Fatigue in Infrastructure Construction: A Longitudinal Study of HS2 Construction Workers

Between October 2022 and December 2024, Third Pillar of Health undertook a multi-phase longitudinal study on behalf of HS2 Occupational Health and HS2 Innovation, examining fatigue patterns among construction personnel across the High Speed 2 (HS2) project. Central to the study was a purpose-built digital platform that enabled voluntary participants to self-report fatigue levels at multiple time points throughout each shift, generating well over 100,000 data entries across diverse roles, sites, and shift types.

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Quantifying Fatigue Among Occupational Drivers: A Longitudinal Study

From June 2023 to August 2024, Third Pillar of Health conducted an extensive longitudinal study on behalf of the National Highways Commercial Vehicle Incident Prevention team, focusing on fatigue in individuals who drive for work. Central to the project was a purpose-built web application that enabled participants to submit self-reported fatigue assessments at multiple intervals throughout their shifts. This approach provided a rare, real-time window into how tiredness unfolds across the working day. This report reveals our approach, our insights, and what we discovered about how job roles, schedules, and environments influence fatigue in those who drive for work.

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Case study: East Cheshire NHS Trust

Running a sleep improvement programme for your staff not only improves key sleep metrics but also significantly reduces absence rates. In this case study we explore...

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Sleep and fatigue in UK working populations

In this white paper we explore the state of sleep and fatigue in UK working populations based on over 6,500 responses to our sleep health self-assessment...

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The cost of sleeplessness to your business

At the end of 2016 a report from RAND Europe shone a light on the cost of sleeplessness across 5 major OECD countries. In this article we explore the results, why...

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5 top interventions to tackle sleep deprivation and fatigue in staff

Sleep deprivation and fatigue is an under-estimated cost to organisations. In this article we explore the top 5 interventions you can introduce to help your staff...

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Why should you put Employee Energy at the forefront of your staff health and wellbeing strategy?

Tiredness and fatigue, particularly as a result of sleep deprivation, is now being described as a 'public health epidemic.' In this white paper we use research data...

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Shift Working: The health & performance implication and link to poor sleep

In this white paper we use recent research to comprehensively outline the health & performance implications of shift working, the related costs, the link...

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How and why should you tackle the growing issues of stress, burnout and sleep deprivation in staff?

Stress and mental ill-health is now the number 1 cause of long-term sickness. Difficult economic times mean increased anxiety and stress around workload, job security and...

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Drowsy Driving: How and why should your organisation take a more proactive approach to tackling this costly problem?

Depending on which piece of research you read between 20 and 40% of all accidents on the roads are attributable to driver fatigue. Insufficient sleep, poor individual choices...

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Examining the need for programmes to counter tiredness and fatigue in safety-critical industries

Barely a week goes by without another story about an accident or near miss due to tiredness and fatigue. When you combine the need for shift working and the...

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DISCUSSION DOCUMENT: Can the introduction of controlled rest periods (naps) benefit your organisation’s bottom line?

In this paper we explore the implications of poor sleep, look at the nutritional & health implications of the measures we adopt to improve alertness and examine whether a...

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Audio recording: You are what you sleep. Cambridge University Festival of Ideas.

In October 2017 it was an honour to be part of a panel session “You are what you sleep” at Cambridge University's “Festival of Ideas.” There were some really interesting...

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Audio recording: The Importance of Sleep – The Overlooked Ingredient to Business Success?

A little while ago I was part of a panel session in conjunction with Squire Patton Boggs and RAND Europe discussing “the importance of sleep – the overlooked ingredient to...

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Webinar: The importance of sleep to wellbeing - Recording

Sleep together with exercise & nutrition form the three pillars of good health. Poor sleep results in poor health, safety and performance. Why should you incorporate sleep into your...

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How to tackle driver fatigue

“It is estimated that fatigue is a factor in 20% of accidents on UK roads however, when the public is asked to name their top five road risks,  it barely gets a mention...”

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Workers urged to maintain sleep patterns in Christmas party season

“A leading expert has urged workers to maintain good sleep patterns during the festive season, as new research highlights the impact Christmas parties can have on...”

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How the construction industry is recognising and tackling fatigue

Marcus de Guingand from Third Pillar of Health, looks at managing fatigue in the workplace. He explores some of the common findings in respect of fatigue in construction...

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Is fatigue the greatest threat to UK policing?

“At first glance the threat of fatigue to policing may seem like an extraordinary assertion. Surely UK policing (and other police forces around the world) have much bigger issues...”

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How does sleep impact health and productivity?

In the run up to Safety & Health Expo 2018, SHPmeets sleep expert Marcus de Guingand, Managing Director at Third Pillar of Health Ltd,  provider of fatigue management...

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