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Dear List, I have a client whose spouse follows to see me in the clinic. The employee tells me how he feels and the spouse tries to refute it. For instance he feels much better and wants to return back to work as a teacher. I could see from my previous consultation that he looks much better having implemented what we discussed. He confirmed to me that he feels much better and wants to return back to work as soon as possible. I was about to initiate a return to work program when the spouse who left her bag in the consulting room to go to toilet, came out of the toilet, came into the clinic heard what we were discussing and said 'no' that the GP have just given him another four weeks sick note. I tried to explain the position of the GP sick note and myself and she wants to argue. I observe that the same thing happened the last time I saw this gentle man Should I stop his spouse accompanying him to my clinics? She tends to want to make decisions for this gentleman who is compos mentis and not a child. Where does chaperones stand in occupational health consultation? Medical defense organisation states that relations should not act as cheperones So can an occupational health nurse ask a disruptive relation to leave the consulting room I tried to check the NMC site for guidance but it referred me *to *GMC good medical practice explanatory guidance <http://www.nmc-uk.org/Documents/Consultations/NMC-responses/2012/NMC-response-GMC-good-medical-practice-consultation-%20June2012.pdf> which have not mentioned anything about occupational health.consultation. I await your contribution. You can answer me off list if it is more convenient. Thanks Virginia. Ekwueme Email; [log in to unmask] ******************************** Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH