The challenge
I worked with a large support department within the NHS where sickness absence had reached 14% - significantly higher than the organisational average.
The team provided an essential service supporting clinical care across the organisation, so high absence levels were having an impact beyond the department itself, putting additional pressure on colleagues and affecting turnaround times.
Rather than treating absence as the problem in isolation, I wanted to understand what was behind the figures.
Understanding what was really happening
I arranged focus groups with supervisory staff to hear their experiences and understand the challenges they and their teams were facing.
These conversations uncovered a much broader picture. Many employees were balancing demanding jobs with significant pressures outside work, including caring responsibilities for children and older family members, financial pressures and their own health challenges.
These pressures were compounded by the nature of the work itself: physically demanding roles within a 24/7 service.
It became clear that simply focusing on sickness absence processes wasn't going to address the underlying issues. Supervisors needed greater confidence and a broader set of skills to support their people effectively while maintaining the needs of the service.
What I did
Using the insight from the focus groups, I developed a targeted programme of learning and support for the supervisory team.
Rather than concentrating solely on absence management procedures, the programme helped supervisors develop practical people-management skills, including:
- having difficult and sensitive conversations with greater confidence
- strengthening listening skills and understanding what might be happening for staff outside of work
- recognising when different types of workplace support could help and making better use of the wider support available to employees
The aim was to move away from ‘How do we manage sickness?’ to ‘How do we support people well, while enabling the team to still deliver?’
The impact
The results went beyond reducing absence. Sickness absence levels halved, enabling the department to provide more consistent support to clinical teams and improve turnaround times.
Just as importantly, subsequent staff survey results showed improved relationships and increased levels of trust between employees and the supervisory team.
By taking the time to understand what was really driving the problem and giving supervisors the confidence and skills to respond differently, the intervention strengthened both the employee experience and the performance of the service.