Sickness Absence Activity

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Case Management as a tool to Improve the Health and Wellbeing of the OrganisationGerard Marsden Occupational Health and Wellbeing (OHW) Head of Service Jacquie Scott Case Manager

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Buckinghamshire Healthcare NHS Trust Integrated (acute / community) Trust:>5,000 staff serving population of 550,000 Two acute hospitals: Wycombe and Stoke Mandeville includes National Spinal Injuries Centre Five community hospitals One Occupational Health & Wellbeing Department

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Financial cost to the organisationIncreased pressure on the wider team, the `domino effect` Detrimental effects on the health and wellbeing of the individual Processes going round in circles Lack of ownership and fragmented approach Persistently high levels of Sickness Absence resistant to existing management practiceRationale for changeQIPP agenda

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The Financial Implications...

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The Business Case & Role Bid submitted to Charitable Funds June 2010 Improvements in Health and Wellbeing of the staff. Benefits to patient care and recovery Potential for large financial savings Underpin the Trust’s Patient Promises Fundamental to success is the recognition that this is a Trust-wide role which requires significant skills Effective communicator Detailed understanding of how the organisation works Confidence in delivery Able to drive the agenda in a supportive way Competent – able to hit the ground running Commenced in role November 2010

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Information/DataCase Management action plans Policy refreshTraining sessions 1:1 & group across Divisions Project work streamsBradford score information shared monthlyIdentify individuals score > 300 > 1000Templates & flowcharts distributedHealth summit meetings monthlyManage change effectivelyTraining & support Communication

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Health Summits (divisional)Round table discussionSickness Absence Activity

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Case Management Activity 2011/2012

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Activity in Occupational Health and Wellbeing

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Progress by Case Manager

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Bradford Factor

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Bradford Factor

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Bradford Factor

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Based on: Mid point band 6 1.00wte 23% on-costs 5 day weekFinancial Savings to the Trust106810561279Div oneDiv two Div three Three Divisions having reduced lost days over the specified period 3403TOTALDays saved TRUST SAVING £473,039.00 2011 - 2012

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CHALLENGESEngaging staffMaking paperwork accessibleShowing the benefitsGaining trustChanging habits

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Continue to engage Build resilience Share learning Refine processes Embed feedback and data collection SustainabilityThe Future

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Demonstrable benefits from investment in Case Manager Valued by Managers and Staff Endorsed by IIP Assessment for Health and Wellbeing Award: “There is impressive and extensive support through good Health and Wellbeing practice, e.g. The Case Manager Absence/Sickness” Sharing Best Practices NICE Conference, London, March 2012 SE England Health & Wellbeing Conference, May 2012 Conclusions

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Last Updated: 8th March 2018

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