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Why is it so hard to get rid of NHS staff who take the pi** with sickness

173 replies

Danijane · 21/07/2025 10:10

Just wondering why NHS trusts don't seem to get very firm on staff who take the piss with sickness leave?
I work on a busy admin team where staff often say "ill just go off sick if X happens..". Like going off sick (often longterm) is the solution to any problem at work.
Theres 1 girl on the team (single mum with no local family in UK) who goes off sick for several weeks every school holiday period. She's just done it again as her daughter finishes school this week. So that will be likely a couple of months off with "stress".
Another woman on the team who lives with her single mum daughter and 2 young grandkids also "gets sick" every school holiday and festive period, also for several weeks at a time. Her daughter works high power job including lots of travel.
Our manager recently said how nice it would be get time off over Xmas for a change and I asked why not book it then. She replied that she can't because the other senior on our team will be off sick... She always is off sick at Xmas but manager is frustrated as said can't do anything about it, even though it's a clear pattern.
How can this be the case? I mean why can't management do anything about persistent piss takers?
Is this an issue right across the NHS?

OP posts:
AnneElliott · 21/07/2025 12:08

It’s a public sector thing (although some areas clamp down on it - I’m not NHs). The day I started my public sector job the union bloke doing a speech said that ‘we all get 2 weeks sick allowance per year - so use it or lose it’. Completely inaccurate as that was then the trigger point for disciplinary action! But no wonder so many take the kick when it’s advertised like that.

Talith · 21/07/2025 12:12

Having worked in both it's definitely something that public sector is more susceptible for, people taking the absolute piss etc. And there are usually four people doing the exact same job so their absence isn't actually missed. Private sector you need to explain yourself or just get laid off if in probationary or otherwise you will get statutory and probably laid off anyway.

Crushed23 · 21/07/2025 12:15

vodkaredbullgirl · 21/07/2025 10:25

It was just a quick question. It's not just the NHS it happens.

Maybe not. But I’ve always worked in the private sector and not once have I ever come across someone who goes off sick for weeks at a time over the summer holidays or over Christmas. The only extended time people have off is parental leave / maternity leave which is pre-agreed if not contractual.

BlackCatGreyWhiskers · 21/07/2025 12:18

Same in Local Authority OP, pay is the same 6 months full and 6 months half, I imagine if it was just ten days paid they’d only take ten days off!

ItTook9Years · 21/07/2025 12:23

WitchesofPainswick · 21/07/2025 11:21

I've managed teams in the NHS and I think it's impossible, because actually organisations are not interested in removing people who are performing poorly. I think there's an element of "scheme for full employment" about it. People are wracked with a feeling they have to support people's mental health, and we're all a big team, etc. etc.

One particular person took a YEAR off after her mother died. It had a massive impact on the team but when I suggested she was managed out I was shot down. (People come back after six months, work for two weeks, then go off sick again - it 'reset' the sickness clock.)

No it doesn’t.

ItTook9Years · 21/07/2025 12:27

EyeLevelStick · 21/07/2025 12:01

Newsflash: most managers in the NHS are clinical or technical with service responsibilities on top of their line management role. Many of them have neither the time nor the skill to successfully run a full disciplinary investigation with view to dismissal.

The NHS has failed to invest in back-room staff and back-room skills, and evidently has employed HR professionals with little understanding of this situation. In the private sector, HR does indeed take on a significant role in disciplinary proceedings, which makes a massive difference.

Sickness absence management isn’t a disciplinary process.

Maybe the difference was that we had matrix management in place so that the Very Important Clinicians had other managers to support in leading these things.

Having worked across all sectors, I maintain my position that HR support. It can be significant but they absolutely aren’t the decision makers.

ItTook9Years · 21/07/2025 12:28

Isitreallysohard · 21/07/2025 11:24

Yes but you're there to facilitate the process as well as provide advice and guidance.

“Facilitate”, not “run”.

ItTook9Years · 21/07/2025 12:29

GG1986 · 21/07/2025 11:29

Happens where I work too within the NHS. It's really frustrating, but unfortunately how to HR prove that the employee is lying? They can't, if the employee has a Dr's note then they have to just believe it.

That’s why Occupational Health exists.

nearlylovemyusername · 21/07/2025 12:34

Crushed23 · 21/07/2025 12:15

Maybe not. But I’ve always worked in the private sector and not once have I ever come across someone who goes off sick for weeks at a time over the summer holidays or over Christmas. The only extended time people have off is parental leave / maternity leave which is pre-agreed if not contractual.

Exactly. These people would be out of the door pronto.

Just proves that our public services aren't underfunded as such just very poorly managed.

Middlechild3 · 21/07/2025 12:39

Oasisafan · 21/07/2025 10:47

It seems to be a public sector problem. My DH works in the public sector- local government and he says the only way they can get rid of you here is if you die or leave. Basically it’s almost impossible to sack someone - which I find odd because isn’t there something in place legally where a company can ‘let you go’ without reason for up to two years?

There’s a woman in my DH office who takes the piss, not so much for being off but isn’t fit for the job yet she gets the same pay as others who have to correct her mistakes etc….We’re not talking minimum wage, she’s on upwards of £53k! Totally waste of company money. Higher management know about but apparently their hands are tied, though they are making an evidence file to try to get shot of her. They’ve only been there a year so I can’t understand why they can’t just say “You’re not meeting the standard” and sack them.

Point being, it’s hard to get rid of someone who isn’t up to the job basically and the impact on everyone else should be considered

Edited

I don't think it's that hard, it's often weak management who don't want to be seen as the bad guy

strawberrysea · 21/07/2025 12:40

This reply has been deleted

This message has been withdrawn at the poster's request

Why are child free members of the workplace always expected to pick up the slack when parents call in sick?

Darragon · 21/07/2025 12:41

From some of the responses on this thread, it seems like 90% of the problem is everyone's kicking the can to someone else! So far we've been told authoritatively that HR should sort it, management should sort it, and occupational health should sort it! And everyone's convinced they're right. And literally not one person on here who says they work for the NHS is concerned about the impact on service users or aware that their buck-passing is contributing to the utter shambles. Says it all really.

Darragon · 21/07/2025 12:43

strawberrysea · 21/07/2025 12:40

Why are child free members of the workplace always expected to pick up the slack when parents call in sick?

That's quite an interpretation. You have no idea if @vodkaredbullgirl was implying anything like what you've said, she just asked a question. If the OP had actually answered it we might have found out where she was going with it, but as-is, you have no idea, you're just jumping to conclusions.

daffodilandtulip · 21/07/2025 12:44

It's impossible to sack anyone in the nhs. Unless they whistleblow.

wizzywig · 21/07/2025 12:49

Am public sector and currently off work ill with stress and burnout. First time I've been off and damn right I'm taking the maximum I can. Management have knowingly run me into the ground. Going off sick is the only time they have taken notice of what's happened.

Bringmeahigherlove · 21/07/2025 12:50

SprayWhiteDung · 21/07/2025 11:52

The problem is that nobody calls in "not genuinely sick".

Yes, sometimes it's obvious that somebody is lying; but there's a huge spectrum in the middle where you can't be certain. You never know somebody's full personal circumstances.

It can be a bit like a workplace equivalent of the 'Blue Badge Police' who will tackle people who use them who "don't look disabled to me".

It also doesn't help that procedures to clamp down always seem to adversely affect honest people, whilst the serial advantage-takers get away with it.

Like in supermarkets, where the robo-till will scream at you and accuse you of all kinds of imaginary infringements, whilst the people who go in with a massive rucksack and openly fill it with goods and brazenly walk out without paying are left unchallenged to get on with it.

It's so sad when a compassionate employer offers very generous sick-leave entitlement, so that those who genuinely need it don't end up suffering and falling into financial difficulties; but then half the people there see it and start to think they would be mugs if they didn't take advantage.

I understand it’s very difficult to come up with a fair system so the genuine people are covered. Lots of people do ring in who are not genuinely sick. We have one who has well known weekends away so her “sickness” usually falls on a Monday or a Friday. If her pay was stopped after a few of these incidents I am sure she would find a way to drag herself in.

TizerorFizz · 21/07/2025 12:56

@Darragon Yes. It’s patients that suffer. It’s an utter shambles and each case should be reviewed with persistent absences. The NHs is a soft touch. No wonder respect for it has plummeted.

SprayWhiteDung · 21/07/2025 12:57

Bringmeahigherlove · 21/07/2025 12:50

I understand it’s very difficult to come up with a fair system so the genuine people are covered. Lots of people do ring in who are not genuinely sick. We have one who has well known weekends away so her “sickness” usually falls on a Monday or a Friday. If her pay was stopped after a few of these incidents I am sure she would find a way to drag herself in.

Yes, there are a lot of people who make it extremely obvious, with no doubt whatsoever.

Except, I suppose, if they end up like the boy who cried wolf and do genuinely get sick on a Monday or Friday - and then nobody believes them!

defrazzled · 21/07/2025 12:57

Its been this way for years. I was shocked when I was on holiday 20 years ago with a friend who worked in the NHS and she called in each morning to say she was ill. Didn't hide taht she was abroad and when I asked she got angry and said she might be ill and she wasn't often ill and they all did it. Ok then.

Bringmeahigherlove · 21/07/2025 12:59

SprayWhiteDung · 21/07/2025 12:57

Yes, there are a lot of people who make it extremely obvious, with no doubt whatsoever.

Except, I suppose, if they end up like the boy who cried wolf and do genuinely get sick on a Monday or Friday - and then nobody believes them!

Very true!

vodkaredbullgirl · 21/07/2025 13:00

Darragon · 21/07/2025 12:43

That's quite an interpretation. You have no idea if @vodkaredbullgirl was implying anything like what you've said, she just asked a question. If the OP had actually answered it we might have found out where she was going with it, but as-is, you have no idea, you're just jumping to conclusions.

Edited

Thanks.

For others who shot me down, I've worked in the NHS, thank god I don't work for them anymore. My kids are adults now, hardly took anytime off the when they were younger.

SprayWhiteDung · 21/07/2025 13:00

defrazzled · 21/07/2025 12:57

Its been this way for years. I was shocked when I was on holiday 20 years ago with a friend who worked in the NHS and she called in each morning to say she was ill. Didn't hide taht she was abroad and when I asked she got angry and said she might be ill and she wasn't often ill and they all did it. Ok then.

I've heard of people who have phoned in 'sick' actually from the airport, only for a very loud flight departure announcement to be heard clearly in the background whilst they're still on the phone to their boss!

Strawberrri · 21/07/2025 13:01

How much does this contribute to poor healthcare -look at the state of maternity care, one big factor was staffing

Supersimkin7 · 21/07/2025 13:04

NHS pays staff whether they turn up
or not.

Next question.

ConstitutionHill · 21/07/2025 13:05

WitchesofPainswick · 21/07/2025 11:21

I've managed teams in the NHS and I think it's impossible, because actually organisations are not interested in removing people who are performing poorly. I think there's an element of "scheme for full employment" about it. People are wracked with a feeling they have to support people's mental health, and we're all a big team, etc. etc.

One particular person took a YEAR off after her mother died. It had a massive impact on the team but when I suggested she was managed out I was shot down. (People come back after six months, work for two weeks, then go off sick again - it 'reset' the sickness clock.)

OMG!