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      6 Wellbeing Trends that will Shape Work in 2023 and Beyond

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      Nuffield Health’s 2022 Healthier Nation Index study revealed one in three adults claims their mental health has got worse in the last year. The same statistic is also true of physical health, with a third of UK adults reporting a decline over the last 12 months.
      Employers have a responsibility to help individuals manage their wellbeing. However, it’s clear targeted support isn’t commonly available to modern workers increasingly adopting flexible working approaches.
      With this in mind, Nuffield Health suggests six workplace wellbeing trends we can expect to see as employers look to create relevant and effective wellbeing offerings…
      Managing MSK
      The recent rise in remote working has delivered many benefits for employees, including a greater work-life balance and a reduction in stressful commutes.
      But it isn’t without its challenges – namely overworking and the physical impact of unergonomic home offices – with 72,000 individuals recently reporting a musculoskeletal (MSK) disorder directly caused or exacerbated by the pandemic.
      Despite employers’ responsibilities to provide comfortable home working set-ups, many aren’t meeting their obligations. However, they are becoming increasingly difficult to ignore.
      While financial support should continue to be made available to employees for furniture and equipment – and employers should signpost to how to access these funds – we are now entering the age of the corporate physiotherapist.
      Businesses can invite musculoskeletal health experts to review the current office environment as well as offer general advice on posture, exercise, and nutrition to avoid injury at home.
      Employers may also choose to contribute financial support for private sessions, too, to avoid the greater financial burden of the £3.5 billion paid by employers each year to deal with workplace injuries. Plus, research suggests businesses can achieve an ROI of nearly £100 per £1 spent on physiotherapy for musculoskeletal health.
      The new work-life balance
      Our idea of ‘work-life balance’ traditionally involves unwinding from work stress at home after leaving the office. But what happens when home life itself becomes increasingly stressful?
      Research suggests the current cost of living crisis has been linked to a direct increase in stress. And with financial stresses showing no signs of letting up, employers have a responsibility to help individuals avoid burnout.
      This may include inviting a financial specialist to host a webinar for all employees on managing money, as well as offering relevant workplace benefits – such as grocery vouchers – that directly address some key drivers of financial anxiety.
      Self-help support
      Despite efforts to challenge the stigma around ill health, Nuffield Health research suggests a third of employees still wouldn’t feel comfortable disclosing a mental or physical health issue to their employer.
      So, businesses have a responsibility to offer tailored support to those who may feel uncomfortable asking for it.
      This may include making remote support offerings and self-help platforms available to those who would prefer to work through advice and specialist help at their own pace, away from the office.
      For example, telephone CBT services and online self-help management programs – such as the Silvercloud platform – allow employees to access remote support and guidance on understanding symptoms of distress and learning relevant coping mechanisms.
      A focus on prevention
      There is no one-size-fits-all intervention for the unique physical and mental challenges facing employees. However, businesses can embrace technology to access instead of data-led, personalized interventions that make a difference for the individual.
      Digital platforms featuring AI technology can analyze behavioral data provided by the workforce to predict future challenges, allowing businesses to action interventions before symptoms become unmanageable.
      For example, Nuffield Health’s PATH tool gathers data from both a comprehensive physical health exam, alongside behavioral data from questionnaires to understand employees’ unique risk factors and suggests relevant interventions.
      Employers able to take a proactive approach to employee health not only nurture a healthy and engaged workforce but avoid the impact of presenteeism, which can cost businesses up to £4,000 per employee per year in lost productivity.
      Employee power
      Recent workplace trends, including ‘the great resignation’ and ‘quiet quitting’ suggest power is shifting away from the employer, with employees no longer willing to go above and beyond for their employers.
      So, businesses – especially those guilty of encouraging unhealthy workplace cultures in which employees are expected to be ‘always on’ – must rethink their relationships with employees to retain their brightest talent.
      Managers have a responsibility to lead by example when it comes to widescale cultural change. This means clearly outlining employee expectations, like working hours and contactable obligations, as well as being seen to leave the office on time each day.
      Similarly, employers should welcome and seek regular feedback to understand better the challenges facing staff and how the business can tailor its support. This can be done through regular one-to-ones with individuals as well as anonymous feedback surveys for those who may not feel comfortable communicating in person.
      Family focus
      A shift towards flexible and remote working has somewhat blurred the lines between work and home life, with mixed results. Some of the negative consequences include employees working longer hours to compensate for not commuting, while others have enjoyed the benefits of spending more time at home with family.
      These lifestyle changes must now be a key consideration for businesses. As employees continue to mold their work lives around personal habits – often familial responsibilities such as childcare – these challenges must be reflected in the support offered by businesses.
      The workplace must remain flexible in terms of shift patterns and remote opportunities to meet the needs of those with busy family lives. However, we will also start to see businesses extending benefits to the family, for example, private healthcare and medical benefits for partners and children and familial mental health support.
      This may include parental mental health advice hubs or CBT platforms that provide advice and resources for parents on managing children’s emotional wellbeing.
      By Marc Holl, Head of Primary Care at Nuffield Health.
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      How Can Managers Beat ‘Productivity Paranoia’?

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      New research shows many managers still have issues trusting employees who work remotely, with this disconnect being coined as ‘productivity paranoia’. It’s the concept that even if employees are working effectively, managers won’t believe it if they are out of sight.
      This is worrying because trust is one of the most important components of every work environment. Without it, staff may feel uncomfortable communicating their thoughts and ideas and struggle to support each other.
      Negative work environments can exacerbate behaviors like overworking and presenteeism and it’s well-reported these, in turn, can lead to heightened stress states, which impact physical and mental well-being.
      Embrace change and eliminate ‘micro-management’
      For productivity paranoia to end, managers need to recognize their experiences as leaders, are not the same as their teams. Employees want their managers to be empathetic, and supportive and show an interest in their work, without feeling like they are trying to interfere.
      While checking in with staff was common at the start of the lockdown, it seems to have become less of a business priority, with managers feeling depleted and emotionally drained from it. However, check-ins are vital in a remote working world, especially because many employees view their managers as the most important link they have with their company.
      There is a difference between checking in and micromanaging though. Good managers are enablers, not enforcers.  Regular meetings shouldn’t focus solely on results or exhaustive checklists. This is what undermines trust and makes employees feel patronized and disempowered.
      Discussing goals, praising accomplishments, and analyzing any gaps in work schedules are more effective measurements. Open conversations about these will ensure teams feel supported but also accountable for their work.
      Enhance communications and outline expectations
      Effective remote work requires a suite of communication and collaboration tools to empower hybrid teams too. Selecting the right tools that work for everyone is essential to enable effective communication between colleagues and teams.
      Finally, business leaders looking to support their team in a remote or hybrid working world must understand the stresses posed and help to alleviate them.
      For example, if employees feel they are not trusted, remote working can lead to issues like ‘working from home guilt’, when employees increase their working hours to compensate for the benefit of home working.
      It is important for businesses to outline remote working expectations clearly to ease these worries. Let individuals know they aren’t expected to work longer hours just because they’re not commuting.
      Support emotional well-being
      According to Nuffield Health research, 1 in 3 said their mental well-being got worse over the past 12 months. Even more concerningly, two-thirds of respondents (66 percent) said they would not feel comfortable raising a mental or emotional well-being issue with their employer, which shows there is still a significant stigma attached to poor mental health.
      The key to raising awareness about mental health in the workplace is creating a culture in which these conversations are welcomed and expected. Employers should signpost individuals towards the emotional well-being support available to them.
      This may include Employee Assistance Programmes (EAPs) or cognitive behavior therapy sessions, which give individuals direct access to a specialist who can help them understand and break unhelpful thinking patterns and behaviours and enhance their ability to cope in new and uncertain situations.
      Digital or virtual therapy solutions can be effective too. Remember, for many people, the notion of sharing a vulnerability or admitting a problem, is a barrier in itself. However, some research suggests counseling conducted online is as effective as face-to-face sessions. During 2020 Nuffield Health therapists delivered 3.7 million minutes of therapy remotely with outcomes comparative to therapy delivered face to face.
      By Marc Holl, Head of Primary Care, Nuffield Health.
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      5 Ways to Help Employees Manage the Psychological Stress of Hybrid Burnout

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      COVID-19 changed many employees’ work routines, both in positive and negative ways.
      As a result of long-term remote working, many companies are considering introducing hybrid working models, giving staff the option of combining working from home with going into the office.
      However, hybrid working could also have a significant impact on employee mental health with many reporting symptoms of ‘hybrid burnout’.
      Burnout is defined as a phenomenon ‘resulting from chronic workplace stress that has not been successfully managed.’ In 2020 it became a recognized condition by the WHO.
      Hybrid burnout is the result of juggling long hours working from home with commutes to offices, which can not only be physically exhausting but also take a considerable toll on employee stress levels.
      But what can businesses do to help employees manage the physical and mental health implications of a hybrid working environment?
      1. Recognize the signs
      Individuals in management should become aware of the signs and symptoms caused by hybrid burnout, as well as what they can do to prevent or respond to it.
      Staff may become fatigued, forgetful, and struggle to concentrate, with so much going on around them. Early on, this may make people feel worried, irritable, on edge, or tense.
      Further down the line, this anxiety – caused by juggling multiple work environments- may become so severe that it affects professionals’ ability to work productively (or at all).
      There are also potential physical symptoms to consider, like heart palpitations, shortness of breath, dizziness, and headaches.
      2. Assess company culture
      A Gallup study revealed the main causes of burnout are not the nature of the work itself, rather, how a person is treated and managed while they are working.
      Consider how different leadership approaches might impact employees. For example, behaviors like bias or unfair corporate policies can cause stress and lead to overworking, with staff feeling a need to ‘prove their worth’.
      Make certain that healthy work behaviors are modeled from the top. Help employees understand their value to the company and their contributions to the organization’s goals. Employees feel more valued, and display more motivation in the workplace if, and when, they understand their exact role in the greater purpose.
      Take a few minutes each week to update employees on company news and how your team’s actions are contributing to the company’s overall success.
      Also, make time to tell staff specifically what you value about their contributions. Try to build this into your regular routines, perhaps by starting your team meetings with shout-outs acknowledging the accomplishments of individual team members.
      3. Encourage conversations
      As well as ensuring all staff feels appreciated and comfortable in their roles, managers need to ensure they demonstrate to their teams that the business has an open, supportive and welcoming approach when staff are distressed or finding it difficult to cope.
      Employees need to feel conversations about difficulties surrounding work are both welcomed and expected.
      This requires employers to feel empowered to enable better conversations about mental health in the workplace. At Nuffield Health, we introduced Emotional Literacy training for all staff.
      92 percent of whom took the training stated they felt able to support a colleague in distress. Initiatives like this build an open community, and a common language, encouraging more people to say “I’m not OK” and ask others “Are you OK?”.
      Employees should also be signposted to any other designated people, like, mental health champions for additional support.
      4. Communicate set policies
      It’s important company policies that promote good work/life balance are widely communicated. With hybrid working, this means using multiple channels to ensure you reach all employees, whether it’s through company social media platforms, emails, or even by text alerts.
      Actively nurturing and promoting reasonable work hours, including, if necessary, encouraging employees to go home, when in the office late, or messaging them to ‘go offline’, at the end of their regular workday if you recognize a pattern of unhealthy overworking.
      Help assess workloads for those who feel pressured to remain working beyond normal business hours and let them know there is always support available and additional resources to help them manage mounting projects or multiple deadlines.
      Sometimes employees simply don’t realize these are things they are welcome to ask for.
      5. Provide professional emotional wellbeing support
      A recent Nuffield Health whitepaper revealed spending more than 2.5 days a week working away from the office can be associated with deterioration in co-worker relationships and job satisfaction.
      For those having difficulty with the balance between remote and office life, consider introducing professional wellbeing support like Employee Assistance Programmes (EAPs) and timely access to effective psychological therapy (such as Cognitive Behaviour Therapy).
      These interventions can be delivered remotely or face to face and give individuals access to a specialist who can help them understand and break unhelpful thinking patterns and “what if” thinking that may exacerbate stress and burnout in uncertain times.
      By Gosia Bowling, National Lead for Emotional Wellbeing, Nuffield Health.
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      How Behavioral Science Can Drive a Menopause-friendly Workplace

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      Research shows nearly eight out of 10 menopausal women are in work, with many in senior leadership positions.
      However, despite the evident disruption of the transition to those at the peak of their careers – and the resulting wider workplace impact – menopause remains a largely unspoken and unsupported taboo.
      That’s why Nuffield Health is pioneering a change to the way we approach menopause in the workplace, using behavioral science and health psychology to promote inclusive and supportive environments.
      The research on menopause in the workplace
      The menopause transition is experienced differently by each individual, making it only more concerning that so many are having to manage their symptoms in silence. Understanding experiences is key in providing relevant interventions.
      For example, research shows one in four women experience serious menopause symptoms. This may include feelings of depression and anxiety and difficulty sleeping. 60 percent of women also report poor concentration and forgetfulness during the menopausal transition.
      As a result, daily tasks can become a challenge. Individuals may have difficulty focusing when reading text, lose confidence when speaking with – or in front of – others, and even miss deadlines due to impaired memory.
      Even for those who don’t experience the psychological symptoms of menopause, the workplace can still be a place to avoid. Busy and stuffy environments can exacerbate physical symptoms such as hot flushes and headaches.
      The role of behavioral science
      Research tells us that employees don’t need the workplace to ‘manage their menopause’ or their symptoms. What they want is an environment that recognizes their experiences and provides the right support to enable them to thrive and reach their full potential.
      This understanding, combined with a behavioral science approach, helps businesses do more than just understand menopausal issues – driving tangible change and creating an inclusive and supportive environment.
      Inviting external experts to run seminars or workshops, as well as running internal training sessions, helps employees in the workplace adopt helpful and positive behavioral changes and contribute to building a ‘menopause friendly’ workplace.
      This includes both menopausal individuals, who feel more confident in speaking about their difficulties, as well as non-menopausal individuals who better understand the challenges and are able to adopt more helpful behaviors to support colleagues.
      Keeping these sessions short and regular boosts engagement and buy-in, too. Busy employees find 15–45-minute sessions accessible and are more likely to retain information, while addressing these topics every few months means the organization is better able to support new starters, too.
      Evaluating the impact of these sessions by measuring attendee knowledge and attitudes helps businesses better understand how menopause is understood and experienced in the workplace, helping to plan future strategies for building healthy and inclusive work environments.
      Practical solutions for businesses
      Although menopause is largely covered under three protected characteristics: age, sex, and disability discrimination, conscientious businesses should have a menopause policy that goes beyond legal tick boxes. Appropriate policies should cover the adjustments available to those experiencing menopause and be communicated to the whole team. There is no point in having a policy if nobody knows it exists.
      While creating a comprehensive menopause policy, businesses must also recognize individuals who are experiencing difficulties and in need of support. Here, the question becomes ‘what can I do to support you today?’. Whilst employers may not currently be able to provide a full suite of interventions, everyone is able to initiate helpful conversations that recognize individual experiences and identify any support needed.
      Practical solutions for managers
      Around 4 in 10 women who have gone through menopause felt they were unable to talk about it at work, especially with their manager.
      Team leaders are often seen as the first line of support for struggling employees. So, it’s important they are equipped to hold conversations around menopausal challenges and are confident in signposting team members towards additional support. This may include understanding the reasonable adjustments the business can offer, such as flexible and remote working, shift changes, adequate breaks, rest areas, and access to toilets and washing facilities.
      Similarly, upskilling emotional wellbeing champions to provide support to those experiencing menopause gives individuals alternative points of contact where meaningful and supportive conversations can take place.
      Practical solutions for peers
      Everyone has a role to play in easing the negative impact of menopause in the workplace and colleagues can play their part by engaging in any available training and educational sessions. Simply being aware of others’ experiences can reduce stigma and make it less daunting for individuals to speak about their experiences or seek help.
      Employees should also be aware of the impact of their language. By simply moving away from a medicalized vocabulary when discussing menopause – towards a more relatable model of distress, which is something we can all relate to – we can reduce the stigma around the transition.
      Similarly, hosting Menopause Exchange Forums – with both men and women – encourages informal conversations around symptoms, struggles, and the sharing of tips and coping mechanisms. These can then be supplemented with informal messenger chats where people can share their experiences day to day and provide each other with mutual support.
      Practical solutions for individuals
      The first step for individuals is to talk. Speaking with colleagues, employers, and health specialists helps menopausal employees feel they are not alone and that their experiences are common and valid.
      Menopausal women commonly attribute their symptoms to anything other than menopause, due to ongoing stigma and feelings of shame or embarrassment. However, by communicating their experiences they will be able to find the support they need from those around them. This may include support in managing their workload to compensate for memory loss or even access to more formal support offered by the business.
      For example, emotional wellbeing support such as cognitive-behavioral therapy (CBT) or EAPs provides access to specialists who can help individuals understand and manage their psychological symptoms. This in turn can also help alleviate physical symptoms, as when stress is well managed, cortisol levels drop which helps reduce physical difficulties associated with menopause transition.
      By Gosia Bowling, National Lead for Emotional Wellbeing, Nuffield Health.
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      Leading by Example to Enhance Employee Physical and Emotional Wellbeing

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      ‘Putting your own life jacket on, before helping others’
      Research shows employees are putting in an average of 9 hours of unpaid overtime per week.
      Does this surprise you? Probably not.
      Overwork culture – with long hours and constant exhaustion- is still seen as a badge of honor within the workplace. This is despite the WHO revealing the negative long-term implications of such behavior, including exhaustion, burnout, and a possible deterioration in mental health.
      So, why do many of us managing others still lead in this counterproductive way?
      Badge of Honor
      There are lots of practical factors connected to overworking and taking on as many tasks as possible that are thrown our way. But socio-economic factors associated with ‘overworking’ are also deeply ingrained in our workplace culture.
      Many of us simply work long hours to keep our jobs, pay off debt, or so we’re first in line for that long-awaited promotion.
      For those that adopt a culture of long, intense work hours, there’s often a performative element involved. Overwork is often seen as a peculiar sign of success.
      Whether this is defined by a fancy job title or lifestyle, or even by demonstrating actual exhaustion, the ‘kudos’ associated with overworking hold firm.
      Overworking also depends on the industry type and role you are in. For example, people in jobs geared towards helping others, like line managers, tend to work longer hours that can result in physical and emotional exhaustion.
      Enter the global pandemic
      The pandemic has intensified negative work behaviors across all work hierarchies, with COVID culture impacting employees, line managers, and senior leaders.
      While working from home has its perks, it also means there is technology around us continually throughout the day. There is not a clear separation between ‘being at work’ in a working environment and ‘being at home’.
      Financial volatility also rose during this timeframe, which drives many companies to act with a ‘we need to get more done for less’ attitude.
      Worryingly, mass redundancies and furlough schemes meant higher workloads, stricter deadlines, and increased concerns about job security. As a result, many managers took on a lot of this extra strain to cover the workloads of newly missing team members.
      Making yourself accountable
      Overworking is usually a top-down issue. It can only be tackled by a fundamental shift in management behavior. One of the big worries is many individuals in leadership positions are persuaded there’s no problem with it.
      However, managers should acknowledge the risk of burn-out and a decline in mental and physical health if they continue to work in this way.
      Furthermore, they are modeling unhealthy behaviors to their teams, which could have far-reaching adverse side effects. As more employees follow your example, the more likely it is that physical and mental health issues spread to become a company-wide epidemic.
      What’s more, it’s not helping companies either. Employees who are feeling an imbalanced state of well-being are 33 percent more likely to seek a new role elsewhere. In contrast, when an employee experiences positive well-being, this drops to 8 percent.
      Considering such findings, managers need to look at ways to protect their mental health and wellbeing, which can be mirrored to their teams, encouraging others to follow suit.
      Where to start
      Start small. Take those breaks. Make sure you’re taking all your annual leave, and delineate some time where devices are turned off, and you don’t look at them. Everyone needs some clear headspace and others need to know this is a company-wide expectation.
      Get a temperature check on how those around you feel about their workloads by running a few short, informal meetings, either online or in-person, so teams don’t feel further stressed.
      There are unexpected benefits to caring for employees who feel unable to switch off from work.  More employees will be loyal to you, as a manager, if you recognize signs of distress and urge them to take time out.
      Promoting emotional health
      Leading by example is easier to achieve if you feel confident in doing so.
      You need to be aware of the support offerings provided by your workplace. A useful workplace wellbeing strategy blends physical offerings like private health assessments, onsite or subsidized gym memberships with emotional wellbeing support.
      Liaising with HR and ensuring policies contain these perspectives is important. Ask about the possibility of additional training in Mental Health Awareness, to help you notice the signs of possible mental health issues in yourself and others.
      Company offerings like employee assistance programs (EAPs) and cognitive behavioral therapy may be something to discuss as a permanent investment. The presence of an emotional wellbeing therapist in the workplace communicates clearly that conversations about mental health are welcome and expected.
      Digital or virtual therapy solutions can be effective too. Remember, for many people, the notion of sharing a vulnerability or admitting a problem, is a barrier in itself. However, some research suggests psychotherapy conducted online is as effective as face-to-face sessions. During 2020 Nuffield Health therapists delivered 3.7 million minutes of therapy remotely.
      Encouraging physical activity
      Evidence suggests that executives who look after their physical health are more effective leaders. Frequent exercise boosts brain health, improving memory function and the ability to process new information. Exercise can also improve sleep, which is often disrupted by stress, depression, and anxiety.
      It is important physical health is not overlooked in workplaces where there are high-stress levels and a culture of long work hours.
      The less anxious you are and the better you are at reacting to the circumstances around you, the better you’ll work under pressure.
      Managers should look for gaps in their routines where they could replace something sedentary with exercise.
      Why not try shaking up work routines with activities by organizing ‘walk and talk’ meetings? These can make gatherings more efficient as employees are likely to become energized than lethargic during a brisk walk.
      As restrictions begin to lift, take advantage of any offerings from your company like discounted or free memberships to local gyms, classes, or taking part in a sponsored workplace group in a charity event like a fundraising run. Encourage people to join you, to increase physical activity across your teams.
      For those working from home, continue to offer a level of flexibility for when people exercise. This is so employees feel comfortable exercising when it is convenient for them. It’s important those who began a fitness routine at home do not stop because they feel guilty working out when others are in the office.
      By Gosia Bowling, National Lead for Emotional Wellbeing, Nuffield Health.
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      A Wake-Up Call: Tackling the Employee Insomnia Crisis

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      When COVID-19 struck this time last year, most employees were forced to work from home. One of the results of enforced remote working is the rise in the number of people experiencing insomnia. One in four people reported sleepless nights and Google searches for the word “insomnia” surged significantly, with searches peaking most often during the early hours at 3am.
      Whilst COVID restrictions may be lessening, a natural return to healthy, regular sleep-wake cycles is not guaranteed in a new hybrid work environment.  In this article, I discuss the future of sleep in a post-pandemic workplace and why employers need to provide workplace support for better sleep.
      ‘Coronasomnia’ – why the nation is having trouble sleeping.
      The pandemic and social isolation have unsettled daily routines that usually serve as timekeepers for our natural body clocks. Keeping track of the time, and even the day, can be difficult without our usual time “anchors” like driving to the office, going to the gym after work, or picking up children from school.
      Research shows it can take four days to fully recover from just one hour of lost sleep. So, if we are ‘missing’ the recommended 7-9 hours, over time, a sleep deficit is caused. This makes it difficult to catch up on sleep and enhances the chances of sleep deprivation symptoms.
      Uncertainty also plays a significant part in affecting sleep, as it often causes anxiety that unsettles sleep as a racing mind keeps the body tossing and turning.  When will I get my vaccine? When can I travel or see my family? How long will lockdowns last? So much was (and still is) unknown.
      The impact of sleep deprivation on employee productivity and physical and emotional health
      Continuous poor sleep has a major impact on employee productivity with it estimated to cost the UK economy £37bn a year. Studies show that sleep deprivation leads to poor concentration and slower reaction times, which can lead to accidents and costly errors. From an emotional health viewpoint, lack of sleep results in higher levels of stress hormones in our bodies which, in turn, can increase feelings of anxiety, anger, and depression.
      Even if you receive enough sleep at night, if that sleep is of poor quality it can leave you feeling tired and unmotivated in the morning with decreased energy and concentration. 1-2 poor days of sleep per week increases the risk of employee absence by 171 percent.
      Physical symptoms of long-term sleep deprivation can manifest in a weakened immune system, causing regular infections and colds. Without adequate sleep, your body makes fewer cytokines, a type of protein that targets infection and inflammation, effectively reducing the body’s immune response.
      Long-term sleep deprivation is also associated with more serious health problems like increased risks of certain cancers, heart disease, ulcers, and gastrointestinal issues.
      Will we sleep better in a ‘hybrid work environment?”
      Even as restrictions begin to ease, staff sleep patterns may not return to normal as more companies consider a ‘hybrid’ work environment. Many businesses already have a flexible working policy, but some will embrace a permanent blended’ working model, with employees continuing to work from home a few days a week.
      Although emotions such as anxiety and uncertainly may reduce, which could have a positive impact on sleep, if more employees continue to work from home, some permanent factors may continue to negatively affect sleep.
      For remote workers there is the ongoing risk of ‘leavism’, being unable to switch off or catching up on work outside of contractual working hours. This blurring of home-work boundaries can contaminate our sleep environment. For example, the bedroom doubling up as a workspace may become the norm, as more employees participate in ‘bedmin’ (finishing admin tasks while in bed).
      Supporting the future of employee sleep
      Employers can lessen some of the health and business risks associated with pandemic sleep disruption by making practical changes to employee work schedules. Avoid scheduling too many early calls and virtual meetings and frequently rotating shifts. For those who work night shifts, if they are rotating, do so in a forward rotation (morning, evening, night).
      Set expectations regarding working hours and consider the benefits of setting up an official sleep policy for your organization. Provide virtual talks and invite health experts to discuss the impact of poor sleep and how to support those experiencing sleep difficulties. For example, you could run a seminar on how exercise or management of unhelpful thinking can have a positive impact on sleep quality.
      Employers might also consider offering staff cognitive-behavioral therapy (CBT). Whether someone already had chronic insomnia or it’s a recent onset from the pandemic, it’s a treatment that is evidence-based and has proven to be successful for a range of wellbeing difficulties including sleep.
      Providing whole of workforce education and self-help resources specifically for sleep (such as an online digital platform), will create an open dialogue around sleep concerns. This facilitates the development of effective support plans and will enable staff and managers to be aware of the benefits of setting healthy boundaries for a better work-life balance.
      By Gosia Bowling, Emotional Wellbeing Enhancement and Prevention Lead, Nuffield Health.
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      How to Deal with Changing COVID-19 Regulations

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      Research shows nearly half the population has reported feeling worried and stressed since the onset of the COVID-19 global pandemic earlier this year.
      With new health and safety measures at work to familiarise yourself with, constantly changing government regulations, and the future of the physical workplace remaining unclear, it’s hardly a surprise the mental health of both employers and their staff has deteriorated.
      The effects of seasonal changes can be profound too. the length of daylight, the intensity of the sunlight, and how and where we spend our time can all impact our mental health.
      It’s common for people to feel more tired, unmotivated, and depleted in the colder months. Anxiety may also increase as these changes can create an unsettled response in the human body.
      I discuss the best employee mental health support businesses can provide to help individuals struggling with uncertainty.
      How uncertainty affects mental health
      ‘Is my job safe?’ ‘Will my pay be reduced?’ ’Will I be back in the office soon?” ‘Will we be in lockdown again?’
      The ongoing pandemic has contributed to many questions being raised, which we are yet to still find answers to – especially where the workplace is concerned. Because of this many are finding uncertainty more uncomfortable, especially as some employees now face uncertainty regarding multiple aspects of their lives, which may have previously felt within their control.
      Of course, nothing in life is entirely certain but for some, the current situation has triggered uncomfortable emotions and scientific research suggests it’s important businesses have strategies in place to support employees with uncertainty’s psychological and physical impact on the body.
      Research suggests there is a link between high intolerance of uncertainty and anxiety, depression, and obsessive-compulsive difficulties. Uncertainty can also have a physical impact on the body due to the ongoing impact of stress hormones.
      The physical effect includes impaired memory, diabetes, digestive functioning and impact on our cardiovascular system
      How can businesses provide the right emotional support for staff?
      Employee benefits propositions should be designed and updated with emotional support in mind, giving staff access to the tools they need to cope during stressful or uncertain periods.
      The emotional impact of COVID-19 on each employee will be different and the support on offer from employers should reflect this. However, worryingly, a recent survey revealed that only 15 percent of employers had asked staff to identify their needs during this difficult time.
      Understanding the workforce is therefore essential and enables employers to tailor the most useful benefits proposition. This means getting to know employees through surveys, online forums, and one-to-one chats, recognizing their needs and priorities.
      Offerings should include a combination of services that give employees access to specialists with whom they can discuss their difficulties and learn positive coping mechanisms.
      Highlight existing workplace offerings like employee assistance programs (EAPs) which offer direct, confidential contact with counselors and mental health experts.
      You could also consider inviting an expert to give a company talk on general coping mechanisms for anxiety. This may help those who are worried about speaking to managers or employers about their fears.
      If face-to-face offerings aren’t currently possible, telephone or online CBT sessions are useful in helping employees tackle unhelpful thinking patterns or in learning practical coping techniques. Consider investing in online workshops or webinars, which can assist everyone in recognizing signs of stress and equip them with the confidence and skills to support others.
      For example, emotional literacy training is an effective tool for boosting employee resilience by ensuring staff has a common language to discuss mental health.
      At Nuffield Health, over 12,000 employees (of 16,000) have successfully completed emotional literacy training. Following this training, 94 percent said they’d feel confident supporting a colleague showing signs of emotional distress.
      In conjunction, we also offer Mental Health Awareness training workshops. This develops Mental Health Champions in the workplace, who, in combination with line managers, are empowered to raise understanding around mental wellbeing and to help others access the right support at the right time.
      It’s also important to ensure connectivity for members of staff who are still self-isolating or if businesses remain working from home. Those continuing with prolonged remote working may face psychological hazards linked to increased loneliness and isolation.
      Supporting employees with remote therapy of their choosing, either by video, phone, or email, provides an additional expert support network while away from their colleagues.
      By Brendan Street, Professional Head of Emotional Wellbeing, Nuffield Health.

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      Supporting Long-Term Remote Working Post COVID-19

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      Companies like Twitter and Square recently announced their employees could work remotely forever. But, while remote working can provide many opportunities for the companies of today, longstanding adoption is only beneficial if the transition is completed in the right way.
      Here are the vital steps leaders should take to ensure successful, long-term remote working:
      Develop a culture of trust
      Culture is more important than ever in a virtual environment, not only because staff should feel connected to their teammates, but also so they know when to ‘clock-off’ after a day working from home.
      Businesses should consider offering a flexible, remote workday schedule, outside the traditional 9-5. One benefit is this provides flexibility to meet personal needs and family responsibilities conveniently. Being granted an environment where staff can better balance work with personal demands ensures improved concentration and productivity on tasks during work hours.
      If you’re looking to further align your remote working goals with employee needs and satisfaction, keeping regular dialogue and seeking feedback from employees can help a company better understand the sentiment of staff and which benefits they’d most appreciate during prolonged home working.
      Encourage exercise-related activities, at work, at home, and in the community
      It’s essential to ensure musculoskeletal health is protected while employees work from home. However, research shows more than half of employees receive no employer guidance on how to set up a workstation that supports healthy posture, despite employer’s having a legal obligation to look after the health of long-term desk workers.
      Employers should issue and check Display Screen Equipment assessments are completed and if possible, provide access to face to face and remote physiotherapy services to help both prevent and treat musculoskeletal issues.
      With more employees becoming engaged with fitness during lockdown, there is also an opportunity for businesses to capitalize on this momentum. Companies should help staff maintain enthusiasm for keeping active by making benefits available that facilitate this like access to both onsite and remote fitness services.
      Continue to support virtual mental health offerings
      Post lockdown, many companies reported online video counseling sessions became more popular among employees, showing many now feel comfortable accessing support for mental wellbeing via technology.
      Whether you do or do not already have emotional wellbeing services, it is an important time for all businesses to see which options are available that could make a real difference to your workforce. While those returning to the office may have access to face-to-face offerings, there are also plenty of wellness options that can be offered to staff remotely.
      These include cognitive behavior therapy, which can be delivered safely and effectively by phone, video, or email for flexibility and privacy. Other types of therapy, which are also safe, effective, and accessible remotely, include counseling (e.g., relationship, bereavement), interpersonal therapy, and access to psychiatric assessments.
      Expand staff healthcare support
      Many of today’s offices are filled to the brim with the latest technology, from standing desks to tech which enhances connectivity and workflow patterns around the office.  If these are available for those when in the office, businesses should extend the same courtesies to their remote workforce.
      Consider offering or expanding employee allowances to subsidize work-related purchases. Whether you find a way to provide the same office set up to your remote employees or provide a fixed regular sum paid as a salary or as expenses, so they can purchase what they see fit, assisting them in setting up a home office is a key perk.
      Some options for staff could include ergonomic chairs, extra monitors to help them process computer tasks more efficiently, and access to high-speed, adequate broadband. Not only are these helpful to staff but improving workstation ergonomics can reduce symptoms associated with musculoskeletal disorders and shows you are a responsible business, who cares about the health of your employees.
      By Kevin Thomson, Corporate Healthcare Director, Nuffield Health.

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