Plan Before You Return
Book a GP appointment in the final week of sick leave to confirm fitness, agree any medication changes and request a fit note that recommends a phased return. Contact your line manager or HR a week before to share the proposed plan — surprises on day one help nobody. Ask for an occupational health referral if one has not already happened.
The Phased Return
A typical phased return runs 4-12 weeks, starting at 40-60% of normal hours and building gradually. Mornings off can suit those with severe morning stiffness; shorter days suit those with afternoon fatigue. Use the fit note to formalise the schedule. Most employers cover full pay during a properly documented phased return.
Workstation and Environment
Before day one, ask occupational health to assess your workstation. Common adjustments include an ergonomic chair, footrest, monitor riser, split keyboard, vertical mouse, voice-recognition software and a parking spot near the entrance. Access to Work funds equipment your employer would otherwise have to provide.
Pacing Through the Day
Use the 'movement minute' rule — stand, stretch and walk for one minute every 30. Schedule the hardest task for the time of day your joints work best. Take your full lunch break away from the desk. Plan recovery evenings in the first fortnight — no commitments after work.
Talking to Your Manager
Share what you need them to know, not necessarily a full diagnosis. 'I need a 5-minute break every hour to prevent stiffness' is more useful to a manager than a clinical history. Agree weekly check-ins for the first month, then monthly.
Reasonable Adjustments — Your Legal Right
Under the Equality Act 2010 your employer must make reasonable adjustments. See our employment rights guide for full detail. Requests should be in writing and confirmed in writing — useful evidence if problems arise later.
When to Escalate
If adjustments are refused without good reason, raise a formal grievance, contact ACAS on 0300 123 1100 for free advice, and consider a Disability Rights UK consultation. Most disputes resolve through dialogue, but knowing your options strengthens your position from the start.