Supporting Fitness to Work: An Occupational Health Perspective. Dr Denise Connolly and Mrs Diane Keys

Transcription

1 Supporting Fitness to Work: An Occupational Health Perspective Dr Denise Connolly and Mrs Diane Keys

2 Outline: Setting the scene Belfast Trust statistics Rejoin Research Key objectives for the way forward

3 Model Of Human Occupation

4 CASE NOTE REVIEW AUDIT DR DENISE CONNOLLY April 2015

5 BACKGROUND

6 120,000 PEOPLE OF WORKING AGE DIAGNOSED WITH CANCER EACH YEAR CANCER CONSIDERED A CHRONIC ILLNESS CANCER SURVIVORS ARE ABLE AND DESIRE TO RETURN TO WORK EMPLOYMENT ASSOCIATED WITH HIGHER QUALITY OF LIFE CANCER SURVIVORS 1.4 TIMES MORE LIKELY TO BE UNMEMPLOYED

7 CANCER SURVIVORS EXPERIENCE DIFFICULTY RE-ENTERING THE WORKPLACE AFTER DIAGNOSIS AND TREATMENT MAIN BARRIERS TO REMAINING IN OR RETURNING TO WORK (RTW) LACK OF INFORMATION AND ADVICE FROM HC PROFESSIONALS LACK OF SUPPORT FROM EMPLOYERS LACK OF SPECIALIST VOCATIONAL REHABILIATION SERVICES

8 BENEFICIAL FOR PEOPLE WITH CANCER TO BEGIN THINKING ABOUT THEIR RTW IN FIRST FEW WEEKS OF SICKNESS LEAVE A SUCCESSFUL RTW LESS LIKELY AFTER LONG PERIOD OF SICKNESS ABSENCE HC PROFESSIONAL ADVICE ASSOCIATED WITH SHORTER DURATION OF SICKNESS LEAVE AND MORE SUCCESSFUL RETENTION IN EMPLOYMENT

9 NCSI VOCATIONAL REHABILITATION (VR) PROJECT Evaluation Work support provision from outset of cancer journey HC Professionals have key role Patients with complex needs require specialist VR 73% UK EMPLOYERS HAVE NO FORMAL POLICY FOR MANAGING PATIENTS WITH CANCER

10 BHSCT ABSENCE MANAGEMENT POLICY OH REFERRAL AT 4 WEEK TRIGGER EARLIER INTERVENTIONS MORE EFFECTIVE THAN WAITING FOR 4 WEEK TRIGGER? REFERRAL TO OH FOR CANCER PATIENTS IS LATER

11 AIM ASSESS COMPLIANCE WITH BHSCT MANAGEMENT OF ATTENDANCE POLICY ON REFERRAL TO OH AT 4 WEEK TRIGGER

12 OBJECTIVES TO DETERMINE IF CANCER PATIENTS ARE REFERRED TO OH AT 4 WEEK TRIGGER TO DETERMINE % OF REFERRALS EXCEEDING 4 WEEK TRIGGER

13 CRITERIA AND STANDARDS CANCER PATIENTS SHOULD BE REFERRED TO OH AT 4 WEEK TRIGGER CANCER PATIENTS SHOULD BE REFERRED TO OH AT 4 WEEK TRIGGER IN 100% CASES (UNLESS EXCEPTIONAL CIRCUMSTANCES)

14 METHODS

15 CASE NOTE REVIEW RETROSPECTIVE REVIEW OF BHSCT OCCUPATIONAL HEALTH (OH) NOTES FOR CANCER PATIENTS REFERRED TO OH BETWEEN 1 JANUARY 2014 and 31 DECEMBER 2014

16 PATIENT DATA 1 SEX AGE OCCUPATIONAL GROUP CANCER TYPE

17 PATIENT DATA 2 TIMESCALE FOR REFERRAL TO OH & % EXCEEDING 4 WEEK TRIGGER REASONS FOR REFERRAL TO OH

18 RESULTS

19 SEX

20 AGE < >65 AGE

21 OCCUPATIONAL GROUP T&C NUMBERS

22 OCCUPATIONAL GROUP T&C NUMBERS (%)

23 CANCER TYPE NUMBERS

24 TIMESCALE FOR REFERRAL TO OH

25 TIMESCALE FOR REFERRAL TO OH (%)

26 PERCENTAGE EXCEEDING 4 WEEK TRIGGER 89 % 3 REFERRALS < 4 WEEKS (5.5%) 3 REFERRALS AT 4 WEEKS (5.5%)

27 REASONS FOR REFERRAL TO OH FITNESS FOR WORK ASSESSMENT SUPPORT GENERAL ADVICE SUPPORT, REHABILITATION, ADJUSTMENTS TO FACILITATE RTW TIMESCALE FOR RTW IHER ASSESSMENT

28 CONCLUSIONS REFERRAL TO OH FOR CANCER PATIENTS TAKES PLACE AT A LATER STAGE? LACK OF UNDERSTANDING OF ROLE OF OH? PROVISION OF SPECIFIC TRAINING FEEDBACK TO MANAGERS

29 FOLLOW ON MSc Research project Survey of attitudes and behaviours regarding referral of employees with a cancer diagnosis to OH

30 Research Project Dr Gail Eva REhabilitation for Job and Occupational INdependence

31 Decision making

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33 Supporting fitness to Work

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35 Confidence:

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37 Reasonable adjustments

38 Solution Focused: Even the hardest problems have solutions

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41 The best is yet to come

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43 REFERENCES 1. Office for National Statistics. Cancer Statistics Registration: Registrations of Cancer Diagnosed in 2003, England. London: HMSO, Mehnert A, de Boer A, Feurestein M. Employment challenges for cancer survivors. Cancer 2013; vol. 119, supplement S11, pp.2 159: De Boer AG, Tashika T, Ojajarvi A, van Dijk FJ, Vebeek JH. Cancer survivors and unemployment: a meta-analysis and meta-regression. Jama 2009; vol. 301, issue 7, Macmillan Cancer Support. Making the shift. Providing specialist work support to people with cancer. Report March Taskila T. How to help people with cancer return to work. Occupational health, Research, Return to work and rehabilitation Belfast Health And Social Care Trust Management of Attendance Protocol

44 Thank you for listening Contact details: Dr Denise Connolly, Speciality Registrar, Occupational Health Mrs Diane Keys, Lead Occupational Therapy Clinical Specialist