The British Occupational Hygiene Society (BOHS) have just announced that Dr Carlton, FRCP, FFOM, who has worked for TfL (formerly London Transport) for 18 years, is the winner of its prestigious annual award, which recognises outstanding contributions to the reduction of ill health at work.

The five year Health Improvement Plan for London Underground was launched in 2004/05 and is now in its third year.

It aims to reduce lost working days due to back pain, stress, anxiety and depression, and has delivered significant health and work benefits.

Dr Carlton heads up TfL's occupational health team, which includes medical and nursing advisers, a counseling and trauma service, a drug and alcohol assessment and treatment service and a physiotherapy service. She will receive a Trophy and certificate presented at the BOHS Annual Conference Dinner in April 2007.

Dr Carlton said: "I am delighted to win the award on behalf of TfL and my team who have worked extremely hard to improve the lives of the workforce, by integrating the physical, mental and social aspects of good occupational health management.

"The Health Improvement Plan has already reduced the number of employees on sick leave with back pain, and those off sick due to stress, anxiety and depression has decreased in most working groups. Staff off sick (for all causes) who attend the stress reduction groups have been reduced by 30 per cent in the year following the intervention."

Working back

Three key strands of the work on back pain has been the development of "Working Back" guides for employees and managers, the introduction of a back exercise class which has a large educational component and a work focus, as well as workplace assessments to identify specific needs.

The number of staff off sick for back pain has already decreased.

Those who are referred for physiotherapy and the exercise class within six weeks of being off sick, return to work on average three weeks sooner than those referred later, and employees report marked reductions in pain and disability.

A consultation period to identify the key issues leading to stress, anxiety and depression has led to the introduction of a number of initiatives, including: "hot spots" work using a facilitator with training in mental health issues to coach managers and encourage teams to find their own solutions and the setting up of stress reduction groups, led by trained counsellors, to encourage participants to develop the skills and resilience to take greater control over their lives.

Dr Carlton, who is an Occupational Physician has held the position of Registrar of the Faculty of Occupational Medicine since May, 2002