Work and employment

This page outlines how returning to work and employment can be affected by a brain injury. It highlights some of the challenges and feelings brain injury survivors may experience when returning to work and offers guidance for coping.

A brain injury can affect many of the skills that we rely on to work. While different jobs require different skill sets, some skills are common to many roles, such as being able to remember things, process information, concentrate and keep energy levels up. Unfortunately, a brain injury can affect many of these skills, among others. Returning to work can therefore be difficult for many people after brain injury, whether they are returning to their previous job or starting a new one.

The information below describes how a brain injury can affect the process of returning to work, common feelings about returning to work after brain injury, tips for making this process easier and suggestions for alternative options if you are unable to return to work after brain injury.

How can a brain injury affect returning to work?

There are many possible effects of brain injury. These are usually grouped into physical, cognitive, sensory, emotional and behavioural effects. Any of these can cause difficulties with returning to work.

Below are some examples of how common effects of brain injury can affect a survivor’s ability to return to work.

Memory problems - affecting a survivor’s ability to remember important meetings, or causing them to miss project deadlines.

Problems with concentration - causing difficulties when working in a busy environment with lots of noise and distractions around.

Executive dysfunction - causing difficulties with thinking through and following the steps needed to complete a project.

Fatigue - making it harder to concentrate on work, and risky to undertake manual work.

Headaches - causing discomfort and pain when looking at computer screens.

... among many others.

Feelings about returning to work after brain injury

Brain injuries affect people differently. People will have different feelings about the impact of their injury, and different attitudes towards their ability to return to work. There is no right or wrong way to feel, and it is perfectly normal to feel several different emotions at once, for example feeling both anxious about working but also glad about returning to a sense of ‘normality’.

Below are some examples of emotions people may feel about returning to work after brain injury.

  • Many people report feeling anxious or nervous about the idea of returning to work, as they worry about how they will cope with the effects of their injury in the workplace.

  • People may feel frustrated about needing to return to work to maintain a regular income, even though they know that it will be difficult for them.

  • People may feel confused if they are not sure what their options are and what would be best for them, especially in the early days of their injury.

  • Some people may feel overwhelmed by the idea of returning to work.

  • Feeling like a ‘different person’ after brain injury may make some people feel embarrassed about returning to work and being among their colleagues when they have changed so much.

  • Others may be excited about the idea of returning to a job they enjoy, or people they enjoy working with.

  • People may feel glad about returning to something that gives them a familiar feeling of ‘normality’ after the many changes that a brain injury can bring.

“I am due to go back to work on a phased return to work, following a brain injury in 2022. Currently feeling a whole mixture of emotions: scared, excited, nervous and anxious.”

Things to consider before returning to work after brain injury

The following points are things to consider before you return to work after your brain injury...

Don’t return until you feel ready

Many people make the mistake of rushing back to work too soon after their brain injury, and then having great difficulty. Remember that the effects of brain injury can be long-term, so even after coming home from hospital or a rehabilitation unit, you may have effects such as fatigue, memory problems, headaches, depression or difficulties with processing information. These may improve naturally over time, or it might be that you gradually find ways of adjusting and coping. In any case, recovery from brain injury can take time, so you should not rush back to work before you have had a chance to adjust. Remember that you may be eligible for welfare benefits in the meantime.

“I tried to go back to work a few days after traumatic brain injury. I was overwhelmed by the lighting in the store and everything sounded too loud... After a year and a half I was dismissed not fit to work.”

Think about how much you want to tell your colleagues

If you have been away from work for a while, it is likely that your colleagues will know something about your absence, but they might not know that you have had a brain injury, or even what a brain injury is. It’s up to you how much you choose to tell others but remember that your colleagues will be able to support you better if they know about the support you need. For example, if you have difficulties with prioritising, your colleagues might offer to help you with keeping notes and staying on track with deadlines.

Telling your colleague about your brain injury can also help with managing their expectations. Many people are unaware that a brain injury can have long-term effects, so your colleagues may not realise that you aren’t able to do things in the same way as before your injury.

Talk to your employer about any adjustments they can make

Under the Equality Act 2010, employers have a legal responsibility to make ‘reasonable adjustments’ to the workplace to support a disabled employee. Suggestions for these adjustments could include things like offering shorter working hours or providing equipment to help with staying organised.

Make sure it is safe to return to work

Make sure it is safe for you to return to work, for example by checking with your GP and making sure that you will be covered by your employer’s insurance. Your employer may need to do an occupational health assessment. Small and medium sized companies that don’t have an occupational health department may be able to get help for this from NHS Health at Work.

“I am doing a phased return. The doctor specified that I can only do tasks that aren’t too difficult for my brain. I can’t do my job properly at the moment, so I am just helping where I can.”

Practice a ‘structured home programme’

This is a programme that you put in place while at home to help with practicing for a working week. It can involve things like waking up at the time you would need to wake up for work, practising tasks you would do at work, practising getting to and from work (such as catching a bus at certain times or driving down certain routes in working hours), or practicing activities that could help you to develop your memory, concentration or decision-making skills.

Talk to an occupational therapist

Occupational therapists (OTs) can advise on aspects of safely returning to work, so you might want to discuss this with them. If you are not currently supported by an OT, you could speak to your GP about the possibility of getting a referral to one, or search for an OT in private practice.

Consider your route to work

If you need to travel to get to work, consider your route and how comfortably, safely and easily you can travel. If travelling is difficult, consider whether there are any colleagues you trust who could give you a lift, or public transport you can take. Access to Work (available in England, Scotland and Wales) can help with taxi fares if you have a disability and need help with getting to work but cannot use public transport.

Be kind to yourself

Returning to work can be difficult for many people after brain injury. If you try to return, but then find that it is not possible for you to continue, try to be kind to yourself, and honest about what is best.

Tips for returning to work after brain injury

The tips in this section are ideas to consider when returning to work after brain injury. Remember that different things will work for different people, and will depend on personal circumstances and the nature of your work.

Consider a phased return

Many people find it easier to return to work on a ‘phased return’. This means they start off with a few hours and gradually build this up to return to normal working hours. For example, someone who worked a 9am-5pm job before their brain injury may return to a 10am-3pm role. This change in working hours might help them to accommodate for needing more time to get ready in the mornings due to mobility problems, and needing to rest in the afternoons due to fatigue.

Discuss different roles and responsibilities

Talk to your employer about the possibility of taking on different responsibilities or roles that are more suitable for you, or reducing some of your workload so that you can gradually build this back up when you are ready. This will depend on your job’s core requirements and the effects that you are personally experiencing. Discuss how this information will be shared with colleagues in order to manage everyone’s expectations.

Use helpful tools, equipment and strategies

Some effects of brain injury can be easier to cope with when using tools, adaptive equipment and coping strategies. Calendars, wall charts, notes, Dictaphones, alarms and diaries can help, although in some cases more specialised equipment might be required. Access to Work (available in England, Scotland and Wales) offers a grant that can help with the costs of specialist equipment.

Take regular breaks

Depending on the nature of your job, you might be able to take regular breaks through the day, which can be especially helpful if you struggle with fatigue, over-stimulation or anxiety. Talk to your employer about this so that they are aware of your needs and can make suitable arrangements, such as locating quiet rooms or areas that you can rest in when you need to.

Keep a routine

Some people find that having a routine can help with settling back into work. This could be a morning routine when getting ready, or a particular set of weekly tasks that you follow to give your working week structure. Try to have back-up plans in place if things don’t quite work to your routine to minimise stress.

Consider the suitability of your environment

Consider how suitable your working environment is. For instance, if you have mobility problems, are you located on a ground floor, or do you have easy access to emergency routes? If you have continence issues, are you close to a toilet that will be available for you if you need to use it in an emergency? If you feel overstimulated, is there a quiet room you can work in? Our environments are very important factors to how comfortable we feel at work, so think about what would be most helpful to you and discuss this with your employer.

Get support from family and friends

Family and friends might be able to help with practical things such as providing lifts to and from work, cooking meals, helping with childcare or just having somebody to talk to when you need it. Talk to someone who you trust if you need emotional support, such as if you are feeling stressed or nervous. Remember that accepting help from others is a sign of strength, not weakness, and the right support can make a successful return to work easier.

Get feedback from colleagues

This may seem daunting, but it can be very helpful to hear from others on how you are doing, especially as it might be difficult to accurately reflect on your own performance. Try to think of all feedback that you get in a positive way, even if you have made mistakes. Treat mistakes and negative feedback as part of the learning process. You can also specifically ask for positive feedback to help you with staying motivated.

Keep things in perspective

While it can be tempting to blame any new challenges on your brain injury, remember that sometimes problems can occur that are not because of your injury but are just a regular part of working life. Another thing to keep in perspective is that things can improve over time, so while you might be struggling with your brain injury now, things can and do get better for many people over time.

Don't overlook the small things that can help

Getting enough sleep, good nutrition, hydration and maintaining exercise outside of work is important for your physical and mental well-being, especially when managing the stressors of returning to work after a brain injury. We know that many of these things can be difficult to do after a brain injury, so explore the other sections of our website relevant to your circumstances for further advice on coping.

Returning to work webinar

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Check out our webinar on this topic for more helpful advice and guidance on returning to work after brain injury

Looking for new work after brain injury

Many people return to a previously held job after their brain injury. This can be easier in some ways as you will already be familiar with the role, your responsibilities, processes in place and colleagues. However, some people might decide that it is better for them to look for new work, or it might be that their previous job is no longer suitable or safe for them to return to.

“I tried a phased return to work, but found out that I couldn’t... Too many hours and too much stress... I changed career, I now work as a freelance trainer, working in the same industry. I have more freedom to work around the fatigue, and I’m far less stressed.”

If you are looking for new work, there are several things that can help you with finding something suitable.

  • Look for the ‘disability confident’ symbol

    This is a symbol that some employers will share (i.e. on their websites, leaflets) that shows they are committed to employing disabled people.

  • Contact your local Jobcentre

    They may have specialist advisors called Disability Employment Advisors or Work Coaches who can help with assessing your abilities and finding suitable work, depending on your circumstances.

  • Consider the Intensive Personalised Employment scheme

    This scheme gives specialised support and training to people with a disability who are looking for work in England and Wales. More information is available from your local JobCentre.

  • Consider the Work and Health Programme

    This is a scheme offered in England and Wales that gives personal support to help you to find and keep a job that suits your skills and circumstances.

  • Talk to an occupational therapist

    You might have already received some occupational therapy, or you may currently be supported by an occupational therapist (OT). OTs can advise on aspects of safely returning to work, so you might want to discuss this with them. If you are not currently supported by an OT, you could speak to your GP about possibly getting a referral to one, or search for an OT in private practice.

  • Explore vocational rehabilitation (VR)

    This is another scheme designed to specifically help people with redeveloping the skills they need for employment. You can speak to your GP about accessing VR, or search for companies that offer VR through Vocational Rehabilitation Association.

Other things to consider are finding a job that has suitable hours and somewhere close to home or home-based if travelling is difficult.

Alternative options to returning to work

Some people are unable to return to work following their brain injury. This section suggests some alternative options to returning to work after brain injury. We advise you discuss these options with someone you trust before exploring them further.

  • Self-employment is an option that offers greater flexibility and independence, however there is a lot to consider first and the level of responsibility may not suit everyone. The UK government has some helpful information on its website.

  • You could consider returning to education and gaining new qualifications. Some people find that the process of having a brain injury makes them re-consider what they want to spend their life doing. Returning to education can be a good way to try something new, although it can be expensive, hard work and a big commitment, so this option should be explored carefully before committing to it. Course tutors may be able to offer helpful advice. Visit Studying and education for more guidance on this. 

“I haven’t managed to go back to work yet but I have done back to finish my (masters degree)... I am happy I’m back but I have to take rest very seriously.”

  • Consider volunteering, which is an excellent way of staying connected to others, contributing to society and feeling fulfilled. Volunteering also offers greater flexibility, and you can often choose the hours you commit. Choose a cause that you are passionate about so that you feel more motivated. You should also ask about any training you might need to take first. At Headway, we often have volunteering opportunities you could consider. Visit Volunteer to find out more about our volunteering opportunities. You can also visit Volunteering for further general guidance on volunteering after brain injury. 

“My boyfriend sustained his brain injury in 2020 - he’s not back to work yet, however he currently volunteers for 1 hour everyday in the charity shop.”

  • You might be entitled to welfare benefits if you are unable to work due to a disability. Understanding your eligibility and the process of applying for benefits can be complicated, but you can find information on this on Welfare benefits, including sources of specialist support and advice.

Making a complaint about unfair treatment at work

You can download the following information by clicking here.

If you feel that you have been unfairly treated at work, you should always start off by trying to talk directly to the person with whom you have a complaint, if this is appropriate and safe for you to do. You might also have a Human Resources (HR) department within your organisation that can help. The organisation ACAS (the Advisory, Conciliation and Arbitration Service) can also provide free, impartial advice about employment matters and disputes, as well as offering lots of information on their website.

Our information on discrimination can help you to identify the type of discrimination that may have taken place. Discrimination can take place at the stage of applying and interviewing for a job as well as during employment. An example of this is someone with a brain injury being invited for a job interview at a location that is not accessible to them due to being a wheelchair user, and the employer refusing to make alternative arrangements, despite being informed of the accessibility needs.

Mitigating circumstances

There are some instances when indirect discrimination and discrimination arising from disability can be justified, if the person accused of discrimination can prove that their actions were “a proportionate means of achieving a legitimate aim.”

To be ‘legitimate’, an aim should be legal, should not be discriminatory in itself and must represent a real objective consideration such as the health, welfare and safety of individuals.

An example of this is an employer requiring all machine operators to complete an eye test. This discriminates against blind or partially sighted people, but the employer argues that the eye tests are necessary to protect the safety of their workforce.

It is also important to be aware that an employer can legally dismiss you from employment if they have tried to make reasonable adjustments and it is still not possible for you to do the job satisfactorily or safely.

Before making a formal complaint

Before you make a formal complaint, consider having a discussion with your employer about the issue first, if this is appropriate and safe for you to do. You might wish to do this face to face with your employer, in writing or via email. Your employer might not have a good enough understanding of what a brain injury is, so it may be that you need to be clearer with them about your support needs.

It is important to consider that in some cases, a brain injury can affect a person’s ability to process information, remember things, make decisions, interpret others’ behaviours or react to situations appropriately. Think carefully about whether these are factors in your complaint at all, or whether they are affecting your judgement of the situation. Having an open and honest conversation with your employer can help to clarify this.

It can also be helpful to talk your complaint through with someone you trust, such as a colleague, relative or close friend, especially someone who was witness to the possible discrimination. They might be able to provide you with another perspective.

It can be helpful to make this initial stage of a complaint in writing so that you have a paper trail of the discussions and actions taken. This will be helpful if you need to escalate the case later.

Stages of making a complaint

There are three formal stages to making a complaint about treatment at work.

1. Local resolution

2. Early conciliation

3. Employment tribunal

These are discussed in turn below.

1.    Local resolution

Start things off by talking directly to the person with whom you have a complaint or your employer, if this is an appropriate and safe option. It might be possible to resolve the complaint quickly and without needing to take things further (which can be costly, stressful and time-consuming). A formal written complaint is often referred to as a grievance.

Write down details of the concerns or complaints that you have. Include dates and times of key events so that you have an accurate record of the issue. You should also try to identify what type of discrimination has taken place, while Citizens Advice also has helpful information on their website.

 

2.    Early conciliation

If you are unable to resolve the complaint through a local resolution, you should contact the Advisory, Conciliation and Arbitration Service (ACAS) if you are in England, Scotland or Wales. If you are in Northern Ireland, you should contact the Labour Relations Agency (LRA).

You should do this within 3 months minus one day of the date that the incident at work leading to your complaint took place. This is known as the “primary limitation date”.

ACAS or LRA will offer you an ‘early conciliation’ - this is where someone called a ‘conciliator’ will first speak to you about your complaint and how you want it to be resolved. They will then contact your employer to discuss this with them and attempt to reach an agreement.

If you decline an early conciliation from ACAS/LRA, or an agreement cannot be reached with your employer, ACAS/LRA will produce a certificate for you. Keep this certificate safe, as you will need it for the next stage.

3.    Employment tribunal

Before you apply If you feel that your complaint has not been resolved through an early conciliation, you can take your case to an employment tribunal.

You will need the certificate that ACAS/LRA provided at the early conciliation stage. Limitation is paused from the day after you submit the Early Conciliation Form until the date you receive the ACAS certificate.

Generally you will have a minimum of one calendar month from the date of the Certificate to issue a claim in the Employment Tribunal. You will also need to have evidence to support your case - this can include medical reports, relevant emails, letters from people who support you and any other details relating to your brain injury such as when it happened and how it affects you on a day-to-day basis.


Legal representation

Employment tribunals are legal procedures, so you will probably need legal representation. You might also wish to get legal advice before beginning an employment tribunal. ACAS, Citizens Advice (in England and Wales), Citizens Advice Scotland or Law Centre NI (in Northern Ireland) can provide helpful advice at this stage. The UK government’s Legal Aid scheme can help with the costs of legal advice in a court or tribunal if you cannot afford to pay the legal costs yourself and your case/personal circumstances make you eligible. It is only available in England and Wales, although different legal aid systems exist for Scotland and Northern Ireland.

You can also find a solicitor through The Law Society (if you are in England or Wales), The Law Society of Scotland or The Law Society of Northern Ireland - although these solicitors may not have experience in handling brain injury cases.


Applying

If you are in England, Scotland or Wales, you can apply for a tribunal online or by downloading and completing a form from the UK government website. If you are in Northern Ireland, you will need to apply by contacting the Industrial Tribunal and Fair Employment Tribunal and completing a form called ET1 (NI).


Outcome

A decision may be reached at the end of the hearing, or you might need to wait for one to be reached. If this is the case, you will receive a letter by post informing you of the hearing’s outcome. There are several possible outcomes of the hearing, depending on whether the decision is in your favour and what the original complaint was. For example, you might be able to return to your original job if you received an unfair dismissal, or you might be entitled to receive compensation. Alternatively, the hearing might go in the employer’s favour. You can apply for a reconsideration if you are not satisfied with the outcome.

Disability discrimination in the workplace

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I've got over 18 years' experience now. I act mainly for individuals. I've also acted for companies in the past, so I understand both sides of the story when it comes to considerations in tribunal claims. I deal with all sorts of claims and a wide variety of matters. They include disability discrimination claims, unfair dismissal claims and victimisation, for example where somebody has raised a complaint and is saying that, because of that complaint, they have now been victimised by their employer. So that's my background.

Just slide three, please, Sam.

The agenda sets out what I'm going to be covering today. That is: what discrimination is in law; who qualifies as having a disability; what your rights are as an employee in the workplace or as a job applicant applying for a job; what reasonable adjustments are needed, or what duties employers have to make reasonable adjustments; sickness absence and how that should be managed; tricky situations at work and resolutions; and then questions at the end.

Next slide, please.

Moving on to what discrimination means, it means treating somebody less favourably than someone else because of a protected characteristic. In law, there are about eight categories of protected characteristic. They include age, gender reassignment, pregnancy, race, religion, sex, disability and sexual orientation. Those are the categories that are recognised in law.

What is less favourable treatment? That can be anything that puts somebody with one of the protected characteristics, for example disability, at a disadvantage compared with somebody who does not have that characteristic. So, a disabled employee is being treated less favourably in comparison with somebody who is not disabled.

There is no legal definition of what putting somebody at a disadvantage is, but examples in the workplace could include excluding someone from opportunities or benefits, making it harder for someone to do their job, or causing somebody upset and distress. Harassment is one of the claims recognised in law, so anything that is detrimental or classified as a disadvantage can be covered within that.

It can still be discrimination even if the less favourable treatment was not intended. If it is a side effect of something the employer does, for example, that is still less favourable treatment and can still be discrimination under the law.

Next slide, please.

The law applicable to discrimination claims in the workplace is the Equality Act 2010. That statute is there to protect people. It also defines for employers what their duties are and where their obligations lie. Discrimination law aims to create a level playing field so that people are employed, paid, trained and promoted because of their skills and their ability to do the job, and are not treated less favourably because of their disabilities.

The Equality Act also applies to areas of employment including job adverts and the recruitment process. For example, you cannot have a job advert that says, "We're looking for young, fresh talent," as that could be age discrimination. You have to look at the wording and see whether there is anything in it that sets off alarm bells.

The whole recruitment process, the terms and conditions of work, conduct during employment and social events within the work context are all covered under the Equality Act. This also includes dismissal and work-related matters. I have cases involving parties in the evening where there is a grey area over whether something was work-related or personal, but those types of situations can potentially be covered under the Equality Act. It covers quite a broad range.

Slide six, please.

What types of discrimination are there in law? There are about four categories, and I'll go through those to explain what they are.

Direct discrimination is where someone with a protected characteristic, for example disability, is treated less favourably than someone without that characteristic. It also covers situations where someone is treated less favourably because of their association with a person who has a protected characteristic. For example, somebody may be caring at home for someone who has a brain injury. That person is working in the workplace but is being treated less favourably because of their association with a disabled person. That kind of claim can still be made even if the person does not directly have the disability.

Indirect discrimination occurs where an employer operates what often appears to be a neutral practice, or has neutral criteria that apply to the workplace, but it has a negative impact on certain employees or groups of employees who share a protected characteristic. The impact indirectly amounts to less favourable treatment relating to that disabled individual.

Harassment is where somebody engages in unwanted conduct towards another person related to a protected characteristic, which has the purpose or effect of violating their dignity or creating an intimidating, hostile, degrading or humiliating environment. It could be comments, looks, or asking someone to do things they cannot do very well. As long as it creates an awful environment for that person, that is basically harassment.

Victimisation is where a worker has done what we call a protected act. A protected act can be bringing a legal claim or formally raising a grievance and complaining to an employer about discrimination or harassment. If, as a result, that person is victimised or treated even worse because of the complaint they have made, they have a separate claim for victimisation.

Next slide, please, Sam.

It is against the law to discriminate against someone because they have a condition or impairment that is considered to be a disability under the law.

It is also against the law to discriminate against someone because it is believed that they have a disability, even if that is not the case. It could be the perception that someone is disabled even if they might not be disabled. It could also be because they have a connection with someone who is disabled, for example an associate, colleague or friend.

If somebody is discriminated against because of someone they know who is disabled, for example because they are caring for them, that is disability discrimination by association. That is also not permitted. It could, for example, apply to a volunteer for a disability charity who is discriminated against because of their work.

Next slide, please.

I'm going to go through the definition of disability, because it does not apply across the board to everybody. If you are not disabled under the Equality Act, you are not protected under that legislation.

Some conditions are expressly deemed to be disabilities. Deemed means that they are automatically considered in law to be a disability and you do not have to prove it. Examples include blindness, cancer and HIV infection.

You are also protected if you have a progressive condition, for example Alzheimer's or Parkinson's disease. Someone with a progressive condition is considered by law to have a disability as soon as it starts to have an effect on their normal day-to-day activities, as long as this is likely to be long-term. The effect does not have to be substantial as long as it is likely to become substantial in the future.

For example, somebody with Parkinson's might start with a few symptoms that do not affect them too much, but later in life the condition could get worse. You have to look at where the person is with the condition at the time when considering whether they are disabled.

Next slide, please.

The Equality Act sets out a technical meaning of disability that does not necessarily correspond with common perceptions of disability among the general public. In legal terms, the law says that someone is disabled if both of these criteria apply: they have a physical or mental impairment, and the impairment has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities.

Long-term means that it has lasted for 12 months or is likely to last for 12 months.

Next slide, please.

I'm going to break that down a bit further. What does each element of the definition mean?

A physical or mental impairment includes any physical difficulty. This can mean muscular weakness or cramps, as well as more obvious conditions such as being unable to walk. Mental impairment can cover a wide range of problems relating to mental functioning, including what are known as learning disabilities or mental health conditions such as depression.

Somebody could have two or three disabilities at the same time. They could have a physical disability and a mental impairment, and they might have, as a knock-on effect or a secondary disability, depression or anxiety. It is not necessary for there to be just one impairment or one disability.

Next slide, please.

Long-term means that it has lasted for at least 12 months or is likely to last for 12 months. A condition can still be long-term even if you are in remission or not displaying symptoms, if it is intermittent or likely to recur. For example, if your condition fluctuates, it might affect you for a few months at a time and at other times it might not affect you. Long-term means that it is likely to last for 12 months or has lasted for 12 months. Epilepsy is an example of that.

Next slide, please.

The impairment has to have a substantial effect. That means it has to be more than minor or trivial. There are three types of case in which a person's ability to carry out normal day-to-day activities is deemed to be substantially adversely affected, even if at the time the effect may in fact be minor or non-existent. These are where the substantial effect is likely to recur, the condition might be progressive, or treatment is reducing the effects of the impairment.

Even if you are taking medication and that is alleviating the symptoms, it does not mean that the disability is not still having a substantial effect on you.

Next slide, please.

The effect must be on day-to-day activities. What do we mean by day-to-day? That could include walking, driving, shopping, reading, writing, washing and dressing: everything you do from day to day. It does not have to involve specialist activities for particular jobs. It is about how you manage things every day in your personal life as well.

In the case of mental and emotional illnesses, the categories of day-to-day activity most likely to be affected include memory, the ability to concentrate, learn or understand, and the perception of physical danger. These can still affect day-to-day activities because of how you manage your life and do everything from day to day.

Some conditions are excluded from being an impairment, for example addiction to alcohol or nicotine. Those conditions cannot themselves be considered disabilities. However, it should be borne in mind that if an employee is addicted to alcohol and the effects lead to depression or some other impairment, the knock-on effect can be a disability in itself. You have to look carefully at the whole situation.

Next slide, please.

Who is responsible in the workplace? The main responsibility is with the employer. By law, all employers must make sure that they do not unfairly discriminate in any aspect of work. They have to take positive steps to prevent discrimination and do all they reasonably can to protect people from discrimination by others. They have a duty to look after the wellbeing of their staff, and this is called a duty of care.

Not doing these things could cause harm and distress and can result in discrimination complaints and tribunal claims from staff. Employers can be held responsible for the actions of other employees. If the employer says, "It wasn't me, it was my manager who discriminated against Joe Bloggs," the employer can still be liable because of what we call vicarious liability. The employer at the top is still liable for the acts of its staff.

In legal claims, you can claim against the employer as a company and you can also claim against the individuals. You can name the individuals and the employer, so you can have multiple respondents in the case. Anyone who discriminates against someone at work is also responsible for their own actions, which is why those individuals can be named.

Next slide, please.

What is discrimination arising from disability? This is where a member of staff or worker is treated unfavourably because of something arising in consequence of their disability, and the employer cannot show that the treatment is a proportionate means of achieving a legitimate aim.

For example, somebody's visual impairment might mean that they cannot work as quickly as their colleagues, and the employer dismisses them because of their lower output or because they are doing less work or not working as efficiently. This dismissal will be discrimination arising from disability unless it is objectively justified. For an employer to justify the treatment, they have to show evidence to support their assertion that it is justified and not rely on generalisations.

Knowledge is key. If an employer does not know about the disability of one of its members of staff, they cannot be liable for the discrimination. You have to tell people that you are disabled and about your condition, because then they are on notice and their duty is triggered. The duty of care is triggered to make adjustments in the workplace and to make sure that they are not inadvertently treating you less favourably.

Sometimes staff do not tell their employer because they want to hide it or do not feel comfortable. However, if an employer suspects that somebody might be struggling or that there are health reasons, they cannot simply ignore the issue. They have a duty to send the person to occupational health, for example, or write to their GP to try to understand better what support might be needed in the workplace.

Some of my clients say, "I don't think I am disabled, but I've got some symptoms and signs." Sometimes it is to your advantage to put an employer on notice because then there is extra protection available for you if you need it in the workplace.

Employers are obliged to make reasonable enquiries about someone's health. Even at the application stage, if there is a job applicant, they can ask whether the applicant needs any adjustments for the interview process.

Next slide, please.

I just want to touch on reasonable adjustments and what they are. An employer has a duty to make reasonable adjustments to the premises or the way they work to help disabled job applicants and employees do their job better and support them in their work, if the adjustment would help.

Examples could include making physical adaptations to the premises. I have had clients who have said, "I can't work in sunlight because I'm allergic to sunlight," and the employer has moved their desk. Some dyslexic individuals need software to help them with computer work. There are all sorts of aids and adjustments that can be made to assist someone in the workplace.

Some clients say, "I don't want to travel during rush hour. I can't travel as quickly," or ask for adjustments to their working hours. These are all types of adjustment that an employer might be obliged to consider.

The key is that they have to be reasonable. If there is disproportionate expense to the employer, that might not be a reasonable adjustment for them. If a claim is brought later, an employment judge will look at the size and resources of the employer and what is reasonable for them. What is reasonable for a small company might not be the same as what is reasonable for a massive retailer with a lot of resources and staff, which can adjust rotas and hours. It depends on the context as well.

Next slide, please.

If the employer fails to make reasonable adjustments, this is also disability discrimination against the employee. As I said before, employers are only obliged to make reasonable adjustments if doing so will actually assist the employee. They are not obliged to make every adjustment possible. It has to be reasonable and should not be too expensive for them to do.

It is usually the employer who has to pay the cost of making the adjustment. They cannot pass the cost on to the employee, or should not be passing it on. I have had clients say, "They made me buy my own software for the computer." That is not really permitted.

There is a scheme called Access to Work, which can assist employers in making adjustments and providing equipment.

Again, knowledge is key. It is important that the employer has knowledge of the disability. If they do not have knowledge and there is no way they could know about the disability, the duty to assist is not triggered. It is therefore really important that they have that knowledge.

Next slide, please.

I'm just going to talk about how you determine what adjustments are needed. Most often, the employer will write to the person's GP or send them to occupational health. The reason for this is to help the employer understand what they should be doing to assist that person in the workplace.

It also gives the employee credibility and gravitas when asking for things: "My doctor says this. Occupational health says this. You need to be doing X, Y and Z to help me work better in the workplace and help me do my job."

That medical evidence is important if you bring a legal claim later, because it is evidence that adjustments were recommended but not implemented.

Again, I stress that they have to be reasonable adjustments. Even if occupational health says that a member of staff wants particular hours, wants to work from home, wants flexible working or something else, if the employer cannot accommodate that and it is not reasonable for them to accommodate it, it is not necessarily discrimination. It has to be an adjustment that is reasonable for the employer as well as the employee.

Generally, employers must not ask a job applicant about their health, including any disability, before offering them work. There are some exceptions, including where it is necessary to establish whether the applicant will be able to carry out a function intrinsic to the work. Generally, though, they cannot ask unless it is to make adjustments to the interview process, facilities or access to the place where the interview is being held.

They can later make a job offer conditional upon completion of a satisfactory health questionnaire. If the responses to the questionnaire indicate that the applicant has a disability, the employer's duty is triggered to consider making reasonable adjustments.

If they were to dismiss you at that stage, after a job offer had been made and health questions answered, that would suggest discrimination and there could possibly be a legal claim. They should not withdraw a job offer unless they have properly considered what adjustments are necessary and whether they can provide them.

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In relation to absence, some disabled staff may be off sick for a while if they have had an injury or are trying to return to work. You usually have absence management and certain trigger points that set off another process, for example a dismissal process because of ill-health capability, as we call it in law. This involves managing the absence and potentially managing the person out of the workplace and dismissing them because of too much sickness absence.

Reasonable adjustments can be made to the trigger points. Again, what is reasonable depends on the circumstances. Sometimes employers might need to make adjustments around absence penalties or the points that accrue.

It might be that they make an adjustment so they are not going to count all of your sick leave when looking at whether they should start a capability process to dismiss you. They might discount some of the sick leave if it is related to your disability and only take into account other sick leave that is unrelated, for example stomach bugs or COVID. That is one adjustment they can make to the sickness absence taken.

Another example of a reasonable adjustment could be recording disability absence separately from other sickness absence. One could be called disability leave or disability-related sickness absence. Ideally, the employer should be talking to the person, listening to them, considering their special circumstances and unique situation, and getting medical advice from occupational health or the GP before following through with any absence process or dismissal process.

They need to take into account why somebody needs time off and how much time they need. I have had cases where somebody has been off for about three months and that has triggered the dismissal process. This has been held to be unreasonable because the employer was large, could have accommodated the absence for a bit longer, and there was a prognosis that the person would return to work.

All those factors are taken into consideration. Equally, that three-month absence for a smaller employer might be held not to be sustainable, and that employer might be justified in dismissing the person. Again, that goes back to the idea of what is reasonable and what is not. For some employers, it might be reasonable to hold off for a couple of months, whereas larger employers might be able to allow six months' or a year's absence and sustain that.

The key is not to treat the person badly or put them at a disadvantage because of their disability. Otherwise, they may be able to claim disability discrimination.

Next slide, please.

I'm just going to touch on sickness absence pay. How much pay someone is entitled to while they are off work depends on what their employer offers as part of their contractual terms. Statutory Sick Pay is the minimum that employers must pay if the person is eligible for it.

Then you have contractual sick pay, which is more than the legal minimum. You may have enhanced sick pay in your employment contract. Some employers will give you six months to one year on full pay when you are off sick, whereas some employers will only pay Statutory Sick Pay. You need to check your employment contract and the organisation's absence policy to understand your rights in this regard.

Next slide, please.

Now, returning to work after absence. When someone returns to work after being off for quite a period, they should talk with their employer. That is good practice, and the employer should have a meeting with them to make sure they are ready to return and have the support they need.

Employers should have a process that they follow when someone returns. This might involve following their absence policy, referring the person to occupational health to understand what adjustments might be needed, and writing to the GP if necessary.

They should also ask the person, "What do you want us to tell other people about your illness or disability, if anything? Do you want to keep it confidential?" Some employees will want other people to know, whereas some will want to keep it private. Those discussions need to be undertaken.

If the doctor has made recommendations about adjustments, the employer needs to consider them and have a discussion with the member of staff to ease them back into the workplace. That might include a phased return, where the person is on reduced hours when they go back and then builds them up slowly as they get used to the work environment again, especially if they have been off for a long time.

Next slide, please.

Other steps employers can take include having good policies in place, including policies that promote equality. They should train their managers and staff on preventing harassment, equality, their obligations as managers, how they should treat staff, and how they should consider adjustments. I'm surprised at how many managers still do not understand the basics of discrimination legislation.

Next slide, please.

Finally, when looking at resolving issues, in most cases employees should first try to have an informal discussion with their manager. I suggest looking at the grievance process and what it recommends. It usually starts with an informal discussion with the manager.

However, if that does not work, I suggest submitting a written grievance and putting things in writing. That creates an evidence trail showing what you are asking for and whether it is being ignored. That evidence trail is important in protecting your position if you want to bring a legal claim later. If everything is discussed verbally, it is hard to prove what has been said. If it is in black and white in an email, for example, it is easier to protect your position.

The reason you need to raise a grievance, if it comes to it, is that any compensation awarded by a judge later, if you bring a legal claim, can be reduced by up to 25% if you fail to follow the internal grievance process.

Equally, if an employer does not deal with the grievance properly or there are delays, the employer can be penalised. I have a client at the moment whose grievance has not been looked at properly for six months. We will be arguing that the employer should be penalised and that compensation should be increased by up to 25% if the judge finds that the employer should have followed a better process.

That is the end of my talk. I think the next slide just says, "Any questions?"

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This information was produced with expert guidance from brain injury survivors, family members and carers, Paul Morris, Neurological Occupational Therapist, and Shazia Shah, Senior Associate Solicitor at Irwin Mitchell LLP.

This information was last reviewed in 2023.