RIWC_PARA_A156 the need for, and the delivery of, a consistent disability management programme...
13
The Making of a Profession Graham Halsey Chairman
-
Upload
marco-muscroft -
Category
Presentations & Public Speaking
-
view
25 -
download
1
Transcript of RIWC_PARA_A156 the need for, and the delivery of, a consistent disability management programme...
The Making of a ProfessionGraham HalseyChairman
Vocational Rehabilitation
Helping people to stay in, remain at and return to work.
Effective workplace rehabilitation is a product of the actions of the employer and health services.
01/05/2023 [email protected] 2
What is Disability Management?
• A proactive process that minimizes the impact of an impairment (resulting from injury, illness or chronic condition) on the individual’s capacity to participate competitively in the work environment
• A process that enhances the likelihood that impairments will not result in workplace disability.
What is known already?
Well lots actually!• Any improvement in work-related support
for those who develop health conditions will need to be underpinned by a fundamental change in
• the widespread perception around fitness for work; namely, that it isinappropriate to be at work unless 100% fit and that being at work normally impedes recovery.
Dame Carol Black Working for a healthier tomorrow 2008
Working for a healthier tomorrow (March 2008)
[email protected]/05/2023 4
01/05/2023 5
What is known already?
Keeping people in work or getting them back to work more quickly if they do go off sick is now known to be a key factor in protecting their long term health and well being.
Fitness for work 2013 Lord David Freud.Governments response to Dame Carol Black and David Frost report Health at Work 2011
01/05/2023 6
“Vocational Rehabilitation – What works for whom and when” Waddell, Burton and Kendall 2008
What is Vocational Rehabilitation?
• whatever helps someone with a health problem to stay at, return to and remain in work.
• it is an idea and an approach as much as an intervention or a service.Effective vocational rehabilitation requires
• work-focused healthcare and workplaces that are accommodating.• strong scientific evidence.• a good business case. • evidence of its cost benefits.
Most people with common health problems can be helped to return to work by following a few basic principles of healthcare and workplace management.
01/05/2023 7
Where are we now?Only 34% of adults with mental ill health or learning disabilities are in employment in England (NOMIS 2012).
There still needs to be a shift in behaviour at community, professional and individual level.
Public sector expenditure continues to increase on ill health and unemployment within the deficit reduction strategy.
We continue to spend money on activities that don’t keep people in employment or get them back to work.Some professionals still assume that not working is better for people than going to work.
01/05/2023 8
What do we know already?
What medical staff say about return to work, what family and friends say and the response of their employer will together determine whether someone returns to work or not.
When considering people with the same condition, similar employers, same race, age and gender – some will return to work – others will not.
The longer people wait for treatment the less likely it is for them to return to work.
What people say early in a period of illness about their return to work will influence if they return – regardless of the interventions they receive.
01/05/2023 9www.kmghp.com
Culture MUSTChange
Services MUSTChange
Attitudes MUSTChange
Work as part oftreatment
Not just anOccupational Health issue
Training of medicalstaff – workplace rehabilitation is
treatmentWorking with a chroniccondition becomes the Prevention– focus on
new norm keeping people in Not working should work be the exception
Medical and social carestaff – talk about work and actively support people to
work
Early treatment –move from an acute
medical model
Aspirations for ourfamilies/friends – particularly our
childrenGood Work –
generates profits Not every solution ismedical
Cultural Issues to OvercomeMythsSome practitioners say that they are unsure work is good for recovery….
Many employers want to know how people can be made 100% fit for work.
“we should concentrate on getting you better before you think about work”
EvidenceWork is good for health – being out of work is bad for health. (Waddell and Burton 2006)
Being in employment has a positive impact on recovery. Chronic conditions, poor health and recovery from surgery do not stop people working. (DWP Mental Health and Employment 2008)
People have different rates of recovery, employers and employees need to agree when they can return to work and what they will do (Boorman 2008)
Why Nidmar?• Variety of 24 modules to choose from• Modules can be tailored around the needs of the course
participants• Assignments to re-enforce contents of modules• Exam – currently based on 300 MCQs• Credited course which is recognised worldwide• Offers professional qualification• Delivered by tutors with experience of working in the
field
Why Nidmar• Establish national standards of working• Provide personal development opportunities • Members of the multi-disciplinary team have a common
understanding of VR/DM and requirements of RTW• Professional boundaries blurred to the advantage of the
client• Consistency of training• Similar levels of expertise in the team achieved• Team morale high
Developing Links for further development• Is VR the domain of health professionals only?• What about the unqualified workers being used by organisations
delivering return to work?• How can we look to up skill them?• Should we consider a CDMP as part of career path for non-health
professionals?• Could it be part of an “apprenticeship scheme”?• Entry Level to Masters Degree?
