TED Web Chat

Talk to TED

Further Guidance for Managers and Employees on the Sickness Absence Management Policy

Further Guidance for Managers and Employees on the Sickness Absence Management Policy.

Return to Work Interviews

Return to work interviews must be conducted after every period of absence and where possible managers should carry this out on the day an individual returns (or as soon as practicable).

Return to work interviews are an important part of sickness absence management and can help identify absence problems at an early stage; they also providemanagers with an opportunity to start a dialogue about underlying issues, which may be causing absence(s) and allow them to make any changes to support the employee.

The return to work interview needs to be separate to any Stage One, Stage Two Meetings and Stage Three Hearing.

The Return to Work Interview Form must be used to record the discussion.

Formal Stages

Stage One, Stage Two Meetings and Stage Three Hearings

The purpose of the stage meetings is to provide assistance and support to the employee to improve his/her attendance to a satisfactory level. The aims of the Sickness Absence Management meetings are to:

  • Establish reason(s) for the absence; is the employee suffering from a medical condition.
  • Discuss possible ways of reducing absence in the future.
  • Explore and consider any reasonable adjustments.
  • Discuss the possibility of requiring information from Occupational Health.
  • Explain to the employee about the Sickness Absence Management Policy and Procedures and inform them of the possible actions if their level of absence is not improved.

Where an employee is absent for one calendar month, a Stage One meeting should take place after this one month absence. If the employee returns to work prior to one calendar month, the Stage one meeting should be held following their return to work.

Managers should treat individuals in a sensitive manner. Discussions between employees and managers will be kept confidential as reasonably possible. The meetings will be arranged at a suitable venue which will normally be the employee’s place of work. However, in some circumstances (depending on the employee’s health and well-being) this may be held at the employee’s home with their consent.

A referral to Occupational Health should not be used as an alternative to carrying out a Sickness Absence Management meeting. A referral to Occupational Health is a separate process.

If due to the nature of their illness, the employee is unable to attend the Sickness Absence Management meeting/hearing, advice will be sought from Occupational Health on their fitness to attend and any reasonable adjustments which may enable the employee to attend will be considered. Upon receipt of advice from Occupational Health and also considering all of the circumstances of the case, management will make a decision as to whether the meeting/hearing should proceed in the employee’s absence. If the manager has tried to obtain Occupational Health advice but the employee fails to attend without good or acceptable reasons or refuses to give consent for the report to be released then management will go ahead with the meeting, without the Occupational Health advice.

If the employee is unable to attend the meeting/hearing for some other reason or their representative is unable to attend, the meeting may be postponed and will be rearranged within five working days or as soon as is practicable. The employee should be notified of the date in writing and informed that if they are not able to attend on the revised date the meeting/hearing will proceed on this occasion in their absence.

If employees cannot attend a meeting/hearing personally, they can put their case either through their representative (Council work colleague, Recognised Trade Union Representative or Trade Union Officer), or submit their case in writing in advance by no later than five working days in advance of the meeting/hearing.

Managers’ Discretion on Trigger Points

When reviewing absences against the trigger points it may be necessary in exceptional circumstances for managers to use their discretion on what the trigger points are. This particularly applies when an employee has an underlying medical condition that is covered under the Equality Act 2010 and advice is usually obtained from Occupational Health.

Any extensions to the trigger points as a reasonable adjustment resulting from Occupational Health advice should be regularly reviewed. Please refer to the additional guidance provided within the Supporting Disabled Employees Review of Reasonable Adjustments section of the Policy.

If management wishes to apply discretion to change an employee’s trigger point then this should only be applied in exceptional circumstances. The manager must be able to justify, discuss, record and seek approval with their Senior Manager and HR Advisor.

Review Periods

A default review period is normally 1-2 months. It is recognised there may be exceptional circumstances where a longer review period is needed, up to a maximum of two months. Contact a member of the HR Team if unsure of how long the review period should be. Management should seek Senior Manager approval for longer review periods.

Where a decision is taken to extend a Stage 1/2/3 review period the above time frames will also apply. However, for the purpose of extended review periods managers also have the discretion, where appropriate, to set an extended review for a period of less than two months.

At the end of the review period the manager will complete the Review Checklist.

Following completion of this, management will make a decision based on the evidence gathered.

Maintaining Contact

If an employee has not attended work and you have not had any contact with them, firstly as an employer we have a duty of care to check on their wellbeing. Therefore, the line manager, should attempt to contact the employee by phone. If the line manager is not able to contact the employee, they should contact a member of the HR Team to seek further guidance.

Once you have spoken with an employee regarding their sickness absence, it is good practice to agree when you will next speak to them. For example, if it is a short term absence, they will be required to update you on a daily basis and this should be agreed.

If they are signed off work for longer than one week, you should then agree when you will next speak to them and if their absence is long term, agree contact on an ongoing, regular basis. This continued contact, helps to support the employee during their absence and gives them an opportunity to keep in touch.

Please also remember to signpost the employee during their absence to the support services, available to them.

Employees have a responsibility to respond in a timely manner to any communications from the Council and attend Sickness Absence Management meetings as required. This includes submission of medical Statement of Fitness Note on time. If the line manager is receiving no correspondence from the employee, that is to say via telephone or in writing, then the line manager should seek advice from their HR Advisor. Employees who continually fail to respond to communication may result in their circumstances being escalated to a Stage Three Hearing, without the Stage One or Stage Two Meetings taking place.

This would need to be discussed with a HR Advisor and a manager with authority to dismiss. At the Stage Three Hearing the Chair will give consideration to dismissing the employee with notice on the grounds of capability (where an underlying medical condition is identified) or ‘Some Other Substantial Reason’ (SOSR).

Managing Combined Absences of Short Term and Long Term

If an employee has reached the absence trigger and a meeting is to be arranged, management do not need to wait until the absence has been continuous for one calendar month for the meeting to go ahead. Management can arrange the meeting as the employee has already reached the trigger prior to the recent period of continuous absence. This meeting can then discuss the short term absences as well as refer to the current long term absence.

Where an absence period changes from short term to long term or vice versa, the relevant Chair will need to consider giving a further time period to consider the reason for the absence and to allow for new medical advice if appropriate.

Abuse of Sickness Scheme

Where abuse of the Sickness Absence Management Policy is suspected, which may include:

  • Failure to report sickness absence at the appropriate time;
  • Non-attendance at Occupational Health appointments without reasonable cause;
  • Failure to submit GP Statement of Fitness Note at the appropriate time;
  • Submission of forged or false Statement of Fitness Note;
  • Deliberate conduct prejudicial to recovery from sickness/injury;
  • Due to the employee’s misconduct or neglect, sick pay may be suspended;

consideration will be given to disciplinary action. HR Advisor advice must be sought in these cases.

Dual Employment

Employees must make their manager aware if they have more than one job with the Council. Their manager will then liaise and share information regarding the employee’s absence with the other manager(s) to assess whether action by the other manager is required to ensure an employee is not putting their health and safety at risk by continuing to attend work in their other post(s). It is important to recognise that jobs may have different responsibilities and therefore different impacts on an employee’s health and any reasonable adjustments which may be required.

Sickness Absence Management meetings can take place to cover both roles, although managers from each service area need to be present to allow a consistent approach within the procedure.

Annual Leave Entitlement in Relation to Sickness Absence

Employees absent due to sickness accrue annual leave and may request to take annual leave during a period of sickness absence. However, employees are not expected to go away on holiday when absent due to sickness unless this is supported by their GP.

Employees who go on holiday during sick leave and have not requested annual leave will automatically have the period of time taken off their annual leave entitlement.

Employees wishing to take leave during sickness absence must request this in writing via their line manager. The annual leave will be deducted from an employee’s leave entitlement and the employee’s sickness will still be recorded on the payroll system as being absent.

Employees advising they are not contactable or available to attend meetings whilst they are absent, this annual leave should be deducted from the employee’s leave entitlement.

Employees returning to work in the current leave year, should be encouraged to take their accrued annual leave entitlement to assist with their rehabilitation back to work.

Should they be unable to take all of the leave, they may seek approval to carry any statutory leave forward into the next leave year, but this leave must be used within the first three months of the new annual entitlement. Approval will be agreed with HR and a Senior Manager.

Employees returning to work in a new leave year, have the right to the statutory annual leave they have accrued during their sickness absence in the previous leave year and should, therefore carry this forward into the new leave year. Such employees should be encouraged to take most or all of this leave in a block in the three months after their return to work date or to assist with extending a phased return to work.

Employees who fall sick prior to commencing pre-booked annual/flexi leave or during will be able to reclaim their annual/flexi leave, as long as they comply with sickness reporting procedures, are still available for contact and meetings when absent and supply a Statement of Fitness Note to cover the period they wish to reclaim.

Employees who become fit for work whilst still on leave, must confirm the date on which they became fit to work, on their return from leave.

Statement of Fitness Note

The Statement of Fitness Note is a form employees will receive from a GP or Consultant, which confirms whether the employee is either: (a) not fit for work or (b) maybe fit for work. In option (b) cases, the GP will make recommendations for reasonable adjustments to help the return to work. It is for management to determine whether they can be implemented. It has been acknowledged that GP’s are not Occupational Health experts and they do not have a detailed knowledge of either the work undertaken or the workplace of their patients. Where the changes cannot reasonably be made, and the employee cannot return to work, the Statement of Fitness Note can be used to cover their sickness absence. Where the GP has stated they do not need to assess the employee again, this means that the employee should be able to return to work at the end of the period stated. If however, the manager has concerns that the employee is not fit to return to work, they should seek advice from the Human Resources Team. It may be necessary to ask the employee to visit their GP to obtain a Statement of Fitness Note, advising that they are fit for their role. If the GP charge for this, the Council will reimburse the employee, on production of a receipt or invoice.

If an employee wants to return to work prior to the Statement of Fitness Note expiring, the manager will need to ask the employee to return to their GP to seek a new Statement of Fitness Note reflecting the timescales in which the employee feels they are able to return to work on. If the manager has concerns regarding an employee’s return to work due to their health or with the recommendations that are on the Statement of Fitness Note, the manager should contact the Human Resources Team, who may either suggest that they request Health and Safety to carry out a risk assessment or seek advice from Occupational Health to assess their concerns.

Employers Liability Insurance does not require employees to be 100% fit for work, but there is an expectation by the Council’s insurers that the risks of those returning to work will be managed effectively, both for their well-being and safety and that of other employees and members of the public who may come into contact with them during their duties.

Further advice may be sought from the Human Resources Team, Health and Safety Advisor or Occupational Health as appropriate.

Occupational Health

The role of Occupational Health is to provide independent advice and guidance to the Council and its employees on the impact of an employees’ ill health on their ability to undertake their duties, and what measures can be put in place to support the employee, where appropriate. The following points should be noted:

  • Employees absent from work due to sickness are expected to be available to attend any Occupational Health appointments, as required.
  • The Council may reasonably instruct an employee to undergo a medical examination by the Council’s Occupational Health Advisor or Physician, to determine whether there is any advice or guidance which can be given to enable improved attendance, ensure there are valid reasons for their repeated short term absence, or whether they are medically fit to continue in their present job.
  • Human Resources will complete the Council’s Occupational Health Medical Referral Form in consultation with the appropriate line manager and employee.
  • The employee must be aware of their rights under the Access to Medical Reports Act, in relation to the Council request for Occupational Health to seek a report from the employee’s doctor.
  • All parties should be clear as to the information which is being sought from Occupational Health and explicit consent must be obtained from the employee to proceed with an Occupational Health Medical Referral.
  • Employees refusing to attend Occupational Health appointments without good or acceptable reasons need to understand that without such a report management decisions will be made using the information available to them.

Further Occupational Health Review

Where Occupational Health recommends a further assessment, they may state a time frame when this should take place or instead state that it should take place when a particular treatment has ended or when they have received advice from the employees GP/Specialist. In these cases, the manager will need to continue to progress through the Sickness Absence Management Procedure and at the specified time make a new referral to Occupational Health.

Risk Assessments

There may be times when Occupational Health recommends the manager/Health and Safety undertakes a risk assessment to establish the potential risks for the employee associated with their health condition and being at work. They may also be able to advise of any reasonable adjustments that could be made to support the employee.

This will help the manager evaluate what the potential risks are and whether enough has been done to manage the risks or whether more needs to be done. If management need help with carrying out a risk assessment, please contact the Health and Safety Team or a member of the HR Team.

Temporary Alternative Work within Department/Service

Occupational Health may suggest alternative work/duties for the employee. This may be considered in cases where an employee is unable to perform the full range of his/her duties but is able to attend work and undertake restricted duties or alternative duties for a temporary period, with the expectation that they will be able to resume full duties in the near future. The manager will need to review whether this can be accommodated and assess the risk or impact on the business and other members of the team that might be impacted by any change. If they are unable to accommodate the request, then the employee will remain off sick.

Temporary alternative work of this nature will normally be part of a return to work plan, incorporating the advice from Occupational Health or it could be from a Statement of Fitness Note. A temporary change to a contract for the duration of the GP’s Statement of Fitness Note does not constitute a variation of terms and conditions.

Change of Hours

It may be suggested from Occupational Health or a Statement of Fitness Note that the employee reduces their hours for a period of time, usually more than the six week phased return duration. The manager will need to review whether this can be accommodated and consideration should be taken about whether the employee’s duties can be carried out part time, how long the adjustment is recommended for and how the service will be provided.

If this reasonable adjustment can be accommodated and the employee is in agreement to reducing their hours and they are aware that this will impact on their salary, then the manager will need to notify Payroll, specifying how long this temporary reduction in hours is for.

Remploy

This confidential service delivered by Remploy, funded by the Department for Work and Pensions, is available at no charge to any employees with depression, anxiety,stress or other mental health issues affecting their work.

They provide:

  • Tailored work-focused mental health support for nine months.
  • Suitable coping strategies.
  • A support plan to keep them in, or return to work.
  • Ideas for workplace adjustments to help them fulfil their role.
  • Practical advice to support those with a mental health condition.

The Council has an embedded service agreement with Remploy; a member of the HR Team can signpost employees to Remploy and they will then make contact with the employee and arrange a meet to explain the service fully.

The Remploy adviser will be able to work with the employee for an initial period of nine months, offering support as outlined above. It should be made clear to the employee that this is not a counselling service, but it can be offered to support an employee to compliment any counselling they may be receiving.

Remploy can also assist with referrals to Access to Work, in the support of the employee.

Employee Assistance Programme

Employee Assistance Programme (EAP) is available to employees and their household family. This service is delivered by Workplace Options, an independent, provider of employee support services. Their staff are specialists in fields such as well-being, family matters, relationship issues, debt management, consumer rights, and much more.

This is a confidential service that employees can contact 24 hours a day, seven days a week. The helpline is manned at all times by qualified counsellors. Employees can call for in the moment support at any time and if the EAP felt that the employee would benefit from short term counselling they will offer and arrange up to six counselling sessions. If however, the EAP feels that the employee requires a longer term counselling provision, they will refer them to other suitable providers. The employee would then need to either contact the providers themselves or speak to the GP to arrange a referral.

How counselling can help:

  • Sometimes it's easier to talk to a stranger than to relatives or friends.
  • During counselling, a trained counsellor or therapist listens to you and helps you find your own answers to problems, without judging you.
  • The therapist will give you time to talk, cry, shout or just think. It's an opportunity to look at your problems in a different way with someone who'll respect you and your opinions.
  • Usually, you'll talk one-to-one with the therapist. Sometimes talking treatments are held in groups or couples, such as relationship counselling.
  • They'll usually be done face-to-face, but you might be able to have talking therapy over the phone, via email or on Zoom.

If any employee is already receiving counselling, it would not be appropriate to sign post them for counselling, but it is important to remind them of the service and that they can call them for “in the moment” support anytime, to give them comfort that someone is available to support and listen to them 24 hours a day, seven days a week.

As well as counselling the EAP supports many other areas, as listed below:

  • Work-life balance;
  • Relationships;
  • Childcare information;
  • Health and well-being;
  • Debt;
  • Disability and illness;
  • Careers;
  • Bereavement and loss;
  • Stress;
  • Elder care information;
  • Life events;
  • Immigration;
  • Anxiety and depression;
  • Family issues and family counselling;
  • Bullying and harassment;
  • Education;
  • Consumer rights;
  • Workplace pressure.

The EAP also provides Manager Assist for anyone in a management, team leader or supervisory role, to provide information and support on any subject which is impacting upon you, an individual or your team. Manager Assist can be used as a sounding board for talking through concerns you have about an individual, or for guidance on people management issues.

Full contact details, can be found on the intranet.

Wellness Action Plan (WAP)

The Wellness Action Plan (WAP) has been developed by the organisation MIND as a tool to help employees support their own mental health by thinking about how their work impacts on their health and how they can best manage these triggers.

Where Occupational Health recommends a WAP it should be drafted by the employee, with support from a health professional where appropriate or Remploy, and then discussed and agreed with the line manager. It is designed to open up a dialogue between the manager and employee so they can agree on the help and support the employee needs whilst at work.

Supporting Disabled Employees

The Equality Act 2010 prohibits discrimination because of disability and places a duty on employers to make reasonable adjustments to working practices and premises in order to accommodate the needs of individual employees and job applicants who have a disability. This means that an employee with a disability must not be treated less favourably than any other employee without justification.

The Equality Act 2010 defines the protected characteristic of disability as applying to a person who has a physical or mental impairment that has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities.

If there are problems with an employee’s attendance and an underlying medical condition or disability is identified, the manager must have an open discussion with the employee and if appropriate seek advice from Occupational Health. Occupational Health may be able to suggest reasonable adjustments that could be made to either the physical place of work, or the work itself.

Please be aware that in some cases a short term absence pattern could be related to a disability or a long term condition can become a disability in the long term.

As a Disability Confident Leader, the Council is committed to supporting disabled employees in the workplace and where possible all reasonable adjustments will be made to support the employee.

Reasonable Adjustments

When supporting a disabled person in the workplace, the Equality Act 2010 requires the organisation to consider and make ‘reasonable adjustments’ to ensure the disabled employee is not put at a substantial disadvantage, and is able to perform in their role and ensure their safety in the workplace. A number of factors influence whether it is reasonable for an employer to make changes, including:

  • The effectiveness of the adjustment – will it remove or reduce the difficulties the employee is experiencing?
  • Any health and safety implications – is there an impact in regards to health and safety of the individual or colleagues?
  • What (if any) impact will this have on other employees/team members/colleagues?
  • The practicalities of the adjustment – what effects will it have on the organisation?
  • The cost – funding options may be available such as through Access to Work via DWP.
  • Other help available – look to source other methods of support for the individual?

Examples of Reasonable Adjustments

  • Re-arranging seating or furniture in the office space.
  • Amendments to the role – the individual completes the parts of the job they are able to and takes on other responsibilities whilst their colleagues will pick up the work they cannot complete.
  • Flexibility in working practice – the consideration of flexibility in working times, the provision of additional breaks, the ability to work from home (see Flexible Working Policy).
  • Allowing extra time for reading or written work or travel time between meetings.
  • Additional/modified equipment – to support in the workplace. Examples of this include specialised seating, ergonomic mouse, large screen, anti-glare screen filter, or specialised software.
  • Provision of a reader, interpreter or signer.
  • Adjustments to systems/processes in place e.g. colour coding a filing system.
  • Appropriate communication methods (i.e. large print manuals).
  • Holding an awareness session on a specific disability for colleagues (where the individual consents to this).
  • Adjustments to absence triggers.

It is difficult to specify the amount of variation required for reasonable adjustments as each individual’s disability is different. Making the same adjustment for all may not remove the disadvantage. Where adjustments are made, the employee should be given time to readjust (usually three months). However, if after this period they are unable to meet the levels of attendance expected and further adjustments are deemed unreasonable, it may be necessary to consider Medical Redeployment (see Medical Redeployment Section).

Review of Reasonable Adjustments

Regular review should take place between the employee and manager to ensure that the adjustments put in place, which includes extension of trigger points resulting from Occupational Health advice, continue to be effective.

Specialist advice from third parties, such as Occupational Health, Access to Work or IT specialists may be needed before changes can be agreed and implemented.

Reasonable adjustments may be reviewed:

  • At any regular one-to-one meeting, supervision, or appraisal.
  • At a return to work interview following a period of sickness absence or treatment.
  • Before a change of job or duties or introduction of new technology or ways of working.
  • Before or after any change in circumstances for either party including a change in the nature of the disability.
  • Reasonable adjustments must be reviewed formally on an annual basis as a minimum.

For further information on reasonable adjustments, please refer to the guidance for Supporting Disabled Employees in the Workplace.

Absences Relating to an Employee’s Disability

The Equality Act 2010 does not require absence relating to the employee’s disability to be automatically discounted for trigger points; nor does it require an employer to retain someone indefinitely if they are frequently absent due to a disability.

However, when counting disability-related absences towards trigger points for unacceptable attendance procedures, line managers must be able to demonstrate that:

  • All reasonable adjustments have been considered to the number of day’s absence which triggers a review under the procedure.
  • All reasonable adjustments have been made to reorganise a job around functions that the employee can perform, and that;
  • All reasonable adjustments have been made to working practices, the workplace and its location that place the disabled person at a significant disadvantage.

Where the combination of both disability-related and general sickness absence exceed the trigger points, the line manager should seek advice from Occupational Health on any reasonable adjustments that should be considered.

Link to form
Author:
Human Resources
Last updated on:
July 2021