UNIVERSITY OF NEWCASTLE ON-SITE OCCUPATIONAL PHYSIOTHERAPY SERVICES Cost Benefit Analysis on a sample of University of Newcastle employees Cases: 16 out of 40 employees (40%) of University of Newcastle referral for On Site Occupational Physiotherapy Period: 01/04/07 - 30/09/07 Regional Office (North East): Connect Physical Health Centres Ltd 36 Apex Business Village Annitsford Northumberland NE23 7BF www.connectphc.co.uk Connect Physical Health Centres - working towards accreditation in 2007 H:\occ health current work\INTRANET INFO (Created27 11 07)TA.doc ANALYSIS I ONSITE OCCUPATIONAL PHYSIOTHERAPY SERVICE REVIEW 01/04/07 - 30/09/07 (INCLUSIVE) SAMPLE CASE HISTORIES WHERE - ABSENCE HAS BEEN REDUCED In this analysis there are 7 employees who would have had an extended period of absence, had they not been referred to the ‘On Site’ Occupational Physiotherapy Service. CASE I Female employee (Castle Leazes Halls) Work gradual injury. Off sick 16 weeks at time of physio assessment. Received treatment and returned to work 7 weeks later on restricted duties for 4 weeks then on full duties. Without physio intervention would have been off work a further 8 weeks. If seen immediately by physio, could have saved a further 12 weeks absence. Therefore 8 weeks absence saved (with a potential for a further 12 weeks saved if employee had been referred immediately) CASE II Female employee (Careers Service) Injury at home. Off sick 1 week at time of physio assessment. Received treatment and returned to work 4 weeks later on reduced hours for 2 weeks then on full duties. Without physio intervention would have been off work a further 6 weeks. Individual was seen immediately by physio, therefore no further absence could have been saved. Therefore 6 weeks absence saved. CASE III Female employee (SDU – Learning Resource Centre) Unsure of nature of injury. Off sick 1 week at time of physio assessment and had just returned to work on full duties. However, symptoms were deteriorating. Without physio intervention would have been off work a further 4 weeks. If seen immediately by physio, could have saved a further 1 weeks absence. Therefore 4 weeks absence saved (with a potential for a further 1 weeks saved if employee had been referred immediately) H:\occ health current work\INTRANET INFO (Created27 11 07)TA.doc CASE IV Female employee (Henderson Halls) Injury at home. Off sick 6 weeks and had just returned to work at time of physio assessment. If seen immediately by physio, could have saved a further 4 weeks absence. Therefore 0 weeks absence saved (with a potential for a further 4 weeks saved if employee had been referred immediately) CASE V Female employee (Medical School) Works accident (reported). Off sick 1 day at time of physio assessment and had just returned to work . However, symptoms were deteriorating. Without physio intervention would have been off work a further 3 weeks. If seen immediately by physio, could have saved a further 1 day absence. Therefore 3 weeks absence saved (with a potential for a further 1 day saved if employee had been referred immediately) CASE VI Female employee (CBC) Sports injury. Off sick 6 weeks at time of physio assessment. Received treatment and returned to work 3 weeks later on restricted duties for 2 weeks then on full duties. Without physio intervention would have been off work a further 6 weeks. If seen immediately by physio, could have saved a further 2 weeks absence. Therefore 6 weeks absence saved (with a potential for a further 2 weeks saved if employee had been referred immediately) CASE VII Female employee (ESS) Unsure of nature of injury. Off sick 1 day and had just returned to work at time of physio assessment. However, symptoms were deteriorating. Without physio intervention would have been off work a further 6 weeks. If seen immediately by physio, could have saved the 1 days absence. Therefore 6 weeks absence saved (with a potential for a further 1 day saved if employee had been referred immediately) H:\occ health current work\INTRANET INFO (Created27 11 07)TA.doc Table for calculating cost of time lost to The Business 1 minute 40p 35p 30p 25p 20p 15p 10p 7p 5p 4p Annual Salary £40,000 £35,000 £30,000 £25,000 £20,000 £15,000 £10,000 £7,000 £5,000 £4,000 5 minutes £2.00 £1.75 £1.50 £1.25 £1.00 75p 50p 35p 25p 20p Time Lost 10 30 minutes minutes £4.00 £12.00 £3.50 £10.50 £3.00 £9.00 £2.50 £7.50 £2.00 £6.00 £1.50 £4.50 £1.00 £3.00 70p £2.20 50p £1.50 40p £1.20 1 hour 1 day 1 week £24.00 £21.00 £18.00 £15.00 £12.00 £9.00 £6.00 £4.40 £3.00 £2.40 £168.00 £147.00 £126.00 £105.00 £84.00 £63.00 £42.00 £30.80 £21.00 £16.80 £840.00 £735.00 £630.00 £525.00 £420.00 £315.00 £210.00 £154.00 £105.00 £84.00 (Auditory and measuring the cost of Absence – Occupational Health Magazine – Nov 1997) COST BENEFIT ANALYSIS OF SAMPLE PHYSIO CASES (6 month period: 01/04/07 – 30/09/07 (inclusive)) SAMPLE CASES OF ABSENCE REDUCED IF SEEN FROM WEEK 1 OF ABSENCE TOTAL LENGTH OF ABSENCE LIKELY ADDITIONAL ABSENCE IF HAD NOT BEEN SEEN BY PHYSIO COST SAVING (due to on site physio) £ 9,240.00 23 weeks 8 weeks 4,620 1 week 577.50 5 weeks 6 weeks 3,465 CASE III 1 week 577.50 1 week 4 weeks 2,310 CASE IV 6 weeks 3,465.00 6 weeks - - CASE V 1 day 1 day 3 weeks 1,732.50 CASE VI 6 weeks 9 weeks 6 weeks 3,465 CASE VII 1 day 115.50 1 day 6 weeks 3,465 12 weeks less absence 0 weeks less absence 1 weeks less absence 4 weeks less absence 1 days less absence 2 weeks less absence 1 days less absence TOTAL 30 weeks 2 days £17,556 44 weeks 2 days 33 weeks £19,057.50 19 weeks 2 days CASE ABSENCE AT TIME OF ASSESSMENT BY PHYSIO CASE I 16 weeks CASE II COST OF ABSENCE (Up to the time of assessment) £ 115.50 3,465.00 Based on average FT salary of 27,500 k per annum (ie. £115.50 per day / £577.50 per week) H:\occ health current work\INTRANET INFO (Created27 11 07)TA.doc EXTRA SAVING (if seen from week 1 of absence) £ 6,930 577.50 2,310 115.50 1155 115.50 £11,203.50 ANALYSIS II ONSITE OCCUPATIONAL PHYSIOTHERAPY SERVICE REVIEW 01/04/07 – 30/09/07 (INCLUSIVE) SAMPLE CASE HISTORIES WHERE – ABSENCE PREVENTED In this analysis there are 9 employees who the physiotherapist is confident would have gone on the sick had they not been seen by the physiotherapist whilst at work with a problem. CASE I Female employee (HR) Unsure of nature of injury. Saw physio whilst at work. Completed a course of treatment. (7 treatments) If not seen physio when she did, the problem was worsening and could have had up to 2 weeks absence. Therefore 2 weeks absence prevented. CASE II Female employee (CEGS) Unsure of nature of injury. Saw physio whilst at work. Completed a course of treatment. (1 treatment) If not seen physio when she did, the problem was worsening and could have had up to 4 weeks absence. Therefore 4 weeks absence prevented. CASE III Female employee (Executive Office) Unsure of nature of injury. Saw physio whilst at work. Completed a course of treatment. (7 treatments) If not seen physio when she did, the problem was worsening and could have had up to 3 weeks absence. Therefore 3 weeks absence prevented. H:\occ health current work\INTRANET INFO (Created27 11 07)TA.doc CASE IV Female employee (School of Biology) Unsure of nature of injury. Saw physio whilst at work. Completed a course of treatment. (7 treatments) If not seen physio when she did, the problem was worsening and could have had up to 4 weeks absence. Therefore 4 weeks absence prevented. CASE V Female employee (Business School) Work gradual injury. Saw physio whilst at work. Completed an assessment and workstation assessment. If not seen physio when she did, it is likely that the problem would have worsened and could have had up to 2 weeks absence. Therefore 2 weeks absence prevented. CASE VI Male employee (Business School) Unsure of nature of injury. Saw physio whilst at work. Completed an assessment and workstation assessment.. If not seen physio when he did, it is likely that the problem would have worsened and could have had up to 2 weeks absence. Therefore 2 weeks absence prevented. CASE VII Male employee (Civil Engineer) Unsure of nature of injury. Saw physio whilst at work. Completed a course of treatment. (3 treatments & workstation assessment) If not seen physio when he did, the problem was worsening could have had up to 2 weeks absence. Therefore 2 weeks absence prevented. CASE VIII Female employee (Finance) Work gradual injury. Saw physio whilst at work. Completed a course of treatment. (8 treatments & workstation assessment) If not seen physio when she did, the problem was worsening and could have had up to 3 weeks absence. Therefore 3 weeks absence prevented. H:\occ health current work\INTRANET INFO (Created27 11 07)TA.doc CASE IX Male employee (Finance) Unsure of nature of injury. Saw physio whilst at work. Completed a course of treatment. (7 treatments) If not seen physio when he did, it is likely that the problem would have worsened and could have had up to 2 weeks absence. Therefore 2 weeks absence prevented. H:\occ health current work\INTRANET INFO (Created27 11 07)TA.doc COST BENEFIT ANALYSIS OF SAMPLE PHYSIO CASES (6 month period: 01/04/07 – 30/09/07 (INCLUSIVE)) SAMPLE CASES OF ABSENCE PREVENTED Sample cases of 9 employees seen by the on-site physiotherapist where it was felt that ‘early reporting’ and immediate Assessment/Treatment resulted in absence being prevented. Likely length of absence without immediate access to ‘on-site’ physiotherapy Case Case Case Case Case Case Case Case Case I: II: III: IV: V: VI: VII: VIII: IX: TOTAL = 2 4 3 4 2 2 2 3 2 Cost saving @ £577.50 per week £ weeks weeks weeks weeks weeks weeks weeks weeks weeks 24 weeks 1,155 2,310 1,732.50 2,310 1,155 1,155 1,155 1,732.50 1,155 TOTAL = £13,860.00 Based on average FT salary of 27,500 k p.a. H:\occ health current work\INTRANET INFO (Created27 11 07)TA.doc COST BENEFIT ANALYSIS OF SAMPLE PHYSIO CASES (6 month period: 01/04/07 – 30/09/07 (INCLUSIVE)) Number of employees commencing physiotherapy = 40 Cost benefit analysis based on 16 employees SUMMARY Total cost of service (01/04/07 – 30/09/07): £4,475 (for 40 employees) Savings made through reduced absence: £19,057.50 (for 7 employees) Savings made through absence prevention: £13,860 (for 9 employees) Therefore by having On Site Occupational Physiotherapy Services at University of Newcastle the total savings made through absence reduction/prevention for 16 employees = £32,917.50 Had the service been utilised more efficiently, through immediate referral to the On Site Physiotherapy Service, a further £11,203.50 could have been saved. Please note: This Analysis does not take into consideration the hidden ‘non tangible’ benefits of the service for those in the sample, or the additional benefits for those employees who commenced physiotherapy and were not included in the sample. H:\occ health current work\INTRANET INFO (Created27 11 07)TA.doc
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