Occupational Health Services UK
Dealing with employee illness, injury or health-related performance issues is complex with return-to-work uncertainty, operational impact, and legal obligations.
We provide independent, evidence-based occupational health advice that translates medical situations into practical workplace guidance.
Management Referrals
A management referral gives you professional medical insight into an employee’s fitness for work. You refer the employee, they attend an assessment, and you receive an independent report to support fair, informed decisions.
Common reasons to refer
- Absence of several weeks (or earlier if safety is a concern)
- Repeated short-term absences
- Health affecting performance, reliability, or safety
- Uncertainty about adjustments, phased return, or capability steps
What you get from the report
- Fitness for role and functional capability
- Likely return-to-work timescales (where possible)
- Recommended reasonable adjustments and phased return guidance
- Follow-up recommendations where appropriate
Request an occupational health consultation today
Long-Term Sickness Absence
Long-term sickness is one of the most common reasons employers refer to occupational health. We assess where things stand medically and realistically, then translate that into practical workplace guidance.
Read more about long-term sickness absence
Long-term sickness absence is one of the most common reasons employers refer to occupational health. We assess where things stand medically and realistically, so you can move forward with clarity rather than guesswork.
Where a return to work is likely, we’ll advise on practical steps that can support it, such as phased returns, adjusted duties, temporary restrictions, or workplace changes. We’ll also flag where workplace factors may be contributing to the absence, because identifying these early can materially affect outcomes.
Reasonable adjustments under the Equality Act often benefit from occupational health input. If capability procedures, redeployment options, or (where appropriate) ill-health retirement need to be considered, we provide the medical evidence and functional guidance that helps you follow a fair, defensible process.
In some cases, we recommend follow-up assessments to:
- Track progress over time
- Update recommendations as circumstances change
Early occupational health involvement can help prevent absence becoming prolonged. When absence extends beyond a few weeks, returning to work can become more difficult, timely clinical input often improves clarity, planning, and the likelihood of a successful, supported return.
Outcomes
- Clarifies realistic return-to-work timescales
- Recommends phased returns, adjusted duties, and workplace changes
- Supports Equality Act reasonable adjustments with clinical input
- Provides medical evidence for capability, redeployment, or (where relevant) ill-health retirement
- Follow-ups can track progress and adjust recommendations
The Occupational Health Referral Process
1
Submit referral
Send the referral via our online system.
2
Brief the employee
Explain why you’re referring them and keep them informed
3
We book the assessment
We contact the employee and arrange the appointment.
4
Receive the report
Get your report through the same system.
5
Ongoing support
Clarifications and follow-up assessments if needed.
New to management referrals?
Join our Management Referral Training course to understand the do’s and don’ts and how to ask the right questions.
Pre-Employment Health Assessments
Pre-employment health assessments help new starters begin safely and with the right support in place, meeting duty of care and Equality Act obligations.
Pre-Placement Questionnaires
- Completed after a job offer but before starting
- Identifies health considerations and adjustments needed from day one
- Usually provides quick clearance; complex cases may need a follow-up telephone or face-to-face assessment
When a Full Pre-Employment Assessment Is Needed
- Safety-critical roles with defined medical standards (e.g., driving, work at height, confined spaces)
- Questionnaire flags significant conditions affecting role capability
- Complex disability requiring detailed adjustment planning
Why Work with Occupational Health Consultancy
With 30 years’ experience supporting UK employers, Occupational Health Consultancy provides independent, practical advice you can act on.
Our SEQOHS accreditation confirms recognised standards, while our nurse-led model keeps the focus on real workplace outcomes, not generic, tick-box reports.
We work flexibly around your business, with on-site, video or remote assessments where appropriate, and we stay available after the report for clarifications, follow-ups, and ongoing support as situations change.
Why choose us?
- 30 years’ experience in occupational health
- SEQOHS accreditation (renewed 2024)
- Nurse-led, practical, solutions-focused approach
- Flexible delivery: on-site, video, and remote where appropriate
- Ongoing support after the report, not just a one-off assessment
- Full OH support available without needing multiple providers
Frequently Asked Questions
How long does the process take?
Appointments happen within a week in most cases, sometimes sooner if it’s urgent.
Our paperless systems support faster turnaround, and we prioritise cases where delays would have the biggest operational impact.
How confidential is this?
We don’t share diagnoses or private medical detail, only what’s needed for workplace decisions.
Medical confidentiality is not compromised. We don’t share diagnoses, specific medical details, or private health information. We do share functional capability (what they can and cannot do work-wise), fitness for role, necessary adjustments, likely recovery timescales, and practical recommendations. You get what you need to manage fairly; the employee’s medical privacy stays protected.
Occupational health vs GP - what's the difference?
GPs diagnose and treat; we assess fitness for work and advise on adjustments and employer obligations in the context of the role.
A GP focuses on diagnosing and treating medical conditions. Occupational health focuses on the work impact: can the employee carry out the role, what modifications would help, and how workplace factors may be affecting their health.
We assess functional capability against job demands and provide evidence-based guidance that supports both the employee’s needs and your business requirements. Where appropriate, OH and GPs can work alongside each other and share relevant information with consent.
What will this cost?
Pay-as-you-go pricing varies by complexity – we’ll quote clearly for your situation.
We operate on a pay-as-you-go basis, with no lengthy contracts and no paying for services you don’t need.
Pricing depends on what’s required – a straightforward management referral differs from complex cases needing specialist input. For businesses using our services regularly, we can discuss package arrangements.
Contact us for a quote specific to your situation – we’re transparent about costs.
Do smaller businesses need occupational health?
Size doesn’t determine need – legal duties still apply, and the impact of absence can be proportionally bigger in small teams.
A two-person business can face the same issues as a 2,000-person one, and one absence can have a bigger proportional impact in a smaller organisation.
Legal compliance applies regardless of size – health and safety law, employment law, and the Equality Act. Occupational health gives you access to specialist expertise without employing clinicians in-house, and the cost of getting decisions wrong can far exceed the cost of proper advice.
Our pay-as-you-go model works well for smaller businesses because you use support when you need it.
What kind of recommendations should I expect?
Adjustments, phased returns, workplace changes, and follow-ups – always balanced against what’s practical to implement.
Recommendations depend on the situation, but commonly include:
- Duty adjustments (temporary changes, or sometimes longer-term role modifications)
- Workplace changes (equipment, ergonomic improvements, environmental adjustments)
- Phased returns (gradual increase in hours/duties)
- Monitoring arrangements (follow-ups to track progress and update recommendations)
- Redeployment options (if someone cannot continue in their current role)
- Ill-health retirement guidance (where recovery is unrealistic and processes require evidence)
Every recommendation is grounded in medical evidence and workplace practicality.
When should I use pre-placement questionnaires vs full assessments?
Questionnaires suit most roles; full assessments are for safety-critical roles or complex cases flagged by responses.
Pre-placement questionnaires work well for most roles – they’re efficient and identify adjustment needs early, with quick clearance for straightforward cases.
Full pre-employment assessments are usually needed for safety-critical roles with defined medical standards (for example driving roles, work at height, or confined spaces), or where questionnaire responses flag significant conditions affecting role capability.
We can advise what’s appropriate for your role and risk profile – often it’s a mix of questionnaires for standard roles and assessments for higher-risk positions.
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Occupational Health
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