Managing Sickness Absence Fairly and Effectively
10 February 2026 · Suzanne Cullen, Chartered Member of the CIPD


Sickness absence is one of those things that every business has to deal with, but it can be tricky to manage well, especially in a small team where every person counts. The key is having a clear, fair process that everyone understands.
Start with a clear policy
Your sickness absence policy should set out exactly what employees need to do when they're unwell, including who to contact, when to contact them, and what documentation you need (self-certification for the first 7 days, a fit note from their GP after that).
Return to work conversations
One of the simplest and most effective tools is a return to work conversation. Every time an employee comes back after a period of absence, have a brief, informal chat. Welcome them back, check they're feeling better, and note down the reason for absence. It shows you care, and it helps you spot patterns early.
Short term vs long term absence
Short term, frequent absences and long term continuous absence need different approaches. Frequent short term absence might point to an underlying issue or a pattern that needs addressing. Long term absence requires regular contact, welfare meetings, and potentially occupational health advice.
Be consistent
Whatever approach you take, apply it consistently. If you have trigger points for formal action (for example, three instances of absence in a rolling 12 month period), apply them to everyone equally. Inconsistency is one of the quickest ways to undermine trust and create legal risk.
Remember your legal obligations
If an employee's absence is related to a disability, you have a duty to consider reasonable adjustments under the Equality Act 2010. This might include phased returns, adjusted duties, or changes to working hours. Always take advice before making decisions about disability related absence.
Keep it human
Above all, remember that behind every absence is a person who isn't feeling well. A supportive, caring approach will almost always get better results than a heavy handed one. People want to come to work for employers who treat them with dignity and respect.
We can help you put a clear, fair process in place, or support you with a specific situation. Get in touch for a friendly, no-obligation chat.
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