1. Challenges in Occupational Health 2012 Nerys Williams Trent Occupational Medicine Annual Symposium Nottingham 18 October 2012

2. Challenges The work The workforce The environment

3. Employment Rate versus Age

4. Trends in Employment for Older Workers Office of National Statistics 13 December 2006 record number of men and women working beyond state retirement age. Almost 1 in 10 men >65 yrs and 1 in 9 women > 60 years. In total 1.137 m people are working beyond traditional retirement ages…… Highest levels for 22 years since comparable records began in 1984 Excerpt from The Telegraph

5. Working Beyond State Retirement Age Data from the Labour Force Survey Jan-Mar 2010 UK SPA+ Employment Q1 2010 Employed Employment rate England 1,215,428 12.5% Scotland 108,992 10.7% Wales 77,033 12.2% Northern Ireland 29,468 10.1% Total UK SPA+ Employment 1,430,921 12.3%

6. Employment Rates of Older Workers 2011 ONS 2011

7. Rising prevalence of health conditions Estimated casesof coronaryheart diseaseand diabetes

8. Proportionally less of working age Old age support ratio shows number of working-age per person of pension age. [Source – Office for National Statistics]

9. Delivering a service Demographics of OH physicians New entrants Early leavers (revalidation)

10. The environment Potential challenges/opportunities: Changes in employment law (??) Health and Social Care Act – clinical commissioning (??) EU law on healthcare provision (??)