How to reduce employee sick days in SMEs (UK)

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Blog article | By Simplyhealth | Published on 18/06/2026

Small businesses can reduce employee sick days by improving access to healthcare, supporting mental wellbeing, and creating a healthier workplace culture.1 Faster treatment, preventative care, and simple wellbeing benefits consistently cut sick days and keep teams productive.2

Why employees take sick days

Physical health issues

The CIPD Health and Wellbeing at Work report found that minor illnesses and musculoskeletal problems remain the biggest drivers of short‑term absence. These include colds, flu, back pain, and joint issues - some of which can worsen without early treatment.

Mental health challenges

Mental ill health is now the top cause of both short and long‑term absence in the UK, with 64% of employers reporting stress-related absence in the last year.3 In small teams, workload pressure and limited resources can intensify these issues.


Delayed access to treatment

Long NHS waiting times mean employees often stay off work longer than necessary while waiting for GP appointments, physio, or diagnostics.


Workplace culture and environment

High workloads, stress and exhaustion correlate with poorer mental and physical health. 4

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What actually reduces absence?

Reducing sickness absence in SMEs isn’t about pushing people to “take fewer sick days” - it’s about removing the barriers that keep them off work longer than necessary. The most effective strategies focus on speed, prevention, and support.


Faster access to healthcare

Preventative care and early intervention

*Specific coverage will vary depending on the provider and plan. Always read the terms and conditions.



Mental health support

  • 24/7 mental health support – Confidential, anytime access to trained professionals through the provider’s chosen support channels (such as helplines or messaging services), offering guidance for stress, anxiety and emotional challenges.


  • Mental health coaching – Self-pay online sessions focused on building resilience, improving wellbeing and supporting personal growth. Best suited to general wellbeing and stress management, rather than a replacement for clinical therapy or counselling.


  • Employee Assistance Programmes (EAPs) - Confidential guidance for both workrelated and personal issues.


These services are provided by third party providers.

Flexible working and wellbeing policies

  • Flexible hours - Help employees manage childcare, appointments and fatigue without needing unnecessary sick days.


  • Hybrid working – Supports better work–life balance, reduces commuter stress and limits exposure to office-based bugs.


  • Clear wellbeing policies - Build a culture where people feel supported rather than pressured, encouraging openness about health concerns.

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The cost of sick days


Workplace absence is costing £220 billion annually, through loss of productivity and absence rates, making improving workforce health one of the biggest challenges facing the UK today.5


Cost per employee: UK employees average 9.4 sick days per year, the highest in 15+ years.6


Impact on SMEs: The median cost of employee sickness for SMEs is £27,964 - equivalent to 1.7% of total turnover in 2024/2025.  Extrapolated across the UK SME population, this represents a staggering £28.9 billion a year in lost output.7


Small team effect: Even one absence can significantly disrupt operations and workload distribution.

Product comparison table

This table helps SMEs quickly understand the differences between three key healthrelated absencereduction tools: health cash plans, private medical insurance, and wellbeing support. Each option is broken down by what it aims to solve, the cost, how quickly it works, and how suitable it is for small businesses.


Solution type

What it helps with

Cost level

Speed of impact

SME suitability

Health cash plan

Money back towards everyday healthcare costs (dental, optical, physio etc) and early intervention, helping to reduce minor illness absence

£ Low, predictable monthly cost




Fast – Depending on the plan, employees can typically claim immediately and access treatment quickly

Excellent - ideal for small budgets and everyday absence reduction

Private Medical Insurance (PMI)

Covers the costs of private healthcare and medical treatment for acute conditions that start after the policy begins

£££ Generally, more expensive than the other two options. Varies by cover level and factors like age, health and lifestyle



Medium–Fast - speeds up diagnosis and treatment

Good - best for SMEs wanting to reduce long-term or complex medical absence

Wellbeing support

Mental health, stress, burnout, lifestyle support, resilience, counselling

£–££ variable depending on tools chosen

Fast - counselling and mental health tools can have an immediate impact

Excellent - highly scalable and effective for mental health-related absence

“Best for…” breakdown

  • Everyday absence reduction: Health cash plans are ideal for claiming money back towards minor illness, physio, dental and optical treatments.


  • Serious medical issues: Private medical insurance for diagnostics of acute conditions. Reducing long-term absence by speeding up specialist care.


  • Stress & burnout: Wellbeing support such as counselling, mental health tools, and EAPs


*Specific coverage will vary depending on the provider, plan and terms and conditions.

Step‑by‑step action plan

  1. Identify your biggest absence drivers
    Pull the last 6–12 months of absence data. Group by reason (e.g., colds/flu, MSK pain, stress), duration (1-2 days vs 1+ weeks) and team/role. Validate patterns in return-to-work chats.


  2. Remove delays in getting care
    Focus on the conditions that create repeat or longer absences: same-day clinical advice (e.g., online GP), MSK support (physio triage), and faster diagnostics for unresolved symptoms.


  3. Add low-friction preventative benefits
    Choose benefits people will actually use: routine dental/optical, everyday healthcare cash plans, and early-intervention services. Promote them with simple “how to use” steps and manager prompts.


  4. Strengthen mental health and workload support
    Train managers to spot early signs of stress, agree realistic workload adjustments, and signpost support (EAP/counselling/coaching). Make flexibility practical (core hours, hybrid patterns, time for appointments).


  5. Measure, learn, and adjust
    Track total days lost, average duration, repeat absence and uptake of support. Keep what’s working, simplify what isn’t, and refresh comms every quarter.

Scenario examples

Small business with frequent short‑term absence

A 12person team sees repeated 12-day absences due to minor illness.


Solution: Virtual GP + cash plan → employees get fast access to advice and treatment, reducing time off.

SME with rising sick days as the team grows

A 40‑person company struggles with long NHS wait times delaying treatment and recovery.


Solution: They add physio access and diagnostics cover → faster treatment, fewer long absences.

Business facing mental health related absence

A creative agency sees burnout and stress‑related sick days.


Solution: Mental health support, counselling, and flexible working → improved morale and reduced long‑term absence.

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Frequently asked questions

How can SMEs reduce employee absenteeism?

By improving access to healthcare, supporting mental wellbeing, and creating a flexible, positive work environment.

What causes high sickness absence in small businesses?

Common causes include minor illness, stress, burnout, and delays in accessing treatment.

Do employee health benefits reduce sick days?

Yes. Employee health benefits have been shown to help reduce sick days by giving employees faster access to treatment, supporting early intervention, and preventing issues from escalating.

Is 8 sick days a year too much in the UK?

Benchmarks vary by sector and role. Recent UK averages have been close to or slightly above this level. Rather than focusing on a single number, review patterns, causes, and duration, and intervene early with support.

What are the 3 R’s of employee retention?

A practical take for SMEs: Recruit the right fit, Recognise performance (fair pay, benefits, praise), and Retain through development and support (progression, wellbeing, flexibility). Strong retention reduces absence by improving engagement and wellbeing.


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