For many organisations, sickness absence is logged, reported, and reviewed at quarter-end. A number on a dashboard. A line in a report.
But on AIBF Business Talk, Miriam McNulty, Co-Founder of Liffey Consultants, urges leaders to look beyond what is visible.
Absence, she explains, is only half the story. The other half is quieter. Harder to measure. Often ignored.
Founded in 2019 by Miriam and her husband Paul, Liffey Consultants supports Irish organisations in managing long-term sickness cases, reducing absence levels and improving productivity. Miriam leads the people workstream, focusing on early intervention, structured return-to-work strategies, and the growing issue of presenteeism.
Presenteeism is when employees are physically at work but mentally or medically unwell. They show up. They log in. They sit at the desk. But their capacity is reduced. Productivity dips. Errors increase. Engagement fades.
It is the hidden leak in the system.
As Miriam notes, many leaders are comfortable counting who is not there. Fewer are asking who is there, but struggling.
“Tracking absence is common, but managing it properly is actually the issue.”
In the episode, she highlights how organisations often react only once someone has been absent for weeks. Yet once absence exceeds the two-week mark, the likelihood of a timely return drops sharply. What might have been resolved with an early conversation can quietly evolve into a long-term case.
In the episode, she highlights how organisations often react only once someone has been absent for weeks. Yet once absence exceeds the two-week mark, the likelihood of a timely return drops sharply. What might have been resolved with an early conversation can quietly evolve into a long-term case.
The same principle applies to presenteeism. When managers avoid difficult conversations, small health concerns become prolonged performance problems. A team member who feels unsupported may stay at their desk but disengage from their work. Over time, that silent strain can spread across teams.
National figures cited in the discussion indicate weekly absence rates of up to 7.4% across workforces. The financial cost is significant. But the cultural cost is often greater.
Low morale. Increased pressure on colleagues. Reduced quality of output. A workplace that feels reactive rather than supportive.
Miriam’s message is direct. Early intervention is not intrusive. It is responsible leadership. A manager picking up the phone and asking “What happened? What can we do? How can we support you?” can change the trajectory entirely.
Strong organisations do not just manage absence. They create environments where people feel safe to speak up before absence becomes inevitable.
Because a healthy business is not measured only by who turns up. It is measured by how well they are when they do.
If you lead a team, this episode is worth your time.
Because absence is visible, presenteeism is not, and what you cannot see can still cost you.
Listen now to hear practical steps you can apply immediately.
Share it with a manager who needs to hear it.
Start the conversation before the numbers force you to.