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The employee who refuses to take sick leave The PEACe helpline receives many calls about sickness absence, frequently seeking advice on how to manage sickness absence. Less common but, nevertheless regular, are queries about employees who are obviously sick or suffering from a medical condition who refuse to either acknowledge their condition or take sick leave. The first action to take is to speak with the employee and attempt to obtain their consent to a medical report. Unfortunately, in these cases such employees are frequently reluctant to give their consent. If the organisation feels that the employee is either a danger to themselves, other staff or clients and users, employers should undertake a risk assessment which looks at the different aspects of their role and, based on observation, assesses the levels of risk and who they relate to. This is a requirement of the Health and Safety at Work Act. The assessment should be carried out in collaboration with the employee. If the assessment shows that the employee is a danger to themselves or others it may be appropriate to carry out a medical suspension again asking the employee for consent to a medical report. The employer needs to communicate to the employee that failure to comply with this request means that the employer is unable to assist the employee in the way that might be most appropriate via reasonable adjustments and may be forced to make a decision about his / her future employment without being in full possession of the facts.