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The £202,000 price of delay: An NHS case study

compliance inclusion reasonable adjustments 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 retirementCareer cut short due to preventable decline
Mental health crisisAcute deterioration requiring intervention
RelapseReturn 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 madeEmployee asks for support
Inaction periodOrganisation delays response
Health deterioratesEmployee's condition worsens
Costs accumulateHuman 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

 
RecognitionWould your managers recognise a request for reasonable adjustments when they hear one?
 
UrgencyDo your team members understand how quickly they must act on accommodation requests?
 
ProcessIs 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 complianceMeet minimum statutory requirements
Cultural commitmentBuild systems that prioritise support
Leadership excellenceCreate 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. 

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