29.09.11 rsa gallup health ways debate - speakers presentations

Are Chronic Diseases Killing our Competitiveness?

Deborah Jamieson OBE, Peter Choueiri,Professor Cary Cooper CBE, Dan Witters,Matthew Taylor, chair

Well-Being in the United Kingdom:

Are chronic conditions killing

our competitiveness?

RSA, London29 September 2011

Peter ChoueiriChief Operating Officer

Healthways

The Choices We Make

Social

FinancialCommunity

Physical

Emotional

Career

www.healthways.com 3

10,000 – 20,000 a day We make small moment to moment and a few big decisions…

1.2 Trillion “decision moments” per day

Half a quadrillion “decision moments” per year

For the UK

Improving Well-Being

Social

EmotionalCommunity

Physical

Financial

Career

Well-being is biggerthan Physical Health


Individual Friends/Family Environment Culture/PolicyExperts

555

Healthier People Cost Less and Perform Better

ImproveWell-Being

Adopt or maintainhealthy behaviors

Reduce health-related risks

Optimize care for health conditions and disease

IncreasePerformance

• Energy

• Engagement

• Absence

• Work Impairment

Reduce Total Medical Cost

• Hospitalizations

• Event Rates

• Disease Rates

• Lifestyle Risks

Increase Total Economic Value

• States / Countries

• Communities

• Payors

• Individuals

Prevent or delay next new case of disease or condition

Prevent or reduce impact of the next new episode of care

Enhance one’s ability to actively manage their health

Economic Drivers

Confidential and Proprietary© 2011 Healthways, Inc.

Opportunity for Doing Something – UK


•Five-Year, Cumulative Cost Savings through Interventions in Modifiable Behaviours

£218.4 Billion

25% Reduction in Per Capita Risk Factors

Conclusions

7

High Costs of Doing Nothing• Both medical and productivity costs impose heavy financial burdens on countries,

communities and companies• Without interventions, these costs can be expected to grow and compound

The Primary Sources of These Costs are Known• Chronic conditions cause people to seek care (medical costs) and reduce their ability to

work (productivity)• While behaviors do not have costs associated with them, the conditions they create and

exacerbate can have substantial costs

Intervening in Modifiable Behaviors Reduces Costs• Curtailing or eliminating behavioral risks can reduce costly chronic conditions• Addressing risks before they become conditions can be a significant source of savings


Conclusions

8

What about competitiveness?

•Different nations and companies have the same challenge.

•The issues can be addressed.

•The difference will be leadership in

• Commitment

• Execution

• Alignment

• Speed


Alignment is Key in Creating Sustainable Change

Healthcare Environment +Worksite Environmental Alignment +

Community Environmental Alignment

I M

P A

C T

Healthcare Environment

Healthcare Environment +

Worksite Environmental Alignment

Patient + GP Worksite Community+ +

Imp

rove

d W

ell-

Bei

ng

99Confidential and Proprietary© 2011 Healthways, Inc.




I M

P A

C T





Imp

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d W

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Conclusions

11

What about competitiveness?

•Different nations and companies have the same challenge.

•The issues can be addressed.

•The difference will be leadership in

• Commitment

• Execution

• Alignment

• Speed





I M

P A

C T





Imp

rove

d W

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£21,561,486,104The Cost of Chronic Conditions to the UK Economy

Dan Witters, Gallup

September 29, 2011

The Gallup-Healthways Well-Being Index®

15Copyright © 2011 Gallup, Inc. All rights reserved.

The UK Gallup-Healthways Well-Being Index®: Data Collection Methodology

• Daily interviewing; n=1,000 per month (15+)

• All outbound phone; Landline (85%) and mobile (15%)

• Data weighted according to official demographic statistics

• U.K. Office for National Statistics (England and Wales)

• General Register Office (Scotland)

• Northern Ireland Statistics and Research Agency (Northern Ireland)

• Completed 8,866 interviews (18+) from January 2nd to August 31st, 2011

• n=3,908 interviews with full-time workers

• n=1,212 interviews with part-time workers

• Sampling error (including design effect) for any given item is about +/-1.3% nationally for all U.K. adults and +/-2.0% for full-time workers. Error grows larger for worker subsets.

Chronic Conditions Cost the UK Economy £21,561,486,104 Per Year Due to the Absenteeism of Full-Time Workers

This is the cost of lost productivity - in the form of worker absenteeism - due to chronic conditions and unhealthy weight.

Where this number comes from:

Four in five full-time British workers have subpar health. They are overweight, obese or have at least one additional chronic condition.

Due to these conditions, British full-time employees miss an estimated 103 million days of work each year (incremental to what they would miss otherwise).


Chronic Conditions Measured

Disease Burden:– “Have you had/Has a doctor or nurse told you that you have . . . ?”

High blood pressure High cholesterol Heart attack Depression Cancer Asthma Diabetes Recurring neck/back pain (last 12 months) Recurring leg/knee pain (last 12 months)

Overweight and Obesity:– Based on respondents’ BMI, derived from their self-reported height

and weight.


18

Four in Five Full-Time Workers in the UK Have Subpar Health

Copyright © 2011 Gallup, Inc. All rights reserved.

0.0% 10.0% 20.0% 30.0%

Normal Weight, 3+ Disease Burden Conditions

Normal Weight, 1-2 Disease Burden Conditions

Overweight or Obese, 3+ Disease Burden Conditions

Overweight or Obese, 1-2 Disease Burden Conditions

Overweight or Obese, No Disease Burden

Normal Weight, No Disease Burden

5.2%

17.5%10.8%

25.7%

20.6%

20.2%

They are overweight, obese or have at least one other chronic condition.


0 1 2 3 4 5 6

Normal Weight, 3+ DiseaseBurden Conditions (n=187)

Normal Weight, 1-2 DiseaseBurden Conditions (n=625)

Overweight or Obese, 3+Disease Burden Conditions

(n=387)

Overweight or Obese, 1-2Disease Burden Conditions

(n=917)

Overweight or Obese, NoDisease Burden (n=736)

Normal Weight, No DiseaseBurden (n=722)

5.13

1.44

5.04

1.41

0.69

0.34

“During the past 30 days, for about how many days did poor health keep you from doing your usual activities?”(Controlling for age, gender, income, education, race, region, and marital status)

Above Normal Weight Doubles Unhealthy Days; Unhealthy Days Sharply Increase at 3+ Disease Burden Conditions Regardless of BMI

Assumptions Used and Exclusions Made in Estimating the Cost of Chronic Conditions in the UK Estimated costs per missed workday for full-time U.K. workers based on lost

salary and benefits is £209.*

One “unhealthy day” translates to slightly over 0.3 actual missed workdays.

Normal weight, zero disease burden conditions set as baseline.

Above normal weight, 1-2 disease burden conditions and 3+ disease burden conditions establish test scenarios.

Exclusions Part-time workers were excluded from analysis due to unknown cost of lost

salary and benefits.

“Presenteeism” (not absent from work, but less than normal productivity) was not included in analysis.

*Goetzel et al. (2003). The health and productivity cost burden of the “top 10” physical and mental health conditions. Journal of Occupational and Environmental Medicine, 45(1), 5-14.

*Kleinman et al. (2009). Health benefit costs and absenteeism due to insomnia from the employer’s perspective: A retrospective, case-control, database study. Journal of Clinical Psychiatry, 70(8): 1098-1104.

*U.S. Bureau of Labor Statistics. (2009). Hourly Manufacturing Compensation Costs in the U.S. and UK


21

A Detailed Look at Calculating the £21,561,486,104

Health Condition Group

(Full-Time Workers)

Unhealthy Days per Month

(Controlling for Demographics)

Total Full-Time Workers in Each

Group*

Total Incremental Lost Workdays for

Full-Time Workers**

Annual Economic Costs Due to Absenteeism in

Pounds Sterling

Normal Weight, No Disease Burden

.34 4,906,887 Baseline Baseline

Overweight or Obese, No Disease Burden

.69 5,002,034 6,554,666 £1,369,925,151

Overweight or Obese, 1-2 Disease Burden

1.41 5,792,237 23,204,167 £4,849,670,801

Overweight or Obese, 3+ Disease Burden

5.04 2,258,831 39,748,199 £8,307,373,520

Normal Weight, 1-2 Disease Burden

1.44 3,548,038 14,633,197 £3,058,338,069

Normal Weight, 3+ Disease Burden

5.13 1,061,573 19,024,778 £3,976,178,563


*Assumes 49.1 million adults (18+), with 59% employment (full time and part time) in U.K. * Full-time employment varies by group (range is between 71%-85%). **1.00 unhealthy day equals 0.31 missed workdays.

22

UK Clerical and Service Workers Suffer More Unhealthy Days Each Month Than Any Other Occupation Type

Occupation Sample Size (n= )

Unhealthy Days per Month

Estimated Missed Workdays per Month Due

to Poor Health

Clerical 423 2.08 0.69

Service 598 1.99 0.66

Sales 255 1.83 0.61

Manufacturing 159 1.45 0.48

Professional 1,600 1.35 0.45

Business Owner 229 0.85 0.28

Manager/Executive 567 0.84 0.28

Construction 179 0.73 0.24


“During the past 30 days, for about how many days did poor health keep you from doing your usual activities?”(Controlling for age, gender, income, education, race, region, and marital status)

The Extent of the Chronic Disease Problem in the UK


24

More Than Half of Britons Are Overweight or Obese


32.5%

42.5% 25.0%Obese

Overweight

Normal

25

Lifetime High Blood Pressure and Cholesterol Increase With Age; Obesity Peaks Among 45- to 64-Year-Olds


31.6%

22.6%

14.6%

26.2%

44.0%

23.9%

9.3%

5.6%

34.5%

20.1%

5.5%2.0%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

18-29 30-44 45-64 65+

Current Obesity

Lifetime High BloodPressure

Lifetime HighCholesterol

26

Diabetes and Cancer Double Between Middle Age and Retirement; Depression Diagnosis Peaks Among Those Aged 45-64


1.0% 1.5%

5.2%

11.0%

7.9%

2.3%2.0%

16.1%

12.0%

18.2%

16.7%

12.0%

13.4%11.2%

14.4%

14.5%

0.0%

5.0%

10.0%

15.0%

20.0%

18-29 30-44 45-64 65+

Diabetes

Cancer Diagnosis

Clinical Diagnosis ofDepression

Asthma

27

Chronic Physical Pain Afflicts One in Three Britons Aged 65+


32.7%

25.0%

32.4%

16.1% 14.2%

25.1%

35.4%

11.1%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

18-29 30-44 45-64 65+

Chronic Neck or BackPhysical Pain

Chronic Knee or LegPhysical Pain

The Good News:Britons Suffer From Less Severe Disease Burden Than AmericansCompared with U.S. adults, U.K. adults are:

– 41% less likely to be diagnosed with high cholesterol in their lifetimes.

– 40% less likely to suffer from diabetes in their lifetimes.

– 36% less likely to be diagnosed with cancer in their lifetimes.

– 31% less likely to be diagnosed with high blood pressure in their lifetimes.

– 20% less likely to suffer from recurring leg/knee pain in the last 12 months.

– 15% less likely to be diagnosed with depression in their lifetimes.

– 15% less likely to suffer from recurring neck/back pain in the last 12 months.

– 11% less likely to experience a heart attack in their lifetimes.

– 6% less likely to be obese.

– 9% more likely to suffer from asthma in their lifetimes.


Summary of Primary Discoveries

The total estimated annual cost of absenteeism due to disease burden and above normal weight to the U.K. economy is £21,561,486,104.00.

Nearly three in five Britons are overweight or obese, and above normal weight peaks among 45- to 64-year-olds.

Only one in five full-time workers in the U.K. are normal weight with no disease burden conditions.

Being above normal weight doubles the number of missed workdays for full-time workers.

– Absenteeism, however, sharply increases at 3+ disease burden conditions regardless of BMI.

Clerical and service workers suffer more unhealthy days each month than any other occupation type; construction workers the least.

Briton adults suffer from considerably less severe disease burden than their U.S. counterparts, across nearly every metric.


Dan WittersPrincipalGallup

Omaha, NE USA402.938.6457

[email protected]

To stay up to date on our wellbeing discoveries, visit the

Gallup-Healthways Well-Being Index site:http://well-beingindex.com/

Copyright © 2011 Gallup, Inc. All rights reserved. 30

mailto:[email protected]

http://well-beingindex.com/

http://well-beingindex.com/

Deborah Jamieson, OBE Cross Government Head of Health,

Work & Wellbeing Strategy Unit

29th September 2011

Wellbeing-Global trends and chronic conditions

What is our overall goal?

Healthy, engaged workforces

• A high-performing, resilient workforce

• Enhanced productivity

Contributing to: • A well-functioning society• Better economic performance

Well-managed organisations

The vision

We want to create a society where the positive links between work and health are recognised by all, where everyone aspires to a healthy and fulfilling working life, and where health conditions and disabilities are not a bar to enjoying the benefits of work.

Improving health and work: changing lives

UK Government Response to the Black review, 2008

“”

The health benefits of work

Good work is generally

• Therapeutic

• Can help promote recovery and rehabilitation

• Improves quality of life

• Is central to a person’s identity and social status

Impact of Lifestyle on Health and Work

100%

0%

HE

ALT

H

0 10 20 30 40 50 60 70 80 90

AGE

Ideal Lifeline

Typical Lifeline

Optimal Health

Declining Health

Poor Health

Progressive and chronic disability

What is healthy aging in the 21st century? Westendorp RGJ Am J Clin Nut, Vol. 83, No. 2, 404S-409 (2006)

Lifestyle trends

It is likely that by 2025 40% of adults will be obese, and the number of people living and working with chronic conditions will rise steadily, affecting morale, competitiveness, profitability.

In an increasingly competitive global economy, only the healthiest businesses will prosper. Companies that invest to support employees’ health will be fitter to survive.

Why are people off work? - chronic conditions

Common chronic disorders – respiratory conditions, cardiovascular conditions, rheumatic diseases, diabetes, rheumatic diseases, treated cancers – do not deny the possibility of fulfilling work or an extended working life.

They require:

• good clinical care, Vocational Rehabilitation, well- informed work-conscious healthcare professionals

• flexibility and adaptation in the workplace.

Previously fatal diseases are becoming chronic.

If managed effectively, disability can be minimised and disease progress delayed - thus extending working life and reducing the load on health and care services.

The Top 10 Health Problems impacting Productivity

1. Fatigue2. Depression3. Back / neck pain4. Sleeping problem5. Other chronic pain6. Arthritis7. Hypertension8. Obesity9. High cholesterol10. Anxiety

Source: World Economic Forum ‘Working towards wellness’ in cooperation with PricewaterhouseCoopers, 2008

Long term health conditions

o Increasing recognition of the problem and its effects on UK competitiveness. Chronic conditions are increasing - they negatively affect business productivity by increasing absenteeism and reducing the emotional health and overall wellbeing of the population.

o Notable activity in the charitable sector, for example:• Macmillan cancer• Diabetes UK• Arthritis Research UK• British Heart Foundation• British Lung Foundation• Work Foundation• C3

o Increasing activity by governments, e.g. the Public Health Responsibility Deal in England; Chronic Disease Guidance for employers

Positive Workplaces that enhance well-being

Key features common to those organisations which have achieved success in promoting health and well-being:

• Senior visible leadership• Accountable managers throughout the organisation• Systems of monitoring and measurement to ensure continuous

improvement• Empowering employees to care for their own health• Attention to both mental and physical health improvements• Fairness• Flexible work

NHS LifeCheck Tool

www.nhs.uk

The NHS website provides clear, current, accredited information and advice on over 2000 conditions, treatments and medicines including stress, anxiety, diet and fitness

A dedicated public health resource with over 600 videos

Dedicated carers section Comprehensive NHS service

finder

NHS LifeCheck is a free, easy-to-use, online service that will help you to assess your lifestyle and improve your future health.

Just answer a few simple questions about you or your baby and NHS LifeCheck will give you confidential results, advice and support.

Launched March 2011

Chronic conditions guides for employees and line managers

Different problems need different approaches

Symptoms: 2/3 of cases• Often mild• Symptoms not ‘diseases’:

– back pain– musculo-skeletal symptoms– stress– anxiety, mild depression

• Few investigations required• Diagnosed with relative ease• Intervention needs to be early, often non-medical, good

vocational rehabilitation, regular contact between employee and employer.

• Prevent chronicity

Chronic conditions: 1/3 of cases• Examples:

– chronic rheumatic diseases– endogenous depression– bipolar disorders, schizophrenia – diabetes, cancer– post-trauma disability

• Investigations more extensive• Diagnosis can be difficult• Treatment – good medicine, good flexible

employers, plus rehabilitation. • More prevalent in people living in poorer

economic conditions• Prevent deterioration

MacMillan Cancer Support and work

• 109,000 working-age people are diagnosed with cancer in the UK each year

• 775,000 people of working age in the UK have had a cancer diagnosis

• Long term cancer survivors are 1.4 times more likely to be unemployed yet…

• … research shows that cancer patients want to work

• One in four long term cancer survivors say their cancer is preventing them working in their preferred occupation …

• The average fall in household income for a family of working age with cancer is 50%. .

• . . . and 17% lose their home.

• Employers are sometimes not flexible in making adjustments to permit return to work.

MacMillan Cancer Support

Cancer is becoming a long term condition.

Rheumatoid Arthritis and Work in UK

• 50% of UK adults with RA are of working age.• 75% are diagnosed when of working age• 33% of people with RA will have stopped

working within 2 years.• Earlier diagnosis and appropriate treatment

mean better retention in work. • Increasing from 10% to 20% the number of

people treated within 3 months of symptoms would increase NHS costs in England by £11 million over 5 years

BUT could result in £31 million gain for the economy due to reduced sick leave and work-related disability.

National Audit Office Report 2009 Public Accounts Select Committee

2010

MSDs: European Background

• Up to 80% of people are affected by an MSD at some time in their life.

• MSDs account for about half of all work-related disorders in EU countries, costing between 0.5% and 2 % of GDP.

• MSDs account for almost 50% of absences from work of three days or more, 60% of permanent work incapacity.

• Unemployment rates are three times higher among people with MSD than in general population.

Musculoskeletal Disorders in the European Workforce, The Work Foundation, October 2009

MSDs: Action needed

Five principles which healthcare professionals, employers, employees and governments should focus upon to improve working lives of those with a MSD:

• Focus on capacity not incapacity• Early intervention is essential• Imaginative job design is key to rehabilitation• Think beyond the physical symptoms of MSDs (they

are often associated with depression)• Assess the direct and indirect costs of MSDs

Musculoskeletal Disorders and Labour Market Participation, The Work Foundation 2009

National Business Awards: SME Health, Work and Well-being award

Making health, work and well being as high up the training agenda as

specific skills knowledge.

Awarded to “the organisation that best demonstrates how it worked to sustain the health and well-being of its workforce to the benefit of staff and the organisation.”

Port of Blyth is a medium sized port in

Northumberland that has moved from centuries of

servicing the local coalmining industry to a modern

trust handling a variety of cargoes. It not only used a

nationally-recognised training programme to address

the literacy, numeracy and skills gap, but also

implemented a range of well-being initiatives designed

to help its staff move to become healthier

Details - Port of Blyth

• Male-dominated erratic shift workers• The port partnered with local NHS health trainers • Provided screening and monthly health promotion for staff• Identified employees with uncontrolled hypertension, type 2

diabetes, and skin cancer• Many staff quit smoking, lost weight and improved health

behaviours

• The result is reduced sickness absence, improved productivity, lower staff turnover, better morale - and healthier, happier individuals.

• Partway through 2010 sickness absence was 1% of hours worked compared to the 2009 average 4.4% and 2008 average 6%.

Correlation between COPD and socio-economic factors

• Those at risk of future hospital admission with COPD, live mostly in social housing and have, or have had, industrial or semiskilled jobs, uncertain employment, low levels of disposable income and considerable health problems (British Lung Foundation 2007)

• Those in lower socio-economic groups are up to 14 times more likely to have lung disease

Standard Mortality Rate by social status

for three respiratory diseases

300 –

200 –

100 –

1 2 3n 3m 4 5 1 2 3m 3n 4 5 1 2 3m 3n 4 5

TB Ca lung COPD

8.9 4.6 14.2RatioUnskilled manual: professional Source: Office for National Statistics

Long term conditions are more likely to be work-limiting in poorer socio-economic groups before retirement age

SMR = Standard Mortality Rate

Social status 1 to 5

1 = professional

5 = unskilled manual

Costs of mental ill-health at work

• NICE: If mental illness costs employers £ 28.3 billion

per annum in 2009:- prevention and early identification of problems

should save employers at least 30%, £ 8 bn a year- for a 1,000 employee company annual costs could

be reduced by £250,000.

November 2009 NICE guidance presents the business case.

• NICE Costing tool available at www.nice.org.uk/PH22

- Calculates the overall cost of mental health in the workplace and potential savings to be made

- Calculates cost of absenteeism, presenteeism and staff turnover

- It calculates for a company with 1000 employees, mental health costs £835,355 per annum

- This could be reduced by 30% through taking simple steps, saving £250,607 per annum

http://www.nice.org.uk/PH22

Mental Health: how can savings be delivered?

• Awareness training for line managers, to increase understanding of MH issues and their ability to respond confidently and rapidly, e.g. at the Centre for Mental Health (one of many such courses).

• Prevention of directly-work-related MH problems (around 15% of total) – e.g. by providing mentally-healthy working conditions and practices (see guidance by UK Health and Safety Executive)

• Better access to help for employees, particularly to evidence-based psychological help and support while carrying on working

• Effective rehabilitation for those who need to take time off, including regular contact with the employee during periods of absence

British Heart Foundation

www.bhf.org.uk

Provides information and support in 3 areas:• Getting active at work• Eating well at work• Well-being at work

For each of the above, the following support is available:

• Building the business case• How to do it• Challenges and competitions• Other resources

BHF also offers:

- Free newsletters

- Downloadable templates for marketing initiatives

- Interactive areas

- Case study video clips

- Information packs

- Events and seminars

http://www.bhf.org.uk/

http://www.bhf.org.uk/healthatwork/default.aspx?page=0

http://www.bhf.org.uk/healthatwork/default.aspx?page=0

Outcomes desired

•Savings through reduced benefit and health spend

•Fewer people and families living in poverty

•More people reaching later life in better health - with improved personal financial provision, greater independence and enhanced wellbeing

•A more sustainable workforce - contributing to a competitive global economy

Professor Cary L. Cooper, CBE

Distinguished Professor of Organizational Psychology and Health,

Lancaster University

Costs in billions ($)

DECREASEDPRODUCTIVITY

LOSTEMPLOYMENT

ALCOHOL

51

4

DRUG ABUSE

MENTAL ILLNESS

26

1

3

19

Source: summary of NIOSH

Depression: costs to EU economy

19%

8%

9%64%

Outpatient Care

Pharmaceuticals

Hospitalisation

Lost Employment

Sobocki et al , J Mental Health Policy & Econ, 2006

Leal et al, European Heart Journal, 2006

€41 billion direct costs

€77 billion productivitylosses

€35 billion productivity losses for cardiovascular disease

Major Cause of Early Retirement

Causes of Long-Term Absence –Non-Manual Workers CIPD 2004

Percentage of respondents citing this reason as leading cause

All Manufacturing Private Public Non- and Services Services Profit Production

Stress 42 30 45 56 47Mental health 23 14 28 28 33Acute medical conditions 19 25 19 10 17Operations and recovery 11 14 9 10 14Recurring medical conditions 8 11 6 5 3 Back pain 5 3 6 6 -

Musculo-skeletal injuries 5 4 4 7 6Minor Illness 3 4 3 2 -Injuries/accidents not related to work 3 5 3 2 3Home/family responsibilities 1 1 1 - -

Increase/Decrease – Stress-Related Absence - CIPD 2004

Percentage of respondents saying stress- Related absence has:-

Major Sector Increased Decreased Stayed the Same

Manufacturing andProduction 44 10 46Private Services 57 5 38Public Services 60 11 29Non-profit 48 15 38

Survey Average 52 8 39

Cost per average employee (£)

Total cost to UK employers (£billion)

Per cent of total

Absenteeism 335 8.4 32.4

Presenteeism 605 15.1 58.4

Turnover 95 2.4 9.2

Total 1035 25.9 100

Estimated Annual Costs to UK Employers of Mental Ill Health

(Sainsbury Centre for Mental Health, 2007)

Presenteeism

Health “Good” Health “Not good”

No absences Healthy & present

Unhealthy and present“Sickness Presentees”

Some absences Healthy and not always present

Unhealthy and not always present

Source: Manchester: Robertson Cooper Ltd

How common is sickness presenteeism?

Health “Good” Health “Not good”

No absences 35% 28%

Some absences 13% 24%

N=39,000 employees from general working population (UK)


Cost of absenteeism in Great Britain

• 11.4 million days lost to stress/depression in 2008/2009 in GB

• 46% of all days at work lost to illness

• Average length of absenteeism 28 days per case


An overview of the key factors that influence wellbeing at work

(Source: Foresight Mental Capital & Well-Being Project 2008)

Better diagnosis and remediation of underlying work-related stress

Improve managerial competence in providing healthy work places

Raise the profile of Mental health and wellbeing at work

Recommend annual stress/wellbeing audits

Better co-ordinate primary care and occupational health services

Right to request flexible work for all employees with children at or below the age of 18

Use LSC “Train to Gain” scheme 50:50 funding to encourage Companies to train managers in social and interpersonal skills

Create a Workplace Commission to promote wellbeing in the workplace

Encourage companies to develop MCW KPIs

Improve the working relationships between occupational health providers and employers

Right to request flexible work for all employees

Improve Health and Wellbeing at Work

Interventions Suggested by the Foresight MCW Project for The Improvement of Health and Wellbeing at Work

Assess work environment for impact on MCW

Develop more sophisticated ways of flexible working

(Source: Foresight Mental Capital & Well-Being Project 2008)

29.09.11 rsa gallup health ways debate - speakers presentations

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