“She’s a tough cookie.” “He’s such a trooper.” These phrases may sound like compliments, but they can often mask a more serious issue: presenteeism. While dedication to work is admirable, showing up to work when unwell can harm both the individual and the organisation. 

What is presenteeism?    

Presenteeism is the act of attending work despite being unwell or otherwise unable to perform effectively. This could stem from physical illness, injury, exhaustion, or mental health struggles. Instead of recovering at home, employees push themselves to show up – but at what cost? 

The effect of presenteeism on your business  

At first glance, presenteeism might appear beneficial because it keeps absenteeism rates low. However, the reality is far more damaging: 

• Reduced productivity: Employees who are unwell often underperform, leading to inefficiencies and errors. 
• Increased costs: Reduced productivity caused by presenteeism costs UK businesses an estimated £25 billion annually, according to the Institute for Public Policy Research (IPPR) 
• Negative morale: When presenteeism becomes the norm, it sets unrealistic expectations and pressures others to follow suit, even if they’re unwell. 
• Health risks: Contagious illnesses brought into the workplace can quickly spread, causing larger disruptions. 

Causes of presenteeism   

To effectively tackle presenteeism, it's important to understand why employees feel the need to work while unwell. Common causes include: 

• Unrealistic deadlines or expectations 
• Job insecurity or fear of being seen as unreliable 
• Lack of paid sick leave 
• Heavy workloads due to understaffing 
• Workplace culture that discourages taking time off 
• Harassment or discrimination for using sick leave  

Spotting the signs of presenteeism   

Identifying presenteeism early can help you address the root causes and support your employees. Signs to look out for include: 

• Visible illness: Employees coming into work despite being clearly unwell. 
• Minimal sick days: A low absence rate in your team could indicate presenteeism. 
• Low morale: Decreased engagement or enthusiasm among staff. 
• Increased errors: Mistakes may signal reduced focus or performance due to illness. 
• Working longer hours: Ill employees may struggle to complete tasks within normal hours, staying late to compensate. 

How to prevent presenteeism in the workplace   

Once you've spotted the signs of presenteeism, taking action is essential. Here are some effective strategies: 

1. Set Clear Expectations: 
   Communicate that sick employees are expected to stay home and recover fully before returning to work. 
2. Offer Flexibility: 
   Implement a flexible absence policy and consider staggered returns for employees recovering from illness. 
3. Support Managers: 
   Train line managers to manage workloads effectively and ensure no one feels overwhelmed or overburdened. 
4. Raise Awareness: 
   Conduct workplace training to educate staff on the dangers of presenteeism and the importance of self-care. 
5. Encourage Openness: 
   Create a culture where employees feel comfortable discussing both physical and mental health challenges. 
6. Invest in Wellbeing Programmes: 
   Introduce health and wellbeing initiatives that promote preventive care and healthy habits. 

Key takeaways   

Presenteeism is a growing issue in workplaces across the UK. As of 2023, it’s now considered more prevalent – and often more damaging – than absenteeism. By addressing the underlying causes and fostering a supportive workplace culture, businesses can: 

• Boost productivity and morale 

• Reduce errors and workplace disruptions 

• Improve profitability 

Doctor Care Anywhere can help   

If you notice signs of presenteeism in your team, our healthcare service can provide the support they need. Our GPs and Advanced Clinical Practitioners (ACPs) are available 24/7 to offer expert advice on a range of physical and mental health concerns. 

Additionally, our My Health app provides personalised tips and resources to help your employees take control of their health and return to work feeling their best. 

Together, we can ensure your team is present, healthy, and productive.