Arthritis Research Campaign National Primary Care Centre Work, Health and Well-being: and interdisciplinary approach to managing health in the workplace
Work, Health and Well-being: an interdisciplinary approach to managing health in the workplace Friday 19 th June 11.00 Welcome & Summary of the first meeting – Dr Ross Wilkie 11.15 Defining work transition – Prof Chris Phillipson 11.30 Model of illness experience – Prof Sarah Vickerstaff 11.45 Summary of existing studies – Dr Ross Wilkie Workshop 1 – Gaps and Methods 12.00 12.45 Lunch 1.15 Feedback from workshop 1 1.45 Workshop 2 - Interventions 2.45 Feedback from Workshop 2 Plan for meeting 3 – working towards a CRP 3.00 - Prof Chris Phillipson 3.30 Finish and Depart Arthritis Research Campaign National Primary Care Centre
Lifelong Health and Wellbeing Initiative Objectives Target factors over the life course that may be major determinants of health and wellbeing in later life Identify and develop effective interventions that lead to improved health and quality of life in later life Inform policy and practice including the development of services and technologies to support independent living Increase capacity and capability in ageing relevant research Arthritis Research Campaign National Primary Care Centre
Network activities Network funding allows time and resources to: Develop and refine the focus of the research proposal and the specific research questions Consult with relevant user groups and agencies Build/strengthen collaborative links with industries, agencies and user groups Arthritis Research Campaign National Primary Care Centre
Roles of the Preparatory Network Debate and critical review of existing knowledge and theory, and mapping of networks, existing research and development, priorities and gaps Knowledge sharing (identification of problems and gaps, understanding of the requirements and exploration of state-of-the-art) Consensus-building around potential solutions Consolidation of research partnerships Capacity building Arthritis Research Campaign National Primary Care Centre
Work, Health and Well-being Project will develop an interdisciplinary network focusing on health transitions in employment Focus on the influence of musculoskeletal and mental health problems on work transitions at particular parts of the life course Arthritis Research Campaign National Primary Care Centre
Questions to address 1. How are work transitions linked to mental health or musculoskeletal conditions? 2. How do people manage their working life with a major health condition? Why do some people continue to participate in work, despite experiencing mental health problems/musculoskeletal conditions? 3. How do people manage their health condition alongside work?How do health, social and environmental factors interact to maintain work participation? How do some factors lock together to cause work loss? 4. What factors mediate the pathway from work to retirement? What potentially modifiable factors and targets could reduce work loss and be proposed as interventions? Arthritis Research Campaign National Primary Care Centre
Summary of 1 st meeting Similar issues for mental health and musculoskeletal conditions Arthritis Research Campaign National Primary Care Centre
Mental health group Gaps in knowledge of how people stay in work Potential studies What reasonable adjustments for mental health problems are needed Prospective study monitoring health conditions over a period of time in an organisation (biopsychosocial impacts) Organisational case studies – sell employers by offering to review current policies Arthritis Research Campaign National Primary Care Centre
Musculoskeletal conditions Gaps in knowledge of how people stay in work Potential studies Literature review and observational study with focus on transitions - Qualitative study Cohort study of 50-64 year ols Arthritis Research Campaign National Primary Care Centre
Aims for Meeting Identify gaps in knowledge and linked methodologies Identify Develop collaboration Develop outline for collaborative research projects Arthritis Research Campaign National Primary Care Centre
Other issues Defining work transitions Other conditions Combined approach (MH & MSC) Generic issues Arthritis Research Campaign National Primary Care Centre
Apologies Ceri Phillips Kim Burton Tony Chiva Fiona Ford Joanne Ross Alisoun Milne Wendy Loretto Jed Boardman Javad Syed Richenda Solon – DWP Amanda Griffiths Lindsey Dugdill Keith Palmer Arthritis Research Campaign National Primary Care Centre
Workshops Arthritis Research Campaign National Primary Care Centre
Ongoing studies Further development between primary care and employees in managing workplace health and rehabilitation Line manager employee interaction in response to organisational culture North Staffordshire Osteoarthritis Project NIHR programme – Training programme for nurses in primary care to support RTW NDA project at Loughborough Arthritis Research Campaign National Primary Care Centre
Ongoing studies Computer based therapy (Moodgym) for depression in the work place – Collaboration between Nottingham Uni/Transport for London/BT Transport for London programme Arthritis Research Campaign National Primary Care Centre
Proposed interventions Flexible working hours Ergonomic adaptations of workplace Vocational training Support from colleagues Improved transport Welsh backs/Working back Scotland Arthritis Research Campaign National Primary Care Centre
Sub-groups High risk – Immobilised High risk – Disemployed High risk – Overwhelmed Source: Shaw et al, J Occup Rehab 2006; 16 :591-605. Arthritis Research Campaign National Primary Care Centre
Steenstra + Franche, IWH (Steenstra et al, forthcoming, 2009) Arthritis Research Campaign National Primary Care Centre
Proposed interventions Support worker in disadvantaged communities Arthritis Research Campaign National Primary Care Centre
Sub-groups High risk – Immobilised High risk – Disemployed High risk – Overwhelmed Source: Shaw et al, J Occup Rehab 2006; 16 :591-605. Arthritis Research Campaign National Primary Care Centre
Steenstra + Franche, IWH (Steenstra et al, forthcoming, 2009) Arthritis Research Campaign National Primary Care Centre
Other studies Qualitative study with voluntary agencies to explore work disability Evaluation of the Workability Index Arthritis Research Campaign National Primary Care Centre
Sites/populations Industry signed up to employ 60 year olds (e.g. B&Q) Disadvantaged communities Recently made redundant Local community Primary care Voluntary sector Scottish Centre for Health Working Lives SMEs (link with NIACE) Coming of Age (West Midlands) Arthritis Research Campaign National Primary Care Centre
Sites/populations Centrica/BT/Danone NHS Transport for London Royal Mail Arthritis Research Campaign National Primary Care Centre
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