29.09.11 RSA Gallup Health Ways Debate - Speakers Presentations
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Transcript of 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
www.healthways.com 4
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
www.healthways.com 6
•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
Confidential and Proprietary© 2011 Healthways, Inc.
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
Confidential and Proprietary© 2011 Healthways, Inc.
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.
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
1010Confidential and Proprietary© 2011 Healthways, Inc.
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
Confidential and Proprietary© 2011 Healthways, Inc.
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
1212Confidential and Proprietary© 2011 Healthways, Inc.
£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).
16Copyright © 2011 Gallup, Inc. All rights reserved.
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.
17Copyright © 2011 Gallup, Inc. All rights reserved.
18
Four in Five Full-Time Workers in the UK Have Subpar Health
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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.
19Copyright © 2011 Gallup, Inc. All rights reserved.
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
2020Copyright © 2011 Gallup, Inc. All rights reserved.
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
Copyright © 2011 Gallup, Inc. All rights reserved.
*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
Copyright © 2011 Gallup, Inc. All rights reserved.
“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
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24
More Than Half of Britons Are Overweight or Obese
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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
Copyright © 2011 Gallup, Inc. All rights reserved.
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
Copyright © 2011 Gallup, Inc. All rights reserved.
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+
Copyright © 2011 Gallup, Inc. All rights reserved.
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.
2828Copyright © 2011 Gallup, Inc. All rights reserved.
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.
29Copyright © 2011 Gallup, Inc. All rights reserved.
Dan WittersPrincipalGallup
Omaha, NE USA402.938.6457
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
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
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
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)
Source: Manchester: Robertson Cooper Ltd
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
Source: Manchester: Robertson Cooper Ltd
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)