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WorkSafe and (maybe) WorkHealth

Earlier this year, the Victorian Premier, John Brumby, announced a workplace program called WorkHealth. This illness prevention program is to be funded from WorkCover premium income and will focus on combatting health issues such as diabetes, cholesterol and obesity.

The rationale for the program is that poor health is contributing to workplace injuries and impeding rehabilitation.

There are several odd elements about the program. Firstly, its introduction was announced without WorkSafe Victoria’s knowledge, even the program is to be administered through that agency.

Secondly, the trade union movement was not involved in the program development. I am often critical of trade union influence being beyond its real level of support (look at New South Wales politics to see the complexities of this) but in any OHS program it is necessary to prepare the ground. The Victorian government did not do this, for whatever reason, so now should not be surprised if the program comes under suspicion and the unions are hesitant to support.

WorkHealth is an odd mix of public health promotion and workplace health reaction. There is support for such an approach from European initiatives and some Australian States are broadening OHS. But in both these circumstances, the programs are developed through traditional structures ensuring participation and “ownership”.

What is most interesting is that at a recent WorkSafe-sponsored OHS conference in Melbourne, John Merritt, Executive Director of WorkSafe made no mention of this three-month-old $600 million government program even though he was talking about future WorkSafe initiatives. He showed a new TV ad. He spoke about increased toughness on enforcement. But he did not mention WorkHealth.

Kevin Jones

Gaining Political Mileage Out of “handcuff(ed) psychiatric patients”

The New South Wales Liberal Party has released an email from the Pialla Mental Health Nursing Staff to WorkCover detailing their “security” concerns. The original email is available HERE.
The Liberals are making as much political mileage out of this issue as they can.

Many media reports in Australia have said that some patients have been handcuffed to beds. Below is a typical media report:

Psych patients ‘handcuffed’ to beds
Staff at a Sydney hospital have been forced to handcuff psychiatric patients to beds in the emergency department for up to 36 hours because of a lack of space in the mental health ward, the NSW opposition claims. (The full article is available from http://au.news.yahoo.com/080507/2/p/16rjd.html)

The original email from staff makes no mention of handcuffs. Indeed there is no mention of restraints of any kind.

The NSW Liberal’s media release (available HERE) states

The NSW Opposition has revealed staff at Nepean Hospital have been forced to handcuff and sedate psychiatric patients in the emergency department for up to 36 hours because of a chronic shortage of mental health beds, NSW Opposition Leader Barry O’Farrell and Shadow Minister for Health Jillian Skinner said today………..

“When patients are being handcuffed in busy emergency departments and staff express no confidence in the Iemma Government’s ability to respond to their concerns, you know the Minister is asleep at the wheel,” Mr Aplin said.

The disheartening thing about these sorts of statements that receive considerable media attention is that the original, perhaps, legitimate claims by overworked and under-resourced staff get forgotten. I encourage you to read the original email and ignore the political hyperbole.
It is reported elsewhere that

“A spokesman for WorkCover said inspectors had visited staff at Pialla twice since the letter was sent and they would have continuing involvement with the ward.
Health Minister Reba Meagher said she had been informed WorkCover were satisfied with safety measures at the hospital.”

This is not to say that everything is now allright but it does show that issues raised are being addressed.

Importantly, most of these emails address the frustration at lack of communication and consultation, or that management is not taking staff safety concerns seriously. This desperate letter from Pialla’s Mental Health Nursing Staff is a classic example.

Workplace Safety Ads

Twenty years ago WorkCover Victoria won awards for graphic ads depicting workplace incidents. Canada is now debating the value and worth of such an approach to safety awareness. (The WSIB ads are widely available on YouTube) But in the 21st century, Australia is using a gentle approach that is having considerable success.

The latest ad will go to air early in May 2008 and a sneek preview can be viewed HERE

The ad that started WorkSafe’s campaign can be viewed HERE

The WorkSafe ads have had a huge impact by focussing on non-workplace motivations for workplace change. However, the community message needs to be supported by community action from the regulators. There is extensive branding and sponsorhip happening but WorkSafe, or rather the Victorian Government in coordination, needs to step up the role of advocating safety values at all stages of work and life for long term change to be affected.

Safety Behaviours and Enforcement

One of the main reasons that the Safety Institute of Australia included a single conference stream on CEOs recently was so that OHS professionals could gain an insight into CEO perspective – to hear from the horses’ mouths. In a question and answer session after his presentation, Jerry Ellis said “Regulatory requirements are not the…

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LTIFRs – still the corporate benchmark

What I and my OHS colleagues found peculiar at Day One of the Safety In Action Conference was that most of the CEO presenters continued to use LTIFRs (Lost Time Injury Frequency Rates) as the primary safety performance indicator.

In Australian OHS fields, LTIFR has been established as an inaccurate indicator of safety performance but, apparently, it is the indicator that Board members like.

At lunch Michael Thompson of the ASSE said that the continuing prevalence of LTIFR is our fault, the fault of OHS advisers. We have allowed LTIFR to persist far beyond their relevance and use. I think he is probably right as OHS organisations have not pushed alternatives or educated the MBAs and future directors.

The use of Positive Performance indicators has been the way forward for some time. It was sad that PPIs weren’t emphasised more in the CEO stream of Day One.

Is tripartite consultation still the way to go?

Australia's recently announced review into model OHS laws is firmly bound by the tripartite consultative structure formalised by Lord Robens in the early 1970s and comprising government, uniuons and employers. This is a sensbile structure as it involves all of the major influences in Australian workplaces. But just how relevant is it now, thirty years later?

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Australia’s recently announced review into model OHS laws is firmly bound by the tripartite consultative structure formalised by Lord Robens in the early 1970s and comprising government, uniuons and employers. This is a sensbile structure as it involves all of the major influences in Australian workplaces. But just how relevant is it now, thirty years later?

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Safety, Maintenance and Business Continuity

America and Europe have a huge advantage over Australia – they know how to respond to a broad range of disasters. Australia has had its share of bushfires and cyclones but because the country is so large and the geology so stable, the large metropolitan centres of Sydney and Melbourne have been spared. This stability has led to less emphasis on the fragility of infrastructure by business operators than there should be.

In the Herald-Sun newspaper on 12 April 2008, there was a cover story on the organizational neglect of the State’s electrical infrastructure. This was emphasised recently when it took 6 days for many homes to have power restored after a serious storm, a storm that was of the level that Sydney experiences regularly and that the tropical areas of Australia and designed to withstand.

A government inquiry will be held into the delay but this is unnecessary. Privatised corporations are notoriously neglectful of the need to maintain infrastructure services as there is little profit in holding resources in reserve for large-scale disasters. Numerous inquiries into the disasters on the privatised rail networks in England have shown the corporate values of privatised transport companies, some of whom have investments in Australia.

The poor and unsafe conditions of the infrastructure are not the fault of the companies if we take it that their raison d’etre is to make profit. But we cannot extend the same understanding to governments who forsake the public good for the sake of an improved bottom line.

Poor maintenance leads to unsafe conditions which lead to disasters. As safety professionals we need to stress that adequate levels of maintenance are a core part of any preventative strategy. Not only will it reduce the social impact of any disaster but it maintains a robust corporate economy, reduces employees’ exposure to trauma and establishes a company as an important community asset.

Category: business

WorkSafe and (maybe) WorkHealth

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Gaining Political Mileage Out of “handcuff(ed) psychiatric patients”

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Workplace Safety Ads

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Safety Behaviours and Enforcement

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LTIFRs – still the corporate benchmark

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Is tripartite consultation still the way to go?

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Safety, Maintenance and Business Continuity

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