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UK Occupational Health market report

Everything you need to make the right decisions

Providing the most comprehensive and up-to-date information and analysis of the Occupational Health market, and the behaviours, preferences and habits of the consumer.

Mintel has the answers you’re looking for

What are the key challenges facing the industry and how fast are its rates of growth? Who is the consumer and what do they want? Where are the opportunities, where are the risks and what lies ahead?

Covered in this Report

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

  • What are the key determinants driving the occupational health industry?
  • 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 the industry needs to address to expand its service?
  • What does the future hold for occupational health services?

Definitions

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 occupational healthcare, and the boundaries of the sector remain vague.According to the joint International Labour Organisation/World Health Organisation Committee on Occupational Health, occupational healthcare is aimed at the following:

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

Expert analysis from a specialist in the field

Written by Lewis Cone, a leading analyst in the B2B sector, his extensive knowledge delivers in-depth commentary and analysis to highlight current trends and add expert context to the numbers.

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

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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