1. Using management Systems for Managing Safely David Smith IMS Risk Solutions Ltd (Chairman of BSI Health and Safety Management System Standards)

2. Topics to be covered The cost of poor health and safety management The benefits of good health and safety management Main area of failure in UK hospitals Safety management systems Integration of management system requirments

3. The cost of ill-health and accidents and main areas of concern The cost of poor OH&S management to the UK economy as a whole is €5-9 billion The cost to National Health Service is up to 1.44% operating costs 75% of costs attributable to person to person assault, slips and trips and patient lifting/handling

4. Benefits of good management 2 Sustained Improved Performance Actual Business Case Study Year No of accidents Cost* Year 1175£1,137,500 Year 2 94£ 611,000 Year 3 56£ 364,000 * These figures have been estimated to show comparable figures

5. Critical areas in hospitals “The most frequently encountered system failure was that of risk assessment” (1) Due to root cause failure in: PlanningImplementingMeasuringReviewing (1) Real time evaluation of health and safety management in the NHS Research Report 280

6. Safety management systems International Labour Organization ILO- OSH Guidelines BS 8800:2004 OHSAS:1999 All have a common approach of risk managing workplace risks

7. The common approach - PDCA PLAN ACT CHECK DODO

8. Key elements in all the systems Policy Planning (Organizing) Implementing and operating (Doing) Monitoring and measuring (Checking) Reviewing (Acting to improve)

9. BS8800 — A simple risk estimator Likelihood of harm Severity of harm Slight harm Moderate harm Extreme harm Very unlikely Very low risk High risk Unlikely Very low risk Medium risk Very high risk Likely Low risk High risk Very high risk Very likely Low risk Very high risk Some organizations might wish to develop more sophisticated approaches. For example, an organization with high risks might use a matrix with a larger or smaller number of ‘likelihood’ or ‘harm’ categories for example to discriminate between very harmful and extremely harmful consequences. For a low risk organization a smaller matrix might suffice.

10. Key benefits Identification of potential activities that can cause harm Introduction of preventive measures before harm occurs – reduces risk Opportunity for all parties (employees, safety practitioners, managers to be involved in categorizing risk and identifying control measures) Employees are more receptive to this inclusive approach

11. An integrated approach There are great benefits to be made by integrating the requirements of management system standards: More holistic approach Reduction in conflict Fewer and simpler systems with less bureaucracy

12. OH&S E Q CORE EOH&SQ An integrated approach

13. Integrating management system requirements (PAS 99)(1) Typically the common requirements account for 70-80% of the system. These can be manage under the headings: PolicyPlanning Implementation and operation Performance assessment Improvement Management review (1)Publicly Available Specification 99: Integrating management system requirements

14. Conclusion Poor risk control is a major source of accidents and ill-health problems in hospitals Simple risk control management systems can greatly improve performance Involving employees in identifying risks and the controls to prevent harm is an effective way of improving performance