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Scottish Government Health and Employability . Highland Health Works. Session Plan . Welcome, Course Aim & Objectives Employability Who is fit for work Is work good for health What are the barriers to employability Local services When and how to talk about employability
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Scottish Government Health and Employability Highland Health Works
Session Plan • Welcome, Course Aim & Objectives • Employability • Who is fit for work • Is work good for health • What are the barriers to employability • Local services • When and how to talk about employability • Action planning • Evaluation & close
Aim To raise awareness of the links between health and employability and explore with healthcare staff ways of incorporating this into practice for the benefit of their patients / clients
Learning Outcomes • By the end of the session, healthcare staff will: • Be aware of policies relating to health, work and well-being. • Be able to identify potential barriers to employability • Be aware of local services. • Know when and how to begin speaking to patients/ clients about employability. • Be able to provide basic information about local services. • Plan how to incorporate the issue of employability into your everyday practice.
Setting the Scene Better Health Better Care The Scottish Government 2007 Workforce Plus Scottish Government 2006 Health works The Scottish Government 2009
Employability • “Employability encompasses all the things that enable people to increase their chances of getting a job, staying in, and progressing further, in work”. . . . “for each individual, there will be different reasons why they are not achieving what they would like in employment – perhaps their confidence and motivation, their skills, their health, or where they live compared to where the jobs are available”.(Workforce Plus: Scottish Government Employability Framework 2006)
What is ‘Work’? Work: The application of physical or mental effort using knowledge and skills with a purpose to accomplish or achieve something. Progressing towards employment training, education, work placements part time & temporary employment voluntary work
Is work good for health? For most adults of working age including those with disabilities and common health problems, a return to work may: promote recovery and aid rehabilitation improve physical and mental health and wellbeing reduce social exclusion and poverty (Waddell G, Burton AK. Is work good for your health and well-being?)
Health Risks of Worklessness 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)
What are the Barriers? Individual Age, poor physical/mental health, addictions, medication effects, lack of role models, carer, attitude to work, benefit dependency, Structural Where to get support, access to care. Inflexible working, start-up costs, environment, housing. Attitudinal Attitudes and recruitment practices of employers but also professionals, carers, and peers whose low expectations may lead to low levels of support or inappropriate support. 100% fit myth, better off on benefits.
Role of Healthcare staff Common concerns aboutdiscussing work: Have I got time for this? Is it my job to do this? If I do ask about work, will I have the right information? Will it effect my relationship with my patient? My own perceptions on readiness for employability. Key role of health staff Improve confidence & motivation Signposting and referral Key message: discussing work should not be thought of as inappropriate or separate to providing the best possible care to improve health KSF links: C1 Communication, HWB4
How not to Ask About Work? Are you currently in paid employment?
How to Ask About Work? Information on employment can be gathered informally e.g. “Did you need take time off work to make this appointment?” “What information would help you start thinking about work?" "Has anyone been in touch with your boss?" "What would you like to do?" "What's stopping you going back to work?" "What support do you need to go to work?" "What sort of work and training have you done in the past?" "What does your family think about you working?" "How will you know when you are ready to work?" "Do you need to check your benefits?“ Do you already gather information on employment e.g. Via existing assessment? Is anything done with information? Timeline – When to ask?
USEFUL LINKS www.healthyworkinguk: Highland Community Of Practice http://www.knowledge.scot.nhs.uk/work.aspx http://www.workingforhealth.gov.uk/documents/health-work-gpleaflet.