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Can You Go Off Sick While Suspended From Work?

byAlex Solo11 min read

Short answer: yes, you can go off sick while suspended from work. Suspension doesn't remove the normal sickness rules: you should report sickness as usual, self certify for the first 7 calendar days and provide a fit note if your absence lasts longer.

If you're an employer, your key job is to keep the two issues separate. You may need suspension for an investigation, while sickness affects pay, contact, meeting timing and medical evidence. When you handle both carefully, you reduce the risk of unlawful deduction, unfair dismissal, disability discrimination and breach of contract disputes.

What Does Workplace Suspension Mean In The UK?

Workplace suspension means you temporarily tell an employee not to attend work or carry out their usual duties. It's usually used while you look into a serious issue, rather than as a punishment.

You might consider suspension where there are:

  • Allegations of serious misconduct, such as theft, fraud, harassment or a serious breach of policy.
  • Health and safety concerns, including where continuing work may create a risk to the employee, colleagues, customers or the public.
  • Serious workplace disputes, where temporary separation may protect evidence or reduce conflict.
  • Regulated or sensitive roles, where your business may need to protect clients, service users, systems, confidential information or vulnerable people.

Suspension shouldn't be automatic. Before you suspend someone, ACAS guidance says you should consider whether there's a reasonable alternative, such as temporary remote work, different duties, restricted access to systems, a change of reporting line or moving shifts. See ACAS guidance on suspension during an investigation and our guide on employee suspension rules for more on the procedures and best practice.

Suspension is normally on full pay unless the employment contract clearly allows otherwise and you're acting lawfully and reasonably. It isn't a disciplinary sanction in itself. If you treat suspension as a punishment before investigating, your later disciplinary process can look unfair.

Can You Go Off Sick When Suspended From Work?

Yes. If you're genuinely unwell during suspension, you can take sick leave in the usual way. That includes physical illness and mental health conditions such as stress, anxiety and depression.

You're still employed while suspended, so the basic employment relationship continues. If you're the employee, you should:

  • Follow your employer's sickness reporting procedure, even if you aren't attending work.
  • Tell your employer as soon as possible that you're unwell and unable to engage as normal.
  • Provide self certification for the first 7 calendar days of sickness absence.
  • Provide a fit note if your sickness lasts longer than 7 calendar days.
  • Keep your employer updated on likely return dates and any changes in your condition.

A fit note can be issued by a doctor, nurse, occupational therapist, pharmacist or physiotherapist. It may say you aren't fit for work, or that you may be fit for work with adjustments. If you're the employer, you should read the fit note carefully. If it says the employee isn't fit for work, that may also mean they aren't fit to attend an investigation meeting or disciplinary hearing, depending on the wording and the medical position.

Suspension and sick leave can overlap, but they do different jobs. Suspension protects your workplace or investigation. Sick leave deals with the employee's health and ability to work or participate. Mixing them up is where many disputes begin.

What Happens To Your Pay If You Go Off Sick Whilst Suspended?

Your pay depends on the employment contract, your employer's sickness policy, any contractual sick pay scheme and whether you qualify for statutory sick pay, often called SSP.

As a starting point, suspension should normally be on full pay. However, once you report sickness and aren't fit for work, your employer may move you onto the sick pay that would apply to any other sickness absence. That may be SSP only, contractual sick pay, or full pay for a limited period under a company sick pay scheme.

If you're an employer, don't assume you can simply stop full suspension pay without checking the contract and policies. If you're an employee, don't assume full suspension pay automatically continues during sickness either. The wording matters.

SSP is paid by employers where the statutory eligibility rules are met and can be payable for up to 28 weeks. The weekly rate and eligibility rules are set by the government and can change, so you should check GOV.UK sick leave guidance or payroll guidance before processing pay. If tax or payroll treatment is uncertain, it's sensible to check with an accountant or payroll adviser.

Worked Example: Suspension Pay And Sick Pay

Imagine Priya works for a small tech business and earns GBP 700 per week. She is suspended on full pay while the business investigates a suspected breach of its confidentiality policy. Three days later, Priya emails HR to say the suspension has triggered severe anxiety and she is unfit for work. She self certifies for the first 7 calendar days, then sends a fit note for a further 3 weeks.

Her contract says employees receive full company sick pay for the first 2 weeks of sickness in any rolling 12 month period, then SSP only if eligible. It also says suspension is normally on full pay, but sickness absence during suspension is managed under the sickness policy.

In that scenario, a fair outcome may be:

  • Priya receives full pay for the first part of the suspension before she reports sickness.
  • Once she is off sick, the sickness policy applies.
  • She receives full company sick pay for 2 weeks because her contract allows it.
  • After that, she moves to SSP if she meets the statutory rules, unless the employer agrees otherwise.
  • The employer continues investigation steps that don't require Priya's input, but considers whether meetings should be postponed or adjusted.

A different contract could produce a different pay outcome. That's why clear policy documents and handbooks are so useful: they reduce uncertainty before emotions are running high.

How Should Employers Handle Sickness During Suspension?

If you manage staff, the safest approach is to treat sickness during suspension as a normal sickness absence, while keeping the suspension decision under review. Don't ignore either issue.

Your practical checklist is:

  1. Acknowledge the sickness notification. Confirm that you have received the employee's message and remind them of your usual absence reporting process.
  2. Ask for the right evidence. Use self certification for the first 7 calendar days and request a fit note after that if the absence continues.
  3. Check the pay position. Review the employment contract, staff handbook and sick pay policy before changing pay.
  4. Review the suspension. Consider whether suspension remains necessary or whether an alternative would now be more appropriate.
  5. Set a reasonable contact plan. Agree who will contact the employee, how often, and by what method.
  6. Assess fitness to participate. Don't assume that being off sick means the employee can never answer questions, but don't pressure them if medical evidence says they aren't fit.
  7. Consider occupational health. Where absence is stress related, long term or unclear, occupational health advice can help you decide what adjustments are reasonable.
  8. Keep records. Record decisions, medical evidence, contact attempts and why meetings were continued, postponed or adjusted.

It also helps if your workplace policies and disciplinary processes are clear before a dispute arises. A well drafted absence policy should tell your employees how to report sickness, who to contact, when evidence is needed, how sick pay works, and what happens if sickness overlaps with investigation, suspension, redundancy or notice.

You should also think about data protection. Fit notes and occupational health reports contain health data, which is special category data under UK GDPR and the Data Protection Act 2018. Keep it secure, share it only with people who genuinely need to know, and avoid putting unnecessary medical details into wider disciplinary documents.

Do You Have To Attend Investigation Meetings If You Are Sick?

Not always. If you're medically unfit to attend meetings, your employer should usually postpone or adjust the meeting. This is especially important where the fit note or medical advice refers to stress, anxiety, depression or another condition that may affect your ability to participate fairly.

That said, sickness doesn't automatically freeze every investigation step. If you're an employer, you can often continue with tasks that don't require the employee's active involvement, such as:

  • Securing documents, emails, CCTV or system logs.
  • Interviewing other witnesses.
  • Reviewing policies, contracts and previous records.
  • Preparing a list of questions for the employee once they're well enough to respond.

If the employee can't attend in person, you may consider alternatives, including a remote meeting, written questions, a shorter meeting, extra breaks, a different time of day, or allowing the employee to be accompanied where appropriate. The right adjustment depends on the medical evidence, the seriousness of the allegations and the need for a fair process.

Under the ACAS Code of Practice, you should carry out reasonable investigations and give employees a fair opportunity to respond before disciplinary decisions are made. The Employment Rights Act 1996 is also central to unfair dismissal rights. If you push ahead with a disciplinary hearing when the employee is genuinely unable to participate, the process may be unfair.

There are limits, though. If sickness absence continues for a long time and you have tried reasonable adjustments, obtained medical input and given the employee opportunities to contribute, it may sometimes be fair to proceed based on the available evidence. That decision needs careful handling because it can carry unfair dismissal, breach of contract and discrimination risk.

Does Stress Or Anxiety Count As Sick Leave During Suspension?

Yes. Mental health should be treated with the same seriousness as physical health. Stress, anxiety, depression and other mental health conditions can all be valid reasons for sickness absence during suspension.

Suspension can be distressing, especially if you're isolated from colleagues, worried about your reputation, or unsure what will happen next. If you're the employer, avoid wording that makes suspension sound like guilt has already been decided. Neutral, clear communication helps protect your investigation and the employee's wellbeing.

Employers have health and safety duties and a general duty of care towards employees. You must also comply with the Equality Act 2010. A mental health condition may amount to a disability if it has a substantial and long term adverse effect on the employee's ability to carry out normal day to day activities. Where disability may be involved, you should consider reasonable adjustments and avoid unfavourable treatment arising from disability unless it can be legally justified.

Reasonable adjustments during a suspension or investigation might include:

  • Communicating by email rather than phone if calls worsen anxiety.
  • Giving more notice of meetings and topics to be discussed.
  • Allowing written responses instead of live questioning.
  • Holding shorter meetings with breaks.
  • Using a different manager as the point of contact.
  • Postponing a hearing until occupational health advice is available.

For more details, see our guide on managing disability and inclusive workplace practices.

Can You Be Disciplined Or Dismissed For Being Off Sick While Suspended?

You shouldn't be disciplined or dismissed just because you're genuinely sick during suspension and have followed the proper reporting process. If you're an employer, doing that can create serious legal risk.

However, being off sick doesn't give an employee complete protection from every employment process. You may still be able to investigate the original allegations, manage absence, review capability, or continue a disciplinary process where it's fair and reasonable to do so.

Your risk increases if you:

  • Treat sickness as proof the employee is trying to avoid the investigation.
  • Ignore fit notes or occupational health advice.
  • Refuse to consider reasonable adjustments for a possible disability.
  • Change pay without checking the contract or policy.
  • Dismiss without giving the employee a fair chance to respond.
  • Fail to keep records of why decisions were made.

If you're an employee, you can also create risk for yourself if you don't report sickness properly, ignore reasonable contact, fail to provide fit notes, or dishonestly claim to be sick to avoid an investigation. If abuse of sick leave is proven, that can become a disciplinary issue in its own right.

Where dismissal is being considered, you should take particular care with process. An unfair dismissal claim may arise if the employee has the required qualifying service, and discrimination claims don't require the same qualifying service. Our unfair dismissal claim guide and guide to lawful employee dismissal set out the main risks in plain English.

What Should Employers Record And Put In Their Policies?

Good documentation is often the difference between a fair, manageable process and a messy dispute. You should record what happened, what evidence you considered and why each decision was made.

For sickness during suspension, keep records of:

  • The original reason for suspension and why it was necessary.
  • Any alternatives to suspension that were considered.
  • The suspension letter and any review dates.
  • The employee's sickness notifications, self certificates and fit notes.
  • Pay decisions and the contract or policy wording relied on.
  • Contact with the employee, including missed calls, emails and agreed contact preferences.
  • Occupational health referrals, reports and any adjustments considered.
  • Reasons for postponing, adjusting or continuing meetings.

Having well drafted absence from work policies makes this process much smoother. It's also worth checking that your disciplinary, sickness absence, data protection and grievance policies work together rather than contradicting each other.

If your business has a staff handbook, it should cover:

  1. How To Report Sickness. Who the employee must contact, by when, and what information they must provide.
  2. Medical Evidence. When self certification is enough and when a fit note or occupational health input may be requested.
  3. Sick Pay. How SSP, company sick pay and suspension pay interact.
  4. Contact During Absence. What reasonable contact looks like and who will manage it.
  5. Investigations During Sickness. How your business decides whether to pause, adjust or continue investigation steps.
  6. Disability And Adjustments. How employees can request support and how managers will assess reasonable adjustments.

A lawyer should tailor these policies to your contracts, business size, industry and working arrangements. Regulated sectors such as health care, education, financial services and roles involving vulnerable people may also have sector specific reporting or safeguarding obligations.

Key Takeaways

  • You can go off sick while suspended from work. Suspension doesn't remove sickness rights or reporting duties.
  • The usual evidence rules still apply: self certification for the first 7 calendar days, then a fit note if absence continues.
  • Pay depends on the contract and sickness policy. Suspension is normally on full pay, but sickness may trigger SSP or contractual sick pay rules.
  • You can continue investigation steps that don't require the employee, but you shouldn't force meetings where medical evidence says the employee is unfit.
  • Mental health conditions can be genuine sickness absence and may trigger Equality Act reasonable adjustment duties.
  • Clear policies, careful records and sensitive communication are the best way to reduce unfair dismissal, discrimination and pay disputes.

If you'd like help with suspension letters, sickness absence policies, disciplinary processes or reviewing your employment contracts, you can reach us at 08081347754 or team@sprintlaw.co.uk for a free, no-obligations chat.

Drafted by Taylor, Sprintlaw's AI, and overseen by Alex Solo. How we write

Get employment right

Alex Solo

Alex is Sprintlaw's co-founder and principal lawyer. Alex previously worked at a top-tier firm as a lawyer specialising in technology and media contracts, and founded a digital agency which he sold in 2015.

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