Allied Health Professional (AHP) Health and Work Report

7.1 Anxiety and depression example: Completed report

See this example of how the AHP Report has been completed View Case History

Example Condition: Anxiety and depression

Deepak Prasad is a university lecturer. He works full time, teaching and supervising students and undertaking research. He has been off work due to depression for three months and is worried about work and his sickness record. He finds it difficult to concentrate and make decisions. He feels embarrassed about his illness, and facing a group of students. He is worried about his full email inbox.

He has just increased his anti-depressant medication which has initially worsened his early morning symptoms. You are planning to see him once a week for a period of six weeks (Weds mornings 10-11) from today. He has a ‘not fit’ fit note which expires on 14th June. If his manager agrees, he could start a phased return to work before the end of the academic year, initially 3 days a week, 11-4, to gradually pick up his existing/familiar research work over the summer break, with limited teaching duties from September (e.g. 3 hours per week initially).

He may need some support with allocated parking as parking spaces tend to be filled early in the day. It would be best if these teaching duties are on a topic/student group that he feels most confident/comfortable with. You will review his return to work progress with him on 1st August and estimate that he will have returned to full hours and duties by mid November.

Listen to the case history

Allied Health Professions
Advisory Fitness for Work Report

1 Patient's name: Deepak Prasad

Date of birth: 09/03/1981

I advise that:

1a you are not fit for work.

1b you may be fit for work taking account of advice below

2 This form has been completed by a:
Physiotherapist / Occupational Therapist / Podiatrist / Other

Practitioner's name: Your Name

HCPC registration number: OT XXXXX

Organisation/Service: Name of your service / department / unit

Contact details (email/ tel no.): Your work email address

Date assessment completed: 03/06/2019

4 AHP Advisory Fitness for Work Report issued for period from 03/06/2019 to 01/08/2019

A follow up review is / is not required* has been made for 01/08/2019 *delete as appropriate

5 With your employer's agreement you may benefit from these or more options:

a phased return to work

amended duties

altered hours

a workplace assessment

6 Patient-reported work-relevant difficulty, recommendations and goals:

Difficulty	Recommendations / goals
Worried about sickness absence and build up of email correspondence.	It would be helpful if his employer could clarify the situation about his sickness absence record, and offer support in managing his inbox.
Has difficulty concentrating and making decisions	To return to work 3 days per week before end of academic year, gradually picking up exisiting/familiar work over the student summer break.
Low mood, symptoms worse in morning, especially while getting used to new medication.	To work 11- 4 initially. May need support with allocated parking to ensure place available, until he has resumed usual hours.
Anxious about facing groups of students.	To start limited teaching duties from September, e.g. 3 hours per week initially, with topics/students he feels most comfortable/confident with.

7 Comments

Mr Prasad is attending our unit for a six-week course of treatment (Weds ams 10-11). He has a 'not fit' fit note which expires on 14th June. He is ready to start a phased return to work as soon as the above recommendations can be addressed. I will review his progress on 1st August. I estimate he will have returned to full hours and duties by mid November.

8 Additional information is provided on 0 accompanying sheets

9 Signature: Your signature

AHPs: please follow the guidance held on the website of your professional body when filling out this form and always attach the information sheet for employees, employers and doctors. Employees, employers and doctors: please read information attached or log on to: www.ahpf.org.uk