1. An integrated approach to health and wellbeing in the workplace Heather Perina – Dept of Health Qld Geraldine Marsh – Aust. Institute of Primary Care La Trobe University

2. Obese adults The Health of Queenslanders 2014 www.health.qld.gov.au/cho_report  55% of all obese adults in Queensland are employed  ~ 460,000 persons

3. Daily smokers The Health of Queenslanders 2014 www.health.qld.gov.au/cho_report  57% of all adults in Queensland who smoke daily are employed  ~ 285,000 persons

4. Risky drinkers The Health of Queenslanders 2014 www.health.qld.gov.au/cho_report  69% of risky adult drinkers are employed  ~ 465,000 persons

5. Why Workplaces More than half the at-risk adult population in Queensland are employed We spend at least 8 ours a day at work (plus travel) Captive audience Controlled environment – legislation and policy Potential to instil culture and environmental change Business benefits Social/emotional benefits

6. Background Workplaces for Wellness 2010/11 to 2013/14 National Partnership Agreement on Preventive Health Healthier.Happier. Workplaces 2013/14 to current Reduce preventable chronic disease using a systems approach

7. Healthier. Happier. Workplaces Initiative Is an integrated, multi-strategy, settings-based program which aims to engage and involve both workers and management collectively endeavouring to change the workplace into a health promoting setting.

8. Objectives Workplaces Build capacity of employers to improve workplace wellness by increasing the number and proportion of workplaces that are: Committed to workplace wellness Implementing supportive policy, cultural and physical environments Delivering HP programs for workers – knowledge to select and evaluate programs

9. Objectives Workers Build capacity of workers to make healthy lifestyle choices through: Increased access to and uptake of health info, evidence based workplace health initiatives, support services Increased healthy lifestyle awareness, knowledge, attitudes Increased number of workers who report healthy lifestyle behaviours

10. Population Health Longer term objective Reduced risk of workers developing lifestyle-related chronic disease

11. Healthier Happier Workplaces Statewide Evaluation Developmental Approach Situations of high complexity and/or high volatility (ie. The environment is always changing and the programs/interventions are continually adapting) When working on social innovations and /or systems- change orientated interventions.

12. Evaluation Questions Has the HHW Initiative been implemented as intended? Have the activities & strategies (including programs and support strategies) as a whole reached the intended target groups and settings? What factors have affected reach? What else could be done to strengthen the Initiative? What barriers and facilitators to implementation have emerged, and what responses have been implemented? What else can be done to support workplaces & workers to implement and sustain the changes intended to achieve the objective of HHW?

13. What do we know about workplaces who have engaged (and not engaged) with HHW? What motivates workplaces to consider wellness in the workplace? How do they become engaged with the HHW Initiative? What are the enablers, barriers and challenges for workplaces? How are they overcome – if they are? What supports workplaces to keep developing their approach to workplace wellness – and could this be strengthened?

14. Has the HHW Initiative had the intended effects (or any unintended effects) for 1) workplaces and 2) workers? What kinds of changes to their policy, cultural and physical environments to support workers to adopt and maintain positive lifestyle and health promoting behaviours have been made in (targeted) workplaces? Has promotion of worker wellness become a routine part of the workplace? Is there evidence that specific programs lead to intended changes for workers and changes are sustained (e.g. Quit leading to reduction or cessation of smoking)?

15. Evaluation Methodology Mixed methods evaluation analysis of data from multiple sources  Evaluation reports from programs and activities funded through HHW (grants, workshops programs etc).  Documentation about ongoing development & implementation of HHW  Healthy Places, Healthy Peoples survey  Key stakeholder interviews- 98 conducted (2014/2015) workplaces representing targeted industries/sectors, partners in implementation (DH, WHSQ, Programs), Peak Industry bodies, Recognition Scheme recipients.  On-line survey- Queensland workplaces- over 350 surveys were completed

16. Workers Workplaces Industry Workers Workplaces Industry Healthier. Happier. Workplaces website Recognition scheme Evidence-based tools Healthier. Happier. Workplaces website Recognition scheme Evidence-based tools Inform & recognise good practice Workers Workplaces Community Workers Workplaces Community 10,000 Steps Get Healthy Workplace Quit Smoking Program 10,000 Steps Get Healthy Workplace Quit Smoking Program Program access WHSQ & LGAQ (advice, support, professional development, networking, mentoring, system enablers, leadership ) WHSQ & LGAQ (advice, support, professional development, networking, mentoring, system enablers, leadership ) Workers Workplaces Industry / Peak bodies Local & cross- Government Community Workers Workplaces Industry / Peak bodies Local & cross- Government Community Advice & support health & wellbeing in WHAT HOW WHY

17. http//:www.workplaces.healthier.qld.gov.au

18. 5 Steps to a Healthy Workplace 1. Management commitment 2. Planning 3. Needs assessment 4. Action plan 5. Evaluation and review

19. Registered Workplaces 2230 members (End of October 2015) Size Organisation 20142015 <20304442 21-2006921085 >200428703 Total14242230

20. Industry/sector Number Health and community services 453 Education and training 434 Government administration and defence 215 Construction 164 Manufacturing 147 Professional services 115 Transport and storage 100 Mining 69 Agriculture, forestry and fishing 64 Finance and insurance 53 Electricity, gas, water and waste 50 Accommodation and food services 37 Administration and business support services 53 Information technology and telecommunications 30 Retail trade 34 Arts, recreation and tourism 21 Property services 20 Wholesale trade 17 Advertising and media 10 Other 164 Total 2230

21. Healthier. Happier. Workplaces website

22. Where do you usually find information about promoting employee health and wellbeing in the workplace - including general ideas and specific programs/services/tools that would assist you? Frequency N=370 Valid % Queensland Government "Workplaces for Wellness"/"Healthier.Happier.Workplaces" website and resources 30081.1 General search of the internet 28476.8 Health organisations such as Heart Foundation, Quit, Diabetes Australia, Beyondblue 24867.0 Workplace Health and Safety Queensland website 24165.1 Information provided by industry/peak body/network 21056.8 Suggestions from employees 19653.0 Advice from colleagues 16544.6 Other government health department websites (including in other states) 15140.8 Other sources 5414.6

23. Recognises organisations for their workplace wellness program and encourages them to improve worker health and wellbeing. Recognition Scheme Showing staff that the organisation is interested in their health and wellbeing. Impetus to document and show case what we were doing. Great getting recognition for what out business is doing! We were interested in getting recognition as it underlies what we are trying to achieve.

24. Reasons for applying for recognition Demonstrates commitment to staff health and wellbeing. Promotes a positive workplace culture. Creates an opportunity to review the health of the organisation Become an employer of choice. Provides an opportunity to celebrate and share successes. Improves the reputation of the business. Provides an ‘edge’ when applying for tenders/contracts.

25. What are the Characteristics of a successful Recognition Scheme  High public profile, with promotion to the public and industry. (Managed by Government).  Achievements of recognition scheme recipients are promoted and shared with other organisations.  Award recipients’ experiences and learnings around the development and implementation of workplace health and wellbeing programs are shared with other organisations.  Ongoing contact between scheme organisers and registrants to assist and encourage applicants and monitor progress towards higher levels of recognition.

26. Do Peak Industry Bodies (PIBs)have a role in promoting workplace health? Our Industry Body is interested in promoting workplace health to our members. Employers want to hear about practical examples that have worked in similar businesses. I think we do have a role, we need help convincing our board. Yes but why? Competition between industries to attract workers Worker retention Ageing workforce Increasing tender ‘wins’ Improving industry image Creating a sense of commitment of workers in industry Reduce industry costs- absenteeism

27. Concrete evidence of benefits Practical examples of successful strategies/ approaches implemented Industry specific information and advice Access to people who can assist and advise workplaces – preferably at no cost Information about services workplaces can refer workers- eg. Mental health, drugs and alcohols, relationships Assistance in convincing/explaining to PIB management benefits for our members Assistance Required by Peak Industry Bodies to promote workplace health and wellbeing

28. Lessons Learned Whole of Government Strategy Governance arrangements Overarching model showing integration Evaluation framework Define roles and responsibilities early Clear KPI’s