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Being sent to Corporate doctor

  • 07-09-2016 12:09pm
    #1
    Registered Users, Registered Users 2 Posts: 37


    I have worked in a very stressful environment for a few years. My GP has now said it is time to go on work related stress leave as I am very unwell. I have been signed out on certs initially for one month. The cert states absence is due to work related stress. I am 7 days into this leave and now my employer is saying I have to make an appointment and see their corporate doctor. I have replied to their email and said I would find this extremely stressful at the moment but if they insist I have to do this I will. I have asked them can their corporate doctor not talk to my GP. I am genuinely very unwell and I find this very hard to deal with. Has anyone else been down this road or have any advice for me. Thank you


«1

Comments

  • Closed Accounts Posts: 6,926 ✭✭✭davo10


    Firstly, yes they can require to visit a GP nominated by them, this should be laid out in your contract of employment. A week after the leave has begun is a short period, but a cert for one month is a very long period, some employers will require updated certs on a weekly/fortnightly basis. This again will be laid out in your contract.

    Given the long period your GP (mistakenly) signed you off, your employer will now most likely be assessing if you are likely to be able to return to work and some estimate of timescale. You should note, long term absence due to illness, even if you blame work for it, can in certain circumstances result in dismissal.

    Your GP would have been better giving you a cert for 1-2 weeks which you could then resubmit after that time, this would have kept your employer off your back.


  • Registered Users, Registered Users 2 Posts: 2,457 ✭✭✭livedadream


    Tdoyle wrote: »
    I have worked in a very stressful environment for a few years. My GP has now said it is time to go on work related stress leave as I am very unwell. I have been signed out on certs initially for one month. The cert states absence is due to work related stress. I am 7 days into this leave and now my employer is saying I have to make an appointment and see their corporate doctor. I have replied to their email and said I would find this extremely stressful at the moment but if they insist I have to do this I will. I have asked them can their corporate doctor not talk to my GP. I am genuinely very unwell and I find this very hard to deal with. Has anyone else been down this road or have any advice for me. Thank you

    firstly its totally normal to be sent to a company doctor especially for something like stress.

    its not necessarily that they dont believe you or want to catch you out, they just want their own check on things so they have a record saying they did the best they could to help you. they do not get a report saying you are stressed because of this or that, they get a fit for work cert or unfit for work cert.

    the Doctor might recommend you take longer off, that you need to work flexitime, or a shortened week, your GP can recommend these things but in general company doctors are given knowledge of the role you do so can advise the company better.

    The doctor you are sent to may ask your permission to speak to your GP but again they cant give information like medication or treatment to your Hr team unless it would impact your health and safety at work.

    I would encourage you to go to the company doctor. Explain to them that you are stressed at the thought of it but an appointment at the time that suits you might be beneficial, you should also keep in mind that your company might offer assistance with dealing with any issues.

    I agree with Davo that its strange for a cert for a month for a first occurrence for something like stress. but im not a doctor so dont know, i can only say from a HR perspective that if i got a months cert for work related stress id be sending you off to the company doc or occupational health aswell.

    (i have crohns and while i rarely miss work when i was first diagnosed i had to get certs bi weekly, but i didnt get a month straight off)


  • Registered Users, Registered Users 2 Posts: 37 Tdoyle


    Thank you both for your replies. I have taken on board what you both say. When you are unwell it can sometimes be difficult to see things clearly.


  • Registered Users, Registered Users 2 Posts: 6,231 ✭✭✭marklazarcovic


    If your doc thinks you have had a nervous breakdown a month off straight away is not unusual,. Company doctor's can be very aggressive in my experience,and a severe lack of empathy unlike your own doctor. Tread carefully.. you don't know them but they will want answers to personal questions,might find it uncomfortable.

    At the end of the day if your sick your sick,its not something you want yourself so don't blame yourself,dont be made feel guilty,concentrate on yourself first and foremost.


    Also, best of luck.


  • Registered Users, Registered Users 2 Posts: 455 ✭✭Jen44


    yes this is a very normal process. They are usually an external occupational doctor who just have to give an unbiased opinion to your employers. My mother had to attend one when she was out on leave with depression. The doctor was very nice and explained her role was simply to clarify that she was indeed out on sick leave and to give an idea of when or how long she expected my mother to be off for.


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  • Registered Users, Registered Users 2 Posts: 7,219 ✭✭✭bobbysands81


    Tdoyle wrote: »
    I have worked in a very stressful environment for a few years. My GP has now said it is time to go on work related stress leave as I am very unwell. I have been signed out on certs initially for one month. The cert states absence is due to work related stress. I am 7 days into this leave and now my employer is saying I have to make an appointment and see their corporate doctor. I have replied to their email and said I would find this extremely stressful at the moment but if they insist I have to do this I will. I have asked them can their corporate doctor not talk to my GP. I am genuinely very unwell and I find this very hard to deal with. Has anyone else been down this road or have any advice for me. Thank you

    It is actually good for you that your work is insisting you attend this Doctor.

    Your employer is actually fulfilling their health and well-being responsibility by doing so. IMO they are acting in your interests by ensuring you get medical assistance after you've informed them of work related stress.

    Have a good chat to the Doctor as to how you're feeling and hopefully some recommendations to help you will come from this.

    Remember, it's only a job, your health is much more important.


  • Closed Accounts Posts: 6,926 ✭✭✭davo10


    If your doc thinks you have had a nervous breakdown a month off straight away is not unusual,. Company doctor's can be very aggressive in my experience,and a severe lack of empathy unlike your own doctor. Tread carefully.. you don't know them but they will want answers to personal questions,might find it uncomfortable.

    At the end of the day if your sick your sick,its not something you want yourself so don't blame yourself,dont be made feel guilty,concentrate on yourself first and foremost.


    Also, best of luck.

    I have never known a GP to be "aggressive" toward an employee sent for an independent assessment. The Doctor must still abide by the code of ethics, their remit is not to trick the employee nor to disprove the extent of the illness. The independent GP will not have access to the employees medical notes nor test results. The appointment is just to confirm that the employee has a bone fide reason for being out on sick leave and as another poster has said, to get some idea of recovery time. The op need not fear anything about this visit, it typically takes the form of a conversation about the current state of health and whether there is signs of improvement.


  • Registered Users, Registered Users 2 Posts: 37 Tdoyle


    Thank you. You are so right.


  • Registered Users, Registered Users 2 Posts: 6,231 ✭✭✭marklazarcovic


    davo10 wrote: »
    I have never known a GP to be "aggressive" toward an employee sent for an independent assessment. The Doctor must still abide by the code of ethics, their remit is not to trick the employee nor to disprove the extent of the illness. The independent GP will not have access to the employees medical notes nor test results. The appointment is just to confirm that the employee has a bone fide reason for being out on sick leave and as another poster has said, to get some idea of recovery time. The op need not fear anything about this visit, it typically takes the form of a conversation about the current state of health and whether there is signs of improvement.


    Just because you haven't heard of it does not make it true,also it was not a gp..it was the cmo of the company,a large company, I also know about how things should be handled,and I've stated this was not the case. People have different experiences you know..

    It was dangerous practice to push someone who was off on sick leave for stress related issues,it was stupid. And was ,in hindsight ,a push to see was the illness fabricated in a effort to force a return to work. Appalling by the doctor,and yes a official complaint was made.

    Large companies who employ doctors for their own staff only are only doing what's legally required ,nothing more, in my experience.. the bottom line is not the staff members well being..

    Believe it or not.



    Edit.just to add, not all companies or doctors will be like my experience,probably the opposite. I'm not trying to scare the op at all,i went in thinking my well being was the priority,happy to be there to see the doctor. I didn't leave that way.


  • Registered Users, Registered Users 2 Posts: 2,457 ✭✭✭livedadream


    theres a huge difference between CMO, company occupational health and external company doctors or consultants.

    i understand your experience was terrible and im not talking away from that. but there's no need to put the fear of god into someone like the OP who is already suffering from stress.

    the bottom line is protecting themselves from harming a staff member and therefore making themselves liable for a claim.

    the company doctor cants turn around and say OP doesnt have work related stress because her GP has signed her off, they are there to confirm and see what can be done to assist or resolve it.

    scaremongering doesnt help anyone.


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  • Registered Users, Registered Users 2 Posts: 68,190 ✭✭✭✭seamus


    It's important to remember no matter what doctor you attend, whether that be your own GP or your company's nominated doctor, you are at all times protected by doctor-patient confidentiality.

    The company's doctor cannot give any information to the company without your express permission, so don't be afraid to be frank and honest with this doctor.

    As others say, their role is to confirm the diagnosis by your own GP, not to try and trip you up and definitely not to reveal any of your personal or medical information to your employer.


  • Registered Users, Registered Users 2 Posts: 166,012 ✭✭✭✭LegacyUser


    It's understandable that you feel anxious about this, given that you are suffering from stress.
    I was asked to attend some years ago, similar situation. It's normal practice where I work, obviously I didn't really know much about it until I actually had to do it.

    It was absolutely fine. The external doctor confirmed my own doctor's diagnosis. I was asked what had led up to me becoming ill. I also said straight out at the start that I felt nervous / shaky. I was completely honest about what had happened and how it affected me.

    The company I work for uses an external corporate health company, and so the doctors are well used to handling cases. I went in open minded, albeit nervous, but very much thinking along the lines that their, and my company's ultimate aim was to help me, and get the best outcome for me and them. It took time but I am now long back at work, in full health.

    Sorry, I'm going on a bit. What I'm saying is, it's natural to feel stressed about it, but say that to the doctor who will absolutely expect that you are nervous or stressed. Write down a few things beforehand, if that would help.
    Try to think of attending as being something that will help you in the long term. It's not in any way to 'catch you out'.


  • Registered Users, Registered Users 2 Posts: 6,743 ✭✭✭Wanderer2010


    The company doctor meeting is not really any different from meeting up with your manager or HR and yes, some of them can be very nasty and try and get you to say things you don't feel comfortable with. Are you not entitled to a witness to have with you the same way a union rep can be with you for a disciplinary?


  • Registered Users, Registered Users 2 Posts: 68,190 ✭✭✭✭seamus


    The company doctor meeting is not really any different from meeting up with your manager or HR and yes, some of them can be very nasty and try and get you to say things you don't feel comfortable with. Are you not entitled to a witness to have with you the same way a union rep can be with you for a disciplinary?
    It's completely different. The company doctor cannot report back to the company anything which you do not give them permission to report, and their only authority is to carry out a medical exam.

    Any aggressive or confrontational behaviour on their behalf can be reported directly to the Irish Medical Council.

    A witness is unnecessary, but if you wish to have someone attend with you, nobody can stop you.


  • Registered Users, Registered Users 2 Posts: 2,457 ✭✭✭livedadream


    The company doctor meeting is not really any different from meeting up with your manager or HR and yes, some of them can be very nasty and try and get you to say things you don't feel comfortable with. Are you not entitled to a witness to have with you the same way a union rep can be with you for a disciplinary?

    its 100% different.
    one is a medical professional the other is a layperson.

    what a ridiculous comment.

    ones job is to manage you as an employee the others is to assist you with a medical issue.


  • Moderators, Business & Finance Moderators, Science, Health & Environment Moderators, Society & Culture Moderators Posts: 51,690 Mod ✭✭✭✭Stheno


    The company doctor meeting is not really any different from meeting up with your manager or HR and yes, some of them can be very nasty and try and get you to say things you don't feel comfortable with. Are you not entitled to a witness to have with you the same way a union rep can be with you for a disciplinary?

    That's incorrect, it's completely different. Many years ago I ended up at a company doctor due to stress related sick leave, and the company doctor's report actually resulted in the company taking action to deal with the source of my stress (another employee)

    Had I not gone, I'd not have had that action taken.


  • Registered Users, Registered Users 2 Posts: 2,457 ✭✭✭livedadream


    Stheno wrote: »
    That's incorrect, it's completely different. Many years ago I ended up at a company doctor due to stress related sick leave, and the company doctor's report actually resulted in the company taking action to deal with the source of my stress (another employee)

    Had I not gone, I'd not have had that action taken.

    the voice of reason....


  • Registered Users, Registered Users 2 Posts: 3,969 ✭✭✭Odelay


    seamus wrote: »
    It's important to remember no matter what doctor you attend, whether that be your own GP or your company's nominated doctor, you are at all times protected by doctor-patient confidentiality.

    The company's doctor cannot give any information to the company without your express permission, so don't be afraid to be frank and honest with this doctor.

    As others say, their role is to confirm the diagnosis by your own GP, not to try and trip you up and definitely not to reveal any of your personal or medical information to your employer.

    The company doctor will give information back to the company, all of it. Their services are paid for by the company. This is totally different to a person engaging their own doctor.
    Imagine if you sent an employee to a company doctor with a sore back, "well doc, what so you think? How is his movement? Do you think it could have been caused by lifting a chair as he reports?" Docs reply " can't tell you anything, he did not give me permission". "Well is he actually injured?". Doc "can't tell you that either"
    It does not work like that, the doctors do report back.


  • Closed Accounts Posts: 6,926 ✭✭✭davo10


    Odelay wrote: »
    The company doctor will give information back to the company, all of it. Their services are paid for by the company. This is totally different to a person engaging their own doctor.
    Imagine if you sent an employee to a company doctor with a sore back, "well doc, what so you think? How is his movement? Do you think it could have been caused by lifting a chair as he reports?" Docs reply " can't tell you anything, he did not give me permission". "Well is he actually injured?". Doc "can't tell you that either"
    It does not work like that, the doctors do report back.

    This is completely incorrect, the GP can only discuss information related to the confirmation of the reason for absence and likelihood of return. Patient confidentiality is sacrosanct and is not dependent on who made the appointment nor who is paying the bill. The Doctor cannot discuss any details of the conversation beyond that without the employees express permission.


  • Registered Users, Registered Users 2 Posts: 6,743 ✭✭✭Wanderer2010


    its 100% different.
    one is a medical professional the other is a layperson.

    what a ridiculous comment.

    ones job is to manage you as an employee the others is to assist you with a medical issue.

    Don't be so narrow minded. A company doctor is on the company payroll and hence had only the companies interests at heart- yes, to stop themselves falling into a claim made by an employee but also to ensure the employee is back to work asap. And there are lots of doctors out there who use subtle ways to try and get you to admit your stress is not work related and because its just the 2 of ye in the room, its your word against theirs if you feel badly treated and make a complaint.

    I had a bad experience once with a doctor who was making personal comments about my lifestyle (I had broken my arm) and that I really should be doing more physio and its lazy otherwise. I was shocked after the meeting and felt very angry but I had no witness so I had no leg to stand on. A witness at these meetings is vital in my view.


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  • Moderators, Business & Finance Moderators, Science, Health & Environment Moderators, Society & Culture Moderators Posts: 51,690 Mod ✭✭✭✭Stheno


    Don't be so narrow minded. A company doctor is on the company payroll and hence had only the companies interests at heart- yes, to stop themselves falling into a claim made by an employee but also to ensure the employee is back to work asap. And there are lots of doctors out there who use subtle ways to try and get you to admit your stress is not work related and because its just the 2 of ye in the room, its your word against theirs if you feel badly treated and make a complaint.

    I had a bad experience once with a doctor who was making personal comments about my lifestyle (I had broken my arm) and that I really should be doing more physio and its lazy otherwise. I was shocked after the meeting and felt very angry but I had no witness so I had no leg to stand on. A witness at these meetings is vital in my view.

    You're posting about this is completely incorrect, and scaremongering.

    You have absolutely no entitlement to have a witness.


  • Registered Users, Registered Users 2 Posts: 6,743 ✭✭✭Wanderer2010


    Stheno wrote: »
    You're posting about this is completely incorrect, and scaremongering.

    You have absolutely no entitlement to have a witness.

    Can you link to that? Lets just say you had a bad experience initially with a company doctor (didn't like their manner, felt they were patronising etc) and you went to develop bad work-related stress, got signed off by your own GP then you get a letter asking you to return to the same company doctor for a meeting. Theres no way on earth I would be walking into that room without a witness present and a lot of people are in that boat as well.


  • Moderators, Business & Finance Moderators, Science, Health & Environment Moderators, Society & Culture Moderators Posts: 51,690 Mod ✭✭✭✭Stheno


    Can you link to that? Lets just say you had a bad experience initially with a company doctor (didn't like their manner, felt they were patronising etc) and you went to develop bad work-related stress, got signed off by your own GP then you get a letter asking you to return to the same company doctor for a meeting. Theres no way on earth I would be walking into that room without a witness present and a lot of people are in that boat as well.

    No because there are no laws or regulations which provide for one to have a witness when visiting a company doctor.


  • Banned (with Prison Access) Posts: 1,012 ✭✭✭2RockMountain


    Stheno wrote: »
    No because there are no laws or regulations which provide for one to have a witness when visiting a company doctor.

    There are also no laws or regulations which prevent one from having a witness when visiting a company doctor.

    Many professionals advise bringing a family member for support or advice or advocacy for any doctor's appointment, for people who may need extra support.


  • Closed Accounts Posts: 6,926 ✭✭✭davo10


    Can you link to that? Lets just say you had a bad experience initially with a company doctor (didn't like their manner, felt they were patronising etc) and you went to develop bad work-related stress, got signed off by your own GP then you get a letter asking you to return to the same company doctor for a meeting. Theres no way on earth I would be walking into that room without a witness present and a lot of people are in that boat as well.

    If you are unhappy with the behaviour of a GP, you can make a complaint to the Medical Council. But once you are over the age of medical consent, it is really at the discretion of the GP to allow the patient to be accompanied. Most I would suspect would be more than happy for a family member to accompany the employee, but a co worker or union rep has no place being privy to what is essentially the most private of all personal information. You have to remember, the "witness" is not bound by confidentiality rules.


  • Registered Users, Registered Users 2 Posts: 26,434 ✭✭✭✭Mrs OBumble


    Most doctors (GPs anyway) won't have a witness in the room for any examination / consultation: they want to have a direct interaction with the patient.

    If a doctor is acting on behalf of a company, then while they don't pass back direct clinical information without your permission (eg John had squiggly-widget disease and is taking antibiotic ABC for it). But they do report on things like:

    1) whether they think your absence from work is typical given your condition
    2) if you are engaging with appropriate medical treatment (without saying what the treatment is)
    3) how long you are likely to be out sick for
    4) whether your capacity for work will be affected by the illness
    5) what the company can and should do to minimise the risk of you getting hurt again if you return to work (eg provide anti squiggly-widget training, move you to a non front-line role, etc)

    If your company don't like what they hear, they may well start disciplinary procedures against you: remember you have no right to sick leave in this country.


    Also, it's quite possible that your GP is slack and hasn't prescribed the treatments which will be most effective in getting you healthy again as quickly as possible. (Eg I had a GP once who didn't believe in physio, so typically didn't refer for it despite the evidence showing that it does get people better faster). In this case, your getting a 2nd opinion from the company doctor is likely to be beneficial, even though it can be difficult because they don't want to directly criticise your own GP.


  • Closed Accounts Posts: 6,926 ✭✭✭davo10


    Most doctors (GPs anyway) won't have a witness in the room for any examination / consultation: they want to have a direct interaction with the patient.

    If a doctor is acting on behalf of a company, then while they don't pass back direct clinical information without your permission (eg John had squiggly-widget disease and is taking antibiotic ABC for it). But they do report on things like:

    1) whether they think your absence from work is typical given your condition
    2) if you are engaging with appropriate medical treatment (without saying what the treatment is)
    3) how long you are likely to be out sick for
    4) whether your capacity for work will be affected by the illness
    5) what the company can and should do to minimise the risk of you getting hurt again if you return to work (eg provide anti squiggly-widget training, move you to a non front-line role, etc)

    If your company don't like what they hear, they may well start disciplinary procedures against you: remember you have no right to sick leave in this country.


    Also, it's quite possible that your GP is slack and hasn't prescribed the treatments which will be most effective in getting you healthy again as quickly as possible. (Eg I had a GP once who didn't believe in physio, so typically didn't refer for it despite the evidence showing that it does get people better faster). In this case, your getting a 2nd opinion from the company doctor is likely to be beneficial, even though it can be difficult because they don't want to directly criticise your own GP.

    You are right about everything except the last paragraph. In this situation the employee is not undergoing a thorough examination, will not have medical records nor test results and it would be inappropriate of the GP to recommend alternative treatments. The employee is there only to confirm the reason for the absence, nothing else. The GP would be taking an enormous risk by recommending/prescribing treatments which differed from the employees own Doctor and would be assuming a duty of care.


  • Banned (with Prison Access) Posts: 1,012 ✭✭✭2RockMountain


    Most doctors (GPs anyway) won't have a witness in the room for any examination / consultation: they want to have a direct interaction with the patient.
    Many reputable sources advise bringing someone with you.

    http://mentalhelp.ie/starting-the-journey-your-gp/
    Bring along someone you trust for support

    http://www.irishhealth.com/article.html?con=131
    You are welcome to ask a family member or a friend to be present during the visit if you feel this would be helpful.

    http://www.medmark4teachers.ie/teachersna/qa.asp
    Can I bring someone with me?
    Yes, you are welcome to take a friend or relative with you should you so wish.


  • Closed Accounts Posts: 6,926 ✭✭✭davo10



    You can elect to bring someone with you, the GP is not required to admit them. If you do elect to bring someone, they are your confidante and not subject to confidentiality rules, if they breach your confidence, then it's your problem. That is a big risk for you to take.


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  • Moderators, Business & Finance Moderators, Science, Health & Environment Moderators, Society & Culture Moderators Posts: 51,690 Mod ✭✭✭✭Stheno



    Your first two links are about visiting ones personal gp and the third is from a company who do medical assessments

    That's not many organisations advocating you bring someone as a witness when visiting a company doctor


  • Banned (with Prison Access) Posts: 1,012 ✭✭✭2RockMountain


    Stheno wrote: »
    Your first two links are about visiting ones personal gp and the third is from a company who do medical assessments

    That's not many organisations advocating you bring someone as a witness when visiting a company doctor

    Well, there's one 'company doctor' (Medmark, company doctor for Dept Education) advocating that you bring someone as a witness when visiting a company doctor.


  • Closed Accounts Posts: 6,926 ✭✭✭davo10


    Well, there's one 'company doctor' (Medmark, company doctor for Dept Education) advocating that you bring someone as a witness when visiting a company doctor.

    They are not advocating it, they say you are welcome to do so. If you want to be pedantic, the page refers to an "Ocupational Health Practitioner" it does not state that it will be a Doctor, it could be a nurse or someone with a qualification in OH, they may be covered by DP regulations but not Doctor-Patient confidentiality.


  • Banned (with Prison Access) Posts: 1,012 ✭✭✭2RockMountain


    davo10 wrote: »
    They are not advocating it, they say you are welcome to do so. If you want to be pedantic, the page refers to an "Ocupational Health Practitioner" it does not state that it will be a Doctor, it could be a nurse or someone with a qualification in OH, they may be covered by DP regulations but not Doctor-Patient confidentiality.

    Have you some reason to desperately try and disprove something? Here's a company that provides company doctor services - probably one of the largest company doctor contracts in the country - Dept Education / teachers - saying that you can bring someone with you.

    But you still want to make a big deal out of this? Yes, there is a confidentiality issue, and yes, you have to be careful about who you bring.

    Why do want to try to stir up doubts about this?


  • Closed Accounts Posts: 6,926 ✭✭✭davo10


    Have you some reason to desperately try and disprove something? Here's a company that provides company doctor services - probably one of the largest company doctor contracts in the country - Dept Education / teachers - saying that you can bring someone with you.

    But you still want to make a big deal out of this? Yes, there is a confidentiality issue, and yes, you have to be careful about who you bring.

    Why do want to try to stir up doubts about this?

    Because there are very big doubts about what you are saying. Because one employer welcomes the employee being accompanied, there is no requirement for another employer's Doctor to do so. You are presenting this to the op as being accepted advice, which it is not. The Dept of Education welcome it, but that is not to say they advise it nor that it will be allowed by the Op's Doctor. This may well lead to conflict it the op believes there is an entitlement to be accompanied. The confidentiality "issue" as to call it should be strongly considered by anyone thinking of bringing a friend, that friend can tell whomever they chose about what was discussed at that appointment.

    This appointment is not "a big deal", it is usually a brief visit to confirm the illness and gauge the possibility of a return to work. If the op requests to be accompanied, this may well be agreed but the burden of keeping the discussion confidential falls to a greater degree in the employee because there is an extra person in the room.


  • Moderators, Business & Finance Moderators, Science, Health & Environment Moderators, Society & Culture Moderators Posts: 51,690 Mod ✭✭✭✭Stheno


    All people have said is that you are not automatically entitled to bring someone with you
    Your posts don't prove otherwise tbh


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  • Banned (with Prison Access) Posts: 1,012 ✭✭✭2RockMountain


    davo10 wrote: »
    Because there are very big doubts about what you are saying. Because one employer welcomes the employee being accompanied, there is no requirement for another employer's Doctor to do so. You are presenting this to the op as being accepted advice, which it is not. The Dept of Education welcome it, but that is not to say they advise it nor that it will be allowed by the Op's Doctor. This may well lead to conflict it the op believes there is an entitlement to be accompanied. The confidentiality "issue" as to call it should be strongly considered by anyone thinking of bringing a friend, that friend can tell whomever they chose about what was discussed at that appointment.

    This appointment is not "a big deal", it is usually a brief visit to confirm the illness and gauge the possibility of a return to work. If the op requests to be accompanied, this may well be agreed but the burden of keeping the discussion confidential falls to a greater degree in the employee because there is an extra person in the room.
    Stheno wrote: »
    All people have said is that you are not automatically entitled to bring someone with you
    Your posts don't prove otherwise tbh
    Are there any reputable sources indicating that doctors can/will refuse to allow a friend or relative to accompany the person?


  • Moderators, Business & Finance Moderators, Science, Health & Environment Moderators, Society & Culture Moderators Posts: 51,690 Mod ✭✭✭✭Stheno


    Are there any reputable sources indicating that doctors can/will refuse to allow a friend or relative to accompany the person?

    No. But equally companies are entitled to insist on no witness at a medical as there is nothing compelling them to do so


  • Banned (with Prison Access) Posts: 1,012 ✭✭✭2RockMountain


    Stheno wrote: »
    No. But equally companies are entitled to insist on no witness at a medical as there is nothing compelling them to do so

    Is there any reputable source indicating that employers can/will insist on this?

    Given that the Medical Council seem to think it is a good idea to inform patients that they can have a chaperone present for an examination, and in fact have a specific complaint/inquiry category for failure to offer opportunity to have a chaperone present.

    https://www.medicalcouncil.ie/Public-Information/Inquiry-Notifications/Case%20Studies/Failure-to-explain-examination-and-failure-to-offer-opportunity-to-have-a-chaperone-present.html
    The doctor should inform the patient that they can have a chaperone present if they wish. -


  • Closed Accounts Posts: 6,926 ✭✭✭davo10


    Is there any reputable source indicating that employers can/will insist on this?

    Given that the Medical Council seem to think it is a good idea to inform patients that they can have a chaperone present for an examination, and in fact have a specific complaint/inquiry category for failure to offer opportunity to have a chaperone present.

    https://www.medicalcouncil.ie/Public-Information/Inquiry-Notifications/Case%20Studies/Failure-to-explain-examination-and-failure-to-offer-opportunity-to-have-a-chaperone-present.html

    I think you should read that link more carefully, it relates to "physical and intimate examinations", this is not the type of examination carried out by Doctors nominated by employers.


  • Banned (with Prison Access) Posts: 1,012 ✭✭✭2RockMountain


    davo10 wrote: »
    I think you should read that link more carefully, it relates to "physical and intimate examinations", this is not the type of examination carried out by Doctors nominated by employers.

    How can the company doctor report back to the employer on a back injury or leg injury or neck injury without doing a physical examination?


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  • Moderators, Business & Finance Moderators, Science, Health & Environment Moderators, Society & Culture Moderators Posts: 51,690 Mod ✭✭✭✭Stheno


    How can the company doctor report back to the employer on a back injury or leg injury or neck injury without doing a physical examination?

    They will usually do a brief physical exam, and ask for records from the primary caregiver.


  • Banned (with Prison Access) Posts: 1,012 ✭✭✭2RockMountain


    Stheno wrote: »
    They will usually do a brief physical exam, and ask for records from the primary caregiver.

    So they should be offering a chaperone, according to the Medical Council guidelines then.


  • Closed Accounts Posts: 6,926 ✭✭✭davo10


    How can the company doctor report back to the employer on a back injury or leg injury or neck injury without doing a physical examination?

    Ok, the answer to that question is by talking to the employee, and by considering the treatment recommended by his/her GP.

    The link you provided refers to guidelines on physical examination of intimate parts of the body. The chaperone is to protect both patient and physician from commital and accusations of inoppropriate contact, either acctual or perceived.


  • Moderators, Business & Finance Moderators, Science, Health & Environment Moderators, Society & Culture Moderators Posts: 51,690 Mod ✭✭✭✭Stheno


    So they should be offering a chaperone, according to the Medical Council guidelines then.

    No it's voluntary, not mandatory when you are visiting your gp AGAIN. Companies requesting you to attend a company doctor are not requiring you to be a patient of that doctor but rather to have an independant assessment which you appear to be missing in terms of the difference. Companies requesting the exam have the right to prohibit witnesses. The link you are posting talks about invasive personal exams, not ones related to stress for which there would be no physical exam.

    For the likes of cancer etc, it would be irrelevant as to the exam.

    You appear to be over reaching tbh.

    And from a mod point of view this discussion is not helpful and should be avoided.


  • Closed Accounts Posts: 185 ✭✭Amanda.ie


    Are you entitled to get a copy of the letter the CMO is sending to your employer ? Do you have to get it from your HR?
    How soon would you be sent to the CMO?


  • Moderators, Business & Finance Moderators, Science, Health & Environment Moderators, Society & Culture Moderators Posts: 51,690 Mod ✭✭✭✭Stheno


    Amanda.ie wrote: »
    Are you entitled to get a copy of the letter the CMO is sending to your employer ? Do you have to get it from your HR?
    How soon would you be sent to the CMO?

    CMO is public sector not private.

    That doesn't sound like the position the OP is in.


  • Closed Accounts Posts: 6,926 ✭✭✭davo10


    Amanda.ie wrote: »
    Are you entitled to get a copy of the letter the CMO is sending to your employer ? Do you have to get it from your HR?
    How soon would you be sent to the CMO?

    Yes you are entitled to a copy of the report, just ask for it while you are there, both copies are sent at the same time, you do not have to go through HR, it is sent directly to your nominated address.


  • Banned (with Prison Access) Posts: 1,012 ✭✭✭2RockMountain


    Stheno wrote: »
    No it's voluntary, not mandatory when you are visiting your gp AGAIN. Companies requesting you to attend a company doctor are not requiring you to be a patient of that doctor but rather to have an independant assessment which you appear to be missing in terms of the difference. Companies requesting the exam have the right to prohibit witnesses. The link you are posting talks about invasive personal exams, not ones related to stress for which there would be no physical exam.

    For the likes of cancer etc, it would be irrelevant as to the exam.

    You appear to be over reaching tbh.
    Respectfully, those who are pushing a particular point of view without showing a single reputable source to back up that view are over-reaching. Can anyone show any particular source that shows that employers (1) can, and (2) do restrict employees from bringing family support or similar to a doctor's appointment?


  • Registered Users, Registered Users 2 Posts: 2,457 ✭✭✭livedadream


    Respectfully, those who are pushing a particular point of view without showing a single reputable source to back up that view are over-reaching. Can anyone show any particular source that shows that employers (1) can, and (2) do restrict employees from bringing family support or similar to a doctor's appointment?

    opposed to someone who appears to be pushing a ''their out to get you'' agenda towards someone who has asked for help and admitted they have a problem with stress.

    from my companies perspective there is no rule saying you cant take a family member or friend to the company Doc (theres no rule to say you can either though), its not encouraged because not everybody wants to bring in their mammy/sister/wife to a GP appointment.

    i dont know what the doctor would say but im assuming it would be along the lines of your a ****ing grown up, if you need it sure but if im doing an exam then they have to leave.


  • Closed Accounts Posts: 631 ✭✭✭Kings Inns or bust


    OP, the company doctor is there to counter bias with their own bias, in effect.

    When you went to your GP he was only interested in you and would be biased in that direction. The company Doctor will have a simialr bias in relation to the company. However both are professionals and bound by the relevant ethical codes required by their profession. I have had some interaction with my company doctor and he was rather good in the actual interview but pretty useless in follow up. Fair enough that's not really his area.

    I wouldn't be overly concerned. As for bringing someone with you, I can't see how any reasonable company or Doctor would have an issue with it. As for thing things that may seem illogical, immature or generally just needing to pull yourself togeather forget it. Anyone who forwards that point of view simply doesn't understand mental illness.

    I wish you the very best OP, I've recently enough come out of a period of issues myself. I was very lucky to have a great support network around me and a long suffering wife and an employer that was extremely supportive. They did, however, as me to see the company doc so returning to that single issue, try not to let it worry you too much. That said I know from personal experiance that a little bit of paranoia can creep in.


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