Civil Service Sickness Absence and Occupational Health

Sickness absence can involve reporting rules, review meetings, Occupational Health, adjustments, capability and pension questions. This hub helps Civil Service employees identify the route they are in and move to focused guidance without treating every absence review as a disciplinary process.

Start with the route you are actually in

Departments use their own sickness absence and attendance policies. The names, review points, sick pay rules and decision levels can differ. Start with the current policy, your meeting letter and any earlier written record. Work out whether the issue is routine absence management, a health assessment, a return-to-work plan, formal capability action or a pension application.

Routine sickness reporting

This covers notifying your manager, certification, contact while absent and return-to-work arrangements.

Attendance management

Repeated short absences or a longer period away may lead to review meetings under the department policy.

Occupational Health

OH provides work-focused medical advice. It can recommend support and adjustments, while management retains responsibility for workplace decisions.

Capability or dismissal risk

Where attendance or fitness for the role remains unresolved, the department may consider capability, redeployment or dismissal. These stages need careful preparation.

Choose the page that matches your situation

What the main documents usually tell you

DocumentWhat to checkWhy it matters
Sickness absence policyReporting rules, review points, formal stages, representation, sick pay and appeal routes.This is the process management should be using.
Meeting invitationPurpose, stage, attendees, possible outcomes and documents to be discussed.A vague invite can hide whether the meeting is routine or potentially formal.
Fit note or medical evidenceFitness for work, suggested changes and period covered.It is one source of medical information and does not replace a full workplace discussion.
Occupational Health referral and reportQuestions asked, work impact, recommendations, review period and consent position.The usefulness of the report depends heavily on the referral questions and the accuracy of the information supplied.
Adjustment or support planSpecific action, owner, start date, review date and what happens if it is ineffective.Vague support promises are difficult to monitor or challenge.

Immediate actions

1
Find the current policy Save the exact version being relied on and note any local guidance that sits beside it.
2
Build a dated record Keep absence dates, contact, medical documents, meeting notes, support requests and management responses together.
3
Clarify the meeting purpose Ask whether the meeting is welfare-focused, a review, formal capability or another process.
4
Contact your union early Early representation is more useful than waiting for dismissal risk to become explicit.
5
Make health requests specific Link the health impact to a clear request, such as more time, written questions, an OH referral or an adjustment.

Members can unlock: a stage-by-stage sickness and Occupational Health action plan, an evidence-file method, decision guides for referrals and adjustments, wording for difficult requests and preparation for capability, redeployment, dismissal or appeal.

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