Health Insights Symposium - Health Reform & Employee Health Benefits
Employee health & benefitsEmployee health & …...ower ats Health and Benefits, y ene˜t omet 2017 3...
Transcript of Employee health & benefitsEmployee health & …...ower ats Health and Benefits, y ene˜t omet 2017 3...
Willis Towers Watson Health and Benefits Employee Benefits Barometer 2017
What’s in it for me…?Attitudes of UK employees towards employee benefits
2Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Introduction
Welcome to the 2017 Willis Towers Watson Health
and Benefits division’s Employee Benefits Barometer.
Our fifth annual report by global research
consultancy TNS takes a wider view on the employee
benefits and wellbeing landscape than ever before. It
examines a range of key issues to gauge whether UK
workers believe their employers are hitting the mark
with provision and where gaps currently exist.
Prevailing economic uncertainty, partly attributable to
Brexit, and changes to salary sacrifice arrangements
have raised a number of question marks over the
future of benefit provision, particularly in terms of
funding.
But, at the same time, employees appear to place
increasing value on the benefits they receive. This
year, 66% of workers claim benefits are important
when making a decision to work for a company, while
only 13% are very satisfied with the benefits they
currently receive, down from 14% in 2016.
This increased demand for employee benefits
appears to be partly fuelled by a perception of
failings in the NHS. We look into this, while also
investigating perceived inequalities in the way
benefits are offered by employers, asking whether
greater efforts should be made to ensure all staff are
covered, rather than solely higher earners.
We also take a closer look at sickness absence from
an employee’s perspective, in an attempt to
understand whether businesses have been
successful in taking a more positive approach to the
issue and offering appropriate support.
Given the growing spotlight on mental health issues,
we have also taken a closer look at employee
attitudes in this sensitive area, unearthing interesting
evidence to suggest much work can still be done to
encourage greater empathy and compassion toward
sufferers.
The impact of both sleep and childcare
responsibilities on work performance also come into
focus as part of the study. And, considering
impending changes to the state pension age, we
have also attempted to find out when workers feel
they will be able to retire.
In all, the barometer aims to provide readers with
valuable insight into the benefits and wellbeing
landscape from a staff viewpoint, helping businesses
to set priorities and better shape provision in the
future.
Willis Towers Watson
About the research
The research was conducted online by global
research consultancy TNS.
It was conducted among 1,139 adults, aged 18-64,
who are currently in full or part-time employment
in Great Britain.
The interviewed sample was weighted to
represent the adult population of Great Britain and
results were split out by above average salary and
below average salary, where the average salary is
£27,600 (Source: Annual Survey of Hours and
Earnings: November 2015).
Prevailing economic uncertainty,
partly attributable to Brexit, and
changes to salary sacrifice
arrangements have raised a number
of question marks over the future of
benefit provision, particularly in
terms of funding.
3Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Key findings
Employee Benefits
• Pensions still top, but health cash plans on the rise: Pensions held strong as the single most-
valued benefit (selected by 32% of workers) but
health cash plans (12%) leapfrogged private
medical insurance (11%) and life insurance (11%)
into second place.
• Health cash plans find favour among lower earners: Health cash plans’ rise appears to have
been fuelled by popularity among lower earners.
They were selected as the most valued benefit by
14% of those earning below the UK’s average
salary, compared to just 9% of those earning more
than the national average.
• Conversely, health insurance valued by higher earners: Almost half (46%) of those earning above
the national average selected private medical
insurance among their three most valued benefits.
This compares to just 38% of lower earners.
• Pension planning gains importance with age: Almost half (46%) of 55 to 64-year-olds selected
pensions as their most valued benefit, compared to
25% of 25 to 34-year-olds and 14% of 18 to
24-year-olds.
• Benefits vital to choosing an employer: Two-
thirds of workers claim benefit provision is
important in their decision to work for a company,
with 28% of them claiming it is very important. Only
4% say it is not at all important.
• Growth in consultation halts: After increasing in
each of the previous three years, the number of
staff consulted by their employer about rewards
and benefits preferences stayed static. This year,
27% of respondents claim they have been asked,
with a bias towards London, where the figure rises
to 39%.
• Satisfaction also stalls: Less than half (44%) of
employees are satisfied with the range of benefits
they receive from their employer, which is the same
figure as last year. Only 13% are very satisfied.
• Universal provision a moral obligation: Three-
quarters of workers believe their employers have a
moral obligation to offer the same healthcare
provision to all staff. However, 48% believe higher
earners are currently offered a more attractive
range of benefits.
Health and wellbeing provision
• Disconnect with older workers: Close to half
(49%) of those surveyed say their employers make
provision for their health and wellbeing but this
figure drops to 39% among 45 to 54-year-olds and
31% among 55 to 64-year-olds.
• Business expected to fill gap left by NHS: Almost
half (48%) of respondents agree that businesses
are increasingly expected to provide for employee
health in order to mask cuts to the NHS. This
opinion is particularly strong among 18 to 24-year-
olds (56%) and 25 to 34-year-olds (58%).
• Appetite for voluntary health initiatives declines: Only 42% of workers would be willing to participate
in a voluntary work-led health initiative, down from
46% in 2016. But 66% would participate if offered a
financial incentive to do so, up from 64%.
Sickness absence
• Older staff feel cut off during absence: More than
two-thirds (67%) of workers receive regular
communication and support while on long-term
sick leave but only 56% of 55 to 64-year-olds
believe this to be the case, perhaps highlighting the
need for a different approach with older staff.
• Serious risk of presenteeism: The phenomenon of
presenteeism (working when unwell) remains
strong, as 54% of respondents feel under pressure
to return to work before recovering from sickness
or injury. Fear of a negative impact on job
prospects is the biggest reason for this.
• Negative attitude to absence: More than half
(51%) of those surveyed believe there is a culture
of negative judgement surrounding sickness
absence in their place of work.
4Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Key findings
Specific workplace health issues
Mental health
• Scepticism still exists around mental health: Nearly one-fifth (19%) of employees believe a
colleague who has previously suffered from mental
health issues would be less able to fulfill their job
role properly. Around the same number (20%)
harbour scepticism towards people who take time
off due to mental health issues.
• Sufferers afraid to talk to management: More
than two-fifths (42%) of workers have suffered
from stress or mental health issues but only 43%
talked to their manager about the issues. Fear of
an impact on job prospects is the biggest reason.
• Job has negative effect on mental health: One
third of employees say their job regularly has a
negative impact on mental wellbeing, with job
pressure and high workload cited as the main
factors.
Sleep
• Job contributes to sleep problems: More than a
third (36%) of those surveyed say their job
negatively impacts on their ability to get a good
night’s sleep. The main reason for this is a high
workload making it difficult to wind down.
• Impact on productivity: Two-thirds (66%) of
workers claim tiredness negatively impacts on
productivity at work, with 21% saying this happens
often.
Childcare
• Impact on wellbeing: More than a third (34%) of
respondents claim balancing childcare
responsibilities with work has had a negative
impact on their health or mental wellbeing.
• Call for more support: Of those who answered the
question, 45% believe their employer should offer
more childcare support.
Retirement age
• Working past pension age: Only half of workers
expect to retire at or before the state pension age,
with the figure dipping to 41% among 18 to 24-year-
olds. The biggest reason is that people do not
believe pension provision will be sufficient.
• Ill health a barrier to older working: Almost half
(48%) of respondents are concerned ill health will
prevent them from working beyond the state
pension age, which rises to 51% among those
earning less than average salary.
5Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q1: Which benefits do you/would you value the most?
Pensions stand strong as the most desired benefit, which is unsurprising given
the prominence given to discussions around auto-enrolment and changes to the
state pension age. 56% of workers selected pensions among their three most
desired benefits, followed by health insurance (42%), life insurance (38%) and
health cash plans (37%).
When it comes to the single most desired benefit, pensions were selected by
32%, while health cash plans (12%) leapfrogged health insurance (11%) and life
insurance (11%) into second.
Salary, however, makes a significant difference to the value placed on benefits.
Health cash plans are selected in the top three by 41% of those earning less
than the national average compared to 32% of those earning more than the
average.
Income protection, health screenings, critical illness cover, employee assistance
programmes (EAPs) and childcare vouchers are all valued more by lower
earners. Meanwhile, pensions, health insurance, life insurance and company car
schemes all find favour with higher earners.
60%
50%
40%
30%
20%
Rank 3
10%
0%
Health insurance
Workplace pension scheme
Company car scheme
Life insurance
Income protection insurance
Health screenings
Critical ill
ness cover
Counselling service or employee assistance programmes
Childcare vouchers
Health cash plan
Rank 2
Rank 1
60%
50%
40%
30%
20%
More than £27,600
10%
0%
Health insurance
Workplace pension scheme
Company car scheme
Life insurance
Income protection insurance
Health screenings
Critical ill
ness cover
Counselling service or employee assistance programmes
Childcare vouchers
Health cash plan
Less than £27,600
Percentage of employees putting benefit in top three Employees selecting benefit in top three, by salary
6Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q1: Which benefits do you/would you value the most?
Health cash plans have seen the biggest jump in popularity over the past year,
with 37% of respondents choosing them among their top three benefits
compared to 30% in 2016. Private medical insurance and pensions have also
seen small increases in popularity while company car schemes, income
protection, health screenings, critical illness and childcare vouchers have seen
slight decreases.
60%
50%
40%
30%
20%
2016
10%
0%
Health insurance
Workplace pension scheme
Company car scheme
Life insurance
Income protection insurance
Health screenings
Critical ill
ness cover
Counselling service or employee assistance programmes
Childcare vouchers
Health cash plan
2017
Selected in top three benefits, 2016 vs 2017
7Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q1.1: Which benefits do you/would you value the most? - Private medical insurance
Private medical insurance has recovered well since seeing a sharp drop in
popularity in the 2015 index. In each of the past two surveys, a greater number
of workers have selected it among their top three benefits. As a result, it has
cemented its position as one of the highest-valued employee benefits.
However, there is a clear bias towards those workers who earn more than
the national average, with 13% of higher earners selecting it as their top
benefit and 19% as their second, compared to 9% and 13% respectively
among lower earners.
60%
50%
40%
30%
20%
10%
0%Top 32013
Health insurance
Top 32014
Top 32015
Top 32016
Top 32017
20%
18%
16%
14%
12%
10%
8%
6%
4%
2%
Rank one Rank two Rank three
Less than £27,600
0% More than £27,600
Workplace pension scheme
Life insurance
Health cash plan
Top three benefits, by year Private medical insurance selected in top three, by salary
8Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q1.2: Which benefits do you/would you value the most? - Workplace pension scheme
Understandably, the value of pensions appreciates as staff get older with 45% of
45 to 54-year-olds and 46% of 55 to 64-year-olds selecting them as their top
benefit compared to just 14% of 18 to 24-year-olds.
Consistent with results from previous years, Londoners appear to value pensions
less than people from other regions, with only 27% selecting them as their top
benefit. The Scottish value them most, with 41% ranking them top.
50%
45%
40%
35%
30%
25%
20%
15%
10%
5%
0%18-24 25-34 35-44 45-54 55-64
45%
40%
35%
30%
25%
20%
15%
10%
5%
0%Scotland North East/
Yorks/Humber
NorthWest
East &West
Midlands
South East/East of
England
GreaterLondon
Wales &West
Pension as top benefit, by age Pension as top benefit, by region
9Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q1.3: Which benefits do you/would you value the most? – Life insurance
Life insurance sees a spike in popularity among 35 to 44-year-olds, with 18%
selecting is as their top benefit while popularity stays fairly consistent among
other age groups. It may suggest that this age group is the sweet spot for forward
planning, with staff beginning to think longer term when they reach 35.
20%
18%
16%
14%
12%
10%
8%
6%
4%
2%
0%18-24 25-34 35-44 45-54 55-64
Life insurance as top benefit, by age
10Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q1.4: Which benefits do you/would you value the most? – Income protection
Income protection has seen a recent fall in value and is now selected among the
top three benefits by 25% of workers, against 27% in 2016 and 32% in 2015.
However, it does find favour with lower earners, as 27% of those earning below
the national average selected it in their top three versus 23% of higher earners.
30%
25%
20%
15%
5%
10%
0%Less than £27,600 More than £27,600
Rank 3
Rank 2
Rank 1
Income protection selected in top three, by salary
11Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
40%
35%
0%Top 32013
Top 32014
Top 32015
Top 32016
Top 32017
30%
25%
20%
15%
10%
5%
45%
40%
35%
30%
25%
20%
5%
15%
10%
0%Less than £27,600 More than £27,600
Rank 3
Rank 2
Rank 1
Health cash plans selected in top three, by year Health cash plans selected in top three, by salary
Q1.5: Which benefits do you/would you value the most? – Health cash plans
Health cash plans are the biggest success story in this year’s study, recovering
popularity after a slump in the previous two years. They are now selected among
the top three benefits by 37% of respondents, compared to 30% last year and
32% in 2015.
They appear to be a particular favourite among those earning less than the
national average, with 41% putting them in the top three. Only 32% of higher
earners do the same.
12Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q2: How important is benefit provision (such as a workplace pension scheme, health or life insurance) in your decision to work for a company?
The results suggest benefits are an important consideration for UK workers when
making a decision on potential employers. This underlines their value as a key tool
in helping to attract and retain talent. 28% of all respondents say benefits are ‘very
important’ and a further 38% class them as ‘quite important’.
Benefits appear to be particularly valued by young high-flyers, being seen as
more important by those aged under 45 and those earning more than the national
average. 74% of higher earners say they are important to any decision on
potential employers, which is 14% more than the figure for those below the
national average salary.
40%
35%
30%
25%
20%
15%
10%
5%
0%Very
importantQuite
importantNeither
important orunimportant
Not thatimportant
Not at allimportant
80%
70%
60%
50%
40%
10%
30%
20%
0%Less than £27,600 More than £27,600
Quiteimportant
Veryimportant
How important is benefit provision (such as a workplace pension scheme, health or life insurance)
in your decision to work for a company? Importance, by salary
13Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
40%
35%
30%
25%
20%
15%
10%
5%
0%Less than £27,600 More than £27,600
Yes
No
27%
73%
Has your employer ever consulted you over your rewards and benefits preferences? Yes, by salary
Q3: Has your employer ever consulted you over your rewards and benefits preferences?
More than a quarter (27%) of workers say they have been consulted over their
rewards and benefits preferences, which is the same figure as in 2016. It is
perhaps surprising that the figure is not higher, however, as consultation can be
crucial in tailoring provision to meet employee demands as well as business need.
There is a definite bias towards higher earners, as 34% of those earning more than
the national average claim to have been consulted, compared to just 22% of those
earning less than average.
14Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q4: How satisfied are you with the range of benefits you receive from your employer?
Satisfaction levels remain fairly consistent, with the same percentage of
respondents claiming to be satisfied with the range of benefits they receive as in
2016 (44%). The number of respondents who are dissatisfied has also stayed the
same (19%).
There are significant variances in satisfaction according to salary. Although 55% of
those earning more than the national average are satisfied, with 16% very satisfied,
the figure is only 37% for lower earners, with 11% very satisfied.
35%
30%
25%
20%
15%
10%
5%
0%Very
satisfiedFairly
satisfiedNeither
satisfied nordissatisfied
Fairlydissatisfied
Don’t knowVerydissatisfied
60%
50%
40%
10%
30%
20%
0%Less than £27,600 More than £27,600
Fairly satisfied
Very satisfied
How satisfied are you with the range of benefits you receive from your employer? Satisfied, by salary
15Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q4: How satisfied are you with the range of benefits you receive from your employer?
Satisfaction also differs depending on age, starting at 52% among 18 to 24-year-
olds and tailing off as workers get older. Only 32% of 55 to 64-year-olds are
satisfied with the benefits they receive.
60%
50%
40%
30%
20%
10%
0%18-24 25-34 35-44 45-54 55-64
Fairly satisfied
Very satisfied
Satisfied, by age
16Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q5: Do you agree or disagree with the following statement? Higher earners within your organisation are offered a more attractive range of healthcare benefits
Unsurprisingly, given the higher levels of satisfaction with benefits among those
earning more than the national average, there is a perception that employers
make better provision for higher earners. Almost half (48%) agree that higher
earners are offered a more attractive range of benefits, while only 17% disagree.
Interestingly, agreement is actually strongest among workers earning more than
the national average (51%). Conversely, 46% of lower earners agree with the
statement.
40%
35%
30%
25%
20%
15%
10%
5%
0%Strongly
agreeSomewhat
agreeNeither agreenor disagree
Somewhatdisagree
Stronglydisagree
60%
50%
40%
10%
30%
20%
0%Less than £27,600 More than £27,600
Somewhatagree
Stronglyagree
Agree with statement, by salary
Do you agree or disagree with the following statement? Higher earners within your organisation are offered
a more attractive range of healthcare benefits
17Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q6: Do you agree or disagree with the following statement? Employers have a moral obligation to offer the same healthcare provision to all staff
Following on from the perception that employers favour higher earners when
defining benefits offerings, many workers actually believe companies are morally
obliged to ensure this is not the case. 39% strongly agree that employers have a
moral obligation to offer the same healthcare provision across the board and a
further 36% agree somewhat.
The call for equality is strongest in the North West, where 48% of employees
strongly agree, closely followed by Scotland (43%) and the North East and
Yorkshire (41%). The number is lowest in the South East and East of England
at 33%.
45%
40%
35%
30%
25%
20%
15%
10%
5%
0%Strongly
agreeSomewhat
agreeNeither agreenor disagree
Somewhatdisagree
Stronglydisagree
60%
50%
40%
30%
20%
10%
0%Scotland North East/
Yorks/Humber
NorthWest
East &West
Midlands
South East/East of
England
GreaterLondon
Wales &West
Do you agree or disagree with the following statement? Employers have a moral obligation
to offer the same healthcare provision to all staff Strongly agree by region
18Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q7: Do you agree or disagree with the following statement? Your employer makes provisions to look after your health and wellbeing
Looking beyond benefits provision, it appears a large number of organisations are
taking steps to address health and wellbeing too. Almost half (49%) of workers
believe their employers are making provisions in this area and only 22% disagree.
However, there does seem to be a disconnect with older workers, which may be
due to the fact employee wellbeing is a recently-developed concept. It is also fair
to say, there is still some confusion around the accurate definition of the phrase.
So, while 23% of 18 to 24-year-olds and 22% of 25 to 34-year-olds strongly agree,
only 8% of 55 to 64-year-olds say the same.
35%
30%
25%
20%
15%
10%
5%
0%Strongly
agreeSomewhat
agreeNeither agreenor disagree
Somewhatdisagree
Stronglydisagree
70%
50%
60%
40%
30%
20%
10%
0%18-24 25-34 35-44 45-54 55-64
Somewhatagree
Stronglyagree
Do you agree or disagree with the following statement? Your employer makes provisions to look after your
health and wellbeing Agree, by age
19Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
50%
30%
35%
40%
45%
25%
20%
15%
10%
5%
0%Less than £27,600 More than £27,600
Yes
No
Don’t know
42%27%
31%
Do you, or would you be willing to, participate in a voluntary work-led health initiative? Yes, by salary
Q8: Do you, or would you be willing to, participate in a voluntary work-led health initiative?
Enthusiasm for voluntary health initiatives appears to be on the wane, as only 42%
say they would participate in such schemes, compared to 46% in 2016.
Similarly to 2016, lower earners are less willing than higher earners, a trend that
may reflect reduced access to health education and less understanding of the
benefits of health initiatives among lower socio-demographic profiles.
20Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
70%
60%
50%
40%
30%
20%
10%
0%Less than £27,600 More than £27,600
Yes
No
Don’t know
66%
17%
17%
Yes, by salary
Would you be more likely to participate in a work-led health initiative if you received a
financial incentive to do so?
Q9: Would you be more likely to participate in a work-led health initiative if you received a financial incentive to do so?
An incentive has a dramatic effect on willingness to participate in work-led health
initiatives. And, unlike voluntary schemes, incentivised health initiatives have
actually seen a bump in popularity this year, with the number willing to take part
rising from 64% to 66%.
Interestingly though, current salary has no impact on willingness. Financial
incentives hold sway across the board, with 66% of both lower and higher
earners suggesting they would participate.
21Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q10: Which benefits, if any, does your employer provide to look after your health and wellbeing?
In terms of the type of health and wellbeing initiatives offered by organisations, there has been
little change. Cycle-to-work schemes remain comfortably the most common, which potentially
reflects the high level of promotion they have been given by central government over recent
years.
Cycle-to-work schemes have made a modest 2% gain on 2016 but the popularity of other
initiatives has remained roughly the same, bar a 2% fall for weight-loss schemes.
30%
25%
20%
15%
10%
5%
0%
Cycle-to-work scheme
Stress management s
upport
Free fruit in th
e office
Cut-price gym membership
Back pain support
On-site gym
On-site health
checks
Fitness classes
Smoking cessation support
Weight loss schemes
Cash or voucher incentives
Which benefits, if any, does your employer provide to look after your health and wellbeing?
22Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q11: Do you agree with the following statement? Businesses are increasingly expected to provide for your health in order to mask cuts to NHS services
In recent years, the government has increasingly called on business to provide for
the health of staff through schemes such as the Public Health Responsibility Deal.
At the same time, NHS services have come under fire due to long waiting lists and
staff shortages.
We asked workers whether the two were connected and a large number believe
they are, with 48% agreeing that businesses are being expected to help mask
NHS cuts through greater employee healthcare provision.
Feeling is strongest among younger workers. Although only 34% of 55 to 64-year-
olds agree with the statement, this figure rises to 56% among 18 to 24-year-olds
and 58% among 25 to 34-year-olds.
40%
30%
35%
25%
20%
15%
10%
5%
0%Strongly
agreeSomewhat
agreeNeither agreenor disagree
Somewhatdisagree
Stronglydisagree
70%
50%
60%
40%
30%
20%
10%
0%18-24 25-34 35-44 45-54 55-64
Somewhatagree
Stronglyagree
Do you agree with the following statement? Businesses are increasingly expected to provide for
your health in order to mask cuts to NHS services Agree, by age
23Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Yes
No
19%
81%
25%
20%
15%
10%
5%
0%Scotland North East/
Yorks/Humber
NorthWest
East &West
Midlands
South East/East of
England
GreaterLondon
Wales &West
Have you taken long-term sick leave (more than four weeks continuous absence) at any point
within the past five years? Yes, by region
Q12: Have you taken long-term sick leave (more than four weeks continuous absence) at any point within the past five years?
Nearly one in five (19%) of all workers have taken long-term sick leave over the
past five years.
There are some interesting regional differences in the data, with long-term
absence most common in Scotland (23%). The figure drops as low as 14% in
Yorkshire and the North East, which could be said to reflect the stoicism that
the region is often renowned for.
24Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
80%
70%
60%
50%
40%
30%
20%
10%
0%Less than £27,600 More than £27,600
Yes
No
67%
33%
Yes, by salary
Did you receive regular communication and support from your employer while on
long-term sick leave?
Q13: Did you receive regular communication and support from your employer while on long-term sick leave?
Around two-thirds of workers say they received regular communication and
support from their employers while on long-term sick leave. But it is perhaps
worrying for business that 33% believe they did not, as such support can often be
crucial in helping employees return to work more quickly.
There is a disparity between higher and lower earners too. Only 63% of those
earning less than the average wage claim to have received communication and
support, compared to 71% of higher earners. This is a situation companies may
need to address to ensure absence policies are effective across the board.
25Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
60%
50%
40%
30%
20%
10%
0%Less than £27,600 More than £27,600
Yes
No
47%53%
Yes, by salary
Does your employer provide adequate specialist support, care and advice to help you return to work as quickly as possible following
a period of long-term absence?
Q14: Does your employer provide adequate specialist support, care and advice to help you return to work as quickly as possible following a period of long-term absence?
The results here tend to support the previous suggestion that employers may
need to place a greater focus on absence policies and providing effective support
and communication. More than half (53%) of workers claim their employers do not
provide adequate specialist support, care and advice as part of the return-to-work
process.
Again, there seems to be a disparity according to salary with greater focus being
placed on providing support to higher earners. Employers potentially have work
to do to ensure current policy and practice is not discriminatory.
26Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q15: Do you agree or disagree with the following statement? I feel under pressure to go back to work before I have fully recovered from any short-term or long-term incidence of sickness or injuryPresenteeism has come under the spotlight in recent years and the results here
suggest businesses should be very wary of this potential problem. More than half
(54%) of workers agree they are under pressure to return to work before
recovering from sickness or injury, with 27% agreeing strongly.
Younger employees feel under greater pressure than their older colleagues as
agreement creeps above 60% among 25 to 34-year-olds and is at its lowest
(43%) among 55 to 64-year-olds.
30%
25%
20%
15%
10%
5%
0%Strongly
agreeSomewhat
agreeNeither agreenor disagree
Somewhatdisagree
Stronglydisagree
70%
50%
60%
40%
30%
20%
10%
0%18-24 25-34 35-44 45-54 55-64
Somewhatagree
Stronglyagree
Do you agree or disagree with the following statement? I feel under pressure to go back to work before I have
fully recovered from any short-term or long-term incidence of sickness or injury Agree, by age
27Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q16: If you feel under pressure to go back to work early, is this because...?
In a potentially worrying sign for business, the biggest reason people return to
work before they are recovered is that they believe absence will be viewed
negatively by management. This situation could hamper proper recovery and
potentially create problems through reduced productivity or recurring absence.
Interestingly, women are more worried about a negative impact on job prospects
than men and they also have a greater tendency to feel they are letting their
colleagues down. Men are more focused on their own workload and deadlines
than women.
60%
50%
40%
30%
20%
10%
0%
60%
50%
40%
10%
30%
20%
0%
Female
Male
You fear that your sickness absence will
be viewed negatively by
your line manager and
impact on your future job
prospects
You are worried you
are letting the rest of your team down
You are worried about
your own workload and
deadlines
You are worried that
your employer won’t pay you
more than statutory sick
pay after three days
Other You fear that your sickness absence will
be viewed negatively by
your line manager and
impact on your future job
prospects
You are worried you
are letting the rest of your team down
You are worried about
your own workload and
deadlines
You are worried that
your employer won’t pay you
more than statutory sick
pay after three days
Other
Reasons for feeling under pressure to return to work Reasons, by gender
28Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Yes
No
51%49%
70%
40%
50%
60%
30%
20%
10%
0%Scotland North East/
Yorks/Humber
NorthWest
East &West
Midlands
South East/East of
England
GreaterLondon
Wales &West
Do you feel there is a culture of negative judgement around sickness absence within
your organisation? Yes, by region
Q17: Do you feel there is a culture of negative judgement around sickness absence within your organisation?
Workers are almost split down the middle when it comes to belief in a culture of
negative judgement around sickness absence. Considered alongside the results
from the previous four questions, this tends to suggest organisations have still not
been able to fully transform historically unhelpful attitudes to absence.
Negative culture appears most prominent in the North, with 62% of employees
in the North West and 66% in Yorkshire and the North East believing it exists.
This might be rooted in traditional stereotypes of a ‘northern work ethic’.
29Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Yes
No
42%58%
60%
50%
40%
30%
20%
10%
0%18-24 25-34 35-44 45-54 55-64
Have you ever suffered from stress or mental health problems?
Yes, by age
Q18: Have you ever suffered from stress or mental health problems?
Stress and mental health issues appear to be fairly commonplace, with 42% of
workers saying they have suffered problems during their lives. This only serves to
reinforce the importance of introducing employee benefits and initiatives that
provide support and treatment to sufferers.
The data seems to suggest that younger workers are more prone to mental
health issues, as 51% of 18 to 24-year-olds and 48% of 25 to 34-year-olds claim
to have suffered, the number dipping to 37% among 55 to 64-year-olds. But this
may also be due to improved education and diagnosis in recent years, making
younger people more aware of the realities of mental illness.
30Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
50%
45%
40%
35%
25%
30%
20%
15%
10%
5%
0%Less than £27,600 More than £27,600
Yes, by salary
Q18: Have you ever suffered from stress or mental health problems?
Lower earners also appear more likely to suffer, as 47% claim to have faced mental
health issues, compared to 35% of higher earners. A lot has been made recently of
the difficulties faced by the UK’s ‘just about managing’ (JAM) population and
financial challenges can take their toll on mental health.
31Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
90%
60%
70%
80%
50%
40%
30%
20%
10%
0%Male Female
Yes
No
81%
19%
Do you believe stress is a genuine mental health condition? Yes, by gender
Q19: Do you believe stress is a genuine mental health condition?
There remains some confusion around how stress is clarified. But the mental
health charity Mind states that, although stress is not a psychiatric diagnosis, it is
closely linked to mental health issues and prolonged stress can lead to more
serious problems such as anxiety or depression. 81% of those questioned believe
it is a genuine mental health condition.
Empathy is strongest among women, with 85% believing stress is a genuine
mental health condition, compared to 77% of men.
32Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
25%
20%
15%
10%
5%
0%Less than £27,600 More than £27,600
Yes
No
20%
80%
Yes, by salary
Do you harbour scepticism towards people who take time off as a result of mental health issues, such as stress, depression or anxiety?
Q20: Do you harbour scepticism towards people who take time off as a result of mental health issues, such as stress, depression or anxiety?
Despite efforts to change perceptions of mental health and an increasing body of
education around the issue, scepticism persists.
A fifth of employees harbour scepticism towards people who take time off due to
mental health issues. This situation could be harmful when attempting to help
sufferers return to work as negative judgement could prevent successful
reintegration into the workforce.
Although it might be assumed that education around mental health issues would
be less abundant among lower socio-demographic profiles, lower earners are
actually less skeptical than higher earners. This empathy could be the result of
higher sufferer rates within this demographic.
33Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
60%
40%
50%
30%
20%
10%
0%Less than £27,600 More than £27,600
Yes
No
49%51%
Yes, by salary
If you were to suffer from mental health issues in the future, would you talk to your manager
about it?
Q21: If you were to suffer from mental health issues in the future, would you talk to your manager about it?
Most people still feel unable to raise the issue of mental health in the workplace,
with 51% of respondents saying they would not talk to their manager if they were
to suffer from mental health issues.
Higher earners feel more able to speak about mental health issues, with 51%
claiming they would talk to their manager, 5% more than those earning below the
national average.
34Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q22: What would stop you talking to someone at work about mental health issues?
Fear of a negative impact on job prospects is the biggest reason stopping workers talking
to management or colleagues about mental health issues, selected by 41% of respondents.
This is followed by a feeling that management or colleagues would not understand (38%),
a fear it would make colleagues think less of them (32%) and the belief they would not
receive adequate support (31%).
45%
30%
35%
40%
25%
20%
15%
10%
5%
0%Fear it will
impact upon job prospects
You feel your manager/
colleagues would not
understand
You worry it might make
colleagues or management
think less of you
You feel you would not
receive adequate
support
Other
What would stop you talking to someone at work about mental health issues?
35Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
60%
50%
40%
30%
20%
10%
0%Male Female
Yes
No
46%54%
Would you feel confident recognising the signs of a potential mental health issue in
a colleague? Yes, by gender
Q23: Would you feel confident recognising the signs of a potential mental health issue in a colleague?
The majority of workers (54%) say they would not be confident recognising the
signs of a potential mental health issue in a colleague. Despite greater education
around mental health, this potentially highlights a need for businesses to offer
further training to staff around empathy and symptoms of common mental
health problems.
Women appear to be more empathic, as 50% would be confident recognising
a mental health issue in one of their colleagues, compared to just 43% of men.
This continues a trend first identified in question 19.
36Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q24: If you thought a colleague was suffering from mental health problems, which of the following would you do?
Unsurprisingly, most people (52%) say they would approach a colleague directly if
they suspected potential mental health issues. A further 28% would discuss with
management but a sizeable number (20%) would still do nothing.
Differences between men and women are further highlighted in the answers to
this question. A much larger percentage of women say they would approach a
colleague directly (59% to 46%), while men appear more inclined to speak to
management (32% to 23%).
60%
50%
40%
30%
20%
10%
0%
70%
50%
60%
40%
10%
30%
20%
0%
Female
Male
Discuss directly with
the colleague
Discuss witha manager
Discuss with other
colleagues
Other Nothing Discuss directly with
the colleague
Discuss witha manager
Discuss with other
colleagues
Other Nothing
If you thought a colleague was suffering from mental health problems, which of the following would you do? Selection, by gender
37Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q25: If a colleague has previously suffered from mental health issues, do you think this makes them less likely to fulfil their job role properly?
Gender differences are further underlined when workers are asked whether
past mental health issues will stop a colleague from doing their job properly.
22% of men said yes, compared to 16% of females with the overall figure
coming out at 19%.
Here we also find less empathy among older workers. A quarter of 25 to 34-year-
olds and 23% of 35 to 44-year-olds believe a colleague would be less able to do
their job, but the figure drops to 13% among 45 to 54-year-olds and 14% among
55 to 64-year-olds.
30%
25%
20%
15%
10%
5%
0%18-24 25-34 35-44 45-54 55-64
25%
20%
15%
10%
5%
0%Male Female
Yes, by gender Yes, by age
38Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Yes
No
33%
67%
40%
20%
25%
30%
35%
15%
10%
5%
0%Scotland North East/
Yorks/Humber
NorthWest
East &West
Midlands
South East/East of
England
GreaterLondon
Wales &West
Do you feel there is a culture of openness around mental health within your organisation? Yes, by region
Q26: Do you feel there is a culture of openness around mental health within your organisation?
A potential warning sign for business is the fact that only 33% of workers believe
there is a culture of openness around mental health in their workplace. This could
lead people to suffer in silence rather than address problems in the open where
they can be more easily treated.
Northern stoicism appears to rear its head again in the answers to this question.
Only 23% of people in Yorkshire and the North East believe there is a culture of
openness around mental health at work and the figure is also relatively low in
the North West (32%). It reaches a high in London (38%).
39Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Yes
No
33%
67%
70%
40%
50%
60%
30%
20%
10%
0%
Job pressure/deadlines
High workload
Unpleasant management
Long hours
Unpleasant colle
aguesOther
Does your job regularly have a negative impact on your mental wellbeing?
Why does your job regularly have a negative impact on your mental wellbeing?
Q27: Does your job regularly have a negative impact on your mental wellbeing?
A third of all employees claim their job negatively impacts on mental wellbeing, a
fact that reinforces the need for companies to start an open dialogue around
mental health and provide targeted support where necessary.
The reasons why work impacts on mental health are perhaps unsurprising.
More than three-fifths (62%) cite job pressure and deadlines, a further 54%
blame high workloads and 41% point the finger at unpleasant management.
40Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Yes
No
36%
64%
60%
40%
50%
30%
20%
10%
0%High workload
means you struggle to wind down
Job worries Early starts Late night working
Other
Does your job negatively impact on your ability to get a good night’s sleep?
Why does your job impact negatively on your sleep?
Q28: Does your job negatively impact on your ability to get a good night’s sleep?
There remains relatively little focus on the impact sleep can have on work and
vice versa. This is despite the fact 36% of workers claim work hampers their
ability to get a good night’s sleep. It is a situation that could lead to further
problems, as lack of sleep increases the risk of conditions such as obesity,
heart disease and diabetes.
As with mental wellbeing, high workload is again a major factor, blamed by 55%
of people. But job worries and early starts score highly too.
41Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q29: How often does tiredness negatively impact on your productivity at work?
Looking at the flipside of the issue, it appears lack of sleep is having an effect
in the workplace, leading to a vicious cycle. Two-thirds of staff believe
tiredness negatively impacts productivity at least sometimes, with 21% saying
it happens often.
The effects are felt most strongly by younger workers. More than three-quarters
(76%) of 18 to 24-year-olds and 25 to 34-year-olds admit productivity has
suffered, compared to 53% of 45 to 54-year-olds and 55 to 64-year-olds.
40%
35%
30%
25%
20%
15%
10%
5%
0%Very often Often Sometimes Rarely Never
80%
70%
60%
50%
40%
10%
30%
20%
0%18-24 25-34 35-44 45-54 55-64
Sometimes
Often
Very often
How often does tiredness negatively impact on your productivity at work? Tiredness does impact, by age
42Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Yes
No
17%
83%
30%
20%
25%
15%
10%
5%
0%Scotland North East/
Yorks/Humber
NorthWest
East &West
Midlands
South East/East of
England
GreaterLondon
Wales &West
Does your employer provide you with education about the effect sleep can have on wellbeing? Yes, by region
Q30: Does your employer provide you with education about the effect sleep can have on wellbeing?
Despite the health risks associated with lack of sleep and the clear relationship
between poor sleep and work challenges, it seems little action has been taken by
employers. Only 17% of employees claim to have received education around the
issue.
London leads the way in this respect, with a far higher proportion of workers in
the capital receiving education than anywhere else in the country. Education is
least prevalent in Scotland, Yorkshire and the North East.
43Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
40%
35%
30%
25%
20%
15%
10%
5%
0%Less than £27,600 More than £27,600
Yes
No
Don’t know
32%
33%
35%
Yes, by salaryDoes your company pay maternity/paternity
leave above the statutory minimum?
Q31: Does your company pay maternity/paternity leave above the statutory minimum?
The issue of maternity and paternity leave has come into the spotlight since the
government’s decision to allow parents to split leave in 2015. Up to 50 weeks of
leave - 37 weeks of which is paid - can be shared by parents if they meet certain
eligibility criteria. With regards to this leave, it appears there is a fairly even split
between companies that only pay the statutory minimum and those that pay more.
However, it also seems that higher earners are given greater privileges in this
area, with 37% claiming to receive more than the statutory minimum, against 28%
of those earning below the national average.
44Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
40%
35%
30%
25%
20%
15%
10%
5%
0%Less than £27,600 More than £27,600
Yes
No
Don’t know
27%
44%
29%
Yes, by salary
Does your employer offer child care support or benefits (such as flexible working or paid
nursery care)?
Q32: Does your employer offer childcare support or benefits (such as flexible working or paid nursery care)?
It appears the majority of firms do not offer any additional support or benefits on
top of maternity or paternity leave, with only 27% of employees claiming to be
eligible to extra perks. Practices such as flexible working or nursery support can
help to ease the burden on new parents and support their reintegration back into
the workforce.
Those earning more than the national average once more receive greater
privileges here, as 34% claim to receive additional benefits, which is 13% higher
than the figure for those earning less than the national average.
45Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
35%
30%
25%
20%
15%
10%
5%
0%Male Female
Yes
No
Don’t know
30%
36%
34%
Yes, by genderDo you feel your employer should offer more
childcare support?
Q33: Do you feel your employer should offer more childcare support?
A sizeable chunk of employees believe current provision for parents is not
sufficient, making up 45% of those who provided a firm answer to this question.
There is clearly potential for companies to play a greater role in this area, which
may aid efforts to improve employee satisfaction.
The call for support is strongest among female employees, with 33% of them
expressing a desire for employers to do more, against 27% of men.
46Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
40%
35%
30%
25%
20%
15%
10%
5%
0%Less than £27,600 More than £27,600
Yes
No
34%
66%
Yes, by salary
Has balancing childcare responsibilities with work had a negative impact on your health or
mental wellbeing?
Q34: Has balancing childcare responsibilities with work had a negative impact on your health or mental wellbeing?
Parents often find it difficult to balance work with childcare due to the effect
raising a child can have on levels of sleep and workload at home. More than
a third of workers (34%) say they have suffered negative effects.
Negative consequences are particularly prevalent among those earning less than
the national average, with 38% claiming to have suffered in comparison to 31% of
higher earners.
47Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Yes
No
50%50%
70%
50%
60%
40%
30%
20%
10%
0%18-24 25-34 35-44 45-54 55-64
Yes, by ageDo you expect to retire at or before the state
pension age?
Q35: Do you expect to retire at or before the state pension age (rising to 66 between 2018 and 2020; rising to 67 between 2026 and 2028; and rising to 68 between 2044 and 2046)?The state pension age is being pushed back over the next 30 years but, even so,
half of all workers still do not have confidence they will retire on time. Declining
returns on pensions, economic uncertainty and issues around social isolation may
all play a role in forcing people to retire ever later.
Confidence also declines the younger workers get – only 41% of 18 to 24-year-
olds expect to retire at or before the state pension age – suggesting today’s youth
expect an even bleaker picture in the future.
48Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
Q36: Why won’t you retire at or before state pension age?
Unsurprisingly, a belief that pension provision will be insufficient is the main driver
forcing people to work beyond the state pension age, cited by 51% of
respondents. But almost as many (46%) would simply like to remain physically and
mentally active for longer.
The gender split shows women are more concerned about money, with 56%
concerned pension provision will be insufficient, against 48% of men. At the same
time, men have more desire to remain physically and mentally active.
60%
50%
40%
30%
20%
10%
0%
60%
50%
40%
10%
30%
20%
0%
Female
Male
You believe your pension provision will be insufficient
You want to remain physically
and mentally active for longer
You are concerned about
loneliness and social isolation
Other You believe your pension provision will be insufficient
You want to remain physically
and mentally active for longer
You are concerned about
loneliness and social isolation
Other
Why won’t you retire at or before state pension age? Yes, by gender
49Willis Towers Watson Health and Benefits, Employee Benefits Barometer 2017
60%
50%
40%
30%
20%
10%
0%Less than £27,600 More than £27,600
Yes
No
48%52%
Yes, by salary
If you hope to continue working beyond the state pension age, are you concerned that
ill-health may prevent this?
Q37: If you hope to continue working beyond the state pension age, are you concerned that ill-health may prevent this?
An ageing workforce is a major concern for business and the results of the
previous two questions suggest this issue will only continue to grow. An
older workforce means greater risk of ill health and absence, which is
reinforced by the fact 48% of workers believe ill heath may prevent them
working beyond the state pension age.
This concern is even more prevalent among those earning below the national
average wage, perhaps because healthcare options are typically more limited for
this demographic. More than half (51%) expect ill health to limit their ability to
work, versus 43% of higher earners.
As one of the UK’s largest providers of employee healthcare and risk
management services, Willis Towers Watson’s Health and Benefits division
handles the employee healthcare needs of some of the UK’s largest FTSE 100
companies.
We offer a unique combination of in-house medical and insurance expertise. In
fact, almost one in ten of our client-facing staff is medically trained, giving you
the convenience of one port of call for all your employee healthcare needs.
Our team of absence management specialists, consultant physicians and
registered nurses can help you to cut the cost and incidence of sickness
absence. They will also make sure your business is fulfilling all your legislative
duties, keep your staff healthy and help you to attract and retain star
performers.
To find out how we can help you devise and implement a successful employee
benefits strategy, please contact:
T 01606 352035
The Courtyard
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Cheshire
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Registered Office: 51 Lime Street, London, EC3M 7DQ, United Kingdom.