Most organisations recognise presenteeism. Very few have a practical way to manage it.

Presenteeism develops gradually as people carry more than they can comfortably manage. It shows up as reduced focus, slower thinking, emotional fatigue, withdrawal, and declining resilience, often in employees who are still attending work and still performing on the surface. It rarely triggers formal support and sits beneath traditional wellbeing metrics.

One of the most significant contributors to this cost is loneliness and disconnection, experienced across work, relationships, caring responsibilities, and life transitions. UK estimates show that loneliness alone costs employers £2.5 billion a year, driven primarily by reduced productivity (£665 million), higher staff turnover (£1.62 billion), and the impact of caring responsibilities (£220 million). Presenteeism is the mechanism through which much of this cost accumulates.

Sacana exists to make this manageable.

Sacana provides structured, non-clinical one-to-one conversation that employees can use when they choose, at the point of need or by appointment. Some employees may use the service during periods of change. Others might use it to maintain balance or continuity. Alternatively, it can be used because having a regular, structured conversation can help with offloading after a hard day at work. Use of the service does not require justification, disclosure, or escalation.

Conversations take place via secure video with trained Sacana Matrons and follow the Sacana Conversation Arc. This brings consistency while allowing each individual conversation to be shaped by the user. The value of the service lies in being listened to properly and consistently, not in fixing, diagnosing, or advising.

Sacana operates alongside existing wellbeing provision. EAPs, occupational health services and clinical pathways all play important roles, but they rely on thresholds and escalation. Sacana works earlier, in the space where most cost accumulates and least support exists.

The service is delivered through a secure, proprietary digital ecosystem designed for enterprise and public sector environments. This includes a user portal for straightforward access, a Matron portal supporting quality, safeguarding, and moderation, and an organisational portal providing real-time, anonymised thematic management information. Sacana integrates into existing HR, wellbeing, and people platforms through API or embedded widget, strengthening referral pathways rather than duplicating or replacing them.

The service is underpinned by strong data governance and security standards, including ISO/IEC 27001:2022, Cyber Essentials, Cyber Essentials Plus, and exceeds the requirements of the NHS Data Security and Protection Toolkit. These accreditations ensure the service meets the specification of large employers, insurers, and public-sector buyers handling sensitive workforce data.

As workforces age, careers extend, and caring responsibilities increase, presenteeism becomes a structural organisational risk rather than an individual issue. Sacana gives organisations a practical way to respond, turning a recognised but poorly managed cost into something that can finally be understood and acted on.