A new rehabilitation service

supported by

delivered by

Human Focus• Independent provider of worker rehabilitation services

• Specialist centres in Orpington, Birmingham and Manchester, but capability nation-wide

• Services for people who are at work but struggling to cope

• Services for people who have been absent from 0 up to 5 years due to persistent health problems

• Selected by DWP to provide return to work rehabilitation services under JRRP

Human Focus

Teams based at rehabilitation centres inManchester - Old Trafford Birmingham - Hagley RoadOrpington - Junction 4 M25

Each centre employees full time “team” of rehabilitation

professionals who provide services;• Case Management & resolution support• “Fit For Work” services - for people on restricted duties • “Return To Work” - for people who are absent• CBT & Physiotherapy based “healthcare” services

Evidence Based return to work rehabilitation

Human Focus

THREE PARTS

PART 1 - The background to the problem

PART 2 - What is Rehabilitation

PART 3 - The Job Retention & Rehabilitation Pilot (JRRP)

UK Health Stats.• Each week 1 million people go off work sick

• 17,000 are still certified at week 6

• 3,000 are still certified at 6 months, of whom only 600 will work again within the next five years

• I.e. every week 2,400 become long term incapable of work…....and continue to consume healthcare services

• 15% are estimated workplace accidents (ie 21,000 pa)

…..4 in 5 people who join IB will not work for five years

More UK Stats• Social security expenditure is equal to 33% of governments £120bn

expenditure

• Incapacity benefit payments account for around £15billion

• Current applications for IB are 33% mental & Behavioural (was

14%) and 24% MSD's (estimated to be just 19% next year)

• 30% of all GP sessions are as a result of psychological, mental or

social problems

• 82% of GP’s don’t want responsibility for Med3 notes

• CBI 7.8 days per emp pa in absence Vs CIPD 8.7 days pa

• Total absence costs estimated £10-12billion pa

UK DisabilityIncapacity Benefit Claims

Source: 1% sample of all IB claimants

-

50,000

100,000

150,000

200,000

250,000

1987/88 1989/90 1991/92 1993/94 1995/96 1997/98 1999/00

Years

MH problems

M-skeletal

Government

0

1.0

1.5

2.0

2.5

3.0

1984 1989 1994 1996 20021998

Number of people in receipt of Incapacity Benefit in UK 1984-2002

Not us!Direct Costs of Absence p/person pa

Medium retail store £465Retail group £497Regulatory body £809 Law firm £837 Small retail store £861Insurance company £991Large retail store £1,268Financial services co. £1,677 Local authority £2,261

IES “costing sickness absence” study 2002

How Much!Estimates based on UNUM study:

Direct Costs = 60%

Indirect Costs = 20%

Absence Management Costs = 20%

• Long term Absence stands out as being poorly managed compared with short-term absence

• Long term absence gives rise to concern among line managers• Accounts for between 30% and 75% of total absence costs• Long term absence provides huge scope for cost reduction

THREE PARTS

PART 1 - The background to the problem

PART 2 - What is Rehabilitation

PART 3 - The Job Retention & Rehabilitation Pilot (JRRP)

DISABILITY

IMPAIRMENT

Disability vs Impairment

Douglas Bader

Mr A Non

Barriers to RTW

Persons own beliefs about their condition or pain

Pain / physical impairment preventing a RTW

Social & vocational circumstances surrounding person e.g.. happy at work, culture, home life

Financial and employment policies / facts of life

THREE PARTS

PART 1 - The background to the problem

PART 2 - What is Rehabilitation

PART 3 - The Job Retention & Rehabilitation Pilot (JRRP)

Why WorkCare?

BIG PROBLEM - 7% of working pop not working due to ill health Vs Unemployment 5%. Employers cost of absence & EL claims rising

WRONG SYSTEM - IB and EL and sometime employment systems are ‘compensation’ focused & do not help the individual recover.

NO RESOURCE - The NHS has no resources to tackle work issues and is not generally concerned with work as an outcome measure

Needed because ...

Pilot RegionsWorkCare Pilot regions

BirminghamWest KentGreater GlasgowNorth Tyneside Sheffield Tees

T: 0800 052 1659

www.workcare.co.uk

Pilot Regions

6 w

ks.

- 6

mo

nth

s o

f ab

sen

ce

2. Workplace Boost

3. Healthcare & Workplace

4. Control = Normal services

Central Contact Centre

Project monitored and evaluated by the “National Centre for Social Research”

= 25%

= 25%

= 25%

= 25%

Informed Consent

WorkCare is part of the JRRP initiative which is supported by

Not eligible 1. Healthcare Boost

RecruitmentAll regions - “Where found out about the pilot” (Cum. to 07/05/04)

26%

15%

3%27%

17%

2%

1%

5%

4%

GPEmployerPosterLeafletRadio AdvertTV AdvertFriend or relativeNewspaperOther

Time Off Work1%

28%

22%22%

15%

12%

0%

Under 6 weeks

6-9 weeks

10-13 weeks

14-17 weeks

18-21 weeks

22-26 weeks

>26 weeks

Case Study40 year old bank clerk, absent for 5 months upon randomisation.

Contacted service via GP recommendation, suffering from depression and anxiety.

“I was really nervous about whether I could even drive to work never mind do my job”

Assessed by Re-integration specialist and cognitive behavioural therapist within 10 days of being randomised into service. Provided with both one to one and group therapy to help overcome her difficulties.

“I had one to one time with the team at the centre, they really listened to me”

Having been supported closely for three weeks, including liaison with the employer and their occupational health provider, the person is now back at work full time.

“The WorkCare service has been fantastic and I would not be back at work without it”

Your InvolvementBenefits of working with JRRP / “WorkCare”

1 - Reduces cost of providing health services

2 - Improves range & quality of services to colleagues

3 - Proactive at reducing “heart sink” case load

4 - Reduces waiting times for healthcare intervention

5 - Reduces staffing costs

6 - Reduces workload on Occupational Health & HR

7 - Involvement in the development of future services

WorkCare• 7,500 places nationally, including control group

• Study runs for 2 years or until all 7,500 places have gone

• Nobody is denied access to any existing care services

• 75% will receive additional services

• Free at the point of delivery for the patient

• Free to the PCT, GP, NHS Trust and the employer

• Study will influence nature of a new national service

• DWP / DoH will make results publicly available

• Largest ever UK RCT of vocational rehabilitation

Thank YouHuman Focus Contact;

Andrew Pemberton or Beverley SandyHuman Focus Return To Work

Tel: 0121 456 7460

Fax: 0121 456 7461

Email: andrewp@returntowork.co.uk

www.workcare.co.uk

The WorkCare pilot is supported by;