Employability & Health (Awareness Session) Co-facilitated by: Maggie Vooght Anne McGuire

1. Employability & Health (Awareness Session) Co-facilitated by: Maggie VooghtAnne McGuire Working Health Services Employer & Partnership Manager NHS Ayrshire & Arran Department for Work & Pensions

2. Welcome Introduction ‘Housekeeping’ Ground Rules

3. Introductions Please briefly state: • Your name • Role • Experience of Employability/Work Issues • Reason for attending session

4. Aims • WHY – should anyone talk about work & health? • WHAT – information could be given? • WHO – should do it? • WHEN – is the ‘right’ time to talk about it? • HOW – is the best way to do it?

5. Outcomes • An awareness of the important links between work and health • Increased confidence and ability to discuss work/employability • Awareness of the potential barriers facing clients seeking employment/return to work and how they may be overcome • Access to information about appropriate support and services

6. WHY ?

7. HOW WELL / READY TO COME TO WORK DID YOU FEEL THIS MORNING?

8. “I'll count my health my greatest wealth, Sae lang as I'll enjoy it: I'll fear nae scant, I'll bode nae want, As lang's I get employment” Robert Burns “Here’s To Thy Health” 1780

9. What Is Work? • “Applying physical or mental effort using knowledge and skills with a purpose to accomplish or achieve something”. • Work Can Be: • Full-time • Part-time • Voluntary • Permitted Work • Temporary / Permanent

10. What is Employability? “Employability encompasses all the things that enable people to increase their chances of getting a job, staying in, and progressing further in work”. (Workforce Plus; Scottish Government Employability Framework 2006) Progressing Towards Employment: Training Education Work Placements Work Experience Voluntary Work

11. Evidence Base • Is work good for your health and well-being? Waddell & Burton 2006 • Health Works -The Scottish Govt. 2009 • Marmot Review 2010 – In work Poverty • Health At Work- an independent review of sickness absence - Frost & Black 2011 • Scottish Govt. Response to the review 2012

12. Categories • OUT OF WORK • EMPLOYED - BUT OFF SICK • EMPLOYED - AT WORK BUT STRUGGLING

13. Worklessness and Health Evidence shows that (long-term) unemployment is associated with: • poorer general health, somatic complaints, long-standing illness, limiting longstanding illness • poorer mental health; more psychological distress; minor psychological/psychiatric morbidity, suicide • higher medical consultation, medication consumption and hospital admission rate (Waddell G, Burton AK. Is work good for your health and well-being?, 2006)

14. Long-Term Unemployment Equals the health risk of smoking 10 Packs of cigarettes per DAY (Ross -1995) After 6 months on health benefit - 80% chance of being off work for 5 years (Waddell and Burton 2006) After 2 years on health benefit - more likely to retire or die than to get back into work. (The Scottish Government)

15. The Working Day

16. The Non-Working Day ? ?

17. WHAT ?

18. The Employability Pipeline • Stage 1: Referral, Engagement and Assessment • Stage 2: Needs Assessment • Stage 3: Vocational Activity • Stage 4: Employer engagement and job matching • Stage 5: In work support and aftercare

19. Overcoming Barriers Welfare reform-Universal Credit Access to Work Work Choice Work Capability Assessment WORK Support from JcP Personal Independence Payment (PIP) FIT NOTE Fit For Work Scotland (FFWS)

20. Fit Note

21. Equality Act 2010 In employment context disability is defined as: “A physical or mental impairment which has a substantial and long-term adverse effect on a person’s normal day-to-day activities.” ‘protected characteristics’ ‘reasonable adjustments’ disclosure required

22. Overcoming Barriers Welfare reform-Universal Credit Access to Work Work Choice Work Capability Assessment WORK Support from JcP Personal Independence Payment (PIP) Fit Note Fit For Work Scotland (FFWS)

23. Return to Work Tips List a breakdown of all work tasks Meet in advance with HR &/or Manager Agree RTW plan (in writing) NOT Monday 9am Stick to the plan Review ? Weekly Problems? – ACAS / didlaw

24. Overcoming Barriers Welfare reform-Universal Credit Access to Work Work Choice Work Capability Assessment WORK Support from JcP Personal Independence Payment (PIP) Fit Note Fit For Work Scotland (FFWS)

25. Overcoming Barriers Welfare reform-Universal Credit Access to Work Work Choice Work Capability Assessment WORK Support from JcP Personal Independence Payment (PIP) Fit Note Fit For Work Scotland (FFWS)

26. Overcoming Barriers Welfare reform-Universal Credit Access to Work Work Choice Work Capability Assessment WORK Support from JcP Personal Independence Payment (PIP) Fit Note Fit For Work Scotland (FFWS)

27. Access To Work • Additional support for those whose health or disability affects their job • Advice to individuals and employers • Contributes to additional costs employers would not normally be expected to meet, by up to 100% • Must be in work or about to start a job or work trial • Covers: • Special aids and equipment • Adaptations to premises and equipment • Support workers • Travel to work and within work • Communication support at interview

28. Overcoming Barriers Welfare reform-Universal Credit Access to Work Work Choice Work Capability Assessment WORK Support from JcP Personal Independence Payment (PIP) Fit Note Fit For Work Scotland (FFWS)

29. WHO ?

30. nursing assistant criminal justice officer volunteer school nurse dietician cashier young carers worker business development manager GP podiatrist pharmacist support worker consultant administration assistant ward manager administrator charge nurse income adviser project worker clinical lead health promotion staff information officer district nurse community food worker podiatrist social worker health visitor clerical officer receptionist physiotherapist mental health worker addictions team psychologist learning disability worker human resources team occupational therapist

31. WHEN?

32. HOW?

33. HOW ? • Just have a conversation!! • Know more about how to deal with someone’s answers • Gather information about appropriate referral/signpost options • Gain confidence (by being better informed about services & background)

34. THE SITUATION INFORMS THE CONVERSATION: • OUT OF WORK • EMPLOYED - OFF SICK • EMPLOYED - AT WORK, BUT STRUGGLING

35. Have you had to take time off work to come to this appointment today?How does your (health/condition/problem) affect your work?When do you think you will be ready to return to work/look for work?What kind of work have you done previously?

36. Conclusions? • Work is vitally important to the health of individuals. • To realise an individual’s potential for work they may need the support of different services or organisations. • We have to accept that some individuals will never be able to work, but should be offered the opportunity and support to progress and improve their quality of life.

37. Employability & Health Contacts: Maggie Vooght maggie.vooght@aapct.scot.nhs.uk Anne McGuire – anne.mcguire1@dwp.gsi.gov.uk