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I really hate that concept of "challenging the GP" as i really feel that isn't approrpriate (Alan be interesting to hear your view on this?) . I position it as us both being experts in our own fields with the GP the expert on treatment etc and OH being the expert on how any illness/ symptoms impact on ability to work and how to move on from limitations to capability taking into account predicted pathways for recovery, impact of symptom control methods and rehabiliation programmes etc with our angle being supporting functional restoration whereever possible. I always impress on employees that although it may not be what they want to hear at the time my advice is always has their best interests at heart (from a health recovery point of view) and quite often that does mean challenging their belief systems and behaviours and sometimes asking "so you say you'll see what your GP says about returning next week, what do you expect to be different between now and next week apart from another week of deconditioning and lack of routine etc"

2009/1/22 Glenn Raybone <[log in to unmask]>
well my two-penneth worth is also along the lines of frustration!

A recent case has been an individual off sick for over 4 months, whilst under
various consultants. We have finally had reports back and there's no
underlying medical condition.

Here's the rub!

A letter stating the results and conclusion was sent to the GP 2 months ago,
yet notes have still been issued, and the individual remains 'off sick' as I type
this.

We could go down the route of challenging the GP, but this would increase
time further.

I have given the OH position and it's now down to HR.

I always look on the positive side, but even I have to admit I can't see this
changing, regardless of the Black Report. It's such a pity the trial to have OH
professionals issue sick notes wasn't supported and consequently failed.

regards

Glenn

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