WorkHealth – end is nigh after less than one year

Early in 2008, the Victorian Government sprung a surprise on the OHS and health promotion industries by announcing a world-first initiative – WorkHealth.  This program was to be funded by interest generated from the WorkCover scheme to the tune of hundreds of millions of dollars over the next five years.

WorkHealth loses stakeholder support

Two weeks ago, a well-respected OHS professional advised that key stakeholders in WorkHealth were very cool on the program.  This confirmed previous questions raised in SafetyAtWorkBlog about the promotion, transparency and organisational support for WorkHealth.  The professional stated that others were questioning the placement of WorkHealth in the OHS field rather than in health promotion.

Rumour has existed for some months that WorkHealth is a scheme that has been pushed by a narrow range of OHS and workers compensation advocates.

What made WorkHealth so interesting was that the concept originated from within the workers compensation field with workers compensation money.  At the time, the wisdom of committing such a large amount of money to the initiative was questioned by many in the trade union and business areas.  Why head in this direction when there were established mechanisms to reduce OHS and workers compensation costs?

The global economic problems, it is suspected, would have flowed to the investments of the WorkCover scheme and it would be interesting to know what the revenue allocation to WorkHealth now is calculated at.

OHS/Industrial Relations conflict

In The Age newspaper on 26 October 2008, WorkHealth gained some attention as business groups have now seen the criteria for the health assessments of workers.  David Gregory of the Victorian Employers’ Chamber of Commerce and Industry described the criteria as a potential “industrial weapon”.  According to the article,

“WorkSafe told The Age the idea of an initial ‘tick test’ screening process had been abandoned, and the proposed $130 million worth of prevention programs are not in the pilot at all.”

As is evident from the quote, it is the pilot scheme that is being rolled out, however it is clear from the comments of David Gregory and the state secretary of the Australian Manufacturing Workers’ Union, Steve Dargavel that industrial relations sensitivities have not been considered.

Gregory makes excellent points that good OHS professionals are already aware of – workplace safety can only succeed when industrial relations implications and conditions are considered before any intervention process.

OHS has broadened to include the hazards of fatigue, stress, anxiety, depression, workloads, bullying and other matters that have encroached on health promotion and human resources over the last decade or so.  A worker health program would have been more likely to be accepted through this osmosis rather than a surprise announcement.

Is this the end?

WorkHealth could work if it had been generated as a workplace application of public health programs.  The challenge would have been to legitimise the expenditure in an already cluttered health promotion sector.  How would WorkHealth have achieved this testing regime when business is already assessing its workers for psychological disorders, cholesterol, prostate health, hearing, asthma, and a whole range of modern health issues?  It is unlikely that it could so.

It came down to health assessments in a different context – a context where there had been insufficient groundwork to establish the value of the program to its fundamental stakeholders, the unions and employer groups.  To a much lesser extent, the program was not sufficiently integrated into the WorkSafe authority’s program before the announcement.

Also, the timing has been proven to be wrong.  The global economic problems are beginning to squeeze business’ bottom line.  The calls for workers’ compensation premium relief will increase in the same way that businesses have begun questioning the viability of an emissions trading scheme.  WorkHealth is likely to be one of those program cut, so the government will claim, due to the changing economic climate.  The lessons to be learnt are more wide-ranging than just economics.

New presenteeism survey figures

Frequently I receive audio media releases from the US about a range of workplace safety matters.  These releases are scripted and can sometimes sound corny but within them is a usually a useful nugget of information.

The latest one I received concerns presenteeism and mental health so, being so close to World Mental Health Day, I thought it is worth mentioning.  The audio release is from Cigna Health Care, an American insurance company, and can be heard by clicking 35580_09ny08-0039-_cigna-w

Cigna has a couple of fact sheets in support of the survey findings and an article specifically concerning mental health and wellness which may be worth a look. 

An earlier posting on presenteeism is available and I recommend going to the World Health Organisation, UN or ILO sites for more independent information.

When managing stress, are safety managers looking at the wrong thing?

Today is World Mental Health Day and the media, at least in Australia, is inundated with comments and articles on mental health.  This morning, Jeff Kennett, a director of beyondblue, spoke on ABC Radio about the increasing levels of anxiety that people are feeling in these turbulent economic times.  Throughout the 5 minute interview, Kennett never once mentioned stress.  This omission seemed odd as, in the workplace safety field, stress is often seen as the biggest psychosocial hazard faced in the workplace.

SafetyAtWorkBlog spoke with Clare Shann, the senior project manager with beyondblue’s Workplace Program, about the role of stress in the workplace and its relation to mental health.  She clarified that stress is not a medical condition but a potential contributor to developing a mental illness, such as anxiety disorders or depression.

To put the situation into context, there is a fascinating interview with a Darren Dorey of Warrnambool in Victoria.  The 20 minute interview was conducted on  a regional ABC Radio station on 9 October, and describes the personal experience of depression and anxiety that stems, to some extent, from work.

It seems that in trying to manage stress, OHS professionals may be focusing on the wrong element in worker health.  Perhaps what are considered workers compensation claims for stress should be re–categorised as claims for mental illness.  This may result in a better acceptance of the existence of this workplace hazard.

An exclusive interview with Clare Shann can be heard clare_shann_mental_health

Inadequate resources generate workplace stress

Survey findings released on 9 October 2008 by recruitment company Talent2 indicate that Australian employees are feeling stressed at work as a result of the effects of redundancies.

John  Banks of Talent2 said 

“… 71.7% say they currently do the job of more than one person, and this makes for a very stressful and unproductive workplace.”

The press release for the study stated

“More than half of Australian employees believe they are operating under extremely low staffing levels and 82.1% say they are expected to do far more work today than they were 5 years ago, according to a survey of 2,703 people.”

Almost 60% of respondents in Western Australia said that their workplaces are understaffed.  Between 48% and 58% of respondents in other Australian States agreed.

Banks said that companies can create a “false bottom line” by minimising staff numbers.  He said 

“Across the board, the sales/marketing sector has been most affected with 74.7% of employees in that industry asked to do additional work. The manufacturing sector is also guilty of asking staff to cover the work of more than one person with 74.2% of those surveyed dobbing in their bosses, and the legal sector is not too far behind at 70.4%.” 

It is acknowledged that the volume of claims for compensation for workplace stress increases during periods of corporate economic hardship and redundancies.

A terrific short article on the costs and impacts of workplace stress in Australia can be found in a newsletter by the law firm, Landers & Rogers.

It is also useful to note that the Talent2 survey results were released in the same week that the ILO has been promoting decent work, Australia is running Mental Health Week and the United Nations has its World Mental Health Day.

Politician who attempted suicide is “sacked”

In early August 2008, Paula Wriedt, Tasmanian MP, tried to commit suicide.  Six weeks later the Tasmanian Premier has sacked her from Cabinet, according to an ABC report.

Premier David Bartlett denies this is a sacking, more a “withdrawal of commission”.  He says it is for the good of the government and for the good of Ms Wriedt.

Ms Wriedt was asked to resign her Cabinet position but the Premier says she was “not in a position to make such a decision”.

An audio interview with the Premier put to him that his decision was “despicable” and “reflects the way the state deals with people with mental health problems”.

Ms Wriedt’s suicide attempt had already raised discussion on the workplace issues of stress, compensation, workloads and mental health.  The listener’s question in the audio interview will reflect the majority of the community’s response to the Premier’s decision and Premier Bartlett will have a difficult time explaining how his decision was for Ms Wriedt’s benefit.

Ms Wriedt’s current situation and future career decisions will provide an interesting illustration on how the public service and Tasmanian politics manages an employee with mental health issues, particularly when, on OHS matters, the public service should be exemplars.

“National cuisine” threatens work health promotion

For many years, workplaces in Australia have been promoting healthy diets as a way of improving the general health of the workforce and hopefully reduce illness.  This strategy was easier to develop when there was large manufacturers who had in-house canteens but it was always a struggle.

In 2008, the Victorian Government launched WorkHealth, a program that it claimed was a world-first, and will focus on improving general health by targeting the workplace.  It is understood that the pilot program of worker health assessments begins on Monday, 1 September 2008.

The Herald-Sun newspaper on 26 August 2008 illustrates a major cultural barrier that the workplace health initiative faces.  In an article entitled “Aussie blokes bite back with humble pie”, the marketing manager of Patties (Australia’s biggest pie manufacturer), Mark Connolly said 

“Blokes are sick of being told what they can and can’t eat. They’ve had a gutful of it and are going back to living by their own rules. If they feel like having a pie and a few beers, they’ll have a pie and a few beers.” 

In 2008, Patties has seen a 10% increase in pie sales and an 8.6% increase in profit. Patties has made available a nutritional comparison of their products.  Perhaps, WorkHealth can seek additional sponsorship support from a pie maker.

Media reporting of workplace bullying

As a publisher my mailbox is constantly bombarded by media releases.  Some are irrelevant but most relate to safety in some way.

Over the years the amount of attention given to workplace bullying has grown phenomenally.  In my opinion the attention it garners is way beyond the level it deserves.

That is not to say that those subjected to workplace bullying are not seriously harmed, they are, but the big-picture issue is disproportionate.

This is partly because many people who talk about workplace bullying do not apply the definition of the hazard, and as a result other non-bullying matters get included.  A media release I received today, 14 August 2008, illustrates this point.

Workpro has undertaken a survey of

“2,146 employees applying for work through recruitment agencies across Australia, to gain an understanding of the experiences and beliefs about bullying and discrimination among Australian employees today”.

The survey found

“almost one in three (30%) employees claiming they have been bullied at work; one in four (24%) claiming they have been discriminated against, and 44 per cent stating they have witnessed their colleagues experience either of these”.

That data is pretty clear and you can expect the Australian media to run articles on the survey results tomorrow.  These surveys usually get a good hit rate.

The media release provides the impression that 30% of employees have been bullied at work.  This is not the case.  Thirty per cent of employees who are looking to change jobs say they have been bullied at work.  This does not represent 30% of the workforce but that is the impression we are given.

Another part of the release is annoying.

“27 per cent of respondents say they feel bullying or discrimination has happened to them within the past two years.”

Bullying and discrimination are very different interactions.  Discrimination can be a one-off event, bullying must be a repeated action.  To ask about these two disparate items within the one question is inappropriate or, if the results of two questions are combined, it provides a false impression.  Did 10% nominate bullying and 17% say discrimination or was it vice versa?

The media release says

“When asked about their peers, almost half (46%) of respondents say they have seen their colleagues bullied or discriminated against within the past two years; 31 per cent of this group say multiple times.”

The point about definition made above applies here but why ask about other people anyway?  The multiple times quote muddies the water because it is impossible to be bullied once, a single attack is just that an attack or in OHS parlance, “occupational violence”.

A spokesperson for WorkPro, Tania Evans, says

“It’s quite shocking to hear from employees that this sort of behaviour continues to happen in modern times, but organisations need to realise that bullying and unfair treatment of staff is occurring and could be impacting their own workplace culture or worse still, exposing them to the risk of liability, possible fines and even brand damage.”

Now we have something called “unfair treatment” in the mix.  (And I hate “impact” as a verb) The penalties could be liability, fines or brand damage, what about workers compensation claims for stress and bullying?  Not only is this a substantial business cost, the cause of the claim may result in the employee never being able to work again or lead a functional life?  I place these risks higher than brand damage.

Media releases are not the be-all and end-all of a survey.  Press statements are intended to generate contact in order to provide further information and hopefully generate business opportunities.  Alarmism is an effective tool and this media release is unhelpful.

You can imagine the articles in tomorrow’s papers where the journalists, if they can be bothered, will have asked the OHS regulators or unions for their response to the statistics, even though it may only be those statistics in the media release that they have seen.

I would have liked this survey to be reported in two parts, bullying and discrimination, to reflect their difference but also to report on the different control mechanisms for the harm that each of these hazards can generate.

But, I forgot, that’s my job.

Kevin Jones

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