Skip to content
Email our experts
About us
Careers
0345 226 8393
Email our experts
0345 226 8393
About us
Careers
Get your FREE consultation
Login
  • I need help with
  • Employment Law & HR
    • I haveโ€ฆ
    • No HR team
      • Fixed-Fee Service
      • HR Consultancy
      • HR Software
      • Training
    • Small HR team
      • Flexible Fixed-Fee Service
      • HR Consultancy
      • HR Software
      • Training
    • Established HR team
      • Fixed Subscription Service
      • HR Consultancy
      • HR Software
      • Training
  • Health & Safety
    • I haveโ€ฆ
    • No H&S team
      • Fixed-Fee Service
      • Occupational Health
      • CQC Compliance
      • Training
    • Established H&S team
      • Bespoke Services
      • Occupational Health
      • CQC Compliance
      • Training
  • Sectors
  • Resources
  • I need help with
  • Employment Law & HR
    • I haveโ€ฆ
    • No HR team
      • Fixed-Fee Service
      • HR Consultancy
      • HR Software
      • Training
    • Small HR team
      • Flexible Fixed-Fee Service
      • HR Consultancy
      • HR Software
      • Training
    • Established HR team
      • Fixed Subscription Service
      • HR Consultancy
      • HR Software
      • Training
  • Health & Safety
    • I haveโ€ฆ
    • No H&S team
      • Fixed-Fee Service
      • Occupational Health
      • CQC Compliance
      • Training
    • Established H&S team
      • Bespoke Services
      • Occupational Health
      • CQC Compliance
      • Training
  • Sectors
  • Resources
  • I need help with
  • Employment Law & HR
    • Solutions for HR teams of all sizes

      No HR team

      WorkNestโ€™s fixed-fee fully outsourced HR service provides unlimited 24/7 advice, document drafting, online training, and tools for managing people challenges, making it ideal for those without in-house HR support.

      Fixed fee service | HR consultancy | HR software | Training | eLearning

      Small HR team

      Our unique blend of ER advice, technology, training, and hands-on consultancy will empower your HR function to enhance efficiency, improve the effectiveness of your HR processes and ensure compliance with employment law.

      Flexible fixed fee service | HR consultancy | HR software | Training | eLearning

      Established HR team

      Introducing our sister company: esphr โ€“ A new-model employment law service, fusing SRA-regulated legal advice with ER case management technology and online resources. As an extension of your in-house HR and ER team, we provide integrated support services built around people, processes, and technology โ€“ all for a fixed annual subscription.

      Employment law advice | Online HR resources | ER case management | HR compliance e-learning | Immigration support

      Latest news & insights

      View the latest articles

      Unconscious bias in the workplace | Lessons from The Celebrity Traitors

      7th November 2025

      Best interview techniques for employers | 5 simple strategies for success

      22nd October 2025

      What happens if an employee resigns during the disciplinary process?

      15th October 2025

      6-step guide | How to conduct a fair and legal disciplinary procedure

      15th October 2025

      7-step guide | How to fairly dismiss an employee who pulls frequent sickies

      15th October 2025

      How to avoid grievances in the workplaceโ€‹ | Guide to preventing staff complaints

      9th October 2025
  • Health & Safety
    • Solutions for teams of all sizes

      No Health & Safety team

      Our fixed-fee fully outsourced health & safety support services provide personalised solutions for organisations of all sizes, including dedicated local consultant support, risk management software, online training and 24/7 emergency advice.

      Fixed fee service | Health & Safety software | CQC compliance | Training & e-Learning

      Established Health & Safety team

      Our expert consultants offer customised project support, consultancy, and additional resources to strengthen your health and safety systems, improve claims defensibility, and embed a culture of safety throughout your organisation.

      Support for HSEQ teams | Bespoke services | Health & Safety software | Training & e-Learning

      Latest news & insights

      View the latest articles

      Unconscious bias in the workplace | Lessons from The Celebrity Traitors

      7th November 2025

      Best interview techniques for employers | 5 simple strategies for success

      22nd October 2025

      What happens if an employee resigns during the disciplinary process?

      15th October 2025

      6-step guide | How to conduct a fair and legal disciplinary procedure

      15th October 2025

      7-step guide | How to fairly dismiss an employee who pulls frequent sickies

      15th October 2025

      How to avoid grievances in the workplaceโ€‹ | Guide to preventing staff complaints

      9th October 2025
  • Sectors
  • Resources
Contact us
Login
Login

Blog

Managing a long term sickness absence

Long-term sickness absence can have a significant impact on any organisation โ€“ from increased pressure on colleagues who are picking up the slack, to operational disruptions and rising costs. For employers, supporting an absent employee while keeping the business running smoothly can be a real balancing act. And for the individual whoโ€™s off sick, being away from work for an extended period can be emotionally and financially challenging, particularly if theyโ€™re worried about job security.

What is long-term sickness absence?

While thereโ€™s no legal definition, many employers consider sickness lasting over 28 days as long-term. This period often triggers enhanced support and formal procedures under company policies .

Establishing a clear sickness absence policy

A well-drafted sickness absence policy is essential for managing employee absence consistently and fairly. It sets out clear procedures for reporting absence, provides guidance on what support is available to employees, and outlines how absences will be monitored and managed. Crucially, it helps ensure legal compliance and reduces the risk of discrimination or unfair dismissal claims. A good policy should cover both short- and long-term absence, detail when and how fit notes are required, and explain the role of return-to-work interviews and occupational health referrals. It should also be communicated clearly to all staff so they understand whatโ€™s expected of them and what support they can expect in return.

Maintaining regular contact

Establishing and maintaining appropriate contact with employees during long-term sickness absence is vital for their wellbeing and a successful return to work. Employers should sensitively initiate communication early in the absence, ideally within the first four weeks, to offer support and discuss preferred methods and frequency of contact, such as phone calls, emails, or meetings. This approach ensures the employee feels valued and connected, without feeling pressured, and allows for ongoing dialogue to monitor their progress and identify any additional support they may require. Itโ€™s important to tailor the communication to the individualโ€™s circumstances, being mindful of their health condition and personal preferences .

Obtaining medical evidence

For absences extending beyond seven consecutive days, employees are required to provide a fit note from their GP. If further clarity is needed, employers may seek additional medical information, such as a report from the employeeโ€™s doctor or an occupational health assessment. Itโ€™s important to obtain the employeeโ€™s written consent before requesting such reports.  These reports can offer valuable insights into the employeeโ€™s condition, prognosis, and any recommended workplace adjustments to support their return .

Do you need support?

Speak to us for an honest, no obligation chat on:

0345 226 8393    Lines are open 9am โ€“ 5pm

Conducting formal review meetings

When an employee is absent due to long-term sickness, itโ€™s essential to hold formal review meetings to assess their situation and explore ways to support their return to work. Typically, the first review meeting is scheduled after 28 days of continuous absence. These meetings should be conducted sensitively, providing the employee with the opportunity to discuss their health condition and any factors affecting their ability to return. Discussions may cover medical evidence, potential workplace adjustments, and any support you can offer as an employer. Itโ€™s advisable to involve HR in these meetings and to allow the employee to be accompanied by a colleague or trade union representative. Documenting the outcomes ensures clarity and helps in planning the next steps.

Managing Sickness Absence | proven strategies to reduce disruption

Created by our team of highly-qualified consultants, our webinar on how to manage long term sickness absences is designed to guide you through some of the pain points when handling sickness absences โ€“ both long term and short term.

Access webinar
long term sickness absence

Making reasonble adjustments

Under the Equality Act 2010, employers have a legal duty to make reasonable adjustments for employees with disabilities, including those with long-term health conditions. These adjustments aim to remove barriers that might prevent the employee from returning to or staying in work. Examples include modifying workstations, altering working hours, or providing assistive technology. Engaging in open dialogue with the employee is crucial to identify what adjustments would be most effective. Once agreed upon, these adjustments should be documented and reviewed regularly to ensure they continue to meet the employeeโ€™s needs.

Returning to work

A phased return to work allows employees recovering from long-term sickness to gradually resume their duties, which can aid in their recovery and reintegration into the workplace. This approach might involve reduced hours, lighter duties, or a combination of both, tailored to the individualโ€™s capabilities and medical advice. Developing a structured return-to-work plan in collaboration with the employee, and where appropriate, their healthcare provider, ensures that expectations are clear and achievable. Regular check-ins during this period can help address any concerns and make necessary adjustments to the plan.

Related Content

space-desk-workspace-coworking

SUPPORT

Absenteeism support

Find out more

Long COVID sickness

WEBINAR

Managing absenteeism

Download now

AdobeStock_270759273-min-2048x1536.jpeg

BLOG

When annual leave and sickness coincide

Read here

redundancy-newsletter

GUIDE

Redundancy Resource Pack

Download now

Need support with managing sickness absences?

Absenteeism, both short term and long term, comes with an array of challenges for your workforce and put a strain on other members of staff. If you need expert guidance on how to manage absenteeism, our qualified and dedicated HR specialists can offer practical guidance and support to help you make informed, clear decisions.

Get in touch on 0345 226 8393.

Get support here

Events for employers

Be part of our upcoming in-person events, where industry experts share practical guidance, legal updates, and actionable insights to support your organisation. Network, learn, and stay ahead.

Find an event near you

Sign up to our monthly newsletter

Receive the latest employer news, including employment law updates, expert articles, free resources and event invitations โ€“ all delivered directly to your inbox.  

Our services

Employment Law & HR

Health & Safety

Client Log-in

Refer a friend

Company

About us

Resources

Gender Pay Gap

I need help with

Careers

Contact us

0345 226 8393

enquiries@worknest.com

Head Office

Woodhouse, Church Lane, Aldford
Chester CH3 6JD

View on map

View our locations
Facebook Twitter Linkedin
Click here to start chatting 
Chatbot Avatar Not sure what you need? ร—
wn-l-wh

Nest AI beta

  Click here at any time to speak to an expert.

Powered by WorkNest.
For information see our AI privacy notice .

Facebook Linkedin Youtube

ยฉ 2025 WorkNest   Complaints   Privacy notice  Cookie notice  Artificial intelligence notice  Terms & conditions