Making decisions about work

With the right support and adjustments many people with arthritis can work well. However, there may come a time when you feel unable to continue in your job. This can be due to the type of work you do, deterioration of your condition or a combination of both.

It may mean a rethink about work options, making the decision to cease working temporarily or retiring early.

If you are experiencing a particularly difficult time with your arthritis or with your job, giving up work might seem like the only solution. A decision such as this can often be made when you are not feeling at your best, are anxious or under pressure. 

Prior to making any irreversible decisions, consider your options. If you can, try to speak with someone you trust, and who can be objective. It is also worth seeking the advice of an occupational therapist and welfare adviser to explore what is available to you.

We have put together some questions to help you consider your options and make an informed decision:

• Is it expected that your condition will improve with treatment or surgery?
• Have you discussed your concerns with someone you trust? This could be family, friends. employer, workplace professional, doctor, Occupational Health practitioner, union rep, or Disability Employment adviser at the job centre.
• Have you explored what adjustments, specialist equipment or support might be available to assist you to remain at work?
• Are there some aspects of your job that can be adjusted, or you can continue to do? If so, have you approached your employer to consider a review of your role?
• Is there another role within the same workplace that may be more suited to you?
• Would reducing or changing your hours allow you to continue to work?
• Is driving to work or travelling on public transport to work causing you difficulties? If so, consider applying to Access to Work, for travel support – taxis to and from work, travel buddy or a support driver.
• Would taking a short break or some sick leave from work help you take time to recuperate and reflect?
• Are there other types of jobs more suited to you available? (it can be easier to find another job when you are in work, than when you are not).
• Have you considered how ceasing work will affect you financially?
• Have you checked out welfare or citizens advice services for information on any benefit entitlement?
• Finally, what did you enjoy about your job, what will you miss, what will you do if you stop work?

The questions outlined above will help you collect the information you need. This will reassure you that all factors have been considered and are making the right decision for you.

Try to always look at your options positively and with a mind-set of what you can do and are good at. While it may not always seem that you have choices, taking the time to consider and reflect can be invaluable.

If you want, or need to continue working but are not able to carry out your current or previous type of work, what are your options?

Your employer may be able to arrange an Occupational Health assessment. This report will help you and your employer plan the best course of action to help you back to work, or to consider other options. Some employers have occupational health services for their staff, others may not, due to the size of the company.  

ACAS provides some clear information on occupational health assessments.

The Occupational Health (OH), adviser might need to get more information from your doctor. In this case, you will be told the reason and asked to sign a consent form.

You have the right to see the doctor's report before it is sent to the OH adviser. Once the OH adviser has written their report, they should check with you first before they send the report to your employer.

If your employer decides that there are no further adjustments they can implement, or a suitable role for you, they will have to ensure they are not discriminating against you. You may find it helpful to get support from your union rep, local disability employment adviser at the jobcentre, or ACAS before any final decision is made.