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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 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
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