GOOD ATTENDANCE AND SICKNESS ABSENCE MANAGEMENT – GUIDANCE FOR MANAGERS Contents Page Introduction 3 Section 1 Notification and Reporting Arrangements 4 Section 2 Return To Work Interviews 9 Section 3 Enforced Sickness Absence 12 Section 4 Keeping In Touch 13 Section 5 Confidentiality 14 Section 6 Managing Short Term Absence 15 Section 7 Managing Absence for Staff with a Disability 22 Section 8 Managing Long-Term Absence/Ill Health 24 Appendix A Overview of roles and responsibilities 28 Appendix B Employees with an underlying health condition or disability as defined in the Equality Action 2010 30 Appendix C – Appeals Process 34 Good Attendance and Sickness 2 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie Introduction This guidance provides a framework for managers to assist them in improving attendance and managing sickness absence consistently, confidently and effectively. It should be read in conjunction with the following documents: TVP Good Attendance and Sickness Absence Management Policy Statement TVP Absence Procedure –Short Term and/or persistent Absence TVP Absence Procedure –Long Term Absences Good Attendance and Sickness Absence Management – Guidance for Employees Managers are reminded that these procedures should not be used for staff in their probationary period. Any absence during that time should be dealt with in accordance with the Probationary Period Policy and Procedure. Sickness absence management is primarily the responsibility of line managers assisted by the provision of support services such as Human Resources (HR) and Occupational Health (OH). Mild or even moderate ill health (such as minor colds etc) does not necessarily mean that a member of staff will be absent from work and a number of factors are likely to influence this decision. These may include the quality of supervision, working relationships, team spirit, workload and general working conditions. An awareness of these factors plays an important part in the management of sickness absence. Driving improvement in sickness absence performance demands a consistent approach to the application of the Absence Procedures and the Board and senior managers need to have in place a means of checking that these expectations are being delivered by every manager at every stage. This guidance should ensure that all members of staff are treated consistently and fairly while taking into account individual circumstances relating to a specific case. By dealing with potential problems at an early stage, it is likely that many will not develop into longer-term problems. Persistent intermittent or long term absence which is not managed effectively has a disruptive effect on other colleagues and affects Thames Valley Probation’s (TVP) performance levels. The guidance is also intended to foster a constructive and supportive relationship between line managers and staff, with the aim of ensuring that the welfare and well-being of staff is balanced with the needs of TVP and high levels of performance. Accurate record keeping of all absences helps to develop a fair and consistent approach to attendance. It is also a way of raising employees’ awareness of their manager’s interest in their attendance at work whilst highlighting to each individual her/his own level of attendance. An overview of roles and responsibilities of all those involved in sickness absence management is attached at Appendix A. Further information in respect of employees with an underlying health condition or disability in terms of the Disability Discrimination Act (DDA) 2005 is provided at Appendix B. Good Attendance and Sickness 3 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie Section 1 Notification and Reporting Arrangements Line managers are responsible for ensuring that sickness reporting procedures are adhered to, for example that certificates are produced on time, and should take appropriate action if they are not. All managers and staff have a responsibility to familiarise themselves with the notification and reporting arrangements in place and to comply with them. The arrangements for reporting sickness absence should therefore be included in part of any induction programme for new staff and a reminder circulated to all staff from time to time. 1. First day of Absence Direct contact with the line manager or nominated representative must be made at the beginning of the period of absence. This should be done, wherever possible, within half an hour of the expected starting time (normally by 0930 for those working a standard working week). There must be a system in place so that every manager nominates a colleague manager to cover his/her absence. Reception, as well as other managers, must have a schedule so that when staff are sick and make contact there is clarity about to whom they should be directed. Staff also need to be clear that they are not permitted to leave messages with reception, on an answering machine, or to communicate by text message. On receiving a telephone call in relation to absence, the line manager or other appointed person will make enquiries of the nature of the illness and its expected duration. They will also ask about any work commitments that need to be arranged, any welfare needs and whether the absence is related to an industrial injury. The record of this conversation will be treated as confidential but the fact of the sickness absence and its expected duration may need to be reported to colleagues in order to cover work. The sickness absence must be noted on the appropriate reporting form and returned to HR on a weekly basis. 2. Throughout the period of sickness If the sickness absence continues beyond three consecutive days, the employee should contact his/her line manager again, as early as possible on the fourth day of sickness absence or on the next working day. If the manager is advised that it is likely that the absence will continue beyond seven consecutive days, the employee must be reminded of the need to obtain and submit a medical certificate. The individual employee must maintain regular contact with his/her line manager throughout the period of sickness, informing them of their progress and anticipated date of return to work. If the period of their sickness is likely to be extended beyond the original date of return, the employee must inform their line manager of that fact as soon as is practicable. They must also supply self and/or medical certificates as appropriate at the earliest opportunity. 3. Medical Certification 3.1 Sickness Absence of Seven Calendar Days or Fewer A doctor’s certificate (from a registered medical practitioner) is not normally required for absences lasting less than eight consecutive calendar days. Where TVP requires a medical certificate in these circumstances, it will meet the cost. A self-certificate form should be completed by the individual for each spell of absence of seven calendar days or fewer from the first day of absence. The line manager should ensure that the individual completes this on his/her return to work. For part-time staff or staff with an atypical working pattern, the self-certificate form should indicate the individual’s working pattern (days and hours worked) to identify the precise days or part days when the individual would otherwise have worked. Good Attendance and Sickness 4 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie 3.2 Sickness Absence of Eight Calendar Days or More If the absence is for eight calendar days or more, the employee is required to submit a doctor’s medical certificate. Again, for part time staff or those with an atypical working pattern, the certificate should be accompanied by a note of the working pattern. If the absence continues beyond the return to work or due date on the certificate, further medical certificates should be submitted promptly. Line managers should ensure that the medical certificates cover the continuous period of absence and are passed on promptly to HR. Failure to provide timely certificates should be treated very seriously and the expectation is that managers will instruct HR to suspend pay unless there are very good reasons for the delay. 3.3 Status of the Medical Certificate The medical certificate provided by a doctor is an advisory note that can be overruled by the patient if s/he wishes. It is not an instruction to the member of staff not to attend work during the period specified nor is it an instruction to the employer not to accept the individual back to work during that period. Since April 2010 GP’s issue a “Statement of Fitness for Work” or “fit note.” The fit note may suggest ways of helping an employee who has been off work for longer than eight days to return to work, for example by some temporary adjustment of workplace or hours of work. There are no restrictions relating to early return to work. Accordingly, by mutual agreement between the line manager and member of staff (taking account of the need for any specific requirements identified in a return to work risk assessment) the member of staff can return to work when s/he feels sufficiently able. TVP should facilitate the return, consulting with the employee, their GP or the OH Adviser and making adjustments as necessary (thereby ensuring that they have done all that is reasonably practicable in respect of general employer responsibilities). There is no requirement for the employee to seek formal authorisation from their GP prior to returning to work. Occupational Health may occasionally advise that an employee is fit to return to work which may be contrary to the notification on the medical certificate. (It is expected that the OH representative will normally have discussed the difference in views with the relevant GP and sought to reach an agreed position where possible.) In the rare circumstances where this occurs the line manager will need to seek advice from HR on how to proceed. HR may advise that a notice to return to work should be issued to the employee. However, all circumstances would have to be considered before such a notice was issued. If the member of staff does not feel well enough to return to work at the end of the period stated in the medical certificate, s/he should seek an extension of that certificate from the GP. Conversely, if the member of staff wishes to return to work early, but Occupational Health advises that this would not be appropriate (e.g. for reasons of cross-infection or that the member of staff is not considered sufficiently well recovered) the line manager should not permit the member of staff to return to work. In such cases where Occupational Health advise that an employee is not fit to return to work, they will be suspended from duty on the grounds of health and safety i.e. the employer’s duty of care to that employee and others in the work place. Such suspension would be on full pay until such a time as their GP provides a further certificate. Individuals will be required to attend their GP and Occupational Health will advise the GP of the reason for not allowing the individual to return to work. Nothing in the above statements must be taken as requiring employees to return to work until they feel well enough so to do. Good Attendance and Sickness 5 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie 4. Failure to Comply with Reporting Arrangements If any member of staff fails to comply with the stipulated reporting arrangements (including making direct contact with their manager, not just leaving a message) without an acceptable explanation, pay may be suspended and disciplinary action initiated. 5. Failure to Notify Absence If a member of staff fails to make contact with their line manager (or nominated deputy) on the day that the absence has occurred, consideration will be given as to whether pay should be suspended until contact is made and a satisfactory explanation is given. If the decision is made to suspend pay, HR should be notified to authorise the action with Payroll. Where it has not been possible to contact the member of staff by telephone, a suitably worded letter should be sent by first class post and special delivery that day. The line manager should express concern about the lack of contact and ask the member of staff to make immediate telephone contact on receipt of the letter. The letter should also request a full explanation of the reason for the absence/lack of contact and the likely date of return. It should also explain why pay has been suspended in line with para 4. Should the member of staff continue to be absent without contact, the line manager should again write requesting immediate contact. This letter, which should be sent by recorded delivery or delivered by hand, should also inform the member of staff that if s/he does not return to work or provide a valid reason for absence disciplinary procedures will be commenced. 6. Unauthorised Absence Instances of unauthorised absence i.e. where a member of staff returns to work from an absence during which no contact has been made with the line manager, must be raised with the individual immediately on their return to work. The line manager should find out the reason for the absence and make a decision on the appropriate course of action. This may include pay being withheld and disciplinary action. If it is considered that there is an acceptable reason for the lack of notification of absence, then the member of staff should be granted appropriate leave or where sick pay has been suspended, sick pay may be granted in retrospect. If the reason given is not considered acceptable, disciplinary action will be commenced immediately. 7. Absence from Home Address when Absent on Sick Leave There are occasions when individuals who are absent on sick leave are away from their home address, e.g. to stay with parents; convalesce etc. This is acceptable as long as nothing is done which might worsen the condition or otherwise prolong the sickness absence and that the leave is not claimed back under para10. The employee is required to provide the line manager with the revised necessary contact details. 8. Reporting of Accidents, Injuries, Disease and Dangerous Occurrences When an absence is due to a work related accident, incident, disease or dangerous occurrence an accident/incident form must be completed in addition to the absence being reported to HR in the normal way. Absences must still be supported by a doctor’s certificate if they persist for longer than seven calendar days. Absences due to a work related accident, incident, disease or dangerous occurrence must be treated on a case by case basis. The line manager should seek advice as appropriate from HR and/or the Health & Safety Officer at any stage. It is the line manager’s responsibility to ensure that accident/incident reports are completed so that, where necessary, reports and information relating to work related stress, musculo-skeletal disorders (e.g. RSI) and reportable diseases can be forwarded to NOMS or to the HSE in line with the RIDDOR regulations. Good Attendance and Sickness 6 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie 9. Absence of Less Than One Day If staff have worked for less than half of their expected hours and have to leave work because of feeling unwell, this will be counted as a half day’s sickness absence for monitoring purposes and will be counted in the calculation of trigger points for action under the absence procedures. Half-day absences are not taken into account for statutory sick pay purposes as this would conflict with the Statutory Sick Pay Regulations. If staff have worked for more than half their expected hours and have to leave work because of feeling unwell, this will be counted as a full day’s attendance. 10. Sick Leave in Relation to Periods of Annual Leave If an employee wishes to take annual leave during a period of sickness absence they must first obtain written confirmation from their GP that they are fit to travel and that the taking of annual leave will not delay recovery or will promote it. Approval must then be sought from the line manager in the normal way and the appropriate number of days will be deducted from their annual leave entitlement. Pay will be adjusted to reflect annual leave rather than sickness absence. If the employee has an agreed phased return to work plan, annual leave may be utilised to facilitate this plan as appropriate. However, where because of extended long term sickness absence an employee has not been able to take the full statutory annual leave entitlement (currently 28 days), any accrued but untaken statutory leave may be carried over to the following leave year even if this exceeds the normal carry over rules. Accrued but untaken contractual annual leave will ordinarily be forfeited subject to normal carryover provisions where these have not already been met by the carryover of any untaken statutory entitlement. If a member of staff falls sick during a period of approved annual leave, the period of sickness will be recorded as sick leave and not annual leave PROVIDED that sickness reporting procedures have been fully complied with and a doctor’s certificate is produced for the whole period. Medical certificates must be paid for by the employee. If a member of staff is taken ill whilst on leave abroad and cannot return to the UK at the end of his/her leave period, line management must be informed immediately by the quickest means and medical evidence submitted as soon as possible (the entitlement to statutory sick pay may be affected if the absence is spent wholly or partially outside the EU). The situation will then be assessed taking account of all the relevant factors. 11. Time Off for Medical Appointments Where possible, staff should arrange appointments outside of their working hours. When this is not possible, they should seek to arrange appointments that minimise the disruption to work e.g. at the beginning or end of the working day. Where this cannot be arranged, permission to attend during work hours should be sought and should not be unreasonably refused. The line manager may grant reasonable time off with pay exceptionally for visits to the doctor, hospital, dentist or optician which cannot be accommodated outside the working day. Except in cases of emergency, the employee should advise his/her line manager of the proposed time of the appointment as soon as possible and must produce an appointment card or letter if asked. Where there are a series of appointments for regular and ongoing treatment, acceptable arrangements need to be approved by the line manager for handling these. If, following a medical appointment, an individual is unable to return to work because they are unwell the line manager must be informed of the sickness absence in the normal way. 12. Pregnancy Related Absence Arrangements must be made to enable pregnant women paid time-off to keep an appointment to receive ante-natal care. Except for the first appointment, employees may be asked to produce proof that an appointment has been made. Good Attendance and Sickness 7 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie Requests for time off for appointments relating to infertility treatment should usually be approved. The usual consideration and procedures for gaining approval for medical appointments should be used. Should sickness absence occur following treatment, the days absent should be recorded in the usual way. Line managers should not normally consider taking formal action for reasonable absence due to infertility treatment and if triggers are reached no action would usually be taken, after due consideration. Managers are reminded of the need for absolute confidentiality around an employee's infertility treatment and no reference to it must be made in any local records. 13. Transsexual Employees Transsexual employees undergoing medical and/or surgical procedures related to gender reassignment may require some time off from work. Line managers must allow employees paid time off work to undergo this treatment and it should not be counted towards attendance management warning triggers. Managers are reminded of the need for absolute confidentiality around an employee's gender identity and no reference to it must be made in any local records. Good Attendance and Sickness 8 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie Section 2 Return to Work Interviews Line managers have a responsibility to conduct an interview with any employee returning from sickness absence on their first day back, regardless of the duration of the absence. Where it is impractical to have a return to work interview on the first or second day, the interview should be conducted by another appropriate manager. Before the interview, the line manager should have all the relevant information about the individual’s absence record including: date reported sick date returned to work reason for absence absence history The purpose of the interview is to: Welcome the staff member back Confirm the reason for the sickness absence; Ensure that the absence should not be treated differently e.g. as special leave, temporarily rearranged working hours etc; Ensure that the employee feels healthy enough to return to work (although this is recognised as being an unqualified opinion, rather than a medical statement); Demonstrate concern for the health of the individual; Establish if the absence may be disability related; Provide an opportunity to identify any health, domestic, welfare or work related problems and if the latter, whether these need to be considered under another employment policy or whether the manager needs to take some other action to assist the return to work; Consider a referral to Occupational Health, for example if the absence is disability related, or if medical advice has been received that suggests work related ill health or injury may be developing; In exceptional circumstances where a health, domestic, welfare or work related problem may result in extended periods of absence a referral to OH or other appropriate agency may be considered; Update the employee on events that may have happened at the workplace during his/her sickness absence and identify what work should be prioritised; Provide the employee with information about support services that are available to them; Establish any reasonable adjustments that may be required; Highlight the absence is a cause for concern and impacts on colleagues. The return to work interview is part of normal line management, but should take place in private to preserve confidentiality. The employee’s sickness record should be discussed and any concerns brought to the attention of the employee; for example, emerging patterns of absence. When concerns have been identified as to the level, type, or duration of an employee’s sickness absence, the issues should be discussed informally. In appropriate circumstances, the implications of a poor attendance record on employee appraisals, controlling career development and the possibility of invoking the absence procedure should be explained. Good Attendance and Sickness 9 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie The employee should be notified of any separate formal meeting to progress to the short or long term absence procedures, with the employee being given the appropriate notice and rights of representation. 1. Recording the Interview Line managers should record the outcome of the interview on a return to work interview form. A copy of the form with agreed actions should be given to the employee and a copy placed on file. 2. Return to Work on a Reduced Hours or Alternative Duties Basis When employees are recovering from a long-term illness or injury and are not fit for full duties, it may be beneficial for them to be eased back into the workplace as part of a planned shortterm programme of work. Such a programme can have the effect of helping recovery and lessening the impact of a prolonged period of absence from the workplace. It may entail a reduction in working hours or could involve alternative duties. In all cases the line manager must consult with HR before discussing the feasibility of reduced hours/alternative duties with the employee, including potential duration. It is very important when agreeing a return to work programme to obtain advice from the OH practitioner. S/he will be able to contribute to the risk assessment that should be completed prior to a return to work and advise on any adjustments that are required. Assuming that any reduction in hours is not a permanent one the employee will return on full pay even if they are working reduced hours but where there is a large amount of accrued leave, there is an expectation that some of this will be used to make up the shortfall. Should the employee fail to return to their normal hours within one month, their pay will be adjusted according to the proportion of their normal hours currently worked. Should a longer period of rehabilitation on reduced hours be needed, employees will be able/encouraged to use any remaining accrued annual leave to facilitate that, if they want to avoid reduction in pay. Normally if a full return to work has not been achieved by the end of three months the employee will move into the absence procedure. It should be remembered that temporary modification of duties is at the employer's discretion, and the employee has no contractual right to work reduced hours for their normal pay. Employees who are temporarily working reduced hours as part of a temporary modification of duties and who wish to take annual leave on a normal working day are required to take a normal day’s annual leave irrespective of the hours due to be worked on that day. Any temporarily modified duties or working patterns should be regularly reviewed by the line manager, in consultation with second line manager, HR Unit and OH. It should be noted that, if during a review, it becomes apparent that the employee will not become fit to return to full duties, or that temporary modification of duties has ceased to be appropriate, the employee will be referred back to OH. Further advice will be sought on whether a permanent redeployment or termination of contract on grounds of ill health/medical retirement may become a consideration. Each case will be considered on its merits. Good Attendance and Sickness 10 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie THAMES VALLEY PROBATION ‘RESTRICTED - STAFF’ once completed Return to Work Summary Employee Name: Interview conducted by: Date: Job Title: Details of sickness absence Absent date: From To Number of working days absent: Reason for Sickness Absence: (Brief notes of meeting - include any agreed actions) NB It is not sufficient to say ‘Unwell’ or ‘Sick’ ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. Has the employee triggered because of this absence? Yes / No (If yes details of trigger) ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. If triggered; Advise the employee: Reasons for arranging a Formal Meeting You will write to them with a date and time Right to be accompanied to the meeting by a colleague or Trade Union Refer to the Sickness Attendance Management Policy Does the employee now consider themselves to have a disability? Yes / No (If yes, detail below and advise HR) ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. Was the absence due to an injury at work? Yes / No (If so please ensure that an accident report form has been completed and a copy sent to the Health & Safety Adviser) ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. Self certificate completed? Yes / No On receipt of Medical Certificates please forward straight to HR. Medical certificate received? * Yes / No * If the absence is for 8 or more consecutive days (including Saturday, Sunday & Bank Holidays) you must obtain a medical certificate from you doctor to cover absence from the 8th day onwards Signed by Line Manager…………………………. Signed by Employee……………………………… Date:…………………………………… cc LDU Director Good Attendance and Sickness 11 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie Section 3 Enforced Sick Leave From time to time, management may feel that a member of staff may not be well enough to remain at work, despite reporting for work. The Health and Safety at Work Act places an obligation on managers to ensure that all staff are well enough to undertake work. Where a manager has concerns in relation to an employee’s fitness to remain in work the manager may send the employee home, request that they refrain from returning to work until the symptoms/condition improves and/or produce evidence from his/her GP that they are indeed well enough to undertake work. In such circumstances management should ensure that the member of staff is well enough to travel home, unaccompanied and, if necessary, make arrangements for his/her safe journey home (for example by taxi). Employees on enforced sick leave are still required to produce medical certificates and self certification of the absence. Enforced sick leave will be treated consistently with all other types of sick leave in the management of the absence(s) including the Unsatisfactory Attendance Procedure. Good Attendance and Sickness 12 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie Section 4 Keeping in Touch Keeping in touch with absent colleagues is important but it should be done in a supportive way and not be felt by staff to be an additional burden or pressure. Contact should not only establish how the employee is and how their recovery may be progressing, but also be aimed at keeping them in touch with what is going on in the workplace. The Trade Unions can make a valuable contribution to this contact and can provide support and assistance for the employee through the sickness management process. Trade Union involvement in this process is dependent on the consent of the employee. In certain circumstances relating to more serious conditions the OH Adviser will be able to advise on timing and appropriateness of the contact/visit together with any matters that should be treated sensitively (whilst having regard to the need to maintain medical confidentiality). The line manager or designated manager and the employee should agree how personal contact will be maintained with the circumstances of the sickness and the views of the employee taken into account e.g. when an employee is in hospital, it may be difficult to maintain regular telephone contact and alternatives should be considered. Regular contact must be maintained with employees who are absent. It is difficult to give precise guidance as each case must be treated on an individual basis and each individual’s circumstances considered with sensitivity. However, it is advisable to contact sick employees as early as possible and certainly not let more than 14 consecutive sick days go by without contact. Thereafter, contact every two weeks would be a minimum standard. If an employee is absent due to sickness for more than seven calendar days, line managers should record any contact made. At some point line managers should consider a meeting with the employee. The venue for this meeting should be mutually agreed, whether the office, home or an alternative location. The timing of this meeting would depend on the nature and length of the illness but in any event should take place before the employee has reached 28 calendar days continuous absence. The meeting should be used to establish not only how an employee’s recovery may be progressing and his/her anticipated return to work, but also to discuss any concerns the employee may have about his/her absence from work. It should also provide an opportunity to review what support can be provided to the employee and whether the use of reduced hours or alternative duties to ease a return to full duty is appropriate. Each time a meeting takes place, a record of the fact must be made and placed on the employee’s sickness file, and a copy given to the individual. There may be a benefit to all parties for the OH practitioner to meet or communicate directly with the employee. The OH practitioner will be able to confirm his/her clinical judgement and thereby improve the quality of advice to managers/HR and to be able to provide an additional link for the employee to other support provisions where applicable. Good Attendance and Sickness 13 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie Section 5 Confidentiality All employees involved in the process of sickness absence management have a responsibility to maintain the confidentiality of medical information in their possession. All letters and return to work interview record forms (once completed) should be treated as ‘Restricted – Staff’. The fact that a person is absent is not confidential, but there may be occasions when the employee wishes the reason for that sickness absence to remain confidential; this wish should be respected and HR should be informed of the reason in place of the manager. Line managers need to have access to records of previous sickness absence to enable them to carry out the role effectively. However, this information is subject to the Data Protection Act and the Access to Medical Reports Act and line managers must ensure it remains confidential. The Occupational Health Support for Sickness Management Policy Arrangement (NPS/HS/35) states: “The requirements of medical confidentiality must be strictly observed at all times. OH practitioners are not permitted to divulge personal medical information relating to specific individuals without the written agreement of that individual. In practice the medical confidentiality requirement means that matters of personal, confidential, medical information cannot be disclosed to managers (including HR). However, OH practitioners are at liberty to provide generalised information regarding an individual (e.g. typical progress of a particular condition; the impact of particular conditions on the ability to undertake work, generalised non attributable information regarding the general health of groups of employees etc). Key is a sensible informed dialogue between OH practitioners and HR/line managers with a common understanding of the confidentiality requirement.” Good Attendance and Sickness 14 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie Section 6 Managing Short Term Absence The purpose of the short term absence procedure is to help employees improve their attendance to an acceptable level and help them remain in work. Although it is important to treat each case on its individual merits, it is also essential that a consistent approach is taken. The single most effective action to reduce absence is for organisations to adopt a preventative approach combined with line managers conducting return to work interviews for all staff who have been absent, however long or short the absence period. Managers should be alert to an emerging pattern of short term and/or persistent sickness absence which may give cause for concern. For example, this might be a number of absences over a relatively short period of time or a pattern of absence, say, either side of a weekend or often after a period of leave etc. Where a potentially unacceptable incidence of short-term absences emerges, the line manager should discuss this with the member of staff at a return to work interview. Subject to what is said, the line manager should make it clear that improvement is required because of the detrimental effect of the absence on the work of the team, impact on other colleagues etc. Managers should make it clear that unless an improvement can be achieved, consideration will be given to the following: The initiation of formal action (where the incidence of absence warrants it) under the Short Term Absence Procedure which may ultimately lead to dismissal. Referral to Occupational Health to see whether there is any underlying medical reason for the absences. Where absence arises from temporary domestic circumstances, the likelihood or otherwise of attendance improving in the near future needs to be considered. Staff should be made aware that sickness absence must not be taken to meet personal or domestic needs unrelated to their being sick. Such use is inappropriate, will amount to abuse of the system and constitutes a disciplinary offence. The line manager should discuss any other available means to support staff in these circumstances e.g. a temporary adjustment to working hours, consideration of special leave; a short period of unpaid leave etc. 1. Invoking the Short Term Absence Procedure Levels of sickness absence that could trigger stage one (pro-rata for part-time staff): 3 or more periods of absence in a “rolling” period of 3 months 4 or more periods of absence in a “rolling” period of 6 months 5 or more periods of absence in a “rolling” period of 12 months 9 days in total in a “rolling” period of 12 months Managers (and employees) should be aware that meeting a trigger point prompts a review of an employee’s attendance, and is not per se a reason for taking formal action. For reasons of fairness and consistency it is important that a sickness absence review meeting is always carried out - even when the reasons for the absence are apparently clear cut and isolated when an employee meets the trigger points. The outcome of the review meeting will of course depend on the circumstances of each specific case. It is the line manager’s decision to decide if an improvement notice should be given. In considering whether an improvement notice is appropriate, the line manager should consider: the employee’s sickness absence record; length of service; Good Attendance and Sickness 15 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie any relevant advice from Occupational Health Services (in appropriate cases); any history of previous improvement notices in respect to sickness absence; information obtained at return to work interviews; any underlying medical condition, disability or pregnancy. any stress or other risk assessments already undertaken It is important to remember that though the amount of sickness absence is an important element in determining whether an improvement notice is appropriate, it is just as important to consider individual circumstances. These might include: the reasons for the sickness absences and how likely they are to reoccur (e.g. an employee who has consistently good attendance over a number of years is off for a few weeks after sustaining a broken leg, it would probably not be appropriate to issue an improvement notice in such an isolated case); patterns of sickness absence such as frequent Monday and Friday absences; considering if any of the sickness absences are regarded as pregnancy-related absences as these absences do not count towards trigger points; whether reasonable adjustments have been made in the workplace to support an employee who suffers with an underlying health condition or disability; consideration should be given to not applying trigger points to disability related absence and instead determining what level of absence the organisation thinks would be a reasonable adjustment in terms of expected attendance. disability leave does not count towards trigger points (see Appendix B para 19). If after reviewing the evidence and conducting the meeting the line manager considers that an improvement notice should not be issued, this decision needs the endorsement of the relevant director. 1.1 Preparation for the Meeting The line manager should arrange the sickness absence review meeting with the individual as soon as possible after receipt of the trigger information. It is recommended that the line manager speaks to the individual personally beforehand to explain that a meeting is required under the procedure rather than rely simply on the written communication. The employee should also be informed of her/his right to be accompanied by a trade union representative or workplace colleague. A member of staff may also wish to seek advice from a relevant staff association. The interview should be held in appropriate accommodation; sufficient time should be allowed for it to be completed comfortably and there should be no interruptions. Consideration should also be given to the timing of the interview – if the individual is likely to be upset, it may be suitable to schedule the interview before lunch, or mid afternoon, so that the individual can leave the office for a quiet time afterwards. The line manager should write and invite the employee to the meeting. The letter must: Require the employee to attend a meeting to discuss the matter – informing him/her of the level of action that may result; Give at least five days notice; Set out details of the unsatisfactory attendance, including a copy of all relevant documentation, e.g. copies of return to work interview notes and OH advice; Good Attendance and Sickness 16 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie Inform the employee that they have the right to bring a trade union representative or work companion. If the employee or his/her trade union representative/companion cannot attend the first scheduled meeting date they have the right to re-arrange the meeting once, but only to a further five days. Advise that if the employee refuses or fails to attend the meeting without good reason a decision may be made in his/her absence. Line managers must take advice from HR in these circumstances. Before the interview the line manager should prepare carefully and ensure s/he has all the facts; consider how the meeting will be structured and make notes of the points s/he needs to cover; ensure s/he has all the information needed and all relevant facts such as personal details, any relevant documents; and consider whether there might be any reasonable adjustment needs and how these might be addressed. 1.2 Conducting the Meeting The line manager should open with formal introductions and explain to the employee that the purpose of the meeting is to consider whether action should be taken in accordance with the Short Term Absence Procedure and explain how the meeting will be conducted. The purpose of the meeting is to explain why attendance is deemed unsatisfactory, ensure that the individual understands the seriousness of the issue and accepts the need to improve and to give the employee the opportunity to comment. There are two potential outcomes from the meeting. They are: That no further action should be taken That a stage one improvement notice should be issued In addition, the manager should consider whether there are other management actions which might arise from the meeting such as a referral to Occupational Health. The manager should: State precisely what the case is, and outline it briefly by going through the evidence that has been gathered; Ensure the employee has been given copies of all of the evidence. The objective of the meeting is to discover the truth, not to catch people out. Establish if the employee accepts he/she has not attended satisfactorily. Give the employee the opportunity to offer an explanation for the level of absence or put forward any special circumstances, disability or workplace issues to be taken into account Listen attentively and be sensitive to silence, as this can be a constructive way of encouraging the employee to be more forthcoming. It may be necessary on occasion to adjourn the meeting if further enquiries are necessary (e.g. a referral to Occupational Health) or if, because of information volunteered by the employee, the line manager has reason to believe the issue cannot be dealt with properly under the Unsatisfactory Attendance Procedure. If that is the case, the line manager should explain the reason for the adjournment and, if appropriate, consult HR and/or OH. 1.3. Reaching a Decision The line manager should listen to the employee and then consider what action is appropriate. The employee should be informed of the decision at the end of the meeting, or as soon as reasonably practicable afterwards. The line manager will confirm the Good Attendance and Sickness 17 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie outcome of the meeting to the employee. This written confirmation will include a summary of the discussion at the meeting. If a decision to issue a stage one improvement notice has been taken, the manager must explain to the employee: that they have carefully considered the evidence; the reason(s) for the stage one improvement notice; that his/her attendance will be kept under review for six months (or as otherwise set out in the review period); the improvement and level of attendance that will be required; that further absence within the review period may lead to a final improvement notice; the right of appeal, as long as they do so in writing, within ten working days of the decision. See Annex C for details of the appeals process. When a decision is taken to issue an improvement notice, consideration should be given as to whether it would be appropriate to suspend the right to self certify short absences for the duration of the notice. A letter must be sent to the employee by the line manager informing him/her of the outcome, regardless of whether or not an improvement notice is issued. The letter should cover the elements in the above paragraph. A copy of the letter must be sent to HR for the personal file. 1.4. Improvement Notice Review Period The review period is the period following an improvement notice that gives the employee an opportunity to show that they can achieve the required level of attendance. The start date of the review period is the date on which the meeting took place. This period remains unchanged in the event of an appeal being lodged. Where, following the review period, attendance is judged to have improved significantly, a meeting should be arranged to inform the employee of this. The outcome of the meeting should be confirmed in writing and a copy sent to HR for the personal file. However, if attendance deteriorates within a period of six months, the First Improvement Notice may be reissued or Stage Two invoked without the need to go through the earlier stages of the procedure. 2. Stage 2 Action Stage Two comes into effect when a member of staff’s sickness absence continues to be unsatisfactory i.e. attendance has not improved or been sustained to a satisfactory level within the agreed timescale. As a guide, if, during the review period of six months there are four working days absence or three separate absences, a Stage Two meeting should be convened at which the employee’s attendance record will be reviewed. The line manager may invite an HR Adviser to attend the meeting. The letter from the line manager must: Require the employee to attend a meeting to discuss the matter – informing him/her of the level of action that may result; Give at least five days notice; Set out details of the unsatisfactory attendance, including a copy of all relevant documentation, e.g. copies of return to work interview notes and OHS advice; Refer to previous warning(s); Good Attendance and Sickness 18 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie Inform the employee that they have the right to bring a trade union representative or workplace companion. If the employee or his/her trade union representative/companion cannot attend the first scheduled meeting date they have the right to re-arrange the meeting once, but only to a further five days; Advise that if the employee refuses or fails to attend the meeting without good reason a decision can be made in his/her absence. Line managers must take advice from HR in these circumstances. 2.1 Conducting the Meeting The meeting should be conducted in line with the advice in para 17. The purpose of the meeting is to explain clearly why attendance is unsatisfactory and to give the employee the opportunity to comment. There are three potential outcomes from the meeting. They are: That a referral to the OH would be appropriate; and/or That a final improvement notice should be administered. That no further action should be taken - although the employee should be reminded that their absence is still being monitored. This option will only be considered in exceptional circumstances and only with the approval of the appropriate Director. The meeting should be conducted in line with the guidance in para 16. 2.2 Reaching a Decision The line manager should listen to the employee and then consider what action is appropriate. The employee should be informed of the decision at the end of the meeting, or as soon as reasonably practicable afterwards. The line manager will confirm the outcome of the meeting to the employee. This written confirmation will include a summary of the discussion at the meeting. If a decision to issue a final improvement notice has been taken, the manager must explain to the employee: that they have carefully considered the evidence; the reason(s) for the final improvement notice: that his/her attendance will be kept under review for six months; the improvement and level of attendance that will be required; that further unsatisfactory absence within the review period may lead to his/her dismissal; that the right to self-certify is withdrawn and that failure to provide a medical certificate in respect of any absence may result in disciplinary action or extensions to the period of the improvement notice; the right of appeal, as long as they do so in writing, within ten working days of the decision. See Annex C for details of the appeals process. 2.3 Final Improvement Notice Review Period The review period is the period following the issuing of a final improvement notice that gives the employee an opportunity to show that they can achieve the required level of attendance. The start date of the review period is the date on which the interview took place. This period remains unchanged in the event of an appeal being lodged. Good Attendance and Sickness 19 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie During the final review period, regardless of the required attendance set out in the improvement notice, if the employee has four working days or two further absences, the manager may consider moving to the next stage of the formal procedure straight away. Where, following the review period, attendance is judged to have improved sufficiently, a meeting should be convened to inform the employee of this. The outcome of the meeting should be confirmed in writing and a copy sent to HR for the personal file. However, if attendance deteriorates within a period of six months, the Final Improvement Notice may be reissued or Stage Three invoked without the need to go through the earlier stages of the procedure. 3. Stage Three Action – Consideration of Dismissal Where there are further absences within the review period the line manager should refer the matter to the relevant senior manager. The senior manager should invite the employee to a meeting to discuss his/her sickness absence; HR will be able to assist with the wording of the letter, if required. The letter from the senior manager must: Require the employee to attend a hearing to discuss the matter – warning that a possible outcome of this meeting is dismissal; Give at least five days notice; Set out details of the unsatisfactory attendance, including a copy of all relevant documentation, e.g. copies of return to work interview notes and OH advice; Refer to previous improvement notice(s); Inform the employee that they have the right to bring a trade union representative or workplace companion. If the employee or his/her trade union representative/companion cannot attend the first scheduled meeting date they have the right to re-arrange the meeting once, but only to a further five days; Advise that if the employee refuses or fails to attend the meeting without good reason a decision may be made in his/her absence. The senior manager must take advice from HR in these circumstances. 3.1 Conducting the Meeting An HR representative must be present at the Stage Three hearing. His/her role is to advise the senior manager on correct procedures and attendance management measures, but the senior manager makes the final decision on any attendance management measure that may be applied. The hearing should be conducted in line with the advice in para 17. The purpose of the meeting is to allow the employee or his/her representative to put his/her case and any mitigating circumstances to the senior manager handling the matter. The senior manager should listen to the employee and then consider if dismissal is appropriate. If the required improvement has not been achieved and/or sustained by this stage, then the likelihood is that dismissal will be appropriate. 3.2 Reaching a Decision The senior manager should inform the employee of his/her decision at the end of the hearing, or as soon as reasonably practicable afterwards. The employee should be sent a note of the meeting and be asked to sign to confirm that a fair and accurate record has been taken. Any disagreements about the record should be attached to this note. In conveying the decision, the senior manager must explain to the employee: Good Attendance and Sickness 20 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie the reason(s) for his/her dismissal; reasons for accepting or rejecting evidence; if dismissed, the period of notice the employee will be given; the right of appeal (for those with more than 12 months’ continuous service), as long as they do so in writing, within ten days of the decision. See Annex C for details of the appeals process. A letter must be sent to the employee informing him/her of the outcome. A copy of the letter must be sent to HR for the personal file. Good Attendance and Sickness 21 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie Section 7 Managing Absence for Staff with a Disability The main body of this guidance deals generally with good attendance and sickness absence management issues. This section and the further information at Appendix B gives further advice in respect of best practice when dealing with these issues for staff whose condition falls within the provisions of the Disability Discrimination Act. The Attendance procedures have been developed with the aim of monitoring and reducing absenteeism. This applies equally to staff with disabilities. In the latter case, however, specific consideration may need to be given to allowing special leave/flexible working to allow for treatment or appointments, varying hours, re-designing a job or re-assessing the trigger points at which action is taken. Any or all of these measures need to be considered in conjunction with the individual, the HR Department and Occupational Health to assess which would be the most appropriate and effective. Each case must be evaluated on its individual merits with any potential reasonable adjustments considered and assessed. Where reasonable adjustments are made they will need to be reviewed regularly to ensure they remain appropriate. Temporary workload relief may be considered whilst reasonable adjustments e.g. assistive technology is being introduced. In some situations it may not be possible to make adjustments, or where adjustments have been made, the situation has not improved. At that point line managers must then implement the same procedures as they would for other staff. The measures to be considered before reaching this point include: seeking advice through the HR Department from Occupational Health on what level of sickness absence, if any, might be expected; reviewing work patterns to allow for more flexible working; removing a small element of the job if it is causing particular problems (this could be replaced by other work that the individual can do); considering alternative duties as an interim measure; offering alternative work at the same level; adjusting core time to meet medication requirements; providing specialist equipment, workstations or furniture as required. The Disability Discrimination Act (DDA) and the Disability Rights Commission’s – now the Equality and Human Rights Commission - associated Code of Practice give examples of the type of adjustments that would fit the definition of ‘reasonable’. These might include: Making adjustments to the premises; Allocating some of the disabled person’s duties to another person; Transferring the person to fill an existing vacancy; Altering the person’s hours of work or training; Assigning the person to a different place of work or training including working from home Allowing the person to be absent during working or training hours for rehabilitation, assessment or treatment; Arranging training or mentoring; Acquiring or modifying equipment; Good Attendance and Sickness 22 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie Providing all instructions, training or manuals in an accessible form; Providing a reader, interpreter or support worker. The line manager must be able to demonstrate that all reasonable and practicable adjustments have been made before initiating any action under the Attendance Procedures. However, where it has been established that the level of absence is not related to the disability but to general health or other issues, or where the level of absence including any which is disability related is unsustainable, the relevant Attendance Procedure should be followed as for other staff. Good Attendance and Sickness 23 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie Section 8 Managing Long-Term Absence/Ill Health 1. Introduction The procedures for short-term absence are not appropriate for employees who have long term (i.e. 21 working days), continuing absence through sickness, or the inability to attend work regularly and consistently because of a long-term ill health problem. If the line manager is unsure which procedure to use to manage attendance (i.e. short-term absence or long-term absence) they should refer to HR. HR advice should also be sought when an employee, having returned to work from long term absence, goes off sick again within six months of their return to work. Depending on the individual circumstances, it may be appropriate to re-enter the procedure at the stage previously reached or to change the timings of case conferences. Managers should also seek HR advice where an employee who is subject to performance improvement, discipline, grievance or short term sickness absence procedures returns to work from long-term sick leave. The aim will usually be to resume the procedure at the stage where the absence began. The line manager should try to establish through regular contact with the employee, how long the absence is likely to last, so that decisions can be made on whether it is reasonable for the service to sustain his/her absence. Occupational Health will be able to provide advice, and the manager must treat each situation sympathetically, sensitively, fairly and on its own merits. Both manager and employee must keep in regular contact and the employee must let the manager know immediately if there is any change in his/her medical condition. The purpose of this procedure is to assist employees absent through long term sickness to return to and remain in work where possible. 2. Formal Review Meeting for Continuing Long Term Absence Once an employee has been absent for 21 working days, the line manager should commence what may become a series of formal case conferences to ensure that all necessary attendance management action has been taken. Case conferences should be used to plan the next steps and consider what supportive help is available to assist the employee return to work. Details of all actions taken and planned must be recorded on the sickness file to inform all future discussions and actions. Case conferences should not be the only contact that the employee and line manager have – both parties have a responsibility to maintain regular contact during absence and the employee should let their line manager know immediately if there is any change in their medical condition. Case conferences should take place after 40 working days, five months and at eight months absence. At each stage the employee must be invited to the case conference and must be given at least five days’ notice of the meeting. The employee should be told the reason for the case conference and informed of his/her right to have a trade union representative or workplace colleague present. The line manager and the employee should attend the case conference. It may also be appropriate for an HR representative to attend case conferences. If the employee is not able to attend at the office the case conference can be arranged at an alternative location, such as the employee’s home, or a mutually agreed venue. If the employee’s illness prevents him/her from attending then they must be kept informed of progress in writing, and given the opportunity to make written representations. 3. Referrals to Occupational Health Once an employee has been absent for more than 21 working days, consideration will normally be given to referring him/her to Occupational Health. Good Attendance and Sickness 24 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie In all cases where there is a diagnosis of work related stress, referrals to OH will be made automatically by the line manager at 21 working days absence, or sooner if appropriate. In all cases where long term sickness absence starts following the commencement of disciplinary or performance improvement processes there will be an automatic referral to Occupational Health at this stage. 4. Stage One - Case Conference at 40 Working Days The line manager must write to invite the employee to a case conference. The letter must: Outline the reasons for case conference copying any relevant documentation e.g. OH report; Require the employee to attend a case conference to discuss the matter; Give at least five days notice; Inform the employee that they have the right to bring a trade union representative or workplace colleague. If the employee or his/her trade union representative/colleague cannot attend the first scheduled meeting date they have the right to re-arrange the meeting once, but only to within a further five days. At the case conference the line manager should listen to the employee and encourage a full explanation for the absence. The discussion should cover: Progress made and prognosis; Referral to OH, involving signing of consent form if not already undertaken; Support available that the service could offer to help assist recovery and return to work; Information on when and how pay will be affected due to absence; The process of formal monitoring during long term absence; That the process can ultimately lead to dismissal. The line manager will write to the employee after the case conference to confirm the main points discussed at the meeting. 5. Stage Two - Case Conference at Five Months The line manager must invite the employee to a second case conference. The letter must: Refer to any previous case conference and outline the reasons for case conference, copying any relevant documentation e.g. OH report; Require the employee to attend a case conference to discuss the matter – warning that a possible outcome of this meeting is a final case conference; Give at least five days notice; Inform the employee that they have the right to bring a trade union representative or workplace colleague. If the employee or his/her trade union representative/colleague cannot attend the first scheduled meeting date they have the right to re-arrange the meeting once, but only to within a further five days. At the case conference the line manager should discuss with the employee: The progress made in relation to the written record of actions taken and planned; Explain how his/her continuing absence is giving cause for concern; Good Attendance and Sickness 25 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie Support available to help the employee return to work e.g. Occupational Health advice, particularly in relation to possible adjustments which could be made to the working environment. If OHS advice has been received recently (i.e. within the last three months there is no need to automatically refer again at this stage); A temporary or permanent change in the employee’s working hours or pattern of work; A temporary or permanent change in the individual’s duties, if there is more suitable alternative work available; Whether special aids or equipment can be provided; Explain to the employee the process of formal monitoring during long term absence and that the process can ultimately lead to dismissal; Whether consideration of ill health retirement may be an appropriate avenue to investigate; The line manager should decide if, based on advice from Occupational Health Service, previous sickness absence history and the prognosis for the employee’s return, his/her absence can continue to be sustained. If they believe they can no longer sustain the absence, the line manager should refer the case to the senior manager; Explain to the employee that at eight months absence, they will be referred to the senior manager, who will consider if they are to be dismissed; This does not imply a right to remain in employment until that time. The line manager will write to the employee to confirm the main points discussed at the meeting. Between five and eight months sickness absence the line manager should continue to keep in regular contact with the employee and a series of regular informal meetings may be useful. Records should be kept. 6. Stage Three - Referral to the Senior Manager at Eight Months For all cases of long-term sickness absence, when the absence has reached eight months, the line manager must refer the matter to the relevant senior manager. Before referring to the senior manager, the line manager must ensure that there has been recent advice received from OH. The senior manager should invite the employee to a final case conference to discuss the issue. The letter from the senior manager must: Refer to previous case conferences and outline the reasons for a final case conference copying any relevant documentation e.g. OH report. Require the employee to attend a final case conference to discuss the matter – warning that a possible outcome of this meeting is dismissal; Give at least five days notice; Inform the employee that they have the right to bring a trade union representative or workplace colleague. If the employee or his/her trade union representative/colleague cannot attend the first scheduled meeting date they have the right to re-arrange the meeting once, but only to within a further five days; Advise that if the employee refuses or fails to attend the meeting without good reason a decision may be made in his/her absence. Managers must seek advice from HR in these circumstances. Good Attendance and Sickness 26 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie A representative from HR must be present at the Stage Three case conference. His/her role is to advise the senior manager on correct procedures, but the senior manager makes the final decision on any dismissal decision. The purpose of the case conference is to allow the employee to put his/her case and any mitigating circumstances to the senior manager handling the matter. The senior manager should listen to the employee and then consider if dismissal is appropriate. The senior manager should inform the employee of his/her decision at the end of the case conference, or as soon as reasonably practicable following the hearing. The employee should be sent a note of the meeting and the senior manager should write to the employee confirming: the reason(s) for his/her dismissal or other action; reasons for accepting or rejecting evidence; if dismissed, the period of notice the employee will be given; the right of appeal, as long as he/she does so in writing, within ten days of the decision. See Annex F for details of the appeals process. 7. Records It is very important to keep written records during the process. Records should include: the attendance issues; the employee’s response or defence; findings made and actions taken; the reasons for action taken; whether an appeal was lodged; the outcome of the appeal; any grievances raised during the procedure; and subsequent developments. Records should be treated as ‘restricted-staff’, be kept for 12 months and in accordance with the principles of the Data Protection Act. Copies of formal warnings must be placed on personal files. Good Attendance and Sickness 27 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie APPENDIX A Overview of Roles and Responsibilities 1. Individual Employees: must report sickness absence promptly to their line manager (or, in their absence another designated manager), as soon as practically possible following the beginning of their working day. In the rare event that he/she is unable to call personally, the employee should arrange for a representative to phone on his/her behalf. must provide his/her line manager or another appropriate manager, with the reasons for sickness absence and an indication of when he/she expects to return to work. must remain in contact with the line manager (or other appointed manager) throughout the duration of the sickness absence, informing him/her of any changes in circumstances regarding the absence. are responsible for the provision of medical and self certificates at the appropriate times and entitlement to sick pay is dependent on this. have an obligation to ensure that medical advice and treatment, where appropriate, is received as quickly as possible via their Medical Practitioner in order to facilitate an early return to work. They must also ensure that they do not undertake any activity including other paid or voluntary work that might delay their return to good health and work. Such action could lead to a breach of the employment contract and disciplinary action. 2. Line Managers: Should be fully conversant with the policy and guidance on absence management and their responsibilities under relevant Equalities and Health and Safety legislation have primary responsibility for the promotion of good attendance within their team/unit through the mechanisms of team meetings and individual supervision by including attendance as a regular supervision agenda item. are responsible for ensuring that sickness reporting procedures are adhered to (e.g. that certificates are produced on time) and should take action if they are not. All managers and employees have a responsibility to familiarise themselves with the reporting arrangements in place and to follow them. The arrangements for reporting absence should therefore be included in part of line management induction of new employees. keep in regular touch with staff who are absent through sickness to let them know they are missed, ensure they receive support and to ease their return to work conduct return to work interviews in line with this procedure review each employee’s sickness absence in accordance with this procedure and where appropriate, initiate formal attendance improvement procedures report to the HR Unit and Health and Safety Officer all sickness absences relating to any workplace accidents, incidents and illnesses in line with the Accident and Incident Reporting Procedure. 3. Human Resources Staff and Health and Safety Officer: support the line manager in managing sickness absence. provide advice and assistance on individual cases of sickness absence as requested, including referral to the Occupational Health Service where appropriate. maintain individual confidential sickness records and associated correspondence. Good Attendance and Sickness 28 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie provide regular sickness absence data reports to line managers concerning members of their team and management reports including analysis of overall sickness absence, to the Senior Management Team and the Board. administer the external employee assistance programme and other positive health initiatives. provide training and development to line managers on sickness management. 4. Board and Chief Executive 4.1 The Board has a responsibility to monitor sickness absence figures in respect of achievement of targets for reducing sickness absence and to be aware of the costs of sickness absence to their Area. has overall responsibility for the development, publication, dissemination and application of policy and procedures on good attendance and sickness absence management to include clear principles and standards. 4.2 The Chief Executive will maximise attendance by ensuring that sickness absence is managed consistently but actively and fairly. ensure that levels of sickness absence are monitored and managed. send letters of recognition to individuals who have nil absences in a 12 month period or put in place other measures which recognise good attendance. 5. Occupational Health: Advise on the management/prevention of short term absences; Advise on the management of long term absence – particularly return to work programmes and associated risk assessments together with any resulting new DDA issues; Advise on post return to work assessments; Provide support to individuals during periods of sickness absence; Liaise with the employee’s personal medical advisors (GP’s etc). Good Attendance and Sickness 29 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie APPENDIX B Employees with an underlying health condition or disability as defined in the Equality Act 2010 1. Definition of Disability The Equality Act defines disability as: “A person who has a physical, sensory or mental impairment which has a long term and substantial adverse effect on their ability to carry out normal day to day activities”. “Impairment” covers physical or mental impairments and includes sensory impairments, such as those affecting sight or hearing. Examples include: Diabetes Dyslexia Autism Asthma Arthritis Depression Incontinence Severe disfigurement and many other impairments, both visible and invisible. “Mental impairment” is intended to cover a wide range of impairments relating to mental functioning, including learning disabilities and mental illness. “Substantial adverse effect” is not defined other than that it is more than a minor or trivial effect. The requirement that an effect must be substantial reflects the general understanding of disability as a limitation going beyond the normal differences in ability which exist among people. “Long term” means lasted for 12 months, is likely to last for more than 12 months or for the rest of the employee’s life. It is very important to be aware that someone who has had a disability which falls within the definition given above is protected by the Equality Act from discrimination even if they have recovered, or where the condition is controlled by medication. This would cover, for example, someone who has had an episode of mental illness, or someone who has experienced a physical injury which lasted for a relevant period. If an impairment has had a substantial adverse effect on normal day-to-day activities but that effect ceases, legally it is treated as continuing if it is likely to recur. For example someone who has arthritis, continues to be protected by the Equality Act, even during periods of remission. 2. Background to the Duties Under the Equality Act The basic requirement for a public authority when carrying out their functions is to have due regard to do the following: promote equality of opportunity between disabled people and other people eliminate discrimination that is unlawful under the Equality Act eliminate harassment of disabled people that is related to their disability Good Attendance and Sickness 30 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie promote positive attitudes towards disabled people encourage participation by disabled people in public life take steps to meet disabled peoples needs, even if this requires more favourable treatment. From December 2005 progressive conditions like cancer, HIV and multiple sclerosis have been covered from first diagnosis (previously this had been from first onset of symptoms). The amendment to the Act has removed ‘clinically well-recognised’ from the definition of disability with regard to mental health. The Act states that the duty to make reasonable adjustments arises ‘where a provision, criterion or practice applied by, or on behalf of an employer, or public body, or any physical feature of the premises, places the disabled person at a substantial disadvantage compared with a person who is not disabled’. If a disabled person is at a ‘substantial disadvantage’ the employer or public body has to take the appropriate steps to make the relevant adjustment. Failure to do so is unlawful and cannot be justified. The Equality Act defines disability as a physical or mental impairment, which has a substantial and long-term adverse effect on a person’s ability to carry out normal day to day activities. Employees living with cancer, HIV and MS are to be regarded, for attendance management purposes, as being disabled from the point of diagnosis. Line managers must have an open discussion with the employee about managing disability related absence as one would with sickness absence, whilst respecting the right of the employee not to disclose their specific condition. If there are problems with an employee’s attendance and an underlying medical condition or disability is identified, advice should be sought from Occupational Health Services (OHS), via HR. The provision of reasonable adjustments must always require the involvement and agreement of the person involved. When speaking with an employee about his/her disability, managers and others must be alert to the sensitivities of the person being questioned and the subject. Each person’s disability is unique to them, as is their way of managing it. He/she will be the experts on their own situation and assumptions of other people knowing what is best for the individual must be avoided. Equality legislation and Codes of Practice give examples of the type of adjustments that would fit the definition of ‘reasonable’. These include: Allocating some of the disabled person’s duties to another person Transferring the person to fill an existing vacancy Altering the person’s hours of work or training Assigning the person to a different place of work or training including working from home Allowing the person to be absent during working or training hours for rehabilitation, assessment or treatment Arranging training or mentoring Acquiring or modifying equipment Providing all instructions, training or manuals in an accessible form Providing a reader, interpreter or support worker All individuals on disability absence need to be treated on a case by case basis. Good Attendance and Sickness 31 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie Where reasonable adjustments are made, the employee should be given reasonable time to adjust to the changes. If the employee is still unable to meet levels of attendance expected and agreed to, formal attendance procedures should be considered. The Act does not require all disability-related absence to be automatically discounted on every occasion; nor does it require an employer to retain an employee indefinitely if they are frequently absent due to a disability. However, before counting disability-related absences towards trigger points for attendance procedures, line managers must be able to demonstrate that: All reasonable adjustments have been made to reorganise a job around functions that the employee can perform and that; All reasonable adjustments have been made to working practices, the workplace and its location that place the disabled employee at a substantial disadvantage, including adequate training. They have taken account of legal requirements and taken “account of a disabled person’s disabilities, even where that involves treating disabled people more favourably.” Where the combination of both disability-related and general sickness absence exceed the trigger points for formal unsatisfactory attendance procedure, the line manager should seek advice from HR. The line manager and HR representative should consult with OHS and the disabled employee for advice on any reasonable adjustments that should be considered. 3. Disability Leave Although many disabled people who are covered under the provisions of the Equality Act require specific adjustments to work, there are others who only require a flexible approach to the way work is carried out. Disability Leave is an example of a flexible approach or reasonable adjustment, as it allows for reasonable absence during working hours. In most cases it is agreed in advance. Disability adjustment leave is distinct from sick leave and includes time when an employee is well but absent from work for a disability related reason. Some examples of reasons for planned disability leave include (but are not limited to): hospital, doctor or complementary medicine practitioners appointments hospital treatment as an outpatient recovery time after blood transfusion or dialysis treatment physiotherapy (sessional or residential) adjusting to a new or worsened disability becoming familiar with reasonable adjustments assessments for conditions such as dyslexia hearing aid tests training with guide or other assistance dogs counselling/therapeutic treatment A longer period of disability leave might also be appropriate. This could be so that a newly disabled employee can make changes inside and outside of work or if an employee has to undergo a more prolonged period of treatment, rehabilitation or recuperation. Some examples of longer disability leave include (but are not limited to): a period of time off work while reasonable adjustments are made at work an operation and recuperation and rehabilitation afterwards Good Attendance and Sickness 32 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie a phased return to work or period of time off work for a newly disabled employee Disability leave counts as special leave with pay and should be recorded separately from sickness absence. Disability leave will not be included for the purposes of assessing performance, promotion, attendance and selection for redundancy. 4. Employees with HIV, Cancer or MS Employees living with HIV may need time off work to attend regular medical appointments, and paid time off must be allowed for necessary treatment and consultations. Managers are reminded of the need for absolute confidentiality around an employee's HIV status and no reference to it must be made in any local records. Similarly, employees suffering from cancer, MS or other serious, long-term illness may need time off work to attend regular medical appointments, and paid time off work must be allowed. Good Attendance and Sickness 33 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie APPENDIX C Appeals Process An employee may appeal to the Director of Human Resources against an improvement notice or other penalty short of dismissal. An appeal against dismissal under this procedure must be made in accordance with the TVP dismissal policy. Good Attendance and Sickness 34 Absence Management – Guidance for Managers April 2012 Gaynor Mackenzie
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