Long Term Conditions

Vocational rehabilitation - Supporting people with long-term conditions to return to and remain in work

Work contributes to identity, improves health and quality of life, and confers financial benefits. Ensuring people with long term conditions remain in work is a Government priority, a recognised health outcome and crucial for a sustainable society where every member has the opportunity to contribute what they can.

People with long term conditions require vocational rehabilitation (VR) services to enable them to return to work following illness, remain in work, progress their careers or to relinquish work at an appropriate time. However, a lack of evidence to inform health based VR and a dearth of services limits opportunity. Little is known about the content of existing services, when or how they should be delivered, their efficacy or their cost effectiveness.

In a series of studies, using both quantitative and qualitative methodologies Drs Radford, and Phillips and PhD students Jain Holmes and Mary Grant have set out to produce evidence about the effectiveness and cost effectiveness of health based vocational rehabilitation.


Projects and funders

Return to work after stroke (RETAKE)


Facilitating Return to work through Early Specialist Health-based interventions (FRESH) trial:

A multi-centre feasibility trial testing whether early vocational rehabilitation can be delivered and whether its impact on work and other outcomes and cost effectiveness can be measured.


Return to Work OT Pilot:

Evaluation of an Early Stroke Specialist Vocational Rehabilitation intervention for supporting job retention in people with stroke funded by Nottingham Citycare Partnership

Return to work after stroke.

Nottingham Citycare Partnership

NIHR Collaborations for Leadership In Applied Health Research and Care CLAHRC-NDL (2008):

This explores the development and testing of a new early stroke specialist model of vocational rehabilitation as part of a feasibility trial.


Work Rehabilitation in Inflammatory Arthritis:

A feasibility randomised controlled trial of the effectiveness and cost effectiveness of an occupational therapy (OT) job retention intervention

Arthritis Research UK

Work Rehabilitation following Acquired Brain Injury:

An evidence synthesis of models of vocational rehabilitation for people with acquired brain injury (2011)


Leisure and Social activities after stroke:

Exploring the use of peer led coaching to support stroke survivors’ participation in social and leisure activities (2013)

NISCHR Social Care Social Care Research Award


Long Term Conditions Research Group

School of Medicine
Division of Rehabilitation and Ageing
telephone: +44 (0)115 823 0226