Select Committee on Work and Pensions Fourth Report


4  TARGETS

  32.  The Revitalising strategy statement published against the background of a perceived plateau in health and safety performance, set out a number of targets for improvement that were to be achieved by 2010 and detailed a range of recommended actions intended to support the achievement of the targets.[54] These targets are detailed below, along with a consideration of their perceived appropriateness. Progress towards their achievement is then assessed.

THE 'REVITALISING' TARGETS

  33.  Four targets for improvement were detailed in Revitalising. They were to:

by 2004, compared to the average for 1999-2000.[55] Spending Review 2004 set a target to 'by 2008, improve health and safety outcomes in Great Britain through progressive improvement in the control of risks in the workplace.' [56] This appears to be less specific and less measurable than the targets set for 2004.

  35.  Evidence submitted to the Committee raised a number of concerns about the Revitalising targets. In its written evidence the Confederation of British Industry, while acknowledging that targets can be an important motivator for improvement, went on to note that it is not possible to 'determine what they are telling us' unless they are based on robust statistics and baselines.[57] It also went on to express concern that in developing its current strategy, HSC did not grasp an important opportunity to review whether the targets are, or ever were, appropriate. In a similar vein, the EEF, in its oral evidence, although voicing support for the targets also voiced uncertainty about 'the base from which they came'.[58]

  36.  In its oral evidence, the CBI further noted that the Revitalising targets constitute 'lagging indicators' in the sense that they measure ultimate outcomes rather than 'leading indicators' of health and safety performance, such as the amount of training being provided.[59] RoSPA, in its written evidence, similarly called for the creation of 'upstream' targets, as well as 'downstream' ones, and suggested that one such target could be that 'all managers in UK PLC must have some health and safety training by 2010'.[60]

  37.  In contrast, the DWP, in its evidence stated that the Revitalising targets were 'the right ones', but noted that it did 'not think that they told the whole story'.[61] It went on to point out that, in recognition of the fact that a large and vital part of HSE's work involves major hazards, targets for these had now been developed.

  38.  The written evidence from the HSC/E highlighted that there were difficulties with establishing baseline data that could be used to assess progress towards achieving the Revitalising targets and stated in oral evidence that they are 'taking steps to improve [their] statistical information'.[62] However, Mr Gareth Williams of the Department for Work and Pensions told us that HSE was introducing a new workplace survey, which would give better quality improved data on workplace ill-health 'to get a better handle on both the starting position and the causes and principal contributory factors.'[63] In addition, HSE is planning to pilot a two-tier workplace survey which will include interviews with management and the workforce at a sample of workplaces to ascertain accident and ill health levels in the construction industry.[64]

  39.  The National Audit Office (NAO) notes that HSE estimates from surveys that employers only report around 46% of non-fatal injuries that are reportable under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR) and that, in this context, the above survey could provide a more accurate and cost effective way of obtaining more reliable and representative data on accident and ill health trends.[65] However, in common with some of the evidence reported earlier, it also recommended that the HSE develop a broader programme of evaluations of its initiatives which encompasses not just 'outcome improvements', but also 'changes in stakeholder awareness and practice (for example, through independent surveys of employers and employees, and through follow-up site visits), and measurement of the impact of publicity and media success particularly in relevant trade and local media as well at a national level (for example, measuring changes in stakeholder attitudes)'.

  40.  In the light of the evidence submitted, the Committee does not see any reason to question the use of 'outcome' targets such as those detailed in the Revitalising strategy. It does, however, consider that the use of overall targets for improvements in health and safety performance could usefully be supplemented by 'upstream' targets on such matters as the proportion of employers conducting risk assessments and providing certain types of occupational health support, and the scale of health and safety training provided by them.

  41.  The Committee recommends that the HSE use an annual workplace health and safety survey to obtain data to enable it to publish evidence of trends on such issues as the proportion of employers (a) conducting risk assessments, (b) providing occupational health support and (c) training on health and safety issues.

PROGRESS AGAINST TARGETS

  42.  Following the setting of the Revitalising targets, a detailed analysis was conducted within the HSE as to how performance against the three main targets could be assessed.[66] In general, this analysis revealed that major difficulties existed with regard to assessing trends in respect of each of the three areas of 'outcome' encompassed by them: incidence of fatal and major injury accidents; working days lost as a result of work-related injuries and ill health; and the incidence of work-related ill health. Pending the acquisition of more adequate sources of data, data from various sources is being looked at in combination.

  43.  In their written evidence the HSC/E stated that 'there is no conclusive evidence as yet of the extent of progress towards the target relating to the incidence of fatal and major injury accidents' and that, as regards the overall incidence of work-related ill health, 'the balance of evidence suggests that it is likely to have risen since 1999/2000, although this may be due to an increasing awareness of work-related ill health problems such as stress that previously may not have been attributed to work'.[67] As regards the working days lost target, the HSC/E observed that 'it is not yet possible to make a judgement on progress as figures are available for one year only'. More generally, the HSC/E observed that the 'conclusion at present must be of limited progress towards targets, based on currently available hard evidence'.

  44.  In order to support the achievement of the Revitalising targets, the HSE has identified nine areas for priority action.[68] One of these concerns the theme of 'Government setting an example', while the other eight encompass a focus on particular sectors of employment and types of hazard. The sectors concerned are agriculture, construction, and health services and the hazards are slipping, tripping, falls from height, workplace transport, musculoskeletal disorders, and stress, depression and anxiety.

  45.  Because of the likely time lag that might occur between actions taken and response in terms of progress towards targets, the HSE has identified some proxy indicators built around the above nine areas of priority action for the purposes of quarterly reporting to Ministers on progress towards the Revitalising targets.[69] These proxy indicators provide a range of interesting information on HSE activity and provide some 'upstream' measures of changes in employer activity in relation to a small number of issues, such as the number of construction workers holding Construction Skills Certification Scheme cards; the number of lift truck drivers undergoing training and trends on risk control; indicators relating to musculoskeletal disorders; falls from height, and 'hits' on HSE web pages concerned with stress, manual handling and workplace transport.[70] In their evidence the HSC/E observed that trends in some of these indicators are 'starting to show signs of some early gains'.[71] This observation was found by the Committee to be supported by the contents of the last quarterly report provided to Ministers.[72]

  46.  The Committee questions how much reliance can be placed on the 'early gains' measured against HSC/E's proxy indicators. It questions whether the range of issues covered by these indicators is sufficiently broad and whether there is evidence showing a direct link between them and workplace health and safety performance. One option would be to use the new workplace survey to gather information to address this.

  47.  The HSC/E's rather downbeat assessment of progress was broadly echoed in the DWP's evidence, where it was observed that current 'available evidence indicates that while the interim safety targets for 2004 may be met, it is unlikely that the health targets will be met'.[73] It was also echoed in the evidence provided by several other organisations. The Institution of Occupational Safety and Health noted that ' according to Health and Safety Statistics 2002-03…evidence suggests that the overall incidence of work-related ill health is likely to have risen since 1999/2000, the base year of Revitalising….information suggests work-related stress is rising, while musculoskeletal disorders - the other major cause of ill health - shows no change…'.[74] Mr Roger Bibbings, Occupational Safety Adviser for the Royal Society for the Prevention of Accidents, stated that 'We think progress has been achieved in some sectors particularly, but overall progress towards the targets has not been as fast as we would have liked'[75], and the Scottish Trades Union Congress noted with concern that 'HSE statistics for Scotland show that for the last four reporting years the amount of fatal injuries to employed and self-employed workers has actually increased'.[76]

  48.  In its report on health and safety in the construction industry, the NAO notes that the industry had set its own targets for improving its health and safety which were more challenging than those detailed in the Revitalising strategy statement.[77] These targets and the corresponding national ones, along with an assessment of industry's progress towards achieving them, are detailed in the following table taken from the NAO's report.

  
Construction industry targets - percentage reduction
Percentage reduction for construction industry
National targets - percentage reduction
Target
By 2004-05
By
2009-10
As at 2002-03
By 2004-05
By 2009-10
Reduce the incidence rate of fatal and major injury accidents
40%
66%
5% against baseline figures for 1999-2000
5%
10%
Reduce the number of working days lost per 100,000 workers from work-related injury and ill-health
20%
50%
Baseline figures were established in 2001-02
15%
30%
Reduce the incidence rate of cases of work-related ill health
20%
50%
Baseline figures were established in 2001-02
10%
20%



  49.  Overall, on the basis of the above data, the NAO concludes that it is unclear whether the construction industry will meet the targets it has set itself. Its report does, however, point out that, in January 2003, the HSE reported that the rate of fatal and major injury in the industry was 12% below the baseline figure established for 1999-2000.[78]

  50.  While recognising the statistical problems that exist in assessing progress against the 2000 Revitalising targets and the evidence on proxy indicators provided by the HSC/E, the Committee views with concern the limited progress that appears to have been made and does not believe that there is any realistic prospect of achieving the 2004 targets. In its view this lack of progress must, inevitably, raise questions about the present system's capacity to secure significant future improvements in standards of workplace health and safety.

  51.  The Committee is also concerned that the Public Service Agreement target to 'improve health and safety outcomes' by 2008 appears to be vague and unmeasurable. We recommend that the Government produces and publishes specific details of what this target is and how it is to be measured.


54   HSC (2000), Revitalising Health and Safety: Strategy Statement. June 2000. Wetherby: DETR Back

55   DWP Autumn Performance Report 2003, Progress against Public Service Agreement Targets, London: TSO Back

56   HM Treasury (2004), 2004 Spending Review, Public Service Agreements 2005-2008, July 2004. Cm 6238.Norwich: The Stationary Office, p38 Back

57   Volume III (No. 42) Back

58   Volume II (No. 33) Back

59   Volume II (Ev 48, Q142) Back

60   Volume III (No. 14) Back

61   Volume III (No. 40) Back

62   Volume III (No. 36)and Volume II (Ev 128, Q490) Back

63   Volume II (Ev 150, Q585) Back

64   National Audit Office (2004), Improving health and safety in the construction industry. HC 531 Session 2003-2004, London: The Stationery Office, para 1.11 Back

65   National Audit Office (2004), Improving health and safety in the construction industry. HC 531 Session 2003-2004, London: The Stationery Office, para 1.11 Back

66   HSE, Achieving the Revitalising targets: statistical notes on progress measurement. Epidemiology and Medical Statistics Unit, June 2001, www.hase.gov.uk Back

67   Volume III (No. 36) Back

68   HSC (2004), HSC Annual Report and HSC/E Accounts 2003/04. Norwich: The Stationery Office Back

69   Volume III (No. 36) Back

70   Volume III (No. 38) Back

71   Volume III (No. 36) Back

72   Volume III (No. 38) Back

73   Volume III (No. 40) Back

74   Volume III (No. 25) Back

75   Volume II (Ev 1, Q2) Back

76   Volume III (No. 11) Back

77   National Audit Office (2004), Improving health and safety in the construction industry. HC 531 Session 2003-2004, London: The Stationery Office. Figure 7 Back

78   National Audit Office (2004), Improving health and safety in the construction industry. HC 531 Session 2003-2004, London: The Stationery Office. Para 1.14 Back


 
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