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| Ill health 'costs economy £100bn' | Ill health 'costs economy £100bn' |
| (30 minutes later) | |
| A fundamental overhaul of the support given to workers who are off work through illness is needed, a government adviser says. | A fundamental overhaul of the support given to workers who are off work through illness is needed, a government adviser says. |
| Dame Carol Black, the national director for health and work, said ill-health was costing the economy £100bn a year. | Dame Carol Black, the national director for health and work, said ill-health was costing the economy £100bn a year. |
| Her report, commissioned by ministers, called for a new fit-note system as well as fit for work schemes embedded in the NHS to help people back to work. | Her report, commissioned by ministers, called for a new fit-note system as well as fit for work schemes embedded in the NHS to help people back to work. |
| She said the reforms could help cut the numbers on incapacity benefit. | She said the reforms could help cut the numbers on incapacity benefit. |
| Some 350,000 people a year move from long-term sick notes in to the system. | Some 350,000 people a year move from long-term sick notes in to the system. |
| KEY RECOMMENDATIONS GPs - Current sick note system should be reformed to create fit notes, spelling out what the patient can doEmployers - Should offer more support to staff including healthy lifestyle promotion, such as subsidised gym membership, as well as access to occupational health teamsNHS - Call to pilot fit for health scheme, which will work via GP referral. Case managers appointed to manage absence through access to physios, counselling and advice class="" href="/1/hi/health/7300922.stm">Q&A: Work and health | |
| It means Britain has one of the highest proportions of people on the benefit in Europe after numbers have more than trebled since the 1970s to 2.7m. | It means Britain has one of the highest proportions of people on the benefit in Europe after numbers have more than trebled since the 1970s to 2.7m. |
| Dame Carol believes workers need help at an earlier stage to stop them slipping out of work and into this spiral of dependency. | Dame Carol believes workers need help at an earlier stage to stop them slipping out of work and into this spiral of dependency. |
| Some 175m working days are lost each year, costing the economy £100bn in lost productivity, benefits and taxes. | Some 175m working days are lost each year, costing the economy £100bn in lost productivity, benefits and taxes. |
| She has proposed creating a new fit note which encourages GPs to spell out what the individual can do rather than cannot do. | She has proposed creating a new fit note which encourages GPs to spell out what the individual can do rather than cannot do. |
| She also said the notes should be passed on to employers - so they can given the individual support to return to work - if the patient agrees. | She also said the notes should be passed on to employers - so they can given the individual support to return to work - if the patient agrees. |
| The report said businesses should do more to facilitate flexible working, such as shorter working weeks or a change of duties, to get staff back as quickly as possible. | The report said businesses should do more to facilitate flexible working, such as shorter working weeks or a change of duties, to get staff back as quickly as possible. |
| Firms, especially the big employers, should also establish their own occupational health and rehabilitation teams and promote healthy lifestyles through subsidised gym membership and encouraging staff to walk and cycle to work. | Firms, especially the big employers, should also establish their own occupational health and rehabilitation teams and promote healthy lifestyles through subsidised gym membership and encouraging staff to walk and cycle to work. |
| Sickness | Sickness |
| And it said fit for work schemes should be piloted. | And it said fit for work schemes should be piloted. |
| These would work via GP referral with case managers appointed to tailor a programme to get the person back to work. | These would work via GP referral with case managers appointed to tailor a programme to get the person back to work. |
| The case managers would have access to counselling, physios, occupational health and financial and family advice. | The case managers would have access to counselling, physios, occupational health and financial and family advice. |
| Such a system would be essential to smaller companies which could not support their own occupational health teams, the report added. | Such a system would be essential to smaller companies which could not support their own occupational health teams, the report added. |
| And Dame Carol said the fit for work schemes, if successful, could also be targeted at those on incapacity benefit. | And Dame Carol said the fit for work schemes, if successful, could also be targeted at those on incapacity benefit. |
| She said the government's recent announcement that those claiming the benefit would have to undergo tests to prove they were unfit was welcome, but could not address the issue by itself. | She said the government's recent announcement that those claiming the benefit would have to undergo tests to prove they were unfit was welcome, but could not address the issue by itself. |
| She said: "£100bn sounds a large figure. But I think the cost to human life is much larger. | She said: "£100bn sounds a large figure. But I think the cost to human life is much larger. |
| "For most people their work is a key factor in their self-worth, family esteem and identity. | "For most people their work is a key factor in their self-worth, family esteem and identity. |
| "But it is so easy to fall out of work and move to a place where your confidence and well-being suffers. We must do more to help people, because if you intervene at an early stage you can stop the longer-term problems emerging." | "But it is so easy to fall out of work and move to a place where your confidence and well-being suffers. We must do more to help people, because if you intervene at an early stage you can stop the longer-term problems emerging." |
| HAVE YOUR SAYThe simple problem is it is far too easy to be signed off from work Ashley Smith, Luton, UKSend us your comments | HAVE YOUR SAYThe simple problem is it is far too easy to be signed off from work Ashley Smith, Luton, UKSend us your comments |
| The reforms were broadly welcomed by the doctors trade union, the British Medical Association, | The reforms were broadly welcomed by the doctors trade union, the British Medical Association, |
| BMA chairman Dr Hamish Meldrum said: "The BMA has long called for the sick note system to be reviewed. | BMA chairman Dr Hamish Meldrum said: "The BMA has long called for the sick note system to be reviewed. |
| "A major problem is that GPs can have huge difficulties in accessing physiotherapy and counselling services that would help patients to return to work more quickly." | "A major problem is that GPs can have huge difficulties in accessing physiotherapy and counselling services that would help patients to return to work more quickly." |
| But he warned the fit notes needed to be carefully looked at as doctors were not there to police the system. | But he warned the fit notes needed to be carefully looked at as doctors were not there to police the system. |
| Trades Union Congress general secretary Brendan Barber said: "There is currently insufficient support for people who are off work because they are ill or injured and the TUC agrees with Dame Carol that more needs to be done to encourage those on long-term benefits back into the labour market. | |
| "This is best done by doing more to prevent workplace accidents and illnesses, and by giving ill or injured workers early access to rehabilitation." | "This is best done by doing more to prevent workplace accidents and illnesses, and by giving ill or injured workers early access to rehabilitation." |
| It is now up to the government to decide whether the proposals should be introduced with ministers are expected to respond in full in the coming months. | It is now up to the government to decide whether the proposals should be introduced with ministers are expected to respond in full in the coming months. |