29.09.11 RSA Gallup Health Ways Debate - Speakers Presentations

Are Chronic Diseases Killing our Competitiveness?
Deborah Jamieson OBE, Peter Choueiri, Professor Cary Cooper CBE, Dan Witters, Matthew Taylor,to edit Master subtitle style Click chair
4/20/12
RSA, London 29 September 2011
Well-Being in the United Kingdom: CLICK TO EDIT MASTER SUBTITLE STYLE Are chronic conditions killing our competitiveness?
Peter Choueiri Chief Operating Officer Healthways
The Choices We Make
We make small moment to moment and a few big decisions 10,000 20,000 a day
Community Financial
For the UK
Physical
1.2 Trillion decision moments per day

Emotional
Social
Half a quadrillion decision moments per year

Career
www.healthways.com
33
Improving Well-Being
Well-being is bigger than Physical Health
Emotional
Community
Social
Physical
Financial Career
Individual
www.healthways.com
Experts Friends/Family Environment Culture/Policy

44
Healthier People Cost Less and Perform Better

Improve Well-Being
Adopt or maintain healthy behaviors Reduce health-related risks

Event Rates Disease Rates Lifestyle Risks
Engagement Absence Work Impairment
Optimize care for health conditions and disease
Economic Drivers
Confidential and
Prevent or delay next new case of disease or condition Prevent or reduce impact of the next new episode of care Enhance ones ability to actively manage their health 55
5
Communities
Hospitalizations
Energy
States / Countries
Reduce Total Medical Cost
Increase Performance
Increase Total Economic Value
Opportunity for Doing Something UK
Five-Year, Cumulative Cost Savings through Interventions in Modifiable Behaviours
n llio i 4B 18. 2
25% Reduction in Per Capita Risk Factors
www.healthways.com
Conclusions
High Costs of Doing Nothing

Both medical and productivity costs impose heavy financial burdens on countries, communities and companies Without interventions, these costs can be expected to grow and compound
The Primary Sources of These Costs are Known

Chronic conditions cause people to seek care (medical costs) and reduce their ability to work (productivity) While behaviors do not have costs associated with them, the conditions they create and exacerbate can have substantial costs Curtailing or eliminating behavioral risks can reduce costly chronic conditions Addressing risks before they become conditions can be a significant source of savings
Intervening in Modifiable Behaviors Reduces Costs

Confidential and
Conclusions
What about competitiveness?
Different nations and companies have the same challenge. The issues can be addressed. The difference will be leadership in
Commitment Execution Alignment Speed
Confidential and
Alignment is Key in Creating Sustainable Change

Healthcare Environment + Worksite Environmental Alignment +
Community Environmental Alignment
Improved Well-Being
Healthcare Environment +
IMPACT
Worksite Environmental Alignment

Healthcare Environment
Patient + GP
+
99
9
Worksi te
Communi ty
Confidential and

Improved Well-Being
IMPACT

Patient + GP
+
1010
10
Worksi te
Communi ty
Confidential and
Conclusions
What about competitiveness?
Different nations and companies have the same challenge. The issues can be addressed. The difference will be leadership in
Commitment Execution Alignment Speed
Confidential and
11

Improved Well-Being
IMPACT

Patient + GP
+
1212
12
Worksi te
Communi ty
Confidential and
The Gallup-Healthways Well-Being Index
21,561,486,104
Click to edit Master subtitle style
The Cost of Chronic Conditions to the UK Economy
Dan Witters, Gallup September 29, 2011
The Gallup-Healthways Well-Being Index: A Comprehensive Approach to Measuring Wellbeing

Gallup-Healthways tracks 55 items that comprise six core sub-indexes to provide leaders with a comprehensive metric that covers six key interrelated areas of wellbeing:
Life Evaluation Ranking ones life today and in the future Emotional Health Daily feelings; clinical depression Physical Health Chronic conditions, obesity, physical pain, cold/flu Healthy Behaviours Smoking, healthy eating, exercise Work Environment Using strengths, supervisor relationships Basic Access Healthcare, agency satisfaction, money for basics
Well-Being Index Composite Score

(Average of six sub-indexes)
Copyright 2011 Gallup, Inc. All rights reserved.
1414
The UK Gallup-Healthways Well-Being Index: Data Collection Methodology

Daily interviewing; n=1,000 per month (15+) All outbound phone; Landline (85%) and mobile (15%) Data weighted according to official demographic statistics U.K. Office for National Statistics (England and Wales) General Register Office (Scotland) Northern Ireland Statistics and Research Agency (Northern Ireland) Completed 8,866 interviews (18+) from January 2nd to August 31st, 2011 n=3,908 interviews with full-time workers n=1,212 interviews with part-time workers Sampling error (including design effect) for any given item is about +/-1.3% nationally for all U.K. adults and +/-2.0% for full-time workers. Error grows larger for worker subsets.
1515
Chronic Conditions Cost the UK Economy 21,561,486,104 Per Year Due to the Absenteeism of Full-Time Workers
This is the cost of lost productivity - in the form of worker absenteeism - due to chronic conditions and unhealthy weight. Where this number comes from: n Four in five full-time British workers have subpar health. They are overweight, obese or have at least one additional chronic condition. n Due to these conditions, British full-time employees miss an estimated 103 million days of work each year (incremental to what they would miss otherwise).
1616
Chronic Conditions Measured

n
Disease Burden: Have you had/Has a doctor or nurse told you that you have . . . ? n High blood pressure n High cholesterol n Heart attack n Depression n Cancer n Asthma n Diabetes n Recurring neck/back pain (last 12 months) n Recurring leg/knee pain (last 12 months) Overweight and Obesity: Based on respondents BMI, derived from their self-reported height and weight.
1717
Four in Five Full-Time Workers in the UK Have Subpar Health

They are overweight, obese or have at least one other chronic condition.
1818
Above Normal Weight Doubles Unhealthy Days; Unhealthy Days Sharply Increase at 3+ Disease Burden Conditions Regardless of BMI
During the past 30 days, for about how many days did poor health keep you from doing your usual activities?
(Controlling for age, gender, income, education, race, region, and marital status)
1919
Assumptions Used and Exclusions Made in Estimating the Cost of Chronic Conditions in the UK
Estimated costs per missed workday for full-time U.K. workers based on lost salary and benefits is 209.* n One unhealthy day translates to slightly over 0.3 actual missed workdays. n Normal weight, zero disease burden conditions set as baseline. n Above normal weight, 1-2 disease burden conditions and 3+ disease burden conditions establish test scenarios. Exclusions n Part-time workers were excluded from analysis due to unknown cost of lost salary and benefits. n Presenteeism (not absent from work, but less than normal productivity) was not included in analysis.
n
*Goetzel et al. (2003). The health and productivity cost burden of the top 10 physical and mental health conditions. Journal of Occupational and Environmental Medicine, 45(1), 5-14. *Kleinman et al. (2009). Health benefit costs and absenteeism due to insomnia from the employers perspective: A retrospective, case-control, database study. Journal of Clinical Psychiatry, 70(8): 1098-1104. *U.S. Bureau of Labor Statistics. (2009). Hourly Manufacturing Compensation Costs in the U.S. and UK
2020
20
A Detailed Look at Calculating the 21,561,486,104

Health Condition Group (Full-Time Workers) Normal Weight, No Disease Burden Overweight or Obese, No Disease Burden Overweight or Obese, 1-2 Disease Burden Overweight or Obese, 3+ Disease Burden Normal Weight, 1-2 Disease Burden Normal Weight, 3+ Disease Burden Unhealthy Days per Month (Controlling for Demographics) .34 .69 1.41 5.04 1.44 5.13 Total Full-Time Workers in Each Group* 4,906,887 5,002,034 5,792,237 2,258,831 3,548,038 1,061,573 Total Incremental Annual Economic Costs Lost Workdays for Due to Absenteeism in Full-Time Workers** Pounds Sterling Baseline 6,554,666 23,204,167 39,748,199 14,633,197 19,024,778 Baseline 1,369,925,151 4,849,670,801 8,307,373,520 3,058,338,069 3,976,178,563
*Assumes 49.1 million adults (18+), with 59% employment (full time and part time) in U.K. * Full-time employment varies by group (range is between 71%-85%). **1.00 unhealthy day equals 0.31 missed workdays.
2121
UK Clerical and Service Workers Suffer More Unhealthy Days Each Month Than Any Other Occupation Type
During the past 30 days, for about how many days did poor health keep you from doing your usual activities?
(Controlling for age, gender, income, education, race, region, and marital status)
Occupation
Sample Size (n= )
Unhealthy Days per Month
Estimated Missed Workdays per Month Due to Poor Health
Clerical Service Sales Manufacturing Professional Business Owner Manager/Executive Construction
423 598 255 159 1,600 229 567 179
2.08 1.99 1.83 1.45 1.35 0.85 0.84 0.73
0.69 0.66 0.61 0.48 0.45 0.28 0.28 0.24 2222
The Extent of the Chronic Disease Problem in the UK

23
More Than Half of Britons Are Overweight or Obese
2424
Lifetime High Blood Pressure and Cholesterol Increase With Age; Obesity Peaks Among 45- to 64-Year-Olds
2525
Diabetes and Cancer Double Between Middle Age and Retirement; Depression Diagnosis Peaks Among Those Aged 45-64
2626
Chronic Physical Pain Afflicts One in Three Britons Aged 65+
2727
The Good News: Britons Suffer From Less Severe Disease Burden Than Americans
Compared with U.S. adults, U.K. adults are: 41% less likely to be diagnosed with high cholesterol in their lifetimes. 40% less likely to suffer from diabetes in their lifetimes. 36% less likely to be diagnosed with cancer in their lifetimes. 31% less likely to be diagnosed with high blood pressure in their lifetimes. 20% less likely to suffer from recurring leg/knee pain in the last 12 months. 15% less likely to be diagnosed with depression in their lifetimes. 15% less likely to suffer from recurring neck/back pain in the last 12 months. 11% less likely to experience a heart attack in their lifetimes. 6% less likely to be obese. 9% more likely to suffer from asthma in their lifetimes.
2828
28
Summary of Primary Discoveries

n
The total estimated annual cost of absenteeism due to disease burden and above normal weight to the U.K. economy is 21,561,486,104.00. Nearly three in five Britons are overweight or obese, and above normal weight peaks among 45- to 64-year-olds. Only one in five full-time workers in the U.K. are normal weight with no disease burden conditions. Being above normal weight doubles the number of missed workdays for full-time workers. Absenteeism, however, sharply increases at 3+ disease burden conditions regardless of BMI. Clerical and service workers suffer more unhealthy days each month than any other occupation type; construction workers the least. Briton adults suffer from considerably less severe disease burden than their U.S. counterparts, across nearly every metric.
2929
To stay up to date on our wellbeing discoveries, visit the Gallup-Healthways Well-Being Index site: http://well-beingindex.com/
Dan Witters Principal Gallup Omaha, NE USA 402.938.6457 dan_witters@gallup.com
3030
Copyright Standards
This document contains proprietary research, copyrighted materials and literary property of Gallup, Inc. It is for the guidance of your company only and is not to be copied, quoted, published or divulged to others outside of your organisation. Gallup, Gallup Consulting and Gallup-Healthways Well-Being Index are trademarks of Gallup, Inc. All other trademarks are the property of their respective owners. This document is of great value to both your organisation and Gallup, Inc. Accordingly, international and domestic laws and penalties guaranteeing patent, copyright, trademark and trade secret protection protect the ideas, concepts and recommendations related within this document. No changes may be made to this document without the express written permission of Gallup, Inc.
3131
29th September 2011
Wellbeing-Global trends and chronic conditions

Deborah Jamieson, OBE Cross Government Head of Health, Work & Wellbeing Strategy Unit
What is our overall goal?

Healthy, engaged workforces Well-managed organisations
A high-performing, resilient workforce Enhanced productivity
Contributing to: A well-functioning society Better economic performance
The vision
We want to create a society where the positive links between work and health are recognised by all, where everyone aspires to a healthy and fulfilling working life, and where health conditions and disabilities are not a bar to enjoying the benefits of work.
Improving health and work: changing lives UK Government Response to the Black review, 2008
The health benefits of work

Good work is generally
Therapeutic Can help promote recovery and rehabilitation Improves quality of life Is central to a persons identity and social status
Impact of Lifestyle on Health and Work

100 %
Typical Lifeline
Optimal Health
Ideal Lifeline
HEALT H
Declining Health
Poor Health
0 %
Progressive and chronic disability
10
20
30
40
50
60
70
80
90
What is healthy aging in the 21st century? Westendorp RGJAG Am J Clin Nut, Vol. 83, No. 2, 404S-409 (2006) E
Lifestyle trends
It is likely that by 2025 40% of adults will be obese, and the number of people living and working with chronic conditions will rise steadily, affecting morale, competitiveness, profitability.
In an increasingly competitive global economy, only the healthiest businesses will prosper. Companies that invest to support employees health will be fitter to survive.
Why are people off work? - chronic conditions

Common chronic disorders respiratory conditions, cardiovascular conditions, rheumatic diseases, diabetes, rheumatic diseases, treated cancers do not deny the possibility of fulfilling work or an extended working life. They require:
good clinical care, Vocational Rehabilitation, wellinformed work-conscious healthcare professionals flexibility and adaptation in the workplace.
Previously fatal diseases are becoming chronic. If managed effectively, disability can be minimised and disease progress delayed - thus extending working life and reducing the load on health and care services.
The Top 10 Health Problems impacting Productivity

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Fatigue Depression Back / neck pain Sleeping problem Other chronic pain Arthritis Hypertension Obesity High cholesterol Anxiety
Source: World Economic Forum Working towards wellness in cooperation with PricewaterhouseCoopers, 2008
Long term health conditions

Increasing recognition of the problem and its effects on UK competitiveness. Chronic conditions are increasing - they negatively affect business productivity by increasing absenteeism and reducing the emotional health and overall wellbeing of the population.
o o
Notable activity in the charitable sector, for example: Macmillan cancer Diabetes UK Arthritis Research UK British Heart Foundation British Lung Foundation Work Foundation C3
Increasing activity by governments, e.g. the Public Health Responsibility Deal in England; Chronic Disease Guidance for employers
o
Positive Workplaces that enhance well-being

Key features common to those organisations which have achieved success in promoting health and well-being:

Senior visible leadership Accountable managers throughout the organisation Systems of monitoring and measurement to ensure continuous improvement Empowering employees to care for their own health Attention to both mental and physical health improvements Fairness Flexible work
NHS LifeCheck Tool www.nhs.uk

q
q q
The NHS website provides clear, current, accredited information and advice on over 2000 conditions, treatments and medicines including stress, anxiety, diet and fitness A dedicated public health resource with over 600 videos Dedicated carers section Comprehensive NHS service finder
NHS LifeCheck is a free, easy-to-use, online service that will help you to assess your lifestyle and improve your future health.
Launched March 2011
Just answer a few simple questions about you or your baby and NHS LifeCheck will give you confidential results, advice and support.
Chronic conditions guides for employees and line managers
Different problems need different approaches

Symptoms: 2/3 of cases
Often mild Symptoms not diseases: back pain musculo-skeletal symptoms stress anxiety, mild depression Few investigations required Diagnosed with relative ease Intervention needs to be early, often non-medical, good vocational rehabilitation, regular contact between employee and employer.

Chronic conditions: 1/3 of cases
Prevent chronicity
Examples: chronic rheumatic diseases endogenous depression bipolar disorders, schizophrenia diabetes, cancer post-trauma disability Investigations more extensive Diagnosis can be difficult Treatment good medicine, good flexible employers, plus rehabilitation. More prevalent in people living in poorer economic conditions Prevent deterioration
MacMillan Cancer Support and work

Cancer is becoming a long term condition.

109,000 working-age people are diagnosed with cancer in the UK each year 775,000 people of working age in the UK have had a cancer diagnosis Long term cancer survivors are 1.4 times more likely to be unemployed yet research shows that cancer patients want to work One in four long term cancer survivors say their cancer is preventing them working in their preferred occupation The average fall in household income for a family of working age with cancer is 50%. . . . . and 17% lose their home. Employers are sometimes not flexible in making adjustments to permit return to work. MacMillan Cancer Support
Rheumatoid Arthritis and Work in UK

50% of UK adults with RA are of working age. 75% are diagnosed when of working age 33% of people with RA will have stopped working within 2 years. Earlier diagnosis and appropriate treatment mean better retention in work. Increasing from 10% to 20% the number of people treated within 3 months of symptoms would increase NHS costs in England by 11 million over 5 years BUT could result in 31 million gain for the economy due to reduced sick leave and workrelated disability.
National Audit Office Report 2009 Public Accounts Select Committee 2010
MSDs: European Background
Up to 80% of people are affected by an MSD at some time in their life. MSDs account for about half of all work-related disorders in EU countries, costing between 0.5% and 2 % of GDP. MSDs account for almost 50% of absences from work of three days or more, 60% of permanent work incapacity. Unemployment rates are three times higher among people with MSD than in general population.
Musculoskeletal Disorders in the European Workforce, The Work Foundation, October 2009
MSDs: Action needed

Five principles which healthcare professionals, employers, employees and governments should focus upon to improve working lives of those with a MSD:

Focus on capacity not incapacity Early intervention is essential Imaginative job design is key to rehabilitation Think beyond the physical symptoms of MSDs (they are often associated with depression) Assess the direct and indirect costs of MSDs
Musculoskeletal Disorders and Labour Market Participation, The Work Foundation 2009
National Business Awards: SME Health, Work and Well-being award

Awarded to the organisation that best demonstrates how it worked to sustain the health and well-being of its workforce to the benefit of staff and the organisation. Port of Blyth is a medium sized port in Northumberland that has moved from centuries of servicing the local coalmining industry to a modern trust handling a variety of cargoes. It not only used a nationally-recognised training programme to address the literacy, numeracy and skills gap, but also implemented a range of well-being initiatives designed to help its staff move to become healthier
Making health, work and well being as high up the training agenda as specific skills knowledge.
Details - Port of Blyth

Male-dominated erratic shift workers The port partnered with local NHS health trainers Provided screening and monthly health promotion for staff Identified employees with uncontrolled hypertension, type 2 diabetes, and skin cancer Many staff quit smoking, lost weight and improved health behaviours The result is reduced sickness absence, improved productivity, lower staff turnover, better morale - and healthier, happier individuals. Partway through 2010 sickness absence was 1% of hours worked compared to the 2009 average 4.4% and 2008 average 6%.
Correlation between COPD and socio-economic factors
Those at risk of future hospital admission with COPD, live mostly in social housing and have, or have had, industrial or semiskilled jobs, uncertain employment, low levels of disposable income and considerable health problems (British Lung Foundation 2007) Those in lower socio-economic groups are up to 14 times more likely to have lung disease
Standard Mortality Rate by social status for three respiratory diseases

TB
300
Ca lung
COPD
SMR = Standard Mortality Rate

200
Long term conditions are more likely to be work-limiting in poorer socioeconomic groups before retirement age
100
Social status 1 to 5 1 = professional

1 2 3n 3m 4 5 1 2 3m 3n 4 5 1 2 3m 3n 4 5
5 = unskilled manual
Ratio 8.9 Unskilled manual: professional
4.6
14.2
Source: Office for National Statistics
Costs of mental ill-health at work
NICE: If mental illness costs employers 28.3 billion per annum in 2009: prevention and early identification of problems should save employers at least 30%, 8 bn a year for a 1,000 employee company annual costs could be reduced by 250,000. NICE Costing tool available at www.nice.org.uk/PH22 Calculates the overall cost of mental health in the workplace and potential savings to be made Calculates cost of absenteeism, presenteeism and staff turnover It calculates for a company with 1000 employees, mental health costs 835,355 per annum This could be reduced by 30% through taking simple steps, saving 250,607 per annum
November 2009 NICE guidance presents the business case.
Mental Health: how can savings be delivered?
Awareness training for line managers, to increase understanding of MH issues and their ability to respond confidently and rapidly, e.g. at the Centre for Mental Health (one of many such courses). Prevention of directly-work-related MH problems (around 15% of total) e.g. by providing mentally-healthy working conditions and practices (see guidance by UK Health and Safety Executive)
Better access to help for employees, particularly to evidence-based psychological help and support while carrying on working
Effective rehabilitation for those who need to take time off, including regular contact with the employee during periods of absence
British Heart Foundation
Provides information and support in 3 areas: Getting active at work Eating well at work Well-being at work For each of the above, the following support is available: Building the business case How to do it Challenges and competitions Other resources
BHF also offers:

-
Free newsletters
Downloadable templates for marketing initiatives

-
Interactive areas Case study video clips Information packs Events and seminars
www.bhf.org.uk
Outcomes desired
Savings through reduced benefit and health spend
Fewer people and families living in poverty
More people reaching later life in better health - with improved personal financial provision, greater independence and enhanced wellbeing
A more sustainable workforce - contributing to a competitive global economy
Professor Cary L. Cooper, CBE
Distinguished Professor of Click to edit Master subtitle style Organizational Psychology and Health, Lancaster University
Costs in billions ($) DRUG

ALCOHOL 51 DECREASED PRODUCTIVITY ABUSE 26
MENTAL ILLNESS 3
LOST EMPLOYMENT
19
Depression: costs to EU economy
41 billion direct costs 77 billion productivity losses 35 billion productivity Sobocki et al , J Mental Health Policy & Econ, 2006 losses for cardiovascular Leal et al, European Heart Journal, 2006 disease
Major Cause of Early Retirement
Causes of Long-Term Absence Non-Manual Workers CIPD 2004

Percentage of respondents citing this reason as leading cause
All Manufacturing and Production
45 25 14 11 3 4 4 5 1 3 1 56 14 19 9
Private Public NonServices Services Profit
Stress 42 30 Mental health 23 Acute medical conditions 19 Operations and recovery 11 Recurring medical conditions 8 Back pain 5 Musculo-skeletal injuries 5 Minor Illness 3 Injuries/accidents not related to work 3 Home/family responsibilities 1
47 28 10 10 6 6 4 3 2 17 14 5 6 7 2 3 3 6 28 33
Increase/Decrease Stress-Related Absence - CIPD 2004

Percentage of respondents saying stressRelated absence has:Major Sector Manufacturing and Production Private Services Public Services Non-profit Survey Average Increased Decreased Stayed the Same
44 57 60 48 52
10 5 11 15 8
46 38 29 38 39
Estimated Annual Costs to UK Employers of Mental Ill Health (Sainsbury Centre for Mental Health, 2007)
Cost per average employee ()
Total cost to UK Per cent of total employers (billion)
Absenteeism Presenteeism Turnover Total
335 605 95 1035
8.4 15.1 2.4 25.9
32.4 58.4 9.2 100
Presenteeism
Health Good Health Not good
No absences
Healthy & present Unhealthy and present Sickness Presentees Healthy and not always present Unhealthy and not always present
Some absences
How common is sickness presenteeism?

Health Good Health Not good 28%
No absences
35%
Some absences
13%
24%
N=39,000 employees from general working population (UK)
Cost of absenteeism in Great Britain
11.4 million days lost to stress/depression in 2008/2009 in GB 46% of all days at work lost to illness Average length of absenteeism 28 days per case
An overview of the key factors that influence wellbeing at work
Interventions Suggested by the Foresight MCW Project for The Improvement of Health and Wellbeing at Work
Improve Health and Wellbeing at Work
Assess work environment for impact on MCW
Better diagnosis and remediation of underlying workrelated stress
Develop more sophisticated ways of flexible working
Improve managerial competence in providing healthy work places
Raise the profile of Mental health and wellbeing at work
Recommend annual stress/wellbeing audits
Better co-ordinate primary care and occupational health services
Right to request flexible work for all employees with children at or below the age of 18
Use LSC Train to Gain scheme 50:50 funding to encourage Companies to train managers in social and interpersonal skills
Create a Workplace Commission to promote wellbeing in the workplace
Encourage companies to develop MCW KPIs
Improve the working relationships between occupational health providers and
Right to request flexible work for all employees
employers
(Source: Foresight Mental Capital & Well-Being Project 2008)

29.09.11 RSA Gallup Health Ways Debate - Speakers Presentations

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Are Chronic Diseases Killing our Competitiveness?

RSA, London 29 September 2011

Peter Choueiri Chief Operating Officer Healthways

The Choices We Make

1.2 Trillion decision moments per day

Half a quadrillion decision moments per year

Well-being is bigger than Physical Health

Experts Friends/Family Environment Culture/Policy

Healthier People Cost Less and Perform Better

Event Rates Disease Rates Lifestyle Risks

Engagement Absence Work Impairment

Optimize care for health conditions and disease

Reduce Total Medical Cost

Increase Total Economic Value

Opportunity for Doing Something UK

Five-Year, Cumulative Cost Savings through Interventions in Modifiable Behaviours

25% Reduction in Per Capita Risk Factors

The Primary Sources of These Costs are Known

Intervening in Modifiable Behaviors Reduces Costs

Commitment Execution Alignment Speed

Alignment is Key in Creating Sustainable Change

Community Environmental Alignment

Worksite Environmental Alignment

Alignment is Key in Creating Sustainable Change

Community Environmental Alignment

Worksite Environmental Alignment

Commitment Execution Alignment Speed

Alignment is Key in Creating Sustainable Change

Community Environmental Alignment

Worksite Environmental Alignment

The Gallup-Healthways Well-Being Index

The Cost of Chronic Conditions to the UK Economy

Dan Witters, Gallup September 29, 2011

The Gallup-Healthways Well-Being Index: A Comprehensive Approach to Measuring Wellbeing

Well-Being Index Composite Score

Copyright 2011 Gallup, Inc. All rights reserved.

The UK Gallup-Healthways Well-Being Index: Data Collection Methodology

Copyright 2011 Gallup, Inc. All rights reserved.

Copyright 2011 Gallup, Inc. All rights reserved.

Chronic Conditions Measured

Copyright 2011 Gallup, Inc. All rights reserved.

Four in Five Full-Time Workers in the UK Have Subpar Health

Copyright 2011 Gallup, Inc. All rights reserved.

Copyright 2011 Gallup, Inc. All rights reserved.

Copyright 2011 Gallup, Inc. All rights reserved.

A Detailed Look at Calculating the 21,561,486,104

Copyright 2011 Gallup, Inc. All rights reserved.

Sample Size (n= )

Unhealthy Days per Month

Estimated Missed Workdays per Month Due to Poor Health

Clerical Service Sales Manufacturing Professional Business Owner Manager/Executive Construction

423 598 255 159 1,600 229 567 179

2.08 1.99 1.83 1.45 1.35 0.85 0.84 0.73

0.69 0.66 0.61 0.48 0.45 0.28 0.28 0.24 2222

Copyright 2011 Gallup, Inc. All rights reserved.

The Extent of the Chronic Disease Problem in the UK

Copyright 2011 Gallup, Inc. All rights reserved.

More Than Half of Britons Are Overweight or Obese

Copyright 2011 Gallup, Inc. All rights reserved.

Copyright 2011 Gallup, Inc. All rights reserved.

Copyright 2011 Gallup, Inc. All rights reserved.

Chronic Physical Pain Afflicts One in Three Britons Aged 65+

Copyright 2011 Gallup, Inc. All rights reserved.

Copyright 2011 Gallup, Inc. All rights reserved.