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Cbi employee-health-absence-conference-bill-gunnyeon

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Presentation by Bill Gunnyeon, director for health work and wellbeing and chief medical adviser, at the CBI's employee health & absence conference. London, June 2010.

Published in: Business, Health & Medicine
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Cbi employee-health-absence-conference-bill-gunnyeon

  1. 1. Supporting Business – what the fit note and other initiatives mean Dr Bill Gunnyeon Chief Medical Adviser Department for Work and Pensions
  2. 2. Costs of working age ill-health are high <ul><li>Working age ill-health costs the economy an estimated over £100bn a year (Dame Carol Black’s review, 2008) </li></ul><ul><li>Over £60bn loss to business through lost productivity (est. more than £25bn through mental health alone) </li></ul><ul><li>Significant costs to government (over £60bn pa): </li></ul><ul><ul><li>Around £20bn pa on benefit spend (IB/ESA and DLA) </li></ul></ul><ul><ul><li>Healthcare costs </li></ul></ul><ul><ul><li>Foregone taxes </li></ul></ul>
  3. 3. Over a fifth of working people are disabled or have a long-term condition 27 million employed 680,000 off sick 22% with a health condition or disability 25% with a health condition or disability 7.5 million inactive 45% with a health condition or disability 2.5 million unemployed
  4. 4. But having a health condition or being disabled need not be a barrier to employment 60% of people with a long term health condition are in work
  5. 5. Demographic changes present an increasing challenge <ul><ul><li>An ageing workforce </li></ul></ul><ul><ul><li>With more chronic or progressive diseases </li></ul></ul>Having to support more people of pension age
  6. 6. Key initiatives <ul><li>Fit Note </li></ul><ul><li>Occupational Health Adviceline </li></ul><ul><li>Fit for Work Service </li></ul><ul><li>Health, Work and Wellbeing Challenge Fund </li></ul>
  7. 7. The “Fit Note”
  8. 8. Statement of Fitness for Work <ul><li>Developed in partnership with healthcare and employer organisations and other stakeholders </li></ul><ul><li>Tested with GPs </li></ul><ul><li>Subject to formal consultation </li></ul><ul><li>Designed to: </li></ul><ul><ul><li>Reflect current medical practice </li></ul></ul><ul><ul><li>Be more user friendly </li></ul></ul><ul><ul><li>Provide more helpful advice to patients and their employers </li></ul></ul><ul><li>Shares responsibility with employer: </li></ul><ul><ul><li>GP knows health condition and its impact </li></ul></ul><ul><ul><li>Employer knows job and working environment </li></ul></ul>
  9. 10. Implementation <ul><li>Statutory Instrument 137/2010 </li></ul><ul><li>Came into effect on 6 April 2010 </li></ul><ul><li>Guidance for GPs and employers published on-line 19 February 2010 </li></ul><ul><li>Employers guidance developed in partnership with CIPD, CBI, FSB, Acas, ABI and EEF </li></ul><ul><li>GP guidance developed in partnership with RCGP and BMA </li></ul><ul><li>Now developing computer generated format </li></ul><ul><li>www.dwp.gov.uk/fitnote </li></ul>
  10. 11. <ul><li>Occupational Health Adviceline </li></ul>
  11. 12. Occupational Health Adviceline <ul><li>Aims to reduce sickness absence and avoidable job loss ( through employer action) </li></ul><ul><li>GB wide occupational health telephone adviceline </li></ul><ul><li>Piloted in nine locations – launched and live on 7 December 2009 </li></ul><ul><li>Easy access to free, professional occupational health advice on individual problems using qualified occupational health nurses with additional training </li></ul><ul><li>Focus on helping manager resolve individual employee health at work problems ( especially mental health issues) </li></ul><ul><li>Target audience – employers/managers in businesses with fewer than 50 staff </li></ul><ul><li>Also in scope – businesses with 50-249 employees, employees, GPs </li></ul><ul><li>From 1 April 2010 available to SMEs across Great Britain and from 6 April to GPs for advice on patient issues </li></ul>
  12. 14. <ul><li>Fit for Work Service </li></ul>
  13. 15. Fit for Work Service <ul><li>Aims to reduce sickness absence and avoidable job loss (through co-ordinated services) </li></ul><ul><li>Service for people off work sick for 4-6 weeks </li></ul><ul><li>11 pilots in locations throughout GB selected via stiff competition </li></ul><ul><li>Early access to co-ordinated health treatment and employment support including debt, housing, learning and skills, employer liaison and conciliation </li></ul><ul><li>Pilots all live by April 2010 </li></ul><ul><li>Testing different local models - case management a key component </li></ul><ul><li>Variety of delivery partnerships – existing and new local consortia </li></ul>
  14. 16. Fit for Work Service pilot sites <ul><li>Scotland-wide </li></ul><ul><li>Dundee </li></ul><ul><li>Rhyl </li></ul><ul><li>Birmingham </li></ul><ul><li>Eastern & Coastal Kent </li></ul><ul><li>Kensington & Chelsea </li></ul><ul><li>Leicestershire </li></ul><ul><li>North Staffordshire </li></ul><ul><li>Nottinghamshire </li></ul><ul><li>Wakefield District </li></ul><ul><li>Greater Manchester </li></ul>
  15. 17. <ul><li>Challenge Fund </li></ul>
  16. 18. Health Work and Wellbeing Challenge Fund <ul><li>Aims to encourage initiatives that improve workplace health and wellbeing </li></ul><ul><li>Focus on SMEs and mental wellbeing and on employee involvement </li></ul><ul><li>Launched 22 October 2009 </li></ul><ul><li>258 applications received and 73 successful awards by local assessment panels </li></ul><ul><li>Administered by Health Work and Wellbeing Coordinators </li></ul>
  17. 19. Impact on organisations <ul><li>Contribute to: </li></ul><ul><ul><li>Reducing frequency and duration of absence </li></ul></ul><ul><ul><li>Reducing staff turnover </li></ul></ul><ul><ul><li>Increasing productivity </li></ul></ul><ul><ul><li>Reducing costs </li></ul></ul><ul><ul><li>Ensuring sustainable workforce for the future </li></ul></ul>

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