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#1 Posted : 31 August 2004 15:31:00(UTC)
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Posted By Eric Burt
Does anyone use a sickness / absence form for their employees which asks the employee if their sickness was work-related or not?

The HSE has targets for reducing work-related ill-health, but as the majority of employers do not ask employees if their absence was work-related, I am curious as to how these figures can be accurate.

In respect of accidents at work it is straight-forward because we simply match the accident form with the sickness form, but with ill-health it is very much up to the employee to say whther they think it was caused by work.

Any thoughts?
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#2 Posted : 31 August 2004 16:08:00(UTC)
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Posted By The Kevster
Errr... Please put the lid back on that can of worms thank you!

Maybe just use back to work interviews with the line manager? But- I suppose in some cases the employee may not know that their absence was work related. Also, other employees may want to claim that their absence was work related when it infact was not. For instance if they do not want their absence counted against their Bradford points score- or whatever system is used.

??
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#3 Posted : 31 August 2004 16:35:00(UTC)
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Posted By Peter Longworth
If you ask whether the sickness is work related and the answer you get back is yes, you are probably half way to admitting liability in the event of a claim against you.
Not really what you want to be doing
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#4 Posted : 01 September 2004 08:55:00(UTC)
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Posted By Ken Taylor
Just carefully consider whether sickness absence might be work-related to make sure that it is not and take any necessary appropriate action. The classic ones to watch are references to stress, anxiety and the like on medical certificates.
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#5 Posted : 01 September 2004 11:20:00(UTC)
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Posted By Heather Aston
Can open, worms everywhere........

I don't think you can take the "if we don't ask then we can pretend it isn't happening" stance on this one - whatever happened to being proactive?

I accept the point about claims, but merely asking the employee whether they consider the problem work-related isn't accepting liability. Surely it's far better to investigate the issue properly at the time, make an informed judgement and record it than to wait until the claims letter comes in and then have no facts?

We do include the question on our return to work form. If the employee says the absence is work-related they get referred to Occupational Health who investigate properly.

Of course there's always room for doubt and if we have any, saying so in contemporaneous notes is a help rather than a hindrance in future claims.

Heather
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#6 Posted : 01 September 2004 11:35:00(UTC)
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Posted By Steve Langston
E-mailed you direct but totally agree with Heather.
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#7 Posted : 01 September 2004 11:57:00(UTC)
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Posted By Hilary Charlton
I think we need to be careful here and remember that we cannot be invasive. If someone is off with a work-related accident we can be as invasive as we like in the name of root cause analysis and investigation, however, if they are just ill then it's really none of our business unless they volunteer the information. Best idea is to get personnel involved in a return to work interview and ascertain root cause that way.

Hilary
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#8 Posted : 01 September 2004 13:27:00(UTC)
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Posted By Dave Daniel
It has now been almost 10 years since I last worked for Rover Group but I can confirm that when I last investigated ill-health absence at Longbridge (25,000 employees at the time)in 1993, the sickness absence administrators were recording on average 40% of all "Doctor's Notes" as illegible....... this being the largest single cause of absence .... You may draw your own conclusions over the accuracy of published figures!

Dave Daniel
[Ex Group H&S Adviser - Rover Group]
Technical Director
Practical Risk Management
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#9 Posted : 01 September 2004 16:43:00(UTC)
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Posted By David J.
“Can of worms” it most probably is. But a can that has open or at least half open for a long time. Whilst I consider absence management including work related to be a personnel and not safety issue I do recognise the significance of H&S re occupational health. Big problem has always been identifying work-related illness esp in the modern era of psychological aspects of absence: stress. How do we find out if it is work related; home/personal related or the most probably a combination of these? One will by definition compound the other. Most GPs will not, on a medical certificate, identify the cause of a persons alleged stress- i.e. work or nonwork related. Experience from using our occupational health provider is they basically, on most occasions go along with the employee. worker says work related our occ health people usually accept and report same. Problem we have…... talk to staff…. 90% will say “god I am stressed” . When in fact 80% of that group are at worst under pressure to deliver a piece of work. Yep I have always held the view that pressure is not stress!!!!

Getting back to the point. (getting stressed trying to hold onto it!!!)

How do we really measure psychological related illness/absence. re work or non work related or the combination of both? Ask the employee????

Anyone know how to close this bloody can?
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#10 Posted : 01 September 2004 17:19:00(UTC)
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Posted By Eric Burt
Yep

Dealing with this issue certainly isn't getting me onto anyone's Christmas card list, but I really can't see any other way of getting accurate figures for work-related ill-health.

I have suggested asking the employee whether they consider their absence to be work-related - Yes/No/Maybe.

If they say no - then that's straightforward enough, and they can't come back at some later date and claim it WAS work-related.

If they say yes or maybe, then this will trigger the manager into doing something about it - return to work interview etc etc.

We recently had a stress audit by EMAS and this issue stems from that.

Previous replies to this thread have talked about sticking your head in the sand and I guess that's the long and short of it - if we don't ask the question if it's work-related or not, then we don't have to deal with it etc etc.

Makes me wonder where HSE have got their work-related ill-health figures from though, especially if very few employers seem to be making the distinction between work-related and non work-related ill health....

Thanks Steve for the sickness absence form.

Regards,


Eric

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