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Discover the return on investment (ROI) you might expect from adopting the ImproveWell solution with our Impact Calculator, including: 

  1. ROI of gathering workforce ideas: capturing tangible ideas from the frontline, the ImproveWell solution delivers ROI through the improvement ideas themselves which create both time and financial savings; and
  2. ROI of improved employee engagement: as documented by Gallup, (2007, 2013, 2017) engaged employees deliver better patient outcomes and reduce the costs associated with absenteeism and turnover as shown by our customers time and time again.


How the calculator works

In order to evaluate the impact of ideas implemented, we categorise each improvement idea against a proprietary set of criteria. The first calculator above is based on the study of over 1,200 ideas shared by our users.

For the second calculator on absenteeism and turnover, our data and analysis was then reviewed by University College London Consulting Society, who then triangulated it with insights from the independent SW AHSN report into our work with Royal Cornwall NHS Trust and wider datasets in the public domain such the NHS Staff Survey results. The UCL team found it can be analogous to a single standard deviation improvement on NHS staff survey scores. This could translate into 0.2% decrease in absenteeism and 0.6% in turnover.

Calculating ROI through time savings and financial savings is not an exact science, we have erred on the side of caution when in doubt.


Average absenteeism cost per employee: Community Practitioner (2017) reported that sickness absence costs the NHS approximately £1.1 billion annually. Across a workforce of approximately 1.3 million (NHS Digital, 2020), this equates to a per-employee absenteeism cost of £850 per year.

Average absenteeism rate: 4.8% as of January 2020 in England (NHS Digital).

Average staff turnover cost per employee: The Times (2004) reported that 270,000 people leave the NHS annually, costing at least £1.5 billion. This equates to a per-employee turnover cost of £5,556 per year.

Average staff turnover rate: NHS Improvement (2019) reported a national nursing turnover rate of 11.9%. While this rate varies slightly between roles within the NHS, we have taken this as an indicative estimate for the average NHS staff turnover rate.


Community Practitioner. 2017. NHS sickness absence ‘costs £1.1bn per year’. Available here [accessed 12/07/2020]

Gallup. 2007. Return on Investment in Engaging Employees. Available here [accessed 12/07/2020]

Gallup. 2013. How Employee Engagement Drives Growth. Available here [accessed 12/07/2020]

NHS Digital. 2020. NHS Sickness Absence Rates – January 2020, Provisional Statistics. Available here [accessed 12/07/2020]

NHS Digital. 2020. NHS Workforce Statistics – March 2020. Available here [accessed 12/07/2020]

NHS Improvement. 2019. The national retention programme: two years on. Available here [accessed 12/07/2020]

South West Academic Health Science Network. 2019. Another way of Listening: An evaluation of the use of ImproveWell to listen and act on staff ideas for improvement. Available here [accessed 12/07/2020]

The Times. 2004. NHS spends £1.5bn each year on staff turnover. Available here [accessed 12/07/2020]

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