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The Economic Impact of Active &
Healthy Living
Dr. Jack Halligan
Chief Medical Officer | Full Health Medical
September 2015
AGENDA
Health in the Workplace2
Community Health3
Recommendations & Summary4
The Situation1
DAVID’S STORY
36 years of age
Health check findings:
v  Morbidly obese (BMI = 50)
v  High blood pressure (155/79)
v  Pre-diabetic (Fasting Glucose = 6.9)
After his health check, we discovered that David had an elevated HbA1c* blood test
one year beforehand but…
…NO IDEA HE WAS PRE-DIABETIC!
*Gold standard blood test for diabetes	
  
Sources:
1. Chronic Disease in Ireland
2. The Cost of Treating Type 2 Diabetes (CODEIRE)
DIABETES IN IRELAND: DIRECT COSTS
Further losses through:
Ø  Treament of complications
Ø  Time away from work
Ø  Early retirement
Ø  Social benefits
Source: www.diabetes.co.uk
DIABETES: INDIRECT COSTS
** Estimated indirect costs equivalent to
~5% of total health budget **
	
  
2010
3.2% of adults
28% expected increase in 10
years
2020
3.8% of Adults
DIABETES PREVALENCE IN IRELAND
2007
852,000 Adults
2020
1,192,000 Adults
40% increase in 15 years
HIGH BLOOD PRESSURE IN IRELAND
1990
1/10 Males Obese
2015
1/4 Males Obese
3rd Highest Rate of Obesity In
Europe
OBESITY IN IRELAND
WE THINK WE’RE HEALTHIEST IN EUROPE!
Percentage of population reporting “Good” or “Very Good” health
82%!!
AGENDA
The Situation
Health and the Workplace
1
2
Community Health3
Recommendations & Summary4
Overweight or
obese (61%)
Cholesterol (56%)
Blood Pressure (25%)
Stress (24%)
Smoking (14%)
Diabetes (3%)
THE IRISH WORKFORCE
One third of adult life is spent at work
Employment is a key social determinant of health
Concept of employee health evolving
A SHIFT IN ATTITUDES
Healthy	
  
workplace	
  
PROGRAMME	
  
ONE THIRD OF IRISH EMPLOYEES ENGAGE
IN WORKPLACE HEALTH SCREENING
Employee Absenteeism: A Guide to Managing Absence
ABSENTEEISM: IRISH PUBLIC SECTOR
8.7 days lost per person per year (significantly higher than private sector)
€319 million cost for the state in 2014
Stress & other mental health issues are the leading cause of absenteeism in Ireland
Musculoskeletal problems second most common reason for missing work
Department of Public Expenditure & Reform
“In the current economic climate, it is extremely encouraging to see how many
companies have started to address the human capital challenge and are ready to
further invest in their employees through workplace wellness programmes”
– Klaus Schwab, Founder of the World Economic Forum (WEF)
WORKPLACE WELLNESS
The Evidence – PWC (2008):
1.  30-40% average reduction in
absenteeism
2.  50% reduction in workplace
injuries
Building the Case for Wellness (PWC: 2008)
Workplace health initiatives:
•  Tailored for corporate needs
•  Supported by management and resources
•  Participation encouraged in a variety of ways
•  Evaluated for ROI
	
  
FULL HEALTH MEDICAL
Clear	
  and	
  concise	
  communica/on	
  is	
  an	
  essen/al	
  component	
  to	
  a	
  person’s	
  health	
  and	
  
wellbeing	
  	
  
	
  
Using	
  plain	
  English	
  and	
  simple	
  icons,	
  our	
  digital	
  pla:orm	
  transforms	
  complex	
  medical	
  
data	
  into	
  a	
  personalised	
  analysis.	
  This	
  includes	
  recommenda/ons,	
  ac/on	
  plans	
  and	
  
advice.
FULL HEALTH MEDICAL
International
Society for
Quality in
Healthcare
20,000+
medical reports
in Ireland & UK
Over 100
companies have
used our digital
platform to
deliver health
checks to their
staff
AGENDA
The Situation
Health in the Workplace
1
2
Community Health3
Recommendations & Summary4
THE IMPORTANCE OF COMMUNITY
Particularly in rural communities, there are many
people who have little or no interaction with the
public health system
These hard-to-reach citizens can be reached
through community health initiatives and, if
any health issues are identified, encouraged to
(re)connect with their GP
AGENDA
The Situation
Health in the Workplace
1
2
Community Health3
Recommendations & Summary4
RECOMMENDATIONS
Educate the public on the state of their
health. Help them to undertstand what being
healthy is, and why it is important to them and
their families
Engage with companies and local
communities and encourage them to create
their own health initiatives
Empower each individual to make
appropriate lifestyle changes that will allow
them to live longer and more productive lives
SUMMARY
Ø  The rising cost and prevalence of chronic conditions will
soon become an unsustainable burden for the public health
system
Ø We must invest in initiatives that educate the public about
the state of their health – thus shifting some of the
responsibility from healthcare professionals to indiviuals,
employers, and local communities
DAVID’S STORY
Completed a 6 week diet &
exercise programme
Reverted from pre-diabetic (Repeat fasting glucose = 5.3)
Weight loss of 5kg over the 6 weeks
Thank You & Questions
t: @full_health
E: hello@fullhealthmedical.com
www.fullhealthmedical.com
UK - (0203) 4681118
IRL - (01) 5549795

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The Economic Impact of Active and Healthy Living

  • 1.
  • 2. The Economic Impact of Active & Healthy Living Dr. Jack Halligan Chief Medical Officer | Full Health Medical September 2015
  • 3. AGENDA Health in the Workplace2 Community Health3 Recommendations & Summary4 The Situation1
  • 4. DAVID’S STORY 36 years of age Health check findings: v  Morbidly obese (BMI = 50) v  High blood pressure (155/79) v  Pre-diabetic (Fasting Glucose = 6.9) After his health check, we discovered that David had an elevated HbA1c* blood test one year beforehand but… …NO IDEA HE WAS PRE-DIABETIC! *Gold standard blood test for diabetes  
  • 5. Sources: 1. Chronic Disease in Ireland 2. The Cost of Treating Type 2 Diabetes (CODEIRE) DIABETES IN IRELAND: DIRECT COSTS
  • 6. Further losses through: Ø  Treament of complications Ø  Time away from work Ø  Early retirement Ø  Social benefits Source: www.diabetes.co.uk DIABETES: INDIRECT COSTS ** Estimated indirect costs equivalent to ~5% of total health budget **  
  • 7. 2010 3.2% of adults 28% expected increase in 10 years 2020 3.8% of Adults DIABETES PREVALENCE IN IRELAND
  • 8. 2007 852,000 Adults 2020 1,192,000 Adults 40% increase in 15 years HIGH BLOOD PRESSURE IN IRELAND
  • 9. 1990 1/10 Males Obese 2015 1/4 Males Obese 3rd Highest Rate of Obesity In Europe OBESITY IN IRELAND
  • 10. WE THINK WE’RE HEALTHIEST IN EUROPE! Percentage of population reporting “Good” or “Very Good” health 82%!!
  • 11. AGENDA The Situation Health and the Workplace 1 2 Community Health3 Recommendations & Summary4
  • 12. Overweight or obese (61%) Cholesterol (56%) Blood Pressure (25%) Stress (24%) Smoking (14%) Diabetes (3%) THE IRISH WORKFORCE
  • 13. One third of adult life is spent at work Employment is a key social determinant of health Concept of employee health evolving A SHIFT IN ATTITUDES
  • 14. Healthy   workplace   PROGRAMME   ONE THIRD OF IRISH EMPLOYEES ENGAGE IN WORKPLACE HEALTH SCREENING Employee Absenteeism: A Guide to Managing Absence
  • 15. ABSENTEEISM: IRISH PUBLIC SECTOR 8.7 days lost per person per year (significantly higher than private sector) €319 million cost for the state in 2014 Stress & other mental health issues are the leading cause of absenteeism in Ireland Musculoskeletal problems second most common reason for missing work Department of Public Expenditure & Reform “In the current economic climate, it is extremely encouraging to see how many companies have started to address the human capital challenge and are ready to further invest in their employees through workplace wellness programmes” – Klaus Schwab, Founder of the World Economic Forum (WEF)
  • 16. WORKPLACE WELLNESS The Evidence – PWC (2008): 1.  30-40% average reduction in absenteeism 2.  50% reduction in workplace injuries Building the Case for Wellness (PWC: 2008) Workplace health initiatives: •  Tailored for corporate needs •  Supported by management and resources •  Participation encouraged in a variety of ways •  Evaluated for ROI  
  • 17.
  • 18. FULL HEALTH MEDICAL Clear  and  concise  communica/on  is  an  essen/al  component  to  a  person’s  health  and   wellbeing       Using  plain  English  and  simple  icons,  our  digital  pla:orm  transforms  complex  medical   data  into  a  personalised  analysis.  This  includes  recommenda/ons,  ac/on  plans  and   advice.
  • 19. FULL HEALTH MEDICAL International Society for Quality in Healthcare 20,000+ medical reports in Ireland & UK Over 100 companies have used our digital platform to deliver health checks to their staff
  • 20. AGENDA The Situation Health in the Workplace 1 2 Community Health3 Recommendations & Summary4
  • 21. THE IMPORTANCE OF COMMUNITY Particularly in rural communities, there are many people who have little or no interaction with the public health system These hard-to-reach citizens can be reached through community health initiatives and, if any health issues are identified, encouraged to (re)connect with their GP
  • 22.
  • 23.
  • 24.
  • 25. AGENDA The Situation Health in the Workplace 1 2 Community Health3 Recommendations & Summary4
  • 26. RECOMMENDATIONS Educate the public on the state of their health. Help them to undertstand what being healthy is, and why it is important to them and their families Engage with companies and local communities and encourage them to create their own health initiatives Empower each individual to make appropriate lifestyle changes that will allow them to live longer and more productive lives
  • 27. SUMMARY Ø  The rising cost and prevalence of chronic conditions will soon become an unsustainable burden for the public health system Ø We must invest in initiatives that educate the public about the state of their health – thus shifting some of the responsibility from healthcare professionals to indiviuals, employers, and local communities
  • 28. DAVID’S STORY Completed a 6 week diet & exercise programme Reverted from pre-diabetic (Repeat fasting glucose = 5.3) Weight loss of 5kg over the 6 weeks
  • 29. Thank You & Questions t: @full_health E: hello@fullhealthmedical.com www.fullhealthmedical.com UK - (0203) 4681118 IRL - (01) 5549795