A general framework for assessing fitness for work

Abstract

The opening chapter of Fitness for Work provides an introduction to the book and sets out a framework for assessing fitness for work. It considers the relationship between work and health including the prevalence of disability and its impact on employment. The role of occupational health services, the various professions working in the field, and how they function are described. Guidance is provided on consent, confidentiality, occupational health reports, and communicating with the employer and other health professionals. The occupational health assessment itself is considered with detailed sections on the consultation, functional assessment, objective tests, and assessing the workplace. Factors affecting work performance are considered as well as matching the individual to the job, rehabilitation, making accommodation and adjustments, and return to work. The chapter concludes by considering recent trends and developments with particular regard to the most recent government initiatives, specifically Improving Lives: the Future of Work, Health and Disability.