Advising on Fitness for Work and Supporting Rehabilitation

Author Debbie Cohen
Session Type Learn and Reflect
Module Health e-Working Primary Care
Duration 25 min
Curriculum 5 Healthy People

Learning Objectives

Having completed this session you will now be able to:
  • Identify when a patient may be fit to return to work
  • Correctly complete and use the statement of fitness for work to provide advice to the employer
  • Provide advice that helps patients with health problems to remain in work or return to work, and which supports rehabilitation
  • Integrate the principles of effective rehabilitation into a patient's management plan

Related Sessions

The following sessions may be of further interest:

  • Health e-Working Primary Care/Difficult Decisions Assessing Fitness for Work
  • Health e-Working Primary Care/Worklessness and Unemployment

Downloads

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Further Reading and Activities

Refer to the following text for additional information:

Assessing fitness for work, and information regarding work and health

  • British Medical Journal [Internet]. Clinical Evidence, UK. View link
  • Driver and Vehicle Licensing Authority [Internet]. Medical standards of fitness to drive. View link
  • Gunnyeon W, Parker G, Sharp C et al. The Health and Work Handbook. London: Royal College of General Practitioners, 2005. View document
  • Healthy Working Wales [Internet]. Welsh website that promotes wellbeing in the workplace. View link
  • Palmer K, Cox RAF, Brown I, eds. Fitness for work: the medical aspects. 4th rev. Oxford: Oxford University Press, 2007.
  • National Institute for Health and Clinical Excellence [Internet]. Published clinical guidelines, UK. View link
  • Scottish Intercollegiate Guidelines Network [Internet]. Published guidelines, Scotland. View link

Impact of sickness certification on helping people return to work

  • Health Work Wellbeing [Internet]. Carol Black's review, UK. View link
  • Health Work Wellbeing [Internet]. Working for Health website, UK. View link
  • Jobcentre Plus [Internet]. Benefits and services for people of working age, UK. View link
  • NHS Plus [Internet]. Health at work information, UK. View link
  • Waddell G, Burton AK. Executive summary of paper about concepts of rehabilitation for the management of common health problems, 2004. View document
  • Waddell G, Burton AK. Is Work Good for your Health and Well-being? London: TSO, 2006. View document

Role of work in rehabilitation

  • Equality and Human Rights Commission
  • Frank AO, Chamberlain M. Rehabilitation: an integral part of clinical practice. Occupational Medicine 56;5:289-290.
  • Waddell G, Burton AK. Executive summary of paper about concepts of rehabilitation for the management of common health problems, 2004. View document
  • Health Work Wellbeing [Internet]. Working for Health website, UK. View link

References

  • Gallo WT, Bradley EH, Dubin JA et al. The persistence of depressive symptoms in older workers who experience involuntary job loss: Results from the health and retirement survey. J Gerontol 2006; 61B: S221-S228.
  • Gallo WT, Bradley EH, Siegel M et al. Health effects of involuntary job loss among older workers: findings from the health and retirement survey. J Gerontol 2000; 55B: S131-S140.
  • Gallo WT, Teng HM, Falba TA et al. The impact of late career job loss on myocardial infarction and stroke: A 10 year follow up using the health and retirement survey. Occup Environ Med 2006; 63: 683-687.
  • Lewis G, Sloggett A. Suicide, deprivation, and unemployment: Record linkage study. BMJ 1999; 317: 1283-6.
  • Moser KA, Fox AJ, Jones DR, Goldblatt PO. Unemployment and mortality: further evidence from the OPCS longitudinal study 1971-81. Lancet 1986; i: 365-367.
  • Thomas C, Benzeval M, Stansfeld SA. Employment transitions and mental health: An analysis from the British Household Panel Survey. J Epidemiol Comm Health 2005; 59: 243-249.
  • Waddell G, Burton AK, Kendall NAS. Vocational Rehabilitation: What Works, for Whom, and When? London, TSO, 2008.
  • Waddell G, Burton AK, Main CJ. Screening to identify people at long-term risk of incapacity for work: A conceptual and scientific review. London, Royal Society of Medicine Press, 2003.

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