Bupa Wellness Health Assessments

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Bupa Wellness Health Assessments

• Dr Peter Mace MB ChB MRCP DOccMed
• Assistant Medical Director

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Bupa wellness part of - but separate from -
Bupa PMI

• BUPA Health Screening founded 1970
• 1980s computers introduced to gather data on
  customers results
• Collaboration with Wolfson Institute of
  Preventative Medicine
• 1990s 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

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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

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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

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

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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

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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

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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.

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Outcomes for companies

• Individual Company Health Profile

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Data from health assessments

• Individual Company Health Profile

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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