Rank: New forum user 
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If an employee has been diagnosed with mild cognitive impairment (MCI) i.e. potential pre-cursor to dementia etc. both by the NHS mental health unit and occupational health referrals that have both recommended 'reasonable adjustments' to his work, what should be considered in 'reasonable adjustments'?
I would particularly appreciate practical suggestions from those who may have had experience of this in their own organisations. In this particular case I suspect that this person's employer is simply going through the process until finally he will be dismissed before the new financial year commences.
This issue will clearly increase due to a continuing ageing workforce and have a subsequent impact on unprepared Human Resources and Health and Safety depts alike, so organisations need to be fully prepared.
I hope the above initiates some sort of a discussion group around mental health generally as it is potentially becoming a more serious issue.
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Rank: Super forum user 
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John, I don't expect you will get a definitive answer to your question as the term "reasonable" will mean very different things to different people and organisations. The medical condition (if the early strages of dementia) is progressive and will change quite markedly as the dementia becomes more advanced and starts to rob the patient of their abilities. The patient will become unable to work at some stage but this depends on many factors which will be unique to the patient and workplace. It is also the case that a small organisation will likely find it harder to accommodate an employee with dementia than a larger one both in terms of making the adjustments that will be required and the implications of a less-able employee. What may be reasonable for the UK Civil Service or NHS (gigantic) will not be so for a 4-person company.
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Rank: Super forum user 
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Try the acceess to work website they come in and will complete the assessment for reasonable adjustments and I think they also give a grant depending on what changes are required.
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Rank: Super forum user
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Can there be a standard definition of what constitutes 'reasonable adjustment'. Surely it will depend on circumstances. What would a reasonable adjustment be for a commercial airline pilot and would this be the same as that for the person pushing the broom in the factory? Chris
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Rank: Super forum user
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Originally Posted by: chris.packham  Can there be a standard definition of what constitutes 'reasonable adjustment'. Surely it will depend on circumstances. What would a reasonable adjustment be for a commercial airline pilot and would this be the same as that for the person pushing the broom in the factory? Chris
No the pilot would be pushing the broom in depatures
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Rank: Forum user
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We have someone in our organsiation in a similar position.
We have involved our Occupational health provider, the person themselves, her line manager and her GP and in conjunction with our HR department we have made reasonable adjustments (based on medical information) to enable her to continue working. This is backed up with regular review and ongoing changes as the condition dictates.
Geoff
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