BUPA KNEE CLINIC

1. BUPA KNEE CLINIC Online interactive Knee Clinic Online interactive hub Community support forum Flexible appointments Focuses on prevention, diagnosis and treatment Patient decision aid Warm up and exercise advice Regular reporting Prevention, diagnosis and treatment information Interactive videos Bupa Private and Confidential

2. ISSUES WITH STANDARD MUSCULOSKELETAL TREATMENT PATHS Time off to attend appointments Premature referral to surgeons and surgery Unnecessary treatment Employees may not get the right advice

3. BUPA APPROACH TO MUSCULOSKELETAL TREATMENT PATHS Bupa Private and Confidential

4. BUPA MUSCULOSKELETAL CENTRES OF EXCELLENCE Musculoskeletal physicians Leading experts Conservative approach Multidisciplinary team Bupa Private and Confidential

5. BUPA INTRODUCES INNOVATIVE TREATMENT OPTIONS • Back pain management programme • Physiotherapist led • Education and exercise • Return to activity • Return to work • Treatment choice for knee osteoarthritis • AposTherapy • Non-invasive • Changes way people walk • Return to work

6. REMOVING INEFFECTIVE MUSCULOSKELETAL TREATMENT • Over use of surgery • Three times NHS for knee arthroscopies • Eight times NHS for shoulder surgery • Reviewing ineffective treatment • Some spinal injections • Continuous policy reviews • 1,100 knee arthroscopy procedures avoided • Shoulder surgery review started May 2012 • Remove healthcare costs that don’t add value

7. IMPROVING QUALITY OF CARE • Specialist support teams • Back care • Knee and hip • Specialist networks • Osteopathy • Chiropractic • Podiatry Stringent quality criteria Effective intervention Enhance member experience Only funding effective treatment Fee assured Manage healthcare costs

8. IMPROVING QUALITY OF CARE • Specialist support teams • Back care • Knee and hip • Specialist networks • Osteopathy • Chiropractic • Podiatry Stringent quality criteria Effective intervention Enhance member experience Only funding effective treatment Fee assured Manage healthcare costs

9. MUSCULOSKELETAL PROBLEMS - IMPACT ON ORGANISATION Over 200 conditions • Third of people will suffer back pain each year Leading cause of short and long term absence Estimated 9.3 million days lost annually Third of private healthcare spend

10. ALWAYS THERE FOR CUSTOMERS From dedicated account managers to our round-the-clock HealthLine, Bupa is committed to providing you with access to our services whenever you need us XXX and Bupa working in partnership

11. CONDITION MANAGEMENT Fully understanding the condition Collaborative Best choice for each employee High quality care Lifestyle advice Support transition to NHS or self-funding Optimal outcomeBack to work sooner Bupa Private and Confidential

12. MEMBER JOURNEY CLAIMING TREATMENT PAYMENT CLAIM FORM Bupa Private and Confidential

13. OUR PHILOSOPHY Health assessments – not health screening Clinically appropriate tests only Comfortable and welcoming environment Customer experience Bupa Private and Confidential

14. BENEFITS OF SPECIALIST SUPPORT TEAMS Enhanced quality of care Improved patient experience Early intervention to drive best outcome Cost containment initiatives Valuable employee benefit Bupa Private and Confidential

15. WHY BUPA? Healthcare is, and will remain our only focus Trusted by over 37,000 UK businesses Committed to bringing down the cost of healthcare Expert consultants No shareholders Bupa private and confidential

16. SUPPORTING CANCER Specialist oncology team Oncology nurses Support for the whole family Designated advisers Cost effective quality care for your employees Bupa Private and Confidential

17. OUR CANCER CARE PROMISE Cover at every stage of the condition even if it spreads or returns Access to proven drugs and treatments Network of cancer specialist centres Option of clinically approved chemotherapy at home No financial limits Bupa Private and Confidential

18. WHY CHOOSE DENTAL INSURANCE? Cases of oral cancer increasing Dental illness links to general health Access to NHS dentists reducing Valued employee benefit Bupa Private and Confidential

19. WHY BUPA DENTAL INSURANCE? Market leading oral cancer cover Improved benefits Worldwide cover Flexibility and choice Healthcare expert 100 percent NHS charges covered Bupa Private and Confidential

20. I KNOW SOMEONE WITH CANCER Support for children Produced with advice of specialists Explains in a simple and sensitive way Language and visuals children understand XXX and Bupa working in partnership

21. MENTAL HEALTH SUPPORT Specialist mental health team Supporting your employees Team consists of designated advisers and clinician support Managing costs Bupa Private and Confidential

22. BUPA HEALTHY MINDS • Direct self-referral 24/7 for all treatment • Clinical triage with single point of access • Effective online solutions • Staff awareness and engagement XXX and Bupa working in partnership

23. INTEGRATED MENTAL HEALTH SERVICES AVAILABLE Complementary services Managers Employees Select Business Fit Healthy Minds GP Anytime Bupa Employee Assistance Programme XXX and Bupa working in partnership

24. FACTS ABOUT MENTAL HEALTH 1 in 6 will have a common mental health disorder at any one time 1 in 5 wait more than a year to access psychological therapies 40 percent have time off work due to mental health problems Number one cause of long term absence Mental ill-health costs £1000 per employee each year XXX and Bupa working in partnership

25. BUPA CLINICAL STANDARDS As you would expect, we have a robust, clinical governance process in place for Open Referral GPs are able to call Bupa if they think referral to a specific consultant is clinically important Protocols are in place for urgent and emergency cases to ensure these are handled appropriately A process in place to address and resolve any clinical governance issues fast; in 2011 there were no clinical issues raised Bupa private and confidential