Table 3.

Recommendations for Work Adjustments (fromBritish Society of Rehabilitation Medicine [11]).

Flexibility in hours and/or duties, e.g.,:

Changes to working hours or days Time off to attend health-related appointments Provision of additional breaks during the working day Changes to start/finish times to reduce travel during the busiest times Review/adjustment to the overall level of responsibility of a job role Consideration of an alternative job role

Adaptations, equipment and coping strategies, e.g.,

Help with travel (e.g., designated parking space or taxi through AtW) Provision of home working to reduce travel demands Physical adaptations or re-organisation of the working environment (e.g., to allow wheelchair accessibility) Additional equipment, aids and adaptations (e.g., communication aids/software, specialist seating) Advice on specific symptom management (e.g., fatigue management) Advice/support on the use of coping strategies (e.g., for cognitive impairment)

Additional training, supervision and support, e.g.,:

Job coaching/support worker in the workplace Ongoing support from a co-worker A “buddy” trained to respond to specific needs (e.g., seizure) in the workplace Additional training, supervision and/or support (e.g., mentoring, advocacy, etc.) Education for supervisor, manager and colleagues about the condition and its effects Advice/support for supervisor/manager (e.g., to assist work planning/prioritising) Advice/support for supervisor, manager & colleagues Regular reviews with supervisor/manager (e.g., to assist work planning/prioritising) Additional support for colleagues in the workplace Off-site support (e.g., from a rehabilitation service or vocational practitioner)