Ill Health Retirement Guidelines for Occupational Physicians

Poole, Charles; Baron, C. E.; Gunnyeon, William J; O’Hanlon, Michael; Raoof, Awring M.; Robson, Steve; Turner, Paul

doi:10.1093/occmed/46.6.402

Cited by 8 publications

(3 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Possible factors are pressure from management or unions for employees who leave to opt for ill health retirement and inconsistent judgments by doctors. The latter could be dealt with by doctors working to guidelines3 in which they had had some training. The decision to award ill health retirement is best not left to one doctor (whether the applicant's general practitioner or the organisation's occupational physician), who could be placed in a position of conflict of interest, but to a second doctor who is external to the organisation, trained in occupational health, and working to guidelines.…”

Section: Discussionmentioning

confidence: 99%

“…Doctors are often asked to advise on whether an applicant fulfils the criteria for ill health retirement benefits, but little is published to assist with these judgments 2 3. There is anecdotal evidence from employees and employers that decisions about ill health retirement may not always be fair, and there is evidence of poor correlation between doctors when they assess case scenarios for retirement benefits 4…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Retirement on grounds of ill health: cross sectional survey in six organisations in united kingdom

Poole¹

1997

BMJ

View full text Add to dashboard Cite

Objective: To assess correlation between type of breast cyst and risk of breast cancer in women with gross cystic disease of the breast. Design: Cohort study of women with breast cysts aspirated between 1983 and 1993 who were followed up until December 1994 for occurrence of breast cancer. Setting: Major cancer prevention centre. Subjects: 802 women with aspirated breast cysts. Main outcome measures: Type of breast cyst based on cationic content of cyst fluid: type I (potassium:sodium ratio > 1.5), type II (potassium:sodium ratio < 1.5), or mixed (both types). Subsequent occurrence and type of breast cancer. Results: After median follow up of six years (range 2-12 years) 15 cases of invasive breast cancer and two ductal carcinomas in situ were diagnosed in the cohort: 12 invasive cancers (and two carcinomas in situ) among the 417 women with type I cysts, two cancers among the 325 women with type II cysts, and one among the 60 women with mixed cysts. The incidence of breast cancer in women with type I cysts was significantly higher than that in women with type II cysts (relative risk 4.62 (95% confidence interval 1.26 to 29.7)). These results were confirmed after adjustment for several risk factors for breast cancer (relative risk 4.24 (1.12 to 27.5)). Conclusions:The increased risk of breast cancer of women with breast cysts seems to be concentrated among women with type I breast cysts.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Retirement on grounds of ill health: cross sectional survey in six organisations in united kingdom

Poole¹

1997

BMJ

View full text Add to dashboard Cite

show abstract

“…In the NHS, this increase was most marked in the early 1990s (Table I), and the recent fall is almost certainly due to the entry of part-time workers into the scheme. In those organizations where premature retirement (usually for those over age 50 yr) or voluntary redundancy are also available to employees, this rate too has been seen to increase, in association with a corresponding fall in the rate of normal age (65) retirement [1]. The pressures of contemporary management styles are partially responsible for these trends, but occupational pension and State benefits offer incentives too.…”

Section: Trends In Ill Health Retirementmentioning

confidence: 99%

Guidance on ill health retirement

Poole¹

1997

Rheumatology

View full text Add to dashboard Cite

Doctors are increasingly being asked by their patients to provide a report in support of an application for them to retire from work on the grounds of ill health. There is evidence that some applications may be motivated more by financial incentives than by ill health. Doctors should be wary of a conflict of interest, know the pension company's criteria for ill health retirement and provide objective medical evidence. The decision as to whether the patient fulfils the criteria is best left to another doctor who is acting as an advisor to the pension company.

show abstract

Systematic Review of the Current Literature Related to Disability and Chronic Fatigue Syndrome: Evidence Report/Technology Assessment, Number 66

Ross¹,

Levine²,

Ganz³

et al. 2002

PsycEXTRA Dataset

View full text Add to dashboard Cite

This report may be used, in whole or in part, as the basis for development of clinical practice guidelines and other quality enhancement tools, or a basis for reimbursement and coverage policies. AHRQ or U.S. Department of Health and Human Services endorsement of such derivative products may not be stated or implied. AHRQ is the lead Federal agency charged with supporting research designed to improve the quality of health care, reduce its cost, address patient safety and medical errors, and broaden access to essential services. AHRQ sponsors and conducts research that provides evidence-based information on health care outcomes; quality; and cost, use, and access. The information helps health care decisionmakers-patients and clinicians, health system leaders, and policymakers-make more informed decisions and improve the quality of health care services. This document is in the public domain and may be used and reprinted without permission except those copyrighted materials noted for which further reproduction is prohibited without the specific permission of copyright holders.

show abstract

Ill Health Retirement Guidelines for Occupational Physicians

Cited by 8 publications

References 16 publications

Retirement on grounds of ill health: cross sectional survey in six organisations in united kingdom

Retirement on grounds of ill health: cross sectional survey in six organisations in united kingdom

Guidance on ill health retirement

Systematic Review of the Current Literature Related to Disability and Chronic Fatigue Syndrome: Evidence Report/Technology Assessment, Number 66

Contact Info

Product

Resources

About