Employers Join Forces With Government To Tackle Ill-Health And Keep Britain Working
More than 60 major and many small employers are joining forces with the government to tackle the rising tide of ill-health that is pushing people out of work and holding back growth.
The joint effort, developed in response to Sir Charlie Mayfield’s Keep Britain Working Review, will drive action to prevent ill-health, support people to stay in work, and help employers build healthier, more resilient workplaces.
Published today, the landmark Review sets out the stark reality facing the UK:
- One in five working-age adults are now out of the labour force – 800,000 more than in 2019 due to health reasons
- The cost of ill-health that prevents work equals 7% of GDP – nearly 70% of all income-tax receipts
- UK employment among disabled people stands at 53%, below leading OECD nations
- Employers lose 85 billion a year from sickness, turnover, and lost productivity
- In response, the government will partner with employers to reshape how health issues and disabilities are managed in the workplace with the launch of employer-led Vanguards.
The Vanguards – including household names such as British Airways, Google, Sainsbury’s, Holland and Barrett alongside Mayoral Combined Authorities and SMEs – are early adopters who will develop and refine workplace health approaches over the next three years to build the evidence base for what works.
They’re committing to embracing the report’s healthy working lifecycle – which aims to reduce sickness absence, improve return-to-work rates, and increase disability employment rates – which the government will work towards developing into a voluntary certified standard by 2029.
It builds on the work the government is doing to give businesses the skilled workforce they need by investing 1 billion annually in disability employment support by the end of the decade – giving people the skills and opportunities to move out of poverty and into good, secure jobs as part of the Plan for Change.
Sir Charlie Mayfield, author of the Keep Britain Working Review, said:
“Britain is sliding into an avoidable crisis. Ill-health has become one of the biggest brakes on growth and opportunity. But this is not inevitable.
“Employers are uniquely placed to make a difference, preventing health issues where possible, supporting people when they arise, and helping them return to work. If we keep Britain working, everyone wins – people, employers, and the state.
“That’s why the action the government is taking forward from my Review is so important. I’m looking forward to working with them and with employers, large and small, to keep people in work, unlock potential and build a healthier, more prosperous Britain.”
To help drive this work forward Sir Charlie Mayfield will co-lead a Vanguard Taskforce with Ministers, bringing together employers, disabled people, workers’ representatives, and health experts.
The Taskforce will work with Vanguards to develop the interventions and build the evidence for what works. This will inform wider reform by identifying what approaches could become part of the future employment landscape and drive adoption.
Matthew Taylor, chief executive of the NHS Confederation, said:
“We welcome this groundbreaking review into the number of people out of work due to health reasons and the significant cost of ill-health to the UK economy. As the report sets out, better workplace health support is beneficial for individuals, the NHS and the wider economy. By working together across sectors, we can stem the flow into economic inactivity and unlock the potential of a healthier, more prosperous population.
“The recommendations offer a clear path toward fulfilling the government’s Ten-Year Health Plan commitment to set outcome targets for reducing economic inactivity across every Integrated Care Board. Health leaders know that employers have a vital role to play in delivering the shift from treatment to prevention – by creating healthier workplaces and supporting staff to stay well and in work.
“The review also builds on excellent work already happening across the system. Health leaders are working closely with employers and other key partners to develop a comprehensive, whole-system approach to help people return to, and remain in, work. Initiatives such as the Health and Growth Accelerators and WorkWell are demonstrating the power of collaboration as they integrate health support with employment services.”

