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Medwyn Insights

Guidance and briefings on workplace health, compliance and wellbeing, for HR and business leaders.

Written by our OH cliniciansClinically reviewed before publishing
The archive
31 articles
A Medwyn occupational health advisor preparing a vaccine vial and syringe ready for an immunisationCompliance & law

Occupational health vaccinations for healthcare workers: a guide for employers

A guide for HR and practice managers to the vaccinations and checks GP, dental, hospital and laboratory staff need, who pays and when exposure-prone procedure clearance applies.

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Dr Stewart Tomlinson
12 min · 18 Oct 2026
An employee working at a deskPolicy & HR

Home and hybrid working: an employer's guide to health, law and wellbeing

More than six years after the first lockdown, home and hybrid working are a settled part of working life, and the law around them is changing again. This guide sets out the occupational health considerations, the legal position and how to support the wellbeing of people who work from home.

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Dr Stewart Tomlinson
13 min · 27 Sept 2026
A Medwyn occupational health clinician in consultation with an employee at the Dorking clinicCompliance & law

Workplace adjustments under the Equality Act: a step-by-step guide for employers

The duty to make reasonable adjustments is simple to state and easy to get wrong in practice. A six-step process for recognising the trigger, deciding what is reasonable, acting in time and keeping the adjustment under review.

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Dr Louise Tomei
10 min · 27 Sept 2026
An executive working at a laptop in an office overlooking the City of LondonAbsence management

Phased return to work: a manager's guide

A phased return is one of the most common recommendations in an occupational health report, and one of the most often done badly. What a phased return to work is, how to structure one, what to pay, and how to keep it on track.

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Lesley Fairplay
9 min · 27 Sept 2026
A Medwyn clinician giving health advice to an employeeAbsence management

Fit notes and occupational health reports: what each one does

A fit note tells you an employee is not fit for work, or might be. It does not tell you what to do next. What a fit note can and cannot do, whether someone can come back before it ends, and where an occupational health report fits.

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Fran Edwards
9 min · 27 Sept 2026
A Medwyn clinician carrying out a lung function test at the Dorking clinicCompliance & law

Pre-employment health questionnaires and the Equality Act: getting the process right

Section 60 fixes when you can ask. Data protection law fixes who sees the answers. What a pre-employment health questionnaire should contain, who should read it, and what to do when a new starter discloses a condition.

LC
Louise Cresswell
10 min · 27 Sept 2026
A Medwyn clinician in a confidential one-to-one conversation with an employeePolicy & HR

What not to say to occupational health (and what to say instead)

People search this phrase because they are worried. There is no script to follow and nothing to hide, but there are things that make an assessment less useful for you. An occupational health advisor explains what they are.

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Betti Reeves
8 min · 27 Sept 2026
Workers on a UK construction siteCompliance & law

RIDDOR reform: what the proposed changes mean for employers

The HSE has proposed the biggest changes to RIDDOR in over a decade – expanding the list of reportable occupational diseases from six to nineteen, and widening who can diagnose them. Here's what's proposed, and how to prepare.

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Dr Stewart Tomlinson
6 min · 22 Jul 2026
Professional services colleagues working togetherPolicy & HR

Keeping people in work: what the Keep Britain Working review means for employers

The Keep Britain Working review is shifting the national approach from signing people off to keeping them in work. Here's what it means for employers, and how to get ahead of it.

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Dr Stewart Tomlinson
5 min · 17 Jul 2026
A Medwyn occupational health clinician in consultation with an employee at the Dorking clinicPolicy & HR

Management referrals that get you a useful answer

A vague referral gets a vague report. How to frame your questions – and handle consent – so the advice comes back useful.

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Dr Louise Tomei
6 min · 14 Jul 2026
An employee working at a deskAbsence management

Long-term sickness absence: a framework for HR

A practical, humane framework for managing a long absence – from staying in contact to planning a return that sticks.

FE
Fran Edwards
6 min · 13 Jul 2026
A Medwyn healthcare technician measuring an employee's height at the Dorking clinicCompliance & law

Pre-employment health checks: what you can and can't ask

Section 60 limits what you can ask before a job offer. Where the line sits, the exceptions, and how to run checks properly.

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Lesley Fairplay
6 min · 10 Jul 2026
Two colleagues reviewing charts on a laptop at an office deskPolicy & HR

Workplace health policies: do yours stand up to scrutiny?

Policies are only useful if they are current, clear and actually followed. A practical look at the health-related policies every employer should have, and keep up to date.

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Dr Stewart Tomlinson
6 min · 9 Jun 2026
A Medwyn occupational health advisor preparing a vaccine vial and syringe ready for an immunisationCompliance & law

Hepatitis B and the healthcare worker: getting clearance right

Hepatitis B clearance for healthcare workers causes more confusion than almost any other piece of occupational health. Here's what the numbers mean, who needs what, and where the real decisions sit.

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Dr Stewart Tomlinson
6 min · 3 Jun 2026
A logistics worker beside a commercial vehicleHealth surveillance

Sleep, fatigue and shift work: a guide for employers

Fatigue is a health and safety risk, not just a personal matter. What shift work does to the body, the employer's duties, and how to manage the risk.

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Louise Cresswell
7 min · 12 May 2026
An energy worker at an industrial sitePolicy & HR

Lone workers: a guide for employers

Lone working is more common than most employers realise. Who counts as a lone worker, your duties, fitness to work alone, and the wellbeing risks that are easy to miss.

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Betti Reeves
7 min · 14 Apr 2026
A retail and hospitality employee at workCompliance & law

Day-one sick pay: what the Employment Rights Act 2025 means for absence

From 6 April 2026, statutory sick pay is payable from the first day of absence. What is changing, why it matters, and what employers should do now.

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Fran Edwards
6 min · 17 Mar 2026
A Medwyn healthcare technician taking a patient's blood pressure at the Dorking clinicPolicy & HR

What happens at an occupational health assessment?

Being referred to occupational health can feel unsettling. Here is what an assessment involves, what you will be asked, who sees the report, how long it takes and whether you can say no.

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Dr Stewart Tomlinson
10 min · 11 Mar 2026
Teacher with pupils in a UK classroomMental health & wellbeing

Neurodiversity at work: an employer's guide

Around one in six or seven adults is neurodivergent. What that means for employers, the legal duties involved, and the adjustments that help people do their best work.

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Dr Stewart Tomlinson
7 min · 10 Feb 2026
The Medwyn Centre in Dorking, SurreyPolicy & HR

Occupational health in 2026: what employers need to know

A look at the year ahead for workplace health: the legal changes coming, the pressures continuing, and where employers should focus.

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Fran Edwards
6 min · 13 Jan 2026
A Medwyn clinician in a confidential counselling conversation with an employeeMental health & wellbeing

Supporting employees through grief and bereavement

Grief reaches every workplace eventually. What the law provides, what good support looks like, and how to help someone return to work.

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Betti Reeves
6 min · 3 Dec 2025
A Medwyn occupational health clinician carrying out a workstation assessmentCompliance & law

Reasonable adjustments: what counts as "reasonable"?

The duty to make reasonable adjustments is one of the most misunderstood in employment law. What it means, what "reasonable" involves, and how to get it right.

LT
Dr Louise Tomei
7 min · 11 Nov 2025
A gloved Medwyn healthcare technician holding a sealed urine drug screen cup during a workplace drug testCompliance & law

Can an employee refuse a drug or alcohol test at work?

One of the most common questions employers ask about workplace testing. The short answer is nuanced, and getting it right depends on your policy and contracts.

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Dr Stewart Tomlinson
6 min · 14 Oct 2025
A Medwyn clinician in a supportive one-to-one conversation with an employeeMedicals & fitness

Supporting employees through menopause at work

Most women will go through menopause during their working lives, and for many it affects their work. What the evidence shows, and how employers can help.

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Dr Louise Tomei
7 min · 9 Sept 2025
A manufacturing worker using industrial equipmentHealth surveillance

Hand-arm vibration (HAVS): a guide for employers

One of the most common and most preventable causes of occupational ill health. What HAVS is, who is at risk, your legal duties, and how surveillance catches it early.

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Lesley Fairplay
7 min · 12 Aug 2025
A Medwyn healthcare technician carrying out a vision check at the Dorking clinicHealth surveillance

DSE and homeworking: getting workstation assessments right

Display screen equipment rules did not go away when staff went home. What employers must do about workstation assessments for office and home-based workers.

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Lesley Fairplay
6 min · 8 Jul 2025
An executive working at a laptop in an office overlooking the City of LondonMedicals & fitness

Supporting men's health at work

Men are less likely to seek help and more likely to delay it. What that means for employers, and the practical steps that make a difference.

LC
Louise Cresswell
6 min · 10 Jun 2025
An office worker with work-related neck and shoulder discomfort at a deskAbsence management

Managing musculoskeletal disorders at work

Musculoskeletal disorders are one of the largest causes of work absence. What they are, why they happen at work, and how employers can prevent and manage them.

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Betti Reeves
7 min · 13 May 2025
Local government colleagues at workMental health & wellbeing

How to carry out a workplace stress risk assessment

Work-related stress is the leading cause of work-related ill health. A stress risk assessment is how employers identify and reduce it, and it is a legal duty, not only good practice.

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Dr Louise Tomei
7 min · 8 Apr 2025
The Medwyn Occupational Health team outside the Medwyn Centre in Dorking, SurreyAbsence management

A manager's guide to occupational health referrals

If you have been asked to refer someone to occupational health without much explanation, here is what a referral is for, how to make a good one, and what to do with the report.

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Lesley Fairplay
6 min · 19 Mar 2025
A Medwyn clinician carrying out workplace health surveillanceAbsence management

Sickness absence is at a decade high: how employers can respond

UK sickness absence has reached its highest level in over a decade. What the figures mean for employers, and the measures that bring it down.

FE
Fran Edwards
6 min · 18 Feb 2025
Our contributors

Written and reviewed by our clinical team

Every Insights article is grounded in first-hand occupational health practice – written by the team who deliver our services and clinically reviewed by our physicians and occupational health advisors.

Dr Stewart TomlinsonMedical Director
Dr Louise TomeiOccupational Health Physician
Lesley FairplayLead Occupational Health Advisor
Louise CresswellOccupational Health Advisor
Betti ReevesOccupational Health Advisor
Fran EdwardsBusiness Manager
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