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Version 2.0 February 2020 Page 1 of 3030-1 Network Rail’s Mental Wellbeing Discussion Tool Guidance and Action Plan A tool for employees and managers to support wellbeing at work.
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Page 1: BCR Form template - Network Rail Safety Central · Web viewBeta Version 1.0Page 1 of 1-1 Version 2.0 February 2020 Page 1 of 17-1 Network Rail’s Mental

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Network Rail’s Mental Wellbeing Discussion Tool

Guidance and Action Plan

A tool for employees and managers to support wellbeing at work.

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Mental Wellbeing Discussion Tool - Form

Name of employee: Click or tap here to enter text. Department: Click or tap here to enter text.

Job role of employee: Click or tap here to enter text. Employee Number: Click or tap here to enter text.

Name of manager developing plan: Click or tap here to enter text. Date: Click or tap to enter a date.

Reason for Mental Wellbeing Assessment:

Click or tap here to enter text.

How to use the mental wellbeing discussion tool:

1. You can complete either Form A or Form B. The employee can complete the form prior to meeting with their line manager or the form can be completed together.

2. Form A is longer (sections 1-7 on pages 3-16). Complete this form if you require more space to write down what you’d like to discuss. You do not have to complete all sections if you do not feel they are applicable. These pages provide prompts to help you think about what might be causing any concerns and also help you think of possible solutions you’d like to discuss with your line manager. On the reverse of each section is a table where an action plan can be noted once discussed and agreed.

3. Form B is shorter (on page 17). This can be used if you know what is causing your concern and what you would like to discuss. Complete Form B Review (page 18) in any follow up meetings.

4. Any actions, adjustments or solutions agreed should be written within the employee mental wellbeing plan once discussed and agreed with your manager.

5. Use the additional information contained within ‘Network Rail Policies, Resources and Other Services’ document to help consider what support is available.

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Form A Section 1: Non-Work Related / Personal Concerns

Is there anything, either at home or outside or work which you would like to discuss or gain support for? ☐ Yes / ☐ No

If you answered Yes, please provide further details below, including any solutions you would like to discuss:

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Summary of Concern Agreed Solutions / Actions

Action Owner Review Date and outcome

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Form A Section 2: Demands – consider issues such as workload, work patterns, work-life balance, targets and deadlines, training, skills and experience, unclear priorities and working environment.

Is there anything relating to demands which you would like to discuss? ☐ Yes / ☐ No

If you answered Yes, please provide further details below, including any solutions you would like to discuss:

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Summary of Concern Agreed Solutions / Actions

Action Owner Review Date and outcome

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Form A Section 3: Control – consider how much say you have in how your job is done, the pace at which you work, when & how you take breaks, work and shift patterns, having your opinion considered, being included in decision making and being encouraged to use your skills & initiative

Is there anything relating to control which you would like to discuss? ☐ Yes / ☐ No

If you answered Yes, please provide further details below, including any solutions you would like to discuss:

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Agreed Solutions / Actions Action Owner Next Review Date

Review Summary and Additional Solutions / Actions Action Owner Next Review Date

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Form A Section 4: Support – consider if you receive appropriate support and constructive feedback from management or colleagues, if there are any aspects of your job you find particularly difficult and would like more support, what type of additional support, is the current feedback or rewards enabling you to perform your best, are you aware of what support is available and how to access it?

Is there anything relating to support which you would like to discuss? ☐ Yes / ☐ No

If you answered Yes, please provide further details below, including any solutions you would like to discuss:

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Agreed Solutions / Actions Action Owner Next Review Date

Review Summary and Additional Solutions / Actions Action Owner Next Review Date

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Form A Section 5: Relationships – consider if there are any unhealthy or unacceptable behaviours or relationships for you at work, if you would like to improve positive working relationships, if you have any experiences of bullying or harassment, if you are treated fairly, if communication with the team could be improved

Are there areas of your relationships at work you would like to discuss? ☐ Yes / ☐ No

If you answered Yes, please provide further details below, including any solutions you would like to discuss:

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Agreed Solutions / Actions Action Owner Next Review Date

Review Summary and Additional Solutions / Actions Action Owner Next Review Date

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Form A Section 6: Role – consider if you are clear about your role and responsibilities at work, if there is any conflict or confusion about your role, if your targets and objectives are clear, if you understand the importance of your role within your team and the organisation, or if your health has changed so your ability to fulfil your role is now more difficult and if so what restrictions you have

Are there any areas of your role which you would like to discuss? ☐ Yes / ☐ No

If you answered Yes, please provide further details below, including any solutions you would like to discuss:

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Agreed Solutions / Actions Action Owner Next Review Date

Review Summary and Additional Solutions / Actions Action Owner Next Review Date

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Form A Section 7: Change – consider if any changes to your work role have affected you, if you are provided with sufficient information and time to consider any changes to your role or the organisation, if you are provided opportunities to contribute to any change, if you receive adequate support through any change, or if you have any concerns about your future employment.

Are there any concerns relating to change which you would like to discuss? ☐ Yes / ☐ No

If you answered Yes or partially, please provide further details below, including any solutions you would like to discuss:

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Agreed Solutions / Actions Action Owner Next Review Date

Review Summary and Additional Solutions / Actions Action Owner Next Review Date

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Form B: Employee Mental Wellbeing Plan

Date:

Details of Concern Solutions / Actions / Adjustments agreed / Guidance provided Action owner Review date

Example: finding it difficult to balance priorities between project work, incoming emails and attending meetings as such employee feels like their performance is being affected

Review of project work, fixed vs flexible deadlines and possible extension to flexible deadlines or putting projects on hold

Discuss daily prioritising to free time to focus on project work Review ‘out of hours’ working and set boundaries Promote EAP and mental wellbeing resources

Line manager and employee

4 weeks (insert specific date)

Employee Signature: _________________________________________ Manager Signature: _________________________________________

Date of Next Review Meeting: _________________________________________

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Form B Review:

Date:

Details of Concern Review Summary and Additional Solutions / Actions Action owner Review date

Employee Signature: _________________________________________ Manager Signature: _________________________________________

Date of Next Review Meeting: _________________________________________

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Core Support Services and Resources For details of additional support services and resources, visit the Network Rail mental wellbeing hub see the document ‘Additional support services and resources’

Support Services or Resource Benefits Contact / Location Details

Reasonable Adjustments Policy Reasonable adjustments are a range of changes that can be made to a working environment, a role, or the setting up of extra support to help disabled employees (physical or mental impairment)

https://networkrail.sharepoint.com/sites/myconnect/news/Pages/HR/Campaign/Reasonable-adjustments2.aspx

Flexible Working Policy Alterations to work arrangements to enable employees to balance their work-life with other responsibilities (child care, caring, returning from paternity/maternity leave, religious observance)

https://networkrail.sharepoint.com/sites/myconnect/hr/Pages/Flexible-working.aspx

Validium (Employee Assistance Provider)

24 hours a day, 7 days a week

Confidential advice and support for employees from a trained professional around finances, legal issues, debt, relationships, bereavement and other health related concerns.

Short term clinical therapy can be accessed if deemed suitable by Validium.

V.Club has a range of helpful information sheets, podcasts, newsletters, quizzes and the option to contact a counsellor for e-counselling.

Telephone: 0800 358 48 58

V.Club:

www.validium.com/vclub

Username: NetworkRail

Password: onlinesupport

Validium (Employee Assistance Provider)

Line Manager Support Manager

Guidance for managers around supporting employees who may have complex mental health issues, long term absence relating to mental wellbeing or sign posting to other external support services

Telephone: 0800 358 48 58 – Option 5

Optima (Occupational Health Service)

Optima provide a range of services including pre-employment medicals, periodic medicals, health surveillance, management referrals (for mental or physical health), case management, medication checks (medication enquiry) and drugs and alcohol testing.

Telephone switchboard: 0800 0833 324

Medication Enquiry Line (Option 1)

For cause Drug and Alcohol call out (Option 2)

Validium (Option 3)

Helpdesk (Option 4)

RehabWorks (Option 5)

Sharps and body fluids help desk (Option 6)

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Support Services or Resource Benefits Contact / Location Details

Make referrals online:

www.myohportal.co.uk.

RehabWorks (Physiotherapy Service)

Free self-referral physiotherapy service for all employees. Telephone switchboard: 0800 0833 324

RehabWorks (Option 5)

Network Rail Mental Wellbeing Hub

Mental wellbeing campaign material, videos, briefing packs, standards and access to support services

https://ohw.hub.networkrail.co.uk/_layouts/15/WopiFrame.aspx?sourcedoc=/Shared%20Documents/Support%20Services%20and%20Resources.pdf&action=default

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