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Occupational Health (Industrial Report) - UK - July 2014

“The aftermath of the financial crisis had a contrasting impact on the occupational market. On the one hand, employees feared for their employment status as companies sought to cut costs by making redundancies, reducing absentee rates. However, this also increased the levels of presenteeism (attending work while sick), while the threat of being made redundant also increased mental ill-health and stress in the workplace. Organisations of all sizes are finally starting to realise the benefits of having an OH service, but how they make the best use of these services (by greater employer-employee interaction and targeting prevention of, rather than curing, illnesses) will determine the development of the market.”
- Lewis Cone, Research Analyst

This report covers the UK occupational health market. Occupational health is defined as healthcare provision provided in the workplace and includes both specific health and safety care and broader issues of health, fitness and preventative health care, often referred to under the heading of wellness. It remains the case, however, that a feature of the sector is the lack of a clear definition and understanding of what constitutes occupational health. Effectively, occupational health comprises health services to employees that are paid for by the employer.

There remains much debate and confusion over the precise definition of what constitutes occupational healthcare and the boundaries of the sector remain vague. According to the joint International Labour Organisation/World Health Organisation Committee on Occupational Health, occupational healthcare is aimed at the following:

“The promotion and maintenance of the highest degree of physical, mental and social wellbeing of workers in all occupations; the prevention amongst workers of departures from health caused by their working conditions; the protection of workers in their employment from risks resulting from factors adverse to health; and the placing and maintenance of the worker in an occupational environment adapted to his/her physiological and psychological capabilities.”

The Health and Safety Executive (HSE) suggests “The term 'occupational health' conveys different things to different people. For some, it means simply the prevention and treatment of illness that is directly related to work, in which health education has no place. Others will emphasise fitness for work issues separately from health and safety. However, the impact of any sickness absence on SMEs and their employees does not brook such fine distinctions. In those terms, it is of little importance whether the sickness is the result of an accident at work, long term exposure to risk or the conflicting demands of home and work. Only a holistic approach can make a difference to health inequalities.”

The HSE therefore reports that occupational health can embrace:

  • The effect of work on health, whether through sudden injury or through long term exposure to agents with latent effects on health, and the prevention of occupational disease through techniques which include health surveillance, ergonomics, and effective human resource management systems
  • The effect of health on work, bearing in mind that good occupational health practice should address the fitness of the task for the worker, not the fitness of the worker for the task alone
  • Rehabilitation and recovery programmes
  • Helping the disabled to secure and retain work
  • Managing work related aspects of illness with potentially multi factorial causes (e.g. musculoskeletal disorders, coronary heart disease) and helping workers to make informed choices regarding lifestyle issues

As well as addressing issues that occur, an occupational health service should be proactive and aim to reduce potential problems in the workplace. Hence the activities of occupational health are likely to include:

  • Implementing policy
  • Ensuring compliance with health and safety regulations
  • Minimising and eliminating hazards
  • Dealing with cases of drug and alcohol abuse, and advising on HIV/AIDS issues
  • Offering preemployment health assessment
  • Maintaining relations with appropriate bodies and individuals
  • Monitoring the health of employees after an accident, illness and during and after pregnancy
  • Managing clinic facilities, basic health checks and first aid
  • Advising on medical severance and illhealth retirement
  • Advising on ergonomic issues and workplace design
  • Promoting good health education programmes
  • Promoting healthy eating
  • Monitoring symptoms of workrelated stress
  • Providing advice and counselling
  • Working with special needs groups

 

Liqueurs - UK - January 2012

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Table of contents

  1. Executive Summary

      • Market size
        • Figure 1: UK employment, 2013
        • Figure 2: Structure of the UK occupational health industry, 2012 (% of total market share)
      • Market trends
        • Figure 3: Average annual cost of absence, 2010-13
        • Figure 4: Number of days lost through sickness absence by reason, 2013, UK
      • Market factors
        • Employee Health and Wellbeing remains under-promoted by businesses
          • Lack of measurement of OH services’ impact on sickness absence levels affects cost effectiveness of OH services
            • Statutory Sick Pay record-keeping and percentage threshold scheme abolished in April 2014
              • Stress and other mental illnesses are becoming an increasing threat to OH
                • Companies
                  • Forecast
                    • Figure 5: Forecast UK occupational market, 2014-18
                  • What we think
                  • Introduction

                    • Definitions
                      • Methodology
                        • Abbreviations
                          • Market positioning
                            • Figure 6: Sickness absence among UK employees, 2009-13
                            • Figure 7: Sickness absence among UK employees, 2009-13
                            • Figure 8: Incidence of sickness absence among employees, 2013
                            • Figure 9: Government estimates of potential savings from establishing a health and work assessment and advisory service, 2013
                        • UK Economy

                          • Key points
                            • Overview
                              • Inflation
                                • Interest rates
                                  • Consumer spending
                                    • Business investment
                                    • Market Factors

                                      • Key points
                                        • Legislation
                                          • Ethical
                                            • Economic
                                              • Cost effectiveness
                                              • Market Size

                                                • Key points
                                                  • Introduction
                                                    • Public sector
                                                        • Figure 10: Analysis of employment in central and local government, by size of company, 2013
                                                        • Figure 11: Analysis of employment in central and local government, 2013
                                                      • Private sector
                                                        • Figure 12: Analysis of employment in the private sector, by size of company, 2013
                                                      • Overall market
                                                        • Figure 13: Differences in absence and workforce size, (average days lost per employee), 2011-13
                                                        • Figure 14: Differences in average proportion of absence, by duration of absence, 2013
                                                        • Figure 15: Proportions of organisations monitoring the cost of employee absence, by type of organisation and by size of company, 2013
                                                        • Figure 16: Average annual cost of absence, per employee per year, by sector 2013
                                                        • Figure 17: Average annual cost of absence, 2010-13
                                                        • Figure 18: Analysis of payment of occupational sick pay, 2012
                                                        • Figure 19: Segmentation of the cost of absence to the economy, 2010
                                                        • Figure 20: Analysis of cost of workplace illness and injury, by cost bearer, 2006-11
                                                      • Industry analysis
                                                        • Figure 21: Average sickness absence by sector, 2009-13
                                                        • Figure 22: Absence rates by sector and industry, 2013, % of working time lost per annum
                                                        • Figure 23: Proportion of respondents with organisational sickness reduction targets, 2009-13
                                                        • Figure 24: Provision of health and well-being initiatives or benefits
                                                        • Figure 25: Average number of health and well-being initiatives provided
                                                        • Figure 26: Industries utilising the oh advice line, by country, 2009-11
                                                      • Reasons for absence
                                                          • Figure 27: Common causes of short term absence, 2012
                                                          • Figure 28: Common causes of short term absence, 2012-13
                                                          • Figure 29: Percentage of respondents identifying most common cause of short-term absence, 2012
                                                          • Figure 30: Common causes of long-term absence, 2011 and 2012
                                                          • Figure 31: Percentage of respondents identifying most common cause of long-term absence
                                                          • Figure 32: Number of days lost through sickness absence by reason, 2009-13, UK
                                                          • Figure 33: Causes of work-related stress, by type of organisation, 2013
                                                          • Figure 34: Methods being used to identify and reduce stress, by type of organisation, 2013
                                                        • Regional analysis
                                                          • Figure 35: UK regional employment 2012 and 2013
                                                          • Figure 36: Regional public sector employment in England, 2009-13
                                                          • Figure 37: Average sickness absence by region, 2009-13
                                                          • Figure 38: Regional sickness absence, 2009-13 average
                                                        • Other market factors
                                                          • Workforce factors
                                                            • Figure 39: Percentage of working hours lost due to sickness absences, by gender, 2009-13
                                                            • Figure 40: Percentage of working hours lost due to sickness absences, 2009-13
                                                            • Figure 41: Percentage of working hours lost due to sickness absences, by age group, 2009-13
                                                          • Market development
                                                            • Figure 42: The UK market for occupational health provision at salary costs for non-commercial operators, 2008-12
                                                            • Figure 43: Segmentation of the UK market for occupational health provision at salary costs for non-commercial operators, by type of provider, 2008-12
                                                            • Figure 44: Segmentation of the UK market for occupational health provision at salary costs for non-commercial operators, by type of provider, 2008-12
                                                        • Market Trends

                                                          • Key points
                                                            • Government policy
                                                              • Legislation
                                                                • Business practice
                                                                  • Health screening
                                                                  • Industry Structure

                                                                    • Key points
                                                                      • Industry development and structure
                                                                          • Figure 45: Structure of the UK occupational health industry, 2012
                                                                          • Figure 46: Structure of the UK occupational health industry, 2012
                                                                      • Company Profiles

                                                                        • Abermed

                                                                              • Figure 47: Financial analysis of Abermed, 2009-13
                                                                          • Atos Healthcare

                                                                                • Figure 48: Financial analysis of Atos Healthcare – Occupational health, 2009-13
                                                                            • AXA Icas Occupational Health Services

                                                                                  • Figure 49: Financial analysis of AXA Icas Occupational Health Services, 2008-12
                                                                              • BUPA Occupational Health

                                                                                    • Figure 50: Financial analysis of BUPA Occupational Health, 2008-13
                                                                                • Capita Health and Wellbeing

                                                                                      • Figure 51: Financial analysis of Capita Health Solutions, 2008-12
                                                                                  • Cigna Healthcare

                                                                                    • Duradiamond Healthcare

                                                                                          • Figure 52: Financial analysis of Duradiamond Healthcare, 2010-12
                                                                                          • Figure 53: Financial analysis of Health Management, 2008-12
                                                                                      • HCA International

                                                                                            • Figure 54: Financial analysis of HCA International, 2008-12
                                                                                            • Figure 55: Financial analysis of Roodlane Medical, 2008-12
                                                                                        • Medigold

                                                                                          • Corporate Wellness Consultancy

                                                                                            • Working on Wellbeing Ltd (Formerly Serco OH)

                                                                                                  • Figure 56: Financial analysis of Serco OH, 2008-12
                                                                                              • Syngentis

                                                                                                    • Figure 57: Analysis of profiled companies’ turnover, 2009-12
                                                                                                • Forecast

                                                                                                  • Key points
                                                                                                    • The market
                                                                                                      • Market development
                                                                                                          • Figure 58: Percentage of workers whose workplace is a risk to health and safety, 2010
                                                                                                          • Figure 59: Forecast UK occupational health market, 2014-18
                                                                                                          • Figure 60: Forecast UK occupational market, 2014-18
                                                                                                          • Figure 61: Development of the UK occupational health market, 2008-18
                                                                                                      • Further Sources and Contacts

                                                                                                        • Trade associations, regulatory authorities and independent professional bodies
                                                                                                          • Trade magazines

                                                                                                          Companies Covered

                                                                                                          To learn more about the companies covered in this report please contact us.

                                                                                                          Occupational Health (Industrial Report) - UK - July 2014

                                                                                                          US $1,333.00 (Excl.Tax)