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Cbi employee-health-absence-conference-chris-pugh

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Presentation by Chris Pugh, managing director, Duradiamond Healthcare, at the CBI's employee health & absence conference. London, June 2010.

Presentation by Chris Pugh, managing director, Duradiamond Healthcare, at the CBI's employee health & absence conference. London, June 2010.

Published in: Business, Health & Medicine

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  • 1.              Should Business Invest in the Health of their Workers? Dr Chris Pugh Managing Director Duradiamond Healthcare
  • 2.             
    • Easy answer – Yes! But Why?
    • Would like to focus on two areas:
      • Absence
      • Well being
  • 3.             
    • According to the CBI Absence and workplace health survey 2010:
    • The cost of absence in 2009/10 is £16.8 bn
    • The average rate of absence in 2009 was 6.4 days per employee, a decline from 6.7 days in 2007
    • Employee absence cost the UK nearly £17bn in 2009
    • The average direct cost of absence was £595 per employee in 2009
    • What can be done about it?
  • 4.             
    • The longer an employee is absent from work, the lower the probability of a return to work. (Robinson et al., 1997)
    • Belief in own dysfunction is a significant factor in duration of absence; this tends to worsen over time. (Pearson 2001)
    • Early intervention results in significant reduction in medical practitioner visits and shorter work absences. (Zigenfus et al., 2000)
  • 5.             
    • After 5 weeks absence, significant impact on workability. After 6 months absence only a 50% likelihood that the employee will return to work. (CIPD 2003)
    • At 12 months this falls to 25% and after 2 years the chance is almost zero. (British Society for Rehabilitation Medicine 2001; Faculty of Occupational Medicine 2000).
  • 6.             
    • “ Process driven”
    • Late intervention – referral at 4 weeks, date of first appointment later
    • Passive advice
    • Likely effect
      • No or little effect on duration/cost of absence
      • Worth the investment?
  • 7.             
    • Action
      • - First days of absence
      • - Pre absence
    • Self Referral
    • Early referral
  • 8.             
    • Musculo skeletal Disorders
      • Physiotherapy
      • Ergonomics, conditioning/education
    • Mental Health
      • Clinical Psychology
      • Organisational factors, resilience
    • Early Specialist Referral
      • Linkage Private Healthcare
      • Cost/benefit
  • 9.             
    • Phased return
    • Defined, agreed program leading to normal duties within agreed period
    • Redeployment
    • In the event of failure retirement/capability
  • 10.             
    • Line manager
    • Human Resources
    • Occupational Health
    • Employee
    • Will require management training
  • 11.              Total Absence Performance Against 3% Target
  • 12.             
        • Improving Personal Health Practices (people with three of the following risk factors, smoking, obesity, low exercise or high alcohol intake can have up to 50% more absence from work
        • Effort directed at:
          • Individuals
          • Groups
          • Securing management commitment
        • Long term benefit
  • 13.             
    • Enhanced Rolling Programme
    • Work Related
    • Non Work Related
    • Site surgeries
    • Lifestyle medicals
    • National campaigns
    • Identified issues
    • Hot topics
    • Delivered in the workplace
    • Linkage with Other Organisations
    • NHS
    • Men’s Health Forum
    • Homerton Hospital Sexual Health Clinics
    • NHS resources such as smoking cessation
  • 14.             
    • “ Health behavioural change”
      • - Line manager
      • - Employee
    • Increased personal accountability
  • 15.             
    • Efficiency
    • Quality
    • Impact
  • 16.             
    • Is worth investing in Health of your Employees
    • Need to be interventionist and intervene early
    • Focus on most important issues
    • Develop co-operation from all stakeholders
    • It’s about changing behaviours
    • Measure Success
  • 17.              Any Questions?