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I think it's important to pull back a bit from the why's and wherefores of
what is on the GP note (this is IMHO a bit of a red herring for the real
issue ie.. what should management do and what role OH have.

- manager should discuss with HR what is acceptable on a Fitnote from
companies standards (GP answers to DWP for stat sick pay and what he writes
on note for that)
- manager should also decide with HR if they want to refer to OH for an
opinion of whether there are any medical issues to take account of;
depending on the outcome of this assessment they can decide the next course
of action:

   1. no medical issues - life event issue - management may call in employee
   and discuss that special leave is more appropriate way to manage absence for
   duration e.g. special leave etc
   2. medical issues are in play also - therefore again management to
   discuss with HR that occupational sick pay is appropriate way forwards and
   OH to make any appropriate referrals if supported by company e.g. EAP,
   counselling etc and give advice on *medical* prognosis in relation to
   fitness for work

 I suggest you help the manager clarify what exactly he is concerned about?
Fraud? How to manage the absence? I would presume it is the second option
and therefore the above steps need to be taken.

Carr


On 17 August 2011 12:19, Karen Shields <[log in to unmask]> wrote:

>  Hi
>
> I have dealt with a few of these through time and agree that if their GP
> states not fit for work then that should stand, however, I tended to give
> support as a "family crisis" could be quite devastating to the said person.
> If the manager is not supportive with the fit note comments then that is
> down to the business to decide if they can support them - i.e sick pay time
> off etc.
>
> I tried not to get too  involved but offered support by telephone
> consultation, obviously it all depends on what crisis is happening.  It is
> clearly something very personal to that person hence the comment on the fit
> note - which is understandable.  No doubt they will discuss this with you
> and as we as nurses, as we all know, are covered by confidentiality then the
> manager does not have the right to enquire fully into detail.
>
> It is suprising how much extra information you can find out - they might
> actually be medicated which could cause unsafe working (dependant on the job
> role), but when working for a specific company and not a service provider I
> always made contact to offer support.
>
> Hope that helps a little
>
> Karen
>
> > Date: Wed, 17 Aug 2011 11:53:40 +0100
> > From: [log in to unmask]
> > Subject: Re: [OCC-HEALTH] Fit note diagnosis: "Family crisis" - help
> please
>
> > To: [log in to unmask]
> >
> > yes with you on this, esp if the GP is saying that they are not fit for
> work
> >
> > Anna
> > ----- Original Message -----
> > From: "Roisin Smyth" <[log in to unmask]>
> > To: <[log in to unmask]>
> > Sent: Wednesday, August 17, 2011 10:10 AM
> > Subject: [OCC-HEALTH] Fit note diagnosis: "Family crisis" - help please
> >
> >
> > Hi Folks
> >
> > A manager has contacted me to discuss a fit note recently handed in by an
>
> > employee.
> > In the diagnosis line the GP has said "family crisis". The manager is
> > telling me that he
> > does not think he should accept this as a valid fit note, as family
> crisis
> > is obviously not
> > a diagnosis.
> > The manager is calling in to see me for some advice later - any thoughts?
>
> > I'm checking
> > through the DWP advice again regarding fit notes but would really like to
>
> > hear what you think
> > too.
> > I tend to agree with the manager, but how would you manage this one? If
> > there's a family crisis
> > going on, quibbling over the wording of the fit note isn't going to help
> > matters, but
> > I understand that management has to follow a certain process as well.
> >
> > Opinions gratefully received!
> > Thanks
> > Roisin
> >
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