Health
Welsh businesses ‘wasteful’ with ineffective workplace health initiatives
NEW poll finds 73% adults in Wales think occupational health is important but just 12% believe some current workplace health & wellbeing services important
Ill health cost £10.6 billion to UK businesses in 2018-19, with 1.7 million suffering work-related health conditions in 2020-21
Business leaders urged to be more strategic and seek occupational health expertise
Businesses must urgently shift away from a reactive “DIY” culture when it comes to workplace health and seek expert occupational health guidance to avoid wasting time and resources, according to a new survey.
A YouGov survey launched during Occupational Health Awareness Week (19-24 June 2022) found only a fraction of adults in Wales believe the health and wellness measures many businesses currently choose for employees are important, which experts believe is likely due to employers mismatching health and wellbeing services to employee needs and not sourcing relevant or appropriate service providers.
73% of survey respondents said that occupational health is important and 73% also reported that they do or would find occupational health services in the workplace useful, but only a fraction thought that specific interventions were important. Access to health and wellbeing advice (13%) and counselling services (11%) rated low in importance for employee health among those surveyed, suggesting that businesses urgently need professional occupational health guidance to better meet employee needs and to source specialist service providers.
Throughout the UK, including Wales, companies often source their own health and wellbeing programmes without an occupational health strategy or the input of an occupational health practitioner. In April, CIPD’s Health and Wellbeing at Work report found that 87% of organisations offer employee health and wellbeing services but only 50% have a strategy, with 46% declaring that they do not have a formal plan and act on an ad-hoc basis.
Launching the YouGov survey, experts at the Society of Occupational Medicine (SOM) and Commercial Occupational Health Providers Association (COHPA) warned that companies who provide occupational health programmes without professional advice may be wasting time and resources.
Dr Jayne Moore, President, Society of Occupational Medicine (SOM) said:
“From reducing absences to improving business performance, we have clear evidence that occupational health services make a significant difference. Looking at the survey results, it’s clear that employers are not making the most of occupational health expertise and are failing to provide what employees actually want and need.
“A reactive DIY approach to occupational health, which we know is prevalent among businesses in the UK, is wasteful and ineffective. Companies of all sizes should use professional occupational health guidance to develop a clear workplace health strategy in the boardroom and steer how they invest in employee health services.”
According to HSE statistics from 2020-21, 1.7 million workers were suffering from new or long-standing work-related health conditions, with 800,000 of these being work-related mental health issues and 500,000 being musculoskeletal disorders.
Pre-Covid-19 (2018-19) HSE statistics showed that workplace-related illnesses cost £10.6 billion to the UK, while injury cost £5.6 billion in the same period. In April 2022, Deloitte found that poor mental health costs UK employers up to £56 billion a year.
Alan Ballard, Chair of the Commercial Occupational Health Providers Association (COHPA) said:
“From mental health to menopause, occupational health doctors and nurses have a wealth of experience and specialist knowledge that is currently underutilised by much of the private sector.
“Many business leaders feel like they are fire-fighting health issues as they arise, so bringing in an occupational health expert to assist with a more strategic, proactive approach will take that constant pressure out of their hands.
“Companies that take on a bespoke health and wellbeing strategy in collaboration with an occupational health provider will see improved employee health and a better bottom line.”
The YouGov survey also demonstrated that employees want workplace health to be led from the top. Key factors for employee health were work-life balance (71%), good management and leadership (62%), and good workplace culture (55%).
Lord David Blunkett, Patron of the Society of Occupational Medicine, remarked:
“It is encouraging that an increasing number of companies are investing in workplace health and wellbeing services, but employers need to ensure that their occupational health offering is effective and meaningful.
“By seeking professional guidance from an occupational health expert, business leaders can adopt a more strategic and impactful approach to improving employee health, and maintain reliability and ability to stay in the job.”
Health
Rising trend of private healthcare use among friends and family in Wales
MORE than half of UK residents report having close family or friends who have used private healthcare services, according to the latest data from the Independent Healthcare Providers Network (IHPN). In Wales, this figure is 58%, slightly above the UK-wide average of 55%. Meanwhile, 32% of Britons have used private healthcare themselves, with regions such as the East Midlands (64%) and Northern Ireland (59%) showing even higher familiarity with private healthcare options.
David Hare, Chief Executive of IHPN, said: “Private healthcare is becoming more mainstream, with people increasingly opting for private services to access healthcare more easily and quickly. Our findings highlight that most people in the UK know someone close who has used private healthcare, whether through insurance or self-pay. This demonstrates a shift toward private healthcare as a convenient and accessible option.”
The survey found that 45% of those choosing private healthcare did so because of long NHS waiting times, while 27% preferred the ease of booking private appointments. Around 20% receive private healthcare through work, and 17% believe private services offer higher-quality care. Accessibility is another key factor, with half of respondents agreeing that private healthcare is more accessible than NHS options.
Top Treatments Accessed Privately:
- Doctor consultation: 45%
- Diagnostic treatment (e.g., scans): 45%
- Other healthcare professional consultations: 35%
- GP appointments: 34%
- Minor operations (same-day discharge): 25%
- Major operations (overnight stay): 16%
- Ongoing serious condition treatment (e.g., cancer): 5%
IHPN’s Five Steps to Choosing Private Healthcare
If you’re considering private healthcare, IHPN suggests these key steps:
- Do Your Research: Consult inspection reports from national care regulators like the Care Quality Commission (CQC) in England and the Private Healthcare Information Network (PHIN). Scotland and Wales have independent inspectorates, available at hiw.org.uk and healthcareimprovementscotland.scot.
- Explore Payment Plans: Many providers offer flexible payment options, making private care more affordable.
- Find Local Options: Use resources such as ihpn.org.uk or phin.org.uk to locate private providers nearby.
- Take Control: It’s your choice; seek recommendations from friends and family or consult online ratings to find the right clinician or clinic. Your GP can also offer support.
- Book a Consultation: Before committing, schedule a consultation with a private provider to discuss treatment options and ask questions. Bring someone you trust if you wish, and take notes.
For more information on private healthcare options in the UK, visit ihpn.org.uk. For additional information, interviews, or case studies, contact Helen Trevorrow at 0794 000 9138 or [email protected].
Source: Statistics are from the “Going Private 2024” report by IHPN and Public First, based on a survey of 2,004 respondents across the UK.
Health
Smoke-free ambitions clouded by concerns over illicit market
THE UK government introduced its Tobacco and Vapes Bill in Parliament today, aiming to create a “smoke-free generation” by prohibiting anyone born after 1 January 2009 from legally purchasing cigarettes for the rest of their lives. The Bill also proposes strict new restrictions on nicotine products, including vapes, heat-not-burn products, and nicotine pouches.
Public health experts in Wales are largely supportive of the new legislation, seeing it as a potential driver in reducing the strain on the NHS in Wales. Smoking-related illnesses are a major contributor to healthcare costs, and advocates argue that curbing smoking among future generations will yield long-term health and economic benefits. This could be especially impactful in Welsh regions where smoking rates are persistently high.
However, there is also concern about how restrictions on safer nicotine alternatives, such as vapes and heat-not-burn products, could impact Welsh individuals trying to quit smoking. The Welsh NHS has invested in smoking cessation programs that promote these alternatives, and some fear that restrictions on these products may reduce access to effective cessation tools, ultimately affecting health outcomes.
Mike Salem, UK Country Associate for the Consumer Choice Center (CCC), reacted to the news: “Whilst it is predictable that the prohibition was going to be introduced, I am extremely concerned and disappointed with how little regard the government has had for consumers’ voices, particularly the young voices.”
The Bill revives an initiative initially proposed by the previous Conservative government before the election, though Labour’s version brings in tougher regulations. The proposal has sparked debates across various groups, with health advocates supporting the measures and others, like the CCC, voicing concerns about potential unintended consequences.
Illicit market worries
The CCC has highlighted fears that prohibitions may fuel an already significant black market for tobacco products in the UK. According to Salem, 2023 saw the highest number of illicit cigarettes consumed in the country, with one in five cigarettes sold illegally. He warns that restrictions risk expanding this underground market.
“It is no surprise that gangs and illegal suppliers are already positioning themselves in this market in anticipation of the prohibition,” Salem said. He cited experiences from other regions, such as the state of Victoria in Australia, where similar prohibitions have led to gang-related violence and exposed children to criminal activities, including arson.
Impact on young people
Critics of the Bill argue that the Labour Party’s approach may negatively impact young people, whom they claim are already disadvantaged by recent policies. “The Labour Party has shown that it is the Party of Boomers, and is letting young people down,” Salem said. He added that recent increases in tuition fees and levies on alcohol and soft drinks, along with tougher employment markets, restrict young people’s lifestyle choices and increase their exposure to illegal markets.
Public health debate
Supporters of the Bill believe these measures are necessary to protect public health. They argue that strict controls on tobacco and nicotine products are crucial steps towards reducing smoking rates, improving long-term health outcomes, and reducing the burden on the NHS. Advocates also believe that limiting youth exposure to nicotine will reduce future smoking rates.
However, Salem argues that the Bill may have the opposite effect. “Not everyone can quit cold turkey,” he said, noting that many people have found success using alternative products like vapes, heat-not-burn devices, and nicotine pouches. “Restricting safer methods of consuming nicotine makes it extremely difficult for those who are trying hard to quit smoking to do so permanently and positively.”
Alternative solutions proposed
The CCC says it is calling on the government to ensure existing laws are enforced first, such as banning nicotine sales to under-18s, before introducing a total prohibition. They argue that failing to do so will lead to worse public health outcomes and put consumers and children in a vulnerable position. The Bill now moves forward for further debate, with both sides urging careful consideration of the potential impacts on public health, youth, and the illicit market.
Health
Welsh GP committee reject contract offer and hold referendum for members
BMA Cymru Wales’ GP committee has voted unanimously to reject the Welsh Government’s offer for the 2024/2025 GMS (General Medical services) contract, as it fails to provide a credible and sustainable future for general practice.
GPs in Wales will now vote on whether to accept or reject the contract in a referendum which will open later this month.*
Dr Gareth Oelmann, chair of the BMA’s Welsh GP committee said:
“The decision to disregard the serious concerns and valuable contribution of general practice once again in Wales is beyond insulting, it is dangerous, leaving more surgeries and their patients in peril.
“We are deeply concerned that this offer will leave more practices with no option but to close their doors. GP practices are being denied the resources they need to deliver vital services to the population.
“For years, the service has been starved of adequate funding which has led to the closure of 100 surgeries since 2012. This is having a devastating impact on general practice.
“A recent survey** of our members showed that 91% of GPs are routinely unable to meet patient demand due to unsustainably high workloads.
“With 100 fewer surgeries for patients to turn to, GPs are now seeing up to 35% more patients each, causing unsustainably high workloads and burnout with doctors being expected to do more with less, risking patient safety. How long can this continue?”
Dr Oelmann continued: “General Practice is the foundation of a high-quality, cost-effective health system, but successive governments have insisted on ignoring the vital role general practice plays in the national health service.
“Welsh Government had an opportunity to change the current trajectory but has failed to do so. It is now up to GPs to decide what happens next.”
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