
               1.      Accident and violence and aggression analysis                      82
               2.      Work related ill health                                            84




2
List of figures

1.    Elements in the Council’s occupational health and safety management system                8
2.    Support provided by the Health, Safety and Emergency Resilience Unit                     12
3.    Accident statistics by Directorate 2009 to 2010                                          16
4.    Incidents rates by Directorate 2009 to 2010                                              17
5.    Accident statistics and costs 1997 to 2009/2010                                          18
6.    Accident statistics 1997 to 2009/2010                                                    19
7.    Overall incident rate 1997 to 2009/2010                                                  20
8.    Over 3 day accidents incident rate 1997 to 2009/2010                                     21
9.    Over 3 day accidents incident rate 1997 to 2009/2010                                     22
10.   Number of days lost due to accidents 1997 to 2009/2010                                   23
11.   Causes of accidents                                                                      24
12.   Part of body injured in accidents                                                        24
13.   Type of injury                                                                           25
14.   Incidents of violence and aggression by Directorate                                      27
15.   Types of incidents of violence and aggression by Directorate                             28
16.   Types of injuries sustained in incidents of violence and aggression                      28
17.   Major injury analysis                                                                    29
18.   Incidents of mental/emotional wellbeing related ill health by Directorate                30
19.   Incidents of musculoskeletal related ill health by Directorate                           32
20.   Comparison of absences attributed to mental/emotional                 wellbeing    and   33
      musculoskeletal related ill health from 2005/2006 to 2009/2010
21.   Responses provided to the question “had a risk assessment been carried out for           34
      the activity undertaken prior to the accident?”
22.   Responses provided to the question “has a risk assessment                         been   35
      reviewed/developed for the activity undertaken after the accident?”
23.   Results of health and safety audits of secondary schools                                 40
24.   Issues identified by health and safety audits of secondary schools                       41
25.   Results of health and safety audits of primary schools                                   41
26.   Issues identified by health and safety audits of primary schools                         41
27.   Health and safety related training provided by the Health, Safety and Emergency          45
      Resilience Unit
28.   Actions by the Health, Safety and Emergency Resilience Unit to address three key         47
      issues arising from this report: sickness absence attributed to mental/emotional
      wellbeing issues and musculoskeletal issues, and completion of risk assessments
      for occupation groups and/or activities
29.   Emergency resilience related training provided by the Health, Safety and                 49
      Emergency Resilience Unit
30.   Origin of occupational health referrals                                                  52
31.   Occupational health referrals by Directorate                                             52
32.   Occupational Health contacts by practitioner                                             53

                                                                                               3
33.   Services provided by the Occupational Health Unit                                      54
34.   Counselling services by Directorate                                                    55
35.   Mental wellbeing conditions identified by Directorate                                  56
36.   Musculoskeletal conditions identified by Directorate                                   57
37.   Employers’ liability claims 1999 to 2009/2010                                          58
38.   Distribution of employers’ liability claims                                            59
39.   Analysis of ongoing employers’ liability claims                                        60

Appendix 1:      1.    Summary of sickness absence April 2006 to March 2010                  65
Summary of       2.    Summary of sickness absence by Directorate 2009 to 2010               66
sickness
absence 2009     3.    Summary of sickness absence by cause 2009 to 2010                     68
to 2010


Appendices 2 and 3 will be included in the Report once the information in Appendix 2 has
been issued to Berneslai Homes Board and Senior Management Team


Appendix 2:      1.    Accident statistics 2004/2005 to 2009/2010                            72
Berneslai        2.    Incidents rates 2004/2005 to 2009/2010                                73
Homes health,
                 3.    Causes of accidents                                                   73
safety and
emergency        4.    Part of body injured in accidents                                     74
resilience       5.    Type of injury                                                        74
performance
2009 to 2010     6.    Incidents of violence and aggression 2004/2005 to 2009/2010           75
                 7.    Types of incidents of violence and aggression                         75
                 8.    Types of injuries sustained in incidents of violence and aggression   75
                 9.    Major injury analysis                                                 75
                 10. Health and safety related training provided by the Health, Safety       76
                     and Emergency Resilience Unit
                 11. Emergency resilience related training provided by the Health,           77
                     Safety and Emergency Resilience Unit
                 12. Incidents of mental/emotional wellbeing related ill health 2005/2006    78
                     to 2009/1010
                 13. Incidents of musculoskeletal related ill health 2005/2006 to            79
                     2009/2010
                 14. Origin of occupational health referrals                                 80
                 15. Services provided by the Occupational Health Unit                       80
                 16. Occupational health contacts by practitioner                            81




4
Appendix 3:     1.   ‘Group’ accidents statistics 2009 to 2010                            83
Summary of      2.   ‘Group’ accident incident rates 2009/2010                            84
Barnsley
Metropolitan    3.   ‘Group’ violence and aggression statistics 2009 to 2010              84
Borough         4.   ‘Group’ incidents of mental/emotional wellbeing related ill health   85
Council and          2009/2010
Berneslai
Homes ‘group’   5.   ‘Group’ incidents of musculoskeletal related ill health 2009/2010    86
health and      6.   ‘Group’ work related ill health 2009/2010                            87
safety
performance
2009/2010




                                                                                          5
1      Introduction
Performance management is integral to good business practice. The aim of this Annual Health,
Safety and Emergency Resilience Report is to assist in the continuous improvement of health,
safety and emergency resilience within the Council. It is written to support the Council’s strategic
mission, goals and objectives and the core purpose of the Council’s Human Resources Division.
The Report’s associated objectives are to:

•   Provide a commentary on health, safety and emergency resilience within the Council
•   Detail the Council’s health and safety performance
•   Outline the work undertaken throughout 2009/2010 by the Health, Safety and Emergency
    Resilience service
•   Provide a brief overview of the activities of the Council’s Financial Resources Directorate as
    they relate directly to the Health, Safety and Emergency Resilience Unit

The Health, Safety and Emergency Resilience Unit extends its thanks to the Financial Resources
Directorate for their assistance and contribution to the compilation of this Report:

•   Audit and Risk Management Division for support with regard to employees’ liability claims
    information and risk management support for health, safety and emergency resilience
    initiatives
•   Financial and Business Support Services for information/data regarding reported employee
    sickness absence

In addition, the Health, Safety and Emergency Resilience Unit extends its gratitude to all
Directorates, Divisions, Services and employees at all levels for their continued efforts, assistance
and contribution to the Council’s excellent health, safety and emergency resilience record.

Please note that when comparing data to that published in previous Health, Safety and
Emergency Resilience Reports the data for 2009/2010 (and future Reports) no longer
includes data for Berneslai Homes. Data on Berneslai Homes is included in a separate
report produced an issued as an Appendix to this Report for Berneslai Homes Board and
Senior Management Team.




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2        Health, safety and emergency resilience commentary

2.1      Health, safety and emergency resilience management

Corporate governance is concerned with the systems by which organisations are connected and
controlled. The Audit Commission defines corporate governance as:

         “The framework of accountability to users, stakeholders and the wider
         community, within which organisations take decisions, and lead and control
         their functions, to achieve their objectives”.

Corporate governance supports accountability through systems and processes, such as risk
management, financial management, performance management and internal controls. Systems
and processes must be robust and produce reliable information to enable better decisions to be
reached about what needs to be done in order to achieve objectives. Organisations with good
corporate governance have the capacity to maintain high-quality services and to deliver
improvement.

As it applies to health, safety and emergency resilience, corporate governance requires the
Council to minimise risk and hence be able to provide public services through effective health,
safety and emergency resilience management. This is achieved through comprehensive systems
and procedures for health, safety and emergency resilience management.

There are legal, moral and business reasons for managing health and safety in a suitable and
sufficient manner. The overall health and safety function within the Council involves all employees
at all levels. United Kingdom health and safety legislation requires organisations to ensure the
health, safety and welfare of their employees and others who may be affected by their work
activities. The general duties are contained within the Health and Safety at Work etc Act 1974.
The Management of Health and Safety at Work Regulations 1999 reinforce the general duties
contained within the 1974 Act. As their name suggests these Regulations relate directly to the
management of health and safety and require that various measures be taken. The Regulations
detail requirements for arrangements to be in place to manage operations with regard to health
and safety. The Health and Safety Commission develop and issue ‘Approved Codes of Practice’
that detail how organisations can comply with their corresponding Regulations.

By its nature work cannot be entirely hazard free. However, it can be managed to minimise risks
and hence the effects on employees and the Council. Therefore the Council needs robust
management systems to ensure that it manages health, safety and emergency resilience in a
suitable manner.

In a similar manner to health and safety, there are legal, moral, and business reasons for
managing emergency resilience in a suitable and sufficient manner. The Civil Contingencies Act
2004, places duties on the Council as a Category 1 responder to emergencies, which are defined
as:

         “An event or situation which threatens serious damage to human welfare in a
         place in the UK, the environment of a place in the UK, or war or terrorism which
         threatens serious damage to the security of the UK”.

The duties placed on the Council are to:

1.    Assess local risks and use this to inform emergency resilience arrangements/management
2.    Put in place emergency plans
3.    Put in place business continuity management arrangements
4.    Put in place arrangements to make information available to the public about civil protection
      matters and maintain arrangements to warn, inform and advise the public in the event of an

                                                                                                 7
   emergency
5. Share information with other local responders to enhance co-ordination
6. Co-operate with other local responders to enhance co-ordination and efficiency
7. Provide advice and assistance to businesses and voluntary organisations about business
   continuity management.

The Council has a full documented health and safety management system that also encompasses
emergency resilience, which is based on the nationally accepted standards produced by the Health
and Safety Executive (HSE) (HSG65 ‘Successful health and safety management’) and the British
Standards Institution (BS 18001:2007 ‘Occupational health and safety management systems -
specification’). The system follows the basic management process of ‘plan-do-check-act’ and
comprises elements thus:




         Figure 1: elements in the Council’s occupational health and safety management system


The topics covered by the Council’s occupational health and safety management system, comprise
a full A to Z ranging from Accidents and Asbestos to Young Persons and Zoonoses.

In November 2009 the Council’s accreditation to the British Standard for occupational health and
safety management BS OHSAS 18001:2007 – Occupational Health and Safety Management
Systems – Specification was once again confirmed. The 18001 specification, for which
accreditation was first gained in December 2006, gives general requirements for an occupational
health and safety management system (OHSMS), and therefore the accreditation did not require
the development of a new management system.

The scope of the accreditation remains limited to the Health, Safety and Emergency Resilience
Unit. The reason for this is threefold: (1) to ensure that the Council’s corporate management
system for health and safety meets the requirements of OHSAS 18001, (2) to demonstrate to the
Council’s Directorates, Divisions and Services that if they apply the Council’s management system
for health and safety that they may achieve accreditation and (3), to allow the Health, Safety and
Emergency Resilience Unit to be the exemplar of occupational health and safety practice in the

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Council. Now accreditation has been gained for the Unit, other departments can be brought within
the scope provided they demonstrate compliance to the Council’s management system for health
and safety via a full audit by the Health, Safety and Emergency Resilience Unit.

The benefits of the accreditation are:

1. Likely reductions in Employers’ Liability Insurance
2. Third party external validation
3. Marketing advantages for departments who tender their services both competitively and
   externally
4. Enhanced control measure for strategic risks:
       o Develop health and safety reporting procedures to pick up related issues
       o Monitor and review situation, react to any failure of current controls
       o Inspections (independent review)
       o Health and safety monitoring programme
       o Incident reporting/learning organisation


2.1.1   Policy

The Council’s Health and Safety Policy (Corporate Health and Safety Policy) sets a clear direction
for the Council to follow. It details responsibilities and provides a framework for continuous
improvement. Directorates endorse the Corporate Health and Safety Policy to set the clear
direction for the Directorate to follow.

The Council’s Chief Executive and Senior Management Team endorse the Corporate Health and
Safety Policy. Health and safety is a standard agenda item on all senior and other management
team meetings. Senior managers attend forums where the workforce and their representatives are
involved in the management of health and safety. The Chief Executive receives a personal
monthly health and safety bulletin from the Council’s Head of Corporate Health, Safety and
Emergency Resilience who also provides a quarterly update to the Senior Management Team.
The Council’s decision-making process includes specific and explicit requirements to include
health and safety and risk management in all Council decisions. The Chief Executive and
Executive Directors consider these requirements when debating and deciding upon their actions.


2.1.2   Planning

Strategic Assurance Standards produced by the Health, Safety and Emergency Resilience Unit
provide an effective performance management structure for delivering the Corporate Health and
Safety Policy. The Standards outline the key management requirements for the element of health,
safety and emergency preparedness (e.g. first aid). Subsequently the Standards introduce the
topic concerned by explaining the topic, outlining the risks associated with it, and giving a brief
overview of the legal requirements.

Based on the Strategic Assurance Standards Directorates, Divisions and Services develop and
maintain their own Operational Assurance Procedures. The Operational Assurance Procedures
detail how health and safety is managed operationally within the Directorate, Division or Service.
Managers refer to the Strategic Assurance Standards and their Directorate’s, Division’s or
Service’s Operational Assurance Procedures for specific guidance on the management of health
and safety for the activities and workplaces for which they are responsible. A template for the
production of Operational Assurance Procedures is provided with each Strategic Assurance
Standard, which are all available from the health and safety web pages on the intranet.




                                                                                                 9
2.1.3     Implementing and operation

The procedures and guidance produced by the Health, Safety and Emergency Resilience Unit
allow managers to follow a planned and systematic approach to implementing the health and
safety policy through an effective management system. The aim of the safety management
system is to minimise risks by a process of elimination or control. The Strategic Assurance
Standards provide managers with guidance on the key activities for managing elements of health
and safety, and form the basis of a system for individual managers to manage health and safety in
their own areas of responsibility. Risk Information Data Sheets assist Risk Assessors to complete
risk assessments by outlining the hazards and risks associated with an element of health and
safety and generic control measures.


2.1.4     Checking and corrective action

Active self-monitoring is essential in allowing managers to measure their health and safety
performance. Strategic Monitoring Standards provide managers with a simple checklist to monitor
their compliance with regard to various elements of health, safety and emergency resilience, and
hence where opportunities for improvement exist. The Standards:

•     Are topic specific
•     Reflect the requirements of the Strategic Assurance Standards
•     Are self regulating and measured (managers set their own monitoring programme and
      measures the performance of their own systems and procedures)
•     Are simple (yes/no answers and a percentage scoring system)
•     Are comparative to show where improvement has been made or opportunities for improvement
      exist
•     Are auditable

Managers implement a programme of active monitoring using the Strategic Monitoring Standards.
To additionally actively monitor health and safety performance the workplace inspection sheet
produced by the Health, Safety and Emergency Resilience Unit allows managers to visually
inspect their work areas for defects and examples of good practice. Managers are required to
develop and implement a programme of workplace inspections.


2.1.5     Management review

The arrangements for periodic and systematic auditing by the Health, Safety and Emergency
Resilience Unit allow the Council to learn from all relevant experience and share best practice.
The Council acknowledges the many stakeholders in the overall health, safety and emergency
resilience function and ensures that health and safety management is integral to the overall
management of the organisation. The Council provides comprehensive guidance to its managers
and employees regarding health and safety management. To enable Directorates, Divisions and
Services and their managers to effectively manage health and safety appropriate guidance is
required to inform them of the legal and best practice (the spirit of the law) requirements they need
to meet, and, more importantly, how to meet them. This need is fulfilled by the Council’s health
and safety management system – the overall aim of which is continual improvement.


2.2     Health, safety and emergency resilience advice

The Council’s Health, Safety and Emergency Resilience and Occupational Health Units provide the
statutory ‘Competent Person’ service that imparts comprehensive advice and assistance to the
Council and external organisations on all aspects of:


10
•   Health and safety
•   Emergency resilience (emergency planning and recovery and business continuity)
•   Fire safety
•   Occupational health

The Unit employs professional Chartered Health and Safety Practitioners (through the Institution of
Occupational Safety and Health (IOSH), Europe’s leading professional body for health and safety);
and members of the Emergency Planning Society, the Institution of Fire Engineers and Chartered
Institution of Water and Environmental Management. In order to maintain and extend its
competence the Unit is:

    Registered with BSI as meeting the requirements of BS OHSAS 18001:2007 – Occupational
    health and safety management systems – requirements
    An IOSH accredited training centre for Directing Safely, Managing Safely, Working Safely,
    Managing Safely Re-certification and Working with Environmental Responsibilities
    A corporate member of both the Royal Society for the Prevention of Accidents (RoSPA) and
    the British Safety Council
    A member of Barnsley Fire and Safety Association and South Yorkshire County Fire
    Prevention Association

The service is fully comprehensive covering the areas described in Figure 2 below:




                                                                                                11
The Council’s Health, Safety and Emergency Resilience Unit provides a ‘Competent Person’ service that imparts
comprehensive advice and assistance on all aspects of:

•    Health and safety
•    Emergency resilience
•    Fire safety
•    Occupational health

The details of the service provided by each section are as follows:
1. Health and safety

•    Provision of general and specific advice on health and safety matters
•    Development and maintenance of the Council’s and school’s health and safety management system and policy
•    Maintain/up-date the Council’s Health and Safety Intranet site
•    Audit and inspection of Council departments, services and schools
•    Contractors’ health and safety assessment scheme (CHAS) assessment of contractors to the Council and schools
     and on-site monitoring of contractors
•    Operation and maintenance of the Council’s accident reporting systems and provision of accident investigation
     support following Reporting of Injuries, Diseases and Dangerous Occurrences (RIDDOR) incidents
•    Consultation with employees via Joint Employees Consultative Committee (JECC) and local and Corporate Health
     and Safety Committees
•    Development of the Council’s Annual Health, Safety and Emergency Resilience Report
•    Provide first point of contact for the Council with all enforcement agencies
•    Support in undertaking specific risk assessments (e.g. COSHH, manual handling, noise and vibration)
•    Delivery of information, instruction and training including provision of IOSH accredited Directing, Managing and
     Working Safely and Working with Environmental Responsibilities courses
•    Provision of CLEAPSS Radiation Protection Officer service to secondary schools

2. Emergency resilience

•    Development and maintenance of the Council’s Corporate Resilience Plan and Business Continuity Plan
•    Maintenance of the Council’s Corporate Emergency Control Room and 24/7 Emergency Incident Officer
     arrangements
•    Provision of general and specific advice on emergency resilience matters
•    Delivery of information, instruction and training and exercises
•    Provision of advice and guidance on event’s safety
•    Provision of incident investigation/review following emergencies

3. Fire safety

•    Strategic fire safety design/engineering of premises that are subject to alterations and Building Control application
•    Development of policies, procedures and standards relating to fire safety
•    Provision of general and specific advice on fire safety matters
•    Fire risk assessment and review (including assessment of the physical premises, operations carried out within the
     premises and fire safety strategy for the premises) of premises
•    Provision of general fire awareness/safety training to school staff and provision of specific fire safety/awareness
     training for Fire Marshals and Fire Wardens

4. Occupational health

•    Pre-employment health screening of fitness to work for Council employees
•    Medical records management
•    Provision of general and specific advice on occupational health matters
•    Health surveillance in conjunction with legal requirements (this includes assessments for noise and vibration, eye
     screening, medical assessments for drivers, screening for respiratory sensitisers, and provision of vaccinations for
     those at risk)
•    Return to work medicals following illness, including organisation of phased returns to work if appropriate
•    Sickness absence assessments and reviews
•    Health promotion advice to employees, managers and elected members
•    Preparation of early ill-health retirement applications
•    Provision of counseling

                 Figure 2: support provided by the Health, Safety and Emergency Resilience Unit


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2.3      Health, safety and emergency resilience targets 2009/2010

Targets or goals for health, safety and emergency resilience within the Council are set both
internally and externally. These targets range from demonstrable reductions in accidents to
employees/work related ill health to the adoption of elements of the Council’s health and safety
management system. Internally, the Corporate Health and Safety Policy 2009/2010 includes the
targets that:

1. All Directorates, Divisions and Services will implement the Council’s Occupational Health and
   Safety Management System to a standard meeting the Health, Safety and Emergency
   Resilience Unit’s “Satisfactory” rating upon audit.

2. Each Directorate, Division and Service will produce all required occupation group risk
   assessments.

3. Each Directorate, Division and Service will have an action plan to implement the health and
   safety competencies detailed in Section 8 of the Corporate Health and Safety Policy.

4. All Directorates, Divisions and Services (as appropriate) will have up to date and tested and
   exercised Business Continuity Plans.

5. All Directorates, Divisions and Services (as appropriate) will have up to date and tested and
   exercised Emergency Resilience Plans.

In June 2000, the then Department of the Environment, Transport and the Regions (DETR) and the
Health and Safety Commission (HSC) published the ‘Revitalising Health and Safety Strategy’
statement. The statement sets out how the Government and the HSC will work together to
revitalise health and safety, and includes measurable targets for Great Britain’s health and safety
system. Hence all organisations, based on their performance in 1999, are set the targets to:

•     Reduce the incidence rate of work-place injuries by 10% by 2010

•     Reduce the working days lost per 100,000 employees from work related injury by 30% by 2010

•     Reduce the incident rate for cases of work-related ill health by 20% by 2010

•     Reduce the working days lost per 100,000 employees from work-related ill health by 30% by
      2010

The statement additionally provided that organisations should have achieved half of these
improvement targets by 2004 (including by promotion of a pro-active Occupational Health Service
that assesses fitness to work and work fitness).


2.4      Consultation with employees with regard to health, safety and emergency
         resilience

The Council has extensive methods for involving all employees in health and safety management.
As a hierarchy these forums are:

•     Corporate Joint Employee Consultative Committees (comprising senior management and
      employee representatives, elected members and representatives of the Health, Safety and
      Emergency Resilience Unit and Occupational Health Unit)
•     Corporate Strategic Health and Safety Steering Group (comprising senior management
      representatives and the Professional Head of Health, Safety and Emergency Resilience)
•     Corporate Health and Safety Committee (comprising management and employee

                                                                                                  13
      representatives and a representative of the Health, Safety and Emergency Resilience Unit and
      Occupational Health Unit)
•     Directorate Joint Employee Consultative Committees (comprising management and employee
      representatives, elected members and a representative of the Health, Safety and Emergency
      Resilience Unit)
•     Directorate Health and Safety Steering Groups (comprising management and employee
      representatives and a representative of the Health, Safety and Emergency Resilience Unit)

In addition the Health, Safety and Emergency Resilience Unit involves managers’ and employees’
representatives in the development of management practices for the holistic health, safety and
emergency resilience function.


2.5      Health, safety and emergency resilience targets for 2010/2011

The targets for 2010/2011 are set by the Corporate Health and Safety Policy:

1. All Directorates, Divisions and Services will implement the Council’s Occupational Health and
   Safety Management System to a standard that would meet the Health, Safety and Emergency
   Resilience Unit’s “Satisfactory” rating upon audit.

2. All Divisions and Services will complete the Corporate Health and Safety Performance Audit
   2010/2011.

3. Each Directorate, Division and Service will produce all required occupation group risk
   assessments.

4. Each Directorate, Division and Service will have an action plan to implement the health and
   safety competencies detailed in Section 8 of the Corporate Health and Safety Policy.

5. All Directorates, Divisions and Services (as appropriate) will have up to date and tested and
   exercised Business Continuity Plans.

6. All Directorates, Divisions and Services (as appropriate) will have up to date and tested and
   exercised Emergency Resilience Plans.




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3        Health and safety performance

3.1      Accidents and incidents

It is widely accepted throughout industry and commerce that the collation of accident, incident and
ill health statistics can assist in improving health and safety within an organisation. These statistics
can identify trends and once identified, measures can be put in place to reduce the incidence of
accidents and incidents. Monitoring of performance allows the Council to improve its health and
safety management system and risk control. The collation of accident data assists in ensuring that
there is a systematic review of performance, based on data from the monitoring of the health and
safety management system as a whole. Regular performance measurement ensures there is a
strong commitment to continuous improvement involving the constant development of policies,
systems and techniques of risk control. Performance is assessed by reference to the targets
outlined above and comparison with national statistics.

Please note that when comparing data to that published in previous Health, Safety and
Emergency Resilience Reports the data for 2009/2010 (and future Reports) no longer
includes data for Berneslai Homes. Data on Berneslai Homes is included in a separate
report produced an issued as an Appendix to this Report for Berneslai Homes Board and
Senior Management Team.

3.1.1     Accident analysis

Figure 3 details the accidents reported in 2009/2010. From Figure 3 it can be seen that the total
number of accidents reported in 2009/2010 for employees of the Council was 330. Of these:

      55 resulted in the injured person being absent from work
      35 resulted in the injured person being absent from work for more than 3 days
      2 resulted in major injury
      72 resulted in first aid treatment being required
      71 resulted in medical treatment being required

It is useful for organisations, or departments within organisations, to compare their health and
safety performance with others. Obviously, no two departments are identical in terms of size (or
indeed nature of work) and therefore a method of calculation is needed that removes the size
differences to allow comparisons to be made. This is achieved by calculating the ‘incident rate’.
When interpreting the data in Figure 4 it is essential to bear in mind to the following points:

1. The accident definition being used: the Council’s figures include accidents where no physical
   injury occurred. Typically, national figures only include accidents where major injury (e.g.
   fracture other than to fingers or toes) or injuries resulted in absences over 3 days.

2. Employees and the nature of their work vary throughout the Council and nationally. Variations
   may be to such an extent that it is not appropriate to make comparisons. For example,
   comparing the incident rate of manually based services and predominantly office based
   services.

The incident rate is calculated by using the following formula:

 Incident Rate     =       Total Number of Accidents           x    Unit Number of Employees
                          Number of Persons Employed                (1000)

Incident rates have been calculated from Directorates for the total number of accidents and
accidents that resulted in absences of more than 3 days (Figure 4).


                                                                                                     15
16
     Directorate




                             Reported accidents



                                                  Lost time accidents



                                                                          were lost time accidents
                                                                          Percentage of accidents which



                                                                                                          Over 3 day accidents


                                                                                                                                 were over 3 day accidents
                                                                                                                                 Percentage of accidents which


                                                                                                                                                                 Major injury accidents


                                                                                                                                                                                          were major injuries
                                                                                                                                                                                          Percentage of accidents which


                                                                                                                                                                                                                          First aid accidents


                                                                                                                                                                                                                                                were first aid accidents
                                                                                                                                                                                                                                                Percentage of accidents which

                                                                                                                                                                                                                                                                                hospital or their GP)
                                                                                                                                                                                                                                                                                (where the employee attended
                                                                                                                                                                                                                                                                                Medical treatment accidents
                                                                                                                                                                                                                                                                                                               accidents
                                                                                                                                                                                                                                                                                                               were medical treatment
                                                                                                                                                                                                                                                                                                               Percentage of accidents which


                                                                                                                                                                                                                                                                                                                                               Days lost due to accidents
     Adult Social Services   53                        3                     5.7                                2                   3.8                                0                         0                         6                     11.3                                       6                        11.3                      42
     Borough Secretary        1                        0                     0.0                                0                   0.0                                0                         0                         1                    100.0                                       0                         0.0                       0
     Chief Executive          5                        1                    20.0                                1                  20.0                                0                         0                         0                      0.0                                       0                         0.0                       4
     Children, Young         42                        7                    16.7                                3                   7.1                                1                        2.4                       14                     33.3                                       7                        16.7                      95
     People and Families
     Customer and            36                   15                        41.7                          12                       33.3                                0                              0                        0                      0.0                                 18                         50.0                      193
     Neighbourhood
     Services
     Development              55                  13                        23.6                           9                       16.4                                1                        1.8                       10                      18.2                                    15                        27.3                       133
     Financial Resources      32                   3                         9.4                           3                        9.4                                0                         0                         9                      28.1                                     3                         9.4                        93
     Primary Schools          52                   8                        15.4                           2                        3.8                                0                        0.0                       15                      28.8                                     7                        13.5                        28
     Secondary Schools        53                   5                         9.4                           3                        5.7                                0                         0                        17                      32.1                                    14                        26.4                        28
     Special Schools           1                   0                         0.0                           0                        0.0                                0                        0.0                        0                       0.0                                     1                       100.0                         0
     Total/Overall           330                  55                        16.7                          35                       10.6                                2                        0.6                       72                      21.8                                    71                        21.5                       616

                                                                        Figure 3: accidents statistics by Directorate 2009 to 2010
 Directorate                                  Incident      Over-three      Major      RIDDOR
                                              rate per          day         injury     accident
                                                1,000       accidents      incident    rate per
                                             employees       incident      rate per     1,000
                                                             rate per        1,000    employees
                                                               1,000      employees
                                                            employees
 Adult Social Services                           57.8            2.2          0           2.2
 Borough Secretary                               11.6            0.0          0           0.0
 Chief Executive                                 23.5            4.7          0           4.7
 Children, Young People and Families             26.2            1.9         0.6          2.5
 Customer and Neighbourhood                      65.0           21.7          0          21.7
 Services
 Development                                     85.4            14.0        1.6         15.5
 Financial Resources                             25.3             2.4         0           2.4
 Primary Schools                                 19.3             0.7        0.0          0.7
 Secondary Schools                               29.9             1.7         0           1.7
 Special Schools                                  5.6             0.0        0.0          0.0
 Total/Overall                                   31.4             3.3        0.2          3.5
                                Figure 4: incident rates by Directorate

Figures 5 and 6 show the overall incident rate for accidents in the Council from 1997 to 2009/2010.
Figure 5 also shows, the overall decreases made over the last ten years in total numbers of
accidents, over three day accidents, number of days lost due to accidents and the cost of
accidents (see Section 3.7 for further details regarding costs of accidents).

The Health and Safety Executive (HSE) collate and produce national statistics for health and
safety. In 2009/2010 the Council’s over three day incident rate (3.3) is again below the national
incident rate published by the HSE (9.7) - see Figures 6 and 9. Figure 6 details the reductions
made since 1998 in the Council’s accident incident rates. Figures 7, 8, 9 and 10 graphically
highlight the improvements made in accidents and days lost since 1998.

In addition, Figure 9 also predicts that looking further ahead the Council’s incident rate will be
substantially below that of the Health and Safety Executive. However, it must be noted that all
projections are based on data available, and that whilst it is envisaged that the downward trend in
accidents (and consequently lost time) will continue, and that the revitalising targets will be
achieved, some fluctuation in accident numbers and rates should be expected.

The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 additionally
require reports to be made where a member of the public (such as a school pupil) is injured in an
activity relating to the employer’s undertaking and is taken directly to hospital following the
accident. In 2009/2010 62 such accidents were recorded: 30 in secondary schools, 25 in primary
schools, 4 in Children, Young People and Families, 1 in Customer and Neighbourhood Services
and 2 in Adult Social Services.




                                                                                                17
18
     Year




                        reported
                        Total number of accidents



                                                    reported
                                                    over 3-day accidents
                                                    Number of



                                                                             reported
                                                                             Major injury accidents
                                                                             Number of




                                                                                                         reported accidents(1)
                                                                                                         Number of days lost due to



                                                                                                                                      Safety Reports)(1)
                                                                                                                                      in past Annual Health and
                                                                                                                                      (based on costs published
                                                                                                                                      working day
                                                                                                                                      Average cost of each lost


                                                                                                                                                                   days lost)
                                                                                                                                                                   the cost of the working
                                                                                                                                                                   (based on days lost and
                                                                                                                                                                   Direct cost of days lost

                                                                                                                                                                                              days lost)(2)
                                                                                                                                                                                              the cost of the working
                                                                                                                                                                                              (based on days lost and
                                                                                                                                                                                              1999
                                                                                                                                                                                              on maximum days lost in
                                                                                                                                                                                              Direct cost saving based

                                                                                                                                                                                                                          reported)
                                                                                                                                                                                                                          (based on accidents
                                                                                                                                                                                                                          employee
                                                                                                                                                                                                                          Number of days lost per
     1997               516                             132                Not available              Not available                   Not available               Not available                Not available             Not available
     1998               740                             170                Not available                3,073.5                         £51.49                      £158,254                   Not applicable                0.29
     1999               835                             143                Not available                4,052.5                         £52.96                      £214,620                   Not applicable                0.39
     2000/2001          596                             106                Not available                 3,924                          £54.98                      £215,741                     - £1,121                    0.37
     2001/2002          601                              93                Not available                 2,455                          £57.25                      £140,548                      £91,428                    0.23
     2002/2003          475                              62                     13                      1886.5                          £59.16                      £111,605                     £128,141                    0.18
     2003/2004          462                              66                     13                       1,219                          £62.17                       £75,785                     £176,128                    0.12
     2004/2005          428                              64                      6                       864.5                          £63.89                       £55,232                     £203,681                    0.08
     2005/2006          471                              73                      1                       1,418                          £66.32                       £94,041                     £174,687                    0.14
     2006/2007          375                              73                     15                       1,789                          £68.76                      £123,012                     £155,603                    0.17
     2007/2008          360                              55                     11                       1,526                          £70.84                      £108,102                     £178,942                    0.16
     2008/2009          374                              63                      2                       1,136                          £73.17                       £83,121                     £213,400                    0.11
     2009/2010          330                              35                      2                        616                           £74.65                       £45,910                     £256,609                    0.06
     Total             6,563                           1,135                    63                      23,959                             ~                       £1,425,971                   £1,577,498                    ~
                                                                           Figure 5: accident statistics and costs 1997 to 2009/2010

 1. For further details see Section 3.7 Cost of accidents to employees
 2. This cost is calculated based on the costs saved by the Council not having the number of days lost in 1999. For example, if in 2009/2010 the Council was
    still loosing 4,052 days due to accidents the cost would have been the direct cost of the days lost (£83,121) and the direct cost saving (£213,400), equating
    to a total cost of £296,521
 Year                   Overall incident rate (per 1,000                     Over 3-Day Incident Rate (per 1000                   HSE National Extrapolated
                                  employees)                                            employees)                                 Over 3-Day Incident Rate
                                                                                                                                   (per 1000 employees) (1)
 1997                                   88.0                                                   12.6                                        14.4 (2)
 1998                                  133.3                                                   16.2                                          14.4
 1999                                   95.3                                                   13.6                                          13.7
 2000/2001                              70.7                                                   10.1                                          13.2
 2001/2002                              57.2                                                    8.8                                          12.3
 2002/2003                              45.2                                                    5.3                                          12.2
 2003/2004                              44.0                                                    6.3                                          12.4
 2004/2005                              40.8                                                    6.1                                          11.4
 2005/2006                              44.9                                                    7.0                                          11.3
 2006/2007                              35.7                                                    7.0                                          10.7
 2007/2008                              34.0                                                    5.0                                          10.3
 2008/2009                              35.6                                                    6.0                                           9.7
 2009/2010                              31.4                                                    3.3                                         9.7 (3)
                                                           Figure 6: accident statistics 1997 to 2009/2010

 (1) National incident rate figures for the total number of accidents are unavailable due to the HSE only compiling figures for accidents reportable to the enforcing
     authority under the RIDDOR legislation. The HSE’s extrapolated incident rate is calculated by “scaling up” the HSE’s published figure (Health and Safety
     Commission (HSC), A New Duty to Investigate Accidents, November 1998) of 41% reporting of accidents to 100%, which is the assumed level of over 3-day
     accident reporting within the Council.
 (2) The HSE’s incident rate for 1997 is taken to be the same as for 1997/1998 in the absence of other data.
 (3) The HSE’s incident rate for 2009/2010 is taken to be the same as for 2008/2009 because at the time of writing, the data for 2009/2010 was yet to be
     published.
19
20
                                                                                  Figure 7 Overall incident rate 1997 to 2009/2010

                                        140
                                                               133.3
                                        130

                                        120

                                        110

                                        100
     Incident Rate Per 1000 Employees




                                                                           95.3
                                         90
                                                       88
                                                                                                                             90.6 (2004 Target)
                                         80                                                                                                                                                   85.9
                                                                                                                                                                                           (2010 Target)
                                         70                                                70.7


                                         60
                                                                                                        57.2

                                         50
                                                                                                                  45.2       44                    44.9
                                         40                                                                                             40.8
                                                                                                                                                               35.7      34        35.6
                                         30                                                                                                                                                  31.4


                                         20

                                         10

                                          0
                                          1996     1997     1998       1999       2000         2001      2002      2003          2004   2005       2006        2007       2008      2009     2010      2011
                                                                                                                          Year

                                                                       Overall Incident Rate          Revitalising Health and Safety Targets (1)          Overall Incident Rate Trend

                                        (1) The revitalising health and safety targets indicate the 5% and 10% reduction in accidents envisaged by ‘Revitalising Health and Safety’
                                                                        Figure 8 Over 3 day accidents incident rate 1997 to 2009/2010

                                        18



                                        16                      16.2


                                               14.4      14.4
                                        14
                                                                        13.7   13.6
                                                                                 13.2
     Incident Rate Per 1000 Employees




                                                      12.6                                                   12.4
                                                                                          12.3      12.2
                                        12
                                                                                                                           11.4     11.3
                                                                                                                                               10.7
                                                                                        10.1                                                              10.3
                                        10
                                                                                                                                                                     9.7       9.7
                                                                                                  8.8
                                        8

                                                                                                                                           7          7
                                                                                                                      6.3         6.1
                                        6                                                                                                                                  6
                                                                                                           5.3
                                                                                                                                                                 5

                                        4
                                                                                                                                                                                     3.3

                                        2



                                        0
                                        1996      1997       1998      1999    2000     2001       2002     2003          2004    2005     2006       2007       2008      2009      2010   2011
                                                                                                                   Year

                                                                                                 BMBC Incident Rate          HSE Incident Rate
21
22


                                                                              Figure 9 Over 3 day accidents incident rate 1997 to 2009/2010


                                        18


                                        16                      16.2


                                               14.4     14.4
                                        14                          13.7   13.6                                          13 (2004 Target)
     Incident Rate Per 1000 Employees




                                                                                   13.2                                                                                            12.3 (2010 Target)
                                                      12.6                                                        12.4
                                                                                            12.3       12.2
                                        12
                                                                                                                             11.4      11.3
                                                                                                                                                  10.7
                                        10                                                10.1                                                                10.3
                                                                                                                                                                         9.7       9.7
                                                                                                   8.8
                                        8
                                                                                                                                              7           7
                                                                                                                           6.3       6.1
                                        6                                                                                                                                      6
                                                                                                                5.3
                                                                                                                                                                     5
                                        4
                                                                                                                                                                                         3.3

                                        2


                                        0
                                        1996     1997        1998      1999       2000    2001        2002       2003       2004     2005     2006        2007       2008      2009      2010      2011
                                                                                                                      Year

                                                      BMBC Incident Rate          HSE Incident Rate          Revitalising Health and Safety Targets (1)         Over 3 Day Incident Rate Trend
                                               (1) The revitalising health and safety targets indicate the 5% and 10% reduction in accidents envisaged by ‘Revitalising Health and Safety’
                                                                            Figure 10 Number of days lost 1997 to 2009/2010


                           4300

                                                         4052.5
                                                                          3924
                           3800



                           3300

                                              3073.5
     Number of Days Lost




                           2800                                                                              3422 (2004
                                                                                                             Target)
                                                                                     2455
                                                                                                                                                                          2837 (2010
                           2300
                                                                                                                                                                          Target)


                                                                                                1887
                           1800                                                                                                             1789

                                                                                                                                                       1526
                                                                                                                                 1418
                           1300
                                                                                                           1219
                                                                                                                                                                  1136

                                                                                                                      864.5
                            800
                                                                                                                                                                             615

                            300
                              1997        1998       1999       2000       2001       2002        2003      2004       2005       2006       2007       2008       2009       2010        2011
                                                                                                            Year

                                                                Number of Days Lost          Revitalising Health and Safety Targets (1)       Predicted Days Lost
23




                                  (1) The revitalising health and safety targets indicates the 30% reduction in working days lost due to work related injury envisaged by ‘Revitalising
                                  Health and Safety’ (30% reduction by 2010 with half achieved by 2004)
Further analysis of the overall accident and incident data indicates the causes and effects of the
events.

        Main cause of accident                                          Number of accidents
        Slips, trips and falls                                                 129
        Manual handling                                                         67
        Tools/machinery/equipment                                               29
        Hit by moving object                                                    25
        Striking stationary objects                                             20
        Hit by falling object                                                   18
        Fell from a height                                                       7
        Hazardous substance                                                      7
        Hit by flying object                                                     7
        Sharps                                                                   6
        Hit by moving vehicle                                                    5
        Contact moving machinery                                                 4
        Contact with electricity                                                 3
        Injured by an animal                                                     2
        Road traffic collision                                                   1
        Total                                                                  330
                                    Figure 11: causes of accidents

Figure 11 shows the causes of accidents. From Figure 11 it can be seen that once again slips,
trips and falls and manual handling accounted for the largest number of employee accidents.

                      Part of body injured              Number of accidents
                      Hand                                      63
                      Back                                      58
                      Leg                                       55
                      Arm                                       52
                      Foot                                      31
                      Head                                      30
                      Trunk                                     10
                      Eyes                                       8
                      Mulitiple                                  8
                      No injury (near miss)                      6
                      Face                                       4
                      Shoulder                                   3
                      Neck                                       2
                      Total                                    330
                              Figure 12: part of body injured in accidents

From Figure 12 it can be seen that accidents resulting in injury to the hand and back make up the
largest proportion of the figures. From Figure 13 it can be seen that accidents resulting in strains
and sprains make up the largest proportion of the figures. It is indicated by accident reports that
these accidents were largely caused through manual handling and slips and trips.




24
                    Type of injury                        Number of accidents
                    Sprain/strain                                112
                    Bruising                                      84
                    Cut/laceration                                48
                    Burn                                          34
                    No injury                                     24
                    Break/fracture                                14
                    Foreign body                                   5
                    Bump                                           3
                    Dislocation                                    2
                    Bite                                           1
                    Concussion                                     1
                    Crush                                          1
                    Needlestick                                    1
                    Total                                        330
                                       Figure 13: type of injury

The causes of accidents and the injuries sustained stress the need for a “back to basics” approach
to accident and incident prevention by the regular inspection of workplaces for hazards and risks
and application of the risk control hierarchy. When considering the control measures required the
ERCSP hierarchy must be considered by asking:

1. Can the work activity realising the hazards and risks be eliminated? If not,

2. Have the hazards and risks been reduced? If not,

3. Has exposure to the hazards and risks been controlled? If not,

4. Have appropriate safe systems of work been implemented, including safe working procedures
   and appropriate information, instruction and training? If not, and as a last resort,

5. Has appropriate personal protective equipment been issued?

However, albeit that the above control measures must be viewed as a hierarchy suitable and
sufficient risk control measures are likely to be a combination of control measures.




                                                                                               25
3.1.2    Aggression and violence analysis

In several reports, the Trade Union Congress (TUC), amongst others, has identified that, for
certain occupations suffering violence is the greatest risk to their safety at work. This finding is
reiterated by the teachers’ organisation the National Association of Schoolmasters and Union of
Women Teachers (NASUWT) who report that violent attacks against teachers by pupils are being
reported at the rate of one per day. Violent incidents are defined as:

•    Any intentional acts that cause apprehension, fear, psychological or physical injury to an
     employee arising out of or in connection with their authorised duties

•    The deliberate damage to the property or belongings of an employee that is attributable to the
     carrying out of duties on behalf of the Council.

The Council’s violent incident categories are: physical violence, aggression, verbal, sexual or racial
abuse, and intentional damage to property. As with accidents, analysis of the incidence of
aggression and violence can be undertaken.

The compilation of the figures (Figure 14) shows a decreasing trend in the reported number of
violent incidents in 2009/2010, with reported violent incidents increasing from 437 to 303.




26
     Directorate                               Reported         Over 3 day       Percentage          Days lost    Incident rate    Over-three
                                             incidents of       accidents        of incidents         due to        per 1,000          day
                                             violence and                        which were        incidents of    employees        accidents
                                              aggression                          over 3 day       violence and                   incident rate
                                                                                  accidents         aggression                      per 1,000
                                                                                                                                   employees

     Adult Social Services                         94                 0                 0                   0        102.5            0.0
     Borough Secretary                              0                 0                 0                   0          0.0            0.0
     Chief Executive                                0                 0                 0                   0          0.0            0.0
     Children, Young People and Families           33                 0                 0                   0         20.5            0.0
     Customer and Neighbourhood                    16                 0                 0                   0         28.9            0.0
     Services
     Development                                   5                  0                 0                   0          7.8            0.0
     Financial Resources                           0                  0                 0                   0          0.0            0.0
     Schools                                      155                 0                 0                   0         33.4            0.0
     Total/Overall                                303                 0                 0                   0         28.8            0.0
                                           Figure 14: incidents of violence and aggression by Directorate
27
Figure 15 highlights the type of incidents that occurred. Figure 16 then details the types of injuries
that were sustained in these incidents. The majority of the incidents resulted in no injury.

     Type of incident                         Number of incidents         Percentage of incidents
     Physical violence                               112                           37.0
     Verbal abuse                                     97                           32.0
     Aggression                                       91                           30.0
     Sexual abuse                                      2                            0.7
     Intentional damage to property                    1                            0.3
     Racial abuse                                      0                             0
     Harassment                                        0                             0
     Total                                           303                           100
                         Figure 15: types of incidents of violence and aggression

        Type of injury              Number of incidents              Percentage of incidents
        No injury                          155                                51.2
        Bruise/mark                         75                                24.7
        Distress                            40                                13.2
        Cut/scratch                         14                                 4.6
        Strain/sprain                        9                                 3.0
        Bite                                 9                                 3.0
        Burn                                 1                                 0.3
        Break/fracture                       0                                  0
        Total                              303                                100
               Figure 16: types of injuries sustained in incidents of violence and aggression

The above figures show a higher incidence of ‘violent’ incidents within Adult Social Services,
Children and educational establishments. This disparity reflects the nature of the work carried out.
Adult Social Services and Children, Young People and Families employees encounter the
Council’s most challenging clients and the challenge of modern teaching is expounded by the
NASUWT above. However, the nature of the work carried out by Adult Social Services and
Children, Young People and Families employees is not an excuse. Providing a ‘front-line’ service
should not lead to violence or aggression. This reiterates the need for an assessment to be
carried out on clients of the Council when receiving any service ranging from social care to
compulsory education to ascertain their requirements from both the client’s and employee’s
perspective. There is a need for ensuring that the resources available for clients are appropriate to
their needs, whilst also ensuring that the safety of employees, who are entrusted with the provision
of services for these clients, is not compromised.


3.1.3   Incident analysis

In addition to events that injured or could have injured people, the Council now has the facility and
procedures to record the occurrence of incidents that gave or could have given rise to loss or
damage to property, plant, products or the environment, production losses or increased liabilities,
this not being the result of aggression or violence. The incidents reported during 2009/2010 relate
to security incidents (including acts of vandalism to Council property) and road traffic collisions.




28
3.1.4    Safety observation analysis

In addition to events that injured or could have injured people, the Council now has the facility and
procedures to record the occurrence of situations that could give rise to loss or damage to
property, plant, products or the environment, production losses or increased liabilities. A very
small number of reports were made in 2009/2010. Employees may raise concerns verbally or via
team meetings thus meaning that the form is not required in many cases. However, this also
reiterates the need for the form to be used by employees to raise concerns with their managers
where necessary.


3.1.5    Major injury analysis

In 2009/2010 2 major injuries to a Council employee were recorded. The nature of these accidents
and the actions taken to prevent its recurence are detailed below.

Type of        Cause        Circumstances      Investigation and actions to prevent recurrence
Injury
Fracture to    Use of       Whilst operating The trailer was investigated. There were not found
foot           tools/       the jockey           to be any defects. The loading method was revised.
               machinery    wheel of a
               /            trailer, the trailer
               equipment    fell and landed
                            on the
                            employee’s foot

Fracture to    Slips,       Employee           The steps were investigated and there were not
arm            trips and    slipped on wet     found to be any defects. The external steps were
               falls        steps              wet due to rain.
                                    Figure 17: major injury analysis


3.2     Work related ill-health

As with accidents and incidents it is accepted that the collation of work related ill health statistics
can assist in improving health and safety within an organisation. Again statistics regarding work
related ill health form part of the Annual Health, Safety and Emergency Resilience Report. The
Council records the reported reasons for employee absences. Of the categories of absence
reported it is considered that those concerning musculoskeletal illness and mental/emotional
wellbeing issues are most likely to be associated with some aspect of work – that is not to state
that these illnesses are caused by work but acknowledging that because it is inherent to peoples
lives work may either directly or indirectly be associated with the illnesses, which indeed may be
wholly attributable to factors outside work.

Figure 18 details the absences reported in 2009/2010 attributed to mental/emotional wellbeing
issues. This data represents a decrease in sickness absence attributable to mental/emotional
wellbeing (see Figure 20).




                                                                                                    29
30
 Directorate




                                       ill health
                                       to mental/emotional wellbeing
                                       Total absence days attributed




                                                                       wellbeing ill health
                                                                       attributed to mental/emotional
                                                                       Number of absences



                                                                                                        ill health
                                                                                                        to mental/emotional wellbeing
                                                                                                        reporting absences attributed
                                                                                                        Number of employees



                                                                                                                                        health per 1,000 employees
                                                                                                                                        mental/emotional wellbeing ill
                                                                                                                                        Absence rate attributed to



                                                                                                                                                                         wellbeing ill health
                                                                                                                                                                         attributed to mental/emotional
                                                                                                                                                                         reporting sickness absence
                                                                                                                                                                         Percentage of employees


                                                                                                                                                                                                          health
                                                                                                                                                                                                          mental/emotional wellbeing ill
                                                                                                                                                                                                          per employee attributed to
                                                                                                                                                                                                          Average number of absences


                                                                                                                                                                                                                                           health
                                                                                                                                                                                                                                           mental/emotional wellbeing ill
                                                                                                                                                                                                                                           per employee attributed to
                                                                                                                                                                                                                                           Number of days of absence
 Adult Social Services                     3,069                               130                                 96                           142                               10.5                             0.14                               3.3
 Borough Secretary                          106                                 6                                   5                            70                                5.8                             0.07                               1.2
 Chief Executive                             94                                 8                                   6                            38                                2.8                             0.04                               0.4
 Children, Young People
 and Families                              2,079                                 95                                81                             59                                5.0                            0.06                               1.3
 Customer and
 Neighbourhood Services                   760                                   29                                23                              52                                4.2                            0.05                               1.4
 Development                             1,102                                  40                                28                              62                                4.3                            0.06                               1.7
 Financial Resources                     2,297                                  73                                63                              58                                5.0                            0.06                               1.8
 Future Jobs Fund                          10                                    3                                 3                              19                                1.9                            0.02                               0.1
 Primary Schools                         4,402                                 136                               112                              50                                4.2                            0.05                               1.6
 Public Health                              0                                    0                                 0                               0                                 0                             0.00                                0
 Secondary Schools                       2,171                                 113                                87                              64                                4.9                            0.06                               1.2
 Special Schools                          544                                   11                                11                              62                                6.2                            0.06                               3.1
 Total                                  16,634                                 644                               515                              61                                4.9                            0.06                               1.6
                                        Figure 18: incidents of mental/emotional wellbeing related ill health by Directorate
  (1) Absences reported where the reason for absence was reported as a mental/emotional wellbeing related illness: anxiety, stress, depression, other psychiatric
                                                                               illnesses
    (2) Employees may have been absent due to a mental/emotional wellbeing related issue on more than one occasion, hence the difference between the total
reported absences attributed to mental/emotional wellbeing related ill health and number of employees reporting absences attributed to mental/emotional wellbeing
                                                                          related ill health
Stress, which is a strand of mental/emotional wellbeing, is the natural reaction people have to
excessive pressures placed on them. While not an illness itself, if it is prolonged or intense, it can
lead to mental/emotional and physical ill-health. This can, for example, include depression, back
pain or heart disease. Work-related stress can also lead to:

•   An increase in sickness absence
•   A reduction in staff morale
•   Poor staff performance
•   Staff seeking alternative employment.

When staff leave, there is then the expense of recruiting, inducting, and training new members of
staff. According to the HSE, increased sickness absence can have a domino effect – one person
goes sick which leads to their workload being shared among the remaining staff. They are unable
to cope, which affects their health, and this leads to greater sickness absence

Mental wellbeing issues may (with the usual caveats) fall under the Disability Discrimination Act
2005, therefore careful consideration needs to be given to implementing appropriate control
measures and making reasonable adjustments.

Figure 19 details the absences reported in 2009/2010 attributed to musculoskeletal issues. This
data represents an increase in sickness absence attributable to musculoskeletal issues (see
Figure 20).




                                                                                                   31
32   Directorate




                                        to musculoskeletal ill health
                                        Total absence days attributed




                                                                        to musculoskeletal ill health
                                                                        Number of absences attributed




                                                                                                        to musculoskeletal ill health
                                                                                                        reporting absences attributed
                                                                                                        Number of employees



                                                                                                                                        1,000 employees
                                                                                                                                        musculoskeletal ill health per
                                                                                                                                        Absence rate attributed to



                                                                                                                                                                         to musculoskeletal ill health
                                                                                                                                                                         reporting absences attributed
                                                                                                                                                                         Percentage of employees



                                                                                                                                                                                                         musculoskeletal ill health
                                                                                                                                                                                                         per employee attributed to
                                                                                                                                                                                                         Average number of absences



                                                                                                                                                                                                                                      musculoskeletal ill health
                                                                                                                                                                                                                                      employee attributed to
                                                                                                                                                                                                                                      Number of days of absence per
     Adult Social Services              1,683                               133                                 101                             145                            11.0                            0.15                            1.8
     Borough Secretary                    43                                  5                                   4                              58                             4.7                            0.06                            0.5
     Chief Executive                     168                                 14                                  11                              66                             5.2                            0.07                            0.8
     Children, Young People
                                        1,158                               125                                 108                               78                              6.7                                                          0.7
     and Families                                                                                                                                                                                              0.08
     Customer and
                                            739                                 73                                55                            132                               9.9                                                          1.3
     Neighbourhood Services                                                                                                                                                                                    0.13
     Development                         778                                 70                                  56                             109                               8.7                          0.11                            1.2
     Financial Resources                1,346                               135                                 111                             107                               8.8                          0.11                            1.1
     Future Jobs Fund                    142                                 16                                  12                             100                               7.5                          0.10                            0.9
     Primary Schools                    1,761                               136                                 112                              50                               4.2                          0.05                            0.7
     Public Health                        -                                   0                                   0                               -                                -                           0.00                             -
     Secondary Schools                   821                                123                                 104                              69                               5.9                          0.07                            0.5
     Special Schools                     252                                 13                                  13                              73                               7.3                          0.07                            1.4
     Total                              8,891                               843                                 687                              80                               6.5                          0.08                            0.8
                                               Figure 19: incidents of musculoskeletal related ill health by Directorate
        (1) Absences reported where the reason for absence was reported as a musculoskeletal related illness: back and other musculoskeletal problems
(2) Employees may have been absent due to a musculoskeletal related issue on more than one occasion, hence the difference between the total reported absences
            attributed to musculoskeletal related ill health and number of employees reporting absences attributed to musculoskeletal related ill health
Nationally the numbers of people affected by ill health greatly outweigh those adversely affected by
accidents. The data in Figures 18 and 19 when compared with those in Section 3.1 support this
view. This information reiterates the need to fully support employees throughout their ill health and
invest in mechanisms to expedite their return to work for both the benefit of the employer and
employee. This information also stresses the need for a “back to basics” approach to ill health
prevention by the application of sound human resources and health and safety principles and
provision of rehabilitative processes.

Figure 20 below shows the incidences of work-related ill health from 2005/2006 to 2009/2010 and
highlights that substantial reductions have been made in both the incidence of and days lost due to
mental/emotional wellbeing and musculoskeletal related ill health.

Year
                  health
                  wellbeing related ill
                  mental/emotional
                  attributed to
                  Total absence days
                                          health
                                          wellbeing related ill
                                          mental/emotional
                                          attributed to
                                          Number of absences

                                                                  related ill health
                                                                  musculoskeletal
                                                                  attributed to
                                                                  Total absence days

                                                                                       related ill health
                                                                                       musculoskeletal
                                                                                       attributed to
                                                                                       Number of absences



                                                                                                             Total absence days




                                                                                                                                  absences
                                                                                                                                  Total number of
2005/2006              24,129                    869                 20,849                1,592            44,978                2,461
2006/2007              23,168                    770                 19,642                1,447            42,810                2,217
2007/2008              24,741                    819                 12,697                1,113            37,438                1,932
2008/2009              22,979                    756                 18,530                1,207            41,509                1,963
2009/2010              16,634                    644                  8,891                 843             25,525                1,487
    Figure 20: comparison of absences attributed to mental/emotional wellbeing and musculoskeletal related ill
                                     health from 2005/2006 to 2009/2010



3.3       Risk assessment

Risk assessment is a specific legal requirement of health and safety legislation. The Management
of Health and Safety at Work Regulations first entered the statute books in 1992 and were
subsequently revised in 1999 and include a general duty for employers to carryout risk
assessments to identify hazards and risks and determine appropriate control measures. In
addition risk assessment is a requirement of a plethora of other specific Regulations. All these
Regulations, and in particular Regulation 3 of the Management of Health and Safety at Work
Regulations 1999 require the Council as an employer to make a suitable and sufficient assessment
of the risks to health and safety of:

•     Its employees to which they are exposed whilst at work
•     Persons not in the Council’s employment arising out of or in connection with the undertakings
      of the Council

The purpose of the risk assessment is to identify the measures that the Council needs to take to
comply with its statutory duties – i.e. to ensure, so far as is reasonably practicable, the health,
safety and welfare of its employees or others who may be affected by its undertakings. Hence
statutory duties require the Council to identify and implement suitable control risks.

The Council’s internal accident recording form (HS2(E)) Report of an accident to an employee)
was revised in 2001 to include details of the risk assessments that relate to the work activities
being undertaken at the time of the accident. The form asks managers and supervisors “had a risk
assessment been carried out for the activity undertaken prior to the accident?” with a simple
‘yes/no’ response being given. The response to this question is logged by the Health, Safety and

                                                                                                                                                    33
Emergency Resilience Unit and is integral to its accident/incident recording and monitoring
function. Due to the decreases in the compliance rate for risk assessment over the last two years,
the a separate detailed report is being undertaken on risk assessment in the Council and will be
available in due course. Therefore, the information provided by managers and supervisors on the
HS2(E) form has not been collated for the year April 2008 to March 2009. However, the data for
2003/2004 to 2008/2009 is included below to highlight the observed trend.




                                                             activity prior to the accident
                                                             was indicated as being completed for the
                                                             Number of accidents where a risk assessment

                                                                                                           for the activity prior to the accident
                                                                                                           assessment was indicated as being completed
                                                                                                           Percentage of accidents where a risk

                                                                                                                                                         activity prior to the accident
                                                                                                                                                         was not indicated as being completed for the
                                                                                                                                                         Number of accidents where a risk assessment

                                                                                                                                                                                                        completed for the activity prior to the accident
                                                                                                                                                                                                        assessment was not indicated as being
                                                                                                                                                                                                        Percentage of accidents where a risk
       2003/2004                                                          87                                         33.0                                       177                                                67.0
       2004/2005                                                         170                                         39.7                                       258                                                60.3
       2005/2006                                                         172                                         36.5                                       299                                                63.5
       2006/2007                                                         161                                         42.9                                       214                                                57.1
       2007/2008                                                         166                                         46.0                                       194                                                54.0
       2008/2009                                                          73                                         19.5                                       301                                                80.5
       Total/Overall                                                     829                                         36.5                                      1,443                                               63.5
     Figure 21: responses provided to the question “had a risk assessment been carried out for the activity
                                      undertaken prior to the accident?”

The responses provided by managers (Figure 21) indicates that a risk assessment had been
undertaken for the work activity being carried out prior to the accident in only 36.5% of incidents
reported. Hence based on the information supplied on the accident form, up to 63.5% of the
accidents reported the activity being carried out at the time of the accident did not have an
associated risk assessment or the form was not fully completed by the manager who did not
indicate that a risk assessment was actually completed. In addition, the form asks managers and
supervisors “had a risk assessment been carried out for the activity undertaken following the
accident?” with a simple ‘yes/no’ response being given.




34
      Directorate




                                                              being undertaken prior to the accident
                                                              assessment was completed/ reviewed for the activity
                                                              Number of accidents where, following the accident, a risk

                                                                                                                          being undertaken prior to the accident
                                                                                                                          risk assessment was completed/ reviewed for the activity
                                                                                                                          Percentage of accidents where, following the accident, a

                                                                                                                                                                                     being undertaken prior to the accident
                                                                                                                                                                                     assessment was not completed/ reviewed for the activity
                                                                                                                                                                                     Number of accidents where, following the accident, a risk

                                                                                                                                                                                                                                                 activity being undertaken prior to the accident
                                                                                                                                                                                                                                                 risk assessment was not completed/ reviewed for the
                                                                                                                                                                                                                                                 Percentage of accidents where, following the accident, a
      2003/2004                                                                22                                                       8.3                                                   242                                                             91.7
      2004/2005                                                                67                                                      15.7                                                   361                                                             84.3
      2005/2006                                                                90                                                      19.1                                                   381                                                             80.9
      2006/2007                                                                92                                                      24.5                                                   283                                                             75.5
      2007/2008                                                                93                                                      48.0                                                   101                                                             52.0
      2008/2009                                                                36                                                       9.6                                                   338                                                             90.4
      Total/Overall                                                           400                                                      19.0                                                  1,706                                                            81.0
  Figure 22: responses provided to the question “has a risk assessment been reviewed/developed for the
activity undertaken after the accident?” (note that these figures differ slightly to those in Figure 21 above due
                                to the method of recording changing over time)

The responses provided by managers (Figure 22) indicates that a risk assessment had been
reviewed/developed for the work activity being carried out prior to the accident in only 19% of
incidents reported. Hence based on the information supplied, for 81% of the accidents reported
the undertaking being carried out at the time of the accident did not have an associated risk
assessment reviewed or developed after the accident to prevent recurrence.

The reasons for managers/supervisors providing a negative response to questioning regarding the
existence of risk assessments remain the same as those reported in 2008/2009:

1. Managers/supervisors do not understand the importance of full and accurate completion of the
   form (the form becomes a disclosable document in the event of enforcement action or civil
   proceedings)
2. Time pressures mean that managers/supervisors do not check the existence of the documents
3. Managers/supervisors do not know that the documents exist
4. The documents do not exist

As reported from 2003/2004 to 2008/2009 in light of the simplicity of the form to complete and the
information, instruction and training provided to managers and supervisors on this topic it is
considered unlikely that managers and supervisors are providing a negative response due to the
reasons in 1 to 3 above. Hence, the figure detailed above is believed by the Health, Safety and
Emergency Resilience Unit to be indicative of the level of risk assessments that have been carried
                                                                                                                                                                                                                                                                                                            35
out within the Council. The consequences of not carrying out risk assessments may include:

•     Prosecution/enforcement action due to breach of statutory duty
•     An increased risk of injury/ill health to employees and others who may be affected by the
      Council’s activities
•     Increased losses to the Council
•     Decreased ability to defend any civil actions brought against the Council


3.4      Comparison of health, safety and emergency resilience targets with health
         and safety performance

The ‘Revitalising Health and Safety Strategy’ targets outlined above required organisations to
achieve half the targets by 2004 (based on their performance in 1999). Hence the targets for 2009
to 2010 are for the Council to:

•     Reduce the incidence rate of workplace injuries per 1,000 employees by 10% by 2010 from
      95.3 to 85.8.

•     Reduce the working days lost from work related injury by 30% by 2010 from 4,052.5 to 3,444.

•     Reduce the incident rate for cases of work-related ill health by 20% by 2010

•     Reduce the working days lost per 1,000 employees from work-related ill health by 30% by 2010

The Council’s incidence rate of workplace injuries per 1,000 employees in 2009/2010 is 31.4 and
its number of working days lost from work related injury is 615. Hence for these indicators the
Council has achieved its 2010 targets. This has already been shown graphically in Figures 7, 9
and 10. However, reaching the 2010 target will not result in complacency. The Council will
continue to strive to improve the health, safety and welfare of its employees and others who may
be affected by its activities.

With regard to work-related ill health the incidence of and working days lost per employee in 1999
are unknown. However, based on work-related ill health data for 2005/2006 (to be used as a
future baseline):

•     The incidences of work-related ill health (in terms of the number of reported absences) have
      decreased by 41% from 2,461 to 1,441.

•     The working days lost due to work-related ill health have decreased by 44% from 44,978 to
      25,188.

Hence for these indicators the targets for 2010 have been met. However, again reaching the 2010
target will not result in complacency and the Council will continue to strive to improve the health,
safety and welfare of its employees and others who may be affected by its activities.

Therefore in comparison to the challenge set by the Health and Safety Executive in the
‘Revitalising Health and Safety Strategy’ in 1999 the Council has met and indeed out-stripped its
targets.

The Corporate Health and Safety Policy 2009/2019 contains targets relating to risk assessment,
including that Directorates, Divisions and Services will identify the number of risk assessments
required and the number of risk assessments required that are completed. From the information
obtained from the accidents reported, in 36% of accidents that occurred there was not a risk
assessment for the activity being undertaken at the time of the accident (Figure 21). Whilst this
does not relate exactly to one of the published performance targets it does indicate that of the risk
assessments required in the Council 36% are completed.
36
3.5      Enforcement action against the Council during 2009/2010

During 2009/2010 the Council has not been issued with any formal notices or been the subject of
any prosecutions from any of the enforcing authorities, namely the Health and Safety Executive
(HSE), the Environment Agency or South Yorkshire Fire and Rescue Service.


3.6      Cost of accidents to and ill health associated with work in employees

It is possible to work out the approximate total cost to the Council of days off due to accidents at
work in any given period. For 2009/2010 the direct salary cost due to employee absence following
accidents at work is:

Median salary scale point       ‘Add on’ costs            Total Cost to Authority
SCP 25 – Grade 5                Superannuation and        Salary, superannuation and National
                                National Insurance        Insurance
£21,519                 +       £5,514                =   £27,033 per year

Therefore:

£27,246                     /   365 days              =   £74.06 average cost per day
£74.06                      x   615 lost days         =   £45,547

From the direct salary cost due to employee absence following accidents at work and the
Employer’s Liability Insurance and employer’s liability claims costs for 2009/2010 the total costs of
accidents to the Council can be derived:

Employee liability claims total (1993 to 2009/2010)          (a)   =   £5,906,446 (675 claims)
Employer’s liability insurance premium                       (b)   =   £90,318 per year
Average direct costs per year                                (c)   =   £437,756
Direct salary cost 2009/2010                                 (d)   =   £45,547
Total of direct costs for 2009/2010                          (e)   =   £483,303
Where:
(c) = ((a) / 17 years) + (b)
(e) = (c) + (d)

These costs are the very minimum that can be directly attributed to the costs of accidents within
the Council. National studies carried out by the HSE show that these costs are only the ‘tip of the
iceberg’. According to the HSE the true cost can be anything between an average of 10 and 36
times greater. The business costs of accidents and ill-health in the workforce come in many forms
such as:

•     Sickness absence
•     Overtime payments
•     Lost production
•     Missed deadlines
•     Cost of recruiting and retraining of employees who leave




                                                                                                  37
Therefore based on the HSE figures the total loss attributable to accidents at work during
2009/2010 may range from £4,833,030 (which is 10 times the directly attributed cost) to
£17,398,908 (which is 36 times the directly attributed cost).

However, it is important not to overlook the cost savings of reductions in accidents. In 1999 the
number of days lost within the Council due to accidents was 4052.5 days. As seen in Figures 5
and 10, based on the reductions in days lost made up to 2009/2010 and the average cost per day
lost, this now represents a saving of 3,437 days per year and a direct cumulative cost saving of
£1,577,498 (equivalent, based on 2009/2010 costs, to 58 full time scale five employees):
investment in health and safety does indeed pay dividends. Based on the ‘iceberg’ principle
discussed above this represents a total cost saving to the Council of between £15,774,980 and
£56,789,928.

With data regarding days lost due to ill health available it is possible to calculate the cost of ill
health and hence an overall cost of accidents and occupationally related ill health within the
Council. The known direct salary costs of occupational ill health are:

£26,706                 /    365 days               =     £74.06 average cost per day
£74.65                  x    25,525 lost days       =     £1,890,382

In 2001 Norwich Union Healthcare published a study showing the average indirect costs of
sickness absences are estimated to be twice the direct costs. While this finding is for general
sickness absence, not necessarily work-related illness, it still clearly shows the costs of an
employee being away from work. A 2001 Confederation of British Industry and PPP Healthcare
survey also found similar results. Both of these studies indicate that the indirect costs of absence
due to ill-health are around twice the direct costs. Hence the overall cost of sickness absence that
may contain an element of a relationship to work are £3,780,764.

Therefore the overall direct measured cost of accidents and ill health for 2009/2010 are
£2,373,685, with the indirect costs ranging between £8,613,794, and £19,289,290.


3.7      Occupational road risk issues

According to the Royal Society for the Prevention of Accidents (RoSPA), research commissioned
by the Health and Safety Executive (HSE) and others suggests that nationally between 25% and
33% of fatal and serious road traffic incidents involve someone who was at work at the time
(between 800 and 1000 people). These figures include all categories of road users – drivers,
motorcyclists and cyclists as well as pedestrians and those working at the side of the road. The
Council has taken steps to reduce occupational road risk that have included:

•     Forming a Fleet Users’ Forum
•     The revision and issue of the Fleet Drivers’ Handbook
•     Eyesight tests for drivers
•     Consideration of the issue by the Council’s Corporate Health and Safety Committee and Risk
      Management Groups
•     Ongoing review of “car users’” documentation
•     Development of a corporate standard – ‘Occupational Road Risk’

Occupation road risk must be managed like any other health and safety issue. During 2009/2010
the Council’s insurers have worked with the Council on the management of these issues.




38
3.8     Health and safety audits

During 2009/2010 the Health, Safety and Emergency Resilience Unit has continued to undertake a
programme of health and safety audits. All audits carried out by the Unit produced a score judged
against pre-determined criteria. The scores achieving each category have increased from the
scores given in previous round of audits (shown in brackets) in line with the notion of continuous
improvement, thus:

A      Satisfactory
This standard is given to an Assistant Director/service/school achieving an audit score of 85%
(75%) or above. The Assistant Director/service/school has achieved a satisfactory standard in
managing health and safety with only a few improvements to implement.

B      Less than Satisfactory
This standard is given to an Assistant Director/service/school achieving an audit score of between
65% and 84% (50% and 74%). The Assistant Director/service/school is not achieving an
acceptable level of managing health and safety with many improvements to be implemented.

C      Poor
This standard is given to an Assistant Director/service/school achieving an audit score of between
50% and 64% (25% and 49%). This Assistant Director/service/school has very serious
weaknesses in the management of health and safety with significant improvements to be made
within six months.

D      Fail
This standard is given to an Assistant Director/service/school achieving an audit score of 49%
(24%) or below. There is little evidence of a structured approach to managing health and safety.
There are serious weaknesses that require immediate action by the Assistant
Director/service/school and Authority.

When viewing the standards achieved it must be borne in mind that the ultimately acceptable
standard of health and safety management must be compliance with the Council’s standards for
the management of health and safety and hence 100%.


3.8.1     Health and safety audits of Council services 2009/2010

A revised method for auditing Council services and senior managers was developed in 2009/2010.
The Corporate Health and Safety Audit 2010 sets out an agenda for effective auditing of leadership
on and management of occupational health and safety management within the Council. The audit
complements the joint Health and Safety Executive/Institute of Directors’ guidance on ‘Leading
Health and Safety at Work’ and has been designed to enable all Assistant Directors/Assistant
Chief Executives (or equivalent) and Heads of Service to carry out a reasonably quick check of
health and safety arrangements they have in place (based on the Council’s corporate occupational
health and safety management system). The aim of the audit is to enable Assistant Directors and
Heads of Service to identify where further arrangements are needed and to develop systems,
measures and procedures to ensure the health, safety and welfare of employees.

The audit is divided into two sections: the first concentrating on the Assistant Director’s leadership
of health and safety, the second on the management of health and safety within the Services
within the Division. This audit is completed as a ‘self audit’ where Part 1 considers leading on
health and safety and is completed by the Assistant Director (and countersigned by the Executive
Director or equivalent); and Part 2 considers management of health and safety and is completed
by the Head of Service (and countersigned by the Assistant Director). The audit appertains to

                                                                                                   39
arrangements that Divisions need to prevent injury or ill-health occurring to employees and anyone
else who may be affected by the Division’s activities.

Once completed in May 2010 (hence why the results of the audit are not included in this report will
be available for the 2010/2011 report) the audit will be returned to the Health, Safety and
Emergency Resilience Unit where a full report(s) will be issued for each audit, including a grading
and a detailed, time-bound, prioritised action plan of opportunities for improvement. Subsequently
the Health, Safety and Emergency Resilience Unit will undertake sample corroboration audits of
Divisions and Services.

As in previous audits the follow up corroboration process will involve elements of interviews with
managers, inspection of premises and document reviews, with the results of the corroboration
audit may affect the final audit grading given to Divisions and/or Services.


3.8.2    Health and safety audits of Assistant Directors 2009/2010

As discussed in 3.8.1 above the audit process has been revised in 2009/2010 with the results
being available for the 2010/2011 Health, Safety and Emergency Resilience Report.


3.8.3    Health and safety audits of Secondary Schools 2009/2010

The audits of secondary schools were based upon the requirements of the Council’s Occupation
Health and Safety Management System. Of the 2 audits carried out the results were:

         Standard                Number of audits achieving                Percentage of audits
                                      the standard                        achieving the standard
Satisfactory                                 2                                    100%
Less than satisfactory                       0                                       0
Poor                                         0                                       0
Fail                                         0                                       0
Total                                        2                                     100
              Figure 23: results of health and safety audits of secondary schools 2009/2010

From the results of the audits carried out by the Health, Safety and Emergency Resilience Unit the
“top-five” recurrent issues highlighted as requiring improvement by primary schools are outlined
below along with the actions taken by the Health, Safety and Emergency Resilience Unit to
address these issues. However, it must be noted that the majority of these issues need to be, and
indeed are, addressed by the immediate implementation of current regimes and that each audit
report provides a detailed time-bound action plan for addressing the opportunities for improvement
identified.




40
          Issue identified by audit                               Action to address
 1. Employees being made aware of the             •   Reiterate the need to inform employees of
    results of and actions taken as a result          the results of inspections
    of safety inspections
 2. Demonstration of completion of the pupil      •   This procedure is included in the Schools’ A
    accident book                                     to Z Health and Safety Manual
 3. Provision of a signed, dated building         •   This procedure is included in the Schools’ A
    security policy                                   to Z Health and Safety Manual
 4. Provision of a programme for carrying         •   This procedure is included in the Schools’ A
    out safety inspections                            to Z Health and Safety Manual
 5. Completion of a building security risk        •   This procedure is included in the Schools’ A
    assessment                                        to Z Health and Safety Manual
         Figure 24: issues identified by health and safety audits of secondary schools 2009/2010



3.8.4    Health and safety audits of Primary Schools 2009/2010

The audits of primary schools were based upon the requirements of the Council’s Occupation
Health and Safety Management System. Of the 38 audits carried out the results were:

         Standard               Number of audits achieving                 Percentage of audits
                                     the standard                         achieving the standard
Satisfactory                               37                                      97%
Less than satisfactory                      1                                       3%
Poor                                        0                                        0
Fail                                        0                                        0
Total                                      38                                      100
               Figure 25: results of health and safety audits of primary schools 2009/2010

From the results of the audits carried out by the Health, Safety and Emergency Resilience Unit the
“top-five” recurrent issues highlighted as requiring improvement by primary schools are outlined
below along with the actions taken by the Health, Safety and Emergency Resilience Unit to
address these issues. However, it must be noted that the majority of these issues need to be, and
indeed are, addressed by the immediate implementation of current regimes and that each audit
report provides a detailed time-bound action plan for addressing the opportunities for improvement
identified.

           Issue identified by audit                              Action to address
 1. Provision of manual handling training to      •   This training is provided by the Health, Safety
    staff undertaking manual handling                 and Emergency Resilience Unit
 2. Provision of induction training to new        •   This procedure and a template induction are
    employees                                         included in the Schools’ A to Z Health and
                                                      Safety Manual
 3. Knowledge of the criteria for obtaining a     •   This procedure is included in the Schools’ A
    premises licence                                  to Z Health and Safety Manual
 4. Provision of Working Safely training to       •   This training is provided by the Health, Safety
    employees                                         and Emergency Resilience Unit
 5. Provision of COSHH assessments for            •   These assessments are provided by the
    the school premises                               Health, Safety and Emergency Resilience
                                                      Unit on request
          Figure 26: issues identified by health and safety audits of primary schools 2009/2010




                                                                                                     41
3.9     Awards presented to the Council during 2009/2010 in recognition of its
        health, safety and emergency resilience performance

The Council has progressively improved its health and safety performance over the last 10 years.
In recognition of this the Council was awarded a prestigious International Safety Award by the
British Safety Council 2009. In addition the Council achieved for the higher level Royal Society for
the Prevention of Accidents (RoSPA) Gold Medal for Occupational Safety 2010.




42
4        Overview of the undertakings of the Health, Safety and Emergency
         Resilience Unit, health and safety section in 2009/2010

4.1      Work programme and initiatives for 2009/2010

During 2009/2010 the Health, Safety and Emergency Resilience Unit has worked to improve the
health, safety and welfare of the Council’s employees and others who may be affected by the
Council’s activities. The work of the Unit is both active (i.e. planned and programmed) and
reactive (i.e. responding to the needs of its customers). In addition to the large number of reactive
projects undertaken by the Unit, active initiatives implemented in 2009/2010 were to:

1.       Maintain the Council’s registration to BS OHSAS 18001:2007
2.      Review the Council’s occupational health and safety management system
3.      Continue to develop and implement an audit programme for services and schools
        incorporating interviews, observations and document/record checks
4.      Continued to review and implement the premises fire risk assessment programme
5.      Produce and implement the 2009/2010 training programme
6.      Continue to implement the contractor management, construction monitoring and the
        management of construction design and management regime
7.      To develop and implement an mental/emotional wellbeing training model and training in line
        with the training model


During 2009/2010 the Unit has continued and extended its ‘good neighbour’ activities to promote
health and safety on a local and national level. To consult, engage and undertake active
competence building involvement in health, safety and emergency resilience matters, the Unit
supports the following bodies:

•     Corporate Health and Safety Committee (and various local health and safety committees)
•     Joint Employees’ Consultative Committee
•     ONE Barnsley
•     LGA National Health and Safety Practitioners’ Forum
•     LGA Yorkshire and Humber Health and Safety Officers’ Group (and sub-groups)
•     Contractors’ Health and Safety Assessment Scheme (CHAS) Management Board
•     Institution of Occupational Safety and Health Yorkshire Branch
•     South Yorkshire County Fire Prevention Association and Fire Liaison Panel
•     South Yorkshire Local Resilience Forum
•     South Yorkshire Emergency Resilience General Working Group
•     Barnsley Fire and Safety Association

To support partnership working on health, safety and emergency resilience matters the Unit
collaborates with Barnsley Primary Care Trust (PCT) and NHS Barnsley.

4.2      Health and safety training

One of the most useful tools in improving health and safety performance is the provision of health
and safety information, instruction and training. This provision is not only desirable but also a legal
requirement under the Health and Safety at Work etc Act 1974. Details of the health and safety
training provided by the Unit is shown in Figure 27. A total of 2,417 employees attended a wide
variety of training courses delivered by the Unit (in addition 90 external employees attended these
courses). The Unit is accredited by the Institution of Occupational Safety and Health (IOSH) to
deliver its Directing, Managing and Working Safely and Working with Environmental/emotional

                                                                                                    43
Responsibilities courses. Since their beginning, a total of 2,328 employees attended and
successfully passed these assessed courses, many of which were funded with the generous
support of the Council’s Risk Management Group and for which the Unit offers its gratitude. It is
important that the Council invests in health and safety training, albeit recognising that this provision
is only one of a plethora of measures required to improve health and safety performance.

In total the number of Council employees achieving a demonstrable level of competence by
successfully completing an IOSH accredited training course provided by the Health, Safety and
Emergency Resilience Unit are:

•    Managing Safely 676
•    Working Safely 1,616
•    Working with Environmental/emotional Responsibilities 36

In 2009/2010 the Unit trained or facilitated the training of 2,269 of the Council’s employees
(approximately 23%). This equates to around 0.23 days (0.19 days in 2008/2009) health and
safety training per employee. However, it must be noted that these figures do not include health
and safety related training provided internally by Directorates, Divisions and Services such as
induction and job specific (e.g. scaffolding erection) training.




44
     Course




                                                          Adult Social Services


                                                                                  Borough Secretary

                                                                                                      Department
                                                                                                      Chief Executives’

                                                                                                                          and Families
                                                                                                                          Children, Young People

                                                                                                                                                   Neighbourhood Services
                                                                                                                                                   Customer and


                                                                                                                                                                            Development

                                                                                                                                                                                          Services
                                                                                                                                                                                          Finance and Property


                                                                                                                                                                                                                  Future Jobs Fund


                                                                                                                                                                                                                                      Schools (Secondary)


                                                                                                                                                                                                                                                             Schools (Primary)


                                                                                                                                                                                                                                                                                 Schools (Special)


                                                                                                                                                                                                                                                                                                      External


                                                                                                                                                                                                                                                                                                                   Total
     Accident investigation                                7                      0                         0                   1                        7                   4                 0                  0                   0                       1                  0                    0            20
     Discarded drug waste awareness                        0                      0                         0                   0                       57                   0                 0                  0                   0                       0                  0                   55           112
     Fire awareness                                      107                      0                        13                 158                       68                   6                67                  0                  322                    489                  0                    0          1,230
     IOSH Managing Safely                                  9                      0                         0                   4                        0                   5                 6                  0                   6                      33                  1                    9            73
     IOSH Managing Safely Recertification                  5                      0                         0                   0                        2                   6                 2                  0                   0                       1                  0                    1            17
     IOSH Working Safely                                  64                      0                         0                  12                       17                   6                 4                 126                  0                      10                  1                   22           262
     Managing stress / wellbeing                          14                      1                        11                   1                        7                  10                50                  0                   2                       1                  0                    1            98
     Manual handling                                      26                      0                         0                  97                       42                   0                 0                  0                   0                     249                  0                    0           414
     Risk assessment                                      15                      0                         1                   7                        0                   4                 5                  0                   3                       6                  0                    2            43
                                               Total     247                      1                        25                 280                      200                  41               134                 126                 333                    790                  2                   90          2,269
                          Figure 27: health and safety related training delivered by the Health, Safety and Emergency Resilience Unit
45
4.3    Health and safety Services to external organisations under service level
       agreements

The Health, Safety and Emergency Resilience Unit has a service level agreement (SLA) with
Berneslai Homes. The services provided under the service level agreements during 2009/2010
are broadly the same as that provided to the Council. The health and safety performance of
Berneslai Homes is detailed in Appendix 2 of this report (once the Appendix has been issued to
Berneslai Homes board).


4.4    Work programme and initiatives for 2010/2011

During 2010/2011 the Health, Safety and Emergency Resilience Unit will work to improve the
health, safety and welfare of the Council’s employees and others who may be affected by the
Council’s activities. The work of the Unit will continue to be both active (i.e. planned and
programmed) and reactive (i.e. responding to the needs of its customers). Active initiatives,
arising from the Human Resources’ Service Delivery Plan 209/2010 and the Unit’s work
programme, to be implemented in 2010/2011 are in the broad areas of:

1.    Maintain the Council’s registration to BS OHSAS 18001:2007
2.    Review the Council’s occupational health and safety management system
3.    Continue to further develop and implement an audit programme for services and schools
      incorporating interviews, observations and document/record checks
4.    Continued to review and implement the premises fire risk assessment programme
5.    Produce and implement the 2010/2011 training programme
6.    Continue to implement the contractor management, construction monitoring and the
      management of construction design and management regime

As discussed in Section 3 key issues arising from this report are again sickness absence attributed
to mental/emotional wellbeing issues and musculoskeletal issues (albeit that both have seen
significant reductions in 2009/2010), and completion of risk assessments for occupation groups
and/or activities. To address these issues the Health, Safety and Emergency Resilience Unit
have/are undertaking the actions detailed below in Figure 28:




46
Mental/emotional wellbeing

1. To implement a programme of Mental Health Awareness training to managers.

2. To continue to deliver stress awareness training to managers and employees (with the former
   focussing on managing factors that may lead to work-related stress, managing employees
   experiencing work-related stress, and equipping managers with the skills to manage their own
   stress; and the latter focussed on managing the stressors in employees’ lives).

3. To finalise and issue an online stress risk assessment toolkit.

4. To continue to develop the internal employee wellbeing website which includes a wealth of
   resources for managers and employees (including individual and group stress risk
   assessments, a stress Risk Information Data Sheet and a Brief Guide for Managers in
   Managing Employee Stress).

5. A full-time Counsellor has been employed by the Council (since September 2008, to replace
   the previous long-standing arrangement with part-time external counsellors) with all employees
   able to make a confidential, self-referral to the service.

6. As part of its overall Cabinet approved Employee Wellbeing Programme a holistic
   mental/emotional wellbeing strategy is being finalised to raise awareness of general
   mental/emotional health/wellbeing issues.

Musculoskeletal ill health

1. To finalise a process is being developed for employees experiencing accidents involving
   manual handling/musculoskeletal injuries to be referred to the Occupational Health Unit for
   advice/support.

2. To continue to implement the risk assessment toolkit and supporting documentation for
   managers which has been developed to enable them to assess and control manual handling
   risks to which employees are exposed.

Risk assessment

1. The audit programme for 2010/2011 will specifically focus on risk assessment and its
   implementation.

2. The risk assessment training undertaken by the Unit has been revised into a workshop format
   so that delegates leave the course with the beginnings of a suite of risk assessments for their
   staff.

3. The Annual Governance Arrangements now include requirements for the identification of the
   need for and development of risk assessments.

4. A separate detailed report on risk assessment compliance is being undertaken.


Figure 28: actions by the Health, Safety and Emergency Resilience Unit to address three key issues arising
  from this report: sickness absence attributed to mental/emotional wellbeing issues and musculoskeletal
             issues, and completion of risk assessments for occupation groups and/or activities




                                                                                                        47
1.




5     Overview of the undertakings of the Health, Safety and Emergency
      Resilience Unit, emergency resilience section in 2009/2010

5.1   Work programme and initiatives for 2009/2010

During 2009/2010 the Health, Safety and Emergency Resilience Unit has worked to improve the
emergency resilience of the Council. The work of the Unit is both active (i.e. planned and
programmed) and reactive (i.e. responding to the needs of its customers). In addition to the large
number of reactive projects undertaken by the Unit, active initiatives implemented in 2009/2010
were to:

1.      To deliver a Silver Team training event took place in March for all members and their
        deputies. This event was a follow on from the Critical Management Model (CMM) training
        that was delivered earlier in the year. Silver Team members were split into groups and
        given small scenarios based on previous real life incidents to give them experience in
        using the CMM decision making process.
2.      To begin developing a revised schools resilience plan – Emergency Planning for Barnsley
        Schools. This is due for completion and issue early April 2010.
3.      Begin work to integrate recovery from chemical/biological/nuclear/radiological (CBRN)
        incidents and mass fatalities into currently existing planning assumptions.
4.      Undertake and complete the multi-agency flood planning process instigated by DeFRA and
        the Environment Agency. The Barnsley Flood Plan achieved a rating of 83% compliant.
5.      Undergo an ‘internal audit’ which took place in December 2009 achieving a result of
        ‘Substantial Assurance’.
6.      Develop and issue Primary and Secondary School Business Continuity Plans to all schools
        within the Barnsley Borough and will shortly be joined by a revised version of the school
        emergency plan.
7.      A multi agency exercise was carried to test the Corporate Pandemic Flu Plan. This was a
        table top based scenario with over 100 attendees from all Directorates of the Council and
        external multi agency partners. As a result of this the Plan has been updated to include
        arrangements for an Information Cell which will collate absenteeism figures and pressure
        points on a daily basis.

        (A few days after this exercise the swine flu pandemic began which instigated a large
        amount of multi-agency working and preparations for the potential impacts of the
        pandemic. Significant outputs were to:

        •   Develop and issue infection control guidance both internally and more widely to the
            health and social care community
        •   Develop and issue an information booklet pack for all Barnsley schools during the
            Swine Flu Pandemic. This booklet and accompanying CD gave current information
            and included links to relevant websites where the most up to date information could be
            found.
        •   Provide business continuity promotion to Private Residential Care Homes, not only to
            ensure that they had considered issues related to swine flu but any other issue which
            could interrupt their day to day service delivery. This included a workshop that guided
            them step by step through the process of completing a business continuity plan.

As discussed above, during 2009/2010 the Unit has continued and extended its ‘good neighbour’
activities to promote Emergency Resilience on a local and national level. The Unit has continued
to strengthen its links with other agencies through attendance at local and regional forums
including the Regional and Local Resilience Forums and their sub-groups.



48
5.2    Emergency resilience training

One of the most useful tools in improving emergency resilience performance is the provision of
information, instruction and training. This provision is not only desirable but also a legal
requirement under the Civil Contingencies Act 2004. Details of the emergency resilience training
provided by the Unit are shown in Figure 29.


Course

                                Adult Social Services

                                                        Borough Secretary

                                                                            Chief Executives’ Department

                                                                                                           Children, Young People and Families

                                                                                                                                                 Customer and Neighbourhood Services

                                                                                                                                                                                       Development

                                                                                                                                                                                                     Financial Resources

                                                                                                                                                                                                                           Schools (Secondary)

                                                                                                                                                                                                                                                 Schools (Primary)

                                                                                                                                                                                                                                                                     Schools (Special)

                                                                                                                                                                                                                                                                                         External

                                                                                                                                                                                                                                                                                                     Total
Silver Team awareness          11                       0                   17                               6                                     9                                   12             3                     0                    0                   0                    1         66
Forward liaison Officers        3                       0                    8                               3                                     8                                    5             2                     0                    0                   0                    0         35
Emergency resilience            0                       0                    0                               0                                     0                                    0             0                     0                    0                   0                   23         23
awareness
Business continuity              0                      0                    0                               0                                     0                                   0              0                     0                    0                   0                   41         41
awareness
Emergency resilience             8                      4                    4                               7                                   11                                    9              8                     0                    0                   0                   0          56
annual exercise
Total                          22                       4                   29                             16                                    28                                    26            13                     0                    0                   0                   65         221

 Figure 29 Emergency resilience related training delivered by the Health, Safety and Emergency Resilience
                                                    Unit




                                                                                                                                                                                                                                                                                                     49
5.3    Work programme and initiatives for 2010/2011

During 2010/2011 the Health, Safety and Emergency Resilience Unit will work to improve the
emergency resilience of the Council. The work of the Unit will continue to be both active (i.e.
planned and programmed) and reactive (i.e. responding to the needs of its customers). Active
initiatives, arising from the Human Resources’ Service Delivery Plan 209/2010 and the Unit’s work
programme, to be implemented in 2010/2011 are to:

1.    To maintain the Council corporate Emergency Plan and Business Continuity Plan.
2.    To develop an emergency resilience website for the Council.
3.    To consider further the Critical Management Model (CMM) and its use within the Council’s
      response to emergencies.
4.    To finalise and issue a revised schools resilience plan – Emergency Planning for Barnsley
      schools.
5.    To continue work to integrate recovery from CBRN and mass fatalities into currently existing
      planning assumptions.
6.    To continue to develop the multi-agency flood planning process, working closely with
      Highways, Engineering and Waste.




50
6      Overview of the undertakings of the Occupational Health Unit in
       2009/2010

6.1    Introduction

Over recent years the Government has identified it’s commitment to the development of a
wellbeing and health at work strategy which has a major emphasis on improving and promoting the
health of employees. The role of the Occupational Health Unit is now changing as a result of these
changes in the nature and pattern of work, together with ever increasing pressure placed up on
employers to assist in the health improvement of employees.


6.2    Work programme and initiatives for 2009/2010

The Occupational Health Unit has worked to improve the health of the Council during 2009/2010.
The work of the Unit is both pro-active (i.e. planned and programmed) and reactive (i.e. responding
to the needs of its customers). In addition to the large number of reactive activities undertaken by
the Unit, the following pro-active initiatives were completed in 2009/2010:

1.    Implement a revised Occupational Health Unit structure.
2.    To contribute to the development and implementation of the Council’s employee wellbeing
      programme.
3.    To work to improve performance indicators for work processes.



6.3    Provision of occupational health services

During 2009/2010 the total workload output was 4,720 contacts and health screenings. The total
number of ‘contacts’ with the Occupational Health Unit was 2,288 for general occupational health
issues and 576 for counselling (‘contacts’ refers to the number of contacts with employees not the
number of employees seen, i.e. some employees may have been ‘contacted’ on several
occasions, particularly in respect of counselling), with pre-employment health screening forming
the remaining 1,856 actions.

Undertaking statutory health surveillance programmes for audiometry, spirometry, hand-arm
vibration screening and immunisation programmes for Hepatitis B have been a high priority to
ensure that the Council meets its statutory duty in relation to the risk identified. Non-attendee’s
continue to disrupt planned health surveillance programmes, management referrals for sickness
absence and ill health issues. Those who do not contact the Unit to change their appointments
increase the workload and cause inefficiencies.


6.4    Origin of occupational health referrals

Figures 30 and 31 below detail the source and type of referrals to/contacts with occupational
health:




                                                                                                 51
                                                                          Numbers of
                  Type of referral                                       contacts seen
                                                                           2009/2010
                  Directorate referrals                                      1,236
                  Statutory health surveillance (2)                          1,028
                  External referrals (1)                                      24
                  Referrals total                                            2,288
                  Counselling referrals                                         576
                  Pre-employment health screening                              1,856
                  Total                                                        4,720
                               Figure 30: origin of occupational health referrals
(1) External referrals are generated by bodies with links with the Council e.g. South Yorkshire Joint
    Secretariat
(2) Statutory health surveillance refers to health surveillance undertaken in line with legal requirements such
    as hand-arm vibration screening, audiometry and lung-function testing.



                                                                           Number of
                  Referral by Directorate                                  contacts in
                                                                            2009/2010
                  Adult Social Services                                        418
                  Borough Secretary                                             21
                  Chief Executive’s Department                                  42
                  Children, Young People and Families                          286
                  Customer and Neighbourhood Services                          601
                  Development                                                  399
                  Financial Resources                                          267
                  Public Health                                                  1
                  Schools – Primary                                            122
                  Schools – Secondary                                           86
                  Schools - Special                                             21
                  External                                                      24
                  Total                                                       2,288
                            Figure 31: occupational health referrals by Directorate
                              See Section 6.7 for details of counselling services

The Occupational Health Unit performance indicators are for referrals to be seen within 4 weeks.
This year’s performance indicators of referrals being seen within 4 weeks has been met in 100% of
referrals. (Please note that this only applies to initial referrals, subsequent referrals are variable
and therefore not subject to this performance indicator).




52
Seen by                                                      Numbers of contacts seen 2009/2010
Physician/specialist practitioner in occupational                           702
health
Nurse                                                                             1,406
Did not attendees – Physician/specialist                                           33
practitioner in occupational health
Did not attendees – Nurse                                                         133
Could not attendees – Physician/specialist                                         7
practitioner in occupational health
Could not attendees – Nurse                                                        7
Total                                                                             2,288
                        Figure 32: occupational health contacts by practitioner
                          See Section 6.7 for details of counselling services

Figure 32 details where the Occupational Health Unit saw the employee’s during the contact
period. Non-attendees (i.e. employees who failed to or could not attend their appointment)
accounted for 7.9% of contacts (7.3% did not attend, 0.6% could not attend (an overall 2%
reduction on 2008/2009)). The services of the Unit are finite and those referred to the Unit and
their managers must make every effort to ensure that those referred attend for their contact.



6.5     Pre-employment health screening

Fitness clearance of pre-employment health declarations totalled 1,856 for 2009/2010. Pre-
employment fitness assessments continue to be a significant proportion of the Unit’s work load.
The total number processed represents an increase on last year’s statistics from 1,760. The key
performance indicator, of clearance within 3 working days, being achieved in 82.9% of
assessments.



6.6     Service elements

Figure 33 below details the services provided by the Occupational Health Unit in 2009/2010.




                                                                                              53
                                                                                       Services
 Service                                                                             provided in
                                                                                      2009/2010
 Sickness absence review                                                                 873
 Hand/arm vibration syndrome health surveillance                                         537
 Information/advice and support                                                          233
 Audiometry testing                                                                      228
 Vaccination programme (Hepatitis A and B and Rabies)                                    197
 Form 6 medical (assessment for application for early retirement on the                  112
 grounds of continuing ill health)
 Driver medical examination                                                               63
 Workplace assessment                                                                     16
 Pre-employment medical/assessment                                                         7
 Case Conference                                                                           7
 Vision screening                                                                          6
 ‘At Work’ fitness assessment                                                              4
 Spirometry/lung function testing                                                          2
 Asbestos medical examination                                                              2
 Preserved benefits                                                                        1
 Total                                                                                   2,288
                      Figure 33: services provided by the Occupational Health Unit
                           See Section 6.7 for details of counselling services

In addition to the services detailed in Figure 33, the Occupational Health Unit also provided 61
seasonal flu vaccinations and 201 swine flu vaccinations to front line health and social care staff, to
assist in supporting service delivery during the swine flu pandemic of 2009.


6.7    Counselling service

In autumn 2008 the Council employed a full-time counsellor to replace the three part-time external
counsellors who provided support to employees who are experiencing either work related or
personal related problems. In total 106 people were seen for counselling. A referral for
counselling typically involves six sessions of counselling, therefore the total counselling provision
for 2009/2010 is 636 sessions. In a change from 2008/2009, the statistics for counselling that was
provided in relation to work related issues are now compiled in relation to the Health and Safety
Executive’s six categories of work-related stress: demands, role, relationships, control, support and
change. In addition, those contacts made in relation to work-related ill health are also recorded.
As can be seen in Figure 34 (overleaf) demands and relationships issues for the largest two work-
related issues, with health issues being the largest personal issue.




54
Counselling by Directorate                                           Work related issues instigating or                                                          Personal issues instigating or identified during




                               2009/2010
                               Number of clients seen during
                                                                      identified during counselling                                                                               counselling




                                                               Demands

                                                                         Role

                                                                                Relationships

                                                                                                Control

                                                                                                          Support

                                                                                                                    Change

                                                                                                                             Work-related ill health

                                                                                                                                                       Alcohol

                                                                                                                                                                   Bereavement

                                                                                                                                                                                 Domestics violence/abuse

                                                                                                                                                                                                            Drugs

                                                                                                                                                                                                                    Family issues

                                                                                                                                                                                                                                    Financial issues

                                                                                                                                                                                                                                                       Health

                                                                                                                                                                                                                                                                Housing issues

                                                                                                                                                                                                                                                                                 Legal issues

                                                                                                                                                                                                                                                                                                Relationships
Adult Social Services                  19                        3        1         6             0         3        2              4                    0            3                 0                    0          5               1               6           0               0               1
Borough Secretary                       0                        0        0         0             0         0        0              0                    0            0                 0                    0          0               0               0           0               0               0
Chief Executive’s Department            5                                                                                                                                                                                                                                                           1
Children, Young People and             37                      12         2         9             2         4        4              5                    1            2                 0                    0          5               0              14           0               0               5
Families
Customer and Neighbourhood             12                        3        2         7             2         1        7              1                    0            1                 0                    0          3               0               5           0               1               1
Services
Development                             9                        3        1      1                1        3         3        1                          0            0                 0                    0       0                  0               4           0               0            1
Financial Resources                     7                        0        0      1                0        1         1        0                          0            0                 0                    0       1                  0               4           0               0            2
Public Health                           1                        0        0      0                0        0         0        0                          0            0                 0                    0       0                  0               1           0               0            1
Schools – Primary                       1                        0        0      0                0        0         0        0                          0            1                 0                    0       0                  0               0           0               0            0
Schools – Secondary                     2                        1        0      1                0        0         0        0                          0            0                 0                    0       0                  0               0           0               0            0
Schools - Special                       0                        0        0      0                0        0         0        0                          0            0                 0                    0       0                  0               0           0               0            0
External                                3                        1        1      1                1        1         1        1                          0            0                 0                    0       0                  0               0           0               0            0
Total                                  96                        3        7     26                6       13         8       12                          1            7                 0                    0      14                  1              34           0               1           12
                                                                         Figure 34: counselling services by Directorate
55
6.8   Other health issues

Once again information relating to Occupational Health Unit services relating to mental/emotional
wellbeing and musculoskeletal conditions have been collated. Unlike the data discussed in
Section 3.2, this data does not indicate the absences/occurrences of mental/emotional wellbeing
and musculoskeletal issues but rather the contacts made with the Occupational Health Unit for
reason of these issues.

                                                 Assessed as          Assessed as            Total
 Mental/emotional wellbeing issues by            work-related          non-work
             Directorate                                                related
Adult Social Services                                  12                 24                  36
Borough Secretary                                       1                  1                   2
Chief Executive’s Department                            3                  3                   6
Children, Young People and Families                    11                 11                  22
Customer and Neighbourhood                              6                  3                   9
Services
Development                                            13                    5                18
Financial Resources Services                            4                   10                14
Public Health                                           0                    0                 0
Schools – Primary                                      16                    7                23
Schools – Secondary                                    10                    9                19
Schools – Special                                       0                    1                 1
External                                                0                    0                 0
Total                                                  76                   74               150
                Figure 35: mental/emotional wellbeing conditions identified by Directorate

The data in Figure 35 indicates that of the mental/emotional wellbeing issues brought to
Occupational Health, 49% are related, at least in some part, to work. Applying this factor to the
data discussed in Section 3.2 indicates that around 315 employees in the Council (3%) are
experiencing mental/emotional wellbeing related ill-health due to work related factors. In addition
to the mental/emotional wellbeing issues detailed above, the Occupational Health Unit also
identified 59 cases of anxiety and 137 cases of depression amongst Council staff.

The data in Figure 36 indicates that, in a marked change from 2008 to 2009, of the
musculoskeletal issues brought to Occupational Health, only 1.3% are related, at least in some
part, to work.




56
                                                  Assessed as          Assessed as       Total
Musculoskeletal conditions by                     work-related          non-work
Directorate                                                              related
Adult Social Services                                   2                  116            118
Borough Secretary                                       0                    0              0
Chief Executive’s Department                            0                   14             14
Children, Young People and Families                     0                   80             80
Customer and Neighbourhood Services                     2                   37             39
Development                                             0                   65             65
Financial Resources Services                            2                   80             82
Public Health                                           0                    1              1
Schools – Primary                                       0                   34             34
Schools – Secondary                                     0                   26             26
Schools – Special                                       0                    1              1
External                                                0                    8              8
Total                                                   6                  462            468
                      Figure 36: musculoskeletal conditions identified by Directorate



6.9       Occupational health services to external organisations

Throughout 2009/2010 the Occupational Health Unit has provided services to Berneslai Homes
(under an SLA), South Yorkshire Joint Secretariat and Barnsley and Northern College. The
services provided are broadly the same as that provided to the Council albeit in a limited capacity.


6.10      Work programme and initiatives for 2010/2011

During 2010/2011 the Occupational Health Unit will work to improve health and safety within the
Council. In addition to the “core functions” of sickness absence management; pre-employment
health screening; statutory health surveillance and provision of counselling, during 2010/2011 work
will be undertaken on developing and implementing a holistic ‘employee health and wellbeing
service’. The review leading to this development will consider:

1.    What does the Council want / need to achieve with employee health and wellbeing?
2.    What are the priorities to focus on?
3.    How are initiatives related to health and wellbeing going to be funded?
4.    What health and wellbeing support is already available for employees within the NHS?
5.    What does the Council want / need the employee health and wellbeing service to do / achieve?
6.    How is the employee health and wellbeing service to be delivered?
7.    How have other Council’s/organisations approached managing employee health and
      wellbeing?




                                                                                                 57
7       Financial Resources support and performance with regard to
        health, safety and emergency resilience in 2009/2010

7.1     Support for health, safety and emergency resilience initiatives in 2009/2010

The process of risk management involves the identification, analysis and economic control of all
risks that threaten the assets or objectives of the Council. The Council’s Risk Management Group
has supported initiatives aimed at improving the health and safety performance and emergency
resilience of the Council during 2009/2010. Initiatives supported in 2009/2010 were to support:

•     The IOSH accredited Managing Safely course provided by the Health, Safety and Emergency
      Resilience Unit.

•     The development and implementation of the Health, Safety and Emergency Resilience Unit’s
      business continuity and emergency planning regimes.

7.2     Employers’ liability claims 2009/2010

In 2009/10 the Authority received 39 employers’ liability claims, a slight increase on the 37 claims
that were received in 2008/2009. Figure 37 shows the annual number of claims received over the
last 10 years. Despite the small increase the total remains significantly below the numbers
received between 2000 and 2002.



              120



              100



               80



               60



               40



               20



                0
                     19


                                 20


                                             20


                                                         20


                                                                     20


                                                                              20


                                                                                       20


                                                                                                20


                                                                                                         20


                                                                                                                     20


                                                                                                                                 20
                                                                                         05


                                                                                                  06
                      99


                                  00


                                              01


                                                          02


                                                                      03


                                                                               04




                                                                                                          07


                                                                                                                      08


                                                                                                                                  09
                                                                        /0


                                                                                 /0


                                                                                          /0


                                                                                                   /0
                          /0


                                      /0


                                                  /0


                                                              /0




                                                                                                              /0


                                                                                                                          /0


                                                                                                                                      /1
                                                                                            6


                                                                                                     7
                             0


                                         1


                                                     2


                                                                 3


                                                                          4


                                                                                   5




                                                                                                                 8


                                                                                                                             9


                                                                                                                                         0




                                                                Accidents          Disease

                     Figure 37: Employers’ Liability Claims 1999/2000 to 2009/1010


Of the claims received in the year, 24 resulted from accidents whilst the remaining 15 were
industrial disease claims. The total estimated reserves of these claims are £357,000, being
£199,000 relating to accidents and £158,000 relating to disease claims. Despite the small

58
increase in the number of claims the actual reserve for the year is £84,000 less than the 2008/09
total.

Analysing the number of claims over the various directorates indicates that the split appears to be
similar to previous years as shown in Figure 38 below. The largest number of claims has been
submitted by employees within Development and Customer and Neighbourhood Services.




                                                                              Children, Young People
                           Adult Social Services
                                                                                   and Families
                                   14%
                                                                                        22%




             Development
                31%
                                                                                     Customer and
                                    Financial Resources                         Neighbourhood Services
                                            3%                                           30%




                   Figure 38: Distribution of Employers’ Liability Claims 2009 to 2010

Inclusive of 2009/10 movements, the Council have 94 ongoing employers’ liability claims with total
reserved values of £2,245,000. The source of these claims shows that 51 have resulted from
accidents, 34 from industrial diseases with the balance being a mixture of stress, assault etc.
Figure 39 shows a breakdown of these claims by source, with a further split of disease claims by
type. As shown the majority of disease claims relate to noise induced hearing loss (NIHL) and
vibration white finger (VWF)/hand-arm vibration syndrome (HAVS).




                                                                                                         59
                                   Disease - carpel
                                    tunnel disease              Disease -
                       Disease - hand-   3%                     asbestosis
                         arm vibration                             2%
                          syndrome
     Disease - vibration     4%
        white finger
           10%




                                                                                        Accidents
                                                                                          54%
         Disease - noise
         induced hearing
               loss             Other
              17%               10%




                           Figure 39: Analysis of ongoing employers’ liability claims




60
8      Health, safety          and     emergency         resilience       legislation      review
       2009/2010

Legislation applicable to and driving health, safety and emergency resilience is constantly evolving,
with ‘goal setting’ rather than prescriptive requirements the basis for regulation. The following
health, safety and emergency resilience related legislation changes were made during 2009/2010:

Acts of Parliament

•   None

Statutory Instruments

•   Factories Act 1961 and Offices, Shops and Railway Premises Act 1963 (Repeals and
    Modifications) Regulations 2009
•   The Health and Safety Information for Employees (Amendment) Regulations 2009
•   Chemical (Hazard Information and Packaging for Supply) Regulations 2009
•   The Carriage of Dangerous Goods and Use of Transportable Pressure Equipment Regulations
    2009
•   Health and Safety (Miscellaneous Amendments and Revocations) Regulations 2009
•   Supply of Machinery (Safety) Regulations 2009

European Legislation

•   Regulation on the classification, labelling and packaging of substances and mixtures
    (Regulation (EC) no. 1272/2008)

In addition to the changes in legislative requirements made during 2009/2010, the following
changes are planned for 2010/2011:

Acts of Parliament

•   None

Statutory Instruments

•   Notification of Conventional Tower Cranes Regulations 2010
•   Pipeline Safety Regulations 2010
•   Control of Artificial Optical Radiation at Work Regulations 2010




                                                                                                  61
9      Conclusion

During 2009/2010 the overall health, safety and emergency resilience function within the Council
has again continued to become increasingly embedded into the day-to-day delivery of services and
no longer perceived as a “bolt on extra”. The Health, Safety and Emergency Resilience Unit
(incorporating the Occupational Health Unit), provide the Council with competent advice on health,
safety and emergency resilience matters encompassing: health and safety, fire, emergency
resilience (emergency planning, response and recovery, and business continuity), occupational
health and various issues relating to general employee wellbeing. Throughout the year the Health,
Safety and Emergency Resilience Unit has continued to develop the Council’s occupational health
and safety management system, assisted the Council in working towards its health and safety
targets and reinforced the Council’s consultation with employees.

This year has seen further general improvements in the health and safety performance of the
Council with decreases in overall accidents, over-three day accidents, days lost due to accidents,
and sickness absence attributed to mental/emotional wellbeing and musculoskeletal ill health.

Longer-term improvements are reiterated by the Council’s positive performance with regard to
some of its health, safety and emergency resilience targets. The Council has achieved its 2010
targets set by the Government’s Revitalising Health and Safety Strategy. Reinforcing the Council’s
continued progress its performance it was commended by the British Safety Council in bestowing
an International Safety Award upon the Council and RoSPA in their awarding their higher level
Gold Medal Award for Occupational Safety and Health. In addition the Council’s Occupational
Health and safety management system has been again been accredited by the British Standards
Institution as meeting the requirements of the standard BS OHSAS 18001:2007 Occupational
Health and Safety Management Systems – Specification.

Throughout 2009/2010 the Health, Safety and Emergency Resilience Unit has worked to improve
the Council’s health, safety and emergency resilience performance. The initiatives implemented
by the Unit take into account the needs of the Council, the targets set both internally and externally
and above all the concept of continuous improvement. The planned initiatives for 2010/2011 again
aim to facilitate the continual improvement of health, safety and emergency resilience throughout
the Council. However, these initiatives cannot be viewed in isolation – ownership is key. The
active and participative management of health, safety and emergency preparedness must be
embedded into the management culture of the Council. This therefore places a strong emphasis
on monitoring of health, safety and emergency resilience initiatives by managers and supervisors
as part of their day-to-day duties and is embodied in the idea of a resilience culture – embracing
and fulfilling the spirit of the law.

Throughout the year much has been achieved, however, there is still much that can be done in
striving for continuous improvement. Health, safety and emergency resilience issues are integral
to successful business management. It is too often forgotten that behind the mystique cultivated
over many years health, safety and emergency resilience management is simply management with
a health, safety and emergency resilience focus. The generally accepted health and safety
management model of policy, organising, planning and implementation, monitoring performance,
reviewing performance and audit can be applied to the management of any business function.




62
10     Summary of health, safety and emergency resilience performance
       2009/2010

Robust practices and procedures are vital to ensure the health, safety and welfare of employees
and members of the public and others who are exposed to and/or reliant on an organisation’s
activities and this is particularly true of local authorities. Once again during 2009/2010 the overall
health, safety and emergency resilience performance within the Council has improved, reflecting
the Council’s staunch commitment to these fundamental/emotional elements of good business
management. However, some aspects of health and safety performance have declined reiterating
the need for Directorates, Division and Service and indeed all individuals to strive to maintain a
healthy and safe working environment.

The ‘key positive points’ of health, safety and emergency resilience for 2009/2010 (where
comparisons are made with the year 2008/2009 unless otherwise stated) are:


     The Council met and exceeded all its targets for 2010 for reductions in accident and work-
     related ill health set by the Health and Safety Executive in 1999 by the ‘Revitalising Health
     and Safety Strategy’
     The bestowing on the Council of a seventh consecutive International Safety Award by the
     British Safety Council and the fifth successive higher level Gold Medal for Occupational
     Safety and Health by the Royal Society for the Prevention of Accidents (RoSPA)
     The Health, Safety and Emergency Resilience Unit retained the BS 18001:2007 registration
     for the corporate occupational health and safety management system
     The Health, Safety and Emergency Resilience Unit retained its registration as a Institution of
     Occupational Safety and Health (IOSH) accredited training provider
     Over 96% of employees did not have an accident at work (reinforcing that the vast majority of
     the Council’s employees do work safely, in a safe working environment, with safe systems of
     work and equipment)
     Over 99% of employees did not have an accident that led to lost time
     Over 99% of employees did not require first aid treatment
     Over 99% of employees did not require medical treatment as a result of an accident
     Over 99% of employees did not have an accident that led to them having over three day off
     work
     Over 99.9% of employees did not have an accident that led to a major injury
     Over 97% of employees were not subject to violence or aggression
     A cumulative direct cost saving of £1,577,498 since 1999 due to accident reductions
     An overall cost saving of between £15,774,980 and £56,789,928 since 1999 due to accident
     reductions
     97 managers/supervisors successfully passed the nationally accredited IOSH Managing
     Safely course delivered by the Health, Safety and Emergency Resilience Unit
     373 employees successfully passed the nationally accredited IOSH Working Safely course
     delivered by the Health, Safety and Emergency Resilience Unit
     A decrease in sickness absence attributed to mental/emotional wellbeing issue of 31% from
     24,129 to 16,634 since 2004/2005
     A decrease in sickness absence attributed to musculoskeletal issues of 57% from 20,849 to

                                                                                                   63
      8,891 since 2004/2005
      The majority (98%) of health and safety audits carried out by the Health, Safety and
      Emergency Resilience Unit produced a rating of ‘satisfactory’


However, the ‘key negative points’ of health, safety and emergency resilience for 2009/2010
(where comparisons are made with the year 2008/2009 unless otherwise stated) are:

     Council employees had 330 accidents (3% of employees) of which 37 were RIDDOR
     reportable (2 major injuries (0.02% employees), 35 over-three-day injuries (0.33% employees))
     The cost of accidents could be directly measured as £483,303 and indirectly range between
     £4,833,030 and £17,398,908
     Council employees were subject to 303 incidents of aggression and violence (2.9% of
     employees)
     Council employees were off sick for 16,634 days attributed to mental/emotional wellbeing
     issues
     Council employees were off sick for 8,891 days attributed to musculoskeletal issues
     The cost of work-related ill health could be directly measured at £1,880,284 and indirectly
     measured as up to £3,760,568
     Only 36% of required risk assessments have been completed for the activities being carried out
     when employees had accidents
     A slight increase in Employers’ Liability Claims from 37 to 39 (102 in 2000/2001)




64
Barnsley Metropolitan Borough Council
Health, Safety and Emergency Resilience Report 2009 to 2010

Appendix 1 Summary of sickness absence 2009/2010

It is widely accepted throughout industry and commerce that the collation of ill health statistics can
assist in improving management within an organisation. These statistics can identify trends and
once identified, measures can be put in place to reduce the incidence and impact of ill health.
Monitoring of performance allows the Council to improve its management systems and risk control.

1.      Sickness absence statistics

A summary of the sickness absence reported in the Council during 2008 to 2009 is given below.
The data is based on absence reports made by departments and schools to the Council’s Financial
and Business Support Services Division and covers corporate employees and those employed in
schools (as with the data for 2008/2009 Berneslai Homes data is not included). Figure 1 shows a
summary of sickness absence from 2006/2007 to 2009/2010 and highlights the reductions made in
overall and short-term days lost, and the reduction in days lost per employee.

Year                      Days of              Days of         Total sickness        Number of days
                         sickness             sickness            absence            lost per person
                     absence lost to      absence lost to                            due to sickness
                        short-term           long-term                                  absence
                     absences (less        absences (20
                      than 20 days)       days or greater)
2006/2007                  44,197               72,857             117,054                11.14
2007/2008                  43,116               68,342             111,458                10.61
2008/2009                  37,547               73,675             111,222                10.59
2009/2010                  36,280               48,192              84,472                 8.04
Total                     161,140              263,066             424,206                  ~
                    Figure 1: summary of sickness absence April 2006 to March 2010

Figure 1 highlights that from 2008/2009 to 2009/2010 the following reductions in sickness absence
were made:

•    24% reduction in overall sickness absence
•    3% reduction in short-term sickness absence
•    34% reduction in long-term sickness absence
•    2.55 fewer days lost per employee

It is useful for organisations, or departments within organisations, to compare their sickness
absence performance with others. No two organisations or departments are identical in terms of
size or nature of work and therefore a method of calculation is needed that removes these
differences to allow comparisons to be made. This is achieved by calculating the ‘days lost per
employee’. These rates have been calculated for Directorates for the total sickness absence and
are shown below in Figure 2 (overleaf).




                                                                                                   65
66
Directorate                             Overall sickness absence                                                                   Short-term sickness absence                                                                            Long-term sickness absence




                         sickness absences
                         Number of reported


                                              days
                                              Total sickness absence


                                                                       employee
                                                                       Reported absences per


                                                                                               Days lost per employee


                                                                                                                        absences (up to 19 days)
                                                                                                                        short-term sickness
                                                                                                                        Number of reported

                                                                                                                                                   term absences
                                                                                                                                                   Days lost due to short-


                                                                                                                                                                             absences per employee
                                                                                                                                                                             Reported short-term


                                                                                                                                                                                                     employee
                                                                                                                                                                                                     Short-term days lost per

                                                                                                                                                                                                                                absences (20+ days)
                                                                                                                                                                                                                                long-term sickness
                                                                                                                                                                                                                                Number of reported

                                                                                                                                                                                                                                                      term absences
                                                                                                                                                                                                                                                      Days lost due to long-


                                                                                                                                                                                                                                                                               absences per employee
                                                                                                                                                                                                                                                                               Reported long-term


                                                                                                                                                                                                                                                                                                       employee
                                                                                                                                                                                                                                                                                                       Long-term days lost per
Adult Social Services    1,402                12,309                       1.5                 13.4                        1,257                   4,708                         1.4                      5.1                        145              7,601                     0.16                        8.3
Borough Secretary         118                   651                        1.4                  7.6                         113                     280                          1.3                      3.3                          5               371                      0.06                        4.3
Chief Executive           315                  1,484                       1.5                  7.0                         300                     738                          1.4                      3.5                         15               746                      0.07                        3.5
Children, Young People   2,005                13,268                       1.2                  8.3                        1,862                   5,856                         1.2                      3.6                        143              7,412                     0.09                        4.6
and Families
Customer and               605                4,480                        1.1                 8.1                            552                  1,980                         1.0                      3.6                         53              2,500                     0.10                        4.5
Neighbourhood
Services
Development                765                 5,940                       1.2                  9.2                        701                      2,629                        1.1                      4.1                         64               3,311                    0.10                      5.1
Financial Resources       1,760               12,106                       1.4                  9.6                       1,618                     4,917                        1.3                      3.9                        142               7,189                    0.11                      5.7
Future Jobs Fund           196                  509                        1.2                  3.2                        193                       386                         1.2                      2.4                          3                123                     0.02                      0.8
Primary Schools           3,073               19,473                       1.1                  7.2                       2,875                     8,210                        1.1                      3.0                        198              11,263                    0.07                      4.2
Public Health               6                    30                        1.2                  6.0                         5                         8                          1.0                      1.6                          1                 22                     0.20                      4.4
Secondary Schools         2,315               11,637                       1.3                  6.6                       2,200                     5,958                        1.2                      3.4                        115               5,679                    0.06                      3.2
Special Schools            250                 2,585                       1.4                 14.6                        221                       610                         1.2                      3.4                         29               1,975                    0.16                     11.2
Total                    12,810               84,472                       1.2                  8.0                      11,897                    36,280                        1.1                      3.5                        913              48,192                    0.09                      4.6
                                         Figure 2: summary of sickness absence by Directorate 2009 to 2010
                         Please note that the figures stated are ‘rounded’ and therefore may be subject to slight rounding error
Further data analysis allows the reported causes of sickness absence to be identified, with these
shown below in Figure 3 (overleaf) for 2009 to 2010. Figure 3 highlights that whilst individually the
two largest reported causes of sickness absence are mental/emotional wellbeing
(anxiety/stress/depression/other psychiatric illnesses) and injuries/fractures, when back problems
and other musculoskeletal problems are combined, musculoskeletal related ill health becomes the
second largest cause of absence. Further analysis of these issues and the actions taken/proposed
to address them is detailed in the Council’s Health, Safety and Emergency Resilience Report 2009
to 2010 and its predecessors.




                                                                                                  67
68
Sickness absence recording tool (SART) absence code (a collaboration between the
                                                                                             Overall sickness absence     Short-term sickness absence   Long-term sickness absence
Institute of Occupational Medicine and the Health and Safety Executive) – ranked by total
absence days




                                                                                             days
                                                                                             absence
                                                                                             Total




                                                                                                            absence
                                                                                                            of sickness
                                                                                                            Percentage




                                                                                                                           days
                                                                                                                           absence
                                                                                                                           Short-term



                                                                                                                                          absence
                                                                                                                                          sickness
                                                                                                                                          term
                                                                                                                                          of short-
                                                                                                                                          Percentage



                                                                                                                                                          days
                                                                                                                                                          absence
                                                                                                                                                          Long-term



                                                                                                                                                                        absence
                                                                                                                                                                        sickness
                                                                                                                                                                        term
                                                                                                                                                                        of long-
                                                                                                                                                                        Percentage
1.   Anxiety/stress/depression/other psychiatric illnesses                                   16,634          19.69          2,729            7.52         13,905            28.85
2.   Injury and fracture                                                                     10,214          12.09          2,590            7.14          7,624            15.82
3.   Nervous system disorders                                                                 9,509          11.26          3,022            8.33          6,487            13.46
4.   Gastrointestinal problems (e.g. abdominal pain, gastroenteritis, vomiting, diarrhoea)    8,006           9.48          6,028            16.61         1,978            4.10
5.   Cold, cough, flu/influenza                                                               7,305           8.65          7,055            19.45          250             0.52
6.   Back problems                                                                            5,623           6.66          2,371            6.53          3,252            6.75
7.   Chest and respiratory problems (excluding nose and throat problems, asthma, cold,
     cough, flu)                                                                              3,646           4.32          2,465            6.79          1,181            2.45
8.   Musculoskeletal problems (excluding back problems)                                       3,268           3.87          1,028            2.83          2,240            4.65
9.   Ear, nose and throat (ENT)                                                               2,854           3.38          2,217            6.11           637             1.32
10. Genitourinary and gynaecological disorders (excluding pregnancy related disorders)        2,603           3.08           822             2.27          1,781            3.70
11. Heart, cardiac and circulatory problems                                                   2,211           2.62           246             0.68          1,965            4.08
12. Infectious diseases                                                                       2,063           2.44          1,493            4.12           570             1.18
13. Benign and malignant tumours, cancers                                                     1,968           2.33            60             0.17          1,908            3.96
14. Headache/migraine                                                                         1,290           1.53          1,128            3.11           162             0.34
15. Cause of illness unknown/unrecorded                                                       1,205           1.43           475             1.31           730             1.51
16. Operation with no cause stated/recorded (BMBC code)                                       1,148           1.36           303             0.84           845             1.75
17. Skin disorders                                                                            990             1.17           276             0.76           714             1.48
18. Pregnancy related disorders                                                               970             1.15           355             0.98           615             1.28
19. Eye problems                                                                              869             1.03           496             1.37           373             0.77
20. Blood disorders (e.g. anaemia)                                                            453             0.54           170             0.47           283             0.59
21. Hospitalisation with no cause stated/recorded (BMBC code)                                 396             0.47            98             0.27           298             0.62
22. Dental and oral problems                                                                  391             0.46           391             1.08             0                  0
23. Endocrine and glandular problems (e.g. diabetes, thyroid, metabolic problems)             308             0.36            79             0.22           229             0.48
24. Exhaustion or fatigue with no stated cause/recorded cause                                 178             0.21            34             0.09           144             0.30
25. Asthma                                                                                    176             0.21           176             0.49             0                  0
26. Bereavement (BMBC code)                                                                   125             0.15           125             0.34             0                  0
27. Burns, poisoning, frostbite and hypothermia                                                53             0.06            32             0.09            21             0.04
28. Other known cause not otherwise stated                                                     18             0.02            18             0.05             0                  0
Total                                                                                        84,472            100          36,280            100         48,192                100
          Figure 3: summary of sickness absence causes 2009 to 2010 (please note that the figures stated are ‘rounded’ and therefore may be subject to slight rounding error)
2.       The costs of sickness absence

With data regarding days lost due to ill health available it is possible to calculate the cost of ill
health. The known direct salary costs of sickness absence are:

Median salary scale point     ‘Add on’ costs              Total Cost to Authority
SCP 25 – Grade 5              Superannuation and          Salary, superannuation and National
                              National Insurance          Insurance
£21,519               +       £5,514                =     £27,033 per year

Therefore:

£27,033                   /   365 days              =     £74.06 average cost per day
£74.06                    x   84,472 lost days      =     £6,255,996

Whilst the cost of sickness absence is not an additional cost the Council as employment costs are
met regardless of whether employees are at work or not, they are an efficiency/productivity loss –
this can be viewed as a £6.2 million loss in production.

3.       Initiatives implemented in 2009/2010 to support efforts to reduce sickness
         absence

In addition to the initiatives mentioned above relating to mental/emotional wellbeing and
musculoskeletal related issues which are detailed in the main body of the Health, Safety and
Emergency Resilience Report 2009/2010, the following initiatives (taken from the Human
Resources Service Delivery Plan 2010/2011 were implemented by Human Resources in
2009/2010:

1.   Undertake an audit of the implementation of the Managing Attendance Policy (short term
     sickness absence) and Long Term Ill Health Policy
2.   Devise and seek approval for a revised Long Term Ill Health Policy
3.   Devise and deliver a training package to accompany the Long Term Ill Health Policy
4.   Develop and implement a protocol regarding the use of ‘action plans’ to manage specific ill
     health cases
5.   Implement revised protocol (with the Occupational Health Unit) to deal with non medical
     related absences




                                                                                                  69
4.    Initiatives proposed for 2010/2011 to support efforts to reduce sickness
      absence

In addition to the initiatives mentioned above relating to mental/emotional wellbeing and
musculoskeletal related issues which are detailed in the main body of the Health, Safety and
Emergency Resilience Report 2009/2010, the following initiatives are planned by Human
Resources for 2010/2011:

1.   Continue to undertake an audit of the implementation of the Managing Attendance Policy
     (short term sickness absence) and Long Term Ill Health Policy
2.   Continue to deliver a training package to accompany the Managing Attendance and Long
     Term Ill Health Policies
3.   Continue to implement a protocol regarding the use of ‘action plans’ to manage specific ill
     health cases
4.   Continue to implement a revised protocol to deal with non medical related absences




70

								
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