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Hi Veronica I think that we all agree that if medical intervention is required then it should be offered, however the first line of intervention is her line manager to rule out or exclude other non medical causes . Many managers use OCC health when they find it difficult to confront the individual with a problem.. we are used to do the dirty work (pardon the pun) Occupational health should be used for real professional issues .>We can however advise and coach managers on how to deal with such issues we should not devalue ourselves, or the role of the manager who should be looking after the welfare of their team hope this helps Julie ~~~~~~~~~~~~~~~ Please remove this footer before replying. For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html FORTHCOMING CONFERENCES AND EVENTS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH For Occupational Health jobs, go to http://OHJobs.drmaze.net Find out about Occupational Health Nursing Education in UK at http://home.wlv.ac.uk/~in6232/aohne/