did you do a riddor are you trying to say that the dr who has issued an unfit for work certificate is lying If your employee does not accept your proposals for adaptations you should discuss the reasons for their views with them in the first instance. If the situation cannot be resolved you may wish to consider obtaining an independent opinion from your OH provider There may be situations where differing opinions are expressed by the GP and OH doctor. This happens already, for example, when advising on whether an employee is fit to attend a disciplinary hearing. GPs are not OH experts and have been advised by the Medical Defence Societies to avoid giving opinions on fit notes which are outwith their clinical competence. It is generally accepted that the OH physician’s opinion overrides that of the GP, because of their greater understanding of the job. It can also be hard for GPs to give purely objective advice because of their “doctor-patient relationship if they are proved to be shirking you can then go down the disaplinary route however if you make a pooly person come back to work premiturily and this is proved when the letter comes through for the claim expect to pay alot more for the poor persons pain and suffering !!!!!!