1. (c) Ann Cartwright, October 2008 Professional Management of Presenteeism Ann Cartwright Attendance Management Summit 6 th November 2008

2. (c) Ann Cartwright, October 2008 What Session will Cover Definitions of Presenteeism Cost of Presenteeism to Business Examples of Presenteeism Managing and monitoring Presenteeism

3. (c) Ann Cartwright, October 2008 Cost of Presenteeism to Business In a 1999 study sponsored by the Employers Health Coalition in USA, researchers calculated that the cost of lost productivity are 7.5 times greater than the costs due to absenteeism. For example, presenteeism due to chronic conditions such as migraine, allergies and back pain can add up to 15.20, and 30 times the cost of absenteeism.

4. (c) Ann Cartwright, October 2008 Definitions of Presenteeism “The problem of workers being on the job but, because of medical conditions, not fully working.” “Lost productivity that occurs when employees come to work but perform below par due to any kind of illness.” Levin-Epstein, 2005 “The issue of employees who are physically present but not fully engaged.” Luuan Heinen, 2007 “Where people feel obliged to work longer hours than are necessary simply to impress management.” As defined by CIPD “Being at work ‘in body’ but not ‘in mind’.” Ann Cartwright, 2008

5. (c) Ann Cartwright, October 2008 Long Hours Culture and Presenteeism A recent survey of 750 UK staff carried out by PruHealth found that 44% believed that long-hours culture and presenteeism has become a common feature of working life in UK. 1 in 7 workers claimed they were expected to work long hours and go to work when they were ill. 31% of employees thought that a long hours culture added to their levels of stress. 25% said it had a negative impact on their health and well-being.

6. (c) Ann Cartwright, October 2008 Some health related examples of Presenteeism Medical Conditions Allergies/sinus problems Low back pain Depression Arthritis Migraine Health Risk Factors Physical Inactivity Poor diet High Stress Trouble Sleeping

7. (c) Ann Cartwright, October 2008 Some non-health related examples of Presenteeism The ‘break-taker’ – the person who take frequent breaks for coffee/tea/cigarette/toilet The ‘chatterbox’ – The person who spend all their time at work chatting and gossiping with co-workers face-to-face and/or on the phone The ‘web surfer’ – The person who sits at their desk surfing the net The ‘jacket-leaver’ – The person who leave a jacket on the back of their chair to make everyone think they are in the building and at work.

8. (c) Ann Cartwright, October 2008 Other examples of staff down time Winding down for the holidays – Christmas, Bank Holidays, Personal Holidays Early starters – late workers – Arriving early but not starting work immediately

9. (c) Ann Cartwright, October 2008 AMEND © Model – a tool for managing and monitoring presenteeism Agreeing the performance requirements Monitoring the performance requirements Establishing the performance gap Narrowing the performance gap Defining the new performance requirements (c) Ann Cartwright, Brooke McNee Limited