Bupa Wellness – Health Assessments

1. Bupa Wellness – Health Assessments Dr Peter Mace MB ChB MRCP DOccMed Assistant Medical Director

2. Bupa wellness – part of - but separate from - Bupa PMI • BUPA Health Screening founded 1970 • 1980’s computers introduced to gather data on customers results • Collaboration with Wolfson Institute of Preventative Medicine • 1990’s data published as the “BUPA study” • Vitamin E and Mortality • Albumin and mortality • Cholesterol and Blood pressure and mortality • Tar in cigarettes and mortality • Infections and heart disease

3. Bupa wellness • Took over a niche city based company in 1999 and rebranded • Became more proactive and took more responsibility for their customers health • Might make a diagnosis • Would initiate referral if the customer wanted this • Might prescribe (for acute illness) • Maintained interest in research • H.pylori • Abnormal thyroid function

4. Bupa wellness • Performs about 100.000 health assessments a year • Does about 120,000 OH consultations a year • Uses the services of about • 350 doctors, • 250 health advisers, • 120 Occupational health advisers/nurses • 6 GP practice nurses, • 26 dentists, 26 physiotherapists • 3 osteopaths • 1000 counsellors • About 15 drug/alcohol collection officers

5. BUPA Wellness Clinical Governance Organisation Chart BUPA Medical Director Medical Advisory Panel (MAP) BUPA Wellness AMD & Clinical Quality & Effectiveness BUPA Wellness Clinical Board Musculo-skeletal Occupational Health Health Assessments & Primary Care Specialist Services Dentistry Clinical Director - Occ. Health Clinical Director - Musculo-skeletal AMDClinical Quality & Effectiveness AMDClinical Quality & Effectiveness Clinical Director - Dentistry Senior Regional Physicians - Health Assessments Lead Doctor Drug & Alcohol Senior Regional Physicians OH Lead Doctor IMAS Orthopaedic Physicians Nurses Dentists Lead Physician / Physician in Charge Collection Officers Drug & Alcohol Lead Doctors Doctors IMAS Orthopaedic Surgeons Health Promotion Hygienists Osteopaths Dental Nurses Health Assessment Doctors OH Doctors Podiatrists Primary Care Doctors OH Nurses National Physio Manager Health Advisers OH Technicians Physiotherapists Practice Nurses OH Practice Nurses Massage Therapists Well Women Sisters

6. Health Assessment - Philosophy • Tests and advice must be: • Evidence based • Growing evidence base, or accepted as useful • Of value in assessing and modifying general health • Looking for conditions and risks that can be modified or treated • Tests must not: • Be “trendy” or “gimmicky” • Give ambiguous or meaningless results

7. Health Assessments • Not health screening – health assessment • Health screening perhaps looks at cost-effectiveness for the population. • Health assessment – giving individuals an idea of their current health status and health risks • Based on • Detailed medical history • Blood tests • Physiological tests • Discussion and consultation • Report and action plan

8. Outcomes • 30% of people are made aware of a medical condition of which they were not previously aware • 75% make a positive change to their lifestyle • 97% of people feel reassured about their health as a result of a health assessment

9. Outcomes - For individuals • At repeat assessments • On average • People have lower blood pressures • Have lower cholesterols • Have lower blood pressures • Have a lower blood glucose • May have put on a bit of weight….

10. Outcomes – for companies • Individual Company Health Profile

11. Data from health assessments • Individual Company Health Profile

12. Bupa Wellness - Health Assessment • Not health screening – health assessment • Tests and advice are: • Safe and useful • The assessment : • Is not “trendy” or “gimmicky” • Reassures and gives useful results • Motivates people to change • Helps companies plan for their workforce