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

When to Use Occupational Health (OH) for a Referral

If a health issue is affecting attendance or performance, an OH referral can be appropriate. Refer immediately for safety implications; otherwise, timing depends on the circumstances – call us if you’re unsure.

Our clients value guidance from clinicians on:

  • When to make a referral
  • What to refer
  • Which questions to ask

This ensures they take the right steps and get the most from the OH service.

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.

What Happens During an Assessment?

We start by reviewing your referral to understand exactly what you need to know. We then meet with the employee to discuss their relevant medical history and how their health is affecting their work.

During the assessment, we evaluate their functional capability against the demands of their role, and the employee has the opportunity to raise their own questions and concerns.

You’ll receive an independent report with practical, actionable recommendations – covering fitness for work, likely timescales, suggested adjustments, or phased return guidance – always balancing medical evidence with workplace reality.

Medical confidentiality is maintained throughout, and please note that our Clinician will only address the questions raised in your referral, so it’s worth taking a moment to ensure your referral covers everything you need.

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

What Occupational Health Services Achieve

Occupational health support helps you make fair, legally compliant decisions while reducing the business impact of absence and health-related performance issues.

  • Reduced sickness absence through earlier intervention and clearer plans
  • Faster, safer returns to work with phased return and adjustment guidance
  • Improved retention by supporting employees through health difficulties
  • Increased productivity by addressing functional barriers and role fit
  • Lower legal and compliance risk with evidence-based recommendations
  • More confident decision-making backed by independent clinical insight

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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