Posts Tagged ‘Occupational Health’

Employee wellbeing – poor sleep is not something to yawn about

Heart disease, diabetes, obesity and poor brain function have all long been linked to sub-standard sleep, not to mention simply having the potential to leave you having a seriously sub-standard day at work.

Now a study in the medical journal PNAS has argued the activity of genes can actually be altered when someone’s sleep is cut to fewer than six hours a day for a week.

 Atos-Healthcare-occupational-health-poor-sleepSleep plays a key role in the amount of energy we burn, while the increased food intake often associated with insufficient sleep is, it transpires, a physiological adaptation to provide the energy needed to sustain additional wakefulness, the research concluded.

The researchers at the University of Surrey analysed the blood of 26 people after they had had plenty of sleep, up to 10 hours each night for a week, and compared the results with samples after a week of fewer than six hours a night.

Chemistry of the body

More than 700 genes were altered by the shift, meaning the actual chemistry of our bodies was changed, with areas such as the immune system and how the body responds to damage and stress affected in particular.

Much of how sleep actually “works” in terms of health remains to be unlocked and, if anything, what this latest research illustrates is just how much we don’t know about sleep, as much as how much we now do.

Certainly, from a work perspective, the links between sleep, diet, lifestyle and productivity have long been recognised. Someone who has had a good night’s sleep will tend to be more energetic, engaged and productive than someone who is burning the candle at both ends.

Engagement and productivity

Yet, at the same time, this doesn’t always appear to hold true for everyone. Politics and business are littered with examples of high fliers who seem to thrive on an amount of sleep that would leave most of the rest of us dropping.

Indeed, just in April, for example, The Guardian newspaper asked a range of top chief executives what time they got up and the consistent theme was not just how early they tended to rise but how often they, in effect, leapt out of bed energised and ready to go.Atos-Healthcare-occupational-health-poor-sleep-patterns

At one level, clearly, being able to pass this enthusiasm and drive down an organisation could be a key way to improve productivity and engagement.

On the other, as the PNAS study indirectly illustrates, a long-hours culture can also have potentially deeply damaging effects, both physically and mentally.

 

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Employee wellbeing – new NHS guidance on asthma

The government’s health watchdog, the National Institute for Health and Clinical Excellence, has published guidance that sets out what people with asthma should be able to expect from the NHS.Atos-Healthcare-occupational-health-new-NHS-guidance-on-asthma

The quality standard outlines the need for, among other things, a written personal “action plan”, training and assessment on a person’s inhaler technique before starting any new treatment and a structured review at least once a year.

Around 5.4 million people in the UK currently receive treatment for asthma, 1.1 million of whom are children, according to official estimates.

The standard has been primarily developed to help GPs improve the diagnosis and treatment of people with asthma, and outlines in all 11 “statements of measures” for high quality care.

Occupational asthma

Importantly, from a workplace perspective, the standard includes a measure around adults being assessed by GPs for occupational-based new-onset asthma.

Occupational asthma, as NICE points out, is the only form of the condition that can be potentially cured by removing the person from exposure to the trigger, in other words whatever in the workplace is causing it.

GPs therefore need to be able to recognise symptoms suggestive of occupational asthma, so that they can ensure appropriate referral and treatment.Atos-Healthcare-occupational-health-baker-and-his-bread

The good news about occupational asthma is that, since 2000, statistics indicate there has been a decrease in the number of reported cases, with occupations with the highest incidence rates including bakers and vehicle paint sprayers, according to the Health and Safety Executive.

Nevertheless, it is still something both employers and GPs need to be vigilant about, especially in occupations where workers may be exposed to airborne substances that can heighten risk of asthma.

 Educational value

More widely, such guidance may have useful general educational value beyond occupational asthma.

The fact asthma is such a prevalent condition in our society means chances are most managers will at some point find themselves managing an employee who suffers from asthma.

No one, of course, expects a manager to be an expert on asthma, but having an idea of the sort of day-to-day health challenges that can be associated with the condition – especially the potential dangers associated with an asthma attack – has self-evident value.

Moreover, understanding why an employee with asthma may need to take time off from time to time to attend a clinic or see a GP may help with managing their attendance and absence more effectively and sympathetically.

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Employee wellbeing – be aware of changes to driver medical standards

Changes to the minimum medical standards for driving in the UK were introduced by the Driver and Vehicle Licensing Agency (DVLA) in March, meaning it is important employers revisit their protocols for allowing employees to drive for work.

The changes  are primarily around eyesight and epilepsy.Atos-Healthcare-workplace-drivers-2

For eyesight, for “Group 2” drivers, or those driving buses and lorries, there is now a new relaxed visual acuity standard that allows for eyesight to be weaker in one eye than another.

For epilepsy, for “Group 1” drivers (or cars and motorcycles), drivers who have only ever suffered seizures while asleep may now be considered for a licence after one year rather than, as previously, three years.

Effect on ability

Further, drivers who have only ever suffered seizures that have no impact on consciousness or the ability to act will now be able to apply for a driving licence one year from the date of their first seizure.

This is a change from the stipulation that such drivers can only be licensed if they are free from these seizures for a period of 12 months.

To help employers, the Society of Occupational Medicine has also issued guidance on the change.

Legal responsibilities

This, of course, all simply complements employers’ existing legal responsibilities for employees who drive while at work. These can be found on the Health and Safety Executive’s website.

Atos-Healthcare-workplace-driversAs the TUC has highlighted the government’s own statistics estimate that there are some three million company cars on the road, and roughly one in three will be involved in an accident each year.

Insurance and risk management firm Centor, meanwhile, has published a handy 10-point guide for employers on what needs to be included in their “duty of care” when it comes to workplace drivers.

This emphasises, among other recommendations, the imperative to have appointed a senior manager to take responsibility for driving at work, the need for regular risk assessment and the importance of having a comprehensive driver’s handbook for employees who will be expected to take to the road.

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Employee wellbeing – now you can check for diabetes at your local chemist

High-street chemist chain Boots has linked up with the charity Diabetes UK to offer in-store diabetes risk assessments.

Atos-Healthcare-diabetesThe risk assessments have been available at all Boots Pharmacy stores since January and are being offered free of charge to anyone concerned they might be at risk of developing Type 2 diabetes.

Type 2 diabetes develops when a person’s body does not produce enough insulin to maintain a normal blood glucose level, or when the body is unable to effectively use the insulin that is being produced.

Key risk factors can include failing to maintain a healthy lifestyle, poor diet, lack of exercise and being overweight. It accounts for some 85-95% of diabetes’ cases and usually appears in people aged over 40.

Many employers do, of course, now include diabetes on their health promotion “menu” of activities and therefore it could well make sense to advertise or promote the message that this simple check is now available for free on most high streets.

The risk assessment consists of a series of questions based on the risk factors of Type 2 diabetes.

People will also have their waist circumference measured and their BMI (body mass index) calculated. A risk score is then calculated, leading to a conclusion of whether someone is at low, increased, moderate or high risk.

Atos-Healthcare-measuring-waistline1Anyone who scores a moderate or high risk will be offered personalised advice from a pharmacist, specially trained in diabetes, on how to manage their risk, Boots has said.

They will also be given a letter explaining this to take to their GP practice and will be advised to make an appointment for further tests.

Barbara Young, chief executive of Diabetes UK, said: “We want as many people as possible to be assessed for risk of Type 2 diabetes so that those who are at high risk can get the support they need to prevent it and those who have Type 2 diabetes but do not know it can be diagnosed.

“Having risk assessments available for free in the heart of people’s communities will make it easier for people to access them and so increase the number of people who are aware of whether they are at risk,” she added.

More widely, Diabetes UK has a range of factsheets and resources on the condition available online, at http://www.diabetes.org.uk/.

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Employee wellbeing – health ‘MOTs’ may not be good for you

Health “MOTs” for people aged in England over 40 were introduced back in 2009 for the best of reasons – they are designed to help doctors screen for conditions such as heart disease, stroke or diabetes by looking for “silent” risk factors, such as high blood pressure or cholesterol.

But, according to research, such general check-ups are unlikely to lead to a condition needing treatment being identified and, in fact, may even make things worse by causing an individual undue stress and worry.

Atos-Healthcare-female-doctor-examining-a-young-man.jpgStop checks?

The Danish study for The Cochrane Library, has even gone so far as to recommend doctors consider stopping offering the checks.

The review of more than 180,000 patients concluded the check-ups do not reduce deaths overall or deaths from cancer and heart disease.

Ministers at the time of the launch suggested the scheme could save as many as 650 lives a year.

Worried well

But the Danish study argued it is often the “worried well” – or people who are worried about their health but otherwise fit and healthy – who put themselves forward for such screening.

Lead researcher Lasse Krogsboll, of the Nordic Cochrane Centre in Denmark, told the BBC: “From the evidence we’ve seen, inviting patients to general health checks is unlikely to be beneficial. We’re not saying that doctors should stop carrying out tests or offering treatment when they suspect that there may be a problem. But we do think that public healthcare initiatives that are systematically offering general health checks should be resisted.”Atos-Healthcare-female-doctor-hand-holding-a-stethoscope.jpg

However the government responded by defending its policy and arguing that spotting people at risk of heart attacks, diabetes, stroke and kidney disease can help prevent them succumbing to the diseases.

Executive perk

So, what do employers and employees think? Given that many employers invest a lot in health promotion and screening – and often, especially at executive level, offer just this sort of health MOT as a perk – is it money well spent?

And, for employees, is being able to access such screening reassuring – a sign your employer really cares about you and your health – or really neither here nor there when it comes to how you think about your employer?

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