Occupational safety and health in the United kingdom: securing future workplace health and wellbeing.

The industrial revolution that took place in the United Kingdom (UK) between 1760 and 1830 lead to profound social change, with rapid urbanisation associated with squalid living conditions and epidemics of infectious diseases. The next 150 yr or so saw the introduction of many specific acts of health and safety legislation. In 1974 new overarching primary legislation was introduced that would produce a step change in the evolution of health and safety enforcement. In 2004, a new strategy was launched designed to promote a vision embedding health and safety as a cornerstone of a civilised society and to achieve a record of workplace health and safety that leads the world. Good progress in controlling many safety hazards and improving occupational hygiene has been made. There has been a fall in numbers of a wide range of injuries and diseases or illnesses since 2000. The challenge will be to maintain these favourable trends and prepare for new and emerging diseases at a time when resources are diminishing. The importance of occupational health within the UK health and safety strategy has been recognised over the last decade. Occupational health is developing a new paradigm which combines classical health risk management with assessment of workability, rehabilitation back to work and promotion of health and wellbeing. There is an increasing recognition that being in supported employment is good for health and reduces health inequalities.