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Occupational Health - UK - May 2019

Covered in this report

Recent trends indicate that spending on outsourced services is growing faster than in-house services. This has been attributed to a structural change in the employment sector, with the decline of large manufacturing and former nationalised industries replaced by growth in medium-sized service companies.

Long-term sickness absence is estimated to cost private sector businesses in the UK a total of £4.17 billion a year, and is set to reach £4.81 billion a year by 2030. This makes it important for employers to work with staff to manage their return to work, maintain morale, and invest in their wellbeing.

Company Profiles

  • Bupa Occupational Health
  • Cigna Healthcare Occupational Health
  • HCA International
  • Health Management
  • Iqarus (formerly International SOS)
  • Medigold
  • Optima Health Group Limited (formerly known as OH Assist)

“Changes in the practice of OH are inevitable because there will continue to be a massive shift in where OH services are provided - in the workplace, large enterprises, public sector organisations, SMEs and among the self-employed. As the economy shows signs of slowing down, OH initiatives that can boost long-term productivity might start to become more common.”
– Lewis Cone, Senior B2B Analyst

This Report looks at the following areas:

  • OH providers and employers responding to ‘24/7’ working climate
  • Employers lack efficient mental health strategies

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Table of contents

  1. Overview

    • What you need to know
      • Covered in this Report
      • Executive Summary

          • The market
            • Growth in market value but large gaps in provision remain
              • Figure 1: UK market segmentation for occupational health provision at salary costs for non-commercial operators, by type of provider, 2014-18, (£ million)
            • Wales records highest sickness absence rate
              • Figure 2: Sickness absence rates, by region, October 2016-September 2017, (%)
            • Stress, depression or anxiety leads to highest number of working days lost
              • Figure 3: Estimated working days lost due to work-related illness or injury, by illness or injury, 2013/14 and 2017/18, (% of total)
            • Steady growth expected but barriers to uptake will limit development
              • Figure 4: UK occupational health market segmentation forecast, by provider, 2019-23, (£ million at 2018 prices)
            • What we think
            • Issues and Insights

              • OH providers and employers responding to ‘24/7’ working climate
                • The facts
                  • The implications
                    • Employers lack efficient mental health strategies
                      • The facts
                        • The implications
                        • The Market – What You Need to Know

                          • Growth in market value but large gaps in provision remain
                            • Steady growth expected but barriers to uptake will limit development potential
                            • Market Size

                                • Workforce
                                    • Figure 5: Working hours lost due to sickness absence, 2013-17, (%)
                                    • Figure 6: Working hours lost due to sickness absence, by age group, 2013-17, (%)
                                  • Public sector
                                    • Employment structure
                                      • Figure 7: Analysis of employment in central and local government, by size of company, 2018, (number of businesses and 000s of employees)
                                    • Private sector
                                      • Figure 8: Analysis of employment in the private sector, by size of company, 2018, (number of businesses and 000s of employees)
                                    • Overall market
                                      • Figure 9: Differences in absence and workforce size, 2014-19*, (average days lost per employee)
                                    • Statutory sick pay
                                      • Cost of absence
                                          • Figure 10: Analysis of cost of workplace illness and injury, by cost bearer, 2007/08-2016/17, (£ billion in 2016 prices)
                                        • Reasons for absence
                                            • Figure 11: Common causes of short-term absence, 2019, by sector, (% identifying top three most common causes)
                                            • Figure 12: Common causes of long-term absence, 2019, (% identifying top three most common causes)
                                            • Figure 13: Number of days lost through sickness absence in the UK, by reason, 2013-17, (millions)
                                            • Figure 14: Estimated working days lost due to work-related illness or injury, by illness or injury, 2013/14-2017/18, (000s)
                                          • Stress
                                              • Figure 15: Causes of work-related stress, 2019, (% of respondents, top three causes)
                                              • Figure 16: Methods used to identify and reduce stress, 2019, (% of respondents that take steps to manage stress)
                                            • Flexible working trends
                                              • Regional analysis
                                                • Figure 17: UK regional employment 2016, 2017, and 2018, (000s and % of total)
                                                • Figure 18: Regional public sector employment, 2014-18, (000)
                                                • Figure 19: Sickness absence rates, by region, October 2016-September 2017, (%)
                                              • Market development
                                                  • Figure 20: The UK market for occupational health provision at salary costs for non-commercial operators, 2014-18, (£ million)
                                                  • Figure 21: UK market segmentation for occupational health provision at salary costs for non-commercial operators, by type of provider, 2014-18, (£ million)
                                              • Market Forecast

                                                • Steady growth expected but barriers to uptake will limit development
                                                    • Figure 22: UK occupational health market segmentation forecast, by provider, 2019-23, (£ million at 2018 prices)
                                                • The Impact of the Economy

                                                  • Annual GDP growth falls to six-year low in 2018
                                                    • Figure 23: Annual GDP growth rate, 2014-18, (%)
                                                  • Bank rate remains at 0.75%
                                                    • Figure 24: Bank rate, 2008-18, by date of adjustment, (%)
                                                • Market Trends

                                                    • New IOSH course launched with the aim of improving health and productivity in the workplace
                                                      • Presenteeism continues to rise despite growing recognition of its existence
                                                        • Push to promote physical activity as sedentary lifestyles burden health
                                                        • Market Drivers

                                                            • Ageing and record high employment levels forcing companies to act upon challenges
                                                              • Managing absences and employee wellbeing are high on business priority lists
                                                                • The extension of the Brexit deadline has led to continued uncertainty regarding industry spending and workplace legislation
                                                                  • Employee’s workplace expectations are leading change in company strategy
                                                                    • Legislation
                                                                      • NICE Quality Standard
                                                                        • PAS (Publically Available Specification) 3002 - Code of Practice on Improving the Health and Wellbeing Within an Organisation
                                                                        • Companies and Brands – What You Need to Know

                                                                          • Insurers widen their mental health cover through group PMI policies that will help reduce sickness absence
                                                                            • Digital solutions developed and launched to improve OH service accessibility
                                                                            • Industry Structure

                                                                              • Industry development
                                                                                • Insurers widen their mental health cover through group PMI policies that will help reduce sickness absence
                                                                                  • Industry drive to break taboo around the discussion of female health
                                                                                    • Other recent industry developments
                                                                                      • Major industry groups
                                                                                        • Structure of the industry
                                                                                          • Figure 25: Analysis of the changes in the structure of the ‘other human health activities’ industry, 2014-18, (number of outlets and businesses)
                                                                                        • Structure by employment
                                                                                          • Figure 26: Analysis of the employment structure of the ‘other human health activities’ industry, 2017 and 2018, (number of employees and outlets)
                                                                                        • Structure by turnover
                                                                                          • Figure 27: Analysis of the financial structure of the ‘other human health activities’ industry, 2017 and 2018, (£000 and number of businesses)
                                                                                      • Competitive Strategies

                                                                                        • Digital solutions developed and launched to improve OH service accessibility
                                                                                          • Pilot scheme launched with the aim of improving OH across the construction industry
                                                                                          • Company Profiles

                                                                                            • Bupa Occupational Health
                                                                                              • Recent company activity
                                                                                                • Financial information
                                                                                                  • Figure 28: Financial analysis of Bupa Occupational Health, 2013-17, (£000)
                                                                                                • Cigna Healthcare Occupational Health
                                                                                                  • Recent company activity
                                                                                                    • HCA International
                                                                                                      • Recent company activity
                                                                                                        • Financial information
                                                                                                          • Figure 29: Financial analysis of HCA International, 2013-17, (£000)
                                                                                                          • Figure 30: Financial analysis of Roodlane Medical, 2013-17, (£000)
                                                                                                        • Health Management
                                                                                                          • Recent company activity
                                                                                                            • Financial information
                                                                                                              • Figure 31: Financial analysis of Health Management, 2013-2017, (£000)
                                                                                                            • Iqarus
                                                                                                              • Recent company activity
                                                                                                                • Financial information
                                                                                                                  • Figure 32: Financial analysis of Iqarus Limited, 2015*-17, (£000)
                                                                                                                • Medigold
                                                                                                                  • Recent company activity
                                                                                                                    • Financial information
                                                                                                                      • Figure 33: Financial analysis of Medigold Health Consultancy, 2013-17, (£000)
                                                                                                                    • Optima Health Group Limited (formerly known as OH Assist)
                                                                                                                      • Financial information
                                                                                                                        • Figure 34: Financial analysis of OH Assist Group Limited (now known as Optima Health Group Limited), 2016-17, (£000)
                                                                                                                        • Figure 35: Financial analysis of Working on Wellbeing Ltd, 2013*-17, (£000)
                                                                                                                    • Appendix – Data Sources, Abbreviations and Supporting Information

                                                                                                                        • Abbreviations
                                                                                                                          • Methodology
                                                                                                                          • Further Sources and Contacts

                                                                                                                            • Trade associations, regulatory authorities and independent bodies
                                                                                                                              • British Occupational Hygiene Society
                                                                                                                                • British Safety Council
                                                                                                                                  • Commercial Occupational Health Providers Association (COHPA)
                                                                                                                                    • Employee Assistance Professionals Association
                                                                                                                                      • Health and Safety Executive (HSE)
                                                                                                                                        • Inspiring Occupational Health (formerly known as The Association of Occupational Health Nurse Practitioners)
                                                                                                                                          • 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 and Wellbeing
                                                                                                                                                            • Safety & Health Practitioner
                                                                                                                                                              • Safety Management Magazine
                                                                                                                                                                • Trade exhibitions
                                                                                                                                                                  • Health and Safety Conference 2019
                                                                                                                                                                    • Health and Safety North
                                                                                                                                                                      • Health and Safety Scotland
                                                                                                                                                                        • IOSH Conference 2019
                                                                                                                                                                          • Occupational Health 2019
                                                                                                                                                                            • Occupational Safety & Health Forum
                                                                                                                                                                              • Occupational Therapy Show
                                                                                                                                                                                • Safety & Health Expo

                                                                                                                                                                                Occupational Health - UK - May 2019

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