Personnel Today
  • OHW+
  • Resources
    • Clinical governance
    • Disability
    • Ergonomics
    • Health surveillance
    • OH employment law
    • OH service delivery
    • Research
    • Return to work and rehabilitation
    • Sickness absence management
    • Wellbeing and health promotion
  • Conditions
    • Mental health
    • Musculoskeletal disorders
    • Blood pressure
    • Cancer
    • Cardiac
    • Dementia
    • Diabetes
    • Respiratory
    • Stroke
  • CPD
  • Webinars
  • Jobs
  • Personnel Today

Register
Log in
Personnel Today
  • OHW+
  • Resources
    • Clinical governance
    • Disability
    • Ergonomics
    • Health surveillance
    • OH employment law
    • OH service delivery
    • Research
    • Return to work and rehabilitation
    • Sickness absence management
    • Wellbeing and health promotion
  • Conditions
    • Mental health
    • Musculoskeletal disorders
    • Blood pressure
    • Cancer
    • Cardiac
    • Dementia
    • Diabetes
    • Respiratory
    • Stroke
  • CPD
  • Webinars
  • Jobs
  • Personnel Today

Fit for WorkCoronavirusDisabilityOH service deliveryReturn to work and rehabilitation

How will long Covid affect the provision of occupational health services?

by Ross Miller and Sam Delaney 17 Sep 2021
by Ross Miller and Sam Delaney 17 Sep 2021 Fatigue is among the symptoms associated with long Covid
Shutterstock
Fatigue is among the symptoms associated with long Covid
Shutterstock

Employers are still feeling their way in terms of how best to support and manage workers with long Covid. But it is increasingly clear access to occupational health expertise and leadership can make a real difference, as Ross Miller and Sam Delaney show.

Epidemiologists at Imperial College, London, have warned that long Covid might strike half a million people during this current wave of infections, and that over two million have already been affected by it to date.

With symptoms ranging from breathlessness and fatigue through to weakness and cognitive dysfunction, cardiac and respiratory issues, long Covid can affect an individual for weeks or even months, and the long-term outlook still isn’t known.

In the face of a new, potentially large, cohort of chronically ill employees, how can occupational health teams take the lead? How do they advise managers and help to tackle the potential impacts of long Covid in the workplace?

Managers must be made aware of its impacts

Being prepared for the potential impacts of long Covid on the workplace starts from the top of the organisation.

Long Covid

Long Covid: the case for making ‘work-ability’ a health outcome
CPD: Long Covid – a catalyst for greater multidisciplinary working (webinar)
Study uncovers 203 possible long Covid symptoms

Understanding the illness and the different ways it can affect someone isn’t just down to the person with the illness and their occupational health team, but also the organisation’s leaders, and any line managers.

It is important that the OH team works with management to help them understand the impact of long Covid and the ways that occupational health can support someone, and how vital that can be as an element of the employee’s management of the illness.

Once an individual is referred to OH, the team can of course assess them for symptoms, and then their fitness for work. Can they do the job to the same extent? Are there any adjustments that need to be made in order to keep the person on board?

It is also important to note that reviews of fitness to work can be made at a later date, so the first decision reached does not have to be the final decision.

We often see employees in our occupational health clinics who have been diagnosed by their GP as having long Covid or who we determine as meeting the criteria for long Covid.

As a broad estimate, we could say that 10% of employees assessed come out with that diagnosis – which is a huge proportion, and significant enough for particular consideration by workplaces.

Planning support ahead of time

With infection rates still currently at a high level, how can occupational health professionals plan ahead to help navigate potential staffing problems?

This is a difficult one to call; typically, chronic illnesses cannot be diagnosed quickly so knowing what you will need to plan for won’t be obvious straightaway.

The minimum time threshold for diagnosis is 12 weeks, meaning individuals will have symptoms for at least three months at a similar intensity with no signs of receding.

You can see the National Institute for Health and Care Excellence (NICE) definition of the condition for more information. During this time of ‘wait and see’, it’s helpful to prepare for a possible outcome, with management, occupational health, and the employee collaborating together.

Preparing flexibility for the employee is vital. Chronic conditions are dynamic in nature; what someone can do one day, may change drastically the next. Over-exertion may make it worse. Reduced hours and home working, as long as they are made available, can also be advocated for.

A phased return, often used after injury or surgery, might not always be the best introduction back into the workplace. Fatigue and joint pain can persist for months, so this method, with its defined short-term phasing back into the workplace, is unlikely to be effective in rehabilitating the employee back into the workplace.

A longer-term planned reduction in hours, enforced and frequent rest breaks, a focus on pacing themselves, even a change of role – all these options will have to be considered. Also consider linking them up with emotional support for potential mental health issues.

If the organisation doesn’t have an occupational health team

Without having access to occupational health support via their employer, employees will have no choice but to visit their GP and access support through that route.

Companies without the capacity for an occupational health team could struggle to cope if many employees feel the effects of long Covid, and they might approach a delivery partner that can assist with OH services.”

The GP, while providing exceptional primary care, is limited in their understanding of the workplace and how a period of chronic illness can affect the individual in their role.

Staff do not typically want to rely on overstretched GPs for conditions that can have such a strong link to their ability to work, and they don’t have to. Companies without the capacity for an occupational health team could struggle to cope if many employees feel the effects of long Covid, and they might approach a delivery partner that can assist with OH services.

This partner should have a clear understanding of the different roles at the company they are working with, so they can refer people correctly and work closely with management to ensure the best outcomes.

Ultimately, being proactive, not reactive, is the key takeaway here. Be aware, build your knowledge and capabilities and help your organisation to stay flexible and be a strong network of support for employees.

Sign up to our weekly round-up of HR news and guidance

Receive the Personnel Today Direct e-newsletter every Wednesday

OptOut
This field is for validation purposes and should be left unchanged.

References
‘Over 2 million adults in England may have had long COVID – Imperial REACT’, Imperial College, London, June 2021

‘COVID-19 rapid guideline: managing the long-term effects of COVID-19’, NICE guidelines NG188, December 2020

Ross Miller and Sam Delaney

Ross Miller is head of workplace wellbeing services and Sam Delaney is occupational health clinical lead at Cantium Business Solutions

previous post
Office etiquette: time to stamp out pandemic ‘bad habits’?
next post
Thousands of health workers in France suspended for not taking Covid vaccine

You may also like

Uncertainty over law hampering legal use of medical...

20 May 2025

Black security manager awarded £360k after decade of...

20 May 2025

Employers ‘worryingly’ ignorant about stress risk assessments

20 May 2025

Four ways employers can reduce the risk of...

14 May 2025

Data highlights positive link between group income support...

14 May 2025

Period pain and absence harm women’s pay and...

13 May 2025

Healthcare workers prioritise mental health support in new...

12 May 2025

Young people are less work-ready, say employers

7 May 2025

Tool developed for employers to calculate cost of...

28 Apr 2025

Why employers must do more to support all...

24 Apr 2025

  • 2025 Employee Communications Report PROMOTED | HR and leadership...Read more
  • The Majority of Employees Have Their Eyes on Their Next Move PROMOTED | A staggering 65%...Read more
  • Prioritising performance management: Strategies for success (webinar) WEBINAR | In today’s fast-paced...Read more
  • Self-Leadership: The Key to Successful Organisations PROMOTED | Eletive is helping businesses...Read more
  • Retaining Female Talent: Four Ways to Reduce Workplace Drop Out PROMOTED | International Women’s Day...Read more

PERSONNEL TODAY

About us
Contact us
Browse all HR topics
Email newsletters
Content feeds
Cookies policy
Privacy policy
Terms and conditions

JOBS

Personnel Today Jobs
Post a job
Why advertise with us?

EVENTS & PRODUCTS

The Personnel Today Awards
The RAD Awards
Employee Benefits
Forum for Expatriate Management
OHW+
Whatmedia

ADVERTISING & PR

Advertising opportunities
Features list 2025

  • Facebook
  • Twitter
  • Instagram
  • Linkedin


© 2011 - 2025 DVV Media International Ltd

Personnel Today
  • OHW+
  • Resources
    • Clinical governance
    • Disability
    • Ergonomics
    • Health surveillance
    • OH employment law
    • OH service delivery
    • Research
    • Return to work and rehabilitation
    • Sickness absence management
    • Wellbeing and health promotion
  • Conditions
    • Mental health
    • Musculoskeletal disorders
    • Blood pressure
    • Cancer
    • Cardiac
    • Dementia
    • Diabetes
    • Respiratory
    • Stroke
  • CPD
  • Webinars
  • Jobs
  • Personnel Today