NHS Health and Well-being Review Interim Report, August 2009: “This review highlights that the NHS loses over 10 million working days each year due to sickness absence alone. It also highlights that many NHS workers are working when they feel unwell. It shows for the first time clear links between workforce well-being and key measures such as patient satisfaction and Trust performance, and it also documents the impact that simple lifestyle issues such as smoking or lack of exercise have on the organisation.”