Actions to address CDoH at the local authority level
Actions to address CDoH at the local authority level

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Showing 241-250 of 301 items.
Legal protections for whistle-blowers from reprisal 

Area of Interest:
Labour and Working Conditions
Lancet Model:
Level:  Level 3: Sectoral public policies
Drivers:  N/A
Practices:  Labour and employment practices
Mechanism:
Physical environment
Effect:
* (Inconclusive)
References:
Scopes:
Global, Europe, UK

Details:

Examples of implementation: There are 10 countries in the European Union with that give comprehensive legal protection to whistle-blowers from reprisal: France, Hungary, Ireland, Italy, Lithuania, Malta, Netherlands, Slovakia, Sweden and the UK. Current protections only apply to wrongdoing related to EU law Within the US, there are over 20 statutes to protect whistle-blowers living in and outside the country (Nicholls et al., 2021).

Improved minimum wage and salary policies

Area of Interest:
Labour and Working Conditions
Lancet Model:
Level:  Level 3: Sectoral public policies
Drivers:  N/A
Practices:  Labour and employment practices
Mechanism:
Financial
Effect:
+ (Beneficial effect)
References:
Scopes:
Global, Europe, UK

Details:

Types of identified policies: Contracted hour policies (e.g., provide minimum hours or convert to a permanent contract after working on temporary for more than 6 months); adjusting industry-level pay scales and minimum wages, esp. where tipping is expected to offset low wages; raising minimum wages.

What we know: Higher state-level minimum wages are associated with positive health effects within the US (Clark et al., 2022). Increased minimum wages were associated with decreased incidence rates of HIV cases in heterosexual Black individuals and decreased odds of infant mortality for Black women (Clark et al., 2022).

Legal or financial measures to remove and/or reduce barriers to employment for disabled/chronically ill people

Area of Interest:
Labour and Working Conditions
Lancet Model:
Level:  Level 3: Sectoral public policies
Drivers:  N/A
Practices:  Labour and employment practices
Mechanism:
Financial
Effect:
+ (Beneficial effect)
References:
Scopes:
Global, Europe, UK

Details:

Types of identified measures: workplace adjustment requirements.

What we know: Beneficial effects were reported for implementing legal or financial measures to require employers to make workplace adjustments such as increased flexibility with work schedules (Clayton et al., 2012). At the same time, equity concerns were raised as those receiving support tend to be in non-manual and professional jobs compared to those in lower-skilled jobs who are more likely to struggle with or be out of work because of their disability (Clayton et al., 2012).

Examples of implementation: The UK 'Access to Work (AtW) Scheme' is highly accepted and valued by recipients but only a small minority of eligible persons with disabilities receive this support and these persons have non-manual and professional jobs, illustrating the potential equity gap for this type of policy approach (Clayton et al., 2012).

Implementation of mandatory occupational health and safety regulations

Area of Interest:
Labour and Working Conditions
Lancet Model:
Level:  Level 3: Sectoral public policies
Drivers:  N/A
Practices:  Labour and employment practices
Mechanism:
Physical environment
Effect:
+ (Beneficial effect)
References:
Scopes:
Global, Europe, UK

Details:

Types of regulation protections: regulations to prevent exposure to toxic chemicals; safety standards and regulations in construction.

What we know: Mandatory occupational health and safety regulations are effective at reducing health inequalities and work-associated exposures to harm and/or injuries (Naik et al., 2019; Andersen et al., 2019). Both general and specific forms of legislation are effective for improve health and safety in the work environment (Andersen et al., 2019). These findings help to counter mis/disinformation that have suggested occupational health and safety activities are ineffective or that voluntary efforts are more effective (Andersen et al., 2019).

Inspection and enforcement of occupational health and safety protections with penalties for non-compliance 

Area of Interest:
Labour and Working Conditions
Lancet Model:
Level:  Level 3: Sectoral public policies
Drivers:  N/A
Practices:  Labour and employment practices
Mechanism:
Physical environment
Effect:
+ (Beneficial effect)
References:
Scopes:
Global, Europe, UK

Details:

What we know: Mandatory occupational health and safety regulations are effective at reducing health inequalities and work-associated exposures to harm and/or injuries (Naik et al., 2019; Andersen et al., 2019). Workplace inspections that involve initial inspections, follow-ups and complaint and accident-prompted inspections are associated with higher compliances rates than other types of inspections (Andersen et al., 2019). Workplace inspections with citations and/or greater penalties are associated with fewer injuries and greater compliance with regulations and protections (Andersen et al., 2019). These findings help to counter mis/disinformation that have suggested occupational health and safety activities are ineffective or that voluntary efforts are more effective (Andersen et al., 2019).

Requirements for employers to engage in return-to-work planning

Area of Interest:
Labour and Working Conditions
Lancet Model:
Level:  Level 3: Sectoral public policies
Drivers:  N/A
Practices:  Labour and employment practices
Mechanism:
Physical environment
Effect:
+/-0* (Suggestive but inconclusive)
References:
Scopes:
Global, Europe, UK

Details:

What we know: Evidence suggests that requiring employers to engage in return-to-work planning (e.g., for chronically ill persons) could reduce subsequent sick leave, but limited implementation and minimal evaluative data means conclusions cannot be drawn about its impact (Clayton et al., 2012).

Legislation to outlaw employer discrimination against disabled/chronically ill in recruitment and retention of staff 

Area of Interest:
Labour and Working Conditions
Lancet Model:
Level:  Level 3: Sectoral public policies
Drivers:  N/A
Practices:  Labour and employment practices
Mechanism:
Physical environment
Effect:
0 (No Effect)
References:
Scopes:
Global, Europe, UK

Details:

What we know: While legislation outlawing employer discrimination against disabled and/or chronically ill staff offers a necessary, rights-based approach to prohibiting discrimination, Clayton et al., (2012) find that this strategy has not necessarily affected employment among disabled people, with UK studies evaluating the Disabilities Discrimination Act reporting no evidence of significant wider effects on employment rates of disabled people at the population level.

Sick leave guarantees

Area of Interest:
Labour and Working Conditions
Lancet Model:
Level:  Level 3: Sectoral public policies
Drivers:  N/A
Practices:  Labour and employment practices
Mechanism:
Financial
Effect:
N/A (Effect not discussed/reported)
References:
Scopes:
Global, Europe, UK

Details:

Examples of implementation: New Zealand has sick leave guarantees provided at the local level.

Litigation against transportation network companies (TNCs) for drivers’ worker rights 

Area of Interest:
Labour and Working Conditions
Lancet Model:
Level:  Level 3: Sectoral public policies
Drivers:  N/A
Practices:  Labour and employment practices
Mechanism:
Financial
Effect:
N/A (Effect not discussed/reported)
References:
Scopes:
Other (North America)

Details:

What we know: A review from McKane et al., (2023) reports on examples of local level litigation in the US targeting TNCs for their limited provision of employee rights for drivers, but evidence of efficacy is not discussed.

Examples of implementation: A California appeals court ruled that Uber and Lyft must reclassify their California drivers from 'autonomous' workers (gig economy) to company employees (McKane et al., 2023). Status as employees rather than gig workers could provide labour rights including minimum wage guarantees, benefits plans including retirement and health contributions and low auto-insurance deductibles, which have been shown to increasing a driver’s willingness to work for TNCs (McKane et al., 2023).

Requirements for Transportation Network Companies (TNCs) to provide worker rights and protections

Area of Interest:
Labour and Working Conditions
Lancet Model:
Level:  Level 3: Sectoral public policies
Drivers:  N/A
Practices:  Labour and employment practices
Mechanism:
Physical environment
Effect:
N/A (Effect not discussed/reported)
References:
Scopes:
Other (North America)

Details:

Further description: TNCs have commonly argued that their drivers are 'autonomous' workers (i.e., part of gig economy) and as such there is not a need to provide them the same workers' rights and protections that employees would be guaranteed (e.g., minimum wage, benefits plans including retirement and health contributions, low auto-insurance deductible) (McKane et al., 2023).

What we know: A review from McKane et al., (2023) reports on examples of local level actions in the US targeting TNCs for their limited provision of employee rights for drivers, but evidence of efficacy is not discussed.