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In 2008, Professor Dame Carol Black1 published her groundbreaking report, Working for a Healthier Tomorrow (the Black Report), which contained 10 key recommendations to bring about positive change in the health of the working-age population in the UK (box 1). The government accepted her recommendations and promised to prioritise and invest in the health and work agenda.2 Just over a decade on, it is time to reflect on some of the progress made to date.
Dame Carol Black’s review of the health of Britain’s working age populationreview4
Government, healthcare professionals, employers and trade unions should adopt a new approach to health and work in Britain.
Government should work with employers and representative bodies to develop a model for measuring and reporting on the benefits of employer investment in health and well-being.
Government initiated business-led health and well-being consultancy services for smaller organisations.
Government should promote the benefits of work to health among employers, healthcare professionals and the general public.
Support general practitioners and healthcare professionals to provide tailored advice to people focusing on fitness for work.
Introduction of an electronic fit note.
Pilot a Fit for Work Service*.
Wide implementation of Fit for Work Service once an appropriate model has been established and expand the provision of Pathways to Work† to a wider range of possible beneficiaries.
Deliver an integrated approach to working-age health supported by the inclusion of occupational health and vocational rehabilitation within mainstream healthcare; clear professional leadership; sound academic base; systematic gathering and analysis of data; awareness and understanding of latest evidence and what interventions work; and so on.
Strengthening of cross-departmental working within …
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