[PPT] - Thames Water Our Journey Karl Simons Chief Health, Safety & PowerPoint Presentation

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Thames Water Our Journey…

Karl Simons Chief Health, Safety & Security Officer

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Risk Visualisation is the key to setting the scene

Understand your risk profile…

Karl Simons Chief Health, Safety & Security Officer

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Thames Water

R iver Thames River Cherwell R i v e r W e y R i v e r L e e River Colne R i v e r K e n n e t Banbury S windon Oxford R eading S lough High Wycombe G uildford

100 water treatment works 350 sewage treatment works 4 million customer enquires annually 15 million customers >2 billion annual investment programme 5,500 employees 10,000 contractors 150,000 km of water mains & sewers 7,000 water & Waste pumping stations >10,000 ‘break ground’ jobs a month on our network

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Risk Profile

lifting equipment Buried services CDM chemical tanks pressure vessels Road risk face fit testing temporary works excavations psychological stress fire DSEAR manual handling slips, trips and falls display screen equipment management of change Toxic Gas reservoir Breach sewers crossing railways trunk Mains COMAH legionella Trees Sewer Flooding

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Psychological Health

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Set your strategy - ‘Time to Talk’

The strategy must aim to Increase the visibility & profile of mental health in the workplace An approach which changes the business culture to one

f caring…

https://play.buto.tv/X3YjM

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Tone from the top – Leadership in Mental Health

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Mental Health included within the Company Annual Report Mental Health KPIs captured and reported at Executive & Main Board level every month Deep dive spotlight on Health topics at quarterly Group Health, Safety & Environmental Committee meeting

Executive & Main Board visibility

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Two thirds of the company’s work is delivered through our supply chain partners. Our strategy had to embrace our supply chain…and set out our expectations regarding physical and psychological health management

Engage Your Supply Chain

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Show what's important - Health Performance Indicators

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Infancy

RAG1

Developing

RAG2

Evident

RAG3

Established

RAG4

Integrated

RAG5

Percentage Score (%)

Minimum standards of OH risk management and well being yet to be achieved in a number of areas Mostly compliant occupational health risk management and well being with plans to achieve minimum standards Can evidence full compliance with minimum OH risk management and wellbeing. Evidence of OH risk management at all levels and throughout the supply chain Evidence of strategic OH management at all levels extending to peer groups and the local community Limited awareness of practical health risk management Meeting minimum standards in most areas Health is considered in all aspects of safety Ill health prevention strategy integration with business operations and supply chain Evidence of an existing health and well being strategy throughout the culture and management systems of the business

1 Health Risk Assessment

Health risks inadequately detailed in risk assessments including COSHH, Musculoskeletal hazards

Green

Health risk included in all risk assessments including COSHH and controls implemented for physical health risks e.g. respiratory, vibration, noise, skin etc…

Green

Psychological health risks are also included in risk assessments and effective controls are place

Green

Physical and psychological health risks are considered as part of organisational changes e.g. shift patterns, work location, organisational restructuring etc.

Amber

Ill health prevention strategy extends to include

ccupational health credentials assessed during

selection of supply chain and are audited to demonstrate compliance with required standards

Red 7% 2 Hierarchy of control (collective vs. personal)

Individuals provided with PPE, but suitability not checked

Green

Individuals provided with the correct PPE but inadequately trained in use and maintenance

Green

Individuals provided with the correct PPE and adequately trained in use and maintenance and involved in the selection procedure

Green

Clear evidence that collective protective measures are considered first i.e. engineering controls, substitution with less hazardous material. PPE is last resort

Green

Managers & employees are actively engaged in monitoring individual health where task specific health hazards exist i.e. physical and/or psychological hazards. Evidence of action taken and records kept.

Amber 9% 3 Health Surveillance

Limited statutory health surveillance programme in place

Green

Health Surveillance introduced but only major issues addressed

Green

Comprehensive health surveillance is in place for all of identified hazards

Green

Can evidence how health surveillance trends are used to demonstrate effectiveness of control measures

Amber

Health surveillance trends used in review of management system

Red 7% 4 Health Auditing

H&S audits do not include health

Green

Health is included in H&S audits

Green

Key performance measures include health topics

Green

Health performance indicators( HPI's ) used in business decisions

Green

Continuous improvement plans include health related objectives

Amber 9%

No assessment of fitness to work Developing fitness to work processes Has evidence of 'fitness to work' programme Clear evidence of an established fitness to work programme including clear measurement and performance review Strategic approach to continuous improvement including full supply chain engagement

5 Fitness to Work

No formal process for assessing fitness to work

Green

Pre placement assessments for fitness to work are

conducted. (This may include 'with/for cause' drug

& alcohol testing)

Green

Safety critical roles clearly are identified via risk assessment (e.g. confined space workers, heavy plant drivers, working at height etc.) and full program of periodic fitness for work medical assessments are in place (this may include both random and with/for cause drug & alcohol testing program)

Green

Program outcomes are monitored, results used to inform proactive activities to promote worker health improvement. Policy/ framework in place for managing workers who no longer meet the fitness for work standards for their specified safety critical role due to health issues.

Amber

Fitness to work program (including medical standards and key outcomes) reviewed regularly and any actions/changes communicated with workers and supply chain.

Red 7% 6 Attendance Management policy/training

No attendance management/sickness absence management policy is in place

Green

Attendance management/sickness absence management policy is in place

Green

Wider management are trained in sickness absence management policy and procedures and are competent in its application e.g. Return to work interviews are conducted following periods of sickness absence

Green

Metrics are produced from sickness/ill health records

Green

Action plans with targets and objectives set and regularly measured to demonstrate improvement; communicated with workers and supply chain.

Amber 9% 7 Management of ill health

Sickness/ill health issues are inadequately managed

Green

Largely reactive or inconsistent approach to management of sickness absence/ill health issues e.g. work related or long term only

Green

Consistent but still largely reactive approach to all sickness/ill health issues

Green

Proactive case management approach to sickness/ill health issues with early referral to OH. Phased return to work programmes are implemented with input from OH/medical specialists as appropriate

Green

Access to early intervention such as physiotherapy, mental health counselling etc.

Green 10%

Few if any wellbeing initiatives undertaken Occasional wellbeing initiatives and campaigns undertaken Evidence of regular wellbeing activities that integrate occupational and general health improvement Well being initiatives available to organisation and supply chain The majority of workers are considered ambassadors for health and well being strategies within the workplace and wider community

8 Health Promotion

No wellbeing activities undertaken, i.e. wellness days, poster campaigns

Green

At least 1 wellbeing event/campaign delivered per year

Green

At least 2 wellbeing campaigns/poster campaign per year

Green

Regular and structured annual plan for delivery of Health & Wellbeing objectives

Green

Support of external health and well being initiatives, campaigns extend to families of staff members and stakeholders

Green 10% 9 Health Education & Training

No structured education programme, wellbeing not discussed in key H&S meetings

Green

Basic education programme in place but in its initial stages with events at local level only

Green

Developed education programme with co ordination at a company wide level. Wellbeing Champions in place, evidence that health priorities such as

besity, ageing workforce are being considered

Green

Comprehensive education programme in place that considers work and non work related health & wellbeing on the agenda for all Board, senior management and H&S meetings. Supply chain is engaged in Helth & Wellbeing education programme and have a Health & Wellbeing plan that aligns with business.

Green

Strategy in place to provide information that extends to local community and staff family

environment. Improvement of public health

considered as part of the CSR role of the

rganisation.

Amber 9% 10 Health Communication Health risks not included in inductions or health

and safety communications

Green

Health risks are covered in company and site inductions

Green

Supervisors and managers trained on the management of health risks

Green

All personnel have received appropriate training in the management of health risks including the supply chain

Green

Can evidence that behaviour's have been influenced from training on health risks, e.g. worker surveys, audit , inspections

Red 8%

TOTAL 85%

WORKPLACE WORKPLACE

Health Performance Indicators (HPIs)

Competency Upskilling - Mental Health Education

All Health Education courses delivered at Thames Water use Virtual Reality filming, stimulating the senses through the use of visual and sound effects that transform the experience… https://play.buto.tv/XnrBC

“The approach being taken by Thames Water using virtual reality to improve mental health in the workplace is

ne of the most impressive and practical approaches that I came across when Paul Farmer and I were

producing our report for the PM ” Lord Dennis Stevenson

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Create a learning culture - Executive Illness Reviews

Included in Mental Health Strategy
Executive led reviews for any

psychological or physical illness derived from work

Monitored through H&S

Performance metrics

Outcomes included in Executive &

Main Board reports

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Work Related Mental Cases in March 2018 Business Unit 2016/17 Absent Present Absent Present Total Total Wholesale Waste 5 3 8 12 Wholesale Water 1 1 4 4 8 12 Retail 1 6 1 7 12 Group Services 1 1 2 3 TOTAL 1 2 16 9 25 39 Reasons for Referral

No. of Mental Health Cases

YTD

No. of Mental

Health Cases in the month Relationships - manager and colleagues

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Deliver leading expectations

Report commissioned by Theresa May
Published in October
Sets out core standards which every

employer should meet

Enhanced standards for employers who

want to lead the way

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Business reporting on mental health

The Government has brought together under the ‘Inclusive Economy Partnership’ programme several major employers leading mental health in business to support with the production of guidance for voluntary reporting for business. The framework wording states to explain activities in your organisations in relation to: a. The action your organisation takes on the health & wellbeing of Employees b. Employee take up of mental health support

ffered by the business

c. The training offered to employees related to mental health d. The percentage of individuals with your

rganisation that are comfortable disclosing

mental health, and e. Whether your organisation has made a public commitment to adhere to both the core and enhanced standards as set out in the Thriving at Work Stevenson/Farmer review of mental health and how you are achieving these? Steps taken:

A Framework has been presented to

Ministers

Framework wording has been accepted
Guidance intended to be launched by

Christmas 2018

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Benchmark – achieve recognised certification

Engaged with Time to Change Team
Signed charter
Met standards expected
Achieved certificate demonstrating

support

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“It's hard enough to experience mental health problems, without having to face the judgement, shame and isolation that often surrounds them. That's why we want to end mental health discrimination.”

Time to Change is a growing social movement working to change the way we all think and act about mental health problems. We've already reached millions of people and begun to improve attitudes and behaviour.

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Royal Foundation Heads Together Campaign

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Thames Water supported the Charity during the 2017 London Marathon Supporting development of Mental Health at Work gateway https://www.mentalhealthatwork.org.uk

Supporting Campaigns

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Share Illustrative Stories

Managers & Employees stories captured and communicated in Thames Water’s internal company magazine ‘The Source’

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Make it personal

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Ensure support is available in times of need

First Aid Needs Assessment to be

undertaken in your company…

Must consider both physical and

mental health..

Mental Health First Aid
Regulatory compliance through

application of the guidance

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The guidance will now cover:

Training
Provision of information
Managers and employees
Employing occupational health

professionals

Employee support programmes

The HSE will shortly be amending the first aid at work guidance to reflect the need to assess both physical and mental health

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Dynamic Stepped Model

Expert Mental Health Assessment Specialist Mental Health Services at Step 3,4: Neuro-psychological assessment and treatment / Home detox Wellbeing Enhancement/ Preventative 1 Mild/Moderate 2 Moderate/Severe 3 Complex and Severe Ill Health 4

EAP
Wellbeing Platform
Resilience
Mental Health

Awareness training/champion training

Team Leader and

Manager training to support mental health across the spectrum

EAP mental health

sessions

Guided self help via

computerised CBT

r bibliotherapy
Exercise on

prescription

Cognitive

Behavioural Therapy (CBT)

Inter Personal

Therapy (IPT)

Counselling for

Depression (CFD)

Dynamic

Interpersonal Therapy (DiT)

EMDR
Consultant

Psychiatry

MDT Working
Blended model of

working between RHW and Peer Clinically Governed external Specialist associate partners

Have the right professional support services model

Right Intervention, Right Time, Right Outcome

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Time to Talk In your Colleagues Corner Time to Talk.mp4 Regularly sti timula late th the se senses - educational vid videos

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Physical Health Strategy

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Our 5 year journey…

There is no single initiative that will have a profound impact, be relentless over consecutive years…

Karl Simons Chief Health, Safety & Security Officer

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Engaging the technical community

TW H&S Managers
TW H&S Advisers
Trade Union Safety Reps
Alliance H&S Practitioners
HSLT Directors
Annual approach
Strategic outputs
Innovation at the heart of objectives
Performance monitored at HSE

Committee

Executive & Board level ownership
Communication strategy
Monitoring and feedback gathered

Setting the objectives

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2013/14
H&S vision set and explained
Introduction of zero compromise

card

Work related Lost time illness

measured

NEBOSH Gen Cert introduced for all

managers

Introduced executive incident

reviews

Development of the Health &

Wellbeing maturity model

Commenced emotional resilience

workshops

Launched refreshed Health and

Safety hub

Worker/workplace/wellbeing

strategy

Visible leading & lagging indicators
H&S Conference introduced
Executive level escalation of issues

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2014/15
Targeted “facts about” booklets

introduced

Personal medical assessment for

employees

Launch of Water Wellbeing Week
EPIC induction programme

introduced

Free flu vaccinations offered to all

employees

Early access to physio treatment

for all employees

Cohort OH management system

introduced

Targeted health promotions

throughout the year

Fatigue condition monitoring
Legislation update for TW leaders
IOSH Managing Safely for all team

leaders/TU reps

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2015/16

Introduction of monthly Heath &

Wellbeing focus

Positive energy workshops

commenced

Tiredness & fatigue guidance

booklet issued

Mind Time to Change pledge signed
Health & Safety Executive Stress

Management conference

Active physio support for non-work

related illness and injuries

Free prostate cancer testing
Drug & Alcohol testing introduced
Free thyroid tests
Essential standard for health &

wellbeing introduced across supply chain

Water safety awareness/working

introduced

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2016/17

Team mood daily analysis introduced
Virtual Reality introduced into mental

health training

NASA/TW collaborative risk review

undertaken

Leadership team psychology

workshops developed and run

Introduction of driver behaviour

indicators across fleet

Alan Carr stop smoking support

workshops offered free to all employees

12 week free membership to

slimming world for those with excessive BMIs

Suite of visually enhanced essential

standards developed and introduced

GB Health & Wellbeing week went

live

Mental illness speakers across the

business

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2017/18

Artificial intelligent Virtual Health

and Safety Adviser developed

Mental Health First Aiders

introduced across the company

Mind-fit mental health awareness

run for all employees

Mental Health Interventions

captured

Physical resilience programmes

introduced

APS – H&S Asset Investment

monitoring made visual

Personal recognition programmes
E-permitting design &

implementation

Controller of premises licence to

lead programme developed

Competency Management System

developed

Safety maturity model designed

and introduced across supply chain

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Actively promote the right outcomes achieved.

Monitor & make visible the statistics…

Karl Simons Chief Health, Safety & Security Officer

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H&S Education – competency maintaining & upskilling

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Challenges of unhealthy/unsafe acts/conditions reported

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Management Inspections – leadership visibility targeted questions on Health & Safety

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Corrective Actions Closed – demonstrating investment & action

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Zero Compromise Cards Catastrophic Risk Management Using mobiles while driving banned Safe Driving Programme Launched Utilities Management Group formed NEBOSH Certificate for all managers Mandated use of data logging Cat & Genny Permit to Drive enforced Executive Incident Reviews for any Lost Time Incident Safe Digging Essential Standard Online Driver Training Management Interventions for anyone receiving points Stand Downs for Contractors Health and Safety Awards Monthly Safety Focus Occupational Road Risk Group Formed Hazard Module

n Safeguard

Essential Standard for Commercial Vehicles ZC Behavioural Safety Training TW Passport revision Advanced Driving qualification introduced Service Strike Dashboard introduced IOSH Managing Safely PPE Enhanced across the company MD led conference call following service strikes Pristine Manual Handling Investigations Hazard Reporting H&S Site Files Mobile App Launched Facts About Booklets Animated Incident Learning Visual Impact Sessions Essential Standards Re- Branded Relaunch of Utilities Management Group Safety Maturity Model Immersive Training

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Executive Lifestyle Challenge Health and Safety Policy Refreshed Zero Compromise Leading and lagging indicators triangle Health & Wellbeing Vision & Strategy Health & Wellbeing Maturity Model Essential Standard on Health & Wellbeing Managers Resilience Course NEBOSH competency for managers Personal Resilience Course Cardinus Training & Assessment Hear of You Survey Personal Medical Assessments for all Targeted FACTS booklets Physio access 1st Water Wellbeing Week Flu Vaccinations Personal Stories Targeted Health Promotions Fatigue Conditioning Monitoring Health Tracking HSLT Supply Chain Engagement Positive Energy Workshops Monthly Wellbeing Focus Changing Perception's Prostrate Cancer Checks Executive Reviews for illness cases leading to lost time D&A testing Tiredness and Fatigue Standard Interactive Doctor Assessments Ergonomics Assessments Clinical Psychologist Workshops Mental Health Quiz Mental Illness talks Thyroid testing Stop Smoking Programme Slimming World WOW

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Gain the right feedback…

Listen to the silent voice of the majority, not solely the vocal voice of the minority.

Karl Simons Chief Health, Safety & Security Officer

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