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Manager asks for diagnosis — DOccMed MCQ

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HardOH Ethics and ProfessionalismManager asks for diagnosisDOccMed

A manager asks whether an employee absent with 'stress' has bipolar disorder because rumours are affecting team planning. The OH assessment shows she can return with reduced hours, but she has not consented to disclosure of diagnosis. What is the most appropriate management?

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

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Correct answer: B — Provide functional advice and adjustments without disclosing the diagnosis

The employer usually needs functional limitations, prognosis and adjustments, not a diagnosis. Disclosure of diagnosis requires explicit consent unless there is a strong safety justification. A useful report can still be produced without naming the condition. Sharing clinic letters is disproportionate and undermines trust.

Reference: FOM Ethics Guidance; GMC Good Medical Practice