Hi Sue

I agree being at work is good for mental health and social inclusion, this is well documented.
The key is that the client feels supported , and maybe quality or safety critical tasks need to be adjusted .
The appropriate care has been identified and implemented in terms of the health concern, it is vital therefore to encourage the client , supervisor and health support team to look at the work content and ensure that it is such that your client can carry out work which will not cause added pressure to someone who is already vulnerable

It is always a good idea to include the GP in all steps of treatment. You could document thesupport plan and include reviews with CBT therapist, OH and line management , this could be sent to the GP with client consent, explain the importance of working together for the good of your client. This where you can shine in terms of "fit note" show the Primary health team the skill of OH

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