Long term sick absence management plan template

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This Long Term Sick Absence Management Plan provides a structured framework for managing an employee’s prolonged sickness absence fairly, consistently and supportively. It helps employers maintain appropriate contact, obtain relevant medical or occupational health information, consider adjustments and agree practical steps towards a return to work.

Use this plan to:

  • Record the current position and history of a long-term sickness absence
  • Agree appropriate contact and support arrangements
  • Identify medical or occupational health information required
  • Consider reasonable adjustments and possible return-to-work options
  • Set review dates, actions and responsibilities
  • Provide a structured record where the absence may require formal capability management
Long term sick absence management plan template
2026 Reviewed
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What's included in this template?

This template brings together the key information, sections and considerations you need to create a clear, comprehensive and professional HR document. Preview the document below.

  • Employee and absence details
  • Current health and work position
  • Communication and welfare arrangements
  • Medical and occupational health information
  • Reasonable adjustments and return-to-work options
  • Actions, responsibilities and review dates
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Long term sick absence management plan

This plan is intended to provide a structured record for managing a prolonged sickness absence. It should be reviewed and updated as the employee's circumstances, medical information and return-to-work prospects develop.

Employee details

Employee name: [Employee Name]
Job title: [Job Title]
Department: [Department]
Manager: [Manager Name]
First day of absence: [Date]
Date plan commenced: [Date]
Current fit note expiry: [Date / Not Applicable]

1. Current absence position

Reason for absence, where the employee has chosen to disclose this:

 

Current position regarding fitness for work:

 

Current expected return-to-work position:

 

Relevant medical or occupational health information currently available:

 

2. Contact and welfare arrangements

Agreed method of contact:

[Telephone / Email / Video Call / Meeting / Other]

Agreed contact frequency:

[Weekly / Fortnightly / Monthly / Other]

Primary contact:

[Manager / HR Contact]

Agreed date of next contact:

[Date]

Any specific arrangements requested by the employee concerning contact during absence:

 

3. Employee's current position

At the latest review, the employee advised that:

 

 

Employee's current expectation

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£9.99
Specifications
Access 12 months, with updates
Length 3 pages • 950 words
Jurisdiction England, Wales, Scotland
Based on UK law, ACAS guidance
Last update 27/09/2026
Update reason Description update.
Next review 27/03/2027
Delivery & Format Instant digital delivery, .doc · .txt · email

What is a long term sick absence management plan?

Long term sick absence management plan template preview

This plan provides a practical framework for managing a prolonged sickness absence while maintaining a supportive and structured approach. It is designed to help employers understand the employee's current position, explore what may help them return to work and keep the absence under appropriate review.

Understanding the current position

The plan records the length of the absence, information currently available and the employee's current expectations regarding recovery and return to work. It provides a central record rather than relying on informal conversations or fragmented notes.

Maintaining appropriate contact

Long-term absence should normally involve appropriate and agreed contact between the employer and employee. The frequency and method of contact should reflect the employee's circumstances and should focus on welfare, support and practical employment matters rather than placing unnecessary pressure on the employee.

Obtaining medical information

Where appropriate, medical or occupational health advice can help the employer understand likely timescales, functional limitations, fitness for work and potential adjustments. The plan records what information is needed and how it will inform the management process.

Considering adjustments and return-to-work options

The plan provides space to consider reasonable adjustments, a phased return, amended duties, altered working arrangements, equipment, redeployment or other options that may support a return to work.

Reviewing the position

Long-term sickness absence can change over time. Regular reviews allow the employer and employee to revisit medical information, proposed adjustments, expected timescales and available options. Where a return is not achievable within a reasonable timeframe, the employer can use the information gathered to determine appropriate next steps.

Example

An employee has been absent from work for eight weeks following a significant health condition. They remain under medical treatment and have provided fit notes covering the period of absence. The employee's manager has maintained occasional contact, but there is no clear record of the agreed approach or likely return-to-work arrangements.

HR meets with the employee to discuss their current position and agrees a communication plan. The employee explains that they are not currently fit to return but that they hope to receive further information from their healthcare team within the next few weeks.

With the employee's agreement, the employer arranges an occupational health assessment to obtain advice about functional capacity, likely timescales and possible workplace adjustments. The resulting advice indicates that a return may be possible initially on reduced hours with amended duties.

The employer and employee use the management plan to agree a phased return, regular review meetings and temporary adjustments. The plan records the actions, responsible people and review dates so that the arrangement can be monitored and amended as the employee's health develops.

If the employee ultimately remains unable to return, the records from the management process provide a structured basis for considering further capability steps, including whether additional support, alternative employment or further medical information should be explored before any decision about the future of employment is made.

The wider HR process

Related HR resources and workflow

Explore the HR resources that may be relevant before and / or after using the Long term sick absence management plan, helping you understand the wider process, maintain appropriate documentation and follow a consistent approach.

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Implementation guidance

Use these best practice actions, recommended timescales and process stages to understand when and how the Long term sick absence management plan should be used, helping ensure each step is handled consistently and appropriately documented.

Step Description Responsibility Timing
1 Review the absence record, current fit note, previous contact and any medical or occupational health information already available. HR / Manager At commencement of management plan
2 Meet or speak with the employee to understand their current position, maintain appropriate contact and identify any support or information required. Manager / HR As soon as reasonably practicable
3 Obtain appropriate medical or occupational health advice where necessary and consider whether the employee may be disabled and whether reasonable adjustments are required. HR / Manager Within 5–10 working days where appropriate
4 Agree practical actions, adjustments and return-to-work options, including a phased return where appropriate. Manager / HR / Employee Following medical advice / before return
5 Review progress, update the plan and determine whether the employee can return, requires further support or whether formal capability steps need to be considered. Manager / HR Every 2–4 weeks or as appropriate
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Common mistakes

Understand the common mistakes to avoid when using this HR template, helping you reduce risk, prevent unnecessary costs and ensure the process is handled correctly.

  • Managing long-term absence purely by reference to the length of the absence
  • Failing to maintain appropriate contact with the employee
  • Assuming that a fit note provides all the information needed to manage the absence
  • Failing to consider disability and reasonable adjustments
  • Relying on an employee's predicted return date without reviewing the medical position
  • Moving towards dismissal without considering support, adjustments, alternative work and a fair capability process
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HR considerations

UK employment law and best practice

This template is designed to support the process, but the document should be used alongside the relevant HR procedure and applied to the circumstances of the individual case.

Managing long-term sickness absence

Acas recommends that employers manage long-term sickness absence by keeping in contact with the employee, discussing their health and circumstances, considering support and looking at ways to help them return to work. An employee who is off sick for more than 4 weeks may be considered long-term sick.

https://www.acas.org.uk/sick-leave

https://www.gov.uk/taking-sick-leave

Occupational health

Occupational health can help employers understand how an employee's health affects their work, whether adjustments may be appropriate and what may support a return to work. It can also provide useful information when managing long-term absence or considering capability issues.

https://www.acas.org.uk/using-occupational-health-at-work

Medical reports

An employer may seek medical information where it is necessary to understand an employee's fitness for work, likely return, potential adjustments or capability. Where an employer wants to obtain a report from an employee's GP or other doctor, the appropriate consent and legal requirements should be followed.

https://www.acas.org.uk/getting-a-doctors-report-about-an-employees-health

Disability and reasonable adjustments

A long-term health condition may amount to a disability under the Equality Act 2010. Where an employee is disabled, the employer has a legal duty to make reasonable adjustments where required. Adjustments can include changes to working arrangements, duties, equipment, working patterns or a phased return.

https://www.acas.org.uk/reasonable-adjustments

https://www.gov.uk/reasonable-adjustments-for-disabled-workers

Disability-related absence

Employers should consider whether sickness absence is related to a disability and whether adjustments to the way absence is managed may be appropriate. For example, depending on the circumstances, an employer may consider adjusting absence review points or recording disability-related absence separately.

https://www.acas.org.uk/supporting-disabled-people/disability-related-absence

Phased return to work

A phased return can be an effective way of supporting an employee back into work following long-term sickness. It may involve temporarily reduced hours, amended duties or other adjustments, and should be reviewed to determine whether it remains appropriate.

https://www.acas.org.uk/reasonable-adjustments

Capability and dismissal

If an employee remains unable to return to work, the employer may eventually need to consider capability and the future of the employment relationship. Dismissal due to long-term sickness should be a last resort. Before considering dismissal, employers should explore support, medical evidence, reasonable adjustments, alternative work and whether there is a realistic prospect of returning within a reasonable timeframe.

https://www.acas.org.uk/sickness-and-ending-employment

https://www.gov.uk/dismiss-staff/dismissals-due-to-illness

Fair procedure

Where formal capability action may be required, the employer should follow a fair procedure and give the employee an opportunity to respond before reaching a decision. Any relevant internal capability or absence procedure should also be followed consistently.

https://www.acas.org.uk/dismissals/following-a-fair-procedure

https://www.acas.org.uk/performance-management/dismissals-for-capability-or-conduct

Holiday entitlement during sickness

An employee continues to accrue statutory annual leave while on sick leave. Long-term sickness can also affect when statutory holiday can be carried forward, so employers should ensure that holiday entitlement is recorded and managed separately from the sickness absence process.

https://www.gov.uk/taking-sick-leave

Confidentiality and health information

Information about an employee's health is personal information and may include special category data. Employers should only collect and share information that is necessary, keep it secure and restrict access to people who have a legitimate need to know.

https://ico.org.uk/for-organisations/sme-web-hub/handling-health-information/

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FAQs

When should an employer start managing a long-term sickness absence?

There is no single point at which every employer must start a formal management plan. Employers should normally maintain appropriate contact from the beginning of an absence and consider a more structured approach where the absence becomes prolonged or there is uncertainty about the employee's return.

Does an employee have to agree to an occupational health referral?

An employer should explain why occupational health advice is being sought and obtain the appropriate agreement or consent where required. An occupational health assessment can help provide information about fitness for work, likely timescales and possible adjustments.

What if the employee's condition could amount to a disability?

The employer should consider whether the employee may be disabled and whether reasonable adjustments are required. This should be considered throughout the absence management process rather than only if formal capability action is being considered.

Can a phased return be included in a long-term sick absence plan?

Yes. A phased return can be an appropriate way of helping an employee return to work. It may involve temporarily reduced hours, amended duties or other workplace adjustments and should be reviewed as the employee progresses.

Can an employee be dismissed after long-term sickness absence?

Potentially, but dismissal should be a last resort. The employer should first consider medical evidence, the likelihood of a return, reasonable adjustments, alternative work and other ways of supporting the employee. A fair capability process should be followed before dismissal is considered.

Why use HRDocBox rather than AI?

HRDocBox templates are designed specifically for UK employers and structured around practical HR processes, employment law and recognised guidance. This provides a ready-to-use framework for managing a sensitive long-term absence while allowing the employer to adapt the plan to the employee's individual circumstances.

Customer reviews

What people are saying

Back to product

This came in handy when the detail mattered

John Harris • 17 Jun 2026

Having the conversation mapped out beforehand was a real help. The script gave the manager a sensible structure for the conversation.

A good document to keep in the toolkit without much editing

Richard • 15 Jun 2026

We found it easy to personalise without having to rewrite the whole thing. We adapted a few phrases so they sounded natural for our managers. The prompts helped keep the conversation focused on the right issues.

It earned its keep when we needed to get it right

Mark • 19 Feb 2026

It helped give managers confidence when they had not dealt with the situation before. It gave us a consistent approach without making every conversation sound identical. It fitted the way we work.

Good to have Long term sick absence management plan to hand

Fiona Martin • 13 Jan 2026

It made the preparation stage much quicker. It made preparing for the conversation considerably less time consuming. It was a useful safety net for a conversation where wording matters.

We would use this again for keeping the process moving

Hannah Thomas • 30 Jul 2025

The sequence of questions and prompts worked well in a real conversation. The script helped keep the meeting focused when there were several points to cover. The document fitted neatly with the follow-up records we already use.

This earned its place in our toolkit when we needed to get it right

Daniel Smith • 02 Jul 2025

The suggested wording helped the discussion feel prepared without sounding rehearsed. The prompts were practical rather than overly formal. The manager could follow the structure while still having a normal discussion.

How this content is developed and reviewed

The Long term sick absence management plan template is developed using a practical HR methodology that considers current UK employment legislation, ACAS guidance, CIPD good practice and the real-world HR process it supports. Templates and supporting information are regularly reviewed and updated, with additional reviews triggered by significant changes to legislation, guidance or established HR practice, helping ensure each document remains practical, relevant and suitable for UK employers.

About the author

Darryl Horn, Chartered HR Director

Darryl is a Chartered HR professional with over 25 years' experience in senior HR and employee relations roles.

He has extensive practical experience of managing sick management HR processes and founded hrdocbox to provide businesses with practical, professionally developed HR resources grounded in UK employment law and best practice.

HRDocBox has been creating practical UK HR documents since 2009.

Executive recommendation

"Darryl provides support and advice with excellent judgement, and has a strong understanding of people, policies and UK employment legislation."

"He is someone I trust; consistent, dependable, and committed to doing things properly."

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Ruth Brock Chief Executive Officer The Hygiene Bank
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