Work, Employment and Society, Ahead of Print.
Despite evidence supporting the application of health and well-being policies and practices in the workplace, small and medium-sized enterprises (SMEs) still struggle to manage health at work. To address this gap, this research explores the role of a new occupational health (OH) adviceline assisting and managing health at work within SMEs. From our qualitative data we develop a typology of managerial response patterns, which can be summarised into four behavioural types: business case behaviour, social model behaviour, protective behaviour, and avoidant behaviour. The study posits that both the business case and the social justice arguments need to be acknowledged while implementing and managing health and well-being initiatives in SMEs. However, the combination of these two models is very difficult to achieve, and in addition to an OH adviceline, other interventions need to be implemented to support SMEs.