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Occupational Health - UK - June 2015

“Many businesses still view occupational health as an uncertain investment in improving business performance, but the case for investing in OH has never been greater. Absenteeism costs the UK economy up to £31 billion a year, with the average UK worker taking an estimated 4.5 days off sick annually according to LFS data.”
– Lewis Cone, B2B Analyst

This report will explore the following key questions with regard to occupational health in the UK:

  • What are the key determinants driving the occupational health industry?
  • Was the industry affected by the financial crisis and the slow recovery? If so, how has it developed and changed since?
  • How have government schemes influenced market demand and supply?
  • How has the provision of occupational health services changed over recent times?
  • What are the key issues that the industry needs to address to expand its service?
  • What does the future hold for occupational health services?

The higher amount of people in work coincided with the launch of the Fit for Work service nationally back in May, which aims to reduce the burden of sickness absence from the workplace and spending on health-related benefit claims. The service will provide another means of increasing company awareness of available occupational health initiatives and schemes, alongside the growing emergence of studies that show it can reduce companies’ financial costs.

However, with SMEs accounting for a large majority of businesses in the UK, the four-week component of the FfW service could present an entry barrier as they are more likely to need greater support to withstand that length of absence. Employees will also play a role in the development of the market as they must make their employers aware of potential health issues that could be helped by specific OH services, rather than employer-perceived OH services considered most effective.

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 as wellness. There remains much debate and confusion over the precise definition of what constitutes occupational healthcare, and the boundaries of the sector remain vague.  

 

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Table of contents

  1. Executive Summary

      • Market size
        • Figure 1: UK Employment, 2014
        • Figure 2: UK Market Segmentation for Occupational Health Provision at Salary Costs for Non-Commercial Operators, by Type of Provider, 2010-14
      • Market trends
        • Figure 3: Average Annual Cost of Absence, 2010-14
        • Figure 4: Analysis of Cost of Workplace Illness and Injury, by Cost Bearer, 2006/07-2013/14
      • Market factors
        • The launch of the Fit for Work service seeks to improve first contact and uptake of initiatives and schemes
          • Lack of clarity on the true value of the costs of workplace ill-health is still a large barrier to market development
            • The ageing working population will change the nature of ill-health in the workplace
              • Low supply of suitably qualified occupational health professionals amid lack of incentives to enter the profession
                • Industry structure
                  • Consumer
                    • Forecast
                      • In 2015, the value of the UK occupational health market is forecast to increase by 4.4% at 2014 prices before demonstrating marginally stronger growth until 2019
                        • Mental ill-health and stress continues to occur in the workplace
                          • Technological advancements will help improve the base of occupational health networks and enable the formation of treatment benchmarks
                            • What we think
                            • Key Insights

                                • Which factors are driving industry growth?
                                  • What kind of impact has legislation had on the market?
                                    • What are the implications of growth in the market? Will these barriers reduce future development?
                                      • OH workforce issues
                                        • Level of penetration of occupational health services
                                          • What innovations are we seeing in the market?
                                            • What does the future hold for the industry?
                                            • Introduction

                                                • Definitions
                                                  • Methodology
                                                    • Abbreviations
                                                    • Market Positioning

                                                          • Figure 5: Sickness Absence among UK employees, 2009-13
                                                          • Figure 6: Sickness Absence among UK employees, 2009-13
                                                          • Figure 7: Incidence of Sickness Absence Among Employees, 2014
                                                          • Figure 8: Government Estimates of Potential Savings from Establishing the Fit for Work initiative, 2013
                                                      • UK Economy

                                                        • Key points
                                                          • Overview
                                                            • Figure 9: UK GDP, 2003-14 Q2
                                                            • Figure 10: Quarters after GDP Peak, 1979, 1990 and 2008
                                                          • Inflation
                                                            • Interest rates
                                                              • House prices
                                                                • Consumer spending
                                                                  • Manufacturing
                                                                    • Business investment
                                                                      • Imports
                                                                        • Exports
                                                                        • Market Factors

                                                                          • Key points
                                                                            • Legislation
                                                                              • Ethical
                                                                                • Economic
                                                                                  • Cost effectiveness
                                                                                    • Background political policy
                                                                                      • Economic conditions
                                                                                        • Workforce factors
                                                                                          • Figure 11: Working Hours Lost Due to Sickness Absences, by Gender, 2009-13
                                                                                          • Figure 12: Percentage of working hours lost due to sickness absences, 2009-13
                                                                                          • Figure 13: Working Hours Lost Due to Sickness Absences, by Age Group, 2009-13
                                                                                          • Figure 14: Percentage of working hours lost due to sickness absences, 2009-13, by Age Group
                                                                                        • Legislation
                                                                                        • Market Size

                                                                                          • Key points
                                                                                            • Introduction
                                                                                              • Public sector
                                                                                                  • Figure 15: Analysis of Employment in Central and Local Government, by Size of Company, 2014
                                                                                                  • Figure 16: Analysis of Employment in Central and Local Government, 2014
                                                                                                • Private sector
                                                                                                  • Figure 17: Analysis of Employment in the Private Sector, by Size of Company, 2014
                                                                                                  • Figure 18: Analysis of Employment in Private Sector, 2014
                                                                                                • Overall market
                                                                                                  • Figure 19: Differences in Absence and Workforce Size, 2011- 2014
                                                                                                  • Figure 20: Differences in Average Proportion of Absence, by Duration of Absence, 2013-14
                                                                                                  • Figure 21: Proportions of Organisations Monitoring the Cost of Employee Absence, by Type of Organisation and by Size of Company, 2014
                                                                                                  • Figure 22: Average Annual Cost of Absence, per employee per year, by Sector, 2010-14
                                                                                                  • Figure 23: Average Annual Cost of Absence, 2010-14
                                                                                                  • Figure 24: Analysis of Payment of Occupational Sick Pay, 2012
                                                                                                  • Figure 25: Segmentation of the Cost of Absence to the Economy, 2010
                                                                                                  • Figure 26: Analysis of Cost of Workplace Illness and Injury, by Cost Bearer, 2006/07-2013/14
                                                                                                  • Figure 27: Analysis of Cost of Workplace Illness and Injury, by Cost Bearer, 2006/07-2013/14
                                                                                                • Industry analysis
                                                                                                  • Figure 28: Average Sickness Absence by Sector, 2010-2014
                                                                                                  • Figure 29: Proportion of Respondents with Organisational Sickness Reduction Targets, 2010-14
                                                                                                  • Figure 30: Industries Utilising the OH Advice Line, by Country, 2009-11
                                                                                                • Reasons for absence
                                                                                                    • Figure 31: Common Causes of Short Term Absence, 2012
                                                                                                    • Figure 32: Common Causes of Short Term Absence, 2012-14
                                                                                                    • Figure 33: Percentage of respondents identifying most common cause of short-term absence, 2014
                                                                                                    • Figure 34: Common Causes of Long-term Absence, 2012-14
                                                                                                    • Figure 35: Percentage of respondents identifying most common cause of long-term absence, 2014
                                                                                                    • Figure 36: Number of days lost through sickness absence in the UK, by Reason, 2009-13
                                                                                                    • Figure 37: Causes of Work-related Stress, by Type of Organisation, 2014
                                                                                                    • Figure 38: Methods Being Used To Identify and Reduce Stress, by Type of Organisation, 2014
                                                                                                  • Regional analysis
                                                                                                    • Figure 39: UK Regional Employment 2013, 2014 and 2015
                                                                                                    • Figure 40: Regional Public Sector Employment in England, 2010-14
                                                                                                    • Figure 41: Average Sickness Absence by Region, 2009-14
                                                                                                    • Figure 42: Regional Sickness Absence, 2009-14
                                                                                                  • Market development
                                                                                                    • Figure 43: The UK Market for Occupational Health Provision at Salary Costs for Non-Commercial Operators, 2010-14
                                                                                                    • Figure 44: UK Market Segmentation for Occupational Health Provision at Salary Costs for Non-Commercial Operators, by Type of Provider, 2010-14
                                                                                                    • Figure 45: UK Market Segmentation for Occupational Health Provision at Salary Costs for Non-Commercial Operators, by Type of Provider, 2010-14
                                                                                                • Market Trends

                                                                                                  • Key points
                                                                                                    • Government policy
                                                                                                      • Business practice
                                                                                                        • Health screening
                                                                                                        • The Consumer – Health Issues

                                                                                                          • Key points
                                                                                                            • More than seven in every ten workers have suffered a health issue over the last year
                                                                                                                • Figure 46: Most Common Health Issues, April 2015
                                                                                                                • Figure 47: Most Common Health Issue, April 2015
                                                                                                              • Female millennials twice as likely as male millennials to suffer mental ill-health
                                                                                                                • Figure 48: Most Common Health Issues, by Gender and Age Group, April 2015
                                                                                                                • Figure 49: Most Common Health Issues, by Gender and Age Group, April 2015
                                                                                                                • Figure 50: Most Common Health Issues, by Company Size, April 2015
                                                                                                            • The Consumer – Company Initiatives and Benefits

                                                                                                              • Key points
                                                                                                                  • Figure 51: Available Health Initiatives or Benefits at Work, April 2015
                                                                                                                  • Figure 52: Available Health Initiatives or Benefits at Work, April 2015
                                                                                                                • SMEs lead length of leave, while more than half offer sick pay
                                                                                                                  • Figure 53: Available Health Initiatives or Benefits at Work, in SMEs, April 2015
                                                                                                                  • Figure 54: Available Health Initiatives or Benefits at Work, in SMEs, April 2015
                                                                                                              • The Consumer – Attitudes towards Health Initiatives

                                                                                                                • Key points
                                                                                                                  • Flexibility in work and longer sanctioned holidays are most favoured by workers
                                                                                                                      • Figure 55: Most Important Health Initiatives or Benefits at Work, April 2015
                                                                                                                      • Figure 56: Most Important Health Initiatives or Benefits at Work, Top Five Options, April 2015
                                                                                                                  • Industry Structure

                                                                                                                    • Key points
                                                                                                                      • Industry development and structure
                                                                                                                          • Figure 57: Structure of the UK Occupational Health Industry, 2014
                                                                                                                          • Figure 58: Structure of the UK Occupational Health Industry, 2014
                                                                                                                          • Figure 59: Analysis of the changes in the structure of the ‘Other human health activities’ industry, 2010-14
                                                                                                                          • Figure 60: Analysis of the changes in the structure of the ‘Other human health activities’ industry, 2010-14
                                                                                                                        • Structure by employment
                                                                                                                          • Figure 61: Analysis of the employment structure of the ‘Other human health activities’ industry, 2013 and 14
                                                                                                                          • Figure 62: Analysis of the employment structure of the ‘Other human health activities’ industry, 2014
                                                                                                                        • Structure by turnover
                                                                                                                          • Figure 63: Analysis of the financial structure of the ‘other human health activities’ industry, 2013 and 2014
                                                                                                                          • Figure 64: Analysis of the financial structure of the ‘other human health activities’ industry, 2014
                                                                                                                      • Company Profiles

                                                                                                                        • AXA Icas Healthcare Occupational Health Services

                                                                                                                              • Figure 65: Financial Analysis of AXA Icas Occupational Health Services, 2009-13
                                                                                                                            • Company outlook
                                                                                                                            • Bupa Occupational Health

                                                                                                                                  • Figure 66: Financial Analysis of Bupa Occupational Health, 2009-13
                                                                                                                                • Company outlook
                                                                                                                                • Capita Health and Wellbeing Solutions

                                                                                                                                      • Figure 67: Financial Analysis of Capita Health Solutions, 2009-13
                                                                                                                                    • Company outlook
                                                                                                                                    • Cigna Healthcare Occupational Health

                                                                                                                                      • COPE Occupational Health and Ergonomic Services

                                                                                                                                        • Duradiamond Healthcare

                                                                                                                                            • Attendance management
                                                                                                                                              • Employee health and wellbeing
                                                                                                                                                  • Figure 68: Financial Analysis of Duradiamond Healthcare, 2010-2013, (£ 000)
                                                                                                                                                • Company outlook
                                                                                                                                                • HCA International

                                                                                                                                                      • Figure 69: Financial Analysis of HCA International, 2009-13
                                                                                                                                                    • Company outlook
                                                                                                                                                        • Figure 70: Financial Analysis of Roodlane Medical, 2009-13
                                                                                                                                                      • Company outlook
                                                                                                                                                      • Health Management

                                                                                                                                                            • Figure 71: Financial Analysis of Health Management, 2009-13
                                                                                                                                                          • Company outlook
                                                                                                                                                          • International SOS (formerly Abermed)

                                                                                                                                                                • Figure 72: Financial Analysis of International SOS/Abermed, 2010-14
                                                                                                                                                              • Company outlook
                                                                                                                                                              • Medigold

                                                                                                                                                                • Occupational Health Care Limited

                                                                                                                                                                      • Figure 73: Financial Analysis of Occupational Health Care Limited, 2009-13
                                                                                                                                                                    • Company outlook
                                                                                                                                                                    • OH Assist (formerly Atos Healthcare)

                                                                                                                                                                          • Figure 74: Financial Analysis of Atos Healthcare/OH Assist, 2009-13
                                                                                                                                                                        • Company outlook
                                                                                                                                                                        • People Asset Management (PAM) Group

                                                                                                                                                                          • Syngentis

                                                                                                                                                                              • Company outlook
                                                                                                                                                                              • Working on Wellbeing Ltd (formerly Serco OH)

                                                                                                                                                                                    • Figure 75: Financial Analysis of Serco OH, 2008-12
                                                                                                                                                                                    • Figure 76: Financial Analysis of Working on Wellbeing Ltd, 2013-14
                                                                                                                                                                                  • Company outlook
                                                                                                                                                                                    • Figure 77: Analysis of profiled companies’ turnover, 2009-13
                                                                                                                                                                                • Forecast

                                                                                                                                                                                  • Key points
                                                                                                                                                                                    • The market
                                                                                                                                                                                      • Market development
                                                                                                                                                                                        • The uncertainty surrounding the impact of the Fit for Work service
                                                                                                                                                                                          • Policy gaps holding back development
                                                                                                                                                                                            • Organisation approach to occupational health provision
                                                                                                                                                                                                • Figure 78: Percentage of workers whose workplace is a risk to health and safety, 2010
                                                                                                                                                                                              • The impact of the ever-ageing working population
                                                                                                                                                                                                • Type of OH provider
                                                                                                                                                                                                  • Market forecast
                                                                                                                                                                                                    • Figure 79: UK Occupational Health Market Segmentation Forecast, by Provider, 2015-19
                                                                                                                                                                                                    • Figure 80: UK Occupational Health Market Segmentation Forecast, by Provider, 2015-19
                                                                                                                                                                                                    • Figure 81: Development of the UK Occupational Health Market, 2009-19
                                                                                                                                                                                                  • The growing emergence of mental ill-health and stress in the workplace
                                                                                                                                                                                                    • OH services helping the unemployed
                                                                                                                                                                                                      • Industry
                                                                                                                                                                                                        • Skill shortages and inability to attract suitably qualified OH staff
                                                                                                                                                                                                          • Technological advancements
                                                                                                                                                                                                            • Presenteeism
                                                                                                                                                                                                              • General occupational health perception
                                                                                                                                                                                                                • Financial pressures
                                                                                                                                                                                                                • Further Sources and Contacts

                                                                                                                                                                                                                  • Trade associations, regulatory authorities and independent professional bodies
                                                                                                                                                                                                                    • The Association of Occupational Health Nurse Practitioners
                                                                                                                                                                                                                      • British Occupational Hygiene Society
                                                                                                                                                                                                                        • British Safety Council
                                                                                                                                                                                                                          • Commercial Occupational Health Providers Association
                                                                                                                                                                                                                            • Employee Assistance Professionals Association
                                                                                                                                                                                                                              • Health and Safety Executive
                                                                                                                                                                                                                                • Independent Safety Consultants Association
                                                                                                                                                                                                                                  • Institute of Occupational Medicine
                                                                                                                                                                                                                                    • Institution of Occupational Safety and Health
                                                                                                                                                                                                                                      • Royal Society for the Prevention of Accidents
                                                                                                                                                                                                                                        • The Safety Assessment Federation
                                                                                                                                                                                                                                          • Trade magazines
                                                                                                                                                                                                                                            • Employee Benefits
                                                                                                                                                                                                                                              • Health & Safety at Work
                                                                                                                                                                                                                                                • Health & Safety Matters
                                                                                                                                                                                                                                                  • Occupational Health
                                                                                                                                                                                                                                                    • Safety & Health Practitioner
                                                                                                                                                                                                                                                      • Safety Management Magazine
                                                                                                                                                                                                                                                        • Trade exhibitions
                                                                                                                                                                                                                                                          • Health and Safety North
                                                                                                                                                                                                                                                            • IOSH Conference 2015
                                                                                                                                                                                                                                                              • Occupational Safety & Health Forum
                                                                                                                                                                                                                                                                • Occupational Therapy Show
                                                                                                                                                                                                                                                                  • Safety & Health Expo

                                                                                                                                                                                                                                                                  Companies Covered

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

                                                                                                                                                                                                                                                                  Occupational Health - UK - June 2015

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