Occupational Health Management Referral Guide Occupational Health and Wellbeing Clinic City of Westminster Council Occupational Health Services Work health assessments Case conference – Managers, HR and employees have a meeting with the OH nurse or doctor in managing the case. This is particularly useful in resolving or coming to an understanding of a complex case. Management meeting - Managers and HR discuss a case with the OH doctor or nurse prior to and post assessment to update our practitioner on any issues. Advice on referring – Support on the questions to ask on the referral. Ill health retirement assessment Health Promotions Health Checks Home Visit – Available on a case by case basis Return to work assessment Rehabilitation programme – phased return and adjustments In house physiotherapy and massage Occupational Health Management Referral Guide For Referring Managers and Employees Opening hours 9am – 5pm Monday to Fridays Contact details (e) csritharan@westminster.gov.uk (e) aborova@westminster.gov.uk (t ) 0207 641 1963 / 7025 Address Occupational Health City of Westminster Council 5 Strand London WC2N 5HR Employee Assistance (t) 0800 243 458 Program (w) www.workplaceoptions.com

Occupational Health and Wellbeing Clinic Occupational Health (OH) provides advisory services relating to health and work. We aim to support management, human resources (HR) and the employee through the sickness absence process and promote workplace wellbeing. GENERAL GUIDANCE Consent - Employees are given an opportunity to view their report if they wish to do so before it is released to management and HR. The Access to Medical Reports Act 1988 gives individuals the right of access to medical reports relating to them. The employee is entitled to see the reports and be given the opportunity to correct any factual errors before it is supplied to a third party. Employees are given 5 working days to contact occupational health to provide consent to release their report or withdraw consent. Failure to contact OH within 5 working days would be viewed as consent being withdrawn and management and HR would be informed. Extensions may be considered under extenuating circumstances. Request for an extension should be discussed with the consulting OH doctor or nurse at the assessment and approved by management. If consent is withdrawn managers and HR could proceed with the process (if any) with the information available to them. Adjustment - The occupational health doctor or nurse may recommend adjustments in their report for management/ HR to consider. It is under the manager’s duty of care to consider the recommended adjustments and decide whether they are reasonable for their service area. Phased Return - The timescales for phased return is generally from 1 to a maximum of 4 weeks. An extension may be considered for appropriate cases of ill health for example if the employee’s condition falls under the Equalities Act 2010. The decision on whether the phased return is suitable for the service area is a management decision. Confidentiality - Occupational health are bound by the General Medical Council and the Nursing and Midwifery Council confidentiality guidelines. Occupational health would be unable to release any medical information without the employees consent. GP / Specialist Report – The occupational health doctor and nurse may contact the employee’s GP or specialist to request further medical information with the employees consent. General practitioners and specialists take 3 – 8 weeks to respond to this request. Employees have the right to view this report before it is released to OH, this may cause further delays. If the delay in waiting for this information is significantly impacting your service area or the ability to make an employment decision managers/ HR are advised to contact occupational health. EMPLOYEE GUIDANCE Why has an appointment been made for me? Your manager has referred you for one of the following reasons; you have met the 8 day sickness absence trigger long term / intermittent sickness absence you have a condition which may affect your ability to undertake your duties at work any other concerns Your manager should have discussed the referral with you and provided you with a copy. Do I have to attend my occupational health appointment? Yes, it is a management instruction to attend your OH appointment. Please note your manager has a duty of care and responsibility to comply with health and safety laws. By refusing to cooperate with the process you may prevent your employer from taking appropriate steps to protect you and other employees. Rescheduling your occupational health appointment Your are given an opportunity on the referral to inform OH the times and dates that you are not available. We will try to book an appointment at a time that you are available. If you have to reschedule please inform your manager and contact occupational health. Repeated cancellations will result in you being discharged from the clinic and may be considered as a disciplinary matter. MANAGER’S GUIDANCE My question has not been answered on the occupational health report / I need further advice from the occupational health doctor / nurse. If you have outstanding queries please contact occupational health by email setting out specific issues requiring clarification. Background information and specific questions It is important that manager’s provide background information on the referral. This is essential to undertake the assessment. Please ensure that only relevant questions are selected on the referral. Please insert further questions if the standard questions on the referral do not address your concerns. The occupational health doctor and nurse will make every effort to answer every question you have asked. If you would like advice on what questions to ask please contact occupational health.

Price List Therapies Physiotherapy (per session) £49 Massage Therapy 15mins £15 30mins £25 1 hour £50 Wellbeing Services include- prices available on request Health checks (nurse)– glucose, cholesterol, BMI, blood pressure, Waist to hip Wellbeing Clinic – (Nurse 30 mins) – staff can seek confidential advice on mental and physical health concerns. Health campaigns (tailored to suit organisational needs and risk factors) Mental Health Awareness Training for Managers and Staff Night workers assessment Pre Employment Pre-employment screening £15 Pre-employment assessment face to face (per assessment) £100 Pre-employment assessment phone (telephone consultation) £50 Management Referrals OH Referrals – Nurse (per appointment) £100 OH Referrals – Physician (per appointment) £200 GP / specialist report (exc re-imbursement of charge) £20 Ill Health Assessment (per assessment including certificate) £300 Site Visit – Nurse (per day) £500 Site Visit – Physician (per day) £1000 Referral to a Psychiatrist POA Case Conference / Management Meetings (Physician per hour) £200 Case Conference / Management Meetings (Nurse per hour) £100 Home Visits POA Assessments Work station assessment (DSE) £80 Maternity Risk Assessment POA Stress Risk Assessment POA Travel Advice POA