Sickness and absence
Disability-related absence: reasonable adjustments at work
Disability-related absence needs an individual conversation. Consider what changes would remove disadvantage, record the agreement and review whether it is working.
- Start with the person's barriers
- Individual needs
- Make reasonable adjustments
- Employer duty
- Keep support useful over time
- Review dates
Guidance for England, Scotland and Wales. Northern Ireland employment rules can differ.
Understand the duty before applying a trigger
Under the Equality Act 2010, employers must make reasonable adjustments for disabled people where the duty applies. What is reasonable depends on the situation, including whether a change addresses the disadvantage, is practical and is affordable.
A sickness policy may need to work differently for disability-related absence. Do not let a numerical attendance score make that decision automatically. Speak with the person about the barrier and the support that could help.
Consider time, work and the environment
Acas gives examples including changes to working patterns, a phased return, adapted equipment and adjustments for absence, such as paid time off for medical appointments or treatment. There is no single adjustment that fits every condition or role.
Discuss proposed changes with the employee rather than making assumptions about what they can do. Consider practical alternatives if the first suggestion cannot reasonably be made. Access to Work may provide support, but it does not replace the employer's own responsibilities.
- Would a different start time reduce a recurring barrier?
- Would planned treatment time be easier to manage as an agreed adjustment?
- Does the employee need changes to equipment, duties or the way information is provided?
Write a useful adjustment record
Keep a short record of the barrier, the change agreed, the owner and the next review date. State how relevant absences will be recorded and considered, so the employee does not have to explain the same arrangement every time a manager changes.
Give those arranging work the information they need to implement the adjustment. Keep detailed health information restricted. Revisit the arrangement when the role, working pattern or employee's needs change.
In practice
Regular treatment without repeated uncertainty
An employee needs a recurring appointment. The manager and employee discuss the timing, travel and recovery needs, then agree an adjustment covering the absence and the handover of urgent tasks.
The record says who arranges cover, how the time is recorded and when the arrangement will be reviewed. It is an agreed response to this person's circumstances, not a rule automatically applied to everyone with the same diagnosis.
Your next steps
- Ask about the disadvantage and what would help.
- Assess reasonable options with the employee, involving suitable specialist support where needed.
- Record the arrangement, responsibilities and treatment of related absences.
- Review outcomes with the person rather than relying only on an attendance score.
Sources and review
Reviewed against the official guidance below on 7 September 2026. Rates and employment rules can change; use the linked guidance for a decision about an individual case.
Contains public sector information licensed under the Open Government Licence v3.0. Crown copyright. This is Leavely's independently written guide.
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