Review decision: 

No update required. Published guidance still current.

Next review: To be scheduled

The guidance is for those who have a direct or indirect role in, and responsibility for, promoting mental wellbeing at work. This includes all employers and their representatives, irrespective of the size of the business or organisation and whether they are in the public, private, or voluntary sectors. It may also be of interest to professionals working in human resources or occupational health, employees, trade unions representatives and members of the public.

It focuses on interventions to promote mental wellbeing through productive and healthy working conditions.

Mental wellbeing at work is determined by the interaction between the working environment, the nature of the work and the individual.

The five recommendations cover: strategy, assessing opportunities for promoting mental wellbeing and managing risk, flexible working, the role of line managers, and supporting micro, small and medium-sized businesses. They include:

  • Promoting a culture of participation, equality and fairness that is based on open communication and inclusion.
  • Using frameworks such as Health and Safety Executive management standards for work-related stress to promote and protect employee mental wellbeing.
  • Consider particular models of flexible working that recognise the distinct characteristics of micro, small and medium-sized businesses and organisations.

This guideline was previously called promoting mental wellbeing at work.

Your responsibility

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.

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