Dear Anon946
Firstly, I am very sorry to hear that you have been having such a difficult time. I am pleased to hear that you have sought help from your GP and perinatal mental health team and would encourage you to continue to seek support.
Your legal position at this stage depends on whether your condition is recognised medically (and legally) as related to your pregnancy or childbirth or is separate from this. I note that you have described being signed off with postpartum anxiety. It is not clear to me if the OH report also recognises the link.
If your condition is recognised medically as linked to your pregnancy:
If you can show that your present health condition is pregnancy-related you may be able to argue that any move towards dismissing you is pregnancy/maternity discrimination. However, there is a protected period which ends when your maternity leave ends or applies to decisions taken during your maternity leave. It can be difficult to show that unfavourable treatment is because of pregnancy or maternity when it relates to events after maternity leave, but it does depend on the circumstances, whether you are considered to have a pregnancy-related illness and how long ago your maternity leave ended.
You may also be able to argue that any dismissal would be automatically unfair because it is on the basis of a pregnancy related illness, childbirth or maternity. This is a day one right and you do not need two years' service for protection against automatic unfair dismissal.
If your condition is not recognised as linked to your pregnancy:
Even if your condition is not medically recognised as being linked to your pregnancy, your employer must still act fairly and must follow the procedures and time frames in their sickness absence policy. Your employer can dismiss you if you are off sick for a long period and are unable to do your job, but they must approach the situation fairly. If you do not have a copy of your employer’s sickness absence policy, you should ask HR or your manager to send it to you.
On your facts, it does seem surprising that in just two months there has been discussion of a “final review meeting”, especially if there is potentially the prospect of you returning to work in July when your fit note ends. Your employer should ensure that they have explored your return before making a decision to dismiss you. If your employer dismisses you without following a fair process, as set out in their sickness policy, and if there is a prospect of returning with support in place, you may have a claim for unfair dismissal (if you have at least two years' service with your employer).
In view of the difficulties with a pregnancy-related discrimination claim, it is worth considering if you are aware of any cases where a male colleague on long term sick leave has been treated differently to you (i.e. given more time and support to return). If that is the case, you may be able to argue that dismissing you would be direct sex discrimination.
As your employer's sickness policy applies to all employees, dismissal for a condition that only affects women after childbirth may be indirect sex discrimination unless your employer can show that it is proportionate and justifiable. An employer may be able to justify a dismissal after long term sickness absence, however, it depends on the circumstances of each case and it is important for you to discuss with your employer any adjustments or changes to your hours that might help you to return to work.
As the OH report has assessed you to have signs of severe depression and anxiety, this may amount to a disability (a long term health condition which has a substantial impact on your day to day activities). If this is the case, you have the right to ask for reasonable adjustments to assist your return. A failure to make reasonable adjustments or to dismiss you because of a disability may be disability discrimination.
Next steps
If you have not already done so, I would suggest making clear to your employer that you consider that your current sickness absence is related to pregnancy or childbirth (and provide any evidence from your healthcare professionals that you are able to) and that you would not expect to be treated unfavourably in connection with that.
Subject to your current state of health, it may also be beneficial to consider how you see your route back to work. If you are able to have a meaningful discussion about a point in time when you can feasibly return (maybe on a phased basis) it may help to shift the discussion from dismissal to a future return. Your GP can provide a Fit Note that says you may be fit to return to work if certain adjustments are made. It may be helpful to talk through with your GP what that looks like as your GP can request specific adjustments on the Fit Note.
I hope that the above is a helpful starting point. The law in this area is complex, so it would be worth seeking further advice if you are dismissed so that you can discuss your situation in more detail. If you are dismissed, you can appeal the dismissal. If you wish to make a claim, there is more information on how to take it forward and time limits here: https://maternityaction.org.uk/where-to-go-for-more-help-legal-clinic/
Maternity Action has more information which may also be helpful for you as well as links to charities offering free help and advice on postnatal depression : Postnatal depression and depression during pregnancy – your maternity rights and benefits - Maternity Action.