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Consent for OH report — DOccMed MCQ

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ModerateOH Ethics and ProfessionalismConsent for OH reportDOccMed

An employee attends OH for recurrent absence but refuses consent for any report to HR after hearing the likely advice. HR says the assessment was paid for by the company and demands the conclusion. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: E — Explain that a report cannot be sent without consent, noting attendance and refusal

OH clinicians owe confidentiality to the worker despite the employer commissioning the assessment. A report generally requires informed consent unless there is an overriding safety concern. It is usually appropriate to tell the employer that the worker attended but did not consent to a report. Documentation of the consent discussion is important.

Reference: FOM Ethics Guidance; GMC Confidentiality guidance