Category Archives: News

Physical Health and the Changing Face of the Workplace

FitBack have recently published an insightful article for Cardinus Risk Management discussing the changing face of the workplace and physical health impact for employers and employees.

The onset of the global pandemic in March 2020 dictated a significant change in the way companies work around the world. Overnight they saw a shift from office-based employment to millions of employees working from home.

As we enter 2021, the anticipated temporary move from the office to homeworking shows no signs of abating any time soon and potentially the landscape of office working may have changed forever.  Is this a positive situation? a possible opportunity for both employer and employee? or should we be more restrained and look beyond the obvious financial gains of reducing office space, introducing hot-desking and promoting long-term home working?

Many employers are now talking about a blended approach to office work in the near future. One that includes a mix of home, office and even a third space such as local satellite offices or hubs. In this scenario, all environments must be conducive to support the physical health of the employee.

It is really important that employers are aware of the health and well-being of their employees. When employees are working from home, there is a potential for them to become “out of sight out of mind”. It’s really important to take this into consideration.

What can employers do to promote musculoskeletal health amongst employees working from home?

  • Virtual physiotherapy consultations for employees suffering from musculoskeletal issues.
  • Ensure employees have access to the right DSE and know the process for requesting equipment or a DSE assessment if this is available.
  • Provide advice on working safely at home.
  • Encourage employees to move regularly throughout the day through regular communication or apps/software that provide prompts and reminders.
  • Provide health assessments to assess employees musculoskeletal health, mental health and overall wellbeing so they can provide interventions based on their findings.
  • Provide employees with advice around musculoskeletal health and injury prevention through webinars, online exercise classes, health and well-being challenges and interdepartmental physical challenges.
  • Encourage employees to replace previous commute time with exercise time.
  • Provide online exercise classes catering for a full range of fitness levels from basic Pilates to high intensity interval training classes so there is something for everyone.

FitBack would suggest that the changing climate offers opportunities for the future. Any financial savings realised by businesses through a reduction in the traditional office space, should be invested in their employees to ensure they are working in the most appropriate environment, with the right equipment to optimise their physical health.

Read the full article here.

FitBack and Cardinus Risk Management continue to collaborate on multiple projects for the benefit of our clients. Contact [email protected] or visit for more information.

Teacher Training Day with a difference

FitBack were delighted to take part in Harrogate`s St John Fisher school`s health and wellbeing day recently to help staff with Mental health and wellbeing. We were approached by the school to take part in this unique event to help staff manage their aches and pains which is often a side effect of years of teaching.

The school’s special projects manager, Dennis Richards, hailed it a pioneering initiative that he hopes will inspire other schools and education providers to explore more innovative ways of supporting teachers and staff through any of their day-to-day stresses and challenges.

In my experience having seen many teachers for physiotherapy over the years, they often find it difficult to find time to access physiotherapy. It`s not easy to pop out of school during the day to attend a physiotherapy appointment. I see the same pattern time and time again where teachers have waited to access physiotherapy during holiday times, having possibly suffered with problems for weeks or even months before looking for help. This can mean that potentially acute mild issues can progress to chronic conditions and can develop to have a bigger impact on their lives and even absence from work.

During this event we were able to provide advice to staff who had been suffering with problems for sometime. This consisted of an assessment to get an understanding of their issues followed by a demonstration of exercises and self management techniques to help their problems. Many of the staff at their assessment reiterated that they hadn’t accessed physiotherapy prior to this session due to limited time available and the inconvenience of attending appointments during school time.

For the full article please see


Zurich Insurance Company Ltd, Risk Engineers Health Forum

Thank you Andrea Steer and Zurich Insurance Company Ltd for asking FitBack to present at their Risk Engineering Health Forum @ The Belfrey yesterday. Emma Gill delivered 2 interactive presentations on the prevention of Musculoskeletal Disorders with great audience participation! keepmoving backpainprevention msds ifyoudontuseityouloseit zurichinsurancecompanylimited


Health & Wellbeing day @ RWE Ferrybridge

Director Jonathan Daniel attended RWE`s Ferrybridge site for a Health & Wellbeing day on 8th August. Employees at the site were able to access advice on musculoskeletal issues and have cholesterol and blood pressure measurements taken by the OH team.  The event was really well attended. Our ongoing physiotherapy clinic onsite at Ferrybridge is proving really popular amongst staff who are able to access timely physiotherapy support.





Tackling Presenteeism due to musculoskeletal disorders

Tackling Presenteeism due to Musculoskeletal Disorders

The costs to businesses of absenteeism are well documented and many employers take positive steps to reduce their sickness absence. Sickness absence percentage is commonly used to measure the success of health and wellbeing initiatives within organisations. Statistics from the Office for National Statistics (ONS), published in 2017, showed that the average number of working days lost to sickness or injury was at an all-time low of 4.3 days per worker per year. This would seem to represent great news for employers. However, although sickness absence is falling there is a rising trend in presenteeism. Presenteeism is classified as an employee attending work with a work-place health related issue which negatively affects their performance and productivity. This is undoubtedly more difficult to quantify, however, understanding the costs to an individuals’ health and to businesses is key to maintaining a healthy productive workforce. Recent research showed over half (52%) of UK workers were present in work with work-place health related issues, with musculoskeletal disorders (MSD`s) such as lower back pain, neck pain and headaches being among the most commonly reported issues. The effect of presenteeism is multifaceted with the employees’ health, work-place morale, health and safety and the monetary cost to a businesses’ bottom line all being affected.

Figures on the true time and monetary cost of presenteeism vary depending on the source and this is in part due to the difficulties in quantifying productivity. The combined cost of absenteeism and presenteeism to the UK economy is estimated to be £73 billion per year due to lost productivity, this equates to 27.5 days or £605 per employee per year. Some research suggests that these figures may be a conservative estimate with 57.5 days reduced productivity per employee per year being reported by one study of 2,000 US, UK and Australian workers. The same study suggested that the cost of presenteeism was 10 times higher than that of absenteeism, costing UK, US and Australian businesses an eye watering $1,500 billion per year. More conservative estimates based on UK only research suggests that presenteeism is closer to being 3 times costlier than absenteeism. The variation in the figures may be due to the different questionnaires used to rate productivity or may be due to differences in the populations sampled. Either way, the figures still represent a huge cost to employers and it’s vital that businesses take note and work hard to combat this growing trend.

The reason for the rise in presenteeism appears to be multidimensional with employee working habits, lack of (or perceived lack of) health and wellbeing initiatives for employees, increasing work volume and time pressures all contributing. The current research suggests that some of the main issues contributing to presenteeism from an employee’s point of view are poor working postures, employees remaining sedentary for too long in the workplace, not taking scheduled breaks and not following correct manual handling/health and safety policies. While there are clearly issues for which employees must take responsibility, employers also have a key role to play. A recent survey of UK workers showed that 44% of those surveyed felt that their employer wasn’t doing enough to support their general wellbeing.

There are a number of strategies that both employers and employees can implement to make significant improvements in the wellbeing of the workplace.

Steps for Employers

  • Promote a positive working environment by training managers to listen to their employees and understand their needs as well as that of the business.
  • Encourage managers to delegate, to support their staff and to set achievable targets and deadlines
  • Promote good working relationships through strong channels of communications between employers and employees.
  • Ensure staff have regular appraisals, consider flexi-working if possible, offer mentoring schemes and have robust policies in place to support employees who may be struggling in work or returning to work after a period of absence.
  • Offer specialist support such as occupational health physiotherapy, occupational health or ergonomics to help support employees who are having difficulties in work or who are returning to work from a period of absence. Onsite or remote physiotherapy support can provide staff with advice and treatment for MSD`s and can also provide employers with practical advice on return to work or return to full duties plans.
  • Promote healthy life styles amongst employees such as running health and wellbeing days where advice and educational sessions can be provided for employees on topics such as MSD injury prevention, posture, healthy eating and smoking cessation.
  • Promote an office culture which helps to ensure that staff are taking appropriate regular breaks and avoiding eating lunch at their desks.

Steps for Employees

  • Adopt a healthy life style including healthy eating, better sleeping, smoking cessation, reducing alcohol consumption and exercising regularly.
  • Take allocated breaks.
  • Talk to managers/employers about health and wellbeing concerns and see what help is available.
  • Highlight problems early to managers so that help can be provided.
  • Follow local health and safety policies, use appropriate equipment provided for the task, follow advice of manual handling technique and working postures.

The Role of Physiotherapy

Occupational health physiotherapists are ideally placed to help businesses tackle the issues of presenteeism as well as absenteeism. We often find that when we start to work with clients, the majority of the case load are chronic conditions. Employees may not have received physiotherapy support in the past, and if they have this has often been through traditional routes such as the NHS. Usually within a few months of running a service, we see the number of employees with chronic conditions significantly reduce and we can then focus more on assessment and treatment of employees with acute conditions and also help to support the company with preventative strategies.

Research shows that when an individual receives early intervention for acute conditions they recover more quickly, which helps to keep employees safely in work or helps to safely expedite their return to work. The key to reducing presenteeism is to be as proactive as possible, highlighting issues or problems before they start and then putting strategies in place to prevent them.

Looking at the number of employees who are on amended duties is a good measure of presenteeism as it shows colleagues who are in work but who may not be working at full capacity. Of course, some employees may be on long term amended duties due to chronic conditions/disabilities which may not be fully resolved by physiotherapy treatment. However, some employees on long term amended duties may be “lost in the system” where the employee either hasn’t informed their employer that they are fit to return to full duties, the employee hasn’t received any treatment for their condition as they don’t have provision for this through work, or the employee and employer haven’t received specialist information and guidance on when and how to safely return to full duties.

Case study

FitBack work closely with businesses from many different sectors from logistics and manufacturing to office-based environments to help their businesses reduce both absenteeism and presenteeism.

Recently, FitBack conducted a 2-month project to help reduce the number of employees who were on long term amended duties at a manufacturing site with 1000 employees. At the start of the project 46 employees had been on amended duties for over 12 months, with some as long as 6 years. Historically the employer had relied on traditional care pathways using NHS physiotherapy for treatment of its employees. Unfortunately, working status is rarely an outcome measure used in the

NHS and as a result many of the employees had returned to work on amended duties. Furthermore, the employer was unclear if or when they could return to full duties.

During the project the employees had an initial physiotherapy assessment and then follow up treatment sessions if indicated, to improve their MSD. At the end of the 2-month project, 39 employees had been returned to full duties, representing an 85% reduction in the number of employees on amended duties.

Those referred into the project fell mainly into 2 categories. Those with genuine MSD`s (that required one or two sessions of physiotherapy) and those that had remained on amended duties although their MSD had resolved.

The physiotherapy sessions included a strong emphasis on education specifically around returning to full duties. The genuine cases who were able to return to full duties were reassured that their conditions were unlikely to return or flare up if the correct measures were taken and if they followed our advice. Through this education, the genuine cases were facilitated back to full duties. Those who`s MSD`s had resolved were also returned back to full duties (after a little convincing)! 7 employees remained on amended duties due to more chronic conditions.

We are now working with the site to introduce robust preventative strategies to help reduced future MSD problems and maintain colleagues safely in work, on full duties where appropriate.

Given the growing trend in presenteeism and the current economic climate it is vital that employers consider the wide-reaching implications of the wellbeing of their employees and work hard to implement long term sustainable health and wellbeing programmes that help to create a healthier, happier and ultimately a more productive work force. The cost of presenteeism is simply too high for businesses to ignore.

If you would like to learn more about FitBack`s services and how they could help your organisation tackle presenteeism we`d love to hear from you ([email protected])



Aviva Group Protection Wellbeing Day

FitBack were pleased to again be asked to present at the Aviva Group Protection Wellbeing Day on October 4th. Jonathan Daniel (company Director) lead an inspiring session on the benefits of Functional exercise. As can be seen from the pictures there was lots of enthusiastic audience participation!

Employee Benefits Live Show

FitBack were excited to have their first stand at the Employee Benefits show in London Olympia on October 10th and 11th. The FitBack management team attended and had a great 2 days talking to organisations about how we could support their employees and reduce their costs.

Health & Wellbeing @ Work Conference March 2017

The Health & Wellbeing @ Work conference at the NEC was a great success again this year. Our bigger and better exhibition space was well received.  Lots of interest was generated around our new PhysioCam TeleVid clinical assessment service and we can`t wait to get started with our new clients following on from the conference.

Aviva Group Protection Wellbeing Day

Beating the Hazards of the sedentary office!

Thanks Aviva Group Protection for inviting us to speak at your Wellbeing day for leading HR consultants in London on 5th October 2016.

The take home message is that sedentary office workers need to move throughout the day to avoid the health hazards of sitting all day. Its not just about back pain and neck pain, research now shows there are so many other health risks such as cardiovascular disease and cancer liked to sedentary working. Keep moving folks!!

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