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Occupational Health in Construction

B&CE’s findings for what the industry needs

Andrew Percy Relationship Manager B&CE 30 November 2016

• What is occupational health?
• Our research with the industry
• What we think the industry needs from an occupational

health scheme

• Our next steps

Agenda

What is occupational health?

What is occupational health?

Occupational Hygiene? Occupational Wellbeing? Lifestyle choices? Health Surveillance? Rehabilitation into the workplace? Workplace hazards and risks? Medical tests?

Risk Management process

What occupational health actually is

The core principles Occupational Health

Fit for Work Identifying and supporting where a worker’s health may affect their work

Wellbeing

Promoting physical and psychosocial aspects of health

Health risk assessment Health monitoring Controls

Occupational Hygiene scientifically identifies workplace hazards and exposures, resulting in risk Implement Health Surveillance programme

Record and analyse data Apply evidence base to industry to identify any trends, changes and affects

• f the workplace on health

Use findings to mitigate workplace hazards and exposures and therefore risks

Workplace risk management cycle

The controls

What have we found out?

What the industry has told us

In depth research to listen and understand what the industry needs from an occupational health scheme

Online survey with employers Over 200 responses Meetings with Occupational Health Service Providers (OHSPs) 38 meetings Forums and depth interviews with larger contractors and industry representatives 2 forums & 8 interviews

What the industry has told us

The ripple effect…

Lack of understanding and clarity

• Construction industry doesn’t

understand OH and the needs of the industry

• Employers don’t know how to

interpret OH obligations

• Understanding gap between OHSPs

and the construction industry

Inconsistency

• No standard method to ensure complying with

regulations and best practice

• Provision is varied and delivered through

different quality standards

• Role vs risk approach
• Differing requirements of client, principle

contractors and supply chain

Inefficiency

• Inconsistency means it’s costly for the

industry:

• Repeat medical processes
• Weak consumer power
• Poor product design
• Time and resource needed for

set up and administration

Poor outcomes

• Inconsistency and Inefficiency drive poor outcomes
• Employer scheme is sub-optimal
• Construction worker lacks effective long-term
• versight of their health
• Construction industry lacks the foundation of a model

to advance the health of construction workers

• Inability to monitor long-term trends and emerging

health issues

The industry’s recipe for a successful model

What we should be targeting…

Understanding and clarity

• Simple and straightforward educating
• f the industry (employers and OHSPs):
• This is what OH is…
• This is why we need it…
• This is how to do it…
• This is how to comply…

Consistency

• Engagement with the industry so the new model

becomes an expected way of working

• A model that informs and empowers the whole

supply chain and gives more control

• A framework based on risks rather than roles

with a minimum level of Health Surveillance

Efficiency

• A national, standardised scheme
• A clear, simple model that complements existing

OH provision both from providers and in-house

• A menu of health checks to cover these risks as a

minimum

• Help for employers to become better buyers of

OH and know the value of OH

• A cost-effective solution that removes duplicate

health checks and admin, especially for small employers

Good outcomes

• A portable health record containing ‘need to know

information’ but not ‘another card’

• Personally identifiable clinical data held on a database

and best practice provided by data analysis for the benefit of the industry

• An approach so employers and employees see the

benefit of taking part

The industry has told us they need:

What does the industry need?

Our conclusion

We think the new solution should…

• Act as a minimum underpin for employer compliance – ‘first line of defence’
• Provide a minimum standard across the industry; potentially based on risk-based

approach, rather than job roles

• Help the employer manage additional risks, by providing education, support,

guidance and best practice advice

• Contain a portable employee owned digital record
• Allow for the standard model to evolve to incorporate enhanced occupational

health and wellbeing offerings

Through solving the problems for employers, the solution will deliver improved health for construction workers

Our next steps

Our next steps

What we aim to achieve

Get buy-in from the industry to support us in developing the model Get agreement from key industry representatives and OH professionals on the new model Discussing with the industry what the future occupational health model should look like

Engage Agreement

Commitment

Any questions?