Uncover the hidden link between mental health and workplace safety

Join us on Friday 14 June at 10am to learn the best practices for fostering a culture of mental health awareness and enhancing workplace safety. Register now .

Long term health banner image

How to manage long-term health conditions and disabilities in the workplace

Figures from the Office for National Statistics (ONS) suggest some 2.5 million people were reported missing from the labour market between June and August 2022 because of long-term sickness, up from around 2 million in 2019.1

The government responded to these figures with a Health and Disability whitepaper, as well as new guidance from the Health and Safety Executive (HSE), covering how employers and managers can support people with long-term health conditions and disabilities at work.

But what is that new guidance? And what are your other HR and health and safety obligations towards people with long-term health conditions and disabilities in the workplace? Here’s what you need to know, consider and do as an employer when it comes to workers with long-term health conditions and disabilities, in order to stay compliant, retain your people, and boost productivity.

HR and employment law: what’s the law?

  • Disability is a protected characteristic under the Equality Act 2010 - a long-term health condition might be considered a disability which is protected by the Equality Act in some cases, but that depends on a whole range of factors. So, to be safe, it’s best to give the same level of support to those with long-term health conditions as those with protected disabilities, and remember that everyone’s individual needs will be different.
  • You may need to make reasonable adjustments - Under the Act, employers have a duty to make reasonable changes to working practices - including job application and interview processes and work equipment - so that people with disabilities are not substantially disadvantaged compared to their able-bodied colleagues. These are known as reasonable adjustments.

If you don’t meet these obligations and the employee brings a claim against you at an employment tribunal, things can get expensive.

Long-term health conditions: HR checklist

  • Are your job descriptions and application forms accessible? i.e., large print, easy read, and Braille versions.
  • Do you have alternative methods available to help people fill in application forms – like taster days or telephone interviews?
  • Have you discussed how the candidate would like to approach and complete the interview, e.g. remotely or in person?
  • Have you considered all participation needs for in-person interviews, like wheelchair accessibility, hearing loops, or computer access?

Managing absence

  • Do you have an effective and clearly communicated sickness absence policy?
  • Are you and your managers comfortable with how best to stay in touch with employees when on long-term absence? Does your process put an emphasis on being sensitive and supportive?
  • Do you have a formal return-to-work strategy in place? Do you know how to conduct a return-to-work interview?
  • Do you know what constitutes fair and lawful dismissal for someone who’s been, or will be, absent for a long period of time and may not be able to return to work?


  • Do you have a bullying and harassment policy – including information on how you’ll handle complaints?
  • Do you have an equality, diversity and inclusion policy?
  • Have you checked all your policies to make sure they match up and don’t discriminate against anyone because of disability? These include:
    - absence
    - data protection (following UK GDPR)
    - dress code
    - flexible working
    - recruitment
    - social media
    - training and development
    - working hours


Have you trained employees and managers on:

  • (for managers) knowing how to deal with grievances (such as discrimination complaints)?
  • (for selected staff) being mental health first aiders?
  • regular equality and diversity training?

These, backed up by the right policies and procedures, will help you make sure you’re providing a supportive and inclusive culture, and help retain your people. Find out why understanding your safety culture could go a long way to keeping employees safe, reducing costs and claims, and improving competitive advantage.

Health & safety: what’s the law?

  • As an employer you are responsible for the health, safety and welfare of all of your employees, whether they have a disability or not.
  • Workers don’t have to tell you they have a disability unless it could foreseeably affect the safety of themselves or anyone else connected to their work - if they don’t tell you and there are no obvious indicators of any disability, you’re not under any obligation to make workplace adjustments.
  • You have a duty to consult with your employees (whether directly or through their representatives) on issues relating to Health & Safety – this needs to be inclusive and accessible for all workers.

Long-term health conditions: health & safety checklist

Risk assessments

  • Have you considered any additional risks faced by people with long-term health conditions or disabilities in your risk assessments? (You don’t automatically have to do a dedicated risk assessment for disabled workers or visitors but in some cases in might be necessary once you’ve reviewed your existing risk assessments.)
  • Have you done a risk assessment on an employees’ return to work after long-term sickness absence to highlight any necessary changes?

Reasonable adjustments

  • Based on your risk assessment and conversation with the employee, have you identified any suitable reasonable adjustments?
  • Have you provided a timely response to any requests for workplace adjustments? Two weeks or less is recommended.
  • Have you recorded any adjustments in a ‘passport’? This helps make sure they’re maintained, even if the worker moves jobs or line managers.
  • Have you made sure you’ve reviewed any modifications to check they’re still fit for purpose?

How can we help?

Here at Marsh Commercial we’re more than just an insurance broker, we advise and provide practical solutions on all areas of operational risk* - including the provision of health and safety training and risk management.

Let us support you to operate more efficiently and profitably, while providing the evidence that insurers are increasingly requesting to see. Together, we can help reduce your insurance premiums, minimise your need to claim, avoid prolonged business disruption and most importantly, keep your employees safe.

Find out more about our specialist training and consultancy services.


  1. Office for National Statistics


*These products and services are provided by a range of internal consultants, Marsh Risk Consulting, and third party providers who do not form part of Marsh and McLennan Companies’ corporate group and are not affiliated to Marsh Ltd trading as Marsh Commercial and our affiliates. We disclaim any and all liability, including any express or implied warranties, whether oral or written, for that third party’s products and services and the performance of any if its obligations to you. You acknowledge that no representation has been made by us as to the fitness of the third party products and services for your particular intended purpose. If you decide to utilise the products and services offered by that third party, we will receive a commission for the introduction of this business.

The information contained herein is based on sources we believe reliable and should be understood to be general risk management and insurance information only. The information is not intended to be taken as advice with respect to any individual situation and cannot be relied upon as such. This article contains third party content and/or links to third party websites. Links to third party websites are provided as a convenience only. Marsh Commercial is not responsible or liable for any third party content or any third party website nor does it imply a recommendation or endorsement of such content, websites or services offered by third parties.

Real-world insight that we don't share anywhere else

Get access to exclusive help, advice and support, delivered straight to your inbox.

Got a burning question?

Let us know what you'd like to learn more about, your question may help others too! An adviser will be in touch to answer your question shortly.