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Consent to OH report — DOccMed MCQ

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HardOH Ethics and ProfessionalismConsent to OH reportDOccMed

A junior doctor returns from depression-related sickness absence and asks occupational health not to tell the employer anything. The employer needs to know whether night shifts are safe next week. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: BExplain consent, agree a functional report, and avoid unnecessary clinical detail

Occupational health should preserve confidentiality while providing fitness advice with consent. A functional report can address shift safety and adjustments without disclosing diagnosis or therapy details. If the worker refuses any report, the limits and potential employment consequences should be explained neutrally.

Reference: FOM Ethics Guidance; GMC Confidentiality Guidance