"Other Mental Health Problems including any drug or alcohol problems Are your symptoms well controlled? Do you need any special aids or adaptations to the workplace to assist you to work? Do you have a medical problem, a disability or recent injury that affects your ability to work? Anxiety/Stress or Depression Are your symptoms well controlled?"
"Consent for On Line Health Declaration Questionnaire The information you provide on this Health Declaration Questionnaire ("
"32. … He told her he had Tourette's Syndrome from childhood and said he coped well…."
"33. The Doctor's notes record that he told the claimant that he had been asked to provide an impartial report to his employer about his health and work and that the claimant consented to proceed. The notes show that the claimant told the Doctor that he had Tourette's Syndrome since childhood…."
"39. The respondents' department was part of the wider Group Finance function. was split into Front and Back Office, which were located together in London. The Front Office was primarily concerned with day-to-day raising and managing debt. The Back Office managed compliance aspects of work."
"44. When he started, the claimant was given a list of 86 tasks, which had been written by his predecessor. This may not have been exactly 86 tasks, but it has been referred to as such. It lists tasks which must either be done by the claimant or by [MM], for which the claimant would be responsible. During the first couple of days, [AA] discussed with the claimant what his initial priorities should be, i.e. spending time with [MM], familiarising himself with the Back Office and getting to know the activities. [AA] would then gradually hand over other aspects of the role."
"…. I explained, in a 1.5 hours and 1 hour appointment in great length these issues at the OH visits (in November). They have all the details. My understanding was that recommendations would come out of that. I have since been told that due to data protection nothing is passed to you (but a little note), but by filling in this form with full details has the same result, so I am not quite clear. ….."
"50 …. He finished 'All the above has meant that one of the disabilities mentioned in my OH form is starting to flare up. I have requested an OH appointment but the process hasn't yielded an appointment yet and I am unsure what to do'…."
"53. The claimant also told [AA] on some occasions that he was stressed from 'his disabilities' and struggling to concentrate. [AA] never asked him for any detail about what his conditions were."
"58. On20 January 2016 , [AA] referred the claimant to the OH Assist Bespoke Services Team stating '[The Claimant] requires more specific advice to be given with regard to support for his condition as discussed at previous referral ID.' Rather oddly, OH Assist replied that a workstation assessment was not a product which they could deliver. One week later, (on28 January 2016 ) [AA] replied to say a workplace assessment was not what was being requested. The requested assistance was specifically around stress management. OH Assist then replied saying they do not do stress management. … 60. The OH report was dated13 April 2016 , and sent to [AA] on11 May 2016 . It was based on an assessment which took place on29 March 2016 . 61. The report, written by Dr [P], stated that the claimant said he was experiencing stress relating to his work situation and receiving therapy to help him manage his stress. He felt he had had insufficient handover to his current role and insufficient training in the specifics of the role. The claimant said he worked best in a structured way and would like to have clear and measurable objectives from management. He wanted to discuss and agree with his manager how to prioritise his work. Dr [P] recommended that management discussed C's workload with him to ensure it was reasonable and that he should have regular contact with his manager to discuss his progress. 62. The OH Physician said he believed the claimant would be considered disabled. The condition was 'the psychological health issues which make it difficult for him to travel in peak travel time'. 63. Dr [P] noted that following the consultation, the claimant had subsequently requested the following to be added to the report, which Dr G recommended management to discuss with him: 63.1 No work is given to him at the last minute and advance notice is helpful where possible. 63.2 He cannot work for long stretches of time and needs constant breaks. 63.3 He needs extra time to deliver work, at least in the beginning, when stress and physical symptoms emerge. 63.4 He does not find it helpful to be pulled away at short notice from the work he is doing, particularly not being able to prepare or when he is unclear what the purpose is. 63.5 He is keen to work together with his line manager to set specific, clear targets that are measurable that will allow his development into the role. 64. On13 April 2016 , the claimant emailed OH Assist to ask them to clarify that 'the psychological issues do affect travel, but that is not the only thing that is affected'. The OH Doctor did not correctly make the amendment, so the claimant wrote again to the same effect on3 May 2016 . This correction was never made by the OH Doctor."
"66. …I have raised this before with you about training and handover. I have disabilities. I cannot simply pick things up without support. I have made this aware to Occupational Health before I joined and to you on multiple occasions. This is very stressful not to have the support. I need time, structure and resource to get this done properly."
"68. Half way through the conversation, the claimant said that he had felt unable to approach [AA] or [NN] 'due to his neurological disabilities'. He said he had felt like stabbing MP (a colleague in the Front Office team) with a pen and if he did that, it would not be his fault, but his condition. He also said he might jump in front of a train on the way home. [AA] did not feel that was a genuine threat and he managed to calm the claimant down. At that point he talked about putting a plan in place to avoid this issue arising again. 69. As a result of this discussion, [AA] thought he should notify his [BB], , and [FF], . [AA] and [FF] met the claimant the next day by way of a welfare meeting. [FF] had not previously met the claimant. 70. In his meeting on4 May 2016 , [AA] said that in the absence of any information from OH, he had no information other than what the claimant told him to manage his stress load……. He also said that handover notes, processes and training were insufficient for the amount of structure he requires in a role due to his condition. It was agreed that he would share his OH report with [AA]. [AA] said he would carry out an HSE Stress Management Risk Assessment. [FF] agreed to meet with the claimant and keep the lines open to assist in managing his welfare. … 72. This incident led to the claimant showing [AA] the OH report on5 May 2016 and OH sending [AA] a copy on11 May 2016 . 73. Either at his first meeting with [FF] or shortly afterwards, the claimant told him he has Asperger's. We think this most likely happened at the first meeting, given that the claimant had referred to his neurological difficulties there. Moreover, in an email dated29 June 2016 , the claimant notes 'You and I also spoke about the disabilities when we first met'. [FF] told the claimant about his step-son who had a range of disabilities, possibly including Asperger's. … 75. On18 May 2016 , [FF] invited the claimant for a catch up meeting. The claimant was anxious he might be at risk of having his employment terminated or terms and conditions changed. He said '[AA] has often spoken to me about disciplinary meetings, first, 2 nd , 3 rd strike, etc, so I am conscious about this, given that I have raised much more awareness of my disability now…there has been mention of a number of times about my salary levels, what is expected of me, I get paid more than others etc this makes [me] quite anxious about the intention.' [FF] reassured him that it was nothing of that kind."
"168. …. 'I have told OH of all the conditions and they are aware and said to refer back if further help needed. I want and tried to get as much information as possible to [The Respondents] for that purpose. Again this conveys the picture of someone who expected the information he gave to OH to filter through."
"On30 June 2016 , the claimant emailed [FF], 'Do we need another OH referral? I don't want to be in a position later in the year when I'm told by [Rs] we were unaware of the psychiatric issues and adjustments. I have told OH of all the conditions and they are aware and said to refer back if further help needed. I want and tried to get as much information as possible to [Rs] for that purpose."
"89…The claimant attached a copy of the respondent's own policy, 'Everyone Managing Disability in the Workplace: Asperger's.' He said 'I believe the description in the enclosed [Rs] Policy is helpful, the employer has known about the issues for nearly 8 months. Every time I speak to [BB] he is totally oblivious to how a disability would impact me at work as somehow seems to think I should be 100% operational regardless of disability, pc problems."
"…. In relation to management's question whether the advice to reduce the claimant's workload should continue beyond the original31 December 2016 , the Report said yes, and it could be revisited at the next OH Assessment."
"168…. Again this conveys the picture of someone who expected the information he gave to OH to filter through."
"…Mrs Hartmann had disclosed a recent nervous breakdown in a pre-screening health questionnaire for the Trust's OH department. The CA said this did not put the employer on notice that she was vulnerable because the questionnaire was specifically said to be personal and confidential and for use by the OH service only. It was therefore not right to attribute to the employer knowledge of confidential medical information disclosed by the employee to the OH department."
"…. In our view, in the circumstances of this case, where the role of OH Assist was to assess a candidate's suitability for work and to make recommendations to enable him to work, and in a situation where that candidate expected all necessary information to be passed on, the respondents are fixed with the knowledge of OH Assist. It was not like the Hartmann case, where the medical questionnaire was explicitly said to be confidential to OH. We therefore find that the respondents knew about the claimant's Tourette's from the outset."
"170. If we are wrong on that, the question is whether and when they should have known. We take that to be the time when they should have been put on enquiry to ask OH Assist or the claimant exactly what his underlying condition was. The brief OH Assist report lists as one of its three workplace recommendations 'Control work stress'. It adds, 'If you have any queries regarding the content of this report, I would be happy to discuss'. This should have been a red flag to [AA]. It ought to have alerted him to the possibility that there was a mental health problem and he should certainly have asked more questions. Had he done so, it is probable that he would have been told about the Tourette's. We add that the claimant was also sending emails to the recruitment team asking what had been passed on about his medical report and how it would impact on the team, and referring to the 'medical/disability aspects of the situation'. 171. We therefore believe that the respondents and [AA] knew, or should have known, from the very beginning that the claimant had Tourette's. We note that on20 January 2016 , the claimant asked [AA] to refer him to OH in order to manage stress. As [AA] recognised, that was an unusual request to come from an employee. It was only 6 weeks into the job and OH had in their initial report stated 'manage workload stress'. This is another point at which [AA] should, as a matter of urgency, have asked questions about the claimant's underlying condition. He could have explored further with the claimant or asked OH. Instead [AA] seems to have regarded it as a matter of the claimant needing more advice, rather than him as the claimant's manager finding out more about the claimant's concerns. [AA] wanted to offer reassurances, but he did not at this stage want to delve deeper. 172. The respondents' guide to reasonable adjustments 'Everyone Managing Disability in the Workplace' points out that there are many reasons why a disabled employee might not tell their line manager that they are disabled. Therefore 'managers need to be proactive'. It warns that some staff may only tell managers about their health issues once trust is built."
"175. Just before receiving this report, the incident occurred in early May 2016 when the claimant talked about stabbing a colleague, jumping under a train, having been signed off in the past as a suicide risk, wanting to avoid that happening again and having 'neurological difficulties'. The respondents accept that from5 May 2016 , they had knowledge that the claimant had a mental health condition that amounted to a disability, albeit they were not aware of the nature of the disability. If they were not yet aware, we find this is another point at which they could and should have asked considerably more questions."
"176. In January 2018, the claimant was formally diagnosed with Asperger's, although his own consultant had told him in April 2016 that he believed he was on the autistic spectrum and had Asperger's. On14 July 2016 , the claimant mentioned the words 'Tourette's Autism and Asperger's' to [CC] and on6 September 2016 , he sent her the respondents' guide to Asperger's. 177. The respondents accept they were aware or should have been aware that the claimant had Asperger's on6 September 2016 . 178. Two members of HR knew long before that date. [FF] knew on5 May 2016 , albeit he was told confidentially. [CC] was effectively told on14 July 2016 . The claimant did not want to be 'labelled' or it to be bandied around loosely, but he had told someone in authority who was helping him negotiate work difficulties. Further [CC] did not ask whether she could tell [AA] at that point or go back to OH."
"222. The OH report seen by [AA] on11 May 2016 says that the claimant felt he had insufficient handover and insufficient training in the specifics of his role. As stated above, the respondents could reasonably have found this out sooner and indeed from the outset had they made reasonable enquiries."
"235. This provision, criterion or practice did put the claimant at a substantial disadvantage compared with someone without his disability. The OH Report disclosed on11 May 2016 explains that the claimant needed a reasonable workload, guidance from his manager on how to prioritise, extra time to deliver work at least in the beginning and clear targets to be set together with his manager."
"243. Moving desk to the end of a row by a window rather than sitting in the middle of a team would have helped the claimant to carry out his duties and manage his volume of work. It may also have helped him feel calmer when faced with last minute interruptions."
"245. This move could easily have been effected if two individuals including one with a window seat, sitting in another department had been asked to move. …. It would for example be possible to say the claimant needed a quiet desk without giving full reasons why. There was bound to be some way of handling the matter, but instead it was allowed to drift for over 8 months. 246. We therefore find the failure to enable the claimant to move desks at any point until his sick leave starting22 May 2017 to be a failure to make reasonable adjustments."
"What the claimant needed from the outset until he learned the role was a reduced workload, the work broken down into chunks with clear and specific targets and a weekly plan of tasks, and not being given too many tasks at once. He needed a gradual build-up of his workload task by task until he had learned everything. For this period, he wanted hands on management, targets and feedback. As [AA] explained to the tribunal, the claimant needed to understand things from the bottom up, not from the top down."
"6. We have carefully considered the very high premium placed on the principle of open justice. However, this is one of those rare cases where we consider the balance to fall in favour of the orders we have made. We have taken account of the medical evidence including from a clinical psychologist which explains that the claimant is experiencing adjustment disorder on top of his other disabilities as a result of anxiety about the tribunal claim. He has expressed thoughts of not wanting to wake up, though no intent to harm himself at present. 7. We were told the claimant was also anxious about other people being in the room. He is self-conscious and embarrassed about the manifestations of his disabilities in the hearing. There is evidence that even in routine situations, 25% of the claimant's concentration is always taken up with managing the impulses and urges of the Tourette's. We are concerned that his added worries about a public hearing will interfere with his concentration and stress levels and affect his ability his ability to give evidence adequately. Indeed, we are told by his Counsel that he is wondering whether or not he would feel able to go ahead if such orders were not made."
"20 …. (c) the consent that Ms Farnsworth gave for medical information to be provided was that it could be provided was to the Borough (not simply to Dr Cooper) …."
"…it was not right to attribute to the Trust in their capacity as employers, knowledge of confidential medical information disclosed by Mrs Hartman to the OHD…. Lord Justice Scott Baker held: "35 There may be circumstances in which an occupational health department's duty of care to an employee requires the department to seek an employee's consent to the disclosure to the employer of information that the employer needs to know if proper steps are to be taken for the welfare of the employee. No such case was advanced in the case of Mrs Hartman. There was no basis upon which the judge could properly conclude that the Trust was fixed with knowledge of the confidential information disclosed by Mrs Hartman to the OHD."
"Your information will remain confidential to OH Assist and it will not be disclosed to anyone else without your prior consent."
"Some of the work to be reallocated was work which the claimant had not yet started to do, eg sole responsibility for period ends and twice yearly hedge accounting activity. Those tasks had been covered by other team members or by D."
"…. where a provision, criterion or practice of A's puts a disabled person at a substantial disadvantage in relation to a relevant matter in comparison with persons who are not disabled, to take such steps as it is reasonable to have to take to avoid the disadvantage."
"1. The principle of open justice is of paramount importance and derogations from it can only be justified when strictly necessary as measured to secure the proper administration of justice (para 22); 2. In that case Articles 6, 8 and 10 were engaged. Each of the rights had to be balanced against the other when reaching a decision (para 23). 3. The burden of establishing any derogation from the general principle lies on the person seeking it. It must be established by clear and cogent evidence…. (para 26)."
"…. It is likely to be a rare case where the Article 8 rights at stake are so strong that it is necessary to grant indefinite restrictions as the means of striking the balance between Article 8 rights on the one hand and the principle of open justice and rights of freedom of expression on the other."
"We have carefully considered the very high premium placed on the principle of open justice. However, this is one of those rare cases where we consider the balance to fall in favour of the orders we have made..."
"Subject to rules 50 and 94, a copy shall be entered in the Register of any judgment and of any written reasons for a judgment."
"…. Subject to any order made by the Court of Appeal or Court of Session and to any directions given by the Appeal Tribunal, an appeal from the Tribunal shall not suspend the enforcement of the order made by it."
"If the loss of the claimant's anonymity would involve a breach of his convention rights it would be the duty of this tribunal, pursuant to section 6 of the Act, to interpret its powers, so far as possible, so as to protect that anonymity."