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Research shows ultra-grip shoes can reduce staff injuries caused by workplace falls

Published: 21 January 2021

A high number of NHS staff injuries caused by slips and falls in the workplace could be prevented if staff were recommended to wear ultra-grip shoes as part of their uniform, according to NIHR-funded research.  

Slips and falls are one of the main causes of injury in the workplace, accounting for more than 100,000 injuries in Britain in one year, and resulting in nearly one million days taken off work.  The health and social care sector has the highest cases, partly due to smooth floors that can become frequently wet or dirty.

The study, conducted by researchers at the University of York, in collaboration with the Health and Safety Executive, Leeds Teaching Hospital NHS Trust and the University of Leeds, involved seven  NHS Trusts, where 50% of staff who volunteered to take part were asked to wear their own choice of shoes to work and the other half were provided with shoes rated by the Health and Safety Executive (HSE) with the highest grip rating of 5* for a period of 14 weeks.

The results of the study, published in the BMJ’s journal for Occupational and Environmental Medicine,  showed a 37% reduction in slipping at work, and a 49% reduction in falls for those staff members wearing the HSE 5* grip rated shoes. 

Professor David Torgerson, Director of the York Trials Unit at the University of York, said: “The NHS, and particularly in the current climate, cannot afford staff to be off work due to injuries that could have been easily avoided. 

“Staff should be encouraged to wear appropriate footwear for the variety of surfaces that NHS workers encounter.  We must be clear, however, that not all shoes that claim to be slip resistant will be effective on these smooth surfaces, but shoes with this highest HSE grip rating does give the assurance that compared to the average shoe, it will prevent a higher number of slips and falls.”

Researchers noted that seven of the NHS Trusts involved in the trial stated in their staff policies that footwear should be sensible, low-heeled, and not open-toed.  Only four trusts stipulated that staff should wear non-slip footwear, but none of them, however, mentioned any specific requirements, such as a HSE rating. 

Heather Iles-Smith, a collaborator whilst working at Leeds Teaching Hospitals, now Professor of Nursing, Northern Care Alliance NHS Group, University of Salford, said: “Many NHS staff are on their feet all day, so it is important they are comfortable as well as safe in their footwear. Staff were, on the whole, positive about the look and feel of the footwear used in the study, so they are likely to welcome the added assurance that this footwear is suitable for their working environment and improves their safety.”

The researchers say that the findings can also be applied to other industries that have slippery hard floors such as canteens and kitchens.

Professor Andrew Curran, HSE Chief Scientific Adviser & Director of Research, said: “The findings show how appropriately specified footwear can be a cost-effective way to reduce slips and provides evidence to support their use in workplaces where it is not reasonably practicable to prevent floor surfaces becoming slippery.”


The research was funded by the NIHR Public Health Research Programme and the Health and Safety Executive (HSE).

More information about the study is available on the NIHR Funding & Awards website.


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