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Occupational Health - UK - May 2018

“Health and wellbeing programmes can play a major part in helping the UK close the productivity gap and provide the B2B market with a great opportunity. If employees in a professional services environment enjoy work, they do better work, which is obviously beneficial to both staff and organisations.”

– Lewis Cone, B2B Analyst

This report examines the following issues:

  • How are workers’ financial difficulties adding to companies’ OH burden?
  • How are changes to workforce demographics affecting absence rates and approaches to OH?
  • How is the government responding to problems in the industry’s operating model?

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Table of contents

  1. Executive Summary

      • Market size
        • Figure 1: UK Employment, by Sector, as of December 2017, (Million and % of Total)
        • Figure 2: UK Market Segmentation for Occupational Health Provision at Salary Costs for Non-Commercial Operators, by Type of Provider, 2013-2017, (£ Million)
      • Market trends
        • Technology helps employers gain real-time information regarding employee health
          • Average cost of absence is also on the decline
            • Figure 3: Average Annual Cost of Absence, Five-Year Average, 2012-2016, (per Employee per Year, by Sector, in £)
            • Figure 4: Analysis of Cost of Workplace Illness and Injury, by Cost Bearer, 2006/07-2015/16, (£ Billion in 2015 prices)
          • Market factors
            • Highest number of workers aged over 50 presents challenges, but challenges posed by younger workers must also be acted upon
              • Fit for Work assessments scrapped following low referral rates
                • Industry structure
                  • Forecast
                    • Annual 3% to 4% growth expected until 2022
                      • Figure 5: UK Occupational Health Market Segmentation Forecast, by Provider, 2018-2022, (£ Million at 2017 prices)
                    • Rise in smartphone and app use could benefit market development
                      • What we think
                      • Key Insights

                          • How are workers’ financial difficulties adding to companies’ OH burden?
                            • How are changes to workforce demographics affecting absence rates and approaches to OH?
                              • How is the government responding to problems in the industry’s operating model?
                              • Introduction

                                  • Definitions
                                    • Methodology
                                      • Abbreviations
                                        • Market positioning
                                            • Figure 6: Sickness Absence among UK Employees, 2012-2016, (Million, % and Days)
                                            • Figure 7: Sickness Absence among UK Employees, 2012-2016, (Millions)
                                            • Figure 8: Average Level of Employee Absence, 2013-2018, (Average Working Time Lost (%) and Average Days Lost per Employee per Year)
                                            • Figure 9: Average Level of Employee Absence, by Sector, 2013-2018, (Average Working Time Lost (%) and Average Days Lost per Employee per Year)
                                          • Economic conditions
                                            • Ethical
                                            • UK Economy

                                              • Key points
                                                • Overview
                                                  • Figure 10: Forecast GDP development 2017-21, (% Annual Growth)
                                                  • Figure 11: UK GDP Quarterly Development, 2007-17, (% Quarterly Growth and GDP in £ Billion)
                                                • Inflation
                                                  • Interest rates
                                                    • House prices
                                                      • Figure 12: UK House Price changes, 2006-2017, (12 month % change)
                                                    • Consumer spending
                                                      • Manufacturing
                                                        • Figure 13: UK Manufacturing, 2014-17, (Index, 2013 = 100)
                                                      • Business investment
                                                        • Figure 14: UK GFCF, 2007-17, (£ Million, Chained Volume Measures, Seasonally Adjusted)
                                                      • Imports
                                                        • Exports
                                                        • Market Factors

                                                          • Key points
                                                            • Highest number of workers aged over 50 presents challenges, but challenges posed by younger workers must also be acted upon
                                                              • Slow progress in Brexit talks means uncertainty remains over future impact on industry spending and workplace legislation
                                                                • Fit for Work assessments scrapped following low referral rates
                                                                  • Launch of new occupational health guides aim to promote OH programmes and the benefits of an active workforce
                                                                    • Poor use of data systems are limiting the value of employee benefits programmes
                                                                      • Other factors
                                                                        • Legislation
                                                                          • NICE quality standard
                                                                            • PAS (Publically Available Specification) 3002 - code of practice on improving the health and wellbeing within an organisation
                                                                            • Market Size

                                                                              • Key points
                                                                                • Introduction
                                                                                  • Workforce
                                                                                      • Figure 15: Working Hours Lost Due to Sickness Absences, by Gender, 2012-2016, (%)
                                                                                      • Figure 16: Working Hours Lost Due to Sickness Absences, by Gender, 2012-2016, (%)
                                                                                      • Figure 17: Working Hours Lost Due to Sickness Absences, by Age Group, 2012-2016, (%)
                                                                                      • Figure 18: Working Hours Lost Due to Sickness Absences, by Age Group, 2012-2016, (%)
                                                                                    • Public sector
                                                                                      • Employment structure
                                                                                        • Figure 19: Analysis of Employment in Central and Local Government, by Size of Company, 2017, (000s)
                                                                                        • Figure 20: Analysis of Employment in Central and Local Government, by Organisation Size, 2017, (% of Total Employment)
                                                                                      • Private sector
                                                                                        • Figure 21: Analysis of Employment in the Private Sector, by Size of Company, 2017, (000s)
                                                                                        • Figure 22: Analysis of Employment in Private Sector, 2017, (Employees in 000s by Size of Company)
                                                                                      • Overall market
                                                                                        • Figure 23: Differences in Absence and Workforce Size, 2012- 2016, (Average Days Lost per Employee)
                                                                                        • Figure 24: Differences in Absence and Workforce Size, 2012-2016, (Average Days Lost per Employee)
                                                                                      • Statutory sick pay
                                                                                        • Average cost of absence is also on the decline
                                                                                          • Figure 25: Average Annual Cost of Absence, per Employee per Year, by Sector, 2012-2016, (£ per Year)
                                                                                          • Figure 26: Average Annual Cost of Absence, 2012-2016, (per Employee per Year, by Sector, in £)
                                                                                          • Figure 27: Analysis of Cost of Workplace Illness and Injury, by Cost Bearer, 2006/07-2015/16, (£ Billion in 2015 prices)
                                                                                          • Figure 28: Analysis of Cost of Workplace Illness and Injury, by Cost Bearer, 2006/07-2015/16, (£ Billion in 2015 prices)
                                                                                        • Reasons for absence
                                                                                            • Figure 29: Common Causes of Short Term Absence, 2018, by Sector, (% Identifying Top Three Most Common Causes)
                                                                                            • Figure 30: Common Cause of Short-Term Absence, 2018, All Respondents, (% Identifying Top Three Most Common Causes)
                                                                                            • Figure 31: Common Causes of Long-Term Absence, 2018, (% Identifying Top Three Most Common Causes)
                                                                                            • Figure 32: Common Cause of Long-Term Absence, 2018, All Respondents, (% Identifying Top Three Most Common Causes)
                                                                                            • Figure 33: Number of Days Lost Through Sickness Absence in the UK, by Reason, 2012-2016, (Millions)
                                                                                          • Table highlights:
                                                                                              • Figure 34: Estimated Working Days Lost Due to Work-Related Illness or Injury, by Illness or Injury, 2011/12-2016/17, (000s)
                                                                                            • Stress
                                                                                                • Figure 35: Causes of Work-Related Stress, 2018, (% of Respondents, Top Three Causes)
                                                                                                • Figure 36: Methods Being Used To Identify and Reduce Stress, 2018, (% of Respondents That Take Steps To Manage Stress)
                                                                                              • Flexible working trends
                                                                                                • Regional analysis
                                                                                                  • Figure 37: UK Regional Employment 2015, 2016 and 2017, (000s and % of Total)
                                                                                                  • Figure 38: Regional Public Sector Employment, 2013-2017, (000)
                                                                                                  • Figure 39: Sickness Absence Rates, by Region, October 2015 - September 2016, (%)
                                                                                                  • Figure 40: Sickness Absence Rates, by Region, October 2015 - September 2016, (%)
                                                                                                • Market development
                                                                                                    • Figure 41: The UK Market for Occupational Health Provision at Salary Costs for Non-Commercial Operators, 2013-2017, (£ Million)
                                                                                                    • Figure 42: UK Market Segmentation for Occupational Health Provision at Salary Costs for Non-Commercial Operators, by Type of Provider, 2013-2017, (£ Million)
                                                                                                    • Figure 43: UK Market Segmentation for Occupational Health Provision at Salary Costs for Non-Commercial Operators, by Type of Provider, 2013-2017, (£ Million)
                                                                                                • Market Trends

                                                                                                  • Key points
                                                                                                    • Level of presenteeism in the workplace remains high
                                                                                                      • Wellbeing strategies are being introduced into companies at a higher rate...
                                                                                                        • ... although evidence suggests wellbeing strategies are not always the most suitable
                                                                                                          • Technology helps employers gain real-time information about employee health
                                                                                                            • Lack of new OH professionals could undermine growth potential
                                                                                                            • Industry Structure

                                                                                                              • Key points
                                                                                                                • Industry development and structure
                                                                                                                  • HSE launches new occupational health campaign
                                                                                                                    • Other recent industry developments
                                                                                                                      • Major industry groups
                                                                                                                        • Industry structure
                                                                                                                            • Figure 44: Structure of the UK Occupational Health Industry, 2017, (£ Million)
                                                                                                                            • Figure 45: Structure of the UK Occupational Health Industry, 2017, (% of Total Market Share)
                                                                                                                            • Figure 46: Analysis of the Changes in the Structure of the ‘Other Human Health Activities’ Industry, 2013-2017, (Number of Outlets and Businesses)
                                                                                                                            • Figure 47: Analysis of the Changes in the Structure of the ‘Other Human Health Activities’ Industry, 2013-2017, (Number of Outlets and Businesses)
                                                                                                                          • Structure by employment
                                                                                                                            • Figure 48: Analysis of the Employment Structure of the ‘Other Human Health Activities’ Industry, 2016 and 2017, (Number of Employees and Outlets)
                                                                                                                            • Figure 49: Analysis of the Employment Structure of the ‘Other Human Health Activities’ Industry, 2017, (% of Total Outlets)
                                                                                                                          • Structure by turnover
                                                                                                                            • Figure 50: Analysis of the Financial Structure of the ‘Other Human Health Activities’ Industry, 2016 and 2017, (£000 and Number of Businesses)
                                                                                                                            • Figure 51: Analysis of the Financial Structure of the ‘Other Human Health Activities’ Industry, 2017, (£000 and % of Businesses)
                                                                                                                        • Company Profiles

                                                                                                                          • AXA Icas Healthcare Occupational Health Services

                                                                                                                                • Figure 52: Financial Analysis of AXA Icas Occupational Health Services, 2012-2016, (£ 000)
                                                                                                                              • Company strategy
                                                                                                                              • Bupa Occupational Health

                                                                                                                                  • New starter services
                                                                                                                                      • Figure 53: Financial Analysis of Bupa Occupational Health, 2012-2016, (£ 000)
                                                                                                                                    • Company strategy
                                                                                                                                    • Cigna Healthcare Occupational Health

                                                                                                                                      • COPE Occupational Health and Ergonomic Services

                                                                                                                                        • Duradiamond Healthcare

                                                                                                                                              • Figure 54: Financial Analysis of Duradiamond Healthcare, 2012-2017, (£ 000)
                                                                                                                                            • Company strategy
                                                                                                                                            • HCA International

                                                                                                                                                • Recent company news
                                                                                                                                                    • Figure 55: Financial Analysis of HCA International, 2012-2016, (£ 000)
                                                                                                                                                  • Company strategy
                                                                                                                                                    • Roodlane Medical
                                                                                                                                                        • Figure 56: Financial Analysis of Roodlane Medical, 2012-2016, (£ 000)
                                                                                                                                                      • Company strategy
                                                                                                                                                      • Health Management

                                                                                                                                                            • Figure 57: Financial Analysis of Health Management, 2012-2016, (£ 000)
                                                                                                                                                          • Company strategy
                                                                                                                                                          • Iqarus (formerly International SOS)

                                                                                                                                                                • Figure 58: Financial Analysis of Iqarus (formerly known as International SOS/Abermed), 2012-16, (£ 000)
                                                                                                                                                              • Company strategy
                                                                                                                                                              • Medigold

                                                                                                                                                                    • Figure 59: Financial Analysis of Medigold Health Consultancy, 2013-2016, (£ 000)
                                                                                                                                                                  • Company strategy
                                                                                                                                                                  • Occupational Health Care Limited

                                                                                                                                                                        • Figure 60: Financial Analysis of Occupational Health Care Limited, 2012-2016, (£ 000)
                                                                                                                                                                      • Company strategy
                                                                                                                                                                      • OH Assist (formerly Atos Healthcare)

                                                                                                                                                                            • Figure 61: Financial Analysis of OH Assist, 2012-2016, (£ 000)
                                                                                                                                                                          • Company strategy
                                                                                                                                                                          • People Asset Management (PAM) Group

                                                                                                                                                                            • Working on Wellbeing Ltd (formerly Serco OH)

                                                                                                                                                                                  • Figure 62: Financial Analysis of Working on Wellbeing Ltd, 2013-2016, (£ 000)
                                                                                                                                                                                • Company strategy
                                                                                                                                                                                  • Figure 63: Analysis of Profiled Companies’ Combined Turnover, 2012-2016, (£ 000)
                                                                                                                                                                              • Forecast

                                                                                                                                                                                • Key points
                                                                                                                                                                                    • Figure 64: UK Occupational Health Market Segmentation Forecast, by Provider, 2018-2022, (£ Million at 2017 prices)
                                                                                                                                                                                    • Figure 65: UK Occupational Health Market Segmentation Forecast, by Provider, 2018-2022, (£ Million at 2017 prices)
                                                                                                                                                                                    • Figure 66: Development of the UK Occupational Health Market, 2012-2022, (£ Million)
                                                                                                                                                                                  • Rise in smartphone and app use could benefit market development
                                                                                                                                                                                    • Council for Work and Health sets out its aims for the industry to 2022
                                                                                                                                                                                      • Businesses must ensure OH programmes remain aligned with changing working environment...
                                                                                                                                                                                        • ... as well as the new challenge posed by the growing ‘gig economy’
                                                                                                                                                                                        • Further Sources and Contacts

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

                                                                                                                                                                                              Occupational Health - UK - May 2018

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