Friday, 11 February 2022

Time to reform sick pay

'Fixing the UK's broken sick pay regime would reduce the spread of infectious diseases – and be a small step towards a fairer country.' I read these words in a Guardian editorial just before a mentoring session with an HR colleague. She reminded me that I was surprised when we discussed reviewing sick pay as one of her initial goals after moving from a private-sector post to the care sector.

I probably shouldn't have been surprised as three out of four employers responding to a government consultation agreed that statutory sick pay should be extended, and small businesses were as supportive as large. Not that this consensus brought any action from the UK Government. The UK has the least generous statutory sick pay in Europe, worth just £96.35 per week, around 15 per cent of average earnings, compared to an OECD average of over 60 per cent. And it is only available to employees earning £120 per week or more – meaning two million workers nationwide, mostly women, do not qualify.


The pandemic ought to have been a wake-up call on sick pay. Too many workers in public-facing jobs are, in effect, incentivised to go to work when they are ill. If care workers suspect they are seriously ill but worry that £96 a week will leave them behind on rent and bills, they have a choice: fall into debt or risk patients getting ill – with potentially fatal consequences. More than 250,000 workers were self-isolating last month without decent sick pay or any sick pay at all. And it's not a problem that will go away when the pandemic is over. An estimated 1.3 million people (1.9% of the population) were experiencing self-reported long COVID as of October 2021.

It is also discriminatory. A report from the IPPR and UCL found that households earning less than £25,000 were twice as likely to lack access to any sick pay compared to those earning more than £75,000. Similarly, workers over the age of 65 were five times more likely to lack access to sick pay compared to those aged 25 to 44. Workers aged 45 and 64 were also twice as likely as this younger age group to lack access to sick pay. And people from a South Asian background were 40 per cent more likely to lack access to sick pay than white workers.

Another tricky issue for her care organisation was vaccine mandates. Like most people, including me, her board found it difficult to understand why care workers wouldn't want to protect themselves and the people they care for by getting vaccinated. It wasn't mandatory in Scotland, but several organisations had decided to go down that route. We agreed that vaccine mandates could be ethical and legal, and staff should be encouraged to get vaccinated. However, mandates will only be necessary if there is no other way of preventing transmission to a similar degree. There is now good evidence that a vaccine mandate will not prevent healthcare workers from passing on the virus to vulnerable patients. The organisation also rejected the idea of cutting contractual sick pay for unvaccinated workers as, given the low level of SSP, that could encourage working when infected. This approach worked with only a handful of staff not voluntarily getting vaccinated.

TUC General Secretary Frances O'Grady said, 'No one should be forced to choose between doing the right thing and self-isolating or putting food on the table.' Employers should ensure that their sick pay arrangements don't force workers to make that decision. That approach needs to be underpinned by a statutory sick pay scheme that pays the real living wage to everyone.