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.

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

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

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