1840-2015 ORR Better Health Programme: Excellence & Sir Frederic Smith Improvement Needs Leadership and Commitment Dr Claire Dickinson November 2015
2 2 nd Programme published 28 th April 2014 4 E’s Scope : Whole rail industry Builds on the first programme Key focus : securing legal compliance “Assist and encourage” - Collaborative approach, including Trade Union’s Measure the capability of health management systems using RM3-H
3 ORR Programme : What success looks like Meets legal compliance and striving for excellence
4 “Better Health Is Happening ” published June 2015 – see ORR’s website ■ Report ■ Baseline measures ■ Infographic ■ Presentation ■ Video ■ 6 pages-Rail Magazine
5 Challenges
6 Findings
7 Better health is happening : Key messages ■ Good progress made but more to do, especially seeing commitment translated to action on the ground ■ Costs : industry need to do more health risk management and invest to save ■ Key health risks: HAVS, musculoskeletal disorders, respiratory diseases and stress/mental health ■ Focus on “health like safety” ■ Sustained effort to delivery Industry Roadmap ■ Improved Rail manager competence and training ■ Improved health monitoring and assurance driven by meaningful data ■ Use of RM3 for health risks ■ Public commitment to and reporting on ill-health reduction
8 Next steps
9 Rail Sector : RIDDOR 2010 - 2015 Great Britain annual data 2010-11 to 2014-15 - RIDDOR disease cases reported to ORR Disease Type 2010-11 2011-12 2012-13 2013-14 (1)(2) 2014-15 Carpal tunnel syndrome 4 0 2 2 4 Cramp in the hand or forearm due to repetitive 0 0 2 1 0 movements 34 95 97 74 80 Hand arm vibration syndrome (HAVS) Infectious disease due to biological agents 0 1 3 0 0 0 0 0 1 1 Occupational asthma 0 0 0 0 0 Occupational cancers Occupational dermatitis 1 0 0 0 1 1 1 0 0 1 Tendonitis or tenosynovitis in hand or forearm 40 97 104 78 87 Total
10 Excellence RM3 applied to health
11 The Railway Management Maturity Model (RM3)
12 HSMS elements POPMAR : Health Risk ■ Effective health and safety Policy – statement of commitment, resources ■ Organisational Arrangements – Control, Communications, Competence, Co-operation ■ Planning and Implementing, e.g. risk assessment, incident investigation ■ Measuring Performance – indicators, management indices ■ Auditing and Reviewing Performance ■ Health Culture – how the HSMS is functioning, “the way things are done around here on health risk” proactive or reactive or learning ?
13 POPMAR: HAVS Management: Continuous Improvement POPMAR HAVS Management Health Policy HAVS Policy Org. Arrangements – Control HAVS Management Procedure Low Vibration Tools Procurement Identification of those at risk ie power tool users Org. Arrangements – Communications Managers briefed on procedure Employee Information on HAVS Org. Arrangements – Competence Managers/Supervisors trained on HAVS management Org. Arrangements – Co-operation Managers : HR : OH Provider P lan’ing & Imple - Risk Assessments Document Risk Assessment for Power Tool users P lan’ing & Imple - Health Surveillance Tier approach outcome reported P lan’ing & Imple - Exposure Assessment Exposure measurements from tools Measuring Performance – indicators, management Situation relative to the Action and Limit Value, indices Compliance with health surveillance, Proportion of at risk with Tier 1-2-3-4 assessments Balanced suite of indicators activity and outcome Auditing and Reviewing Performance HAVS System audit Changes to Procedure Changes to work design or tools used
14 26 elements of Health & Safety Management Maturity RM3 The Railway management Model http://www.rail-reg.gov.uk/server/show/nav.1098 RM3 • Governance, Policy and Leadership What excellence looks like: • Organising for delivery of control and communication • Co-operation, competence and development of employees at all levels • Planning and implementing risk controls • Monitoring, review and audit
15 RM3 – Stress ■ Information on web ■ Example for stress ■ Pilot at CrossCountry http://orr.gov.uk/what-and- how-we-regulate/health-and- safety/monitoring-and- reporting/occupational- health-and-the-railway- management-maturity-model
16 OH Management Evidence Matrix ■ Link to evidence matrix for DEEE risk ■ Link to evidence matrix for health management ■ Extract:
17 OH Management Evidence Matrix ■ Link to evidence matrix for DEEE risk ■ Link to evidence matrix for health management ■ Evaluation of the evidence from 1 to 5 RM3 Guidance Policy page 9 ■ 5 – Excellence ■ 4 – Predictable ■ 3 – Standardised ■ 2 – Managed ■ 1 – Ad Hoc
18 Co. 1 : Health Risk Management RM3 Radar plot Company 1: Industry management of occupational health 2014-15 Leadership - SP1 Corrective Action / Change management Safety Policy - SP2 - MRA5 Review at appropriate levels - MRA4 Board Governance - SP3 Incident investigation and management - Written Safety Management System - MRA3 SP4 Worker involvement and internal Audit - MRA2 cooperation - OP1 Proactive monitoring arrangements - Competence management system - MRA1 OP2 Emergency Planning - RCS5 Alllocation of responsibilities - OC1 Management and supervisory Control of contractors - RCS4 accountability - OC2 Change management (process, Organisational structure (management engineering, organisational) - RCS3 cascade etc) - OC3 Asset management (including safe Communication arrangements - OC4 design of plant) - RCS2 Safe systems of work including safety System safety and interface critical work - RCS1 arrangements - OC5 Workload planning - PI3 Culture management - OC6 Objective/Target Setting - PI2 Record keeping - OC7 Risk assessment and management - PI1
19 RM3 Radar Plot RM3 assessment comparison 2010/11 with 2011/12 Leadership - SP1 Corrective Action / Change management -… Safety Policy - SP2 Review at appropriate levels - MRA4 Board Governance - SP3 Incident investigation and management -… Written Safety Management System - SP4 Audit - MRA2 Allocation of responsibilities - OC1 Proactive monitoring arrangements - MRA1 Management and supervisory… Emergency Planning - RCS5 Organisational structure (management… Control of contractors - RCS4 Communication arrangements - OC4 Change management (process,… System safety and interface arrangements… Asset management (including safe design… Culture management - OC6 Safe systems of work including safety… Record keeping - OC7 Workload planning - PI3 Worker involvement and internal… 2010-11 Objective/Target Setting - PI2 Competence management system - OP2 2011-12 Risk assessment and management - PI1
20 Control of Vibration at Work Regulations, 2005 ■ Reg 7 - requirements for health surveillance if at risk of developing HAVS – see HSE guidance on its website ■ Network Rail Annual Return Report on Network Rail’s website ■ 6277 at risk requiring tier 2 or 3 ■ Plus, 1115 new starters tier 1 = 7,392 ■ HAVS Health Surveillance – 2012 22% Compliance Rate – 2013 36% Compliance Rate – 2014 64% Compliance Rate ■ Inspection activity in Scotland & LNE
21 Case Studies at orr.gov.uk/what-and-how-we-regulate/health-and- safety/guidance-and-research/occupational-health-guidance/case-studies
22 HAVS Case Study : Network Rail All routes have developed a HAVS Improvement Plan
23 What’s going to make a difference in the route ? Leadership and commitment Manager/Supervisor competence
24 Manager Competence : development of a L3 syllabus and building the case for accreditation ■ 1 st Pilot Course at TPE, Sept 2015 ■ Syllabus developed with CITB ■ “Promising” start, next pilot in Feb
25 HAVS / MSD / Asbestos / Stress Position Papers …..Effluent & Respiratory Disease in preparation Updated Strategic Risk Priorities Document Chapter 9
26 Next steps ■ Updating our Work-bank of activities for 2016-17 – Internal and External sense checking – Looking for increased collaboration with the Industry ■ Looking at wider organisational levers for incorporating health risk – Charging regimes, Licence conditions
Thank you ! Any questions ? Claire.dickinson@orr.gsi.gov.uk
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