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OCC-HEALTH  April 2015

OCC-HEALTH April 2015

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Subject:

Re: evidence based for a phased rtw

From:

"[log in to unmask]" <[log in to unmask]>

Reply-To:

Occupational Health mailing list <[log in to unmask]>

Date:

Fri, 24 Apr 2015 19:27:00 +0100

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (185 lines)

No I know reasonable is not our call but I feel a IT coming on and want to make sure I have all my ducks lined up...
--------------------------------------------
On Fri, 4/24/15, Leyann Wootton <[log in to unmask]> wrote:

 Subject: Re: [OCC-HEALTH] evidence based for a phased rtw
 To: [log in to unmask]
 Date: Friday, April 24, 2015, 7:13 PM
 
 Hi,
 I
 sometimes do a staged RTW, firstly with hours in a basic
 heavily supported and adjusted form of their role and then
 gradually increase their duties after.  
 
 
 
 > On 24 Apr 2015, at 11:18 am, Anna <[log in to unmask]>
 wrote:
 > 
 > it sounds
 as though she is not ready to RTW and she may not be for a
 very long time. Reasonableness is not an OH judgment.
 Usually businesses have guidelines about what they term
 reasonable RTW plan 4-6 weeks is standard. It is up to them
 as to the tolerance levels
 > The GP is
 pushing as he is in a patient advocate role (is finance a
 pressure?)and it sounds to me as though the company have
 done a lot already.
 > Anna
 > ----- Original Message ----- From:
 "sandra glenn" <[log in to unmask]>
 > To: <[log in to unmask]>
 > Sent: Friday, April 24, 2015 10:31 AM
 > Subject: Re: [OCC-HEALTH] evidence based
 for a phased rtw
 > 
 >
 
 > Hi Dawn
 > I realise
 this may already have been considered but Another adjustment
 might be a temporary reduction in her contracted hours eg
 half-time for 3-4 months, in the first instance. Than her
 phased return might feel more manageable as she is not
 trying to get to get back to her prior full hours. Seems
 that Equality Act likely to be applicable so could be a
 reasonable adjustment to help support her continuing
 employment.
 > Regards
 > Sandra
 > 
 > 
 > Sent from my
 iPhone
 > 
 >> On 24
 Apr 2015, at 09:45, D Veal <[log in to unmask]>
 wrote:
 >> 
 >>
 Thank you Jo.
 >> 
 >> I have a lady off work 6 months with
 fibromyalgia. and her symptoms are multiple including
 anxiety,poor sleep pain and so on. She has under c/o of OH
 started a RTW plan and the company have listened to her
 concerns and made adjustments to include having a certain
 person with her who she feels comfortable to work with ( she
 has also a ongoing feud with another work colleague and they
 are both not happy to work together) she has started on 3
 days 3hrs per day and this is flexible to avoid peak
 traffic, then 4 days same with wednesday off then gradually
 aim to  increase her hors on these and then back fill
 wednesday last. I felt that a 6 week period would be
 fair.
 >> 
 >> Had
 a letter from GP as (company funded 6 months of
 psychotherapy and have now said not funding anymore) they
 feel this should continue and that she should have pahsed
 plan over 3months with gradual increase in hours and
 role.
 >> 
 >> I
 have suggested that she sits with manager to break down her
 role into red,amber and green of the work she feels is most
 difficult for her and then bring this to next review and so
 we can marry the hours and role together as we increase
 her.
 >> 
 >>
 However I feel that 3 months is not reasonable. Has anyone
 had a simialr case and how did they manage it and what do
 others feel is reasonable?
 >> 
 >> 
 >> I want to be
 fair but feel this person is expecting a lot and not from
 experience taking enough responsibility themselves. ( they
 were offered medication and they refused and the tone of
 reports from the specialists involved are that they have
 given advice and she has refused it for her own personal
 reasons(The end result is they have suggested pilates/yoga
 and tai chai and deep breathing.)
 >>
 
 >> I just want to ensure I have some
 evidence base to my reports on RTW.
 >>
 
 >> I know that most PHP's feel if
 a person is not fit to RTW on a minimum of 4 hrs per day
 that they are not fir.
 >> 
 >> I think OHA's offer a little more
 felxibility but the intial request by this person was for
 2hrs per day. I said if she couldnt do 3 hrs then I felt she
 was unfit.
 >> 
 >> She has had a panic attack in her
 first week at work and been in tears. I am due to review
 next week.
 >> 
 >> Thought please.... AKA help!
 >> 
 >> D :)
 >> 
 >>
 ********************************
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