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Preventing health-related job loss: An evidence-based response to what is needed to provide effective, tiered caseworker support in the UK

RAND | 2026-10-14 | health

Topics: Europe, Indo-Pacific, Trade, United States

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English Summary

The report argues that early-intervention, caseworker-led support is crucial for preventing job loss and improving outcomes for working-age people suffering from long-term ill health in the UK. Evidence demonstrates that this support is most effective when provided early, is tiered, and focuses on Return to Work (RTW), though current UK provision is highly fragmented and lacks national coherence. To achieve sustainable scale-up, policy must strengthen the public work-and-health system by establishing a clear national framework, professionalizing the caseworker role, ensuring stable funding, and improving coordination across health, employment, and insurance sectors.

中文摘要

該報告主張,對於英國患有長期健康問題的วัย工作人口而言,早期介入且由社工主導的支援對於預防失業和改善生活結果至關重要。證據顯示,當此類支援及早提供、具分層性,並專注於「重返工作崗位」(Return to Work, RTW)時,效果最佳;然而,目前的英國提供機制高度碎片化,且缺乏國家層面的連貫性。為實現可持續的擴大規模,政策必須透過建立明確的國家框架、專業化社工角色、確保穩定的資金來源,並改善健康、就業和保險部門之間的協調,來強化公共工作與健康系統。

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