When a Civil Service Manager Ignores Health Needs or Reasonable Adjustments

Health needs and reasonable adjustments should be raised clearly and recorded. If a manager ignores, delays or misrepresents the request, create a written trail showing what was requested, why it was needed, the work or meeting impact and the response received.

Return to the manager problems hub for related guidance.

What being ignored may look like

  • No response to an adjustment request.
  • A verbal promise that is never implemented.
  • Occupational Health recommendations being dismissed without explanation.
  • Criticism in the exact area the adjustment was intended to support.
  • Meetings proceeding without requested format changes or support.
  • Deadlines or workload remaining unchanged despite recorded health impact.
  • Health information being omitted from performance or attendance records.
  • The manager saying no request was made because it was discussed only verbally.

Make the request specific

State the health-related work difficulty and the change that may help. Ask for a written decision. You do not need to include every medical detail in a routine manager email. Provide enough information for the department to understand the work impact and seek appropriate advice.

Specific request

“Because of my current health, I need written questions in advance and a short break after each hour so that I can participate properly in the meeting. Please confirm whether these arrangements can be put in place for 24 July.”

Use Occupational Health properly

Occupational Health can provide advice on work impact and possible support. It does not decide the management case. Save the referral, report, recommendations, management response and any agreed review date.

Unlock the ignored-adjustment action plan

Members can continue for the written trail method, Occupational Health preparation, model requests and review wording, steps to connect ignored support to performance or attendance concerns and the escalation plan when the manager does not act.

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