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Occupational Health - UK - May 2019

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

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