"Thank you for coming in today, [Name]. Please, take a seat and make yourself comfortable. I want to start by saying that this is a supportive conversation, not a disciplinary meeting, and everything we discuss will be treated confidentially." 

"I've asked you here because our records show you've had [X] separate absences over the past [timeframe], which has reached our review trigger point. I want to understand what's been happening and see how we can support you."

Mental Health Conditions

Depression/Anxiety

• Flexible start/finish times to avoid rush hour stress
• Regular check-ins with line manager (weekly/fortnightly)
• Quiet workspace away from high-traffic areas
• Written instructions rather than verbal-only briefings
• Permission to take short breaks when overwhelmed
• Cost: £0-£200 | Implementation: 1-2 weeks

ADHD/Concentration Difficulties

• Noise-cancelling headphones or quiet workspace
• Task lists broken into smaller, manageable chunks
• Regular movement breaks (every 45-60 minutes)
• Digital reminders and calendar alerts
• Reduced open-plan distractions
• Cost: £50-£300 | Implementation: Immediate-1 week

Physical/Mobility Conditions

Back Pain/Musculoskeletal Issues

• Height-adjustable desk and ergonomic chair
• Laptop stand and external keyboard/mouse
• Regular posture breaks and movement reminders
• Parking space closer to building entrance
• Lifting restrictions and manual handling exemptions
• Cost: £200-£800 | Implementation: 1-2 weeks

Chronic Fatigue/Fibromyalgia

• Compressed working week (4 longer days vs. 5 shorter)
• Flexible hours to match energy levels
• Rest area for short breaks during the day
• Reduced travel requirements
• Phased return after flare-ups
• Cost: £0-£500 | Implementation: 2-4 weeks

Sensory Impairments

Visual Impairments

• Screen reading software and voice recognition
• Large monitor or screen magnification tools
• Adjustable lighting and anti-glare screens
• Clear pathways and obstacle-free workspace
• Audio versions of written materials
• Cost: £200-£2,000 | Implementation: 1-3 weeks

Hearing Impairments

• Video calls with automatic captions
• Visual alerts instead of audio notifications
• Loop systems for meetings
• Written meeting summaries and action points
• BSL interpreter for important meetings
• Cost: £100-£1,500 per meeting | Implementation: 1-4 weeks

Pregnancy-Related Conditions

Morning Sickness/Fatigue

• Later start times during first trimester
• Frequent food/drink breaks
• Well-ventilated workspace away from food smells
• Flexible lunch arrangements
• Permission to attend appointments without leave deduction
• Cost: £0-£100 | Implementation: Immediate

Physical Discomfort (Later Pregnancy)

• Supportive seating with lumbar cushions
• Frequent position changes and movement breaks
• Workstation at comfortable height
• Reduced standing/walking requirements
• Closer parking or transport arrangements
• Cost: £50-£300 | Implementation: 1 week

Chronic Health Conditions

Diabetes

• Regular meal breaks at consistent times
• Private area for blood sugar monitoring/medication
• Flexible schedule around medical appointments
• Access to refrigeration for medication storage
• Understanding around emergency medical needs
• Cost: £0-£200 | Implementation: Immediate

Epilepsy

• Reduced exposure to flashing lights/screens
• Buddy system for safety during tasks
• Flexible hours to manage medication timing
• Clear protocols for seizure response
• Stress reduction measures
• Cost: £0-£500 | Implementation: 1-2 weeks

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