VOCATIONAL REHABILITATION (VR)
BSRM Vocational Rehabilitation Special Interest Group (VRSIG)
Andy Tyerman1, Lt Colonel Alan Mistlin2, Clemens Rommers3, Diane
Playford4, Andrew Frank 5, Judith Allanson 6.
Neurological Vocational Rehabilitation Service, Aylesbury
Defence Medical Rehabilitation Centre, Headley Court
Consultant in Rehabilitation, Netherlands.
Queen Square, Dept of Neurorehabilitation
Vocational Rehabilitation Association
Addenbrookes Hospital Cambridge
Summary: Many of the workshop contributors have been involved in producing
the national guidelines - VOCATIONAL ASSESSMENT AND REHABILITATION
FOR PEOPLE WITH LONG-TERM NEUROLOGICAL CONDITIONS;
Recommendations for best practice. This workshop will enable attendees to look
at the guidelines in detail with each of the speakers, offering an emphasis on the
implications for people using wheeled mobility or having other complex postural
or mobility needs. The session also covers interactive discussions of VR following
amputation in the Defence Services and Europe, The recently introduced “Fit to
work” note which replaces the current “sick note” system and the new (about to
be launched) multi agency VR Guidelines.
Introduction: The session structure follows that of the first part of the new
guidelines which focus on the evidence for vocational rehabilitation for specific
chronic neurological conditions, followed by group work and discussion. Small
groups will consider practical applications of the new guidelines and issues
arising when particular case scenarios are considered. There will be summing up
at the end to ensure that the groups’ work can be formatted for feedback to the
VR Recommendations for best practice working group, and other relevant
Format: Short presentations will be given summarising the Literature Review for
the new VR Recommendations for best practice, including vocational
rehabilitation for Cerebral Palsy (Andrew Frank) and Multiple Sclerosis (Diane
Playford). A practical summary of the guidelines will be given (Andy Tyerman).
Approaches to Vocational rehabilitation for services personnel after amputation
(Alan Mistlin) and the Dutch perspective on VR compared. The “Sick note
replacement” – The “Fit for work” note will also be discussed (Judith Allanson).
Group work: Case scenarios will be discussed in small groups looking at the
implications of implementing the new guidelines and role of other agencies
including Occupational Health Services, and Jobcentre Plus services. Cases will
be chosen to promote discussion around Identification of vocational
need/provision of information; vocational/employment assessment; job retention
interventions; return to occupation or withdrawal from work on health grounds;
transition from education to employment or preparation for alternative occupation.
General issues such as disclosure, confidentiality, consent, capacity, access/re-
access will also be covered in the case scenarios.
Discussion: A summary at the end of the session will include how to use the
Recommendations for best practice and discuss any issues arising following
discussion which can be fed back to the relevant agencies (Andy Tyerman/Judith
1. British Society of Rehabilitation Medicine (2010) Vocational
Assessment and Rehabilitation for people with long-term neurological
conditions. Recommendations for best practice. BSRM London In Press
2. DWP (2010) Statement of Fitness to Work www.dwp.gov.uk/fitnote