Suspension on medical grounds letter template

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UK-specific • Editable • Instant download • 12 months' updates

The Suspension on Medical Grounds Letter formally confirms that an employee is being suspended from work on medical or health and safety grounds. It explains the reason for the suspension, the expected arrangements during the period of suspension, pay and benefits, contact arrangements and what will happen next.

Use this template to:

  • Confirm a suspension on medical grounds.
  • Explain why the employee cannot safely undertake their normal duties.
  • Set out pay, benefits and contact arrangements.
  • Explain the temporary nature of the suspension.
  • Confirm any medical assessment or occupational health process.
  • Provide clarity about review and return-to-work arrangements.
Suspension on medical grounds letter template
2026 Reviewed

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.

  • Formal medical suspension notification
  • Reason for suspension
  • Pay and employment arrangements
  • Medical / Occupational Health assessment
  • Review arrangements
  • Return-to-work process
Specifications
Access 12 months (includes updates)
Length 2 pages • 593 words
Jurisdiction England, Wales and Scotland
Based on UK employment law, ACAS guidance
Last review 25/08/2026
Next review 25/02/2027
Delivery Instant download
Formats .doc · .txt · email

Download .doc

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Email
Template

[Sender name]

[Sender address]

[date]

[Recipient name]

[Recipient address]

 

Dear [Recipient first name],

Suspension on medical grounds

I am writing to confirm that, following consideration of your current circumstances and the requirements of your role, you will be suspended from work on medical / health and safety grounds with effect from [date].

The purpose of this suspension is to protect your health, safety and wellbeing while we establish whether you are fit to carry out your normal duties safely.

Reason for the suspension

The decision has been made because [briefly explain the relevant circumstances, for example: information provided by you / medical advice / concerns about your ability to safely undertake particular duties / a health and safety risk identified in relation to your work].

This is a precautionary measure and is not a disciplinary suspension. It does not represent a finding that you have done anything wrong.

Duration of the suspension

The suspension will remain in place until [date / the position has been reviewed / we are satisfied that you are fit to return to your normal duties / appropriate medical advice has been received].

The position will be reviewed regularly and

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What is a suspension on medical grounds letter?

Suspension on medical grounds letter template preview

A Suspension on Medical Grounds Letter is used when an employer needs to temporarily prevent an employee from carrying out their normal work because of health or safety concerns. It formally explains the decision and sets out what will happen while the employee's fitness for work is assessed.

The letter distinguishes a medical or health and safety suspension from disciplinary suspension and provides clarity about pay, contact, medical assessment, review and potential return-to-work arrangements.

What is it used for?

The letter provides a clear written record of why the employee has been suspended and what arrangements apply during the period away from work. It can be used where medical information, workplace risks or the nature of the employee's duties mean that continuing to work could present a health and safety concern.

It also provides an opportunity to explain the next steps, including Occupational Health advice, reasonable adjustments, temporary restrictions or a review of the employee's fitness to return.

Who should use it?

The template is suitable for HR professionals, managers and employers dealing with an employee whose health or fitness for work raises a potential workplace health and safety concern.

What should happen after the letter is issued?

The employer should keep the position under review, obtain appropriate medical or Occupational Health advice where necessary and consider whether reasonable adjustments, alternative duties or other measures could allow the employee to return safely. The suspension should not simply continue indefinitely without appropriate review.

Example

An employee works in a physically demanding role involving machinery. The employee informs their manager of a health issue that may affect their ability to carry out some of the essential duties safely. The employer does not have sufficient information to establish whether the employee can safely continue working in the role.

After considering whether temporary alternative duties or adjustments are available, the employer decides that a short period of medical suspension is appropriate while Occupational Health advice is obtained.

The employee receives a Suspension on Medical Grounds Letter confirming that the suspension is precautionary and not disciplinary. The letter confirms the pay arrangements, explains the Occupational Health assessment and sets a review date.

Following the assessment, the employer considers the recommended adjustments and agrees a phased return with temporary restrictions.

Implementation guidance

Use these best practice actions, recommended timescales and process stages to understand when and how the Suspension on medical grounds letter should be used, helping ensure each step is handled consistently and appropriately documented.

Step Description Responsibility Timing (Days from Issue)
1 Assess the Situation: Review the available medical or workplace information and identify whether allowing the employee to continue working could create a health or safety concern. Management / HR Day -7 to Day -3
2 Consider Alternatives: Consider whether temporary restrictions, alternative duties, reasonable adjustments or other measures could avoid the need for suspension. Management / HR Day -3 to Day -1
3 Issue the Suspension Letter: Confirm the medical grounds for suspension, pay arrangements, contact arrangements and any medical assessment required. HR / Management Day 0
4 Obtain Appropriate Advice: Arrange any Occupational Health assessment or obtain relevant medical information needed to understand fitness for work and potential adjustments. HR / Occupational Health Day 1 onwards
5 Review and Decide Next Steps: Review the medical information and determine whether the employee can return, requires adjustments or restrictions, or whether further action is necessary. HR / Management / Employee Agreed Review Date
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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.

  • Using medical suspension as a substitute for properly assessing the underlying health and safety risk.
  • Failing to consider reasonable adjustments or alternative duties.
  • Leaving the employee suspended without regular review.
  • Treating a medical suspension as if it were disciplinary action.
  • Requesting excessive or unnecessary medical information.
  • Failing to explain pay, contact and review arrangements clearly.
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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.

Employers have duties to protect the health, safety and welfare of employees and others affected by their work. Where there is a genuine health and safety concern about an employee carrying out their normal duties, an employer may need to take temporary action while the situation is assessed.

Health and safety

The Health and Safety at Work etc. Act 1974 places duties on employers to protect, so far as reasonably practicable, the health, safety and welfare of employees at work. Employers should therefore consider workplace risks when deciding whether an employee can safely continue performing their duties.

The employer should be able to identify the health or safety concern supporting the suspension rather than using medical suspension as a general management measure.

Medical advice and Occupational Health

Where an employee's fitness for work is unclear, Occupational Health can provide useful advice about functional ability, restrictions, adjustments and potential return-to-work arrangements. The employer should consider what information is actually needed rather than seeking unnecessary medical information.

Reasonable adjustments

Where the employee may have a disability within the meaning of the Equality Act 2010, the employer should consider whether reasonable adjustments could remove or reduce the disadvantage they face at work. ACAS provides guidance on reasonable adjustments and examples of changes that may be appropriate. https://www.acas.org.uk/reasonable-adjustments

An employer should therefore consider whether adjustments or alternative duties could enable the employee to work safely before deciding that a prolonged suspension is necessary.

Medical suspension and pregnancy

Where the employee is pregnant, has recently given birth or is breastfeeding, specific health and safety duties and protections may apply. Employers should carry out an appropriate individual risk assessment and consider whether adjustments or suitable alternative work are available before suspension on maternity grounds is considered.

ACAS provides guidance on health and safety during pregnancy and maternity leave. https://www.acas.org.uk/working-safely-while-pregnant

Pay during suspension

The pay position during a medical suspension depends on the circumstances, contractual arrangements and the reason for the suspension. Employers should check the applicable contract, policy and statutory provisions before confirming the pay arrangement in writing.

Reviewing the suspension

A medical suspension should be kept under review. The employer should seek appropriate information, consider alternatives and avoid allowing a precautionary suspension to continue without proper consideration of whether the employee can safely return or whether adjustments can be made.

Data protection and medical information

Information about an employee's health is special category personal data and must be handled appropriately under UK data protection law. Employers should only obtain and retain medical information that is relevant to the employment decision and should keep it securely. https://ico.org.uk/for-organisations/sme-web-hub/employment/

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FAQs

What is a suspension on medical grounds?

It is a temporary measure preventing an employee from carrying out their normal work because there is a health or safety concern about them doing so. It is different from disciplinary suspension and should be used for a genuine precautionary reason.

Does an employee receive normal pay during medical suspension?

The position depends on the circumstances, contractual arrangements and applicable policy or statutory provisions. The employer should establish the appropriate pay arrangements before issuing the suspension letter.

Why use HRDocBox for a Suspension on Medical Grounds Letter?

HRDocBox combines deep HR knowledge, practical application and years of experience with real workplace and employee relations situations. The template helps employers explain a sensitive precautionary decision clearly while keeping the focus on health, safety, medical assessment and a route back to work.

Why use HRDocBox rather than asking AI to create the letter?

AI can produce a generic medical suspension letter, but health-related employment decisions require careful consideration of health and safety, reasonable adjustments, medical information and the employee's rights. HRDocBox combines UK employment-law knowledge, practical HR experience and relevant workplace best practice.

How much medical information should an employer request?

Only information that is relevant and necessary to understand the employee's fitness for work, restrictions or potential adjustments should generally be sought. Occupational Health can often provide the functional information an employer needs without disclosing unnecessary medical details.

How long can an employee remain suspended on medical grounds?

There is no simple fixed period that applies to every situation. The employer should keep the suspension under regular review, obtain appropriate medical information and consider whether the employee can return, whether adjustments are possible or whether another appropriate course of action is required.

How this content is developed and reviewed

The Suspension on medical grounds letter 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 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 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.

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