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Staying in Work Staying Healthy

Staying in Work Staying Healthy. About Twining. West London based charity Social Enterprise In excess of 600 clients pa Support into work, education, volunteering Support in work Approx 200 clients in/into employment Across health & employment sectors. Twining’s Mission.

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Staying in Work Staying Healthy

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  1. Staying in Work Staying Healthy

  2. About Twining • West London based charity • Social Enterprise • In excess of 600 clients pa • Support into work, education, volunteering • Support in work • Approx 200 clients in/into employment • Across health & employment sectors

  3. Twining’s Mission To improve mental wellbeing through helping people in and into work We provide tailored, practical support to individuals, employers and our community

  4. Bob Kitchin Chief Executive 07961 725110 b.kitchin@twiningenterprise.org.uk

  5. Mental Ill Health Basics– The Employment Side • 3 in 10 employees have a mhp in any year • MHPs account for more work time lost than musculoskeletal problems • The cost - £28 billion • Reduced productivity • Sickness absence • Staff turnover • Average per employee £1,035

  6. What it Looks Like • Off work with mental health problems • Off work with “other” problems • At work (poor performance)

  7. We Know That: • Work is good for mental health • Unemployment and time off sick adversely affects mental health • Mental Health – employers’ biggest health & safety issue • Line managers • Underestimate prevalence of mental ill health • Need help in identifying and managing mental health

  8. Mental Ill Health Basics– The Health Side • 1 in 4 people experience some kind of mental health problem in any one year • 90% of people with mental health problems in England are treated entirely at primary care (GP) level • 1 in 3 GP consultations - a social, family or employment problem • Numbers of people with common MH conditions increasing, SMI stable

  9. Traditional Treatment

  10. Overcoming the Barriers

  11. Improving Access to Psychological Therapies The IAPT programme aims to improve access to evidence based talking therapies  in the NHS  through an expansion of the psychological therapy workforce and services.

  12. IAPT – the Big Picture • A national programme • Developing since 2007 • Targeting depression and anxiety disorders • Managed regionally/locally through NHS structures and organisations • All PCTs to have a service by 2011

  13. IAPT – Key Components • Staffing • High intensity therapists • Low intensity workers • Choice • Information on services for patients • Clinicians explain their recommendations • Self help

  14. IAPT – Key Components • Access • GP referral • Self referral • Employer referral • Outcomes • Health outcomes routinely measures • Off sick pay and benefits into the workplace

  15. Integrated Employment Support IAPT Team Employment Advisors

  16. Tripartite Working Employers

  17. The Service • Early access to Employment Advisor • Assessment of needs based on work as integral to wellbeing • Return to work plan e.g. phased return • Liaison with healthcare and employer • Mediation – employee & employer • Reasonable adjustments • Fitness notes

  18. “Tough on mental illness and tough on the causes of mental illness” Farley Davidson. CEO Vauxhall and Southwark PCT

  19. Measures • Employment status • Speed of return • Sick pay/benefit status • Employer sick pay • SSP • Wellbeing measures • Anxiety • Depression

  20. Making it Work Together • Employers • Employees • Healthcare • Employment Advisors

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