RETENTION PILOT

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RETENTION PILOT

• Working with employers, employees health
  services on job retention
• Presented by
• Rod Goodwin, Employment Officer

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What is Job Retention?

• Early intervention to prevent loss of job
• Why is this service needed?
• Job retention is not seen as part of a GPs
  duties
• Health services treat the symptoms but not the
  causes of long-term absence from work
• Studies show that people who are out of work for
  6 months are highly unlikely to return to work
• At the moment there is no other help available to
  deal with the reasons for being unable to work

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Common reasons for absence

• Back problems etc often caused by inappropriate
  working conditions
• Asthma, heart disease etc
• Mental Health / Stress
• Work related stress / personal issues are the
  highest proportion of referrals to-date
• Severe mental health problems eg schizophrenia,
  bi-polar disorder

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Absence Implications

• 20 of employees will experience stress related
  absences from work per year
• The number of sick days taken per year because of
  stress have doubled over 7 years
• (1995 6.5 million 2002 13.5 million)
• 370 million in costs to employers (1996 prices)
• 3.75 billion cost to society each year (1996
  prices)
• Health benefits, health care, etc.
• Source HSE 1996/2002
• Job retention is becoming an increasing priority
  for Government

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Retention methods

• Systems
• Signposting and intensive support
• Mediation with employers
• Knowledge of employment law
• Partnership with GPs, employers and advisory
  organisations
• Location - within health centre

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(No Transcript)
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Results so far

• 56 people assisted
• 61 of referrals successfully staying in same
  work (others ongoing).
• 9 changed employer
• Excellent feedback from GPs, patients and
  employers
• Interest from PCT in expanding the scheme

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Presenting problems
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Outcomes
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Referral to first contact
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Age range/gender of clients
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Main reasons for stress at work

• Demands - too little or too much work - too many
  hours- no variation - not enough training
• Control - no involvement in how what and when you
  do your work
• Relationships - bullying/harassment - poor
  management
• Culture - Open or autocratic- sexist-unfair
  promotion opportunities

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Main reasons for stress at work (2)

• Roles- Unclear role or too many or conflicting
  roles.
• Change - no consultation - too many changes -
  individual differences
• Support - no reactive or proactive support