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I have to say of some relevance - we have just been told of a death of a member of staff who had called in sick but had then been un-contactable over the following days and knowing he had no immediate family, the hospital called the GP to see if they had heard from him and when he still couldn't be contacted, they phoned the police who broke into the house and found the person deceased. Employees don't think that you might be worried about them and that not phoning in means they have no information good bad or otherwise to work on. What if they have had an accident on the way to work etc so maybe if you explain it to them they can find another acceptable way to let the organisation know. If they can ring the doctor or text a friend for help why can't they text the manager. Susan Gorton | OH Nurse Manager | Occupational Health Department | Great Ormond Street Hospital NHS Foundation Trust | Level 3, Ormond House, 26-27 Boswell St., London WC1N 3JZ |020 7405 9200 Ext 0247 | DD to OHD 020 78138554 | Direct Fax 020 78138355 | Mobile 07833294568 Please be advised that all e-mail communication relevant to assisting in the management of the OH process will be printed and entered into the individual's OH file or copied and added as an electronic note on their electronic OH record. This may therefore be disclosed under the Data Protection Act (1998). From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Carr Barnes Sent: 19 December 2012 17:47 To: [log in to unmask] Subject: Re: [OCC-HEALTH] Migraines A lesson I learnt very early on is never to comment on an employer's policies and procedures and whether they should be applied to an employee or not as that is the path to OH being seen as an "employee advocate" and frustration from Management as we "thwart their ability to manage"..... only outline how the condition affects function including ability to communicate if neccessary and then advise that this may need to be taken into account when considering workplace policies and procedures. On 19 December 2012 17:35, sharon naylor <[log in to unmask]<mailto:[log in to unmask]>> wrote: Its not a reasonable adjustment in my opinion. If she doesnt phone in how is the manager meant to know how or where she is? Anything could have happened, she could have crashed the car in the way in to work, been mugged etc. Phoning in is not just about explaining absence its about ascertaining the employees well being if they dont show up. I would also agree with Carrs comment below. I saw someone recently with a history of "horrendous" migraines who stated that they went after two paracetamol (but still took 3 days off at a time) , so I would be wanting to know a lot more about management of her attacks and what she is doing about it. ________________________________ Date: Wed, 19 Dec 2012 16:42:22 +0000 From: [log in to unmask]<mailto:[log in to unmask]> Subject: Re: [OCC-HEALTH] Migraines To: [log in to unmask]<mailto:[log in to unmask]> I've come across a lot of migraine sufferers and never come across a situation where the person was struck down so severely and suddenly that they could not phone in....but it may very well happen to some people on some occasions I'd focus my assessment more on whether she is having appropriate treatment e.g if so severe and so frequent is she under a migraine specialist? If not why not? When it comes to contact that's for her and her manager to decide, I would just comment on whether the attacks strike her down on waking so suddenly that contact would not be feasible.....must say even at my worst (I was hospitalised a few times) I was able to call the doc. I guess it very much Regards, Carr On Dec 19, 2012 4:32 PM, "Lynda Wright" <[log in to unmask]<mailto:[log in to unmask]>> wrote: I would appreciate some other opinions regarding Migraines. An employee has requested the reasonable adjustment that she cannot phone in to say she is off sick because she suffers badly from migraines What do you think? The manager will struggle to manage the situation ad the individual has a lot of migraines. Regards Lynda ******************************** Please remove this footer before replying. 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