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‘Breathing Life into Rehabilitation’ A Conceptual Review by Iwan Borszcz Casualty Claims Director Zurich, UKGI ALARM South East Conference 2nd November 2006 ‘Bewitched, Bothered and Bewildered’

‘Breathing Life into Rehabilitation’ A Conceptual Review by Iwan Borszcz Casualty Claims Director Zurich, UKGI ALARM South East Conference 2nd November

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‘Breathing Life into Rehabilitation’

A Conceptual Review

by

Iwan Borszcz

Casualty Claims Director

Zurich, UKGI

ALARM South East Conference 2nd November 2006‘Bewitched, Bothered and Bewildered’

© Zurich 2

Bladdered

© Zurich 3

The Risk Manager’s Insomnia Radar

PARTNERSHIPS

PLANNING/AFFORDABLE HOUSING

FREEDOM OF INFORMATION

COMPENSATION BILL

GOVERNANCE

SHARED SERVICES

REHABILIT

ATION

CORPORATE KILLING BILL

A.R.T

JOIN

T W

OR

KIN

G CPA

/G

ER

SHO

N

RETENTION &

RECRUITMENT

PROGRAMME MANAGEMENT

AB

SEN

CE

MA

NA

GEM

EN

T

FRAUD

ASSET MANAGEMENT

RE

OR

GA

NIS

AT

IONBUSINESS

CONTINUITY

H&SCOMPLIANCE

© Zurich 4

Rehabilitation: What is it?

•Restoration of/improvement in fitness/health

•Can be clinical and/or vocational

•Not just an employment oriented affair

Em

plo

yer

HR

Lin

eM

an

ag

er

TU

C

OH

P

Inju

red

Pers

on

Part

ner

Law

yer

GP

Loca

l/C

en

tral

Govt

Depend

ants

NH

SC

onsu

ltant

•Has a spectrum of stakeholders

© Zurich 5

Rehabilitation: What is it?

HRLineManager

TUC

OHPInjuredPerson

Partner

Lawyer

GP

Local/CentralGovt

Dependants

NHSConsultant

•Has a spectrum of stakeholdersEmployer

The

Impl

emen

tatio

n

of

Rehab

ilitat

ion

Which Came First?

© Zurich 7

Self-fulfilling prophecy?

•Rehabilitation reduces the cost of injury

•Reduces claims spend/premium

•Improves relations/morale

•Earlier access to appropriate expertise

© Zurich 8

Lies, damned lies ……. And CBAs?

11 bn - 31

bn30m, 35m

10.2 v

7.6

3.5m (i) = 80m (s)

(S) 500 K +,(m.d) £1 m +

20%+

16

27k

50

30

10

10, 20, 30 2010

© Zurich 9

Reasons to be breathing:

H.S.E

D.C.A

H.S.C

C.B.I

N.H.S

D.W.P

T.U.C

A.B.I

AIRMI

C

C.P.R

© Zurich 10

A ‘waste’ of human capital

© Zurich 11

Not just a post event tool!

•Pre-employment screening

•Health Checks

•Cognitive behaviour reviews

•Remember: 3.5i = 80s

© Zurich 12

Why do it?

•Legal requirement : Code of Best Practice

•DDA ramifications

•Credit rehabilitation can cause control diversion

•Can/does cut cost

•Improves morale/efficiency/effectiveness

•Can contribute to an improved experience

© Zurich 13

Because I’d never ………………