Neonatal Care Leave return to work checklist form template

Neonatal Care Leave return to work checklist form template cover image
Neonatal Care Leave return to work checklist
Template
Neonatal Care Leave return to work checklist form template cover image
£15

A supportive return-to-work form for employees coming back from neonatal care leave, ensuring a smooth transition with wellbeing, flexibility, and reintegration in mind.

  • 1 page / 203 words
  • Instantly download as Word / PDF / plain text
  • Suitable globally (check local legislation)

Save 30 mins drafting time, and reduce your risk.

Neonatal Care Leave return to work checklist form

Employee Name: ______________________________

Job Title: ____________________________________

Department: _________________________________

Manager: ____________________________________

Date of Return: _______________________________

Section 1: Confirmation of Return

? Return date confirmed and recorded in HR system

? Line manager notified

? Payroll notified (if applicable)

Section 2: Wellbeing Check

? Informal check-in held with employee

? Opportunity given to discuss emotional wellbeing

? Employee signposted to internal or external support services

You're currently viewing a limited preview. For instant full access, purchase this item or a parent bundle.

This return-to-work form is designed for use after an employee returns from Neonatal Care Leave.

It helps line managers and HR teams support employees by reviewing wellbeing, exploring any flexible working needs, and ensuring that adjustments are made sensitively and appropriately.

The checklist includes confirmation of key return dates, optional reintegration plans, and a forward-looking conversation to ensure the employee feels valued and supported.

Flowchart

Check which resources should be implemeted before and/or after the Neonatal Care Leave return to work checklist form template, to understand the workflow.

Previous
Letters
Neonatal Care Leave request acknowledgement letter

A clear letter template for acknowledging employee requests for Neonatal Care Leave and outlining next steps, pay eligibility, and available support.

This
Neonatal Care Leave return to work checklist form

Timings

Follow these best practice actions to get the most from the Neonatal Care Leave return to work checklist form template, guiding you before, during, and after implementation:

Instantly unlock with a purchase.

Instantly unlock with a purchase.

Step Description Responsibility Timing
1 Arrange a return-to-work meeting with the employee to discuss their return, any adjustments needed, and update them on any team or business changes. Line Manager / HR 1–2 weeks before return date
2 Complete the Neonatal Care Leave Return to Work Checklist Form during the meeting, covering wellbeing, workload, any ongoing flexibility needs, and reintegration support. Line Manager On day of return or first working day back
3 Discuss and document any reasonable adjustments, phased return options, or continued support required (e.g. wellbeing resources or hybrid working). Line Manager / HR During the return meeting
4 Share a signed copy of the completed checklist with the employee and HR, and securely store for records. Line Manager Within 2 working days after the meeting
5 Schedule a follow-up check-in to monitor wellbeing and support reintegration into the role. Line Manager Within 2–4 weeks after return

Frequently Asked Questions

  1. Can I use this Neonatal Care Leave return to work checklist form template for small businesses?

    Yes. The Neonatal Care Leave return to work checklist form template is designed to be flexible and suitable for organisations of all sizes, including small businesses and charities. It follows UK employment law best practice, so even if you don't have an in-house HR team, you can confidently apply it.

  2. Is this Neonatal Care Leave return to work checklist form template compliant with 2025 UK employment law?

    Absolutely. All templates are drafted with the latest ACAS guidance and UK employment legislation in mind. We review and update them regularly, so you can be confident they remain compliant.

  3. Can I customise this Neonatal Care Leave return to work checklist form template for my organisation?

    Yes, we highlight the areas that you need to update with your own details, and where you need to make decisions to suit your situation. This saves you time and ensures that you meet best practice.

  4. Do I get instant access to the Neonatal Care Leave return to work checklist form template?

    Yes. Once purchased, you'll be able to download the Neonatal Care Leave return to work checklist form template instantly. Templates are provided in editable Word or Excel format so you can customise them easily, and in PDF format for easy sharing.

  5. What if I need a full HR toolkit, not just the Neonatal Care Leave return to work checklist form template?

    If you're looking for broader support, we also offer toolkits and library bundles that include the Neonatal Care Leave return to work checklist form template along with other HR templates and policies for fully managing your situation. These may be more cost-effective if you need a complete HR library.