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What the Evidence on Flexible Working Actually Shows

A Cochrane systematic review found that some flexible working arrangements are linked to modest wellbeing gains, but the overall evidence base is thinner and weaker than the popular narrative suggests.

Study title: What the Evidence on Flexible Working Actually ShowsJoyce, K., Pabayo, R., Critchley, J. A., & Bambra, C., Cochrane Database of Systematic Reviews, 2010

Study type
Systematic review
Population
Adults in paid employment; review covered 10 controlled studies of flexible working interventions
Published
2010
Evidence confidence
Mixed findings

The short version

Worker-controlled scheduling shows some promising links to wellbeing, but the evidence behind flexible working is thinner and lower-quality than commonly assumed.

Why it matters

Giving employees more say over their own schedule — rather than flexibility imposed from outside — may be the specific ingredient linked to wellbeing benefits, echoing the broader finding that autonomy over how work happens matters more than flexibility as a label.

01

The question

Do interventions that give employees more flexibility or control over their working time or location improve health and wellbeing outcomes?

02

How it was studied

A Cochrane systematic review searching for controlled trials and controlled before-and-after studies evaluating flexible working interventions (such as self-scheduling or flexitime), assessing their effects on self-reported health, sickness absence and other wellbeing measures.

03

What they found

Ten studies met inclusion criteria, and interventions that increased worker control over working time — particularly self-scheduling — were associated with improvements in some health outcomes, including reduced sickness absence and better self-reported health. However, the reviewers rated the overall quality of the underlying studies as low, and effects were inconsistent across outcomes.

04

Limitations

The authors themselves flagged that included studies were generally of low methodological quality, with small samples, limited randomisation and a real risk of bias, meaning the review's conclusions are necessarily tentative rather than definitive.

05

What it may mean

Giving employees more say over their own schedule — rather than flexibility imposed from outside — may be the specific ingredient linked to wellbeing benefits, echoing the broader finding that autonomy over how work happens matters more than flexibility as a label.

In real life

A workplace policy that lets staff choose their own shift patterns may do more for wellbeing than one that simply shortens hours without giving people control over when those hours fall.

Try this

If you have any say over your own schedule, treat that latitude as worth using deliberately — choosing your own working hours or task order where possible — rather than defaulting to a fixed pattern out of habit.

Evidence confidence

Mixed findings

A systematic review is a strong design in principle, but the authors rated the small number of included studies as low quality, so the review's own conclusion is genuinely tentative rather than a confident endorsement.

Source

Joyce, K., Pabayo, R., Critchley, J. A., & Bambra, C. (2010). What the Evidence on Flexible Working Actually Shows. Cochrane Database of Systematic Reviews.

Peer-reviewed · Free full text available · Last reviewed 2026-08-14

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