Work package members at the kick-off meeting of CHRODIS+ showing C for CHRODIS

Work Package 8 – Chronic Diseases and Employment

Main Tasks & Timeline

Task 1: Implementation of practices in the employment sector for people with CD: a Training Tool for employers and the employment sector

Task leader: The Foundation of the Carlo Besta Neurological Institute (FINCB).

Task description: The number of patients living with one or more chronic diseases (CDs) has dramatically increased in recent decades and, as a result, there is growing interest by public and private institutions to study and analyze the social and economic implications on employment sector of inclusion, integration and reintegration of people suffering of CDs. Chronic diseases have impact on individuals in terms of negative employment outcomes, such as reduced workforce participation and early retirement, resulting in loss of income and increasing the risk of poverty for the person as well for his/her family.

CD also affect employers, that have to deal with absence from work, issues connected to employability, costs of retaining or replacing workers, and internal company policies, aspects which are crucial for hiring as well as re-integrating persons with CD. On the other hand, work is a protective factor improving quality of life and well-being for people with CD and working is not only a right but impacts on person’s social role as well as on health. The activities of this CHRODIS PLUS WP8 task will be to identify good practices in Europe and internationally, for developing a CHRODIS-PLUS Training Tool to help employers understand the operational benefits of employing and keeping people suffering of CD.

In addition, in collaboration with WP6 (Pilot Implementation of Integrated Care Model for Multi-Morbidity), we will work to define how employment impacts on the care process of these patients as well as what is the role of work in the care pathways and what can be done to make employment sector aware of their situation.

Timeline: September 2017 – December 2019

  • Preparatory phase (literature study, targets, criteria) September 2017 – February 2018
  • Expert Meeting to define the structure and the objectives of the training March 2018
  • Development of training April 2018 – August 2018 Training Tool test pilot February 2019
  • Expert meeting to address the problems of patients with multi-morbidity February 2019
  • Training Tool in English December 2019

Deliverable of the task: D8.1 “Training tool for employers and the employment sector: CD and employment”


Task 2: Development and piloting a Toolkit for Adaptation of the Workplace for access, prevention and maintenance of people with chronic diseases at the workplace.

Task leader: National Institute for Health and welfare (THL)

Task description: Workplaces offer an ideal setting to reach and support the promotion of health of large audiences. What and when we eat and drink, how much time we spend sedentary, even our social relationships and mental and overall wellbeing are to great extent determined by our working environments. There is an increasing need to support employers to understand the benefits of prevention of CD and to implement prevention activities within identified high-risk population, by adapting the workplace. The “adaptation of work place” is understood in a broad sense as any (sustained) policy/activity/process/change in infrastructure that is undertaken to enhance the health and wellbeing of the employees, whether they are healthy, at risk, or already are suffering of one or several chronic diseases. The CHRODIS-PLUS Toolkit for Adaptation of the Workplace will be an evidence based, practice-oriented guide for the employers to adapt the work environments to support healthy lifestyles and prevent and manage chronic diseases in the work settings.

Timeline: November 2017 – April 2020.

  • Literature study and website searches, November 2017 – August 2018
  • Interviews /focus groups with stakeholders, September 2018 – November 2018
  • Development of chronic disease prevention and management Toolkit in workplaces, November 2018 – February 2019
  • Piloting the Toolkit, February 2019 – October 2019
  • Reporting of the pilots and finalizing of the Toolkit Octover 2019 – February 2020
  • Dissemination of the Toolkit March 2020 – August 2020

Deliverable of the task: D8.2 “Toolkit for adaptation of the workplace to facilitate chronic disease prevention and management”

Task 3: Development of Policy Recommendations for HPDP in the workplace for people with CD including access to, reintegration, maintenance and stay at work.

Task leader: University of Salud Carlos III. (ISCIII)

Task description: Individuals with chronic diseases often experience work-related problems, leading to negative consequences at individual, national and European level. The rising prevalence of persons with chronic diseases as well as the current economic crisis make this issue even more problematic, requiring actions in terms of innovative strategies to improve the participation of these persons in the labour market. Policy recommendations to develop human capital oriented to the employment sector will be developed, tackling the employment sector as an area where care of people with CD should be improved, by policies and implementation of best practices.

CHRODIS PLUS recommendations will be based on the identified best practices of Health Promotion and Diseases Prevention in the workplace for people with CD, including access, maintenance, reintegration and stay at work, with particular emphasis on the issues of multi-morbidity and employment. CDs can only be tackled effectively if Member States adopt a holistic inter-sectoral approach within the idea of “Health in All Sectors”. Furthermore recommendations targeting policy makers will ensure that legislative frameworks provide better accessibility of existing employment support to persons with CD.

Timeline: October 2019 – August 2020.

  • Based on material collected in Task 8.1 and 8.2, as well as on results of meeting with WP6, a set of recommendation will be developed. They will also be based on previous material developed for other EU and international projects (eg Pathways, PH Work, etc)
  • The draft will be submitted at month 28 to relevant stakeholders in collaboration with EBC, ECDA, EPF, EFNA and other relevant European organizations, following a policy dialogue.

Deliverable of the task: D8.3 “Policy recommendations for health promotion and disease prevention in the workplace for people with CD including access to, reintegration and stay at work”


Deliverables timeline

  • D8.1 “Training tool for employers and the employment sector: CD and employment” (December 2019)
  • D8.2 “Toolkit for adaptation of the workplace to facilitate chronic disease prevention and management” (February 2020)
  • D8.3 “Policy recommendations for health promotion and disease prevention in the workplace for people with CD including access to, reintegration and stay at work” (April 2020)

Milestones timeline

  • MS36 Expert meeting for training development (March 2018)
  • MS37 Training Tool test pilot (February 2019)
  • MS38 Expert meeting for Multi-morbidity and Employment (February 2019)
  • MS39 Pilot of the Toolkit for Adaptation of the Workplace implemented (April 2019)
  • MS40 Training Tool in English (December 2019)
  • MS41 Toolkit for Adaptation of the Workplace developed (February 2020)
  • MS42 Policy recommendations developed (April 2020)

Work Package 8 Members

  • WP8 Leader: The Foundation of the Carlo Besta Neurological Institute (FINCB), Milan, Italy. Matilde Leonardi:
  • WP8 Co- Leader: National Institute for Health and welfare (THL), Finland. Jaana Lindstrom:
  • University of Salud Carlos III. (ISCIII)
  • The French National Cancer Institute (INCa)
  • Technical University of Drezda (TUD)
  • Europen Patients Forum (EPF)
  • National Institute of Health (ISS)
  • National Institute for Health Public and the Environment (RIVM)
  • National Institute of Public Health (NIJZ)
  • Regional Ministry of Health of Andalusia (CSJA)
  • Semmelweis University (SU)
  • Vilnius University Hospital Santaros Klinikos (VULSK)
  • Catholic University of Sacro Cuore (UCSC)
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