UK’s fit note initiative is a short-term attempt at a fix

On April 19 2024, United Kingdom’s Prime Minister Rishi Sunak made a major speech about welfare reform and mental health. The UK has a strong tradition of public health support through its National Health Service, which always seems to be underfunded and under-resourced but holds huge cultural and medical significance in the community. Mental ill-health has increased enormously over the last decade, as it has in countries like Australia, which is currently undergoing significant industrial relations reforms. However, what is missing from the PM’s speech and some of the subsequent analysis is that work is controlled by employers, so what does PM Sunak expect employers to do to help?

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The occupational context of burnout is largely missed in this new book about exhaustion

Burnout continues to have its moment in the sun. It is the cover story of the February 2024 edition of Psychology Today and is a major theme in a new book about exhaustion. The World Health Organisation’s (WHO) declaration of burnout as an “occupational phenomenon” is downplayed or ignored in both publications.

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The fluctuating grey zone of compliance

The occupational health and safety (OHS) profession operates within the legislative context of “so far as is reasonably practicable“, that band of compliance, that non-prescriptive, performance-based flexibility offered to employers to encourage them to provide safe and healthy workplaces. It could be said that OHS was easier forty years ago because the compliance band was thinner, and in some cases, compliance was determined by specialist OHS inspectors on the day of the visit.

Today, that compliance band fluctuates and can be affected by community values and expectations, as shown in a recent discussion about sexual harassment at Australia’s Fair Work Commission.

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A good working-from-home book… finally

One of the most appealing little occupational health and safety (OHS) crossed my desk the other day. It is a small, cheap book called “Work Well From Home – Staying Effective in the Age of Remote and Hybrid Working“. Although this updated edition was published in 2023, its appeal is that it is a reissue from 2005 when the advice is largely pre-COVID, pre-broadband service, pre-Zoom, and pre- lots of issues that now seem to complicate working from home.

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An economics perspective on overwork

As Ingrid Robeyns’ Limitarianism book hits the Australian bookshops, an earlier examination of the role of excessive profits of “affluenza” from 2005 is worth considering. How does this relate to occupational health and safety (OHS)? The prevention of harm and the reduction of risk are determined by employers deciding on what they are prepared to spend on their workers’ safety, health, and welfare. Employers are looking desperately for effective ways to meet their new psychosocial harm prevention duties. Economists identified strategies in 2005.

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The future of OHS and Safe Work Australia

Marie Boland‘s work and reviews have been prominent features in Australia’s occupational health and safety (OHS) for over a decade. Last year, she took on the CEO role at Safe Work Australia, the country’s principal workplace health and safety policy body. Recently Boland spoke to the Australian Institute of Health and Safety (AIHS).

The interview/article starts with the unavoidable moral argument for the importance of workers’ lives in Australia and the social ripple effect of deaths and serious injuries. Inevitably, economic cost is mentioned:

“Our research shows that, in the absence of work-related injuries and illnesses, Australia’s economy would be $28.6 billion larger each year, and Australians would be able to access more jobs with better pay,”

page 27, OHS Professional, March 2024

Economics is always mentioned in articles about the importance of workplace health and safety but, really, who cares?

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Mental Health First Aid is not a harm prevention strategy

Courses in Mental Health First Aid (MHFA) are increasingly popular in Australia as employers struggle to understand their (new) occupational health and safety (OHS) obligations to provide psychologically safe and healthy work environments. However, MHFA and OHS are fundamentally incompatible.

MHFA is an intervention program, while OHS requires prevention. So, employers who send staff to MHFA intending to comply with their OHS obligations are deluded.

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