
Hating your boss is 'not a mental health condition', says ex-high street chief amid fears workplace problems are being 'overmedicalised'
The former chairman of John Lewis has raised concerns amid the 'overmedicalisation' of workplace problems.
It comes as one in five people of working age have a health condition that affects their job and there are 2.8million people inactive due to ill health.
This is up from 2.1million since before the Covid pandemic - though the numbers have been steadily rising over the years.
The ex-high street chief, Sir Charlie Mayfield, has now been appointed by Liz Kendall, the work and pensions secretary, to come up with plans to stop workers leaving their jobs because of poor health.
Mr Mayfield's report is due this autumn.
He told The Sunday Times: 'The last thing I wish to do is trivialise [mental health conditions] but I agree that things do get over-medicalised.
'That's not to say there aren't medical issues that need to be dealt with through proper clinical medical interventions, but there's a lot more that can be done through the workplace and through encouraging discussion and relationships and processes that encourage that.
'It might be better to say: "What's making you anxious?" Because then we can do something about that. And how do you deal with it if you've got [an employee with a] "I hate my boss syndrome"? Well, we can do something about that. We can say "Is it the case that your boss is hateful?", in which case, that's probably an issue that we should figure out how we deal with.'
Mr Mayfield added there were also the possibility the boss was 'quite legitimately doing what they should be doing' meaning it is 'not hateful behaviour' and in fact might be 'what bosses are meant to do'.
He went on to say bosses should be routinely in contact with employees when they are signed off to help support their return to work.
Sick notes also create an 'impregnable barrier' between employer and employee, according to the former high street mogul, with those in charge often too scared of contacting staff for fear of 'causing offence'.
The 58-year-old believes lessons can be learnt from the Netherlands where there is a mandatory six-week intervention meeting requiring employee, employer and occupational health to agree a return-to-work plan with two-week monitoring cycles.
He pointed out that statistically the longer someone is away from work, the harder it is to get back and the less likely that person is to do so.
Mr Mayfield said it should become normal that people are contacted when they're off sick and that while some organisations are ready to do this, most are not.
The former John Lewis chief pointed to a fear of individuals disclosing health conditions and also line managers not wanting to offend people about something obviously personal to them.
He also offered 'keeping in touch days' like those used by women on maternity leave as a solution - to help solve the disconnection between employer and employee, improving return-to-work outcomes.
Flexibility is also key - particularly among the over 50s - as a way to boost participation, according to Mr Mayfield.
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The Guardian
12 minutes ago
- The Guardian
Police say ill-fitting uniforms leading to crushed testicles and lumps in breasts
Musculoskeletal damage, crushed testicles and lumps in breasts are just some examples of the harm police officers say they experience because of ill-fitting, uncomfortable and low-quality uniforms. Officers responding to the first national uniform and equipment survey across all 43 forces in England and Wales reported symptoms so severe that some had to have multiple operations. Others told how criminals warned them their uniforms left vital areas of their body exposed and even acted as a 'guide' as to where they could be stabbed. Belinda Goodwin, a former frontline officer who works for the Police Federation, had two operations to remove fistulas from her breasts that she said were caused by ill-fitting body armour. 'We had one model and size of stab vest for both men and women, and we had to wear them eight to 10 hours a day,' she said. 'The pressure for women on our breasts was intense; we were completely flattened. 'Being unable to adjust them for hours on end when you were wearing them in a public-facing role was torture. Driving in them was horrific and dangerous: they rammed up into your chin. 'After my second operation, the consultant told me that they couldn't operate again if the fistulas returned because I'd have no breast left to remove. I realised I had no choice but to leave frontline policing entirely.' Almost 21,000 police officers and staff responded to the Police Federation of England and Wales's (PFEW) survey. The research was conducted in collaboration with the National Police Chiefs' Council and led by Lancaster University Law School. One officer said: 'The current body armour doesn't seem to provide adequate coverage on officer's bodies, with large areas, including armpit areas, exposed compared to other forces' vests that feel a lot more protective. 'On numerous occasions, offenders have commented on how exposed our kit leaves us, and state that our kit acts as a target of where to be stabbed.' More than 60% of men and 85% of women reported a physical health condition that they believed was caused by or made worse through wearing uniform. The most commonly worn garments were the most problematic: 61% complained about body armour; 69% flagged cargo trousers. The survey also found inconsistent uniform quality across forces, with access to high-performance kit depending more on local budgets than operational need: negative experiences ranged from 29% in North Yorkshire to 75% in nearby South Yorkshire. One officer said: 'Cargo trousers are too restrictive when struggling with suspects. On foot patrol or foot chases, [they] do not allow for flexibility to climb, jump or fight as you should.' Another said: 'The standard fit of the patrol/cargo trousers is not fit for purpose. They are extremely tight around the groin/thigh area and often cause rubbing and soreness.' But for another officer, the trousers were too loose: 'The cargo trousers are completely unsuitable for frontline policing – they are baggy and dangerous.' The survey also found uniforms did not enable officers to carry all their equipment. 'The utility vest does not offer enough room to add all items that the force requires us to carry,' said one officer. Another said: 'The utility vest causes horrific back pain as the amount of equipment, and weight of that equipment, is too much to all be placed on the front.' When officers reported the problems, however, the survey found that their complaints were often trivialised and dismissed: almost 40% of officers had made a complaint but only 8% received replacement uniform. One force's female members cbought their own rather than use their department's trousers because the crotch was too short. 'Concerns were raised and women's health issues were not given appropriate consideration by the men deciding what we should wear. It was viewed as more of a fashion issue, and anxiety about body image and the medical issues, such as thrush, were ignored,' she said. The PFEW is calling on the Home Office to create coordinated procurement standards for uniforms with a higher minimum national standard. Melissa Russhard, the National Police Chiefs' Council lead for uniform, said: 'This survey will help give us the mandate to push forward with our moves towards setting national standardisation for uniform requirements and end the postcode lottery that exists.' A spokesperson for the Home Office said: 'We refer to individual police forces, given decisions on uniform are a matter for them.'


The Sun
12 minutes ago
- The Sun
From disappearing boobs and bum to crepey arms and hollow face – how I got rid of my sagging Ozempic skin
THANKS to weight-loss jab Mounjaro, I've lost 8.5st in a year. I'm five dress sizes down and thrilled. But what I wasn't prepared for was the sagging. It's everywhere. And it's shaken my confidence. 8 8 'Surprisingly, it's not just how much weight you lose, it's how quickly,' explains aesthetic doctor and founder of Illuminate Skin Clinic, Dr Sophie Shotter. 'Rapid weight loss doesn't give skin time to recoil,' she says. 'Studies show after losing over 50 per cent of excess weight, previously obese people have 40 per cent less elastin and significantly reduced collagen density.' As someone who has yo-yo'd with my weight for decades, that resonates. Hormonal issues linked to polycystic ovary syndrome and my thyroid, saw me sign up to WeightWatchers at 14, followed by stints on the Atkins diet, liquid Cambridge diet and general calorie and carb-counting, all of which left me with disordered eating and a major tendency to emotionally eat, too. I spent time in therapy to work on my relationship with food and my body. I ended up dropping down to 12-and-a-half stone and maintained that weight for a few years. But then I froze my eggs in October 2021 and my hormones went haywire. I was then put on medication, but I developed anxiety and depression, which brought back the emotional eating, and I found it difficult to leave the house. I came off the hormone treatment, but the damage had been done and I reached 18 stone by January 2023. Once I gave Mounjaro a go in May 2024, I haven't looked back. Now, despite getting down to a size eight, I'm still covering up all the bits I did when I was a size 18. So, in a bid to enjoy this new body, I'm on a mission to tackle the sag. Here's what actually works . . . BINGO WINGS My arms have always been a bugbear — and while the fat is long gone, I'm still hauling around 5cm of hanging skin. At rest, they look rippled and crepey. Raised, they jiggle like jelly. 'The upper arms, especially the inner side, are one of the first areas where crepey, sagging skin appears after losing weight,' says my go-to aesthetician and founder of Ace Skin Health Clinic, Corina Mihalachi. 'The skin here is naturally thinner and due to constant movement and often reduced muscle tone, it quickly loses firmness. 'This can create the appearance of loose 'wings'.' I've been lifting weights and following a high-protein diet to build up my triceps, as Dr Shotter says 'more muscle will help fill out the slack skin and give a little increase in girth.' I've also been slathering on Paula's Choice Skin-Smoothing Retinol Body Treatment, £28.90/118ml — great for boosting collagen, although as Shotter notes 'it won't lift the skin'. A cheaper option would be The Solution Retinol Smoothing Body Lotion, £9.99/200ml. Mihalachi also recommended Radio Frequency microneedling, which combines skin puncturing and heat to stimulate collagen and elastin. It's helped — but for the defined arms I want, I'm planning a brachioplasty, which costs anywhere between £4000-£12,500 in the UK. 'This procedure removes excess skin,' says surgeon Patrick Mallucci. 'It creates a more contoured shape — but leaves a long scar inside the arm.' What are the other side effects of weight loss jabs? Like any medication, weight loss jabs can have side effects. Common side effects of injections such as Ozempic include: Nausea: This is the most commonly reported side effect, especially when first starting the medication. It often decreases over time as your body adjusts. Vomiting: Can occur, often in conjunction with nausea. Diarrhea: Some people experience gastrointestinal upset. Constipation: Some individuals may also experience constipation. Stomach pain or discomfort: Some people may experience abdominal pain or discomfort. Reduced appetite: This is often a desired effect for people using Ozempic for weight loss. Indigestion: Can cause a feeling of bloating or discomfort after eating. Serious side effects can also include: Pancreatitis: In rare cases, Ozempic may increase the risk of inflammation of the pancreas, known as pancreatitis, which can cause severe stomach pain, nausea, and vomiting. Kidney problems: There have been reports of kidney issues, including kidney failure, though this is uncommon. Thyroid tumors: There's a potential increased risk of thyroid cancer, although this risk is based on animal studies. It is not confirmed in humans, but people with a history of thyroid cancer should avoid Ozempic. Vision problems: Rapid changes in blood sugar levels may affect vision, and some people have reported blurry vision when taking Ozempic. Hypoglycemia (low blood sugar): Especially if used with other medications like sulfonylureas or insulin. MUFFIN TOPS My tummy looks saggy now, as the skin is so loose that my belly button has turned downwards like a sad face. A small pouch peeks over my underwear, making low-rise jeans a no-go. To ease bloating and define my waist, I've been supporting my gut with fermented foods like kimchi and yoghurt, drinking 2.5 litres of water daily and taking Artah's GI Cleanse Supplement, £38. A cheaper alternative is Gut Love supplements by Protein Works, £9.99 for a 30-day supply. I've also been working on my core by doing mat-based pilates via YouTube. Shotter says: 'This can help to thicken the main abdominal muscle, giving a mild improvement in tightness.' At Mallucci London, I've had Emsculpt Neo, a treatment using High-Intensity Focused Electromagnetic energy to simulate 20,000 sit-ups in 30 minutes. Costing £199-£400 per session, it's pricey but effective. I'm not in low-rise jeans yet, but high-rise ones and a cute crop top feel do-able, as I now have more definition on my upper abs. But when it comes to the lower part of my stomach I need a little more help with my pouch. Mihalachi suggested Radio Frequency (RF) Microneedling, which uses energy to boost collagen. She then applies repairing polynucleotides and exosomes topically to further regenerate and firm sagging skin. At home, I'm topping up with The Inkey List Exosome Hydra-Glow Complex, £20/30ml. PANCAKE BUM AT 41, I don't expect to sport the behind I had in my youth, but when I reached my goal weight of ten stone a couple of months ago, my bum was pancake flat – despite working out regularly. So I decided to up the anti on my glutes and, along with my abs, I also had a course of EMSculpt Neo on my bum – think 20,000 squats in 30 minutes. 'Like with the abdomen, this can lead to muscle growth beyond what exercise alone can achieve,' says Dr Shotter. The idea here is that the muscle growth will help fill out the loose skin a little to give me some more projection. To a certain extent, it has delivered some – although just like with sagging on the breasts, the only real fix is a surgical lift. But if surgery isn't an option, you could try padded bum-lifting shapewear like the George at Asda shaping bum-enhancing shorts, £7.50. If I'm not wearing clothes that skim my bum, then these are my go-tos. DEFLATED FACE 'WHEN losing weight, the fat pads that give the face fullness and structure begin to shrink,' says Mihalache. 'This can cause a hollow appearance around the eyes and cheeks and sagging along the jawline and neck. The skin may look looser, thinner and, in some cases, more textured – especially if elasticity was already compromised.' In my case, my nasolabial folds are more pronounced, my cheeks have deflated and I've developed a hint of jowling. I'm religious about my skincare, all of which help counteract the visible effects of rapid weight loss. And if you want to follow suit it's worth including actives like hyaluronic acid and niacinamide, both found in the Byoma Brightening Serum,£12.99/30ml - which plumps, hydrates and boosts collagen and elastin. SPF is also a must to protect from UV rays, as they break down collagen and elastin fibres which you desperately need in order to avoid 'Ozempic sag. Try the Skin+Me Daily Moisturiser with SPF50, £22/24ml. And at night invest in a prescription retinoid like tretinoin that turbo charges collagen production and can be found in the personalised Dermatica night treatment, £24.99/12.5ml. Shotter says injectables offer the next level of support. 'Dermal fillers help plump up sunken skin restoring lost volume to reinstate facial contours. 'Additionally, injectable biostimulators like Sculptra and Radiesse, from £400, go a step further by boosting your own collagen to rebuild the skin's internal scaffolding.' Meaning, if you don't have extreme laxity, wave goodbye to sagging and say hello to a defined jawline, sculpted cheekbones and cheeks that sit where they used to. Sign me up. The NHS 12-step plan to help you lose weight FROM faddy diets to dodgy detoxes - most of us have heard it all before when it comes to weight loss. But burning fat can be easy and mostly free. In fact, the NHS has a whole load of medically-approved tips for weight loss and shedding body fat once and for all... Don't skip breakfast Skipping breakfast will not help you lose weight. You could miss out on essential nutrients and you may end up snacking more throughout the day because you feel hungry. Eat regular meals Eating at regular times during the day helps burn calories at a faster rate. It also reduces the temptation to snack on foods high in fat and sugar. Eat plenty of fruit and veg Fruit and veg are low in calories and fat, and high in fibre – 3 essential ingredients for successful weight loss. They also contain plenty of vitamins and minerals. Get more active Being active is key to losing weight and keeping it off. As well as providing lots of health benefits, exercise can help burn off the excess calories you cannot lose through diet alone. Drink lots of water People sometimes confuse thirst with hunger. You can end up consuming extra calories when a glass of water is really what you need. Eat high fibre foods Foods containing lots of fibre can help keep you feeling full, which is perfect for losing weight. Fibre is only found in food from plants, such as fruit and veg, oats, wholegrain bread, brown rice and pasta, and beans, peas and lentils. Read food labels Knowing how to read food labels can help you choose healthier options. Use the calorie information to work out how a particular food fits into your daily calorie allowance on the weight loss plan. Use a smaller plate Using smaller plates can help you eat smaller portions. By using smaller plates and bowls, you may be able to gradually get used to eating smaller portions without going hungry. It takes about 20 minutes for the stomach to tell the brain it's full, so eat slowly and stop eating before you feel full. Don't ban foods Do not ban any foods from your weight loss plan, especially the ones you like. Banning foods will only make you crave them more. There's no reason you cannot enjoy the occasional treat as long as you stay within your daily calorie allowance. Don't stock junk food To avoid temptation, do not stock junk food – such as chocolate, biscuits, crisps and sweet fizzy drinks – at home. Instead, opt for healthy snacks, such as fruit, unsalted rice cakes, oat cakes, unsalted or unsweetened popcorn, and fruit juice. Cut down on alcohol A standard glass of wine can contain as many calories as a piece of chocolate. Over time, drinking too much can easily contribute to weight gain. Plan your meals Try to plan your breakfast, lunch, dinner and snacks for the week, making sure you stick to your calorie allowance. You may find it helpful to make a weekly shopping list. DROOPY BOOBS MY boobs have disappeared – the volume has gone and they look like I've breast fed three kids and yet I have no children. There's really nothing an in-clinic treatment, skincare, or supplementation can do when it comes to sagging breasts. 'These will need lifting either with or without implants, though more often than not, an implant is required to restore lost volume,' explains Mallucci. 'Lightweight implants are ideal as the inelastic skin is not tolerant of too much extra weight. 'Like with all surgeries associated with sagging, scarring is unavoidable. 'Additionally, when it comes to breast-lift surgery of this nature an 'anchor shape' scar is what patients can expect as this cut allows for the most amount of excess skin removal.' I'm booking in for one as soon as I've saved enough pennies. It's worth noting that the average cost for a breast lift with implants is £8,500 in the UK. But in the meantime to fill out my bras I'm relying on the John Lewis silicone cleavage boosters, right, £22. They push up my boobs, filling my bras better, and magically eliminating the crepey, wrinkled appearance of my skin.


The Sun
12 minutes ago
- The Sun
I shed 12st in just 4 months after £1.2k a year addiction – and I did it without fat jabs
A BUSY mum who spent £1.2k on her addiction to a specific food has lost 4st in four months, without weight loss jabs. Lucy Castle weighed 16st and was a size 20 at her heaviest. 12 12 12 The mum-of-three had a hankering for cheese and would often find herself snacking on unhealthy treats while juggling looking after her three boys - aged two, nine and 15. Lucy would regularly gorge on a whole oven-baked Camembert with French bread or chunks of brie and covered her meals in a generous layer of grated cheese. But when she was diagnosed with type 2 diabetes Lucy had a wake-up call and decided to give the 1:1 diet a go - after seeing a friend try it out. The diet involves eating four replacement meals a day and helped Lucy get down to 12st and a size 12 in four months. Lucy, a diet consultant and women's wellness coach, from Hinckley, Leicestershire, said: "I found myself again. "I was a busy mum, I used to find the quickest, easiest options. "Cheese was wrecking my life. "I was spending £25 a week on different cheeses. My favourite was brie." Lucy struggled to balance her busy mum life while sticking to a healthy diet. She would often grab what was easy - chocolate bars, crisps, cheese and takeaways. Towie star Saffron Lempriere reveals how she lost 12 pounds in 4 weeks - without fat jabs After having her youngest son, now two, she struggled to budge the baby weight. And then, in March 2024, Lucy's health took a turn. The mum recalled: "I wasn't feeling well. I was dizzy. I had pins and needles and would come out in sweats. "I used to avoid social events, hide away in baggy clothes, and I couldn't keep up with my boys." 12 12 12 She went to see her GP and was diagnosed with type two diabetes that same month. "It was my wake-up call," she said. Lucy tried the 1:1 diet and found the meal replacements and supportive consultant helped her stay focused on her goal. She said: "Seeing the scales every week and my weight going down - it kept me motivated." She got down to 12st in just four months and is now maintaining the weight by switching to easy home-cooked meals and healthy snacks. She has also reversed her type 2 diabetes diagnosis. Lucy still has the occasional treat or cheese on crackers but said food no longer "controls" her. She is able to be more active with her boys. Lucy said: "Before I couldn't keep up with my children. "My back was hurting - my knees, my hips. "Now I have more energy. 12 12 12 "I feel so much happier, my health is back on track, and I'm enjoying life with my boys more than ever. "For the first time in years, I love shopping for clothes that make me feel amazing." Now a wellness coach supporting others in their weight loss journeys, Lucy hopes to inspire others. She said: "Believe in yourself. "You can do this too. Take one day at a time, stop being hard on yourself, and practice self-love. "It's not just about losing weight - it's about finding you again." The 1:1 diet explained The 1:1 diet, previously known as the Cambridge diet, is a calorie-controlled eating plan aimed at rapid weight loss. There is a strict regime to follow, starting as a 12-week, very low-calorie diet consisting of meal replacements in the form of shakes, soups and bars. It also includes personal one-to-one support with a diet consultant to guide you through the different stages. The diet follows six stages and total calories gradually increase from around 500 to 1200 kcal per day before the maintenance stage is reached. What you eat depends on the stage you're in. While it may provide quick results in the short term, it can be hard to follow long term as it's restrictive.