CIPD Voice: Issue 25
The COVID-19 crisis has led to rapidly changing working patterns including new forms of remote working, flexible working, social distancing at work and shift working. Many workers combine work and caring responsibilities even more than before. Some employees have been furloughed for periods of time. Some have more uncertainty about their job prospects.
In this article, we reflect on the issue of presenteeism in the workplace. Presenteeism occurs when people work when in suboptimal health. Both presenteeism and absenteeism are key influences on workplace productivity, but presenteeism is by far the most significant of the two with studies (including one by Deloitte) suggesting the economic cost of presenteeism is much more than that of absenteeism. While there has been little movement in sickness absence during the COVID-19 crisis, less is known about presenteeism. But it’s vital that employers identify and deal with presenteeism, for the health of their people as well as that of the organisation.
What causes presenteeism?
Research by RAND Europe suggests that presenteeism is mainly driven by stress, suboptimal mental health, lack of sleep and poor financial wellbeing. These conditions explained over 50% of presenteeism cases before the pandemic. Workplace surveys conducted by RAND Europe as part of Britain’s Healthiest Workplace competition suggest that 50% of workers have one stress-related condition, 50% have financial concerns with up to 20% having serious financial concerns – which all contributed to presenteeism levels. Overall, the surveys found that, in 2019, over 30 productive days were lost per worker per year due to presenteeism.
Presenteeism in a pandemic
Understanding the extent of presenteeism in the current crisis requires understanding how the key drivers of presenteeism have intensified during the pandemic. In terms of poor mental health as a key driver, for example, recent surveys of more than 3,500 adults carried out by the Office for National Statistics conclude that one in five have experienced depression since COVID-19 took hold, compared with one in ten previously. One in eight adults developed moderate to severe depressive symptoms during the pandemic, with 6.2% continuing to experience them.
Research by the CIPD confirms this trend; for example, its Good Work Index shows 43% of employees say their general mental health has worsened since the outbreak, rising to 52% for those with an existing mental health issue. Moreover, 39% said their financial security has decreased since the start of the crisis. Around 30% say that their ability to work has been impacted by caring responsibilities. A survey of 2,700 adults by the Sleep Council and partners finds that over 40% of the respondents perceive it harder to fall asleep.
These findings show how key underlying causes of presenteeism such as worsening mental health, financial wellbeing and sleep are likely to be even bigger drivers for this unhealthy trend since COVID-19. They are accompanied by other multiple factors that could encourage people to feel the need to be present for work when ill. These include fears over job security, social isolation, and ‘digital presenteeism’, with more people now working from home and many finding it even harder to switch off and define clear boundaries between work and home lives.
Christian van Stolk, Executive Vice President at RAND Europe.
Christian has worked extensively on health and wellbeing in the workplace. His work has focused on improving the health and wellbeing of staff in the National Health Service in the UK, maintaining and gaining employment for those with common mental health conditions, building an evidence base for health interventions in workplace settings, and looking at the relationship between productivity and health and wellbeing outcomes. He sits on several expert panels for the UK government including those on occupational health, mental health and employee health and wellbeing in the NHS.
Michael Whitmore, Research Leader at RAND Europe
Michael is the Research Leader in Workplace Health and Well-Being at RAND Europe.