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Managing sickness absence and declared disabilities in a district nursing team

02 October 2019
Volume 24 · Issue 10

Abstract

Sickness absence in the NHS is around 2.3% higher than in the rest of the economy. Although policies and guidelines are in place to manage this problem, stress-related illness is on the rise. Managing sickness, absence and declared disabilities in district nursing teams is an issue that must be handled by staff members, team managers and the wider organisation. Occupational health services are a crucial component in both preventing and managing staff sickness and absence, but these may well not have adequate resources to cope with increased stress-related illness. Ensuring that occupational health services are adequately resourced and able to respond appropriately to both the needs of staff in need of their support and managers is part of the organisational responsibilty. This article aims to guide managers in caring for their staff properly and meeting service demand, a difficult balancing act.

Managing sickness, absence and declared disabilities is a joint venture between staff members, team managers and the wider organisation. Supporting team members, while also making sure that the team continues to function and meet the demand for its services, is often a challenge. The purpose of this article is to help managers and team leaders to both care for their staff properly and meet service demand.

District nursing teams do not work in isolation; they are part of a larger organisation, which also has responsibilities for the health and wellbeing of its staff. In the words of Boorman (Department of Health and Social Care (DHSC), 2009):

‘Organisations that work with their staff to provide healthy and safe work combined with a caring environment perform better, and, importantly, by promoting the health of their workers rather than risking damage, they deliver reliably’.

The Interim NHS People Plan (NHS Improvement, 2019) reported that sickness absence in the NHS is around 2.3% higher than in the rest of the economy. It set out the support that staff can expect from the NHS as a modern employer, including having a real voice on:

  • Whistleblowing and a freedom to speak up
  • Physical and mental health and wellbeing and reducing sickness and absence
  • Workload, work–life balance, clear and timely rotas, flexible working and managing unpaid caring responsibilities
  • Work environment.
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