Pass the sick bag not the pop corn: US verdict on DWP’s privatised sick note service

Last week I revealed how Lord Freud, the welfare reform minister, had awarded a new contract to Health Management Ltd, subsidiary of US multinational company, Maximusto take over from doctors  to decide when you should return to work if you claim more than four weeks sick pay.

The programme is to be rolled out from November to next May aims to save up to £165 million a year by getting people back to work faster as part of Lord Freud’s welfare reforms. Effectively it will mean you will get a telephone consultation  from a call centre and be emailed when you should return to work. If don’t co-operate you will lose your benefit.

The company’s press release reveals the 63 month contract will be rolled out first in Wales, the Midlands and the North before it hits the more affluent South.

Richard A  Montoni, the multi billionaire chief executive explained:“The Health and Work Service program is a natural opportunity to demonstrate Health Management’s expertise as the UK’s largest occupational health care provider and an important step in our long-term goal of expanding in this important market.

“While we expect an initial start-up loss due to the nature of the contract, the overall program economics are strong and once ramped, the contract is in-line with our targeted range of portfolio performance.”

Now through using a website called Glassdoor I have discovered what employees and ex-employees in the US think of Maximus. If you feared it was going to be a cheapskate alternative to your GP – aimed at using low paid, untrained, overworked people in call centres while maximising its profits for overpaid bosses you are right..The customer or claimant seems the least of their concerns.

These are a selection of their comments:

“When starting the business I asked for instructions on how to complete basic daily administrative tasks essential for audit. I was told by my colleagues and my manager not to bother as “we never do it”. Six months later, after figuring out, off my own back how to do it, Head Office comes down like a tonne of bricks on the office stating they have not been done and have failed audit. On top of this I worked with racist, homophobic and disgruntled colleagues who were obnoxious, lazy and didn’t give a damn. My line manager refused to verify my work as he was too lazy

“Management has absolutely no people skills. Little to no room for advancement unless you are related to a director. Unqualified employees are in management positions.”

“Almost everything in my team was micro-managed. One of the Directors was a control-freak and insecure about “loosing his relevance”. So “just to stay relevant” he created “red-tape” processes by making every small change go thru him with his approval, causing delays to routine work cycles.

“Managers and supervisors only care about bonus for themselves.Representatives can easily be disqualified for bonus. There is also too much favoritism among employees. Promotions happen on the basis if they like you or not and not so much on your qualifications. Some managers like to micro manage their staff by setting excessive production goals. Supervisors are under-qualified and possess little to no people skills.

“At MAXIMUS there is little to no room for advancement or growth. …This company makes unreasonable demands for staff to complete work and unreasonable deadlines. This company does not support personal time off due to family/personal issues.” (so they won’t sympathise with you if you are sick)

“No work/life balance. Projects are incredibly understaffed, combined with perpetually tight deadlines, resulting in an average work week of 60-80 hours. Long nights and lots of weekends.

“Upper management often promotes with in their own inner circle and rarely promotes anyone from operations. Most management has little to no hands on experience and are typically hired because they come cheap or are hired by someone they know.”

Of course not everybody is critical. There are some pro company pieces but they are mainly because evidently the firm offer free medical insurance ( not an issue here yet!), the commute to work was easy and some of the colleagues were good mates.

As one said: “Fairly normal work hours, decent training, clean environment, clean restrooms, free coffee, good feelings from helping people when all goes smoothly, being able to trade shifts with other workers, getting paid every week as a temp, working independently.”

and as a plus “On Fridays we have someone come to our desks with free bags of popcorn.”

No doubt that makes everything fine I think if half of this is true it more a case of pass the sick bag than the pop corn!

 

Coming Soon: The privatised sick note service that will email you back to work

In two months time the traditional doctor’s note excusing you from work will start to cease being valid if you are still sick after four weeks.

Just before Parliament went into the summer recess welfare reform minister, Lord Freud, announced that a US multinational company,Maximus, which also operates in Canada and Saudi Arabia will take over running the new Health and Work Service for England and Wales.

My report in this week’s Tribune  reveals that up to one million people will be affected by the change which appears to be aimed to save the government money.

Maximus runs call centres, occupational health programmes, child support and job seekers programmes abroad and in the United Kingdom.

The programme is to be rolled out from November to next May aims to save up to £165 million a year by getting people back to work faster as part of Lord Freud’s welfare reforms.

The Scottish government  has declined to contract out the work to the private firm and will keep the assessment programme as part of the public service.

More worryingly it appears that the private company which will make the decision will not see anyone – and create a Return to Work programme  via  a call centre telephone interview and a decision by email.

The package is supposed to be agreed between the sick person and the private company and sent to both the individual and their employer. Failure to co-operate with the service will mean the individual will lose their sick pay.

Lord Freud is quoted in a DWP press release emphasising how the scheme will improve economic productivity and get people back to work faster.

He says:”Providing support where it’s needed most will help to reduce the length of time employees take off sick which, in turn, will cut sick pay costs, improve economic output and reduce the chances of people falling out of work and having to claim benefits. “

After the cruel and nasty system that forced disabled people  to find work or lose benefits run by the French company, ATOS, I have a suspicion that this new system could push the sick back to work before they are ready.

While ATOS did this by personal interviews and tests, Maximus look like putting the sick back to work without examining them to see they are fit and well. No doubt the government will see it as another way to tackle the workshy. But even employers’ advisers are sceptical about this. This new development needs watching.