1 Pier Street, Lee On The Solent, PO13 9LD
02392 552266

What is the biggest risk to businesses, presenteeism or absenteeism?

Presenteeism Or Absenteeism

According to the Office of National Statistics 2018 report, there was 141.4 million days lost due to sickness. This is equivalent to 4.4 days per worker, this is a decrease in sickness rates by more than a third since 1995, why? As absenteeism is not responsible for this there must be another cause, presenteeism.

Whilst most workplaces have policies and processes in place to support members of staff who are absent, and the know costs of sickness, presenteeism is harder to measure than absenteeism and more challenging to judge the effect that this is having on your business.

What Is ‘Presenteeism’

What is ‘Presenteeism’, presenteeism is used to describe the issue of employees coming into work whilst unfit, instead of staying at home and recuperating. This term has now expanded to include employees who are disengaged or not altogether in their day-to-day work.

According to the Chartered Institute of Personnel Development (CIPD) , presenteeism has tripled since 2010. It reports that more than four-fifths (83%) of its respondents had observed presenteeism in their workplace, and a quarter (25%) said the problem had got worse since the previous year.

Presenteeism is a clear and accelerating trend, which is highlighted by several studies, which have reached the same conclusion.

Research shows that people are significantly less productive when they are unwell and this can also become a hazard to others if they then pass on illness. There are also disengaged employees who are more likely to care less about their role and possibly make more mistakes. This all leads to a reduction in productivity and morale.

What Can Businesses Do?

Review your sickness policy, especially if it takes a hard line on being sick and is an aggressive policy.

If staff aren’t paid whilst they are ill or if you have incentives for 100% attendance, you may be encouraging employees to come in when they are ill.

If staff are disengaged, carry out an anonymous satisfaction survey to find out the cause of the issue, this may help you to reduce absenteeism.

Investigate the possibility of introducing a wellbeing initiative such as:

  • No evening emailing or phone calls – we know as a business leader it is unrealistic to expect you not to check your emails outside regular hours. Although by doing this you could be setting a dangerous precedent for your employees. If they are receiving emails outside of normal working hours, the temptation can be to answer them immediately to prove their dedication to your company.
  • Physiotherapy Team – 40% of all sickness and presenteeism can be attributed to Musculoskeletal Injuries/Disorders and having a team that you can refer too, will help you return employees  to full health & fitness, whilst equipping them with the tools to prevent reoccurrence. Find out more about our Workplace Physio services and how they can help your business.
  • Discourage employees taking work home – Whether it is to complete work outside normal hours or even to use their leave entitlement to complete work.

In conclusion it would depend upon your policies, procedures and existing measures as to which is the biggest threat to you and your business, is it presenteeism or is absenteeism?

Our Physiotherapy Team Can Help Your Business

Our Physiotherapy team are ready to help your business. Our workplace physiotherapy solutions can provide your workforce with timely access to physiotherapy as and when your employees need it. Calculate the cost of employee sickness with our online employee sickness calculator.

References used:

  1. Health and Well-Being at Work May 2018 CIPD & Simplyhealth. https://www.cipd.co.uk/Images/health-and-well-being-at-work_tcm18-40863.pdf
  2. Sickness absence in the UK Labour market 2018 Office of National Statistics – read article.
  3. The rise of ‘presenteeism’ in the workplace 14 April 2019, Emma Simpson BBC News https://www.bbc.co.uk/news/business-47911210
  4. Presenteeism – the UK’s biggest threat to productivity 1 June 2018, Steve Thompson The HR Director – read feature.
November 20, 2019

Celebrating 15 years of Physiotherapy in Lee on the Solent

15 Years Of DDB Physiotherapy

Staff at DDB Physiotherapy Clinic have been celebrating 15 years in business this week.

DDB Physiotherapy Clinic are located on the corner of Pier Street and High Street of Lee on the Solent. It was celebrated with a small get together of staff past & present and clients at the home of the owner, Didi Berry on Saturday 17 August 2019.

15% Discount On All Treatments To Celebrate 15 Years Of DDB Physiotherapy

To mark the celebration DDB Physiotherapy Clinic are offering a 15% discount on all treatments (completed) during the week of 19/08/2019 to 25/08/2019 for existing and new clients.

Didi Berry, sole trader and owner of the business, now has eight physiotherapists and 6 other therapists.

Between them they offer osteopathy, podiatry, sports massage and numerous holistic therapies. The whole selection of treatments can be viewed via our website.

They also hold a number of different classes such as:

New Clinic At Fareham Community Hospital

DDB Physiotherapy Clinic can confirm that they are opening a clinic at Fareham Community Hospital starting on the 19th September 2019.

Mrs Berry said:

‘We are extremely excited about our celebrations, to be able to thank clients, staff and the community for using our facilities and spreading the word and recommending us to others, which is how our business has grown.

‘Our reputation is built upon the care we have for our patients and if we can’t help, we will endeavour to sign post them to where they can get help.

‘The business has never been built on profit before service, reinvesting in the business has always been top priority and keeping our costs affordable for the benefit of the patients.’

Recent Testimonials From DDB Clients

All August 2019


‘Have seen Didi and Dawn previously who were amazing. Never has recently treated my 88 year old grandad and he was amazed at the results after just one session and I am extremely pleased and confident in the professionalism and treatments given and would recommend Never to everyone, along with the practice.’


‘Pete (Sports Massage Therapist) has always been helpful and sorted out my neck and back problems’


‘Excellent treatment, friendly staff and flexible appointments’

Find Out More About DDB Physiotherapy

If you want to know more about our physiotherapy services, please call 02392 552266 or look at our website.

August 22, 2019

Working at DDB Physiotherapy Clinic

Recruiting Osteopath


DDB Physiotherapy are growing and as a result we are looking to recruitment a Pilates instructor and a Osteopath for our clinics.

About DDB Physiotherapy

DDB Physiotherapy Clinic has been in business since 2004 serving the local communities in Gosport, Fareham and Whiteley. We deliver a wide and  varied range services from Physiotherapy, Osteopathy, Podiatry, Sports Massage and much more.

Looking for Pilates Instructor

Due to expanding our services we are looking to deliver extra Clinical Pilates Classes on a Monday evening at our clinic in Lee on the Solent, these classes are no larger than 6 people.

Ideally we are looking for a enthusiastic and lively Physiotherapist or Sports Therapist who is qualified and insured as a Pilates instructor. You will be supported by our reception staff and practice manager in providing the admin support to ensure the smooth running of the classes.

Looking for an Osteopath

We currently have capacity for an additional Osteopath at DDB Physiotherapy Clinic, ideally enthusiastic and  flexible individual to support the growing need for an Osteopathic treatments.

All administration and marketing is completed by the administration team and practice manager.

Ideally we are looking for one day a week, possibly afternoon early evening to meet the demand.

What Next

If any of these are of interest, please drop us your CV to pm@ddbphysiotherapy.co.uk and will will organise a telephone interview in the first instance.

Look forward to hearing from you.

YourBody YourHealth OurHelp

May 29, 2019

The Causes Of Back Pain And How Physiotherapy Can Help

Physiotherapy and Work Related Injuries Gosport

Many of our clients that come to DDB Physiotherapy are asking for help and advice in looking after and treating back pain. Back pain can have a significant impact on your everyday life if it is not managed well. In this article, we explore the causes of back pain and explain how seeing a physiotherapist can help.

Causes Of Back Pain

While back pain can be painful and upsetting, it usually gets better quickly and can be managed through a combination of advice and remaining active.

There are many causes of back pain and it often involves a combination of the following:

  • Physical factors, such as ‘protecting’ the back and avoiding movements, or a simple strain.
  • Psychological factors, including a fear of damage or not getting better, feeling down or being stressed.
  • More general health and lifestyle factors, like being tired and rundown, not getting enough good quality sleep, being overweight or not getting enough physical activity.
  • Social triggers, such as difficult relationships at work or home, low job satisfaction or stressful life events, like a family death or illness.

Sometimes there can be specific causes of back pain that present symptoms such as leg pain, pins and needles or numbness. This can be caused by irritation of the nerves in the back.

Treatment For Back Pain

Research has shown that back pain can be treated with a combination of the following:

  • Remaining active as pain allows
  • Painkillers (if needed)
  • Advice from a healthcare professional

Exercise has been shown to be the best form of treatment for back pain, as long as this exercise stays within your pain limit. The Chartered Society of Physiotherapy has a series of five video exercises that can help to alleviate back pain. Watch their Video Exercises for Back Pain.

Getting Help With Back Pain

If back pain persists or worsens over a period of 2-3 weeks, and it is preventing you from doing your normal activities then further advice should be sought from your GP or your physiotherapist.

Physiotherapists are specialists in the care of Lower Back Pain and are able to give the right advice to suit you and your needs.

Seeing a Physiotherapist At DDB

When you see a physiotherapist, they will complete a full and thorough assessment of you, taking into consideration your:

  • Medical history
  • History of pain
  • Activities

They will also conduct a physical examination to assess how your muscles, nerves and joints are working.

On conclusion of the assessment, they will discuss what is the best treatment programme to manage your back pain, which may include:

  • Home exercise programmes for strength and mobility
  • Manual treatment
  • Advice on pain

Following your initial appointment, you will be invited back to allow the physiotherapist to monitor your progress and adjust your treatment if necessary.

Book A Physiotherapy Appointment With Us

We can complete a thorough assessment of your back pain and recommend a treatment plan that will manage your pain. Find out more about Physiotherapy for Back Pain and book your appointment online or call us: 02392 552266.

May 23, 2019

Moving Forward – Physiotherapy For Musculoskeletal Health And Wellbeing

Physiotherapy For Musculoskeletal Health Study

Released by the National Institute for Health Research is a publication called MOVING FORWARD Physiotherapy for Musculoskeletal (MSK) Health and Wellbeing. The publication highlights how important physiotherapy is for preventing and reducing the impact of musculoskeletal (MSK) conditions.

What Are MSK (Musculoskeletal) Conditions

MSK conditions range from simple strains and sprains to long-term conditions such as rheumatoid arthritis and osteoarthritis. It covers problems affecting joints, bones and muscles as well as rare conditions of the immune system.

Characterised by pain and loss of function, these conditions can diminish quality of life, impact on family and social relationships, make everyday activities difficult and limit a person’s capacity to work.

Our team at DDB Physiotherapy Clinic specialise in MSK Physiotherapy and help you manage these conditions to improve your quality of life.

Research Into Musculoskeletal Health Shows That

One in four people are affected by musculoskeletal conditions, which are the leading cause of pain and disability in the UK.[1][2]

30.8 million working days were lost in 2016 due to musculoskeletal problems – it is the second leading cause of sickness absence at work.[3]

Caring for patients with musculoskeletal conditions is the third highest area of NHS spending.[4]

Why Consider Physiotherapy For Musculoskeletal Health And Managing Musculoskeletal Pain

Evidence shows that exercise and activity are the most effective tool for managing musculoskeletal pain.

At DDB Physiotherapy Clinic, we incorporate this into our treatments, and each and every one is customised to meet your needs. The exercises that are prescribed for you can be accessed via the Internet and they include videos and pictures via PhysioTec.

DDB provide rehab services with our qualified therapists. You can choose whether to attend a small group or as an individual.

We also provide range of other classes including Clinical Pilates and Yoga.

Your Body, Your Health Our Help

Contact us today to enquire about our Physiotherapy for Musculoskeletal health conditions.


[1] Public Health England 2017 – Musculoskeletal diseases profile

[2] Arthritis Research UK. The State of Musculoskeletal Health 2018. 

[3] Office for National Statistics (ONS). Sickness Absence Report 2016.

[4] NHS England. 2013/14 CCG programme budgeting benchmarking tool.

April 17, 2019

PD Warrior Classes For Parkinson’s Sufferers

PD Warrior Classes

We Offer PD Warrior Classes To Early Diagnosed Parkinson Disease Sufferers

DDB Physiotherapy Clinic in Lee-on-the-Solent are offering PD Warrior™ classes to help clients exercise and keep themselves active, whilst fighting the symptoms of Parkinson’s, which helps slow down the effects of the disease.

PD Warrior Development

PD Warrior™ was developed in Australia in 2011, by two neurological physiotherapists Melissa McConaghy and Lynn Tullock. It has already helped thousands of people around the world and is now available at DDB Physiotherapy Clinic.

Watch Our PD Warrior Interview By That’s TV Solent

Our PD Warrior Physiotherapists

Our neurological physiotherapists Never and Didi are fully licensed and accredited instructors of PD Warrior™, a rehabilitation programme of motivation and exercise that works on the brain and body’s functions. This programme can improve mobility, decrease tremors, improve confidence and increase energy levels.

 “Initially we will carry out a full assessment on your suitability for the PD Warrior™ programme, by conducting a number of exercises with you and teaching you how to perform them. After 3 to 5 one to one’s we would then give you the option of joining a PD Warrior™ class or continuing on a one to one basis. Classes are usually held once a week.

By offering group sessions, we can work with more clients with the added benefit of creating a social network group offering support and guidance for each other. The exercises are ideal for those in early stage diagnosis so we can work on the symptoms they are experiencing and focus on managing movement and mind set.

The value of PD Warrior™ with supporting medication is growing within the UK medical industry and is recognised by Parkinson’s UK. However, the right kind of exercises at optimal intensity and frequency are required to maximise the benefits. PD Warrior™ is designed to work with your medication, not replace it.”

 “We hope to be able to offer PD Warrior™ to the wider community, helping more people.”

If you want to know more about the benefits of PD Warrior™ and PD Warrior Classes visit our PD Warrior Treatment page or contact Ashley Thompson at DDB Physiotherapy Clinic on 02392 552266.

February 22, 2019


Parkinson's Disease

Most people get their Parkinson’s Disease diagnosis when their symptoms have become obviously noticeable and one or more aspects of movement has been affected. Usually symptoms significantly improve when one starts to take medication.

What role, if any, does engaging in physical activity and/or exercises play in improving the Parkinson’s symptoms? Short answer: a lot!

Should I Continue To Exercise With Parkinson’s Disease?

If you have not been exercising or had stopped because of your Parkinson’s symptoms, try to get back to exercises as soon as possible. Research evidence supporting the value of exercises in Parkinson’s has continued to grow. However, the right kind of exercises at optimal intensity and frequency is required to maximise the benefit of exercises on Parkinson’s symptoms.

PD Warrior

PD Warrior

This where PD Warrior exercises can be helpful to you. PD Warrior exercises were created by expert neurological physiotherapist using the best available research evidence. They are designed to help slow down Parkinson’s Disease i.e. to slow down the loss of dopamine producing neurons in the brain.

These exercises are also designed to help one move better and therefore, overcome some of the difficulties experienced as result of Parkinson’s.

How Can I Start PD Warrior Exercises?

It is advised to start PD Warrior exercises with the guidance from a PD Warrior Instructor. The PD Warrior Instructor will assess your capability for exercises and determine with you what exercises will help you and then teach you how to perform the exercises.

Once you and the Instructor are happy with your performance, you may continue with the exercises on your own or you can choose to join a PD Warrior exercise class; normally once per week.

Live Brave – Thrive In 2019

Parkinson’s UK have created a video for people who have been recently diagnosed with Parkinson’s disease. During the video you can hear about the experiences of others who have been diagnosed with Parkinson’s.

January 22, 2019

Poor Muscle Strength raises risk of a fall by 76%

Physiotherapy Park Gate

In older adults, poor muscle strength increases the risk of a fall by 76% and those who have already had a fall are three times more likely to fall again. Strengthening and balance activities not only help to prevent this, but also help improve your mood, sleeping patterns, increase your energy levels, and reduce the risk of an early death.

An evidence review commissioned by Public Health England and the Centre for Ageing Better has found that muscle and bone strengthening and balance activities continue to have great health benefits for all adults, and suggests these are done at least twice a week alongside aerobic exercise.

Currently, only one in three men and one in four women are currently doing enough of the right types if exercise for healthy muscles and bones.

Activities found to have the most benefit for muscle and bone strengthening include ball games, racket sports, dance, Nordic walking and resistance training (usually training with weights but including body weight exercises which can be performed anywhere).

For those at risk of falls or fracture, supervised structured exercise is also recommended at a pace that suits the individual to help maintain independence and support healthy ageing.

Jess Kuehne from the Centre for Ageing Better, said “it’s clear that we need to give equal weighting to activities that boost muscle and bone strength and improve balance rather than simply focus on aerobic exercise.

“There is significant potential to make saving to health and social care services if we do more to promote muscle strengthening and balance activities and recognise their role in helping to keep people healthy and independent for longer, particularly as they age.

“Current statistics show that falls are responsible for around 95% of all hip fractures, costing the NHS more than £1 billion a year. For employers and the economy, musculoskeletal health conditions are the second most common cause of sickness in the UK, accounting for 30.8 million days lost in work.

Published by Backcare.org.uk in TalkBack Autumn 2018 issue available for download here

Full report available here

Also see ageing better here

October 03, 2018

Are you missing out on equipment in the home?


The Charity Arthritis Research UK says as many as 8 in 10 people eligible for support may be missing out on life-changing equipment, such as grab rails, raised toilet seats or non-slip shower mats.

Aids and adaptations in the house play a vital role in helping people with arthritis and related conditions lead a more independent lives and reduce the risk of them needing more formal care or even A&E services. Almost everyone with arthritis that the charity surveyed (95%) who currently uses aids and adaptations, said they improved their quality of life. However, almost a fifth of those eligible are not using aids or adaptations at all.

Although local authorities have a duty to make aids and adaptions available, more than of half of survey respondents with arthritis and eligible support are buying equipment themselves, missing out on their entitlement. The average cost of aid in the charity’s study was £200.

The report argues that too many people are unaware of their rights because councils are not providing adequate information. Of survey respondents who are eligible, but not currently using aids and adaptions, over 85% were unaware their local authority has a duty to provide this type of equipment.  While a third of people sought information, only 1 in 10 surveyed said their local authority was their main source of advice, despite councils’ duty to make information accessible.

Arthritis Research UK is calling all local authorities to ensure people with arthritis and related conditions are assessed and, if eligible given aids and minor adaptations free of charge.

Morgan Vine, Campaigns Manager at Arthritis Research UK, said, “Aids and adaptations are at the front line in of UK’s social care system. It’s not fair that of the 17.8m people with arthritis and related conditions, so few are aware that this support is out there and even fewer have been assessed and provided with equipment they need and should be getting for free.  Adapting someones bathroom so that they can get up from a toilet can lead to fewer slips and falls, potentially avoiding emergency care.”

Published by Backcare.org.uk TalkBack Autumn 2018 available for download here


October 03, 2018

Physio Services can reduce healthcare costs and absenteeism

Reduced Absenteeism

INVESTMENT in physiotherapy services for musculoskeletal conditions improves patient outcomes and reduces overall healthcare costs, a new report from the National Institute for Health Research (NIHR) shows.


Musculoskeletal conditions are the leading cause of pain and disability in the UK, affecting more than one in four people. The evidence from the report Moving Forward: Physiotherapy for Musculoskeletal Health and Wellbeing highlights the importance of physiotherapy for treating these conditions.


This themed review brings together more than 30 physiotherapy related published studies funded by the NIHR and selected studied from other research organisations, which have made a difference to musculoskeletal care in conditions such as rheumatoid arthritis, low back pain and chronic knee joint pain.


Moving Forward is particularly aimed at physiotherapy staff involved in direct clinical practice but is also relevant to other clinicians in the musculoskeletal care team.


The findings show:


Investment in high quality rehabilitation adapted to individuals patient needs, lead to better outcomes, reduces further investigations and treatment, and reduces costs.


Physiotherapists offering advice on lower back pain reduced absence from work by an average of around five days.


Telephone assessment by physiotherapist meant people waited an average of seven days for contact with a physio, compared to a usual average waiting time of 34 days. Stretching and strengthening hand exercises improved function for people with rheumatoid arthritis.


There is overwhelming evidence that exercise and activity are effective and should be a core treatment in musculoskeletal pain. An NIHR review of over 60 trails- most for knee osteoarthritis-showed clear benefit of exercise.


A rehabilitation programme including targeted exercise reduced knee joint pain and healthcare costs


Published in TalkBack Autumn 2018 Available for download at Click Here


Want to know more?

  • Call DDB Physiotherapy Clinic on 02392 552266 and how we can help reduce absenteeism for musculoskeletal conditions and facilitate a faster return to work.


September 27, 2018

    Welcome to our Blog, we at DDB Physiotherapy Clinic like to keep individuals informed about new and exciting things that are happening within the world of Private Healthcare and any new development within DDB Physiotherapy Clinic.

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