Occupational and Vocational Rehabilitation

We understand that people with physical health conditions and injuries need to overcome many obstacles to remain in and return to work.

However, research shows that work is generally good for health and wellbeing; providing the work is ‘good’. To date there is no definition for ‘good work’. However, therapists at Group Rehabilitation believe that good work will mean different things to different people, depending largely on your ability, interests and skills base.


Our service 

We aim to address the multiple factors which impact on a successful and timely return to work. A referral does not need to specify which of the interventions is required, as this will be determined on an initial assessment with an occupational therapist.

Interventions can include one or more of the following:

  • Assessment of functional capacity: if the patient is already employed, the assessment will be job specific and will be completed to inform towards the most appropriate work-related duties and adjustments. If the patient is unemployed, the assessment will be generic and will identify which roles will suit their current physical capacity. Patients will be re-assessed at regular intervals if attending for rehabilitation.

  • Rehabilitation attendance: based on assessments of physical capacity and a description of work-related tasks, patients will be set a programme of exercise and work simulation.

  • Communication between the patient and employee: this can be face-to-face during workplace assessments or written correspondence. Typically, this will be providing advice on reasonable adjustments, phased returns and condition management.

  • Workplace assessments: these are undertaken if work-related tasks cannot be simulated in the gym environment or face-to-face contact with the employer is required. Workplace assessments also identify environmental barriers in returning to work.

  • Long-term management: therapists will explore options for self-management with patients ahead of discharge. This will include access to local facilities and community groups, but also on how they can increase their own activity levels in day-to-day living.


Research shows that after only six weeks of sickness absence, a person’s ability to return to work falls away rapidly. Almost one in five people who reach this point will stay off work sick and eventually leave paid employment. Occupational therapists at Group Rehab receive referrals from inpatient settings, outpatient clinics and primary care.

Work simulation equipment

We are now able to accurately simulate and measure your ability to complete essential work-related tasks. The BTE PrimusRS > is used in the treatment and in the evaluation of functional ability. 


Why the BTE PrimusRS?

  • It allows us to practice tasks which would otherwise be impossible. This enables occupational therapists to remain directed and creative in their treatment plans.

  • It enables us to complete a simulation under specified conditions. This allows tests to be replicated accurately and improve the reliability of our results.

  • It provides a safe environment to practice work-related tasks. Starting with a low intensity of effort and building over time, your efforts will be monitored and progressed at a pace which is safe and specific to your rehabilitation.

  • Objective information is gathered at each treatment session to clearly demonstrate progress. In some cases, unexpected patterns emerge. These patterns are often transferrable to your workplace, and better management strategies can be implemented.

  • Evaluations are made solely on objective data. Experienced occupational therapists will use this information, combined with their own clinical assessments and your own personal experiences.

  • In addition to work simulations, the BTE primus can offer strength, power and endurance testing of muscle groups. We can use these scores to compare between an affected and unaffected side. In some cases, the data can be compared to more general averages in relation to age and gender.

  • Not all data is gathered to inform evaluations or work-related practices. The tracking of scores and clear demonstration of progress can improve your engagement, motivation, and trust in the rehabilitation process.

 

Patient resources

What to do during sickness absence - Information sheet

For some people, this might be their first period of sickness absence which extends beyond the self-certified period of 28 days. This information sheet provides guidance on fit notes, relevant employment benefits, and welfare services in Derby. 


Activity diary information sheet and template pages

Completing an activity diary can be a helpful way to gain control of symptoms. This information sheet provides guidance on how to get started, along with some template sheets to fill-in. It also includes some examples and tips on how to make the most out of the information you gather. If you are under the care of an Occupational Therapist, it might be helpful to share the results of your activity diary during one to one reviews.


Tracking work ability- Information sheet and template sheets

Understanding the demands of your job role will ensure that your rehabilitation is preparing you for work specific tasks. This information sheet provides a list of demands which are likely to be relevant to your own role. Use these as a starting point and use the template sheets to track progress over time. Your Occupational Therapist can support you throughout this process and help you to make sense of the information you gather.


Manager review crib sheet- information sheet

As you progress through your phased return, it is recommended that you keep in regular contact with your manager. Setting aside time to review how things are progressing can be a great way of keeping on track and ensuring that you remain as well as possible in, and out, of the workplace. It can help to consider the points in this crib sheet before you meet with your manager.