Rethinking cancer", released by the International Longevity Centre in September 2015, people living with, and beyond, cancer contribute about £6.9 billion to the economy each year through paid employment. Confederation of British Industry (CBI) deputy director-general Josh Hardie agrees. He recently stated at a CBI Great Business Debate on Health and Work: “What makes a successful business? Ask any good business leader and most will give you the same answer – their employees. Looking after your staff isn’t just a ‘nice to have’, it’s a hard-nosed business decision.”Organisations need to develop a health and wellbeing at work strategy that recognises the needs of rising numbers of employees with long-term conditions. Liz Egan at Macmillan offers practical advice. By 2030, four in 10 people of working age will be living with a chronic condition, and employers need to consider if they are prepared. Ignoring the changing needs of the workforce will be costly to employers and society. Evidence shows health support in the workplace that is that well-targeted can help prevent people falling out of work due to ill health. Remaining in work can have a positive impact on wellbeing and can help preserve livelihoods. Supporting staff the right way also has business benefits. Not only are you fulfilling your legal obligations, you also are able to retain talented, knowledgeable staff, save on the costs of recruiting and training new people, foster loyalty, and drive a positive image of the company to customers and potential employees. By making reasonable adjustments in the workplace for employees with ill health or long-term conditions such as cancer, employers can fulfil their obligations under equalities legislation, and avoid potential discrimination compensation and associated costs, such as legal fees for tribunal cases. It also has a positive economic impact. According to the report "