Rehabilitation at QBE and wider.. Adam Shelverton Senior Rehabilitation Consultant, QBE

Transcription

1 Rehabilitation at QBE and wider.. Adam Shelverton Senior Rehabilitation Consultant, QBE November

2 Agenda QBE Rehabilitation Emerging Risks 1 IOSH Rail

3 What does the industry expect? Return to work ratio* 50% 30% 10% 6 months absence 12 months absence *Wadell and Burton (2003) Is work good for you? 24 months absence 2 IOSH Rail

4 Early Intervention is. 3 IOSH Rail

5 QBE Return/QBE Return+ Supports Strategy for Early Notification QBE Return Making People and Business Healthy Early Capture QBE Return+ Making People and Business Healthy Early Capture Standard QBE approach Policyholder Review & Questionnaire All Policyholders Eligible Bespoke Rehabilitation Services 4 IOSH Rail

6 QBE Return Making People and Business Healthy The Detail 5

7 QBE Return Easy as 1,2, IOSH Rail

8 QBE Return 3 Easy Stages MINOR MODERATE MAJOR CAT 7 IOSH Rail

9 Benefits of Rehabilitation Reduced loss of earnings equals on average 1,107 per claim* 18% faster return to work** Proven policyholder hidden cost savings Claims Prevention or Claims Management * Based on policyholder and QBE analysis 2010/2015 data ** Based on QBE Data (2010/2015) against the Medical Disability Advisor: MSD cases, Moderate Manual Labour category. 8

10 Post claim rehabilitation services MINOR MODERATE MAJOR CAT Services include: Treatment only Treatment Scoping Telephonic Triage Services include: Telephonic Triage Assessment and treatment Services include: Bespoke triage and case management Services include: Bespoke Face to face assessment and case management 9 IOSH Rail

11 Emerging Risks: The Ageing Workforce IOSH Rail 10

12 Have we got our heads in the sand? According to the latest Office for national statistics report*, there are currently 1.13 million workers in the UK, aged 65 or over, compared to 874,000 in 2011 when the DRA was finally phased out. *Office of National statistics: UK labour market, January 2015 Average age of retirement predicted to be 67 for all in State pension?? 11 IOSH Rail

13 Pushing the limits of Longevity (World) Year Developments Life expectancy at birth 1925 Changes in health such as clean water and better sewage and waste disposal curb outbreaks that were lethal to children year Old Sylvia Diggery treated 1955 Vaccines for smallpox, diptheria, polio and other contagious viruses 1985 Public health campaigns on heart health and the dangers of smoking reduce heart disease deaths 2015 Improved drugs, diagnostic tests, surgeries, disease treatments and other medical advances 2045 Regenerative medicine may interrupt ageing? If not conservative estimates put life expectancy at 81 (high obesity rates offsetting other gains) 12 IOSH Rail

14 Population Pyramids A move from this to this. But why? 13 IOSH Rail

15 The realities of ageing Muscle power, lung function, eyesight and hearing loss occurs as we age Decline in Cognitive performance Bone mass reduces at a rate of 1% a year at 30. Heart Starting at peak aerobic capacity drops by about 10% per decade. What s being OLD? When your address book has mostly names that start with Dr When everything hurts and what doesn't hurt doesn't work. 14 IOSH Rail

16 The realities of ageing - continued Little conclusive evidence that older workers have an increased risk of occupational accidents. Accidents involving older workers are more likely to result in serious injuries, permanent disabilities or death. Recuperation following an injury may take longer also if there are pre-existing / degenerative conditions. Accident prevention is the way forward. Employers would do well to conduct health, safety and risk management audits specific to older workers to ensure their working environment is as safe as possible. 15 IOSH Rail

17 QBE Research QBE commissioned research amongst senior HR decision makers in November The Results 60% of HR decision makers did not know the number of their company s employees who were above the state pension age. 68% said their business did not monitor the cause and/or rate of absence specifically among older workers 62% of respondents did not conduct specific health and safety/risk management audits. 72% were not accessing the suitability of existing occupational health and rehabilitation programmes and 74% were not reviewing flexible working practices. 16 IOSH Rail

18 What can employers do? 1. Risk Management 2. Healthcare services 3. Prevailing Attitudes (Increased Diversity = Increased productivity) 4. Training 5. Working Practices 17 IOSH Rail

19 The future Trading retirement? Increased health and improved function in later life. New models of working longer Parents spend more time with young children Sabbaticals Gap years 18 IOSH Rail

20 Emerging Risks: Obesity It s the new smoking IOSH Rail 19

21 Obesity The Basics BMI Body mass index (BMI) is used to calculate whether a person is underweight, a healthy weight, overweight or obese for their height. The calculation divides the adult's weight in kilograms by their height in metres squared. Obesity alone defined as a body mass index (BMI) of 30 or more, while overweight is BMI of over IOSH Rail

22 Guess The BMI? BMI Chris Robshaw 31.1 Obese Usain Bolt Borderline Overweight (0.1) Chris Froome Borderline Underweight (0.6) 21 IOSH Rail

23 Obesity A Cause for concern Growing problem with no signs of plateau. Obesity rates in the UK are the highest in Europe. 20% of the population are now obese. Costs to the UK economy exceed 5 billion per year 22 IOSH Rail

24 Obesity and accidents Accidents Obese workers are more likely to injure themselves. Obese males are 9% more likely to submit personal injuries Obese females are 9.7% more likely to submit personal injuries Falls account for 30% of personal injuries Injuries Increased risk of fractures, trauma injuries, sprain and strains Increased risk of Type 2 diabetes Increased risk of heart disease / cancer / Osteoarthritis Increased recovery rates 23 IOSH Rail

25 Obesity Will it be a disability? Employers fear obesity Many employers avoid acting, fearing that if they address obesity, workers will complain that their employers unfairly target people who are overweight. BUT. Obesity costs!!!! Employers have to find a balanced, considerate way to address this issue. Currently, only 29% of employers offer advice to employees about healthy eating. 24 IOSH Rail

26 Shift work A new risk There is early research to indicate there could be a correlation between shift work and the incidence of diabetes. This research has indicated shift work resulted in a 9% increase risk of diabetes. 37% increase for men alone. What do you think are the reasons behind this rise? Could this be the new source of disease claims to overtake HAVS and deafness? 25 IOSH Rail

27 What can employers do? The most effective way to approach weight problem in the workplace, is to include healthy eating and exercise as part of an overall workplace wellness initiative. - Beate O Neill- Head of wellness consulting for Punter Southall Health & Protection Consulting Workplace Initiatives Exercise initiatives. Cycle to work schemes, Gym discounts, Shower facilities Prevent shift working or remove rotating shifts. Encourage people to take a full lunch break. Employee challenges eg. Most steps in a week Out of work clubs eg. Sports teams As part of rounded wellbeing package eg advice health eating / exercise etc 26 IOSH Rail

28 Questions and answers Adam Shelverton, Senior Rehabilitation Consultant, QBE IOSH Rail 27