UK businesses urge gov’t to help sick workers return to jobs

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By Emily Carter

The British Chamber of Commerce is urging the United Kingdom government to implement strategic measures to reintegrate individuals with health conditions back into the workforce, identifying this as a critical lever for enhancing national productivity and alleviating fiscal pressures. The current situation, where nearly 2.8 million individuals, or approximately 7% of the workforce, are absent due to long-term illness, represents a significant economic cost, estimated at £130 billion in lost output. This compares unfavorably to countries like Japan, where the rate of absence due to long-term sickness stands at a considerably lower 3.5%.

Addressing this surge in economic inactivity, which has been exacerbated since the pandemic, is posited as a key strategy for stimulating the UK’s anemic GDP growth, a stated objective of the current administration. Shevaun Haviland, Director General of the British Chambers of Commerce, emphasized that supporting talent retention and return to employment is intrinsically linked to overall economic vitality, noting that “the evidence is also clear that being in work is good for health.”

Employers express a strong desire to confront this challenge, yet face considerable hurdles including escalating operational costs and the intricate nature of existing support frameworks, particularly impacting small and medium-sized enterprises (SMEs). The report highlights that younger demographics, aged 16 to 24, are disproportionately affected by mental health issues that impede their ability to engage in employment, a trend partly attributed to pandemic-related social restrictions. During the second quarter of the year, 12.8% of individuals within this age group were not engaged in education, employment, or training.

To facilitate greater workforce participation among those with health conditions, the BCC has proposed the introduction of a government-backed wage subsidy scheme. This initiative would specifically target young individuals aged 16 to 24 who have a health condition, with the state contributing a portion of their wages to incentivize employers to offer them employment opportunities. Beyond this, the BCC advocates for enhanced access to mental health and neurodiversity training programs, alongside tax incentives for businesses that provide health services to their employees.

A pivotal recommendation involves reforming the “fit note” system, which serves as documentation for employee unfitness to work. The BCC suggests that employers often lack the guidance to effectively question these notes, potentially missing opportunities to support employees in returning to work. The proposed reform includes providing businesses with clearer advice on employee capabilities, thereby enabling the continuation of modified or lighter duties where appropriate.

Economic and Policy Implications

The economic ramifications of long-term sickness are substantial, particularly as the workforce ages. Professor David Spencer of Leeds University Business School underscores the necessity of a collaborative approach between employers and government to ensure a healthy and productive workforce, stating, “The idea of employers working in partnerships seems important as the causes of sickness are complex and require a multiagency approach.” This perspective aligns with the timing of the BCC’s report, preceding the UK’s Autumn Statement, where Chancellor Rachel Reeves will delineate fiscal strategies aimed at fostering growth while managing public expenditure.

The government faces the dual challenge of stimulating economic expansion and curbing spending, a balancing act complicated by recent fiscal pressures. The BCC’s recommendations are framed within this context, offering potential solutions that could bolster both economic output and public finances by reducing reliance on long-term sickness benefits. The issue of long-term sickness is also identified as a critical concern for SMEs, which often have less developed occupational health support and more informal HR practices, making them more susceptible to the discretion of line managers. Anthony Rafferty, Professor in Employment Studies at Alliance Manchester Business School, notes that failing to address this “can be a considerable cause of the loss of talent and human capital for organisations.”

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