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An IHS Guide
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Lack of concentration
Unable to relax
Cannot think clearly
Distressed and irritable
Lack of self esteem
Does not enjoy work
Depressed and negative about everything
Tired and sleepy
Reduction in effectiveness of immune system
Heart disease
Psychiatric illness
Anxiety
Headaches
These are just some of the symptoms which may occur. Each individual is different and the
type, severity and number of symptoms will vary accordingly.
Individuals are no longer able to keep going with their job. It tends to occur amongst highly
motivated individuals. It is seen to be linked with trying to achie ve individual and
organisational objectives and becoming frustrated in not being able to achieve the desired
outcomes. This frustration causes a spiral of increasing stress that leaves the individual
exhausted. Burnout often manifests itself as poor performance, poor decision-making,
negative attitudes and exhaustion.
Stress may also result from home pressures, money, family etc. Managers must deal with
these situations sympathetically.
What are the effects of stress on the employer?
If employees are suffering from stress while they are at work, the costs to the business and
the performance will be affected. Work stress can result in:
It is estimated that 30-40% of all sickness absence from work is attributed to some form of
mental or emotional disturbance (whether work related or not!)
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People do not work effectively under stress and may induce stress into colleagues.
Reducing stress is cost effective and will lead to lower sickness rates, improved performance
and less staff turnover.
Estimates from Self- Reported Work-Related Illness (SW101/02) Survey 2001/2 indicate that
depression or anxiety account for an estimated thirteen and a half million reported lost
working days per year.
What is the law which relates to stress at work?
There is no specific law relating to stress at work, and it not mentioned specifically in any
health and safety legislation. It is recognised by the HSE as a serious work hazard and
extensive guidance and standards have been issued by them, advising on how to deal with it.
The HSE have set up a specific website specifically for stress related advice and information
www.hse.gov.uk/stress
The HSE argue that having a positive, satisfied and psychologically healthy workforce will
produce economic benefits, through improved attendance, motivation and commitment. The
law requires employers to tackle work related stress. Under the Health and Safety At Work
etc Act 1974 employers have a general duty to ensure, so far as reasonably practicable, the
health of their employees at work. This includes taking steps to make sure that they do not
suffer stress-related illness as a result of their work.
Employers must take account of the risk of stress-related ill health when meeting their
obligation under the Management of Health and Safety Work Regulations 1999. The main
provision of these Regulations, as far as stress is concerned is a duty to assess; a duty to apply
the principle of prevention; a duty to ensure employees capability to provide training; duties
towards young people.
New landmark rulings were made by the Court of Appeal in the case of Sutherland V Hatton
and others 2002. The court set out a number of practical propositions for the future claims
concerning workplace stress:
Employers are entitled to take what they are told by employees at face value unless
they have good reason to think otherwise. They do not have a duty to make searching
enquiries about employees mental health
The employer is in breach of duty only if he fails to take steps which are reasonable,
bearing in mind the size of the risk, gravity of harm, the cost of preventing it and any
justification for taking the risk
Employees must show that illness has been caused by a breach of duty, not merely
occupational stress
Working conditions e.g. changes in noise, lighting, speed of work, physical exertion
and repetition
Shift work impacts on blood temperature, metabolic rate, blood sugar levels, mental
efficiency, motivation, sleep patterns and social life
Long hours It has been suggested that beyond 40 hours a week, time spent working
is increasingly unproductive and can create ill health
Risk and danger the individual may be in a constant state of arousal the associated
adrenaline rush, respiration changes and muscle tension may all be threatening to long
term health. Note that appropriate training and equipment may support the individual
to cope with the situation
New technology the need to adapt to new ways of working may exert pressure
Work overload quantitative overload refers simply to having too much to do.
Qualitative workload refers to work that is too difficult for the individual
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Work under-load not being sufficiently challenged by work e.g. repetitive, boring
and un-stimulating
Role ambiguity not having a clear idea about ones work objectives, responsibilities
or others
Role conflict job demands may be conflicting, the individual may have to perform
things they dont want to do or things they dont believe are part of the job. The
individual may find themselves torn between different groups within the organisation.
The ability to cope may vary with personality
Role incompatibility the person and the job may not fit
Responsibility responsibility in organisations usually relate to people and things,
this in itself can cause stress
Lack of participation
Not identifying with the organisation
Organisational structure of change/review
Loss of identity
Loss of social contact
Loss of security
Loss of income
Loss of time structure
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Questionnaires can be a good starting point, and should be anonymous so as not to intimidate
people. Check records for levels of absenteeism do certain departments or teams have a
higher level of absenteeism than others.
Employers should involve employees at every stage of the fact finding, they are the ones who
know what is going on and can provide a true picture of the situation within the workplace.
In effect this fact finding is like carrying out a risk assessment. Regulation 3 of the
Management of Health and Safety Regulatio ns 1999 requires employers to assess risks to
health and safety from hazards at work. The five steps to risk assessment are as follows:1.
2.
3.
4.
5.
The HSE draw attention to seven broad categories of risk factors for work-related stress.
1.
2.
3.
Control how much say a person has in the way they do their work
4.
5.
6.
Role whether the person understands their role in the organisation and whether their
organisation ensures that the person does not have conflicting roles.
7.
At particular times in their lives people may be more vulnerable to work-related stress e.g.
major life event.
The ability to cope with stress varies from individual to individual.
Step 3 - Evaluate the Risk
For each of the hazards identified in step 1, three questions need to be asked:
1. What actions are you already taking?
2. Is it enough?
3. What more do you need to do?
Regulation 4 of the Management of Health and Safety at Work Regulations 1999 states in
controlling risks, the principles below must be applied in the following order:
1.
Avoid risks (e.g. make the work environment safer so staff are not anxious about the
risk of violence)
2.
3.
Combat risks at source (e.g. organise work appropriately and clarify roles)
4.
5.
6.
Give collective protective measures priority over individual protective measures (e.g.
by tackling risk at source rather than just providing information and training to
individuals, or access to employee assistance programmes)
7.
Areas included
Workload
Working patterns
Physical environment
Control
Support
Relationships
Promoting positive
working to avoid conflict
Address unacceptable
behaviour
Role
Understanding of
individual roles with the
organisation
Conflicting roles within the
organisation
Change
Managing and
communicating
organisational change
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Possible Solutions
Regular meetings
Discuss anticipated workload and
concerns
Develop personal work plans
Adjust working patterns
Ensure people are appropriately trained
for the task
Implement systems where employees
have a say
Discussion forums
Discuss employees skills and the way they
are used
Regular one to ones
Team meetings to discuss pressures
Ask how employees would like to have
access to managerial support
Develop training, including refresher
training
Provide a written policy for dealing with
unacceptable behaviour and communicate
it
Agree and implement procedures to
prevent or quickly deal with conflict
Encourage good communication
Hold team meetings so that employees
can clarify their roles
Display targets and objectives
Agree specific performance standards and
review periodically
Introduce personal work plans
Develop suitable inductions
Ensure staff are aware of why change is
necessary
Define and explain key steps of change
Ensure staff are aware of the impact of the
change on their jobs
All of the following set out to improve the overall situation in the workplace by
implementing the actions revealed as necessary by the risk assessment process. This may
include for example:
Whereas the following deal with the treatment and rehabilitation of individuals who have
already suffered ill health as a result of stress.
Support schemes for employees who want to discuss their problems confidentially
with someone outside the organisation.
Personal counselling for staff either using an in house team or by referral to external
providers.
Job design e.g. make the job interesting, ensure it does not make unreasonable
demands: are long hours and taking work home considered the norm
Procedural frameworks provide guidance to staff on how to deal with situations and
so reduce stress related to uncertainty
Improving the physical environment ensure that factors such as heat, light and
ventilation are appropriate
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Conflict Management
Training and recruitment ensure that there is an appropriate fit between individuals
and the job
Other Considerations
Managers must be aware and communicate that:
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What other techniques are available for alleviating the symptoms of anxiety and
reducing tension?
1. Relaxation:
2. Exercise:
communication
5. Support Groups:
6. Lifestyle:
Maintain balance between work and non work related interests e.g. diet, holidays,
hobbies etc.
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Factors in work load identified by Manager which may cause stress at a high level
for a prolonged period of time:
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Yes/No
YES/NO
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Lack of concentration
Unable to relax
Distressed and irritable
Lack of self esteem
Depressed and negative
Tiredness
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