The £202,000 price of delay: An NHS case study
May 27, 2025
What happens when an organisation fails to act promptly on reasonable adjustment requests? This case study reveals the devastating human and financial consequences of institutional delay.
It all started with silence
Medical event - Employee suffers brain heammorage and requires time off work.
Return to work - Employee requests reasonable adjustments for mental health support
Six month delay - Employer fails to implement basic adjustments
Nine month wait - Some adjustments still not implemented after nine months
The human cost
Early retirement - Career cut short due to preventable decline
Mental health crisis - Acute deterioration requiring intervention
Relapse - Return of depression and anxiety symptoms
The employee's condition worsened significantly during the waiting period. What could have been managed became a crisis.
The financial penalty
Total compensation: £202,452.03. The Tribunal ruled that Mersey Care NHS Foundation Trust had failed in its duty under the Equality Act.
A leadership failure, not just policy
Urgency gap
Leaders failed to create systems that prioritised time-sensitive accommodation requests.
Cultural blindspot
The organisation's culture allowed reasonable adjustments to be treated as optional extras.
Systemic issue
This wasn't an isolated incident but a symptom of organisational dysfunction.
The case highlights that even healthcare providers can fail at supporting employee wellbeing.
Delay is not neutral
Request made - Employee asks for support
Inaction period - Organisation delays response
Health deteriorates - Employee's condition worsens
Costs accumulate - Human and financial toll grows
Every day of inaction increased both suffering and financial liability. What seemed like minor delays had major consequences.
Three critical Q's for leaders
Recognition - Would your managers recognise a request for reasonable adjustments when they hear one?
Urgency - Do your team members understand how quickly they must act on accommodation requests?
Process - Is your return-to-work process robust enough to protect both people and the business?
These questions reveal whether your organisation treats reasonable adjustments as a core business priority.
Beyond compliance: A Leadership imperative
Legal compliance - Meet minimum statutory requirements
Cultural commitment - Build systems that prioritise support
Leadership excellence - Create a workplace where everyone can succeed
Supporting inclusion and employees mental health isn't just about avoiding tribunals. It's about building organisations where people can do their best work.
If you would like to know more about how to stay compliant and make your whole organisation inclusive, optimised and attractive to all talent, contact our team today, we'll show you how.
People. Process. Place.