that managers themselves might pose to their employees through their uncontrolled actions. An example of such uncontrolled action, that would fail to take account of the known hazards, would be to introduce changes to the workplace without first consulting the employees who will be affected by such changes; this is also referred to as the mushroom method of management. A risk assessment of the management practices, before any injury is known to be caused, would lead to the control measure of a policy that directed managers to consult with employees before introducing changes to the work environment. Enforcement action by the HSE As revealed by a Freedom of Information Request, the HSE took action against the West Dorset NHS General Hospital Trust in 2003 following a report that the management were not handling claims of bullying and harassment. This followed the Trust telling an employee, who was off sick due to the stress from bullying, that they could not guarantee that the same things would not happen to him again. The outcome of the employee's complaint to the HSE was the issue of an Improvement Notice by the HSE. This informed the Trust that they were contravening the statutory provisions of the Health and Safety at Work Act 1974, Section 2 and Regulation 3 of the Management of Health and Safety Regulations 1999 as: "You have failed to make a suitable and sufficient assessment of the risks to the health and safety of your employees from exposure to work related stressors". At this stage the HSE Management Standards were in draft form but their principles were applied. HSE Strategy to reduce levels of occupational stress The published HSE strategy is of a commitment to reducing the levels of occupational stress in the UK. The method of achieving this includes, "maintaining and enhancing the enforcement profile on work-related ill health to highlight the consequences of failure, and to hold those responsible to account". However, up until January 2021 the HSE has issued no further Improvement Notices and had not prosecuted any employer for failing to control the hazards known to cause occupational stress. The HSE database of enforcement notices includes prosecutions of employers for failing to risk assess physical hazards but none for failing to risk assess the bad management practices that are known to be the primary cause of occupational stress. Organisations advocating action on occupational stress The Work-stress network