This ‘How to’ guide sets out the steps an employer should consider when dealing with a long-term sickness and absence issue. It considers stress and mental ill health, neurodiversity, the interaction with disability and the duty to make reasonable adjustments, sick pay and capability dismissal. This guide is intended as a practical issue-spotting tool for advisers supporting HR professionals, finance directors and other employer stakeholders dealing with long-term sickness absence. The appropriate approach in any situation, is fact specific and will depend on the employee’s condition, length of absence, prognosis, contractual rights, any potential disability issues, the employer’s policies and benefits, the employer’s operational needs and the evidence available at the time decisions are made. The employer should bear in mind that a well-implemented and conducted absence management procedure should enable a business to uphold expected standards of attendance and performance, while at the same time promoting good employee relations. For information on dealing with long-term absence and chronic sickness issues, see Practice Note: Dealing with long-term or chronic sickness. For general information