I am lucky enough to have a really forward thinking line manager. Happy to let me work flexibly based on my output. It works really successfully from all points of view. Since an injury and subsequent operation I've been in a lot of pain, exacerbated by desk work (shoulder and back pain) so have been working between home and office for almost a year, still full time and with no sick leave required.
My diagnosis is that this is unlikely to improve. Do I have a strong claim to ask for this work pattern to be formalised, I do worry what will happen in the future if anything changes.