title: The involvement of occupational health services prior to ill-health retirement in NHS staff in Scotland and predictors of re-employment.
abstract: OBJECTIVE
  To assess the process, causes and outcomes of retirement because of ill-health in NHS staff in Scotland. Particular areas to be investigated include the involvement of occupational health services, access to rehabilitation and redeployment, current health, whether working again and to identify predictors of re-employment.
  
  
  METHODS
  An ill-health retirement (IHR) questionnaire was mailed to 863 NHS staff awarded IHR benefits by the Scottish Public Pensions Agency between April 1998 and March 2000.
  
  
  RESULTS
  In all, 49% of the 863 postal questionnaires were returned. The most common reasons for retiring were diseases of the musculoskeletal system (38%) and mental disorders (21%). Seventy-one percent of the participants reported their ill-health was partly or completely work related and 29% not work related. Ninety-two percent of NHS staff had attended an occupational health department prior to IHR. Twenty-three percent of participants had no contact with their line manager during their illness prior to retiral. Eighteen percent of individuals were offered the opportunity of working part-time and 15% offered alternative work. Seventeen percent of participants have obtained other work. Predictors of re-employment after IHR were: medical condition, managerial responsibility, improvement of health, wanting to work again, occupation and age at retirement.
  
  
  CONCLUSIONS
  This is the first comprehensive study investigating NHS staff experiences of IHR in Scotland. This study illustrates the need for improved support and rehabilitation for ill-health care workers and that there is the potential to reduce levels of ill-health retirement.
authors.affiliation: Public Health & Health Policy Section, Division of Community Based Sciences, University of Glasgow, UK.
authors.forename: Judith
authors.initials: J
authors.lastname: Brown
authors.forename: K Nundita
authors.initials: KN
authors.lastname: Reetoo
authors.forename: Keith J
authors.initials: KJ
authors.lastname: Murray
authors.forename: William
authors.initials: W
authors.lastname: Thom
authors.forename: Ewan
authors.initials: E
authors.lastname: B Macdonald
mesh_terms: D000328:Adult; D004651:Employment / Q000706:statistics & numerical data*; D005260:Female; D006282:Health Personnel / Q000706:statistics & numerical data; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009786:Occupational Health Services / Q000592:standards*; D009790:Occupations / Q000145:classification; D012179:Retirement / Q000706:statistics & numerical data*; D012606:Scotland; D013222:State Medicine; D011795:Surveys and Questionnaires