OCCUPATIONAL
HEALTH
43. We do not believe that the SR04 PSA target
for HSE to reduce the number of working days lost due to work-related
injury and ill-health provided a realistic and appropriate target
for HSE as many of the factors affecting its achievement are outside
its control. (Paragraph 263)
44. Although the PSA targets relating to occupational
ill health have been replaced with a Departmental Strategic Objective,
we request that HSE continues to collect data on numbers of working
days lost due to work-related injury and ill health. We also ask
DWP to confirm that performance against the key indicators for
the Departmental Strategic Objective will be fully reported on
in the Departmental Annual Report and Autumn Performance Report.
(Paragraph 264)
65. The Government recognises that delivering
PSA targets requires action by many different parties in addition
to HSE and that there are many external factors and interdependencies
which influence the direction and degree of attainment of the
targets. The setting of targets by the then Deputy Prime Minister
when he launched the Revitalising Health and Safety Strategy in
2000 was a key driver in focussing the efforts of HSE and stakeholders
who could influence health and safety on key priorities. The Government
confirms that performance against the key indicators for the DWP's
Strategic Objectives will be fully reported in DWP's Departmental
Annual Report and Autumn Performance Report.
45. The Committee finds it unacceptable that
HSE acknowledges that it makes its policy decisions on flawed
and incomplete data. RIDDOR is not fulfilling its role and HSE
is failing in its duties to enforce obligations under the regulations.
We call on HSE to urgently address the shortcomings in its data
collection. (Paragraph 277)
66. The Government accepts that HSE's data on
ill health is incomplete and that individual elements have limitations,
but does not accept the implication that HSE's policy decisions
are therefore flawed. Policy is developed using a range of evidence
of different kinds, recognising their different reliabilities.
As was pointed out at the Committee having an evidence base that
is neither complete nor totally reliable does not preclude HSE
from developing strategies and focus in appropriate areas. HSE's
policies are developed using evidence from a range of sources
including RIDDOR, the Labour Force Survey, THOR medical surveillance
schemes, death certificates and from surveys of working conditions
including employers' and employees' attitudes and behaviours on
health and safety matters. Policy development is also supported
by evidence of other kinds on the nature of hazards and on methods
of risk control.
67. As regards RIDDOR specifically, its primary
role is not statistical, but as a source of field intelligence,
particularly in relation to safety. Complete reporting is not
a practical proposition. For many small employers the frequency
of reportable events will be very low, so it is difficult for
them to maintain awareness of this duty and of the means of discharging
it. For ill health conditions only a limited range are reportable
under RIDDOR and, even for these conditions, employers can face
a difficult task in determining when to report. As a consequence,
it has always been recognised that RIDDOR occupational ill health
data is only part of the occupational ill health picture.
68. HSE has taken successful action against duty
holders for non-reporting when there are aggravating features
that support prosecution under RIDDOR as well as the main issue
of the poor work practices that lead to the death, injury or ill-health.
This is in line with the principles set out in HSE's Enforcement
Policy Statement. In the last 12 months HSE has taken cases for
failure to report both ill-health and injuries to employees.
69. In 2006 following a fundamental review of
RIDDOR, the former HSC concluded that despite RIDDOR's recognised
shortcomings no radical change was merited.
70. The Government agrees that HSE must continue
to address the shortcomings in its data collection and strive
for improvements in both its quality and coverage. Obtaining complete
and flawless data is not a practical proposition and HSE has been
open about the difficulties of statistical measurement in this
area. Its current approach stems from discussions at an expert
workshop in December 2000, and was set out in a "Statistical
Note" in July 2001 (http://www.hse.gov.uk/ statistics/statnote.pdf).
HSE recognises that there has been growing concern about whether
its approach to ill health measurement remains the most appropriate
and therefore plans to hold a further expert workshop later this
year. This will both review HSE's approach to ill health measurement
and target-setting and discuss the rise in self-reported work-related
ill-health in 2006/07.
46. We commend the work that the HSE has done
on Stress Management Standards but we call on HSE to increase
its efforts to disseminate its guidance on the standards to SMEs.
We are not yet convinced that the standards need to be placed
on a statutory basis but we will await further research on their
effectiveness with interest. (Paragraph 286)
47. We believe that there is potential for
HSE to build on its Stress Management Standards as a tool to demonstrate
what a 'good', healthy workplace should be including what constitutes
a good occupational health structure within an organisation. (Paragraph
290)
71. The Government welcomes the Committee's recognition
of the work done by HSE to identify the causes of work related
stress and the development of its Stress Management Standards.
HSE decided initially to promote the use of the Standards in
large organisations, particularly in the public sector, where
evidence showed that they could achieve improvements for the greatest
number of people. HSE is now taking steps to make the information
on its website more accessible and in a form which can be adapted
to suit different businesses.
72. As the Committee has noted it is, as yet,
too early to form clear conclusions as to how effective the Management
Standards are but HSE has an evaluation process in place to guide
future developments. As part of its evaluation HSE will consider
what, if any, advantages might be gained in establishing a statutory
basis for this approach. Work related stress does not lend itself
to the more familiar enforcement approaches because the results
of preventative interventions are less certain and depend on a
range of factors, both at and outside of the workplace.
73. The Government supports HSE remaining a key
partner, along with the Department for Health and DWP, in the
Health Work and Well-being strategy. Providing access to good
occupational health is an important factor in preventing work
related ill health. One of HSE's main contributions to the "good
jobs" agenda is to highlight the impact of management actions
and cultures on the psychosocial environment at work. The HSE
Board will consider these matters further as part of the development
of its future strategy for health and safety in Great Britain.
48. It is crucial that inspectors have the
expertise to conduct comprehensive inspections and investigations
and are able to offer accurate advice. We recommend that HSE ensures
occupational health is embedded in the inspectors' training programme.
(Paragraph 295)
74. The Government agrees on the importance of
occupational health training for HSE inspectors. This has always
been a feature of the training and development programme of trainee
inspectors and its amount and depth has been substantially increased
recently with the start of the new Diploma course delivered by
Warwick University in partnership with HSE. The approach uses
a blend of direct tuition and practical work-based experience.
75. In addition, HSE has recognised the importance
of maintaining and further developing key skills in occupational
health throughout an inspector's career, and a project is underway
to develop such an approach.
49. We believe that if the Government is committed
to combating ill health in the work place then enforcement action
needs to be taken against those who breach their statutory duties.
(Paragraph 298)
76. The Government fully agrees with this view
and supports HSE in continuing to consistently and proportionately
enforce heath and safety legislation in line with HSC's Enforcement
Policy Statement.
50. If businesses would be expected to pay
towards the consultancy service we are unconvinced that take-up
would be sufficient when a free service failed to reach its advice
line targets. We would also be concerned if advice services were
tax-payer funded in Scotland and Wales but not in England. (Paragraph
318)
77. The Government notes the Committee's view
on this point. It will be explored as part of the Government's
response to Dame Carol Black's report and also in the evaluation
of the Workplace Health Connect Pilot to be published in early
2009.
51. We believe that EMAS has an important
role as an advisory service for doctors and employers as well
as HSE. We endorse Dame Carol Black's emphasis on occupational
health provision and support her contention that there is a need
for an occupational health advice service for medical professionals
and employers. In time we see the role of EMAS being supplanted
by a national occupational health service as envisaged by Dame
Carol Black; we await the Government's response to her report
with interest. This will enable HSE to re-allocate resources to
core workplace health and safety functions. However we are concerned
by evidence of a decline in the numbers of occupational health
professionals. (Paragraph 319)
78. The Government notes the Committee's concern
in relation to the decline of occupational health professionals.
Occupational health has changed considerably since EMAS was established.
The industrial processes that caused traditional occupational
diseases have either ceased or employ far fewer people. Many
causes of ill health and absence from work are not purely related
to exposure at work, but often have social or environmental causes.
Accordingly the role of occupational health professionals has
changed and advice and information is now delivered through a
much wider range of specialists other than occupational health
physicians. HSE will continue to focus the work of its doctors
to best deploy their specialism and use other specialists to deliver
appropriate occupational health advice.
52. We are convinced that HSE must continue
to play an important role in occupational hygiene regulation and
enforcement. (Paragraph 324)
79. The Government agrees. Occupational hygiene
regulation and enforcement has an important role to play in the
reduction of work related ill-health and disease and HSE will
maintain a sufficient level of occupational hygiene resource.
HSE is probably the largest single employer of occupational hygienists
in the UK. This resource is actively engaged in regulation, enforcement
and working with the professional bodies and others in the wider
health and safety community.
53. We commend Dame Carol Black's vision for
a Fit for Work service and look forward to the Government's response
to her report. We are concerned whether exhortation will be enough
to engage employers in the provision of vocational rehabilitation
and we await with interest the findings of Lord McKenzie's task
force. We believe that there may be a need to incentivise employers
financially. (Paragraph 330)
80. The Government recognises the Committee's
concerns on the need for financial incentives. The Vocational
Rehabilitation Task Group charged the insurance industry representative
on the group to develop an evidence based business case to demonstrate
the costs and benefits to all parties which would accrue if current
disincentives were removed and incentives provided. The industry
was also challenged to develop products that were clearly separate
from private medical insurance. A completed business case is
expected this summer.
54. We received evidence which highlighted
the close link in some countries, such as Germany, between Employers'
Liability Insurance premiums and standards of health and safety.
We recommend that the Government, together with the insurance
industry, investigate the case for developing a similar approach
in the UK to increase the incentive for employers to improve their
health and safety performance. (Paragraph 336)
81. The Government has considered such an approach
as the Committee recommends and has conducted a number of reviews
of Employers Liability Compulsory Insurance (ELCI) in recent years.
These showed that under normal market conditions the pricing of
ELCI is more influenced by other insurance products sold to employers
rather than the degree of risk accepted by insurers. The Government
is always interested in new initiatives to incentivise improved
health and safety performance and is looking with interest at
EEF's risk management benchmarking system which directly links
insurance premiums to an employer's investment in health &
safety and loss prevention.
82. The Government notes that under the German
system an injured worker cannot go on to sue an employer if the
person thinks the employer was liable. In the UK an individual
can seek compensation through the courts even if a payment has
already been made for the same injury by the state funded no-fault
scheme.
55. We recommend that the Government introduces
a similar system in England and Wales to the health and safety
award scheme "Healthy Working Lives" which operates
in Scotland. We also urge the Government to include a health and
safety component in the Investors in People award as a means of
encouraging employers to maintain good health and safety standards.
(Paragraph 340)
83. The Government welcomes the support for the
Healthy Working Lives scheme and encourages HSE and others to
continue to work closely with the scheme. Following the evaluation
of the Workplace Health Connect pilot and the development of the
new strategy HSE will set out how it will encourage employers
to maintain good health and safety standards.
56. We support the Institution of Occupational
Safety and Health's work to embed health and safety in education.
We urge the Government to do more to ensure that health and safety
components are included in higher education programmes, such as
MBAs, to ensure that future business leaders understand the importance
of creating safe working environments and maintaining a healthy
workforce. (Paragraph 344)
84. The Government welcomes and supports the
work carried out by professional bodies to embed health and safety
in education. The Government notes the work HSE is carrying
out to influence the degree to which risk management techniques
are taught in schools and other educational establishments, in
particular in universities where undergraduate courses lead to
entry into safety critical professions such as engineering and
design.
57. HSE's explanation for its planned underspend
is unacceptable and we note with dismay that this was never mentioned
in our meetings with HSE or the Minister in November or in March.
We call on DWP to clarify the reasons for this obfuscation. (Paragraph
349)
85. The Government rejects the Committee's criticism.
When asked, the Government has always explained HSE's fiscal plans
for the CSR 04 period.
86. The reason for the underspend relates to
a financial strategy that links the 2004 and 2007 spending review
periods. HSE deliberately boosted spend in 2005/06 to kick-start
health and safety interventions. The plan was to scale back generally
from this historic high level over 2006/07 and 2007/08. However,
HSE identified that it had entered 2006/07 over-committed and
therefore needed to rein expenditure back further than expected
in order to achieve a balanced budget by March 2008 and prepare
itself better for the challenging government wide financial environment
for the 2007 spending review period.
87. The financial settlement for CSR 07 was explained
by Lord McKenzie at his appearance before the Committee on 5 March
and there was ample subsequent opportunity to provide clarification
if so requested.
58. Without an indication of projections of
income and a profile of resources for financial years 2008-09
to 2010-11, we have not been able to obtain a clear picture of
the true nature of HSE's financial settlement for CSR07. We are
disappointed that it has not been possible to provide this information
some six months after the CSR07 financial settlements were announced
and within days of the start of the new spending period itself.
We welcome the Lord McKenzie's assurance that resources for HSE
are a high priority for DWP, but we ask DWP to provide the HSE
final outturn for 2007-08 and a full profile of spending and income
over the CSR07 period as soon as they are available. (Paragraph
352)
88. The Government set out its agreed CSR 07
settlement for HSE in a letter dated 28 February 2008 from the
Secretary of State for Work and Pensions to the Chair of the Health
and Safety Executive. The settlement provides funding of £689.5
million and has three additional elements. Firstly, HSE will generate
£12m from improvements to its charging schemes. Secondly,
DWP has agreed to provide up to £10m for early exit funding
for managed exits around the relocation of the London headquarters
to Merseyside. Thirdly, subject to Treasury agreement on DWP's
retention of additional accumulated end year flexibility, HSE
will be able to retain its additional accumulated end year flexibility
This latter figure is expected to be £13m and will be confirmed
when year end outturns are finalised. Taking account of these
three additional elements the settlement provides HSE with up
to £724.5 million over the CSR 07 period.
89. HSE's final outturn will be published in
its annual report and accounts due to be published in June 2008.
A full spending and income profile will be developed as HSE finalises
its new strategy in the latter part of 2008.
59. We are not convinced that HSE is best
placed to take on responsibility for the Gangmaster Licensing
Authority (GLA). GLA's remit extends further than health and safety
at work, and the addition of this responsibility to HSE risks
diverting its focus. We call on the Government to reconsider the
proposal to transfer the GLA to the HSE. (Paragraph 356)
90. The Government notes the Committee's concerns.
Ministers are currently considering the position.
60. We were disappointed to hear many of the
criticisms that were raised during our predecessor Committee's
inquiry concerning HSE's resources were reiterated by witnesses.
There is widespread concern that HSE is inadequately funded and
that this undermines its ability to regulate effectively within
its core remit. (Paragraph 362)
91. The Government recognises that HSE, by virtue
of its success and credibility, has and will continue to generate
demands for action in a wide range of areas. It will always face
difficult decisions about its priorities particularly in those
areas where it cannot meet all of its stakeholder expectations.
The new HSE strategy will set out its priorities to deliver key
regulatory functions within its available resources.
61. We have made a case for HSE to increase
its levels of inspection, which we believe will have a significant
impact on compliance with health and safety legislation. This
will require an increase in the numbers of front-line inspectors
deployed by HSE. In view of the total lack of clarity in financial
information supplied, it is not clear to us whether additional
inspections can be financed from within the Comprehensive Spending
Review 2007 settlement or whether additional resources will be
required. (Paragraph 363)
92. The Government, whilst welcoming the Committee's
support for inspection, does not accept that its Report makes
a compelling case within HSE's overall resources for an increase
in the levels of inspection or for an increase in the number of
HSE's front line inspectors. Nor does the Government agree that
there was lack of clarity in the financial information provided
to the Committee.
93. The Government remains committed to inspection,
consistent and proportionate enforcement and maintaining progress
towards the existing Revitalising Health and safety targets. It
believes, however, that a balanced programme of interventions
is the best way in which it can stimulate those with the main
responsibility for achieving these targets. The Government has
adequately funded HSE for the CSR 07 period, so that, amongst
its other important activities, it can maintain the number of
frontline inspectors and ensure that there will be no change to
its Enforcement Policy.
94. The Government's commitment to maintaining
frontline capacity has allowed over 40 new trainee inspectors
to take up post in HSE since March of this year. HSE has also
made offers of employment to 12 applicants for specialist inspector
posts. Targeted, affordable inspector recruitment will continue.
95. In addition, HSE continues to bear down on
overheads so that it can target proportionately more of its resource
to front line activities. The Government also expects HSE, along
with all departments and public bodies, to continue to improve
its productivity - including that in front line areas.
62. Furthermore, we are concerned at evidence
that HSE is currently spreading itself too thinly. We call on
DWP to evaluate whether HSE has the capacity to take on the additional
responsibilities that it is being given as well as effecting the
increase in deployment of front-line inspectors that we have argued
is necessary. (Paragraph 364)
96. The Government recognises that the risk of
HSE being seen as the regulator of last resort can lead to ever
increasing demands on its resources. HSE will always have to carefully
assess and select priorities but it is also appropriate to continue
to consider possible synergies which may result from bringing
regulatory bodies together. Following the 2005 Hampton report
on regulatory inspections and enforcement HSE has absorbed a number
of other regulatory bodies including the Office for Civil Nuclear
Security, the Pesticides Safety Directorate, and the Adventure
Activities Licensing Authority. Each transfer has been accompanied
by resources from the original host department.
63. We commend the work of the Health and
Safety Laboratory (HSL). However, we are convinced that the work
of other similar testing centres would prove invaluable for HSL,
and HSE by proxy, and any shortcomings in communication should
therefore be addressed. (Paragraph 369)
97. The Government notes the Committee's comments.
HSL engages in considerable national and international liaison.
It is the standing 'Chair' of the world association of National
H&S Laboratories (known as the 'Sheffield Group') and will
as a result of this recommendation instigate a motion for better
knowledge sharing at this year's conference in Helsinki. It is
member of the EU equivalent of the Sheffield Group (PEROSH), and
will raise this issue when the Group meets later this year. It
will also do the same at the next meeting of the UK 'Interlab
Forum' (an association of 6 UK Public Sector Laboratories from
HSE, DEFRA and MoD).