Wealth vs health

More than half ignore medical advice and work despite poor health due to financial worries

When you are off work due to an illness or injury, worries about how you are going to pay your bills can make an already stressful situation worse. So much so, that many people are finding themselves in the very difficult position of having to put the need to earn money over their health by continuing to go to work, even when advised not to by a doctor.

Worse still, financial concerns mean some are avoiding seeing their GP altogether, even when concerned they may have a serious illness. Money worries see six in ten people go to work when they are ill, with one in three ignoring their doctor’s advice due to financial concerns, even when they are worried about serious illness, according to a new research[1].

No financial protection in place
Three in ten people have no financial protection if they were off work should they fall ill or become injured, while 27% could financially only last for a month. The findings highlight that sick and injured Britons are forcing themselves back into work, despite doctors’ advice, due to having no financial protection in place.
Nearly a third (32%) admitted to not following their doctor’s advice because they couldn’t afford to take time off, while 43% would put off going to the doctors due to financial concerns – even if concerned they may have a serious illness.

Negative impact on mental wellbeing
The research also highlights that while nearly half (49%) say they would benefit from a policy that would cover their income if off work for an extended period, just 27% actually have any income protection cover in place, with 32% unaware of what such a policy is.

Money worries can have a negative impact on people’s mental wellbeing, with nearly two-thirds (64%) of those surveyed saying they fret about how they would cope financially if they needed to take four weeks or more off work due to poor health.

Sick and on a reduced income
Three in ten (30%) surveyed have nothing in place to support them financially should they be ill or injured, while 29% would rely on Statutory Sick Pay, which at £99.35 per week for up to 28 weeks (tax year 2022/23), pays much less than many people need to cover the cost of living, which continues to rise.

If on long term sick and on a reduced income, many would use their existing savings (45%), make reduced payments (33%), or borrow money from family or friends (25%) or use a credit card or loan (15%). However, during the pandemic a third (34%) of people had already dipped into their savings, meaning they may now have less to fall back on.

Longer-term financial impacts
As a result of this situation, more than half (55%) admit they could only survive for three months, while more than a quarter (27%) would struggle after just one month. The additional financial pressures of being off sick for four weeks of more could push people to prioritise their household expenditures. The top five things’ people surveyed prioritise include utilities (67%), mortgage/rent (65%), food (56%), insurance i.e. (car/home/pet (15%) and internet/broadband (13%).

As well as the immediate impact of long-term sickness, many people are also concerned about the longer-term financial impacts, with almost half (49%) of those surveyed saying they worry about the impact on their ability to get credit in future. This is particularly an issue for the self-employed, where 43% worry about losing customers and just over a third (36%) worry that their business would have to fold.

Source data:
[1] Survey conducted by Censuswide for Nationwide between 10-14 February of 2,003 people who are self-employed or employed but receive Statutory Sick Pay when off work through illness or injury.


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