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Dealing with cancer … with workplace support

World Cancer Day is held on 4 February every year and this year is the final stage of the event’s current three-year “Close the Care Gap” campaign to raise awareness and improve cancer diagnosis and treatment for nations and communities around the globe, including people at work. Jon Herbert reports.

Established on 4 February 2000, the World Cancer Day aims to promote research, prevent cancer, improve patient services, raise awareness and mobilise the global community to make progress in cancer care. Titled “Close the Care Gap”, the current three-year (2022–2024) campaign for World Cancer Day is about addressing the barriers that prevent people around the world from accessing the cancer care they need.

This year sees the end of this international campaign based on the message “Create a future without cancer — the time to act is now”. The organisers, the Union for International Cancer Control (UICC), want governments around the world to promote health equity, enhance cancer service accessibility and reduce disparities in cancer incidence and mortality, to finally “close the care gap”.

They also hope that the 2024 message of “Uniting our voices and taking action” will create an opportunity for many to celebrate their own, or someone else’s recovery, from cancer. However, they acknowledge that the day can also be a complicated and emotional one.

People and organisations not sure how to support someone on World Cancer Day can refer to this information.

2022–2024: Close the Care Gap campaign

Below is a summary of the ongoing three-year World Cancer Day awareness campaign.

2024: Together, we challenge those in power — This final year will concentrate on engaging world, national and local leaders and demanding a commitment for prioritising cancer to “shake the very foundations of injustice” that it says many communities and groups suffer.

2023: Uniting our voices and taking action — The second year of the campaign focussed on bringing together the power of like-minded people. Real-world progress included building stronger alliances and innovative new collaborations — such as motivating neighbours to provide cancer treatment transport, and ensuring healthy and affordable food options are offered at local schools.

2022: Realising the problem — The first year of the “Close the Care Gap” campaign involved understanding inequities in cancer care around the globe with an open mind that challenges assumptions and looks at hard facts.

It added that people seeking cancer care can be hit by barriers at every turn — from income to education, location and discrimination based on ethnicity, gender, sexual orientation, age, disability and lifestyle. However, these are not set in stone and can be changed.

Another priority has been helping to reduce the stigma of cancer, listening to perspectives of people living with cancer and letting their experiences guide thoughts and actions.

Cancer support

Macmillan Cancer Support is one of the largest UK charities and a leading cancer support organisation for the three million people in Britain currently living with cancer. It is also a major World Cancer Day supporter. Its initiative, Macmillan at Work, provides information, training and resources to help employers support their staff affected by cancer, as well as advice for employees.

The service is free and includes an Essential Work and Cancer Toolkit and access to Macmillan’s expert training.

According to Macmillan, 393,000 people in the UK are diagnosed with cancer each year. On an average, a diagnosis is made at least every 90 seconds. Cancer incidences in the UK have risen by 19% in the last decade and 40% since 2002.

HSE says occupational cancer can be caused by significant exposure to carcinogens in the workplace, often over a prolonged period. Carcinogens can be solid substances, liquids, mixtures, vapours, gases, dusts or even radiation.

Helping employers support people affected by cancer

Businesses need to have proper procedures in place to minimise cancer risks. However, they can also do much to support employees with cancer and others affected in their lives and the workplace. See Beating cancer… globally and in the workplace.

Work is important for many people with, or caring for someone with, cancer for numerous reasons. It can create a sense of normality and help with recovery. Managers and employers play a key supporting role.

A person who has, or has had, cancer is protected by law from unfair treatment at work for the rest of their life. Under equality laws, companies must try to support employees, including making reasonable adjustments to help them stay in, or return to, work when ready and able.

When making reasonable workplace or working pattern adjustments, the employee needs to be involved. Simple first steps could be to: talk and understand the employee’s needs, provide training for managers, check policies are up to date, educate all employees and raise cancer awareness.

Supporting employees affected by cancer can be difficult for small enterprises with concerns about impacts on their company teams and day-to-day activities. Information about legal responsibilities and supporting employees through cancer or a bereavement is available on the Macmillan Cancer Support website.

  • Talking about cancer with employees — HR advice is given in a podcast which includes examples of how people told colleagues about their diagnosis.
  • More information about cancer — Also as a podcast, a doctor explains how cancer develops, can be treated, and what might happen.
  • Cancer impacts on business — This presentation considers how small companies should deal with the financial implications of an employee with a cancer diagnosis.
  • Legal responsibilities — Two employers explain temporary changes they made to their employees’ work duties to help them remain in work during treatment for cancer.
  • Help with bereavement — Two managers describe how they handled the death of colleagues, the impact on their teams, plus advice from a bereavement counsellor.
  • Support for carers — Here Macmillan provides real examples of how people were supported by their employers while looking after someone with cancer.
  • Money and work — Financial worries about money are very common for people affected by cancer and Macmillan provides help.

Further information and resources

The leaflet 10 Top Tips for Line Managers offers top tips for managers to help them support staff who are affected by cancer.

Your Navigate Safety service includes a Working with Chronic Health Conditions Policy to download as well as in depth information relating to occupational exposure in the Carcinogens topic.

Commonly asked questions

Macmillan Cancer Support’s Work and Cancer webpage answers commonly asked questions about work and cancer, including help with money and finances.

To help both employers and employees, it looks specifically at the following questions.

  • How will cancer affect my work life?
  • How will cancer affect me if I’m self-employed?
  • How do I make decisions about work if I have cancer?
  • Will I need to take time off work?
  • What are my rights at work?
  • Am I entitled to sick pay if I have cancer?
  • What benefits am I entitled to?
  • What are the other forms of financial support?
  • What kind of support can I have from my employer?
  • How will cancer affect my feelings about work?

Coping with side effects at work

This is of concern to everyone affected and how you can get help is detailed here.

Specifically, this page looks at fatigue, risk of infection, bruising and bleeding, numbness or tingling of the hands and feet, changes in appearance, difficulty writing, plus other side effects or symptoms.

People with cancer-related fatigue tire more quickly and may find it very hard to do their usual tasks, concentrate or make decisions, and may feel more emotional and less patient than usual.

Some cancer treatments, such as chemotherapy, can reduce white blood cells count in the body. White blood cells fight infection. With fewer of these cells, there is a higher likelihood of infection which may prevent an employee from being able to work. Also, it is important for them to avoid other people with symptoms of illnesses that may be infectious, such as a sore throat, cold, flu, diarrhoea, vomiting and other kinds of infection, like chickenpox.

Reasonable adjustments

People in paid employment who have, or have had, cancer are entitled to ask their employers to consider making reasonable adjustments under the Equality Act and the Disability Discrimination Act.

Employers must make such adjustments when the workplace or work practices put employees with cancer at a “substantial disadvantage” compared with colleagues who do not have cancer. The disadvantage has to be “more than minor or trivial”.

Employees are not obliged to tell employers that they have cancer. But employers do not have to make reasonable adjustments unless they know, or should reasonably know, that employees have cancer, for example, because of different behaviour. It is reasonable for employers to check whether this is connected to a disability. They can then ask how they may provide support.

Examples of adjustments are more flexible working arrangements, scheduling time around the days an employee is most needed at work, agreeing which tasks are most important, what can be managed and what other staff might do to help, changing duties, or making any changes to an employee’s role the employee thinks would help.

Other options include working from home when possible, having someone else assess which phone calls need to be taken and which emails are forwarded, telling colleagues how workloads will be managed and contact arrangements.

Eating well and keeping active are also important, as is relieving emotional stress.

Contact points

Direct information via mobiles and landlines is available free of charge from 8am to 8pm by calling 0808 808 00 00. The Macmillan Support Line can also be accessed. The Macmillan Chat Service offers confidential support to people living with cancer and those supporting them.

Macmillan also runs an Online Community. This online forum with a safe environment is available 24 hours a day and has more than 80,000 members who have been directly affected by cancer.

In Your Area is an online directory of cancer support services, self-help and support groups and fundraising events across the UK.

Takeaways

Since 2000, World Cancer Day on 4 February has been a focus point for improving worldwide cancer prevention, diagnosis and treatment, while also reducing fear, dispelling misleading myths and altering unhelpful behaviour and attitudes.

This year is the last of a three-year campaign around the message “Create a future without cancer — the time to act is now” that wants governments to promote health equity, enhance cancer service accessibility, reduce disparities in cancer incidence and mortality, to finally “close the care gap”.

Information on how to support World Cancer Day can be seen here.

Macmillan Cancer Support provides information, training and resources to help employers support their help staff affected by cancer, plus advice for employees.

There is a lot of information to go through. If you require further advice, contact us so we can point you in the right direction.

 

Protecting Lives from Silica Dust in the UK

ChemicalsRespirable crystalline silica (RCS) is found in stone, rocks, sands and clays.

Silica dust is deadly, killing hundreds of people in the UK each year. Because silica dust is found in a lot of building materials, it’s difficult to avoid. But avoid it, you must. Because the law, and your health, require you to. How much silica dust is harmful, and what are the silica dust exposure limits?

Silica dust kills around 800 people every year in the UK.

And if you work in construction, silica dust is difficult to avoid.

If you carry out work that requires you to cut, sand, drill or carve materials containing silica, you create and release dust. This fine dust is known as respirable crystalline silica (RCS). This fine dust is what can be inhaled deeply into your lungs, causing long-term irreversible damage to your health.

The importance of occupational exposure monitoring

  • Producing data to implement remedial actions effectively
  • Checking the effectiveness of your control measures
  • Ensuring workplace exposure limits are not exceeded
  • Identifying health surveillance needs

The most at-risk work includes:

  • Construction
  • Demolition
  • Quarrying
  • Mining
  • Potteries
  • Ceramics
  • Manufacturing

Approximate Crystalline Silica Content in various materials

RCS Silica Content

You can find out more about WELs and how to calculate them HERE

Exposure to RCS over a long period can cause fibrosis (hardening or scarring) of the lung tissue with a consequent loss of lung function. Sufferers are likely to have severe shortness of breath and may find it difficult or impossible to walk even short distances or up stairs. The effect continues to develop after exposure has stopped and is irreversible. Sufferers usually become house- or bed-bound and often die prematurely due to heart failure.

Acute silicosis is a rare complication of short-term exposure to very large amounts of silica. This condition is life-threatening and associated with very significant clinical consequences.

Silica may also be linked to lung cancer. Precautions taken to control the risk of fibrosis will serve to control the risk of lung cancer. Workers with silicosis are at an increased risk of tuberculosis, kidney disease and arthritis. Exposure to RCS may also cause chronic obstructive pulmonary disease (COPD).

The Control of Substances Hazardous to Health (COSHH) Regulations apply to any substances that can harm health. That doesn’t just mean chemicals or substances in packaging and containers that you buy in. It also includes hazardous dust that is produced as part of your work processes.

Safety First’s occupational exposure monitoring

Exposure monitoring is needed for work with harmful substances, such as asbestos and lead may also be required as part of the COSHH risk assessments. Our specialist team is highly qualified in the different methods of monitoring exposure. No matter how complex the issue, Safety First can find the right sampling strategy for you.

Safety First is experienced in delivering a complete range of occupational exposure monitoring services to provide you with confirmation that your control measures are adequate and workplace exposure limits are not exceeded.

Contact us if you wish to find out more, alternatively contact Safety First Group Ltd.

Guest Post.

Published · Updated

Health and Safety Statistics for 2022-2023

HSE publishes a range of statistics relating to health and safety in Great Britain. Using a variety of data sources, including surveys and surveillance schemes, they provide statistics on:

  • Work-related ill health and disease
  • Workplace injury
  • Working days lost and costs to Britain as a result of health and safety incidents
  • Working conditions and management of health and safety in the workplace

The HSE team who produce and disseminate the statistics are all members of the Government Statistical Service. Their products and systems are audited by the UK Statistics Authority and have been designated with the National Statistics quality standard.

Contact us if you require health and safety advice.

 

Published · Updated

How to manage workplace health and safety during winter

Making sure your business is a safe place for people to work, shop, or visit is essential. Whether you’re a public-facing high-street retailer, a factory with a growing workforce or your clients are visiting your offices in an industrial estate, there are many hazards you should be looking out for.

Slip and trip accidents increase during the Autumn and Winter season for a number of reasons: there is less daylight, leaves fall onto paths and become wet and slippery and cold weather spells cause ice and snow to build up on paths. There are effective actions that you can take to reduce the risk of a slip or trip. Regardless of the size of your site, always ensure that regularly used walkways are promptly tackled.

Carry out a risk assessment – Under the Management of Health and Safety at Work Regulations 1999, a risk assessment is a legal requirement that involves identifying sensible measures to control hazards if you’re an employer, your work activity is mentioned in the regulations, or your work poses a risk to others.

Identify hazards outside your business – These are mainly the result of wet and icy weather. Places where hazards could occur include Company car park and its adjoining road, Pavement or pathways etc

Identify hazards inside your business – These can mainly be the result of darker days and colder temperatures. Places where hazards could happen include the entrance areas of your business, dark warehouses, unlit corridors or stairwells for example.

What else can you do to ensure safety in winter?

Lighting

Is there is enough lighting around your workplace for you and your workers to be able to see and avoid hazards that might be on the ground? The easiest way to find out is to ask your employees.

Wet and decaying leaves

Fallen leaves that become wet or have started to decay can create slip risks in two ways, they hide any hazard that may be on the path or they themselves create a slip risk.

Put in place a procedure for removing leaves at regular intervals; you might even consider removing the offending bushes or trees altogether.

Rain water

In dealing with rainwater:

  • When fitting external paved areas ensure that the material used will be slip resistant when wet.
  • Discourage people from taking shortcuts over grass or dirt which are likely to become slippery when wet. Consider converting existing shortcuts into proper paths.
  • On new sites, before laying paths, think about how pedestrians are likely to move around the site. Putting the path in the right place from the start may save you money in the long term.
  • Many slip accidents happen at building entrances as people entering the building walk in rainwater. Fitting canopies of a good size over building entrances and in the right position can help to prevent this.
  • If a canopy is not a possibility, consider installing large, absorbent mats or even changing the entrance flooring to one which is non-slip.

Ice, frost and snow

  • To reduce the risk of slips on ice, frost or snow, you need to assess the risk and put in a system to manage it.
  • Identify the outdoor areas used by pedestrians most likely to be affected by ice, for example: – building entrances, car parks, pedestrian walkways, shortcuts, sloped areas and areas constantly in the shade or wet.
  • Monitor the temperature, as prevention is key.
  • You need to take action whenever freezing temperatures are forecast. Keep up to date by visiting a weather service site such as the Met Office or the Highways England.
  • There are also smart signs on the market, available to buy at low cost, which display warning messages at 50 and below.
  • Put a procedure in place to prevent an icy surface forming and/or keep pedestrians off the slippery surface;
    • Use grit (see separate article below for more detail) or similar, on areas prone to be slippery in frosty, icy conditions;
    • Consider covering walkways eg by an arbour high enough for people to walk through, or use an insulating material on smaller areas overnight;
    • Divert pedestrians to less slippery walkways and barrier off existing ones.
  • If warning cones are used, remember to remove them once the hazard has passed or they will eventually be ignored.

Gritting

The most common method used to de-ice floors is gritting as it is relatively cheap, quick to apply and easy to spread. Rock salt (plain and treated) is the most commonly used ‘grit’. It is the substance used on public roads by the highways authority.

Salt can stop ice forming and cause existing ice or snow to melt. It is most effective when it is ground down, but this will take far longer on pedestrian areas than on roads.

Gritting should be carried out when frost, ice or snow is forecast or when walkways are likely to be damp or wet and the floor temperatures are at, or below freezing. The best times are early in evening before the frost settles and/or early in the morning before employees arrive. Salt doesn’t work instantly; it needs sufficient time to dissolve into the moisture on the floor.

If you grit when it is raining heavily the salt will be washed away, causing a problem if the rain then turns to snow. Compacted snow, which turns to ice, is difficult to treat effectively with grit. Be aware that ‘dawn frost’ can occur on dry surfaces, when early morning dew forms and freezes on impact with the cold surface. It can be difficult to predict when or where this condition will occur.

Contact us if you require further information.

 

Published · Updated

Christmas 2023

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact us if you require any information.

Merry Christmas and a Happy New Year!!!!!!!!