All GPs should be trained in occupational health, says manufacturers’ body

The Government should ring-fence around £6 million of the £170 million budget it has earmarked for its new Health and Work Service (HWS) to train all 40,000 UK GPs in occupational health, the manufacturing organisation EEF has said.

The Government was expected to announce at the end of June 2014 who had won the tendering process to run the new service, which is due to start in pilot form this autumn.

In its 2014 Sickness Absence survey, published in June in partnership with Jelf Employee Benefits, the EEF also called for four-week referral to the HWS for an employee off sick to be made mandatory, rather than voluntary as per the current proposal.

In addition, it wants the Government to encourage companies to offset the cost of an intervention, where they pay for the treatment against business costs as an allowable business expense. Currently only around half of companies do this, the survey found.

The survey of 335 companies also questioned whether or not, four years on from its introduction, the fit note had made any difference in terms of getting people back to work.

Overall, absence levels had reached a record low of 2.1%, equivalent to 4.9 days per employee per year.

However, this success could not be attributed to the fit note, as rates had little changed on the levels seen over the past few years, suggesting rates had plateaued in reality.

More worryingly, long-term absence had increased, with almost two-fifths of companies saying it had increased in the past two years.

While this could, to an extent, simply be a reflection of short-term absence being better managed, the survey did identify increases in stress and mental-health illnesses as a cause of long-term sickness absence. Just over half of companies reported stress and mental ill health as a cause of long-term absence, an increase of 7% in the last five years. One-fifth cited it as the most common cause, an increase of 4% in the last five years.

This increase comes despite more investment by employers in managing sickness absence. Indeed, two-thirds of companies now have sickness absence programmes, while 68% of companies in the poll offered access to occupational health services for employees. More than a quarter also offered employee assistance programmes, health checks and health cash plans.

When it came to employer attitudes to the fit note, just under a quarter (24%) believed that it had resulted in employees returning to work earlier, compared with 40% that said it had not.

More companies disagreed (45%) than agreed (16%) that the advice given by GPs about employees’ fitness for work had improved, while employer focus groups reported seeing no improvement in return to work under the fit note compared with the old sick note.

In fact, one-third of companies did not receive any fit notes signed “may be fit for work”, a figure that has remained more or less consistent in the four years it had been operating, said the EEF.

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