Table of Contents
Executive Summary
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- The market
- Growth in market value but large gaps in provision remain
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- 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
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- Figure 2: Sickness absence rates, by region, October 2016-September 2017, (%)
- Stress, depression or anxiety leads to highest number of working days lost
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- 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
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- Figure 4: UK occupational health market segmentation forecast, by provider, 2019-23, (£ million at 2018 prices)
- What we think
Issues and Insights
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- 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
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- Growth in market value but large gaps in provision remain
- Steady growth expected but barriers to uptake will limit development potential
Market Size
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- Workforce
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- 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
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- Figure 7: Analysis of employment in central and local government, by size of company, 2018, (number of businesses and 000s of employees)
- Private sector
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- Figure 8: Analysis of employment in the private sector, by size of company, 2018, (number of businesses and 000s of employees)
- Overall market
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- Figure 9: Differences in absence and workforce size, 2014-19*, (average days lost per employee)
- Statutory sick pay
- Cost of absence
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- Figure 10: Analysis of cost of workplace illness and injury, by cost bearer, 2007/08-2016/17, (£ billion in 2016 prices)
- Reasons for absence
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- Figure 11: Common causes of short-term absence, 2019, by sector, (% identifying top three most common causes)
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- 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)
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- Figure 14: Estimated working days lost due to work-related illness or injury, by illness or injury, 2013/14-2017/18, (000s)
- Stress
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- Figure 15: Causes of work-related stress, 2019, (% of respondents, top three causes)
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- Figure 16: Methods used to identify and reduce stress, 2019, (% of respondents that take steps to manage stress)
- Flexible working trends
- Regional analysis
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- Figure 17: UK regional employment 2016, 2017, and 2018, (000s and % of total)
- Figure 18: Regional public sector employment, 2014-18, (000)
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- Figure 19: Sickness absence rates, by region, October 2016-September 2017, (%)
- Market development
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- Figure 20: The UK market for occupational health provision at salary costs for non-commercial operators, 2014-18, (£ million)
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- 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
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- Steady growth expected but barriers to uptake will limit development
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- Figure 22: UK occupational health market segmentation forecast, by provider, 2019-23, (£ million at 2018 prices)
The Impact of the Economy
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- Annual GDP growth falls to six-year low in 2018
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- Figure 23: Annual GDP growth rate, 2014-18, (%)
- Bank rate remains at 0.75%
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- Figure 24: Bank rate, 2008-18, by date of adjustment, (%)
Market Trends
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- 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
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- 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
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- 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
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- 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
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- 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
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- 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
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- Figure 27: Analysis of the financial structure of the ‘other human health activities’ industry, 2017 and 2018, (£000 and number of businesses)
Competitive Strategies
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- 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
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- Bupa Occupational Health
- Recent company activity
- Financial information
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- 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
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- Figure 29: Financial analysis of HCA International, 2013-17, (£000)
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- Figure 30: Financial analysis of Roodlane Medical, 2013-17, (£000)
- Health Management
- Recent company activity
- Financial information
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- Figure 31: Financial analysis of Health Management, 2013-2017, (£000)
- Iqarus
- Recent company activity
- Financial information
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- Figure 32: Financial analysis of Iqarus Limited, 2015*-17, (£000)
- Medigold
- Recent company activity
- Financial information
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- Figure 33: Financial analysis of Medigold Health Consultancy, 2013-17, (£000)
- Optima Health Group Limited (formerly known as OH Assist)
- Financial information
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- Figure 34: Financial analysis of OH Assist Group Limited (now known as Optima Health Group Limited), 2016-17, (£000)
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- Figure 35: Financial analysis of Working on Wellbeing Ltd, 2013*-17, (£000)
Appendix – Data Sources, Abbreviations and Supporting Information
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- Abbreviations
- Methodology
Further Sources and Contacts
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- 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
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