ORR Better Health Programme: Excellence & Sir Frederic Smith - - PowerPoint PPT Presentation

ORR Better Health Programme: Excellence & Improvement Needs Leadership and Commitment

Dr Claire Dickinson

November 2015

Sir Frederic Smith 1840-2015

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2nd Programme published 28th April 2014

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

4 E’s

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ORR Programme : What success looks like

Meets legal compliance and striving for excellence

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“Better Health Is Happening” published June 2015 – see ORR’s website

■ Report ■ Baseline measures ■ Infographic ■ Presentation ■ Video ■ 6 pages-Rail Magazine

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Challenges

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Findings

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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

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Next steps

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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 2 2 4

Cramp in the hand or forearm due to repetitive movements

2 1

Hand arm vibration syndrome (HAVS)

34 95 97 74 80

Infectious disease due to biological agents

1 3

Occupational asthma

1 1

Occupational cancers Occupational dermatitis

1 1

Tendonitis or tenosynovitis in hand or forearm

1 1 1

Total

40 97 104 78 87

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Excellence RM3 applied to health

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The Railway Management Maturity Model (RM3)

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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 ?

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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 Plan’ing & Imple

• Risk Assessments

Document Risk Assessment for Power Tool users Plan’ing & Imple

• Health Surveillance

Tier approach outcome reported Plan’ing & Imple

• Exposure Assessment

Exposure measurements from tools Measuring Performance – indicators, management indices Situation relative to the Action and Limit Value, 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

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The Railway management Model RM3

What excellence looks like:

• Governance, Policy and Leadership
• 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

26 elements of Health & Safety Management Maturity RM3 http://www.rail-reg.gov.uk/server/show/nav.1098

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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

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OH Management Evidence Matrix

■ Link to evidence matrix for DEEE risk ■ Link to evidence matrix for health management ■ Extract:

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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

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• Co. 1 : Health Risk Management RM3 Radar plot

Leadership - SP1 Safety Policy - SP2 Board Governance - SP3 Written Safety Management System - SP4 Worker involvement and internal cooperation - OP1 Competence management system - OP2 Alllocation of responsibilities - OC1 Management and supervisory accountability - OC2 Organisational structure (management cascade etc) - OC3 Communication arrangements - OC4 System safety and interface arrangements - OC5 Culture management - OC6 Record keeping - OC7 Risk assessment and management - PI1 Objective/Target Setting - PI2 Workload planning - PI3 Safe systems of work including safety critical work - RCS1 Asset management (including safe design of plant) - RCS2 Change management (process, engineering, organisational) - RCS3 Control of contractors - RCS4 Emergency Planning - RCS5 Proactive monitoring arrangements - MRA1 Audit - MRA2 Incident investigation and management - MRA3 Review at appropriate levels - MRA4 Corrective Action / Change management

• MRA5

Company 1: Industry management of occupational health 2014-15

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RM3 Radar Plot

Leadership - SP1 Safety Policy - SP2 Board Governance - SP3 Written Safety Management System - SP4 Allocation of responsibilities - OC1 Management and supervisory… Organisational structure (management… Communication arrangements - OC4 System safety and interface arrangements… Culture management - OC6 Record keeping - OC7 Worker involvement and internal… Competence management system - OP2 Risk assessment and management - PI1 Objective/Target Setting - PI2 Workload planning - PI3 Safe systems of work including safety… Asset management (including safe design… Change management (process,… Control of contractors - RCS4 Emergency Planning - RCS5 Proactive monitoring arrangements - MRA1 Audit - MRA2 Incident investigation and management -… Review at appropriate levels - MRA4 Corrective Action / Change management -…

RM3 assessment comparison 2010/11 with 2011/12

2010-11 2011-12

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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

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Case Studies at orr.gov.uk/what-and-how-we-regulate/health-and-

safety/guidance-and-research/occupational-health-guidance/case-studies

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HAVS Case Study : Network Rail

All routes have developed a HAVS Improvement Plan

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What’s going to make a difference in the route ?

Leadership and commitment Manager/Supervisor competence

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Manager Competence : development of a L3 syllabus and building the case for accreditation

■ 1st Pilot Course at TPE, Sept 2015

■ Syllabus developed with CITB ■ “Promising” start, next pilot in Feb

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HAVS / MSD / Asbestos / Stress Position Papers …..Effluent & Respiratory Disease in preparation

Updated Strategic Risk Priorities Document Chapter 9

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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