Injury prevention must be a public health priority

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It’s Zahra’s first day back at work, as her office reopens after several months. Before this year, she wouldn’t have said her job at an IT services company was a dangerous one – bar the odd stray cable on the floor.

But now she’s worried for her safety in her average office environment. The dangers of working in sectors like agriculture and construction are well known, but who could have imagined a water-cooler conversation with colleagues would become so risky?

Zahra’s not alone – a recent survey by Aviva found 35 per cent of people returning to work don’t trust their employer to make the workplace Covid-secure. Workplaces which would previously be considered ‘low risk’, such as retail, hospitality and offices, may have a higher infection risk than those such as farms where much of the work is outdoors.

Lesley Rankin: HSE and local authorities need more resources to carry out their role effectively

To reduce the risk of infection, and give workers greater – and justified – confidence to return, regulators must ensure that workplaces are Covid-secure across a wide range of settings.

But the budgets of the Health and Safety Executive (HSE) and local governments (between them responsible for health and safety in workplaces) have been cut significantly since 2010, with reduced inspection and enforcement levels. The government has announced an extra £14 million pandemic funding for the HSE, but this still leaves it with £84 million less than in 2010/11 and does not help cash-strapped local authorities.

Faced with this higher level of workplace risk, urgent funding increases are needed to handle the additional workload without compromising other workplace safety requirements. The think tank IPPR’s recent report, Better than cure: Injury prevention policy, recommends gearing these towards rapidly increasing the number of inspectors, with fast tracked Covid-19 specific training so they can enter the field as soon as possible.

Longer term, the government should review the resources needed by the HSE and local authorities to carry out their role effectively.

It should become mandatory for organisations with 50 employees or more to publish their Covid-19 risk assessments. This will ensure that businesses take the process seriously and will open them up to public scrutiny. Further, the government should support small businesses to make workplaces Covid-secure where there are large upfront costs. A grant scheme with an initial £1.5 billion could be operated by local authorities.

New analysis in the report shows that, before the pandemic, workplace illness and injury were twice as high for lower paid workers than higher paid ones. Injury prevention, then, is also a matter of fairness.

Although the UK has been a world leader in injury prevention policy, austerity and a lack of strategy have hampered further improvement. The Office for National Statistics records over 10,000 avoidable deaths from injuries in UK every year, with leisure and home injuries thought to be growing. But injuries are not inevitable.

More broadly, the Covid-19 pandemic has raised the profile of public health, and of health and safety, on political and public agendas. In the months following the initial crisis, this should enable a renewed focus on injury prevention in general, and occupational health in particular, as the return to work creates new infection risks.

Now is the time to start treating injury prevention as a public health priority. Public policy can help prevent injuries and unnecessary harm. At IPPR we propose a national strategy to prevent injury everywhere we live and work across the UK, with a new injury prevention commissioner to consult with government departments, businesses and civil society. A coherent cross-sector plan would replace the current piecemeal and disjointed policies, with mechanisms to ensure accountability.

It was Cicero who said “the safety of the people shall be the highest law”. The right resources and strategic, coordinated action are needed so that Zahra and her colleagues are empowered to live and go to work without fear.

Lesley Rankin is researcher at the Institute for Public Policy Research (IPPR)


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