The Economic Impact of Active & Healthy Living

Dr. Jack Halligan Chief Medical Officer | Full Health Medical September 2015

AGENDA

Health in the Workplace 2 Community Health 3 Recommendations & Summary 4

The Situation 1

DAVID’S STORY

36 years of age

Health check findings: v  Morbidly obese (BMI = 50)

v  High blood pressure (155/79)

v  Pre-diabetic (Fasting Glucose = 6.9)

After his health check, we discovered that David had an elevated HbA1c* blood test one year beforehand but…

…NO IDEA HE WAS PRE-DIABETIC!

*Gold standard blood test for diabetes  

Sources: 1. Chronic Disease in Ireland 2. The Cost of Treating Type 2 Diabetes (CODEIRE)

DIABETES IN IRELAND: DIRECT COSTS

Further losses through: Ø  Treament of complications Ø  Time away from work Ø  Early retirement Ø  Social benefits

Source: www.diabetes.co.uk

DIABETES: INDIRECT COSTS

** Estimated indirect costs equivalent to ~5% of total health budget **

 

2010 3.2% of adults

28% expected increase in 10 years

2020 3.8% of Adults

DIABETES PREVALENCE IN IRELAND

2007 852,000 Adults

2020 1,192,000 Adults

40% increase in 15 years

HIGH BLOOD PRESSURE IN IRELAND

1990 1/10 Males Obese

2015 1/4 Males Obese

3rd Highest Rate of Obesity In Europe

OBESITY IN IRELAND

WE THINK WE’RE HEALTHIEST IN EUROPE! Percentage of population reporting “Good” or “Very Good” health

82%!!

AGENDA

The Situation

Health and the Workplace

1 2

Community Health 3 Recommendations & Summary 4

Overweight or obese (61%)

Cholesterol (56%)

Blood Pressure (25%)

Stress (24%)

Smoking (14%)

Diabetes (3%)

THE IRISH WORKFORCE

One third of adult life is spent at work

Employment is a key social determinant of health

Concept of employee health evolving

A SHIFT IN ATTITUDES

Healthy  workplace  

PROGRAMME  

ONE THIRD OF IRISH EMPLOYEES ENGAGE IN WORKPLACE HEALTH SCREENING

Employee Absenteeism: A Guide to Managing Absence

ABSENTEEISM: IRISH PUBLIC SECTOR

8.7 days lost per person per year (significantly higher than private sector)

€319 million cost for the state in 2014

Stress & other mental health issues are the leading cause of absenteeism in Ireland

Musculoskeletal problems second most common reason for missing work

Department of Public Expenditure & Reform

“In the current economic climate, it is extremely encouraging to see how many companies have started to address the human capital challenge and are ready to

further invest in their employees through workplace wellness programmes”

– Klaus Schwab, Founder of the World Economic Forum (WEF)

WORKPLACE WELLNESS

The Evidence – PWC (2008): 1.  30-40% average reduction in

absenteeism 2.  50% reduction in workplace

injuries

Building the Case for Wellness (PWC: 2008)

Workplace health initiatives:

•  Tailored for corporate needs

•  Supported by management and resources

•  Participation encouraged in a variety of ways

•  Evaluated for ROI  

FULL HEALTH MEDICAL

Clear  and  concise  communica/on  is  an  essen/al  component  to  a  person’s  health  and  wellbeing      Using  plain  English  and  simple  icons,  our  digital  pla:orm  transforms  complex  medical  data  into  a  personalised  analysis.  This  includes  recommenda/ons,  ac/on  plans  and  advice.

FULL HEALTH MEDICAL

International Society for Quality in

Healthcare

20,000+ medical reports in Ireland & UK

Over 100 companies have used our digital

platform to deliver health checks to their

staff

AGENDA

The Situation

Health in the Workplace

1 2

Community Health 3 Recommendations & Summary 4

THE IMPORTANCE OF COMMUNITY

Particularly in rural communities, there are many people who have little or no interaction with the public health system These hard-to-reach citizens can be reached

through community health initiatives and, if any health issues are identified, encouraged to (re)connect with their GP

AGENDA

The Situation

Health in the Workplace

1 2

Community Health 3 Recommendations & Summary 4

RECOMMENDATIONS

Educate the public on the state of their health. Help them to undertstand what being healthy is, and why it is important to them and their families

Engage with companies and local communities and encourage them to create their own health initiatives

Empower each individual to make appropriate lifestyle changes that will allow them to live longer and more productive lives

SUMMARY

Ø  The rising cost and prevalence of chronic conditions will soon become an unsustainable burden for the public health system

Ø We must invest in initiatives that educate the public about the state of their health – thus shifting some of the responsibility from healthcare professionals to indiviuals, employers, and local communities

DAVID’S STORY

Completed a 6 week diet & exercise programme

Reverted from pre-diabetic (Repeat fasting glucose = 5.3)

Weight loss of 5kg over the 6 weeks

Thank You & Questions

t: @full_health E: hello@fullhealthmedical.com

www.fullhealthmedical.com UK - (0203) 4681118 IRL - (01) 5549795