Thank you so much for all your input. As usual you all have some very
helpful advice and opinion and I will be making recommendations to the
company.

Barry, this individual does have a lot of other "non physical issues"
which I suspect are having an influence on symptoms and behaviour.
However, this is vehemently denied. Hopefully the knowledge that the
company is doing everything to ensure continued employment will help
with this.

Kind Regards


Lesley

-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On

Behalf Of Wilkes, Barry
Sent: 21 September 2011 09:12

To: [log in to unmask]

Subject: Re: [OCC-HEALTH] Functional capacity WRULD?

I also wonder whether any other psycho-social issues have been
identified i.e. it is not only something which physical treatments or
adjustments back in the work place will solve?

Regards

Barry


Barry Wilkes
Senior Teaching Fellow in Occupational Health and Safety
Warwick Medical School (A-026)
University of Warwick
Gibbet Hill Campus
Coventry
CV4 7AL
Tel: 02476 150457
Fax: 0276 574893
[log in to unmask]


-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of Stephanie McGauley
Sent: 20 September 2011 12:53
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Functional capacity WRULD?

Hello Lesley

i can too see Sarahs point - i would see if there is no diagnosis - red
flag - but that symptoms are typical of an WRULD then it can be tricky -
often functionally how someone also behaves and what their perceptions
of what they can and cannot do even when there is no physical diagnosis
- there has been tests and investigations exhausted therefore a good
functional capacity assessment will assist in what the person is capable
of doing with the information that you have available - be clear to them
that if there is no diagnosis that tests have been exhausted and this is
the information that you have been left with to base your opinion for
this on

stephanie nicoll
On 20 Sep 2011, at 12:44, Sarah L Redfearn wrote:

> Hello Lesley,
>
>
>
> I think I may be in a minority here, however I don't think a
> definitive diagnosis is important in this case, although admittedly a
> definitive diagnosis can help with the prognosis of other types of
> health conditions.  The fact is that you have done what would be
> reasonably expected and the OHP opinion is what it is and you can't
> change that so you should work with it.
>
>
>
> I agree that a functional assessment will be able to offer you advice
> about what the individual can be reasonably expected to do within
> their functional ability and this is the route I would take.  You will

> then be able to offer the business advice about the individuals
> physical abilities and they can make a business decision on whether
> they can support the individual or redeploy them to a role that they
> would be capable of performing.  If the individual can be supported by

> the employer then Access to Work could be helpful to give advice and
> funding for equipment.
>
>
>
> I hope this helps
>
>
>
> Sarah
>
>
>

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